STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

CHINESE HOSPITAL ASSOCIATION: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
CHINESE HOSPITAL ASSOCIATION (EIN 94-0382780)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-15
IRS object ID
202433209349313878
Schema version
2023v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-11-15T13:00:03-06:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1101 SECOND STREET SUITE 900AddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94105ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN940382780EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHINESE HOSPITAL ASSOCIATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCHINBusinessNameControlTxt
Phone4156772440PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1845 JACKSON STREETAddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94133ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHI-KUO CHUNGPersonNm
Person TitlePRESIDENT & CFOPersonTitleTxt
Phone4156772440PhoneNum
Signature2024-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL LUMSDENPreparerPersonNm
PTINP01262236PTIN
Phone4159561500PhoneNum
Preparation2024-11-15PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDR JIAN ZHANGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1845 JACKSON STREETAddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94133ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$146,920,307GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHINESEHOSPITAL-SF.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1925FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionCOST EFFECTIVE HEALTH CARE WHICH IS RESPONSIVE TO THE COMMUNITY'S ETHNIC AND CULTURAL UNIQUENESS.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee601TotalEmployeeCnt
Total Volunteers33TotalVolunteersCnt
Total Gross UBI$2,523,466TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$999,804NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$23,345,543PYContributionsGrantsAmt
CY Contributions Grants$14,054,161CYContributionsGrantsAmt
PY Program Service Revenue$123,367,111PYProgramServiceRevenueAmt
CY Program Service Revenue$129,572,178CYProgramServiceRevenueAmt
PY Investment Income$923,725PYInvestmentIncomeAmt
CY Investment Income$1,308,767CYInvestmentIncomeAmt
PY Other Revenue$2,150,539PYOtherRevenueAmt
CY Other Revenue$1,622,849CYOtherRevenueAmt
PY Total Revenue$149,786,918PYTotalRevenueAmt
CY Total Revenue$146,557,955CYTotalRevenueAmt
PY Grants And Similar Paid$110,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$110,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$57,021,565PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$60,892,545CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$786,561CYTotalFundraisingExpenseAmt
PY Other Expenses$94,405,023PYOtherExpensesAmt
CY Other Expenses$96,833,470CYOtherExpensesAmt
PY Total Expenses$151,536,588PYTotalExpensesAmt
CY Total Expenses$157,836,015CYTotalExpensesAmt
PY Revenues Less Expenses-$1,749,670PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$11,278,060CYRevenuesLessExpensesAmt
Total Assets BOY$300,335,964TotalAssetsBOYAmt
Total Assets EOY$305,053,559TotalAssetsEOYAmt
Total Liabilities BOY$150,757,308TotalLiabilitiesBOYAmt
Total Liabilities EOY$166,338,887TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$149,578,656NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$138,714,672NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCHINESE HOSPITAL, A COMMUNITY-OWNED, NOT-FOR-PROFIT ORGANIZATION, EXISTS PRIMARILY TO DELIVER QUALITY HEALTH CARE IN A COST EFFECTIVE WAY, RESPONSIVE TO THE COMMUNITY'S ETHNIC AND CULTURAL UNIQUENESS, PROVIDING ACCESS TO HEALTH CARE AND ACCEPTABILITY TO ALL SOCIOECONOMIC LEVELS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$110,683,714ExpenseAmt
Grant$110,000GrantAmt
Revenue$129,572,178RevenueAmt
DescCHINESE HOSPITAL IS AN 88-BED NON-PROFIT COMMUNITY HOSPITAL AND AFFILIATED COMMUNITY CLINICS OFFERING A WIDE RANGE OF MEDICAL, SURGICAL, AND SPECIALTY CARE TO A MULTICULTURAL COMMUNITY. CHINESE HOSPITAL AIMS TO DELIVER QUALITY HEALTH CARE IN A COST-EFFECTIVE WAY, RESPOND TO OUR COMMUNITY'S ETHNIC AND CULTURAL UNIQUENESS, AND OFFER ACCESS TO HEALTH CARE TO ALL SOCIOECONOMIC LEVELS. SERVICES OFFERED AT CHINESE HOSPITAL INCLUDE ACUPUNCTURE, CARDIOPULMONARY, EMERGENCY CARE, HEALTH PROGRAMS (INCLUDING IMMUNIZATIONS, HEPATITIS B SERVICES, A DIABETES CENTER, AND PALLIATIVE CARE), LABORATORY, NURSING CARE, OPTOMETRY, PHARMACY, RADIOLOGY/IMAGING, AND SURGERY.Desc
Total Program Service Expenses$110,683,714TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document205IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee601EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHI-KUO (MICHAEL) CHUNGBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4156772494PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1445 GRANT AVENUE SUITE 200AddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94108ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
KIN F YEE DDS
CHAIR5.000.00Yes (X)Yes (X)$0$0$0
HARVEY LOUIE
VICE CHAIR5.000.00Yes (X)Yes (X)$0$0$0
THOMAS T NG
SECRETARY5.000.00Yes (X)Yes (X)$0$0$0
ROGER S ENG MD
ASSISTANT SECRETARY5.000.00Yes (X)Yes (X)$0$0$0
ROBERT WONG
TREASURER5.000.00Yes (X)Yes (X)$0$0$0
CHARLES LAI
BOARD MEMBER2.000.00Yes (X)$0$0$0
CHARLES C CHOW
BOARD MEMBER2.000.00Yes (X)$0$0$0
CLIFTON LEUNG
BOARD MEMBER2.000.00Yes (X)$0$0$0
DONALD LUU
BOARD MEMBER2.000.00Yes (X)$0$0$0
DI AN CHEN
BOARD MEMBER2.000.00Yes (X)$0$0$0
GLENN FONG
BOARD MEMBER2.000.00Yes (X)$0$0$0
LAWRENCE WONG
BOARD MEMBER2.000.00Yes (X)$0$0$0
JACK SIT
BOARD MEMBER2.000.00Yes (X)$0$0$0
DING BONG LEE
BOARD MEMBER2.000.00Yes (X)$0$0$0
MISHA TSUKERMAN
BOARD MEMBER2.000.00Yes (X)$0$0$0
THOMAS YUEN
BOARD MEMBER2.000.00Yes (X)$0$0$0
DR JIAN ZHANG
CHIEF EXECUTIVE OFFICER40.000.00Yes (X)$596,719$0$99,729
CHI-KUO MICHAEL CHUNG
PRESIDENT & CHIEF FINANCIAL OFFICER40.000.00Yes (X)$454,506$0$29,381
SYLVIA MUNGUIA PITTMAN MSHR
CHIEF HUMAN RESOURCES OFFICER40.000.00$345,807$0$43,451Yes (X)
PATRICIA CHUNG
VP OF QUALITY, MED STAFF & COMPL40.000.00$280,645$0$86,049Yes (X)
SCOTT L HUANG MD
MEDICAL DIRECTOR/PHYSICIAN40.000.00$308,204$0$23,866Yes (X)
GINA KO YAM PHARMD
VICE PRESIDENT OF OPERATIONS40.000.00$276,109$0$43,472Yes (X)
ANTONIA NIA LENDARIS MSN CNS RN
CHIEF NURSING OPERATIONS OFFICER40.000.00$289,133$0$26,011Yes (X)
ANDERSON D ENG MD
MEDICAL PHYSICIAN40.000.00$323,360$0$32,058Yes (X)
AUNG KYAW S MAUNG MD
MEDICAL PHYSICIAN40.000.00$314,313$0$39,249Yes (X)
ALSON TOY
RN SURGERY40.000.00$292,526$0$60,632Yes (X)
FRANK CHEN MD
MEDICAL PHYSICIAN40.000.00$320,274$0$22,597Yes (X)
JENNIFER CHEN MD
MEDICAL PHYSICIAN40.000.00$303,140$0$20,489Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,104,736TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$526,984TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K180IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MAR CON COMPANY
8108A CAPWELL DROAKLANDCA94621CONSTRUCTION SERVICES$3,356,457
HENRY HU MD A PROFESSIONAL CORPORATION
911 PARROTT DRIVEHILLSBOROUGHCA94010ANESTHESIA SERVICES$1,655,603
AYA HEALTHCARE INC
1200 E CAMPBELL RD STE 108RICHARDSONTX75081MEDICAL STAFFING$1,507,129
SAN FRANCISCO UNIFIED PHYSICIANS GROUP
2440 16TH ST 108SAN FRANCISCOCA94103HOSPITALIST SERVICES$1,220,188
CA EMERGENCY ASSOCIATES A CA MEDICAL CO
PO BOX 677979DALLASTX752677979ER PHYSICIAN SERVICES$1,207,927
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K46CntrctRcvdGreaterThan100KCnt
Fundraising$612,847FundraisingAmt
Government Grants$12,197,996GovernmentGrantsAmt
