CHINESE HOSPITAL ASSOCIATION: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: CHINESE HOSPITAL ASSOCIATION (EIN 94-0382780)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-15
IRS object ID: 202323199349309137
Schema version: 2022v5.0
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-15T11:15:55-06:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	910189318	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	MOSS ADAMS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	101 SECOND STREET SUITE 900	AddressLine1Txt
City	SAN FRANCISCO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94105	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	940382780	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHINESE HOSPITAL ASSOCIATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CHIN	BusinessNameControlTxt
Phone	4156772440	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	845 JACKSON STREET	AddressLine1Txt
City	SAN FRANCISCO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94133	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CHI-KUO CHUNG	PersonNm
Person Title	PRESIDENT & CFO	PersonTitleTxt
Phone	4156772440	PhoneNum
Signature	2023-11-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	CHI-KUO	PersonFirstNm
Person Last	CHUNG	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MICHAEL LUMSDEN	PreparerPersonNm
PTIN	P01262236	PTIN
Phone	4159561500	PhoneNum
Preparation	2023-11-14	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DR JIAN ZHANG	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	845 JACKSON STREET	AddressLine1Txt
City	SAN FRANCISCO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94133	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$150,144,809	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CHINESEHOSPITAL-SF.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1925	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	COST EFFECTIVE HEALTH CARE WHICH IS RESPONSIVE TO THE COMMUNITY'S ETHNIC AND CULTURAL UNIQUENESS.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	578	TotalEmployeeCnt
Total Volunteers	39	TotalVolunteersCnt
Total Gross UBI	$1,904,320	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$667,696	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$11,090,584	PYContributionsGrantsAmt
CY Contributions Grants	$23,345,543	CYContributionsGrantsAmt
PY Program Service Revenue	$110,619,273	PYProgramServiceRevenueAmt
CY Program Service Revenue	$123,367,111	CYProgramServiceRevenueAmt
PY Investment Income	$1,262,669	PYInvestmentIncomeAmt
CY Investment Income	$923,725	CYInvestmentIncomeAmt
PY Other Revenue	$2,215,737	PYOtherRevenueAmt
CY Other Revenue	$2,150,539	CYOtherRevenueAmt
PY Total Revenue	$125,188,263	PYTotalRevenueAmt
CY Total Revenue	$149,786,918	CYTotalRevenueAmt
PY Grants And Similar Paid	$110,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$110,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$51,921,939	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$57,021,565	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$606,131	CYTotalFundraisingExpenseAmt
PY Other Expenses	$83,318,319	PYOtherExpensesAmt
CY Other Expenses	$94,405,023	CYOtherExpensesAmt
PY Total Expenses	$135,350,258	PYTotalExpensesAmt
CY Total Expenses	$151,536,588	CYTotalExpensesAmt
PY Revenues Less Expenses	-$10,161,995	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$1,749,670	CYRevenuesLessExpensesAmt
Total Assets BOY	$303,436,312	TotalAssetsBOYAmt
Total Assets EOY	$300,335,964	TotalAssetsEOYAmt
Total Liabilities BOY	$153,418,393	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$150,757,308	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$150,017,919	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$149,578,656	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	CHINESE 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 Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$109,256,176	ExpenseAmt
Grant	$110,000	GrantAmt
Revenue	$123,367,111	RevenueAmt
