CHINESE HOSPITAL ASSOCIATION: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- CHINESE HOSPITAL ASSOCIATION (EIN 94-0382780)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202243199349330694
- Schema version
- 2021v4.2
- 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 | 2022-11-15T19:36:39-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | 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 | 2021-01-01 | 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 | CFO/PRESIDENT | PersonTitleTxt |
| Phone | 4156772440 | PhoneNum |
| Signature | 2022-11-15 | 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 |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL LUMSDEN | PreparerPersonNm |
| PTIN | P01262236 | PTIN |
| Phone | 4159561500 | PhoneNum |
| Preparation | 2022-11-15 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | 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 | $125,337,093 | 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 | 566 | TotalEmployeeCnt |
| Total Volunteers | 41 | TotalVolunteersCnt |
| Total Gross UBI | $1,916,679 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $843,719 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,454,002 | PYContributionsGrantsAmt |
| CY Contributions Grants | $11,090,584 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $101,560,978 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $110,619,273 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,693,250 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,262,669 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,370,558 | PYOtherRevenueAmt |
| CY Other Revenue | $2,215,737 | CYOtherRevenueAmt |
| PY Total Revenue | $111,078,788 | PYTotalRevenueAmt |
| CY Total Revenue | $125,188,263 | 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 | $49,381,860 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $51,921,939 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $458,479 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $77,601,931 | PYOtherExpensesAmt |
| CY Other Expenses | $83,318,319 | CYOtherExpensesAmt |
| PY Total Expenses | $127,093,791 | PYTotalExpensesAmt |
| CY Total Expenses | $135,350,258 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$16,015,003 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$10,161,995 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $312,675,526 | TotalAssetsBOYAmt |
| Total Assets EOY | $303,436,312 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $160,510,360 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $153,418,393 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $152,165,166 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $150,017,919 | 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 | $79,163,295 | ExpenseAmt |
| Grant | $110,000 | GrantAmt |
| Revenue | $110,619,273 | 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 | $79,163,295 | 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 | 241 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 566 | 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 | 0 | QuidProQuoContributionsInd |
| 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 | MICHAEL (CHI-KUO) 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 (32 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| KITMAN CHAN | |||||||||
| CHAIR | 5.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| HARVEY LOUIE | |||||||||
| VICE CHAIR | 5.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| THOMAS T NG | |||||||||
| SECRETARY | 5.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JACK SIT | |||||||||
| ASSISTANT SECRETARY | 5.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ROBERT WONG | |||||||||
| TREASURER | 5.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DI AN CHEN | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT CHIANG | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| CHARLES CHOW | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ROGER S ENG MD | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JACK LEE FONG | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| GUSTIN HO MD | |||||||||
| BOARD MEMBER THROUGH 1/2021 | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DING BONG LEE | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| PAUL M LEE | |||||||||