All Other Contributions$1,243,318AllOtherContributionsAmt
Total Contributions$14,054,161TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
CAPITATION REVENUE621110$57,028,344$57,028,344
NET PATIENT SERVICE REVENUE621110$49,769,525$49,769,525
PHARMACY REVENUE456110$19,228,444$16,746,499$2,481,945
CLINIC REVENUE621110$1,788,633$1,788,633
PAY FOR PERFORMANCE621110$491,576$491,576

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,265,656TotalRevenueColumnAmt
Related Or Exempt Func Income$1,265,656RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$129,572,178TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,308,767TotalRevenueColumnAmt
Exclusion$1,308,767ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$278,132RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$157,794RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$120,338RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$120,338TotalRevenueColumnAmt
Unrelated Business Revenue$41,521UnrelatedBusinessRevenueAmt
Exclusion$78,817ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$116,207FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$612,847ContriRptFundraisingEventAmt
Fundraising Direct Expenses$204,558FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$88,351TotalRevenueColumnAmt
Exclusion-$88,351ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
MANAGEMENT FEE900099$1,287,548$1,287,548
PARKING REVENUE561000$271,342$271,342
CAFETERIA722514$31,972$31,972
FieldValueIRS element (for citing)
Other Revenue Total$1,590,862OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$146,557,955TotalRevenueColumnAmt
Related Or Exempt Func Income$127,090,233RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,523,466UnrelatedBusinessRevenueAmt
Exclusion$2,890,095ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$110,000TotalAmt
Program Services$110,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,903,082TotalAmt
Program Services$1,221,463ProgramServicesAmt
Management And General$1,681,619ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$35,087,618TotalAmt
Program Services$25,547,210ProgramServicesAmt
Management And General$9,420,574ManagementAndGeneralAmt
Fundraising$119,834FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,742,209TotalAmt
Program Services$2,654,761ProgramServicesAmt
Management And General$1,075,534ManagementAndGeneralAmt
Fundraising$11,914FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$15,800,985TotalAmt
Program Services$7,860,605ProgramServicesAmt
Management And General$7,922,310ManagementAndGeneralAmt
Fundraising$18,070FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,358,651TotalAmt
Program Services$2,416,304ProgramServicesAmt
Management And General$931,898ManagementAndGeneralAmt
Fundraising$10,449FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$224,333TotalAmt
Management And General$145,440ManagementAndGeneralAmt
Fundraising$78,893FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$283,887TotalAmt
Management And General$283,887ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$19,232,008TotalAmt
Program Services$14,179,015ProgramServicesAmt
Management And General$4,608,584ManagementAndGeneralAmt
Fundraising$444,409FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$22,317TotalAmt
Management And General$22,317ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,409,321TotalAmt
Management And General$1,371,124ManagementAndGeneralAmt
Fundraising$38,197FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,377,342TotalAmt
Program Services$1,377,342ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,118,092TotalAmt
Program Services$145,740ProgramServicesAmt
Management And General$1,972,352ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$20,358TotalAmt
Management And General$20,358ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$36,209TotalAmt
Management And General$36,209ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,678,729TotalAmt
Management And General$4,678,729ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$8,838,777TotalAmt
Management And General$8,773,982ManagementAndGeneralAmt
Fundraising$64,795FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$908,146TotalAmt
Management And General$908,146ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL CLAIMS EXPENSE$34,371,931$34,371,931
MEDICAL SUPPLIES$20,799,343$20,799,343
MEDI-CAL QUALITY ASSURA$2,307,953$2,307,953
INCOME TAX EXPENSE$204,724$204,724

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$157,836,015TotalAmt
Program Services$110,683,714ProgramServicesAmt
Management And General$46,365,740ManagementAndGeneralAmt
Fundraising$786,561FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,200BOYAmt
EOY$3,200EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,786,374BOYAmt
EOY$20,983,586EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,054,595BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$17,138,737BOYAmt
EOY$16,323,212EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,890,411BOYAmt
EOY$1,810,189EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$772,604BOYAmt
EOY$674,665EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$334,362,829LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$105,766,716LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$232,062,461BOYAmt
EOY$228,596,113EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$31,823,233BOYAmt
EOY$34,272,169EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$400,000BOYAmt
EOY$400,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,404,349BOYAmt
EOY$1,990,425EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$300,335,964BOYAmt
EOY$305,053,559EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$13,551,256BOYAmt
EOY$15,906,246EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$4,721,933BOYAmt
EOY$4,681,790EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$36,908,420BOYAmt
EOY$36,935,068EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$64,413,684BOYAmt
EOY$72,462,727EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$31,162,015BOYAmt
EOY$36,353,056EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$150,757,308BOYAmt
EOY$166,338,887EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$146,821,756BOYAmt
EOY$128,190,956EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,756,900BOYAmt
EOY$10,523,716EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$149,578,656BOYAmt
EOY$138,714,672EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$300,335,964BOYAmt
EOY$305,053,559EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$11,278,060ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,158,548NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$744,472OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$11,742OtherActivitiesAmt
Total Lobbying Expenditures$11,742TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION PAYS MEMBERSHIP DUES TO THE HOSPITAL COUNCIL - NORTHERN AND CENTRAL CALIFORNIA, AN ORGANIZATION WHICH ADVOCATE FOR CALIFORNIA'S HOSPITALS AND HEALTH SYSTEMS; A PORTION ($11,742) OF THOSE MEMBERSHIP DUES HAVE BEEN INDICATED AS USED FOR LOBBYING PURPOSES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,197,597OtherCostOrOtherBasisAmt
Book Value$6,197,597BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$1,810,000InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$271,201,113OtherCostOrOtherBasisAmt
Depreciation$68,678,289DepreciationAmt
Book Value$204,332,824BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$39,595,459OtherCostOrOtherBasisAmt