Desc	CHINESE 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	$109,256,176	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	221	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	578	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	16	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHI-KUO (MICHAEL) CHUNG	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4156772494	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	445 GRANT AVENUE SUITE 200	AddressLine1Txt
City	SAN FRANCISCO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94108	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Key EmployeeKeyEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
DR JIAN ZHANG
CHIEF EXECUTIVE OFFICER	40.00	Yes (X)	$644,916	$80,000	$95,899
CHI-KUO MICHAEL CHUNG
PRESIDENT & CHIEF FINANCIAL OFFICER	40.00	Yes (X)	$447,347	$0	$27,817
ANDERSON D ENG MD
MEDICAL PHYSICIAN	40.00		$343,384	$0	$30,903	Yes (X)
ALSON TOY
REGISTERED NURSE, SURGERY	40.00		$313,328	$0	$57,890	Yes (X)
SYLVIA MUNGUIA PITTMAN MSHR
CHIEF HUMAN RESOURCE OFFICER	40.00		$317,604	$0	$39,877		Yes (X)
PATRICIA CHUNG MHA CPMSM HACP
VP OF QUALITY, MEDICAL STAFF & COMPLIANCE	40.00		$268,863	$0	$83,875		Yes (X)
AUNG KYAW S MAUNG MD
MEDICAL PHYSICIAN	40.00		$297,000	$0	$37,671	Yes (X)
NIA LENDARIS MSN CNS RN
CHIEF NURSING OFFICER	40.00		$307,551	$0	$23,714		Yes (X)
FRANK CHEN MD
MEDICAL PHYSICIAN	40.00		$299,038	$0	$21,920	Yes (X)
GINA KO YAM PHARMD
VICE PRESIDENT OF OPERATIONS	40.00		$278,155	$0	$40,513		Yes (X)
SCOTT L HUANG MD
MEDICAL DIRECTOR / PHYSICIAN	40.00		$291,876	$0	$22,612		Yes (X)
CHARLES CELEVANTE
REGISTERED NURSE, SURGERY	40.00		$274,573	$0	$32,896	Yes (X)
KITMAN CHAN
CHAIR	5.00	Yes (X)	$0	$0	$0			Yes (X)
HARVEY LOUIE
VICE CHAIR	5.00	Yes (X)	$0	$0	$0			Yes (X)
THOMAS T NG
SECRETARY	5.00	Yes (X)	$0	$0	$0			Yes (X)
JACK SIT
ASSISTANT SECRETARY	5.00	Yes (X)	$0	$0	$0			Yes (X)
KIN F YEE DDS
TREASURER	5.00	Yes (X)	$0	$0	$0			Yes (X)
DI AN CHEN
BOARD MEMBER	2.00		$0	$0	$0			Yes (X)
ROBERT CHIANG
BOARD MEMBER	2.00		$0	$0	$0			Yes (X)
CHARLES C CHOW
BOARD MEMBER	2.00		$0	$0	$0			Yes (X)
ROGER S ENG MD
BOARD MEMBER	2.00		$0	$0	$0			Yes (X)
JACK LEE FONG
BOARD MEMBER	2.00		$0	$0	$0			Yes (X)
DING BONG LEE
BOARD MEMBER	2.00		$0	$0	$0			Yes (X)
CLIFTON LEUNG
BOARD MEMBER	2.00		$0	$0	$0			Yes (X)
DONALD LUU
BOARD MEMBER	2.00		$0	$0	$0			Yes (X)
KENNY TSE
BOARD MEMBER	2.00		$0	$0	$0			Yes (X)
LAWRENCE WONG
BOARD MEMBER	2.00		$0	$0	$0			Yes (X)
ROBERT WONG
BOARD MEMBER	2.00		$0	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,083,635	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$80,000	TotReportableCompRltdOrgAmt
Total Other Compensation	$515,587	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	141	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MAR CON COMPANY
8108A CAPWELL DRIVE	OAKLAND	CA	94621	CONSTRUCTION SERVICES	$4,587,499
CA EMERGENCY ASSOCIATES
PO BOX 677979	DALLAS	TX	752677979	ER PHYSICIANS GROUP	$1,481,184
HENRY HU MD A PROFESSIONAL CORP
911 PARROTT DRIVE	HILLSBOROUGH	CA	94010	ANESTHESIOLOGISTS GROUP	$1,454,338
CERNER HEALTH SERVICES INC
PO BOX 959156	ST LOUIS	MO	631959156	HEALTH INFORMATION TECHNOLOGY	$1,368,950
SAN FRANCISCO UNIFIED PHYSICIAN GROUP
2440 16TH ST 108	SAN FRANCISCO	CA	94103	HOSPITALISTS	$1,136,250

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	33	CntrctRcvdGreaterThan100KCnt
Fundraising	$943,086	FundraisingAmt
Government Grants	$9,750,238	GovernmentGrantsAmt
All Other Contributions	$12,652,219	AllOtherContributionsAmt
Noncash Contributions	$5,040,000	NoncashContributionsAmt
Total Contributions	$23,345,543	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	621110	$52,856,496	$52,856,496
CAPITATION REVENUE	621110	$49,680,117	$49,680,117
PHARMACY REVENUE	456110	$16,654,758	$14,804,065	$1,850,693
CLINIC REVENUE	621110	$3,136,014	$3,136,014
PAY FOR PERFORMANCE	621110	$475,695	$475,695

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$564,031	TotalRevenueColumnAmt
Related Or Exempt Func Income	$551,655	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$12,376	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$123,367,111	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$923,725	TotalRevenueColumnAmt