| BOARD MEMBER THROUGH 6/2021 | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| CLIFTON LEUNG | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DONALD LUU | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DAN T QUAN | |||||||||
| BOARD MEMBER THROUGH 1/2021 | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| YICK C TAM | |||||||||
| BOARD MEMBER THROUGH 1/2021 | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| KENNY TSE | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DICK C WONG | |||||||||
| BOARD MEMBER THROUGH 1/2021 | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| LAWRENCE WONG | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| KIN F YEE | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DR JIAN ZHANG | |||||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | 0.00 | Yes (X) | $543,813 | $16,000 | $87,637 | |||
| CHI-KUO MICHAEL CHUNG | |||||||||
| CHIEF FINANCIAL OFFICER/PRESIDENT | 40.00 | 0.00 | Yes (X) | $345,421 | $0 | $22,512 | |||
| ANTONIA LENDARIS | |||||||||
| CHIEF NURSING OFFICER | 40.00 | 0.00 | $309,465 | $0 | $22,512 | Yes (X) | |||
| GINA KO YAM | |||||||||
| VICE PRESIDENT OF OPERATIONS | 40.00 | 0.00 | $234,479 | $0 | $34,483 | Yes (X) | |||
| SYLVIA MUNGUIA PITTMAN | |||||||||
| CHIEF HUMAN RESOURCE OFFICER | 40.00 | 0.00 | $248,573 | $0 | $27,825 | Yes (X) | |||
| PATRICIA CHUNG | |||||||||
| VP OF MEDICAL STAFF, QUALITY & COMPLIANCE | 40.00 | 0.00 | $254,828 | $0 | $75,580 | Yes (X) | |||
| SCOTT L HUANG MD | |||||||||
| CLINIC MEDICAL DIRECTOR/PHYSICIAN | 40.00 | 0.00 | $278,660 | $0 | $22,311 | Yes (X) | |||
| AUNG KYAW S MAUNG MD | |||||||||
| MEDICAL PHYSICIAN | 40.00 | 0.00 | $295,794 | $0 | $36,848 | Yes (X) | |||
| ANDERSON D ENG MD | |||||||||
| MEDICAL PHYSICIAN | 40.00 | 0.00 | $295,334 | $0 | $30,038 | Yes (X) | |||
| FRANK CHEN MD | |||||||||
| MEDICAL PHYSICIAN | 40.00 | 0.00 | $276,616 | $0 | $21,217 | Yes (X) | |||
| ALSON TOY | |||||||||
| RN SURGERY | 40.00 | 0.00 | $267,788 | $0 | $50,560 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,350,771 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $16,000 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $431,523 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 125 | 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 |
|---|---|---|---|---|---|
| CALIFORNIA EMERGENCY ASSOCIATES | |||||
| PO BOX 677979 | DALLAS | TX | 75267 | ER PHYSICIAN SERVICES | $1,562,883 |
| QUEST DIAGNOSTICS | |||||
| PO BOX 912411 | PASADENA | CA | 91110 | LABORATORY SERVICES | $660,503 |
| MAR CON COMPANY | |||||
| 8108A CAPWELL DR | OAKLAND | CA | 94621 | CONSTRUCTION SERVICES | $585,136 |
| CORPORATE SECURITY SERVICE INC | |||||
| 5 3RD ST STE 314 | SAN FRANCISCO | CA | 94103 | SECURITY SERVICES | $502,076 |
| BARTKO ZANKEL BUNZEL & MILLER | |||||
| ONE EMBARCADERO CENTER 800 | SAN FRANCISCO | CA | 94111 | LEGAL CONSULTATION | $496,309 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 46 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $1,026,111 | FundraisingAmt |
| Government Grants | $6,713,198 | GovernmentGrantsAmt |
| All Other Contributions | $3,351,275 | AllOtherContributionsAmt |
| Noncash Contributions | $1,828,078 | NoncashContributionsAmt |
| Total Contributions | $11,090,584 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621300 | $55,489,246 | $55,489,246 | |
| CAPITATION REVENUE | 621400 | $37,552,855 | $37,552,855 | |
| PHARMACY REVENUE | 621400 | $14,540,557 | $12,685,914 | $1,854,643 |
| CLINIC REVENUE | 623000 | $1,480,559 | $1,480,559 | |
| PAY FOR PERFORMANCE | 621400 | $712,299 | $712,299 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $843,757 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $843,757 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $110,619,273 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $756,493 | TotalRevenueColumnAmt |
| Exclusion | $756,493 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $196,413 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,773 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $193,640 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $193,640 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $62,036 | UnrelatedBusinessRevenueAmt |