Depreciation$32,443,131DepreciationAmt
Book Value$7,152,328BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,558,660OtherCostOrOtherBasisAmt
Depreciation$4,645,296DepreciationAmt
Book Value$10,913,364BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$228,596,113TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
ACCRUED MEDICAL CLAIMS$12,462,568
PENSION LIABILITY$22,185,316
OPERATING LEASE LIABILITIES$1,705,172
FieldValueIRS element (for citing)
Total Liability$36,353,056TotalLiabilityAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF TOURNAMENTEvent1Nm
Gross Receipts Event1$505,032GrossReceiptsEvent1Amt
Charitable Contri Event1$435,427CharitableContriEvent1Amt
Gross Revenue Event1$69,605GrossRevenueEvent1Amt
Rent Facility Costs Event1$59,764RentFacilityCostsEvent1Amt
Food And Beverage Event1$62,840FoodAndBeverageEvent1Amt
Entertainment Event1$6,765EntertainmentEvent1Amt
Other Direct Expenses Event1$16,878OtherDirectExpensesEvent1Amt
Event2124TH ANNIVERSARYEvent2Nm
Gross Receipts Event2$224,022GrossReceiptsEvent2Amt
Charitable Contri Event2$177,420CharitableContriEvent2Amt
Gross Revenue Event2$46,602GrossRevenueEvent2Amt
Food And Beverage Event2$43,301FoodAndBeverageEvent2Amt
Entertainment Event2$3,300EntertainmentEvent2Amt
Other Direct Expenses Event2$11,710OtherDirectExpensesEvent2Amt
Gross Receipts Total$729,054GrossReceiptsTotalAmt
Charitable Contributions Tot$612,847CharitableContributionsTotAmt
Gross Revenue Total Events$116,207GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$59,764RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$106,141FoodAndBeverageTotalEventsAmt
Entertainment Total Events$10,065EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$28,588OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$204,558DirectExpenseSummaryEventsAmt
Net Income Summary-$88,351NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,771,560TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,771,560NetCommunityBenefitExpnsAmt
Total Expense0.01120TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,280,894TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,378,548DirectOffsettingRevenueAmt
Net Community Benefit Expns$902,346NetCommunityBenefitExpnsAmt
Total Expense0.00570TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,052,454TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,378,548DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,673,906NetCommunityBenefitExpnsAmt
Total Expense0.01690TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$214,713TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$214,713NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$74,770TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$74,770NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,622,070TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,628,034DirectOffsettingRevenueAmt
Net Community Benefit Expns$994,036NetCommunityBenefitExpnsAmt
Total Expense0.00630TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$110,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$110,000NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,021,553TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,628,034DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,393,519NetCommunityBenefitExpnsAmt
Total Expense0.00890TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,074,007TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,006,582DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,067,425NetCommunityBenefitExpnsAmt
Total Expense0.02580TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$271,609BadDebtExpenseAmt
Bad Debt Expense Attributable$251,431BadDebtExpenseAttributableAmt
Reimbursed By Medicare$42,275,214ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$76,601,650CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$34,326,436MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHINESE HOSPITAL ASSOCIATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1845 JACKSON STREETAddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94133ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.CHINESEHOSPITAL-SF.ORGWebsiteAddressTxt
State License220000122StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CHINESE HOSPITAL ASSOCIATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://CHINESEHOSPITAL-SF.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://CHINESEHOSPITAL-SF.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://CHINESEHOSPITAL-SF.ORG/FINANCIAL-ASSISTANCE/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://CHINESEHOSPITAL-SF.ORG/FINANCIAL-ASSISTANCE/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://CHINESEHOSPITAL-SF.ORG/FINANCIAL-ASSISTANCE/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CHINESE HOSPITAL ASSOCIATIONPART V, SECTION B, LINE 5: THE CHINESE HOSPITAL SUPPLEMENTAL CHNA WAS CONDUCTED THROUGH FOCUS GROUPS DESIGNED TO ASSESS THE HEALTH STATUS, CONCERNS, AND ACCESS AMONG THE CHINESE POPULATION THAT CHINESE HOSPITAL SERVES IN THE CITY AND COUNTY OF SAN FRANCISCO. THE RECRUITMENT OF THESE FOCUS GROUPS WAS CONDUCTED THROUGH ETHNIC MEDIA PRESS RELEASES, CCHP MEMBER SERVICES, AS WELL AS THROUGH POPULAR CHINESE SOCIAL MEDIA APP, WECHAT. THE FOCUS GROUP PARTICIPANTS WERE RECRUITED FROM OVER 19 DIFFERENT ZIP CODE NEIGHBORHOODS.A SERIES OF SEVEN (7) FOCUS GROUPS WERE CONDUCTED TO ASSESS AND IDENTIFY THE PREDOMINANT HEALTH CONCERNS OF THE CHINESE-SPEAKING POPULATION. THE FOCUS GROUPS WERE CONDUCTED BETWEEN MARCH 24 APRIL 12, 2022. TWO FOCUS GROUPS TOOK PLACE AT CHINESE HOSPITAL WITH AN AVERAGE OF 12 PARTICIPANTS PER GROUP. FIVE (5) FOCUS GROUPS WERE HELD VIA ZOOM WITH AN AVERAGE OF 6 PARTICIPANTS PER GROUP. ALL SEVEN (7) FOCUS GROUPS WERE CONDUCTED IN CANTONESE CHINESE, THE PREFERRED CHINESE DIALECT OF THE PARTICIPANTS. ALL PARTICIPANTS COMPLETED A DEMOGRAPHIC SURVEY, AND THE FOCUS GROUP SESSIONS WERE AUDIO/VIDEO RECORDED WITH PARTICIPANTS' CONSENT. THE FACILITATORS UTILIZED A QUESTION GUIDE TO SOLICIT FEEDBACK FROM PARTICIPANTS THROUGH A SEMI-STRUCTURED FOCUS GROUP FORMAT. THE FACILITATORS HAND RECORDED THE MEETING NOTES. PARTICIPANTS WERE ASKED TO RANK THEIR HEALTH NEEDS FROM 1-5, WITH 1 BEING THE MOST IMPORTANT. THE FACILITATOR OF THE FOCUS GROUPS WERE BILINGUAL, TRAINED HEALTH EDUCATORS WITH MORE THAN 10 YEARS OF EXPERIENCE IN CONDUCTING QUALITATIVE INTERVIEW SESSIONS.
CHINESE HOSPITAL ASSOCIATIONPART V, SECTION B, LINE 6A: CHINESE HOSPITAL ASSOCIATION IS A PART OF SAN FRANCISCO HEALTH IMPROVEMENT PARTNERSHIP (SFHIP), WHICH IS A COLLABORATIVE BODY WHOSE MISSION IS TO EMBRACE COLLECTIVE IMPACT AND TO IMPROVE COMMUNITY HEALTH AND WELLNESS IN SAN FRANCISCO. SFHIP (WHOSE MEMBERS INCLUDE SAN FRANCISCO'S NON-PROFIT HOSPITALS) COMPLETES A CITYWIDE CHNA, WHICH IS THE FOUNDATION FOR EACH OF SAN FRANCISCO'S NON-PROFIT HOSPITALS' CHNA. IN ADDENDUM TO THE SFHIP CHNA, CHINESE HOSPITAL ALSO COMPLETES A SUPPLEMENTAL CHNA WITH A FOCUS ON THE CHINESE SUBPOPULATION IN SAN FRANCISCO.
CHINESE HOSPITAL ASSOCIATIONPART V, SECTION B, LINE 6B: NON-HOSPITAL MEMBERS OF SFHIP (WHO COMPLETED THE SAN FRANCISCO CITY-WIDE CHNA WHICH SERVES AS THE FOUNDATION FOR CHINESE HOSPITAL'S CHNA) INCLUDE THE SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH, SAN FRANCISCO UNIFIED SCHOOL DISTRICT, THE OFFICE OF THE MAYOR, AND COMMUNITY REPRESENTATIVES FROM: THE ASIAN AND PACIFIC ISLANDER HEALTH PARITY COALITION; HUMAN SERVICES NETWORK; CHICANO/LATINO/INDIGENA HEALTH EQUITY COALITION; AFRICAN AMERICAN COMMUNITY HEALTH COUNCIL; COMMUNITY CLINIC CONSORTIUM; AS WELL AS OTHER FAITH-BASED AND OTHER PHILANTHROPIC PARTNERS.