Exclusion	$923,725	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$308,677	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$157,831	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$150,846	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$150,846	TotalRevenueColumnAmt
Unrelated Business Revenue	$41,251	UnrelatedBusinessRevenueAmt
Exclusion	$109,595	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$79,266	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$943,086	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$200,060	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$120,794	TotalRevenueColumnAmt
Exclusion	-$120,794	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
MANAGEMENT FEE	900099	$1,805,060	$1,805,060
PARKING REVENUE	561000	$280,766	$280,766
CAFETERIA	722514	$34,661	$34,661

Field	Value	IRS element (for citing)
Other Revenue Total	$2,120,487	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$149,786,918	TotalRevenueColumnAmt
Related Or Exempt Func Income	$121,504,042	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,904,320	UnrelatedBusinessRevenueAmt
Exclusion	$3,033,013	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$110,000	TotalAmt
Program Services	$110,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,878,561	TotalAmt
Program Services	$997,253	ProgramServicesAmt
Management And General	$1,881,308	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$33,465,361	TotalAmt
Program Services	$24,990,191	ProgramServicesAmt
Management And General	$8,341,038	ManagementAndGeneralAmt
Fundraising	$134,132	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,503,005	TotalAmt
Program Services	$2,189,785	ProgramServicesAmt
Management And General	$1,294,698	ManagementAndGeneralAmt
Fundraising	$18,522	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$14,071,202	TotalAmt
Program Services	$8,739,356	ProgramServicesAmt
Management And General	$5,312,668	ManagementAndGeneralAmt
Fundraising	$19,178	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,103,436	TotalAmt
Program Services	$2,215,868	ProgramServicesAmt
Management And General	$875,081	ManagementAndGeneralAmt
Fundraising	$12,487	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$943,672	TotalAmt
Program Services	$162,240	ProgramServicesAmt
Management And General	$491,570	ManagementAndGeneralAmt
Fundraising	$289,862	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$319,233	TotalAmt
Management And General	$303,241	ManagementAndGeneralAmt
Fundraising	$15,992	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$211,720	TotalAmt
Management And General	$211,720	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$18,217	TotalAmt
Management And General	$18,217	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$19,796,010	TotalAmt
Program Services	$14,666,421	ProgramServicesAmt
Management And General	$5,083,066	ManagementAndGeneralAmt
Fundraising	$46,523	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$17,363	TotalAmt
Program Services	$8,917	ProgramServicesAmt
Management And General	$6,582	ManagementAndGeneralAmt
Fundraising	$1,864	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,520,093	TotalAmt
Program Services	$176,532	ProgramServicesAmt
Management And General	$1,288,456	ManagementAndGeneralAmt
Fundraising	$55,105	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,216,129	TotalAmt
Management And General	$1,216,129	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,955,886	TotalAmt
Program Services	$314,556	ProgramServicesAmt
Management And General	$2,629,991	ManagementAndGeneralAmt
Fundraising	$11,339	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$11,481	TotalAmt
Program Services	$2,233	ProgramServicesAmt
Management And General	$9,248	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$8,803,005	TotalAmt
Management And General	$8,803,005	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$9,721,158	TotalAmt
Program Services	$9,561,005	ProgramServicesAmt
Management And General	$160,153	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$507,292	TotalAmt
Management And General	$506,592	ManagementAndGeneralAmt
Fundraising	$700	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL CLAIMS EXPENSE	$26,903,815	$26,903,815
MEDICAL SUPPLIES	$19,435,984	$18,217,764	$1,217,793	$427
PROVIDER FEES	$1,811,287	$240	$1,811,047