| Exclusion | $131,604 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $506,176 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $506,176 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $506,176 | TotalRevenueColumnAmt |
| Exclusion | $506,176 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $59,869 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $1,026,111 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $146,057 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$86,188 | TotalRevenueColumnAmt |
| Exclusion | -$86,188 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MANAGEMENT FEE | 900099 | $1,796,852 | $1,796,852 |
| PARKING REVENUE | 561000 | $282,811 | $282,811 |
| CAFETERIA | 722514 | $28,622 | $28,622 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,108,285 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $125,188,263 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $108,764,630 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,916,679 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,416,370 | 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 | $2,207,127 | TotalAmt |
| Program Services | $931,347 | ProgramServicesAmt |
| Management And General | $1,275,780 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,114,221 | TotalAmt |
| Program Services | $23,169,455 | ProgramServicesAmt |
| Management And General | $15,594,559 | ManagementAndGeneralAmt |
| Fundraising | $350,207 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,379,825 | TotalAmt |
| Program Services | $2,045,687 | ProgramServicesAmt |
| Management And General | $1,316,154 | ManagementAndGeneralAmt |
| Fundraising | $17,984 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,350,327 | TotalAmt |
| Program Services | $2,611,901 | ProgramServicesAmt |
| Management And General | $1,715,847 | ManagementAndGeneralAmt |
| Fundraising | $22,579 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,870,439 | TotalAmt |
| Program Services | $1,718,583 | ProgramServicesAmt |
| Management And General | $1,137,303 | ManagementAndGeneralAmt |
| Fundraising | $14,553 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $785,129 | TotalAmt |
| Management And General | $785,129 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,019,486 | TotalAmt |
| Management And General | $1,019,486 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $322,652 | TotalAmt |
| Management And General | $322,652 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,171 | TotalAmt |
| Management And General | $26,171 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,658,409 | TotalAmt |
| Program Services | $8,804,815 | ProgramServicesAmt |
| Management And General | $8,847,958 | ManagementAndGeneralAmt |
| Fundraising | $5,636 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,456 | TotalAmt |
| Management And General | $10,456 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $868,563 | TotalAmt |
| Management And General | $868,563 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,540,352 | TotalAmt |
| Program Services | $930,046 | ProgramServicesAmt |
| Management And General | $610,306 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,054,086 | TotalAmt |
| Program Services | $366,489 | ProgramServicesAmt |
| Management And General | $2,687,597 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,994 | TotalAmt |
| Management And General | $1,994 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,593 | TotalAmt |
| Management And General | $24,593 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,911,295 | TotalAmt |
| Management And General | $4,911,295 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,875,579 | TotalAmt |
| Program Services | $508,102 | ProgramServicesAmt |
| Management And General | $9,367,477 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $689,490 | TotalAmt |
| Management And General | $689,490 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL CLAIMS EXPENSE | $19,796,563 | $19,796,563 | |
| MEDICAL SUPPLIES | $18,170,307 | $18,170,307 | |
| PROVIDER FEES | $3,684,847 | $3,684,847 | |
| INCOME TAX EXPENSE | $254,762 | $254,762 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $623,585 | TotalAmt |
| Management And General | $576,065 | ManagementAndGeneralAmt |
| Fundraising | $47,520 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,350,258 | TotalAmt |
