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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.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Name of the organization
KAISER FOUNDATION HEALTH PLAN OF COLORADO
 
Employer identification number
84-0591617
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) 27J SCHOOLS
18551 E 160TH AVE
BRIGHTON,CO80601 		84-6012304 Government 24,500       Project Support
(2) AMERICAN HEART ASSOCIATION INC
1777 S HARRISON ST 500
DENVER,CO80210 		13-5613797 501(c)(3) 49,000       Project Support
(3) AMERICAN RED CROSS KERN CHAPTER
5035 GILMORE AVE
BAKERSFIELD,CA93308 		53-0196605 501(c)(3) 150,000       Project Support
(4) BOULDER VALLEY SCHOOL DISTRICT RE-2
6500 ARAPAHOE RD
BOULDER,CO80303 		84-6014683 Government 100,000       Project Support
(5) CHERRY CREEK SCHOOL DISTRICT NO 5
4850 S YOSEMITE ST
GREENWOOD VILLAGE,CO80111 		84-6000861 Government 133,250       Project Support
(6) CLINICA TEPEYAC
4725 HIGH ST
DENVER,CO80216 		84-1285505 501(c)(3) 7,000       Project Support
(7) COLORADO CHARTER SCHOOL INSTITUTE
1600 BROADWAY 1250
DENVER,CO80202 		84-0644739 Government 24,500       Project Support
(8) COLORADO HEALTH INSTITUTE
303 E 17TH AVE 930
DENVER,CO80203 		74-3082235 501(c)(3) 11,000       Project Support
(9) COLORADO NONPROFIT DEVELOPMENT CENTER
789 N SHERMAN ST 250
DENVER,CO80203 		84-1493585 501(c)(3) 200,000       Project Support
(10) COLORADO SPRINGS SCHOOL DISTRICT 11
1115 N EL PASO ST
COLORADO SPRINGS,CO80903 		84-6001179 Government 24,500       Project Support
(11) COMMUNITY FOUNDATION
1123 SPRUCE ST
BOULDER,CO80302 		84-1171836 501(c)(3) 94,600       Project Support
(12) DANA-FARBER CANCER INSTITUTE
450 BROOKLINE AVE
Boston,MA02215 		04-2263040 501(c)(3) 28,181       Research Collaboration
(13) DCSD
701 PRAIRIE HAWK DR
CASTLE ROCK,CO80109 		84-6011446 Government 100,000       Project Support
(14) DELTA ETA BOULE FOUNDATION
PO BOX 462618
AURORA,CO80046 		84-1459058 501(c)(3) 20,000       Project Support
(15) DENVER HEALTH & HOSPITAL AUTHORITY
PO BOX 17093
Denver,CO80217 		32-0310536 501(c)(3) 293,618       Research Collaboration
(16) DENVER MUSEUM OF NATURE & SCIENCE
2001 N COLORADO BLVD
DENVER,CO80205 		84-0518447 501(c)(3) 20,000       Project Support
(17) DENVER PUBLIC SCHOOLS FOUNDATION
1860 N LINCOLN ST FL 10
DENVER,CO80203 		84-1224325 501(c)(3) 16,500       Project Support
(18) DUKE UNIVERSITY
PO BOX 602651
Charlotte,NC28260 		56-0532129 501(c)(3) 13,045       Research Collaboration
(19) EARTHLINKS INC
2746 W 13TH AVE
DENVER,CO80204 		84-1343224 501(c)(3) 15,000       Project Support
(20) FEEDING COLORADO FOOD BANK OF THE ROCKIES
10700 E 45TH AVE
DENVER,CO80239 		84-1568564 501(c)(3) 200,000       Project Support
(21) FIVE STAR EDUCATION FOUNDATION
1500 E 128TH AVE
THORNTON,CO80241 		74-2401659 501(c)(3) 24,500       Project Support
(22) FOUNTAIN-FORT CARSON SCHOOL DISTRICT 8
10665 JIMMY CAMP RD
FOUNTAIN,CO80817 		84-6008041 Government 24,500       Project Support
(23) HARRISON SCHOOL DISTRICT FOUNDATION INC
1060 HARRISON RD
COLORADO SPRINGS,CO80905 		74-2558196 501(c)(3) 29,500       Project Support
(24) HENRY FORD HEALTH SYSTEM
1 FORD PL UNIT 5E
Detroit,MI48202 		38-6553031 501(c)(3) 533,999       Research Collaboration
(25) HOPELIGHT MEDICAL CLINIC
1351 COLLYER ST
LONGMONT,CO80501 		46-4657471 501(c)(3) 105,000       Project Support