CHINESE HOSPITAL ASSOCIATIONPART V, SECTION B, LINE 11: AMONG ALL THE COMMUNITY HEALTH NEEDS IDENTIFIED BY CHINESE HOSPITAL 2022 SUPPLEMENTAL CHNA, BASED ON THE RESOURCES AVAILABLE, CHINESE HOSPITAL SELECTED THE FOLLOWING 3 MAIN AREAS AS OUR PRIORITIES TO ADDRESS:1. MENTAL HEALTH2. COMMUNITY SAFETY AND ACCESS TO HEALTH3. IN-LANGUAGE HEALTH EDUCATIONMENTAL HEALTH: TO ADDRESS THE HEALTH NEED OF MENTAL HEALTH, IN 2023 CHA:1. CONTINUES TO RAISE AWARENESS RELATED TO PSYCHOSOCIAL HEALTH. IN 2023, CCHRC, IN COLLABORATION WITH CHA, PUT ON A SERIES OF MENTAL HEALTH AND COVID-19 RELATED ONLINE HEALTH SEMINARS, SPECIFICALLY TARGETING MENTAL HEALTH EFFECTS. IN 2023, THESE 6 CLASSES INCLUDED COPD+COVID, STRESS MANAGEMENT, AND DEPRESSION FOR 70 PARTICIPANTS. IN ADDITION, CHA RECEIVED 474 PAGE VIEWS ON HEALTH EDUCATION MATERIAL RELATED TO MENTAL HEALTH, AND DEVELOPED AND DISTRIBUTED NEWSLETTER ARTICLES ON THE TOPICS OF MENTAL HEALTH, STRESS MANAGEMENT, AND SELF-CARE TOPICS (APPROXIMATELY 16 HOURS OF STAFF TIME). LASTLY, CCHRC STAFF AND INTERNS SPENT 10 HOURS ON FINALIZING A BOOKLET CONTENT ON MENTAL HEALTH BASED ON COMMUNITY FOCUS GROUP FEEDBACK.2. CONTINUES TO PROVIDE EDUCATION PROGRAMS FOR CAREGIVERS/FAMILY MEMBERS LIVING WITH INDIVIDUALS WITH MENTAL DISORDERS. THIS WAS ACCOMPLISHED THROUGH CHA AND CCHRC'S CONTINUING TO SERVE AS A COMMUNITY ADVISOR FOR THE CENTER FOR AGING IN DIVERSE COMMUNITIES AS WELL AS FOR THE LIVING ALONE WITH COGNITIVE IMPAIRMENT PROJECT, BOTH IN CONJUNCTION WITH UCSF.3. CONTINUES TO RAISE AWARENESS AMONG MENTAL HEALTH PROVIDERS ABOUT CULTURAL COMPETENCY WHILE PROVIDING PROGRAMS AND SERVICES TO ASIAN AMERICANS LIVING WITH MENTAL DISORDERS. THIS WAS ACCOMPLISHED BY: (I) PROVIDING INFORMATION ON AVAILABLE MENTAL HEALTH RELATED EDUCATIONAL PROGRAMS THROUGH HEALTH SYSTEM NEWSLETTERS AND CCHRC'S WEBSITE; (II) DISSEMINATING INFORMATION ON AVAILABLE MENTAL HEALTH RESOURCES THROUGH CHA, AS WELL AS LOCAL COMMUNITY PARTNERS; AND (III) EXPANDING ITS OUTPATIENT MENTAL HEALTH SERVICES TO INCLUDE A PSYCHIATRIST ON ITS CLINICAL TEAM AND PROVIDING TELEMEDICINE TO VARIOUS PARTNER SITES IN THE SF BAR AREA. LASTLY, CHA IS A PART OF THE CALHIVE BEHAVIORAL HEALTH INTEGRATION IMPROVEMENT COLLABORATIVE, A THREE-YEAR INITIATIVE HOSTED BY CALIFORNIA QUALITY COLLABORATIVE (CQC) AS WELL AS THE CALHIVE ADVISORY BOARD.COMMUNITY SAFETY AND ACCESS TO HEALTH: TO ADDRESS THE HEALTH NEED ON IMPROVING ACCESS TO COORDINATED, CULTURALLY, AND LINGUISTICALLY APPROPRIATE CARE AND SERVICES FOR THE VULNERABLE CHINESE POPULATIONS, IN 2023 CHA:1. CONTINUED TO OFFER CULTURALLY RELEVANT HEALTH EDUCATION PROGRAMS THROUGH THE CHINESE HEALTH RESOURCE CENTER AND CHINESE HOSPITAL OUTPATIENT CENTER/CLINICS TO IMPROVE ACCESS TO CULTURALLY APPROPRIATE PROGRAMS AND SERVICES. IN 2023, CCHRC SPENT 125 HOURS CONDUCTING HEALTH EDUCATION, AND SPENT 28 HOURS DEVELOPING AND DISTRIBUTED NEWSLETTER ARTICLES ON THE TOPICS OF FLU SHOTS, TELEHEALTH, LUNG HEALTH, AND BREAST CANCER. ADDITIONALLY, HEALTH INFORMATION ON OVER 268 DIFFERENT TOPICS WAS AVAILABLE THROUGH CCHRC'S WEBSITES, WHERE 111,802 PAGE VIEWS WERE RECEIVED. FURTHER, 5 BILINGUAL ARTICLES AND 1 VIDEO ON VARIOUS HEALTH TOPIC WAS DEVELOPED THROUGH CCHRC, CHA DEVELOPED AN ADDITIONAL 7 BILINGUAL ARTICLES ON VARIOUS HEALTH TOPICS, AND CHINESE HOSPITAL EAST WEST HEALTH SERVICES SPENT 4 HOURS DEVELOPING ARTICLES ON ACUPUNCTURE. CHA ALSO PROVIDED 49 HOURS OF PRESCRIPTION COUNSELING FREE TO THE COMMUNITY. LASTLY, CCHRC'S PATIENT NAVIGATION PROGRAM PROVIDED 75 HOURS OF PATIENT NAVIGATION SERVICES TO CONNECT 314 PATIENTS TO RESOURCES.2. CONTINUED TO PROVIDE CULTURALLY RELEVANT HEALTH EDUCATIONAL INFORMATION THROUGH COMMUNITY HEALTH FAIRS, WEBSITES, MEDIA, AND CCHRC'S PROGRAMS AND SERVICES. IN TOTAL, CHA AND CCHRC PARTICIPATED IN 28 VARIOUS COMMUNITY-SPONSORED HEALTH FAIRS, REACHING OUT TO A TOTAL OF 2,461 PARTICIPANTS. ADDITIONALLY, CCHRC'S WELLNESS LIBRARY HOUSES BILINGUAL EDUCATIONAL BOOKS, BROCHURES, AND MATERIALS ON MANY HEALTH TOPICS THAT ARE AVAILABLE AT NO COST TO THE COMMUNITY.3. CONTINUED TO MEET WITH COMMUNITY ORGANIZATIONS TO DEVELOP SOLUTIONS TO HEALTH-RELATED ISSUES IDENTIFIED THROUGH NEEDS ASSESSMENT ACTIVITIES. IN 2023, CHA AND CCHRC PARTNERED WITH MANY LOCAL ORGANIZATIONS TO PROVIDE PROGRAMS FOR THEIR PATIENTS AND FAMILIES. FURTHER, CHA STAFF CONTINUES TO PARTICIPATE ON THE SFHIP STEERING COMMITTEE, AND CCHRC STAFF SERVES AS MEMBERS OF COMMUNITY ADVISORY BOARDS FOR VARIOUS DEPARTMENTS AND PROJECTS OF UCSF.IN-LANGUAGE HEALTH EDUCATION:TO ADDRESS THE HEALTH NEED OF PROVIDING IN-LANGUAGE HEALTH EDUCATION, IN 2023 CHA:1. CONTINUED TO WORK WITH MEDIA PARTNERS TO PROVIDE EDUCATIONAL PROGRAMS AND COMMUNITY RESOURCES ON COVID-19 HEALTH EDUCATION, AND COMMUNITY SAFETY TO THE CHINESE IMMIGRANT COMMUNITY. THIS WAS ACCOMPLISHED THROUGH: (I) THE CONDUCTING OF TV INTERVIEWS, WHICH STAFF DEDICATED APPROXIMATELY 55 HOURS TO; (II) HOLDING PRESS CONFERENCES FOR THE PUBLIC AND LOCAL ETHNIC MEDIA, WHICH STAFF DEDICATED APPROXIMATELY 50 HOURS TO; AND (III) CONDUCTING A TOTAL OF 45 HOURS OF INTERVIEWS AND 260 HOURS OF INFOMERCIALS ON CHINESE SING TAO RADIO, WHICH IS ONE OF THE MOST PROMINENT ETHNIC RADIO BROADCASTING STATIONS IN THE SAN FRANCISCO BAY AREA.2. CONTINUED TO PROVIDE EDUCATIONAL PROGRAMS RELATED TO COVID-19, HEALTH EDUCATION, AND COMMUNITY SAFETY THROUGH THE CHINESE HOSPITALS' COMMUNITY CLINICS AND CHINESE COMMUNITY HEALTH RESOURCES