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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
Graphic Arrow Attach to Form 990.
Graphic Arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
KAISER FOUNDATION HEALTH PLAN INC
 
Employer identification number
94-1340523
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
(if applicable)
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
noncash assistance
(h) Purpose of grant
or assistance
(1) Adult Friends For Youth
3375 Koapaka St Ste B290
Honolulu,HI96819
99-0254581 501(C)(3) 53,950       Education And Career Readiness Program
(2) Alliance For Health Policy
Po Box 56518
Washington,DC20040
52-1746328 501(C)(3) 100,000       2021 Signature Series Sponsorship & Core Support
(3) Alliance To Fight The 40
1501 M St Nw Ste 600
Washington,DC20005
81-1362774 501(C)(3) 60,000       Executive Level Membership ""Alliance To Fight For
(4) Aloha United Way Inc
200 N Vineyard Blvd700
Honolulu,HI96817
99-0073494 501(C)(3) 90,000       United For Alice: Collective Impact To Improve Eco
(5) American Aca Of Pediatrics
345 Park Blvd
Itasca,IL60143
36-2275597 501(C)(3) 47,500       Capitalizing On Unique Policy Window To Advance To
(6) American Bar Ass Fund For Justice & Edu
321 N Clark St
Chicago,IL60654
36-6110299 501(C)(3) 10,000       Summer 2021 Judicial Intern Opportunity Program Sp
(7) American Cancer Society
250 Williams St Nw
Atlanta,GA30303
13-1788491 501(C)(3) 12,500       Relay For Life (Multiple Events)
(8) American Diabetes Association
2451 Crystal Dr 900
Arlington,VA22202
13-1623888 501(C)(3) 25,000       Imagine Project Power, Hawaii
(9) American Heart Assoc
7425 N Palm Bluffs
Fresno,CA93711
13-5613797 501(C)(3) 27,500       2021 Heart Challenge Digital Experience
(10) American National Red Cross
4155 Diamond Head Rd
Honolulu,HI96816
53-0196605 501(C)(3) 25,000       Corporate Sponsorship/Blood Saves Lives
(11) American Online Giving Foundation Inc
40 E Main St 887
Newark,DE19711
81-0739440 501(C)(3) 169,858       Board Of Directors Matching Gift Program
(12) American Organization For Nursing
Po Box 92592
Chicago,IL60675
36-3591337 501(C)(3) 20,000       Aonl 2021 Annual Conference-foundation Plenary & A
(13) American Public Health Association
800 I St Nw
Washington,DC20001
13-1628688 501(C)(3) 109,800       Event And Program Support
(14) Aviva Family & Childrens Services
7120 Franklin Ave
Los Angeles,CA90046
95-1693616 501(C)(3) 10,000       Event Sponsorship
(15) Bipartisan Policy Center Inc
1225 Eye Nw 1000
Washington,DC20005
73-1628382 501(C)(3) 75,000       Project Support
(16) Black Directors Health Equity
750 W Virginia St
Milwaukee,WI53204
86-1980606 501(C)(3) 100,000       Fy 21 Legacy Sponsorship For Bdhea 2021 National S
(17) Boys And Girls Club Of Hawaii
1000 Bishop St Ste 505
Honolulu,HI96813
99-6005407 501(C)(3) 55,075       What's Next Initiative
(18) Boys And Girls Clubs Of Maui Inc
100 Kanaloa Ave
Kahului,HI96732
99-0272347 501(C)(3) 50,000       Bgcm Leaders In Training (Lit) Program
(19) Brigham And Womens Hospital Inc
C/O Bofa Po Box 3149
Boston,MA02241
04-2312909 501(C)(3) 200,000       Budget Modules, Policy Analysis, Md Support Post-m
(20) California Fdn On The Environment & Economy