| Program Services | $79,163,295 | ProgramServicesAmt |
| Management And General | $55,728,484 | ManagementAndGeneralAmt |
| Fundraising | $458,479 | 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 | $6,360,749 | BOYAmt |
| EOY | $2,891,516 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,243,976 | BOYAmt |
| EOY | $16,666,045 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,778,554 | BOYAmt |
| EOY | $1,513,898 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,862,484 | BOYAmt |
| EOY | $1,430,990 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $321,655,337 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $90,309,126 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $237,790,611 | BOYAmt |
| EOY | $231,346,211 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,113,395 | BOYAmt |
| EOY | $47,610,398 | 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 | $3,122,557 | BOYAmt |
| EOY | $1,574,054 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $312,675,526 | BOYAmt |
| EOY | $303,436,312 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,066,189 | BOYAmt |
| EOY | $13,473,220 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,462,081 | BOYAmt |
| EOY | $9,003,389 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,044,490 | BOYAmt |
| EOY | $55,404,744 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,122,916 | BOYAmt |
| EOY | $35,158,641 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,585,992 | BOYAmt |
| EOY | $9,585,992 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,228,692 | BOYAmt |
| EOY | $30,792,407 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $160,510,360 | BOYAmt |
| EOY | $153,418,393 | 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 | $151,408,176 | BOYAmt |
| EOY | $149,261,019 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $756,990 | BOYAmt |
| EOY | $756,900 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $152,165,166 | BOYAmt |
| EOY | $150,017,919 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $312,675,526 | BOYAmt |
| EOY | $303,436,312 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$10,161,995 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,398,859 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $9,413,607 | 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 | $6,727 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $6,727 | 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 ($6,727) 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 | $3,604,093 | OtherCostOrOtherBasisAmt |
| Book Value | $3,604,093 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,810,000 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $270,140,984 | OtherCostOrOtherBasisAmt |
| Depreciation | $50,024,564 | DepreciationAmt |
| Book Value | $221,926,420 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $39,662,531 | OtherCostOrOtherBasisAmt |
| Depreciation | $36,707,494 | DepreciationAmt |
| Book Value | $2,955,037 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,437,729 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,577,068 | DepreciationAmt |
| Book Value | $2,860,661 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $231,346,211 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED MEDICAL CLAIMS | $5,231,943 |
| PENSION LIABILITY | $24,754,536 |
| OPERATING LEASE LIABILITIES | $805,928 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $30,792,407 | TotalLiabilityAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF TOURNAMENT | Event1Nm |
| Gross Receipts Event1 | $626,945 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $567,076 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $59,869 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $44,129 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $59,869 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $300 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $32,026 | OtherDirectExpensesEvent1Amt |
| Event2 | RADIOTHON | Event2Nm |
| Gross Receipts Event2 | $459,035 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $459,035 | CharitableContriEvent2Amt |
| Rent Facility Costs Event2 | $4,000 | RentFacilityCostsEvent2Amt |