CENTER. IN 2023, CHA'S RESOURCE WEB PAGES RECEIVED 30,000 PAGE VIEWS, THE MARKETING TEAM PRODUCED 3 VIDEOS WITH A TOTAL OF 6,500 VIEWS, AND THE RESOURCE WEB PAGE RECEIVED 398 PAGE VIEWS. FURTHER, CHA AND CCHRC PROVIDED COVID-19 HEALTH EDUCATION AND COMMUNITY SAFETY RELATED EDUCATIONAL INFORMATION THAT WAS FEATURED IN 8 ISSUES AMONG THE TWO SYSTEM PARTNERS' NEWSLETTERS, AND DEVELOPED AND DISTRIBUTED NEWSLETTER ARTICLES FOR COVID-19 EDUCATION (APPROXIMATELY 8 STAFF HOURS).3. CONTINUED TO WORK WITH NETWORK PARTNERS TO PROVIDE EDUCATIONAL INFORMATION AND COMMUNITY RESOURCES ON COVID-19 HEALTH, EDUCATION, AND COMMUNITY SAFETY FOR THE CHINESE IMMIGRANT COMMUNITY. IN 2023, CCHRC PROVIDED COVID-19 TESTING TO 463 PARTICIPANTS. ADDITIONAL INFORMATION REGARDING PROGRAMS AND SERVICES OFFERED IN 2023 IN RESPONSE TO THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND ON THE 2023 COMMUNITY BENEFIT REPORT POSTED TO THE ORGANIZATION'S WEBSITE.
FieldValueIRS element (for citing)
Facility4FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - SUNSET HEALTH SERVICES
1800 31ST AVENUESAN FRANCISCOCA94122OUTPATIENT CLINIC
2 - EXCELSIOR HEALTH SERVICES
888 PARIS STREET SUITE 202SAN FRANCISCOCA94112OUTPATIENT CLINIC
4 - EAST WEST HEALTH SERVICES
445 GRANT AVENUE GROUND FLOORSAN FRANCISCOCA94108OUTPATIENT CLINIC
5 - CHINESE HOSPITAL OUTPATIENT CENTER
386 GELLERT BLVDDALY CITYCA94015OUTPATIENT CLINIC

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:A COST-TO-CHARGE RATIO WAS UTILIZED TO DETERMINE THE AMOUNTS ON SCHEDULE H, PART I, LINE 7.
PART I, LINE 7G:SUBSIDIZED HEALTH SERVICES INCLUDES MANAGED CARE SERVICES.
PART III, LINE 3:THE HOSPITAL RUNS A CREDIT SCORE AND COLLECTS TAX RETURNS FOR PATIENTS APPLYING FOR FINANCIAL ASSISTANCE; BASED OFF THIS INFORMATION, AN ESTIMATE IS MADE TO DETERMINE HOW MUCH OF THE BAD DEBT EXPENSE ON PART III, LINE 3 WOULD BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. IN ADDITION, SOME OF THE BAD DEBT EXPENSE IS RELATED TO HOMELESS PATIENTS, WHICH WOULD BE ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. THE HOSPITAL ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND CO-INSURANCE FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGES BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY AND DEEMED UNCOLLECTIBLE ARE RECORDED AS BAD DEBT EXPENSE.
PART III, LINE 4:THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DOES NOT HAVE A SEPARATE FOOTNOTE ADDRESSING BAD DEBT EXPENSE; HOWEVER, THE FOOTNOTE WHICH ADDRESSES PATIENT ACCOUNTS RECEIVABLE CAN BE FOUND ON PAGE PATIENT ACCOUNTS RECEIVABLE CAN BE FOUND ON PAGES 9 AND 15 OF THE AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:THE MEDICARE SHORTFALL REPORTED ON SCHEDULE H, PART III, LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT AS MEDICARE RATES ARE NON-NEGOTIABLE AND SOMETIMES OUT-OF-LINE WITH THE TRUE COSTS OF TREATING MEDICARE PATIENTS. BY CONTINUING TO TREAT PATIENTS ELIGIBLE TO MEDICARE, HOSPITALS ALLEVIATE THE FEDERAL GOVERNMENT'S BURDEN FOR DIRECTLY PROVIDING MEDICAL SERVICES. ADDITIONALLY, IRS REV. RUL. 69-545 STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.A COST-TO-CHARGE IS UTILIZED TO DETERMINE THE AMOUNTS ON SCHEDULE H, PART III, LINES 6.
PART III, LINE 9B:AT LEAST 30 DAYS PRIOR TO INITIATING ECAS, CHINESE HOSPITAL OR ITS AUTHORIZED VENDOR WILL PROVIDE THE PATIENT WITH A WRITTEN NOTICE ("ECA NOTICE") THAT WILL: (A) INDICATE THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR ELIGIBLE INDIVIDUALS; (B) IDENTIFY THE ECA(S) THAT THE HOSPITAL FACILITY OR AUTHORIZED VENDOR INTENDS TO INITIATE TO OBTAIN PAYMENT FOR THE CARE; (C) STATE A DEADLINE AFTER WHICH SUCH ECA(S) MAY BE INITIATED THAT IS NO EARLIER THAN 30 DAYS AFTER THE DATE THAT THE WRITTEN ECA NOTICE IS PROVIDED; (D) INCLUDE THE FOLLOWING STATEMENT OR ANY FURTHER STATEMENT REQUIRED BY AN AMENDMENT TO CALIFORNIA HEALTH & SAFETY CODE 127430: "STATE AND FEDERAL LAW REQUIRE DEBT COLLECTORS TO TREAT YOU FAIRLY AND PROHIBIT DEBT COLLECTORS FROM MAKING FALSE STATEMENTS OR THREATS OF VIOLENCE, USING OBSCENE OR PROFANE LANGUAGE, AND MAKING IMPROPER COMMUNICATIONS WITH THIRD PARTIES, INCLUDING YOUR EMPLOYER. EXCEPT UNDER UNUSUAL CIRCUMSTANCES, DEBT COLLECTORS MAY NOT CONTACT YOU BEFORE 8:00 A.M. OR AFTER 9:00 P.M. IN GENERAL, A DEBT COLLECTOR MAY NOT GIVE INFORMATION ABOUT YOUR DEBT TO ANOTHER PERSON, OTHER THAN YOUR ATTORNEY OR SPOUSE. A DEBT COLLECTOR MAY CONTACT ANOTHER PERSON TO CONFIRM YOUR LOCATION OR TO ENFORCE A JUDGMENT. FOR MORE INFORMATION ABOUT DEBT COLLECTION ACTIVITIES, YOU MAY CONTACT THE FEDERAL TRADE COMMISSION BY TELEPHONE AT 1- 877-FTC-HELP (382-4357) OR ONLINE AT WWW.FTC.GOV.; CHINESE HOSPITAL OR ITS AUTHORIZED VENDORS MAY EMPLOY THE FOLLOWING ECAS, SUBJECT TO ANY RESTRICTIONS DESCRIBED BELOW: 1. CREDIT REPORTING(A) FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER CHINESE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, NEITHER CHINESE HOSPITAL NOR ANY OF ITS AUTHORIZED VENDORS WILL REPORT ADVERSE INFORMATION TO A CONSUMER CREDIT REPORTING AGENCY FOR NON-PAYMENTS AT ANY TIME PRIOR TO 150 DAYS AFTER THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT. 2. CIVIL ACTIONS (E.G., LITIGATION, DEBTOR'S EXAMS)(A) FOR UNINSURED PATIENTS OR PATIENTS WITH HIGH MEDICAL COSTS (AS DEFINED IN CHINESE HOSPITAL'S FINANCIAL ASSISTANCE POLICY), NEITHER CHINESE HOSPITAL NOR ANY OF ITS AUTHORIZED VENDORS WILL COMMENCE CIVIL ACTION FOR NON-PAYMENTS AT ANY TIME PRIOR TO 150 DAYS AFTER THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT. (B) THIS RESTRICTION DOES NOT PRECLUDE CHINESE HOSPITAL FACILITIES FROM PURSUING REIMBURSEMENT FROM THIRD-PARTY LIABILITY SETTLEMENTS, TORTFEASORS, OR OTHER LEGALLY RESPONSIBLE PARTIES. (C) THE COSTS, INCLUDING ATTORNEY FEES, ASSOCIATED WITH ANY LEGAL ACTION THAT CHINESE HOSPITAL OR ITS AUTHORIZED VENDORS IS REQUIRED TO TAKE MAY ALSO BE THE RESPONSIBILITY OF THE PATIENT. 