35 Pier Ste 202
San Francisco,CA94133
94-2579986 501(C)(3) 21,000       2021 General Board Membership Bod 2021-g137
(21) California Issues Forum
1121 L St Ste 211
Sacramento,CA95814
01-0595129 501(C)(3) 30,000       Founders' Circle 2021 Sponsor Dues Invoice
(22) California Legislative Black Caucus
1020 12th St Apt 406
Sacramento,CA95814
26-3911734 501(C)(3) 15,000       13th Annual Leadership Symposium Oct 22-23, 2021-b
(23) California Legislative Lgbt Foundation
5445 Madison Ave
Sacramento,CA95841
30-0805115 501(C)(3) 15,000       2021 Silver Sponsorship Calif Lgbt Legislative Fou
(24) California Primary Care Association
1231 I St Ste 400
Sacramento,CA95814
94-3215565 501(C)(3) 250,000       Cpca Phm Solutions Initiative
(25) Center For Environmental Health
2201 Broadway 508
Oakland,CA94612
94-3251981 501(C)(3) 25,000       2021 Environmental, Social, & Racial Justice Proje
(26) Center For Health Policy Development
Po Box 405
Brattleboro,VA05302
52-1576801 501(C)(3) 20,000       Event Support
(27) Central City Association Of Los Angeles
626 Wilshire Blvd
Los Angeles,CA90017
95-0691090 501(C)(6) 10,000       Cca Treasures 2022
(28) Change Machine
254 36th St Ste B321
Brooklyn,NY11232
76-0833915 501(C)(3) 40,000       Financial Health In Hawaiian Communities
(29) Child & Family Service
91-1841 Ft Weaver Rd
Ewa Beach,HI96706
99-0073483 501(C)(3) 9,232       Cpb Foundation Presents Legends Of Hope For Famili
(30) Committee For Economic Development
1530 Wilson Blvd 400
Arlington,VA22209
13-1624108 501(C)(3) 10,000       Support For Ced And Tcb Independent Research And O
(31) Community Initiatives
Po Box 191311
San Francisco,CA94119
94-3255070 501(C)(3) 10,000       Nursing Education & Heritage Project Sponsored Pro
(32) Community Partners
11965 Venice Blvd401
Los Angeles,CA90066
95-4302067 501(C)(3) 50,000       The California Accountable Communities For Health
(33) Council Of Insurance Agents & Brokers
701 Pennsylvania Nw750
Washington,DC20004
13-1952497 501(C)(3) 10,000       2021 Event Sponsorship
(34) Csac Finance Corporation
1100 K St
Sacramento,CA95814
94-3010425 501(C)(4) 25,000       Platinum Partner Dues
(35) David A Winston Health Policy Fellowship
1341 G St Nw 11th Fl
Washington,DC20005
52-1492039 501(C)(3) 6,000       Winston Health Policy Ball-table For 10-silver Lev
(36) Direct Relief
6100 Wallace Becknell Rd
Santa Barbara,CA93117
95-1831116 501(C)(3) 19,634       Kpgives India Direct Relief
(37) Doctors Without Borders Usa Inc
333 7th Ave 2nd Fl
New York,NY10001
13-3433452 501(C)(3) 10,421       Kp $100k Match Fund For Msf
(38) Domestic Violence Action Ctr Of Hi
Po Box 3198
Honolulu,HI96801
99-0290389 501(C)(3) 10,000       27th Annual Men's March Against Violence
(39) Food Basket Inc
40 Holomua St
Hilo,HI96720
26-0349475 501(C)(3) 82,500       The Statewide Expansion Of The Da Bux Double Up Fo
(40) George Washington University
Po Box 98131
Washington,DC20090
53-0196584 501(C)(3) 60,000       Health Workforce Equity Evidence Reviews - Mullan
(41) Give Foundation Inc
11040 Bollinger Canyon Rd
San Ramon,CA94582
02-0570370 501(C)(3) 68,334       Kpgives India Give Foundation (Giveindia)
(42) Goodwill
2410 Kilihau St
Honolulu,HI96819