| Other Direct Expenses Event2 | $5,733 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $1,085,980 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $1,026,111 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $59,869 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $48,129 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $59,869 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $300 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $37,759 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $146,057 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$86,188 | 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 | $1,047,372 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,047,372 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00770 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,886,495 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $980,316 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,906,179 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02150 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,933,867 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $980,316 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,953,551 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02920 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,207,862 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,784,097 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $423,765 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00310 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,207,862 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,784,097 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $423,765 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00310 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,141,729 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,764,413 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,377,316 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03230 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $697,404 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $197,696 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $19,243,045 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $46,970,051 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$27,727,006 | 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 | 19 | 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 | 19 | 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 SFHIP COMMUNITY HEALTH NEEDS ASSESSMENT TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY VIA FOCUS GROUPS.SFHIP KEY INFORMANT GROUP INTERVIEW: ONE FOCUS GROUP WAS COMPRISED OF SFHIP MEMBERS WHO ARE ALL SUBJECT MATTER EXPERTS. TWO SERIES OF QUESTIONS WERE ASKED: (I) "WHAT ARE THE HEALTHIEST CHARACTERISTICS OF THIS COMMUNITY? WHAT SUPPORTS PEOPLE TO LIVE HEALTHIER LIVES? AND (II) "WHAT ARE THE BIGGEST HEALTH ISSUES AND/OR CONDITIONS YOUR COMMUNITY STRUGGLES WITH? WHAT DO YOU THINK CREATES THOSE ISSUES?".EQUITY COALITION FOCUS GROUPS: THREE FOCUS GROUPS WERE CONDUCTED WITH EACH OF THE THREE HEALTH EQUITY COALITIONS IN SAN FRANCISCO: (I) THE CHICANO / LATINO / INDIGENA HEALTH EQUITY COALITION (II) THE ASIAN PACIFIC ISLANDER HEALTHY PARITY COALITION, AND (III) THE AFRICAN AMERICAN HEALTH EQUITY COALITION. USING THE TECHNOLOGY OF PARTICIPATION (TOP) CONSENSUS METHOD, THE QUESTION POSED TO EACH FOCUS GROUP WAS, "WHAT ACTIONS CAN WE TAKE TO IMPROVE HEALTH?".FOOD INSECURE PREGNANT WOMEN FOCUS GROUPS: THE HOMELESS PRENATAL PROGRAM HELD FOUR FOCUS GROUPS WITH WOMEN WHO EXPERIENCED FOOD INSECURITY WHILE PREGNANT. EACH FOCUS GROUP FOCUSED ON A DIFFERENT GROUP OF WOMEN: SPANISH, CHINESE, MULTI-ETHNIC ENGLISH SPEAKERS, AND AFRICAN AMERICAN. THE QUESTION TO RESPOND TO WAS, "WHAT ACTIONS CAN WE TAKE TO IMPROVE YOUR FOOD NEEDS?".KAISER LED FOCUS GROUPS: KAISER CONDUCTED FOUR FOCUS GROUPS, ONE EACH WITH KAISER PERMANENTE LEADERSHIP, KAISER PERMANENTE STAFF, SPANISH-SPEAKING PARENTS ON YOUTH HEALTHY EATING AND ACTIVE LIVING, AND HOMELESS AND/OR HIV POSITIVE YOUTH.IN ADDITION, 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. THE RECRUITMENT OF THESE FOCUS GROUPS WAS CONDUCTED THROUGH ETHNIC MEDIA PRESS RELEASE, FLYER DISTRIBUTION AT LOCAL COMMUNITY ORGANIZATIONS, AS WELL AS THROUGH POPULAR CHINESE SOCIAL MEDIA APP, WECHAT. THE FOCUS GROUP PARTICIPANTS WERE RECRUITED FROM OVER 15 DIFFERENT ZIP CODE NEIGHBORHOODS.A SERIES OF FOUR (4) FOCUS GROUPS WERE