INCOME TAX EXPENSE	$204,724		$204,724

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,954	TotalAmt
Management And General	$7,954	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$151,536,588	TotalAmt
Program Services	$109,256,176	ProgramServicesAmt
Management And General	$41,674,281	ManagementAndGeneralAmt
Fundraising	$606,131	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,200	BOYAmt
EOY	$3,200	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,891,516	BOYAmt
EOY	$6,786,374	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$3,054,595	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$16,666,045	BOYAmt
EOY	$17,138,737	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,513,898	BOYAmt
EOY	$1,890,411	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,430,990	BOYAmt
EOY	$772,604	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$329,331,311	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$97,268,850	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$231,346,211	BOYAmt
EOY	$232,062,461	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$47,610,398	BOYAmt
EOY	$31,823,233	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$400,000	BOYAmt
EOY	$400,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,574,054	BOYAmt
EOY	$6,404,349	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$303,436,312	BOYAmt
EOY	$300,335,964	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$13,473,220	BOYAmt
EOY	$13,551,256	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$9,003,389	BOYAmt
EOY	$4,721,933	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$55,404,744	BOYAmt
EOY	$36,908,420	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$35,158,641	BOYAmt
EOY	$64,413,684	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$9,585,992	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$30,792,407	BOYAmt
EOY	$31,162,015	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$153,418,393	BOYAmt
EOY	$150,757,308	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$149,261,019	BOYAmt
EOY	$146,821,756	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$756,900	BOYAmt
EOY	$2,756,900	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$150,017,919	BOYAmt
EOY	$149,578,656	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$303,436,312	BOYAmt
EOY	$300,335,964	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$1,749,670	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$5,257,210	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$6,567,617	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$28,245	OtherActivitiesAmt
Total Lobbying Expenditures	$28,245	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	THE 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 ($28,245) OF THOSE MEMBERSHIP DUES HAVE BEEN INDICATED AS USED FOR LOBBYING PURPOSES.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$1,810,000	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$271,172,346	OtherCostOrOtherBasisAmt
Depreciation	$59,253,121	DepreciationAmt
Book Value	$213,729,225	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$37,589,537	OtherCostOrOtherBasisAmt
Depreciation	$30,723,482	DepreciationAmt
Book Value	$6,866,055	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,561,831	OtherCostOrOtherBasisAmt
Depreciation	$7,292,247	DepreciationAmt
Book Value	$5,269,584	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$232,062,461	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
ACCRUED MEDICAL CLAIMS	$9,249,992
PENSION LIABILITY	$19,654,926
OPERATING LEASE LIABILITIES	$2,257,097

Field	Value	IRS element (for citing)
Total Liability	$31,162,015	TotalLiabilityAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GOLF TOURNAMENT	Event1Nm
Gross Receipts Event1	$778,052	GrossReceiptsEvent1Amt
Charitable Contri Event1	$720,207	CharitableContriEvent1Amt
Gross Revenue Event1	$57,845	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$72,035	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$52,370	FoodAndBeverageEvent1Amt
Entertainment Event1	$5,475	EntertainmentEvent1Amt
Other Direct Expenses Event1	$14,813	OtherDirectExpensesEvent1Amt
Event2	123RD ANNIVERSARY	Event2Nm