99-6001264 501(C)(3) 50,000       Financial Health Initiative
(43) Greater La African American Chamber
5120 W Goldleaf Cr
Los Angeles,CA90056
95-4357302 501(C)(6) 10,000       Glaaacc Annual Dinner Event Support
(44) Hawaii Food Bank
2611 Kilihau Street
Honolulu,HI96819
99-0220699 501(C)(3) 22,100       Tefap Farm To Food Bank
(45) Hawaii Health & Harm Reduction Center
677 Ala Moana Blvd226
Honolulu,HI96813
99-0284222 501(C)(3) 76,000       Homelessness Prevention For Oahu's Transgender Com
(46) Hawaii Public Health Institute
850 Richards St
Honolulu,HI96813
68-0637054 501(C)(3) 18,130       Ensuring Equitable Access To The Covid-19 Vaccine
(47) Healthcare Association Of Hawaii
707 Richards St Ph 2
Honolulu,HI96813
99-0105817 501(C)(3) 6,000       Hawaii Healthcare Heroes
(48) Hi Alliance Of Nonprofit Organizations
1020 S Beretania St
Honolulu,HI96814
99-0073497 501(C)(3) 9,000       Hanocon 2021: Shifting Paradigms
(49) Hispanic Scholarship Fund
1411 W 190th St Ste 700
Gardena,CA90248
52-1051044 501(C)(3) 344,500       Hispanic Scholarship Fund
(50) Hope Services Hawaii Inc
357 Waianuenue Ave
Hilo,HI96720
27-3412984 501(C)(3) 75,000       Expanding Behavioral Healthcare For People Experie
(51) Housing California
1107 9th St Ste 560
Sacramento,CA95814
68-0133565 501(C)(3) 250,000       Shift The Narrative Initiative To Create Homes, He
(52) Hui No Ke Ola Pono Inc
95 Mahalani St Rm 21
Wailuku,HI96793
99-0287193 501(C)(3) 50,000       Hanai Aku, Hanai Mai
(53) Ihs The Institute For Human Services Inc
546 Kaaahi St
Honolulu,HI96817
99-0199107 501(C)(3) 75,000       Averting Homelessness And Recidivism For Formerly
(54) Illumination Foundation
1091 N Batavia St
Orange,CA92867
71-1047686 501(C)(3) 22,497       Event Sponsorship
(55) Imua Family Services
161 S Wakea Ave
Kahului,HI96732
99-0194402 501(C)(3) 6,000       Imua Discovery (Annual Gala)
(56) Info Line Of San Diego County
3860 Calle Fortunada
San Diego,CA92123
33-1029843 501(C)(3) 157,000       Community Information Exchange Integration
(57) Initiative For Medicines Access & Knowledge
16192 Costal Hwy
Lewes,DE19958
20-8550302 501(C)(3) 250,000       Project Support
(58) Institute For Educational Leadership Inc
4301 Connecticut Ave Nw
Washington,DC20008
52-1198450 501(C)(3) 1,975,000       Champions For Healthy Schools
(59) International Fdn Of Employee Benefit Plans
Po Box 689954
Chicago,IL60695
39-1034021 501(C)(3) 55,815       International Foundation Conference Support
(60) Kahoomiki
Po Box 22207
Honolulu,HI96823
47-0890686 501(C)(3) 10,000       Keiki Rainbow Wellness Challenge
(61) Kula No Na Poe Hawaii
2150 Tantalus Dr
Honolulu,HI96813
99-0305781 501(C)(3) 25,000       Strengthening Community Health Workforce
(62) Laedc-la County Economic Dev
444 S Flower 37fl
Los Angeles,CA91104
95-3643339 501(C)(3) 10,000       Laedc Eddy Awards 2022
(63) Lanakila Pacific
1809 Bachelot St
Honolulu,HI96817
99-0103922 501(C)(3) 90,000       Meal Distribution Support For Home Delivered Meals
(64) Latino Legislative Caucus Foundation
1029 J St Ste 380
Sacramento,CA95814
20-1993440 501(C)(3) 10,000       California Latino Legislative Caucus Foundation De
(65) League Of California Cities
1400 K St Ste 400