CONDUCTED TO ASSESS AND IDENTIFY THE PREDOMINANT HEALTH CONCERNS OF THE CHINESE-SPEAKING POPULATION THAT CHINESE HOSPITAL.THE FOCUS GROUPS WERE CONDUCTED BETWEEN SEPTEMBER 7TH- 11TH, 2019 AT CHINESE HOSPITAL WITH AN AVERAGE OF 10 PARTICIPANTS PER GROUP. THE FACILITATOR OF THE FOCUS GROUP IS A BILINGUAL, TRAINED HEALTH EDUCATOR WITH MORE THAN 10 YEARS OF EXPERIENCE IN CONDUCTING QUALITATIVE INTERVIEW SESSIONS. ALL FOUR (4) 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 RECORDED WITH PARTICIPANTS' CONSENT. THE FACILITATOR UTILIZED A QUESTION GUIDE AND THE STICKY NOTE TECHNIQUE (PETERSON AND BARRON, 2007) TO SOLICIT FEEDBACK FROM PARTICIPANTS. A BILINGUAL, BICULTURAL PATIENT NAVIGATOR/HEALTH INFORMATION SPECIALIST HAND RECORDED THE MEETING NOTES. PARTICIPANTS WERE ASKED TO RANK THEIR HEALTH NEEDS FROM 1-5, WITH 1 BEING THE MOST IMPORTANT, AND THEIR RESPONSES POSTED WITH STICKY NOTES ON A BOARD FOR OTHER PARTICIPANTS TO SEE. STICKY NOTES SERVED AS BASES FOR FURTHER DISCUSSION TO ASSESS COMMUNITY NEEDS. |
| CHINESE HOSPITAL ASSOCIATION | PART V, SECTION B, LINE 6A: CHA'S 2019 CHNA WAS CONDUCTED IN CONJUNCTION WITH THE SAN FRANCISCO HEALTH IMPROVEMENT PARTNERSHIP (SFHIP), A COLLABORATIVE BODY WHOSE MISSION IS TO EMBRACE COLLECTIVE IMPACT AND TO IMPROVE COMMUNITY HEALTH AND WELLNESS IN SAN FRANCISCO. SFHIP INCLUDES THE FOLLOWING SAN FRANCISCO NON-PROFIT HOSPITALS (OTHER THAN CHA): SUTTER HEALTH CALIFORNIA PACIFIC MEDICAL CENTER, SAINT FRANCIS MEMORIAL HOSPITAL, KAISER PERMANENTE SAN FRANCISCO, UCSF, AND ST. MARY'S MEDICAL CENTER. |
| CHINESE HOSPITAL ASSOCIATION | PART V, SECTION B, LINE 6B: THE 2019 CHNA WAS CONDUCTED IN CONJUNCTION WITH SFHIP, WHICH INCLUDES THE FOLLOWING REPRESENTATIVES FROM THE FOLLOWING ORGANIZATIONS: ASIAN AND PACIFIC ISLANDER HEALTH PARTY COALITION, SAN FRANCISCO COMMUNITY CLINIC CONSORTIUM, CHICANO / LATINO/ INDIGENA HEALTH EQUITY COALITION, SF INTERFAITH COUNCIL, SAN FRANCISCO HEALTH SERVICES NETWORK, AFRICAN AMERICAN COMMUNITY HEALTH EQUITY COUNCIL, SAN FRANCISCO UNIFIED SCHOOL DISTRICT, METTA FUND, SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH, UNIVERSITY OF SAN FRANCISCO, HOSPITAL COUNCIL OF NORTHERN & CENTRAL CALIFORNIA, VIETNAMESE YOUTH DEVELOPMENT CENTER, HOMELESS PRENATAL PROGRAM, FACENTE CONSULTING, SAN FRANCISCO HUMAN SERVICES NETWORK, SAN FRANCISCO OFFICE OF THE CHIEF MEDICAL EXAMINER, RAFIKI COALITION FOR HEALTH AND WELLNESS, CENTER FOR OPEN RECOVERY. |
| CHINESE HOSPITAL ASSOCIATION | PART V, SECTION B, LINE 11: AMONG ALL THE COMMUNITY HEALTH NEEDS IDENTIFIED BY 2019 SFHIP CHNA AND CHINESE HOSPITAL 2019 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: (I) CHRONIC DISEASES AND LOW SCREENING RATES; (II) PALLIATIVE CARE; (III) DEMENTIA/CAREGIVER BURDEN. ADDITIONALLY, CHINESE HOSPITAL WILL CONTINUE TO ADDRESS HEALTH CONCERNS REGARDING MENTAL HEALTH IDENTIFIED BY THE FOCUS GROUP PARTICIPANTS UNDER THE CATEGORY OF OTHER HEALTH CONCERNS THOUGH THEY ARE NOT AMONG THE TOP 3 HEALTH CONCERNS. BASED ON THE FINDINGS FROM THIS QUALITATIVE HEALTH NEEDS ASSESSMENT, CHRONIC DISEASE AND ITS SCREENINGS ARE AMONG THE TOP CONCERNS. THE NEED FOR ACCESSIBLE, CULTURALLY AND LINGUISTICALLY APPROPRIATE CHRONIC DISEASE MANAGEMENT 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:1) EXPAND THE EXISTING CHRONIC DISEASE MANAGEMENT PROGRAMS TO ADDRESS CHRONIC CONDITIONS THAT ARE CONCERNING THE CHINESE POPULATION: CHINESE HOSPITAL'S PATIENT-CENTERED DIABETES PROGRAMS CONTINUES TO OFFER COMPREHENSIVE DIABETES CARE TO THE COMMUNITY WITH A MULTIDISCIPLINARY APPROACH. OUR MULTIDISCIPLINARY TEAM CONSISTS BILINGUAL PRIMARY CARE DOCTORS, AN ENDOCRINOLOGIST, NURSE PRACTITIONERS, CERTIFIED DIABETES EDUCATORS, REGISTERED DIETITIANS, CARE COORDINATORS, MEDICAL ASSISTANTS, A PODIATRIST, AND OTHER PROVIDERS AND STAFF. WE ALSO PROVIDE AMERICAN DIABETES ASSOCIATION CERTIFIED DIABETES SELF-MANAGEMENT EDUCATION (DSME) TO DIABETIC PATIENTS AND FAMILIES. THE COURSES ARE PROVIDED IN CANTONESE, MANDARIN, AND ENGLISH, AND EDUCATION MATERIALS ARE BILINGUAL IN CHINESE AND ENGLISH. THE CENTER IS ALSO EXPANDING ITS PROGRAM TO SERVE THE PRE-DIABETIC POPULATION BY ADDING THE BILINGUAL CDC RECOGNIZED DIABETES PREVENTION PROGRAM.CHINESE HOSPITAL SUPPORT HEALTH SERVICES ALSO CONTINUES TO PROVIDE CHRONIC DISEASE MANAGEMENT FOR CHRONIC OBSTRUCTIVE PULMONARY DISEASE, CONGESTIVE