(26) HUNGER FREE COLORADO
1355 S COLORADO BLVD 201
DENVER,CO80222 		68-0551464 501(c)(3) 80,000       Project Support
(27) INNER CITY HEALTH CENTER
3800 YORK ST
DENVER,CO80205 		74-2426085 501(c)(3) 7,000       Project Support
(28) JEFFCO PUBLIC SCHOOLS
1829 DENVER WEST DR BLDG 27
GOLDEN,CO80401 		84-6002817 Government 24,500       Project Support
(29) JOHNS HOPKINS UNIVERSITY
12529 COLLECTIONS CTR DR
Chicago,IL60693 		36-7129657 501(c)(3) 292,212       Research Collaboration
(30) JUNIOR ACHIEVEMENT-ROCKY MOUNTAIN INC
1445 MARKET ST 200
DENVER,CO80202 		84-0430495 501(c)(3) 7,500       Project Support
(31) LIVEWELL COLORADO
1490 LAFAYETTE ST 404
DENVER,CO80218 		26-2464764 501(c)(3) 75,000       Project Support
(32) MARSHFIELD CLINIC INC
1000 NORTH OAK AVENUE
Marshfield,WI54449 		81-2822823 501(c)(3) 430,290       Research Collaboration
(33) MILE HIGH UNITED WAY INC
711 PARK AVE W
DENVER,CO80205 		84-0404235 501(c)(3) 800,000       Project Support
(34) PROJECT ANGEL HEART
4950 WASHINGTON ST
DENVER,CO80216 		84-1199481 501(c)(3) 69,000       Project Support
(35) PUEBLO COUNTY SCHOOL DISTRICT 70
24951 E US HIGHWAY 50
PUEBLO,CO81006 		84-6002832 Government 91,134       Project Support
(36) RE VISION
3800 MORRISON RD
DENVER,CO80219 		26-1204343 501(c)(3) 6,000       Project Support
(37) REGENTS OF THE UNIVERSITY OF MICHIGAN
PO BOX 223131
Pittsburgh,PA15251 		38-6006309 501(c)(3) 29,135       Research Collaboration
(38) SCCC
PO BOX 4337
FRISCO,CO80443 		20-1139635 501(c)(3) 99,873       Project Support
(39) STATE OF COLORADO
1313 N SHERMAN ST 320
DENVER,CO80203 		84-0644739 Government 800,000       Project Support
(40) The Denver Foundation
55 MADISON ST 8TH FLOOR
DENVER,CO80206 		84-6048381 501(c)(3) 34,250,000       Project Support
(41) THOMPSON SCHOOL DISTRICT R2-J
800 S TAFT AVE
LOVELAND,CO80537 		84-6013346 Government 100,000       Project Support
(42) TIDES CENTER
1438 WEBR ST 101
OAKLAND,CA94612 		94-3213100 501(c)(3) 400,000       Project Support
(43) TRAILHEAD INSTITUTE
1385 S COLORADO BLVD 622
DENVER,CO80222 		84-1267213 501(c)(3) 95,000       Project Support
(44) TRUSTEES OF THE UNIVERSITY OF PA
PO BOX 785541
Philadelphia,PA19178 		23-1352685 501(c)(3) 908,942       Research Collaboration
(45) UNIVERSITY OF COLORADO FOUNDATION
1800 N GRANT ST 725
DENVER,CO80203 		84-6049811 501(c)(3) 50,000       Project Support
(46) UNIVERSITY OF COLORADO
13120 E 19TH AVE
AURORA,CO80045 		84-6000555 Government 53,452       Research Collaboration
(47) URBAN LEADERSHIP FOUNDATION OF COLORADO
1550 LARIMER ST UNIT 518
DENVER,CO80202 		26-1393882 501(c)(3) 95,000       Project Support
(48) WELD COUNTY SCHOOL DISTRICT 6
1025 NINTH AVE
GREELEY,CO80631 		98-9803345 Government 24,500       Project Support
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
48
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2020
Page 2

Schedule I (Form 990) 2020
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, QUESTION 2 PROCEDURES FOR MONITORING THE USE OF GRANTS At the end of their funding cycle, grantees are required to submit a final report which delineates accomplishments related to stated objectives. Larger grants (typically over $100k) may require quarterly progress reports.
Schedule I (Form 990) 2020



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