Sacramento,CA95814
94-6000835 501(C)(4) 20,000       2021 League Partner & 4 Caucus Group
(66) Los Angeles Area Chamber Of Commerce
350 Bixel St
Los Angeles,CA90017
95-0947860 501(C)(6) 10,000       La Chamber Of Commerce Small Business Awards Suppo
(67) Marriott Fdn For People With Disabilities
10400 Fernwood Road
Bethesda,MD20817
52-1655740 501(C)(3) 30,000       2021 Virtual Bridges Gala Leadership Sponsorship
(68) Mental Health America
Po Box 25697
Alexandria,VA22313
13-1614906 501(C)(3) 100,000       2022 Kp Policy Institute Sponsorship
(69) Mercer Inc
Po Box 95775
Chicago,IL60694
13-2834414 501(C)(3) 10,000       2022 H&B Sponsorship Conference Meeting
(70) Minority Health Institute Inc
3425 Clairton Pl
Encino,CA91436
95-4161253 501(C)(3) 50,000       Sponsorship For Covid-19 Vaccination: It Matters I
(71) Monarch School Project
1625 Newton Ave
San Diego,CA92113
33-0871354 501(C)(3) 5,500       Event Sponsorship
(72) Nami
3803 Fairfax Dr 100
Arlington,VA22203
43-1201653 501(C)(3) 50,000       National Alliance On Mental Illness 2022 Nami Conf
(73) National Academy Of Social Insurance
1441 L St Nw Ste 530
Washington,DC20005
52-1451753 501(C)(3) 50,000       Core Support Economic Security Programs
(74) National Alliance To End Homelessness
1518 K St Nw Fl 2
Washington,DC20005
52-1299641 501(C)(3) 17,500       Various Events Support
(75) National Association Of School
1100 Wayne Ave925
Silver Spring,MD20910
52-0886492 501(C)(3) 1,975,000       Champions For School Health: Connecting Communitie
(76) National Business Group On Health
20 F St Nw Ste 200
Washington,DC20001
52-1147591 501(C)(3) 56,000       2021 Annual Conference Session
(77) National Committee For Quality Assurance
Po Box 424038
Washington,DC20042
52-1191985 501(C)(3) 10,000       Ncqa Event Sponsorship Quality Talks 2021
(78) National Council For Behavioral Health
1400 K St Nw 400
Washington,DC20005
23-7092671 501(C)(3) 30,000       National Council Silver Partner-oct 24, 2021 -Sept
(79) National Law Center On Homelessness
2000 M St Nw 750e
Washington,DC20036
52-1633883 501(C)(3) 30,000       Mckinney-vento Awards
(80) Natl Assn Of Black Accts- Sf Chapter
Po Box 29885
Oakland,CA94604
23-7730129 501(C)(3) 10,000       Corporate Sponsorship-2021/2022 Gold Level; 2022 S
(81) New Venture Fund
1201 Connecticute Nw 300
Washington,DC20036
20-5806345 501(C)(3) 25,000       Support Management Of Coalition Activities & Meeti
(82) Pasadena Chamber Of Commerce
44 N Mentor Ave
Pasadena,CA91106
95-0616125 501(C)(6) 7,500       Pasadena Chamber Of Commerce Annual Gala
(83) Path
2201 Westlake Ave200
Seattle,WA98121
91-1157127 501(C)(3) 15,807       Kpgives India Path
(84) Professional Businesswomen Of California
2261 Market St 1600
San Francisco,CA94114
94-3093360 501(C)(3) 37,500       Pbwc 32nd Annual Conference-virtual-ignite Change
(85) Project Vision Hawaii
1110 Nuuanu Ave
Honolulu,HI96817
27-2831637 501(C)(3) 94,450       Covid-19 Response And Outreach
(86) Public Good Projects Inc
2308 Mount Vernon Ave
Alexandria,VA22301
46-2717584 501(C)(3) 400,000       Stopflu
(87) Public Health Institute
555 12th St 10th Fl
Oakland,CA94607
94-1646278 501(C)(3) 15,000       Sponsorships
(88) Public Policy Institute Of California