Gross Receipts Event2	$244,300	GrossReceiptsEvent2Amt
Charitable Contri Event2	$222,879	CharitableContriEvent2Amt
Gross Revenue Event2	$21,421	GrossRevenueEvent2Amt
Rent Facility Costs Event2	$12,118	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$13,767	FoodAndBeverageEvent2Amt
Entertainment Event2	$7,654	EntertainmentEvent2Amt
Other Direct Expenses Event2	$21,828	OtherDirectExpensesEvent2Amt
Gross Receipts Total	$1,022,352	GrossReceiptsTotalAmt
Charitable Contributions Tot	$943,086	CharitableContributionsTotAmt
Gross Revenue Total Events	$79,266	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$84,153	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$66,137	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$13,129	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$36,641	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$200,060	DirectExpenseSummaryEventsAmt
Net Income Summary	-$120,794	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$923,749	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$923,749	NetCommunityBenefitExpnsAmt
Total Expense	0.00610	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,386,962	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,896,375	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$490,587	NetCommunityBenefitExpnsAmt
Total Expense	0.00320	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,310,711	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,896,375	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,414,336	NetCommunityBenefitExpnsAmt
Total Expense	0.00930	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,988,463	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,319,149	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$669,314	NetCommunityBenefitExpnsAmt
Total Expense	0.00440	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$110,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$110,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,098,463	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,319,149	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$779,314	NetCommunityBenefitExpnsAmt
Total Expense	0.00510	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,409,174	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,215,524	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,193,650	NetCommunityBenefitExpnsAmt
Total Expense	0.01440	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$769,170	BadDebtExpenseAmt
Bad Debt Expense Attributable	$109,317	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$45,120,205	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$75,912,593	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$30,792,388	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHINESE HOSPITAL ASSOCIATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	845 JACKSON STREET	AddressLine1Txt
City	SAN FRANCISCO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94133	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.CHINESEHOSPITAL-SF.ORG	WebsiteAddressTxt
State License	220000122	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CHINESE HOSPITAL ASSOCIATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://CHINESEHOSPITAL-SF.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://CHINESEHOSPITAL-SF.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://CHINESEHOSPITAL-SF.ORG/FINANCIAL-ASSISTANCE/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://CHINESEHOSPITAL-SF.ORG/FINANCIAL-ASSISTANCE/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://CHINESEHOSPITAL-SF.ORG/FINANCIAL-ASSISTANCE/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CHINESE HOSPITAL ASSOCIATION	PART 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 ASSOCIATION	PART 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 ASSOCIATION	PART 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 ASSOCIATION	PART 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 SELECTS THE FOLLOWING 3 MAIN AREAS AS OUR PRIORITIES TO ADDRESS IN THE NEXT THREE YEARS:1. MENTAL HEALTH2. COMMUNITY SAFETY AND ACCESS TO HEALTH3. IN-LANGUAGE HEALTH EDUCATIONMENTAL HEALTH: BASED ON THE FINDINGS FROM THIS QUALITATIVE