HEALTH DISEASE, HEPATITIS B AND OTHER CHRONIC DISEASES. AS LOW HEALTH SCREENING RATES WAS AMONG THE TOP CONCERNS IDENTIFIED BY THE FOCUS GROUP, CHINESE HOSPITAL WILL CONTINUE THE EFFORTS IN IMPROVING PREVENTIVE HEALTH EDUCATION AND SERVICES. CHINESE HOSPITAL WILL CONTINUE TO HOLD PROMOTIONAL EVENTS TARGETING THE CHINESE POPULATION, E.G. COMMUNITY HEALTH FAIRS WILL CONTINUE TO BE HELD ON A REGULAR BASIS. THESE FAIRS HAVE AND WILL CONTINUE TO PROVIDE FREE HEALTH SCREENINGS AND BILINGUAL HEALTH EDUCATION MATERIALS FOR THOSE WHO PARTICIPATE. FREE OR LOW-COST FITNESS CLASSES WILL BE PROVIDED TO THE COMMUNITY AT A CONVENIENT LOCATION AND TIME. CHINESE HOSPITAL WILL ALSO CONTINUE TO USE A MULTIMEDIA APPROACH, SUCH AS CHINESE TV OR RADIO CHANNELS, NEWSPAPERS, AND HEALTH PLAN NEWSLETTERS TARGETING THE CHINESE COMMUNITY, FOR OUTREACH AND PUBLIC AWARENESS OF PREVENTIVE HEALTH. IN ADDITION, CHINESE HOSPITAL AND CCHRC ARE DEVELOPING AND EXPANDING ITS HEALTH EDUCATION PROGRAMS ON PREVENTIVE SCREENINGS, HEALTH BEHAVIOR AND HEALTHY LIFESTYLE TO ADDRESS THE IDENTIFIED BEHAVIORAL HEALTH CONCERNS, E.G. SMOKING. BILINGUAL HEALTH EDUCATION RESOURCES NEED TO BE MADE AVAILABLE TO THE PUBLIC ONLINE, AS WELL AS BY PRINTED COPIES TO CERTAIN POPULATION HAVE LITTLE OR NO ACCESS TO THE INTERNET.2) PROMOTE PATIENT USAGE OF THE TECHNOLOGY-BASED PATIENT DASHBOARD SYSTEM IN CHINESE HOSPITAL PATIENT ROOMS TO INCREASE PATIENTS' ACCESS TO EDUCATIONAL VIDEOS ON THE PREVENTION AND MANAGEMENT CHRONIC DISEASES: CHINESE HOSPITAL IMPLEMENTED AN INTERACTIVE PATIENT DASHBOARD IN ALL PATIENT ROOMS IN AUGUST 2019. THIS DASHBOARD SYSTEM ENABLES PATIENTS TO ACCESS HEALTH EDUCATION MATERIALS, INPATIENT SERVICES, AND ENTERTAINMENT DURING THEIR STAY AT CHINESE HOSPITAL. WE AIM TO INCREASE PATIENTS' USAGES OF THIS DASHBOARD TO SYSTEM ACCESS BILINGUAL (CHINESE & ENGLISH) EDUCATIONAL VIDEOS ON THE PREVENTION AND MANAGEMENT OF CHRONIC DISEASES. TO PROVIDE PATIENT-CENTERED CARE, EACH PATIENT WILL RECEIVE A TAILORED LIST OF EDUCATIONAL VIDEOS SPECIFIC TO THEIR NEEDS, WHICH WILL BE SELECTED BY THEIR HEALTH CARE TEAM.3) CONTINUE TO WORK WITH OUR PARTNER, CHINESE COMMUNITY HEALTH RESOURCE CENTER (CCHRC) TO EXPAND THE BILINGUAL (CHINESE & ENGLISH) HEALTH EDUCATION MATERIALS ON CHRONIC DISEASES AND HEALTH TOPICS OF COMMUNITY'S CONCERN: CHINESE HOSPITAL, TOGETHER WITH CHINESE COMMUNITY HEALTH RESOURCE CENTER (CCHRC), WILL EXPAND THE FREE BILINGUAL (CHINESE & ENGLISH) HEALTH EDUCATION MATERIALS TO INCLUDE THE HEALTH CONCERNS IDENTIFIED BY THE FOCUS GROUP ON CHRONIC CONDITIONS SUCH AS ORAL DISORDERS, EYE HEALTH, AND CHRONIC PAIN.4) WORK WITH OUR PARTNER, CCHRC TO DELIVER HEALTH EDUCATION MATERIALS AND PROGRAMS INCLUDING THROUGH WEBSITE AND SOCIAL MEDIA: BASED ON THE RECOMMENDATIONS OF USING TECHNOLOGY TO DELIVER HEALTH INFORMATION, CHINESE HOSPITAL WILL WORK WITH CCHRC AND CONTINUE TO MAKE BILINGUAL (CHINESE & ENGLISH) EDUCATIONAL WEBSITES (WWW.CHINESEHOSPITAL-SF.ORG AND WWW.CCHRHCHEALTH.ORG). ADDITIONALLY, CHINESE HOSPITAL AND CCHRC WILL EXPLORE THE USE CULTURAL APPROPRIATE SOCIAL MEDIA TO DELIVER HEALTH INFORMATION. SPECIFICALLY, WE WILL EXPLORE THE INCORPORATION WECHAT, A FREE MOBILE APPLICATION, IN THE DISTRIBUTION OF HEALTH EDUCATION MATERIALS AND PROGRAMS. WECHAT IS ONE OF THE MOST WIDELY USED SOCIAL MEDIA PLATFORM IN CHINA AND CHINESE INDIVIDUALS GLOBALLY, INCLUDING CHINESE IMMIGRANTS IN THE UNITED STATES (TENCENT, 2017). 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.5) CONTINUE TO WORK WITH NICOS, AND THE CHINATOWN CHILDREN'S ORAL HEALTH TASKFORCE TO ADDRESS THE NEED FOR IMPROVED CHILDREN'S DENTAL HEALTH EDUCATION AND SERVICES: CHINESE HOSPITAL WILL CONTINUE WORKING WITH NICOS, A COALITION OF COMMUNITY BASED ORGANIZATIONS, AND THE CHINATOWN CHILDREN'S ORAL HEALTH TASKFORCE, TO ADDRESS THE NEED FOR IMPROVED CHILDREN'S DENTAL HEALTH EDUCATION AND SERVICES. CHINESE HOSPITAL PLANS TO WORK WITH ITS COMMUNITY PARTNER, THE CHINESE COMMUNITY HEALTH RESOURCE CENTER, TO PRODUCE FURTHER HEALTH EDUCATION MATERIAL ON ORAL HEALTH.FOCUS GROUP PARTICIPANTS IDENTIFIED THE NEED FOR MORE PALLIATIVE CARE EDUCATIONAL MATERIALS AND SERVICES AS ONE OF THE TOP CONCERNS. TO ADDRESS THESE CONCERNS, CHINESE HOSPITAL WILL:1) ESTABLISH, IMPLEMENT AND EVALUATE AN OUTPATIENT PALLIATIVE CARE PROGRAM AT CHINESE HOSPITAL: UTILIZING FUNDS AWARDED TO CHINESE HOSPITAL BY THE STUPSKI FOUNDATION (2019-2022), CURRENT INPATIENT PALLIATIVE CARE SERVICES IS BEING EXPANDED TO OUTPATIENT SERVICES AS WELL. THIS OUTPATIENT PALLIATIVE CARE PROJECT WILL INCLUDE THE RECRUITMENT AND ONBOARDING OF A CERTIFIED PALLIATIVE CARE SPECIALIST/GERIATRICIAN, THE DEVELOPMENT OF POLICIES AND PROTOCOLS, THE IMPLEMENTATION AND MONITORING OF A DATA TRACKING SYSTEM, AND ITS EVALUATION AND IMPROVEMENT. 