500 Washington 600
San Francisco,CA94111
94-3207299 501(C)(3) 10,000       Sponsorship Of The 2022 Speaker Series On Californ
(89) Regents Of The University Of California
9500 Gilman Drive 0952
La Jolla,CA92093
95-6006144 501(C)(3) 75,000       Program Support
(90) Riverside University Health System
Po Box 9850
Moreno Valley,CA92552
33-0374018 501(C)(3) 11,250       Event Sponsorship
(91) Rosie The Riveter Trust
Po Box 71126
Richmond,CA94807
94-3335350 501(C)(3) 20,000       Rosie The Riverter Annual Fundraising Dinner-makin
(92) San Gabriel Valley Economic Partnership
4900 Rivergrade Rd B130
Irwindale,CA91706
95-4295520 501(C)(6) 8,330       3 Events: Gala, Reception, & Luncheon
(93) Senders Communications Group Inc
16501 Ventura Blvd 400
Encino,CA91436
86-1067009 501(C)(3) 65,465       Leadership Renewal Website
(94) South Pacific Charitable Foundation
2305 S Beretania St
Honolulu,HI96826
80-0667446 501(C)(3) 6,500       South Pacific Charitable Foundation Ali'i Invitati
(95) State Of Hi Dept Of Education
46-169 Kamehameha Hwy
Kaneohe,HI96744
99-0266482 Government 14,900       Windward District Fitness Meet
(96) The Center
Po Box 3357
San Diego,CA92163
23-7332048 501(C)(3) 10,000       Event Sponsorship
(97) The East Bay Community Foundation
200 Frank H Ogawa Plaza
Oakland,CA94612
94-6070996 501(C)(3) 2,250,000       Organizational Capacity Building And Racial Equity
(98) The Leadership Council On Legal
Po Box 1656
Richmond,VA23223
27-0173338 501(C)(3) 7,000       2021 Leadership Council On Legal Diversity Annual
(99) Thinkwatts Foundation
1225 E 100th St
Los Angeles,CA90002
83-2224841 501(C)(3) 7,500       Watts Juneteenth Street Fair
(100) United Negro College Fund
1805 7th St Nw
Washington,DC20001
13-1624241 501(C)(3) 47,500       Kaiser Permanente Health Equity Scholarship Progra
(101) United Way
702 County Square Dr
Ventura,CA93003
95-1945833 501(C)(3) 5,875       United To End Homelessness Virtual Symposium
(102) University Of Washington
12455 Collections Dr
Chicago,IL60693
91-6001537 Government 333,115       Inv Gcx409024-estimating Healthy Life Years & Disa
(103) Waianae Coast Comprehensive Health Center
86-260FarringtonHighway
Waianae,HI96792
99-0148164 501(C)(3) 65,000       Wcchc Kupuna Pantry
(104) Women In California Leadership
1414 K St Ste 250
Sacramento,CA95814
45-2806199 501(C)(3) 15,000       Donation To The Women In California Leadership Fou
(105) Young Mens Christian Association
4301 W 3rd St
Los Angeles,CA90020
95-1644052 501(C)(3) 10,500       3 Sponsorship Events: Healthy Kids Day, Kids To Ca
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Graphic Arrow
98
3
Enter total number of other organizations listed in the line 1 table ........................ . Graphic Arrow
7
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2021

Schedule I (Form 990) 2021
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
Schedule I, Part I, Line 2 - PROCEDURES FOR MONITORING GRANTS - Grantees are required to submit a final report that describes progress toward goals, impact to date, as well as financial accounting for how funds were used.
Schedule I (Form 990) 2021



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