3. RENEWAL OF EXISTING JUDGMENTS4. PROPERTY LIENS(A) CHINESE HOSPITAL AND ITS AUTHORIZED VENDORS THAT ARE AFFILIATES OR SUBSIDIARIES OF CHINESE HOSPITAL WILL NOT PLACE LIENS ON THE PRIMARY RESIDENCE OF A PATIENT ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY AS A MEANS OF COLLECTING UNPAID HOSPITAL BILLS. (B) AUTHORIZED VENDORS THAT ARE NOT AFFILIATES OR SUBSIDIARIES OF CHINESE HOSPITAL WILL NOT NOTICE OR CONDUCT A SALE OF THE PRIMARY RESIDENCE OF A PATIENT ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY AS A MEANS OF COLLECTING UNPAID HOSPITAL BILLS. 5. WAGE GARNISHMENTS (A) CHINESE HOSPITAL OR ITS AUTHORIZED VENDORS THAT ARE AFFILIATES OR SUBSIDIARIES OF CHINESE HOSPITAL WILL NOT FILE A WRIT OF GARNISHMENT AGAINST A PATIENT ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY AS A MEANS OF COLLECTING UNPAID HOSPITAL BILLS. (B) CHINESE HOSPITAL'S AUTHORIZED VENDORS THAT ARE NOT AFFILIATES OR SUBSIDIARIES OF CHINESE HOSPITAL WILL NOT FILE A WRIT OF GARNISHMENT AGAINST A PATIENT ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY, UNLESS SUCH WRIT IS BY ORDER OF THE COURT UPON NOTICED MOTION, SUPPORTED BY A DECLARATION FILED BY THE MOVANT IDENTIFYING THE BASIS FOR WHICH IT BELIEVES THE PATIENT HAS THE ABILITY TO MAKE PAYMENTS ON THE JUDGMENT UNDER THE WAGE GARNISHMENT. (C) WAGE GARNISHMENT AMOUNTS WILL NOT EXCEED LIMITS PERMITTED UNDER STATE LAWS.
PART VI, LINE 2:THE CHINESE HOSPITAL SUPPLEMENTAL COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED THROUGH FOCUS GROUPS DESIGNED TO ASSESS THE HEALTH STATUS, CONCERNS, AND ACCESS AMONG THE CHINESE POPULATION THAT CHINESE HOSPITAL SERVES IN THE CITY AND COUNTY OF SAN FRANCISCO. AS CHINESE-SPEAKING RESIDENTS ARE THE PRIMARY TARGET POPULATION STUDY, ALL OF OUR FOCUS GROUP INDIVIDUALS WHO REPORTED THEIR BIRTHPLACE INDICATED THEY WERE FOREIGN BORN. IN ADDITION, CHINESE HOSPITAL HOLDS VARIOUS COMMUNITY EVENTS AND SCREENINGS, WHICH ALLOWS IT TO FURTHER ASSESS THE HEALTH NEEDS OF THE COMMUNITY.
PART VI, LINE 3:THE HOSPITAL POSTS ITS FINANCIAL ASSISTANCE POLICY WITHIN ADMITTING AND REGISTRATION AREAS, THE EMERGENCY DEPARTMENT, AND THE BUSINESS OFFICE. ALL ADMITS TO THE HOSPITAL ARE ALSO PROVIDED THE FINANCIAL ASSISTANCE/CHARITY CARE POLICIES IN THE PRIMARY LANGUAGE OF THE PATIENT.CHINESE HOSPITAL ALSO MAKES REASONABLE EFFORTS TO PROVIDE ALL PATIENTS WHO RECEIVE CARE (WHETHER EMERGENCY, INPATIENT, OR OUTPATIENT) FROM A CHINESE HOSPITAL FACILITY, AND MAY BE BILLED FOR THAT CARE, WITH A CONSPICUOUS WRITTEN NOTICE ON EACH BILLING STATEMENT THAT INCLUDES THE FOLLOWING: (I) INFORMATION ABOUT THE AVAILABILITY OF CHINESE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND OTHER DISCOUNTS AVAILABLE FROM CHINESE HOSPITAL; (II) INFORMATION ABOUT ELIGIBILITY FOR FINANCIAL ASSISTANCE AND OTHER DISCOUNTS; (III) CONTACT INFORMATION FOR A HOSPITAL EMPLOYEE OR OFFICE FROM WHICH THE PERSON MAY OBTAIN FURTHER INFORMATION ABOUT CHINESE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND OTHER DISCOUNTS; AND (IV) THE DIRECT WEBSITE WHERE COPIES OF THE FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY CAN BE OBTAINED.IF A PATIENT HAS NOT PROVIDED PROOF OF HEALTH COVERAGE BY A THIRD PARTY AT THE TIME CARE IS PROVIDED OR BY THE TIME THE PATIENT IS DISCHARGED, CHINESE HOSPITAL'S FIRST POST-DISCHARGE BILL WILL PROVIDE THE PATIENT WITH A BILL THAT CONTAINS A CLEAR AND CONSPICUOUS STATEMENT THAT, IF THE PATIENT DOES NOT HAVE HEALTH INSURANCE COVERAGE FOR THE CHARGES, THE PATIENT MAY BE ELIGIBLE FOR (I) A GOVERNMENT-SPONSORED HEALTHCARE PROGRAM, SUCH AS MEDICARE, MEDICAID, OR CHIP, (II) COVERAGE OFFERED THROUGH A HEALTH BENEFITS EXCHANGE; (III) COVERAGE THROUGH OTHER STATE-OR COUNTY-FUNDED HEALTH PROGRAMS (E.G. CALIFORNIA CHILDREN'S SERVICES PROGRAM), OR (IV) FINANCIAL ASSISTANCE FROM CHINESE HOSPITAL UNDER ITS FINANCIAL ASSISTANCE POLICY. A STATEMENT IS ALSO INCLUDING INDICATING HOW PATIENTS MAY OBTAIN APPLICATIONS FOR THE AFOREMENTIONED PROGRAMS AND THAT THE HOSPITAL WILL PROVIDE THE APPLICATIONS. THE HOSPITAL SERVES A LARGE POPULATION OF LOW-INCOME. APPROXIMATELY 90% OF OUR MEDICARE PATIENTS MEET THE FEDERAL CRITERIA FOR "LOW-INCOME". ITS WHOLLY OWNED SUBSIDIARY, CCHP, OFFERS A LOW-COST COMMERCIAL INSURANCE PRODUCT FOR INDIVIDUALS AND EMPLOYER GROUPS, MOST OF WHICH REPRESENT SMALL ASIAN BUSINESSES. OUR INTEGRATED HEALTHCARE DELIVERY SYSTEM ALSO SERVES MANAGED CARE MEDICAID ENROLLEES (SAN FRANCISCO HEALTH PLAN) IN THE COMMUNITY, WHICH BECAME THE FIRST PRIVATE SECTOR ORGANIZATION TO OFFER A MEDICAL HOME TO INDIVIDUALS PARTICIPATING IN THE HEALTHY SAN FRANCISCO PROGRAM FOR INDIVIDUALS WITH INCOMES THAT ARE LESS THAN 300% OF THE FPL. ALL THESE PROGRAMS ARE WIDELY PUBLICIZED IN BOTH ENGLISH AND CHINESE (ELECTRONICALLY AND IN HARD-COPY) TO THE COMMUNITY. THIS INFORMATION IS ON THE WEBSITES OF THE THREE ORGANIZATIONS THAT MAKE UP THE INTEGRATED DELIVERY SYSTEM, CHINESE HOSPITAL ASSOCIATION, CCHP, AND JADE HEALTH CARE MEDICAL GROUP.