HEALTH NEEDS ASSESSMENT, MENTAL HEALTH WAS AMONG THE TOP CONCERNS. THE NEED FOR ACCESSIBLE, CULTURALLY, AND LINGUISTICALLY APPROPRIATE MENTAL HEALTH INFORMATION AND PROGRAMS IN COMMUNITIES CHINESE HOSPITAL SERVES REMAINED HIGH. TO MEET THESE DEMANDS, WE WILL CONTINUE TO EXPAND THE CHINESE HOSPITAL'S PROGRAMS AND SERVICES AS FOLLOWS:A. PROMOTE THE SYSTEM-WIDE MENTAL/BEHAVIORAL HEALTH SERVICES. CHINESE HOSPITAL PROMOTES MENTAL HEALTH SERVICES THROUGH COMMUNICATIONS (SUCH AS SYSTEM-WIDE ANNOUNCEMENT FLYERS, NEWSLETTERS, WEBSITES, ETC.) TO THE COMMUNITY ON A REGULAR BASIS. B. CONTINUE TO WORK WITH OUR PARTNER, CHINESE COMMUNITY HEALTH RESOURCE CENTER (CCHRC) TO EXPAND CULTURALLY AND LINGUISTICALLY APPROPRIATE EDUCATIONAL PROGRAMS ON MENTAL HEALTH INCLUDING VIDEO CONFERENCING FOR SUPPORT. CHINESE HOSPITAL CLINICS OUTPATIENT MENTAL HEALTH PROGRAM PROVIDES OUTPATIENT PSYCHIATRIC AND MENTAL HEALTH THERAPY SERVICES INCLUDING VIDEO CONFERENCING (WEBEX). TO INCREASE ACCESS TO MENTAL HEALTH PROVIDERS, VIDEO CONFERENCING WILL CONNECT PATIENTS WITH THEIR CARE TEAM REMOTELY. THROUGH THE PARTNERSHIP WITH CCHRC, ONLINE SEMINARS ON MENTAL HEALTH, STRESS MANAGEMENT, AND HEALTHY LIVING WILL CONTINUE TO BE OFFERED TO THE COMMUNITY FREE OF CHARGE.C. EXPAND THE OUTPATIENT MENTAL HEALTH SERVICES. CHINESE HOSPITAL CLINICS ARE ACTIVELY EXPLORING COLLABORATIONS TO EXPAND THE OUTPATIENT MENTAL HEALTH SERVICES WITH A FUTURE DIRECTION OF BUILDING A BILINGUAL MENTAL HEALTH CENTER IN OUR COMMUNITY.COMMUNITY SAFETY AND ACCESS TO HEALTH: FOCUS GROUP PARTICIPANTS IDENTIFIED THE NEED FOR INFORMATION ON COMMUNITY SAFETY AND ACCESS TO HEALTH AS ONE OF THE TOP CONCERNS. TO ADDRESS THIS HEALTH NEED, CHINESE HOSPITAL WILL:A. PROVIDE EDUCATIONAL PROGRAMS ON RAISING AWARENESS OF COMMUNITY AND PERSONAL SAFETY ALONG WITH PROVIDING INFORMATION ON COMMUNITY RESOURCES. CHINESE HOSPITAL WILL WORK WITH CCHRC TO CONTINUE TO PROVIDE EDUCATION SEMINARS ON THE TOPIC OF COMMUNITY SAFETY, STRESS MANAGEMENT, AND DEPRESSION AWARENESS AS WELL AS TO PROVIDE NAVIGATION FOR ACCESSING RELEVANT COMMUNITY RESOURCES AND INFORMATION. B. ADVOCATE FOR A SAFER COMMUNITY THROUGH PARTNERSHIP WITH LOCAL CITY DEPARTMENTS AND COMMUNITY ORGANIZATION. CHINESE HOSPITAL AND CCHRC WILL PARTICIPATE ON COMMUNITY ADVISORY BOARDS TO ADVOCATE FOR COMMUNITY SAFETY AND ENSURE ACCESS TO HEALTH.IN-LANGUAGE HEALTH EDUCATION:BASED ON THE CONCERNS OF THE UNMET NEEDS OF CULTURALLY AND LINGUISTICALLY COMPETENT HEALTH EDUCATION INFORMATION, PROGRAMS, AND SERVICES, CHINESE HOSPITAL WILL: A. CONTINUE TO WORK WITH CCHRC TO EXPAND THE BILINGUAL (CHINESE & ENGLISH) HEALTH EDUCATION MATERIALS ON THE HEALTH TOPICS OF COMMUNITY'S CONCERN. CHINESE HOSPITAL AND CCHRC WILL EXPAND THE FREE BILINGUAL (CHINESE & ENGLISH) HEALTH EDUCATION MATERIALS TO INCLUDE THE HEALTH CONCERNS IDENTIFIED BY THE FOCUS GROUPS ON MENTAL HEALTH, COMMUNITY SAFETY, AND OTHER HEALTH CONCERNS. B. WORK WITH OUR PARTNER, CCHRC TO DELIVER HEALTH EDUCATION MATERIALS AND PROGRAMS INCLUDING THROUGH WEBSITES AND SOCIAL MEDIA. BASED ON THE RECOMMENDATIONS OF USING TECHNOLOGY TO DELIVER HEALTH INFORMATION, CHINESE HOSPITAL WILL WORK WITH CCHRC AND WILL CONTINUE TO MAKE BILINGUAL (CHINESE & ENGLISH) EDUCATIONAL WEBSITES (WWW.CHINESEHOSPITAL-SF.ORG AND WWW.CCHRHCHEALTH.ORG). GIVEN THE FEEDBACK RECEIVED FROM THE CONDUCTED FOCUS GROUPS, WECHAT IS REGULARLY USED WITHIN THE CHINESE COMMUNITY OF SAN FRANCISCO. WHEN ABLE TO, WE WILL INCORPORATE WECHAT AS A TOOL TO INFORM AND ENGAGE PATIENTS IN PROGRAMS OFFERED BY THE HOSPITAL. IN THE COVID-19 ERA, CHINESE HOSPITAL AND CCHRC WILL OFFER BILINGUAL HEALTH EDUCATION PROGRAMS AND SERVICES THROUGH WEBSITES, CULTURALLY APPROPRIATE SOCIAL MEDIA (I.E., WECHAT), TEXT MESSAGES, AND ONLINE SEMINARS (I.E., ZOOM). IN-PERSON EDUCATIONAL PROGRAMS AND SERVICES ALONG WITH COMMUNITY HEALTH EVENTS ARE AVAILABLE FOR COMMUNITY MEMBERS WHO ARE READY AND COMFORTABLE TO PARTICIPATE. IN THE EFFORT TO INCREASE ACCESS TO COMMUNITY RESOURCES, TRAINED BILINGUAL PATIENT/ COMMUNITY NAVIGATORS WHO ARE FROM THE CHINESE IMMIGRANT COMMUNITY WILL ASSIST IN NAVIGATING EXISTING INFORMATION AND/OR RESOURCES TO SERVE THE COMMUNITY MEMBERS IN NEED.