PART VI, LINE 4:THE COMMUNITY CHINESE HOSPITAL SERVES HAS A MAJORITY OF LOW-INCOME, MONOLINGUAL OR LINGUISTICALLY ISOLATED SENIOR POPULATION. OF THE INPATIENT POPULATION AT CHINESE HOSPITAL, 88% ARE OF CHINESE ANCESTRY, 87% ARE OVER THE AGE OF 60, AND 91% ARE MEDICARE/MEDI-CAL BENEFICIARIES.THE PRIMARY SERVICE AREA IS THE GREATER CHINATOWN NEIGHBORHOOD OF SAN FRANCISCO (94108). THE POPULATION OF THE CHINATOWN IS 13,535, WITH 49.7% OF THE POPULATION BEING FOREIGN-BORN. POPULATION BY RACE IS AS FOLLOWS: ASIAN (54.3%), LATINO (4.1%), WHITE (36.5%), BLACK OR AFRICAN AMERICAN (1.8%), AMERICAN INDIAN AND ALASKA NATIVE (.4%), NATIVE HAWAIIAN AND OTHER PACIFIC ISLAND (.3%), OTHER (2.3%) AND MULTIETHNIC (4.4%). THE CHINESE POPULATION WITHIN CHINATOWN IS 6,142, WHICH REPRESENTS 45.4% OF THE TOTAL POPULATION. THE PER CAPITA INCOME IS $57,624, WITH THE MEDIAN HOUSEHOLD INCOME BEING $64,908. THE PERCENTAGE OF PERSONS 65 YEARS AND OVER IS 23.0%, AND 18% OF INDIVIDUALS WITHIN CHINATOWN ARE BELOW THE POVERTY LEVEL.BECAUSE OF OUR UNIQUE BILINGUAL PROGRAMS AND SENSITIVITY TO CULTURAL TRADITIONS, RESIDENTS FROM OTHER SAN FRANCISCO NEIGHBORHOODS AND CITIES OF THE BAY AREA TRAVEL TO CHINESE HOSPITAL. ADDITIONAL INFORMATION REGARDING THESE SERVICE AREAS CAN BE FOUND IN THE ORGANIZATION'S CHNA REPORT POSTED TO ITS WEBSITE AT HTTPS://CHINESEHOSPITAL-SF.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/.
PART VI, LINE 5:A MAJORITY OF THE HOSPITAL'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL PHYSICIANS IN THE COMMUNITY WHO APPLY FOR SUCH PRIVILEGES AND MEET THE REQUIRED MEDICAL QUALIFICATIONS. THE HOSPITAL'S SURPLUS FUNDS ARE APPLIED TO IMPROVEMENTS IN PATIENT CARE, MEDICAL EDUCATION, AND RESEARCH, AS DETERMINED BY THE GOVERNING BODY'S FINANCE COMMITTEE.
PART VI, LINE 6:THE CHINESE HOSPITAL HEALTH SYSTEM IS AN INTEGRATIVE HEALTH SYSTEM CONSISTING OF CHINESE HOSPITAL AND CLINICS, CHINESE COMMUNITY HEALTH PLAN (CCHP), AND JADE HEALTH CARE MEDICAL GROUP. EACH ENTITY PERFORMS AN IMPORTANT ROLE IN ACHIEVING THE COMMON GOAL OF PROVIDING THE COMMUNITY WITH QUALITY AFFORDABLE CARE THAT IS CULTURALLY COMPETENT AND LINGUISTICALLY APPROPRIATE. CCHP IS LICENSED WITH THE CALIFORNIA DEPARTMENT OF MANAGED CARE TO OFFER COMMERCIAL HEALTH PLANS AND MAINTAIN A CONTRACT WITH CENTERS FOR MEDICARE AND MEDICAID TO OFFER MEDICARE ADVANTAGE PLANS; CCHP OFFERS A HIGH QUALITY, RIGHT-SIZED ALTERNATIVE FOR HEALTH COVERAGE. JADE HEALTH CARE MEDICAL GROUP IS A MEDICAL GROUP DELIVERING CULTURALLY SENSITIVE, BILINGUAL MANAGED HEALTH CARE IN THE SAN FRANCISCO BAY AREA.