Field	Value	IRS element (for citing)
Facility	4	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - SUNSET HEALTH SERVICES
1800 31ST AVE	SAN FRANCISCO	CA	94122	OUTPATIENT HEALTH SERVICES / MEDICAL CLINIC
2 - EXCELSIOR HEALTH SERVICESEAST WEST HEAL
888 PARIS STREET SUITE 202	SAN FRANCISCO	CA	94112	OUTPATIENT HEALTH SERVICES / MEDICAL CLINIC
3 - GELLERT HEALTH SERVICESEAST WEST HEALTH
388 GELLERT BLVD	DALY CITY	CA	94015	OUTPATIENT HEALTH SERVICES / MEDICAL CLINIC
4 - EAST WEST HEALTH SERVICES - SAN FRANCISC
445 GRANT AVE G/F	SAN FRANCISCO	CA	94108	OUTPATIENT HEALTH SERVICES / MEDICAL CLINIC

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 16 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 STATES	CA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHINESE COMMUNITY HEALTH RESOURCE CENTER INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	818 JACKSON STREET	AddressLine1Txt
City	SAN FRANCISCO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94133	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	204251913	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$110,000	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Purpose Of Grant	TO SUPPORT BILINGUAL HEALTH EDUCATION SERVICES TO THE CHINESE COMMUNITY	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	PROPER 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

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DR JIAN ZHANG
CHIEF EXECUTIVE OFFICER	$536,733	$80,000	$108,183	$0	$0	$0	$71,880	$0	$24,019	$0	$740,815	$80,000	$0	$0
CHI-KUO MICHAEL CHUNG
PRESIDENT & CHIEF FINANCIAL OFFICER	$408,307	$0	$39,040	$0	$0	$0	$19,542	$0	$8,275	$0	$475,164	$0	$0	$0
ANDERSON D ENG MD
MEDICAL PHYSICIAN	$289,421	$0	$53,963	$0	$0	$0	$14,379	$0	$16,524	$0	$374,287	$0	$0	$0
ALSON TOY
REGISTERED NURSE, SURGERY	$313,252	$0	$76	$0	$0	$0	$48,948	$0	$8,942	$0	$371,218	$0	$0	$0
SYLVIA MUNGUIA PITTMAN MSHR
CHIEF HUMAN RESOURCE OFFICER	$288,324	$0	$29,280	$0	$0	$0	$15,858	$0	$24,019	$0	$357,481	$0	$0	$0
PATRICIA CHUNG MHA CPMSM HACP
VP OF QUALITY, MEDICAL STAFF & COMPL	$245,399	$0	$23,464	$0	$0	$0	$59,856	$0	$24,019	$0	$352,738	$0	$0	$0
AUNG KYAW S MAUNG MD
MEDICAL PHYSICIAN	$273,031	$0	$23,969	$0	$0	$0	$13,652	$0	$24,019	$0	$334,671	$0	$0	$0
NIA LENDARIS MSN CNS RN
CHIEF NURSING OFFICER	$280,711	$0	$26,840	$0	$0	$0	$15,439	$0	$8,275	$0	$331,265	$0	$0	$0
FRANK CHEN MD
MEDICAL PHYSICIAN	$274,475	$0	$24,563	$0	$0	$0	$13,645	$0	$8,275	$0	$320,958	$0	$0	$0
GINA KO YAM PHARMD
VICE PRESIDENT OF OPERATIONS	$253,755	$0	$24,400	$0	$0	$0	$16,494	$0	$24,019	$0	$318,668	$0	$0	$0
SCOTT L HUANG MD
MEDICAL DIRECTOR / PHYSICIAN	$263,751	$0	$28,125	$0	$0	$0	$14,337	$0	$8,275	$0	$314,488	$0	$0	$0
CHARLES CELEVANTE
REGISTERED NURSE, SURGERY	$274,265	$0	$308	$0	$0	$0	$8,876	$0	$24,020	$0	$307,469	$0	$0	$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	680164610	BondIssuerEIN
Bond Issued	2022-01-27	BondIssuedDt
Issue Price	$37,575,014	IssuePriceAmt
Purpose	REFUND TAXABLE BONDS ISSUED 10/8/2019	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$37,575,014	TotalProceedsAmt
Issuance Costs From Proceeds	$396,891	IssuanceCostsFromProceedsAmt