PART VI, LINE 7, REPORTS FILED WITH STATESCA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1CHINESE COMMUNITY HEALTH RESOURCE CENTER INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1818 JACKSON STREETAddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94133ZIPCd
FieldValueIRS element (for citing)
Recipient EIN204251913RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$110,000CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantTO SUPPORT BILINGUAL HEALTH EDUCATION SERVICES TO THE CHINESE COMMUNITYPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationPROPER USE OF GRANT FUNDS AWARDED TO CHINESE COMMUNITY HEALTH RESOURCE CENTER (CCHRC) IS MONITORED VIA WITNESSING THE WORK OF CCHRC IN THE CHINESE COMMUNITY SURROUNDING THE HOSPITAL, AS WELL AS VIA A CLOSE, CONTINUOUS, WORKING RELATIONSHIP BETWEEN THE TWO ORGANIZATIONS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DR JIAN ZHANG
CHIEF EXECUTIVE OFFICER$552,148$0$44,571$0$0$0$74,680$0$25,049$0$696,448$0$0$0
CHI-KUO MICHAEL CHUNG
PRESIDENT & CHIEF FINANCIAL OFFICER$420,557$0$33,949$0$0$0$20,744$0$8,637$0$483,887$0$0$0
SYLVIA MUNGUIA PITTMAN MSHR
CHIEF HUMAN RESOURCES OFFICER$321,087$0$24,720$0$0$0$18,402$0$25,049$0$389,258$0$0$0
PATRICIA CHUNG
VP OF QUALITY, MED STAFF & COMPL$267,893$0$12,752$0$0$0$61,000$0$25,049$0$366,694$0$0$0
ANDERSON D ENG MD
MEDICAL PHYSICIAN$298,046$0$25,314$0$0$0$14,810$0$17,248$0$355,418$0$0$0
AUNG KYAW S MAUNG MD
MEDICAL PHYSICIAN$284,000$0$30,313$0$0$0$14,200$0$25,049$0$353,562$0$0$0
ALSON TOY
RN SURGERY$291,526$0$1,000$0$0$0$51,328$0$9,304$0$353,158$0$0$0
FRANK CHEN MD
MEDICAL PHYSICIAN$290,234$0$30,040$0$0$0$13,960$0$8,637$0$342,871$0$0$0
SCOTT L HUANG MD
MEDICAL DIRECTOR/PHYSICIAN$277,964$0$30,240$0$0$0$15,229$0$8,637$0$332,070$0$0$0
JENNIFER CHEN MD
MEDICAL PHYSICIAN$239,181$0$63,959$0$0$0$11,852$0$8,637$0$323,629$0$0$0
GINA KO YAM PHARMD
VICE PRESIDENT OF OPERATIONS$262,848$0$13,261$0$0$0$18,423$0$25,049$0$319,581$0$0$0
ANTONIA NIA LENDARIS MSN CNS RN
CHIEF NURSING OPERATIONS OFFICER$289,133$0$0$0$0$0$17,374$0$8,637$0$315,144$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN680164610BondIssuerEIN
Bond Issued2022-01-27BondIssuedDt
Issue Price$37,575,014IssuePriceAmt
PurposeREFUND TAXABLE BONDS ISSUED 10/8/2019PurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$37,575,014TotalProceedsAmt
Issuance Costs From Proceeds$396,891IssuanceCostsFromProceedsAmt
Other Spent Proceeds$37,178,123OtherSpentProceedsAmt
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable BondsYes (1)RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6CHA DOES NOT HAVE "MEMBERS" BY DEFINITION OF THE BYLAWS. HOWEVER, THE FORM 990 INSTRUCTIONS ALSO DEFINE "MEMBERS" AS ANY PERSON (INCLUDING A CORPORATION OR OTHER LEGAL ENTITY) WITH THE POWER TO ELECT MEMBER OF THE GOVERNING BODY. ACCORDINGLY, CHA HAS SIXTEEN (16) MEMBERS: (1) CHINESE CONSOLIDATED BENEVOLENT ASSOCIATION; (2) NING YUNG BENEVOLENT ASSOCIATION; (3) SUE HING BENEVOLENT ASSOCIATION; (4) HOP WO BENEVOLENT ASSOCIATION; (5) KONG CHOW BENEVOLENT ASSOCIATION; (6) YEONG WO BENEVOLENT ASSOCIATION; (7) SAM YUP BENEVOLENT ASSOCIATION; (8) YAN WO BENEVOLENT ASSOCIATION; (9) CHINESE CHAMBER OF COMMERCE; (10) CHINESE AMERICAN CITIZENS ALLIANCE; (11) KUOMINTANG OF CHINA; (12) CHEE KUNG TONG; (13) CHINESE DEMOCRATIC CONSTITUTIONALIST PARTY; (14) CHINATOWN Y.M.C.A; (15) CHINESE CHRISTIAN UNION OF SAN FRANCISCO; AND (16) CHINESE HOSPITAL MEDICAL STAFF.
FORM 990, PART VI, SECTION A, LINE 7AEACH OF THE ORGANIZATION'S MEMBERS HAS THE POWER TO DESIGNATE ONE MEMBER OF THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY AN INDEPENDENT TAX ACCOUNTANT, IN CONJUNCTION WITH THE ORGANIZATION'S FINANCE AND ACCOUNTING DEPARTMENT. THE FORM 990 IS THEN REVIEWED BY THE ORGANIZATION'S PRESIDENT & CHIEF FINANCIAL OFFICER; ADJUSTMENTS ARE MADE, AS NECESSARY. THE FORM 990 IS THEN MADE AVAILABLE TO THE MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY THROUGH AN ANNUAL CONFLICT OF INTEREST SURVEY AND DECLARATION. IN ADDITION TO THE ANNUAL CONFLICT OF INTEREST STATEMENT THAT DIRECTORS, OFFICERS, AND KEY EMPLOYEES COMPLETE, VOLUNTARY DISCLOSURE OF ANY POTENTIAL CONFLICTS AS DISCUSSIONS OF PENDING TRANSACTIONS OCCUR IS REQUIRED. THE LEGAL DEPARTMENT AND CFO REVIEW THE CONFLICT OF INTEREST STATEMENTS. IF A CONFLICT OF INTEREST ARISES, THE PERSON WITH THE CONFLICT RECUSES HIM/HERSELF FROM THE DELIBERATIONS AND DECISION-MAKING PROCESS REGARDING THAT PARTICULAR MATTER.
FORM 990, PART VI, SECTION B, LINE 15THE COMPENSATION AND BENEFITS PACKAGE OF THE CEO IS EVALUATED AND REVIEWED BY AN INDEPENDENT COMPENSATION COMMITTEE APPOINTED BY THE PRESIDENT AND VICE PRESIDENT OF THE BOARD. AS A PART OF THIS PROCESS, AN INDEPENDENT CONSULTANT WAS USED TO PROVIDE COMPARABLE DATA OF EQUIVALENT EMPLOYEES AT SIMILARLY SIZED HOSPITALS AND HEALTH PLANS; THE OVERALL COMPENSATION PACKAGE FOR THE CEO WAS THEN REVIEWED AND APPROVED BY INDEPENDENT MEMBERS OF THE BOARD. THE COMPENSATION AND BENEFITS PACKAGE FOR OTHER OFFICERS AND KEY EMPLOYEES IS ALSO EVALUATED AND REVIEWED BY AN INDEPENDENT COMPENSATION COMMITTEE APPOINTED BY THE PRESIDENT AND VICE PRESIDENT OF THE BOARD, WHICH UTILIZED COMPARABLE DATA FOR SIMILAR EMPLOYEES AT SIMILARLY SIZED HOSPITALS AND HEALTH PLANS.
FORM 990, PART VI, SECTION C, LINE 19FEDERAL LAW DOES NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY BE MADE AVAILABLE FOR PUBLIC INSPECTION; ACCORDINGLY, THESE DOCUMENTS ARE CURRENTLY NOT MADE AVAILABLE TO THE PUBLIC. THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE UPON REQUEST, AND ARE ALSO ATTACHED TO A COPY OF THIS FORM 990.
FORM 990, PART IX, LINE 11GPURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,630,210. MANAGEMENT AND GENERAL EXPENSES 2,848,912. FUNDRAISING EXPENSES 251,909. TOTAL EXPENSES 5,731,031. TPA FEES: PROGRAM SERVICE EXPENSES 6,728,413. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,728,413. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 4,820,392. MANAGEMENT AND GENERAL EXPENSES 1,759,672. FUNDRAISING EXPENSES 192,500. TOTAL EXPENSES 6,772,564.
FORM 990, PART XI, LINE 9:CHANGES IN PENSION LIABILITY -579,612. RETIREMENT PLAN BENEFIT GAIN -164,860.

Schedule R IRS990ScheduleR

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CHINESE COMMUNITY HEALTH PLANBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1445 GRANT AVENUE SUITE 700AddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94108ZIPCd
FieldValueIRS element (for citing)
EIN943021419EIN
Primary ActivitiesINSURANCEPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CHABusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Share Of Total Income$137,347,530ShareOfTotalIncomeAmt
Share Of EOY Assets$48,021,345ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CHINESE COMMUNITY HEALTH PLAN
A$44,472BOOK VALUE
CHINESE COMMUNITY HEALTH PLAN
D$574,692BOOK VALUE
CHINESE COMMUNITY HEALTH PLAN
K$375,524BOOK VALUE
CHINESE COMMUNITY HEALTH PLAN
L$1,915,050BOOK VALUE
CHINESE COMMUNITY HEALTH PLAN
M$1,921,050BOOK VALUE
CHINESE COMMUNITY HEALTH PLAN
P$174,493BOOK VALUE