Other Spent Proceeds	$27,178,123	OtherSpentProceedsAmt
Refunding Tax Exempt Bonds	0	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	Yes (1)	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	Yes (1)	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Schedule M IRS990ScheduleM

Real Estate Other RealEstateOtherGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$3,990,000	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$1,050,000	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	1	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (1)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, COLUMN (B):	THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED IN SCHEDULE M, PART I, COLUMN (B).
PART I, LINE 32B:	CHINESE HOSPITAL ENLISTED SEQUOIA COMMERCIAL GROUP TO MANAGE AND SELL DONATED REAL ESTATE DURING 2022.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	CHA 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 7A	EACH OF THE ORGANIZATION'S MEMBERS HAS THE POWER TO DESIGNATE ONE MEMBER OF THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 11B	THE 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 12C	THE 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 15	THE 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 19	FEDERAL 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 11G	PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,646,485. MANAGEMENT AND GENERAL EXPENSES 3,949,691. FUNDRAISING EXPENSES 46,523. TOTAL EXPENSES 7,642,699. TPA FEES: PROGRAM SERVICE EXPENSES 6,103,687. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,103,687. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 4,916,249. MANAGEMENT AND GENERAL EXPENSES 1,133,375. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,049,624.
FORM 990, PART XI, LINE 9:	CHANGES IN PENSION LIABILITY 3,066,614. RETIREMENT PLAN BENEFIT GAIN 2,641,003. RETURN OF CAPITAL FROM CHINESE COMMUNITY HEALTH PLAN 860,000.

Schedule R IRS990ScheduleR

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	CHINESE COMMUNITY HEALTH PLAN	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	445 GRANT AVENUE SUITE 700	AddressLine1Txt
City	SAN FRANCISCO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94108	ZIPCd

Field	Value	IRS element (for citing)
EIN	943021419	EIN
Primary Activities	INSURANCE	PrimaryActivitiesTxt
Legal Domicile State	CA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CHA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C	EntityTypeTxt
Share Of Total Income	$124,628,756	ShareOfTotalIncomeAmt
Share Of EOY Assets	$49,716,929	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (1)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CHINESE COMMUNITY HEALTH PLAN
A	$44,472	BOOK VALUE
CHINESE COMMUNITY HEALTH PLAN
D	$700,528	BOOK VALUE
CHINESE COMMUNITY HEALTH PLAN
K	$293,452	BOOK VALUE
CHINESE COMMUNITY HEALTH PLAN
L	$1,890,306	BOOK VALUE
CHINESE COMMUNITY HEALTH PLAN
M	$5,343,915	BOOK VALUE
CHINESE COMMUNITY HEALTH PLAN
P	$246,441	BOOK VALUE
CHINESE COMMUNITY HEALTH PLAN
Q	$3,935,091	BOOK VALUE
CHINESE COMMUNITY HEALTH PLAN
S	$860,000	BOOK VALUE