2) EXPAND BILINGUAL (CHINESE & ENGLISH) EDUCATIONAL MATERIALS ON PALLIATIVE CARE: CHINESE HOSPITAL WILL WORK WITH OUR PARTNER CCHRC TO DEVELOP BILINGUAL (CHINESE & ENGLISH) EDUCATIONAL MATERIALS ON PALLIATIVE CARE/COMFORT CARE AND AN EDUCATIONAL VIDEO ON PAIN MANAGEMENT. 3) CONTINUE TO COLLABORATE WITH CCHRC TO PROVIDE EDUCATION PROGRAMS AND SERVICES ON ADVANCE HEALTH CARE DIRECTIVES AS WELL AS PROVIDE ASSISTANCE IN FORM COMPLETION: CHINESE HOSPITAL WILL WORK WITH CCHRC WILL CONTINUE TO PROVIDE EDUCATION SEMINARS, COUNSELING SESSIONS ON THE TOPIC OF ADVANCE HEALTH CARE DIRECTIVES, AS WELL AS CONTINUE TO PROVIDE SERVICE TO ASSIST WITH ADVANCE HEALTH CARE DIRECTIVE FORM COMPLETIONS.THE FOCUS GROUP PARTICIPANTS ALSO IDENTIFIED AS ONE OF THE TOP CONCERNS AWARENESS OF DEMENTIA AND THE BURDEN OF CAREGIVERS PROVIDING CARE FOR INDIVIDUALS LIVING WITH DEMENTIA. TO ADDRESS THESE CONCERNS, CHINESE HOSPITAL WILL WORK WITH CCHRC TO DEVELOP BILINGUAL (CHINESE & ENGLISH) EDUCATIONAL MATERIALS AND TRAINING TO RAISE THE AWARENESS OF CAREGIVER BURDEN AND TO PROVIDE PRACTICAL INFORMATION ON SYMPTOM RECOGNITION AND CARE MANAGEMENT FOR CAREGIVERS OF INDIVIDUALS LIVING WITH DEMENTIA.TO ADDRESS THE HEALTH NEED OF MENTAL HEALTH, CHINESE HOSPITAL WILL CONTINUE TO PROMOTE THE SYSTEM-WIDE MENTAL/BEHAVIORAL HEALTH SERVICES THROUGH COMMUNICATIONS SUCH AS FLYERS, NEWSLETTERS, WEBSITES, ETC. TO THE COMMUNITY ON A REGULAR BASIS. ADDITIONALLY, IT WILL CONTINUE TO EXPAND CULTURALLY AND LINGUISTICALLY APPROPRIATE EDUCATIONAL PROGRAMS ON MENTAL HEALTH, INCLUDING VIDEO CONFERENCE FOR SUPPORT (VIA WEBEX), WHICH WILL INCREASE ACCESS TO MENTAL HEALTH PROVIDERS AND CONNECT PATIENTS WITH THEIR CARE TEAM REMOTELY. |
| 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 SRVCSEAST WEST HEALTH | ||||
| 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 | ||||
| 445 GRANT AVE G/F | SAN FRANCISCO | CA | 94108 | OUTPATIENT HEALTH SERVICES / MEDICAL CLINIC |
Supplemental Information Detail SupplementalInformationDetail (11 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 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 8 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. PARTICIPANTS WERE ASKED TO RANK THEIR HEALTH NEEDS FROM 1-5, WITH 1 BEING THE MOST IMPORTANT, AND THEIR RESPONSES POSTED WITH STICKY NOTES ON A BOARD FOR OTHER PARTICIPANTS TO SEE. STICKY NOTES SERVE AS BASES FOR FURTHER DISCUSSION TO ASSESS COMMUNITY NEEDS. THE FOCUS GROUP RESPONDENTS THEN RECOMMEND HEALTH NEEDS, WHICH BECOME THE BASIS FOR CHINESE HOSPITAL'S CHNA AND IMPLEMENTATION STRATEGY.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, 98% ARE CHINESE ANCESTRY, 88% ARE OVER THE AGE OF 60, AND 91% ARE MEDICARE/MEDI-CAL BENEFICIARIES. THE PRIMARY SERVICE AREA IS THE GREATER CHINATOWN AND NORTH BEACH DISTRICTS OF SAN FRANCISCO. THE POPULATION OF THE CHINATOWN/NORTH BEACH DISTRICTS IS 26,492, WITH OVER HALF (50.2%) IDENTIFYING AS ASIAN; MORE SPECIFICALLY, 43.7% IDENTIFY AS CHINESE. THE PER CAPITA INCOME IS $58,461, WHILE THE MEDIAN HOUSEHOLD INCOME IS $66,442. THE PERCENTAGE OF PERSONS 65 YEARS AND OVER IS 22.4%, AND IT IS ESTIMATED 16.0% OF THE POPULATIONS IS 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 WWW.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 |
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 (11 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 | $522,807 | $16,000 | $21,006 | $0 | $0 | $0 | $64,388 | $0 | $23,249 | $0 | $631,450 | $16,000 | $0 | $0 |
| CHI-KUO MICHAEL CHUNG | ||||||||||||||
| CHIEF FINANCIAL OFFICER/PRESIDENT | $323,297 | $0 | $22,124 | $0 | $0 | $0 | $14,500 | $0 | $8,012 | $0 | $367,933 | $0 | $0 | $0 |
| AUNG KYAW S MAUNG MD | ||||||||||||||
| MEDICAL PHYSICIAN | $271,981 | $0 | $23,813 | $0 | $0 | $0 | $13,599 | $0 | $23,249 | $0 | $332,642 | $0 | $0 | $0 |
| ANTONIA LENDARIS | ||||||||||||||
| CHIEF NURSING OFFICER | $298,465 | $0 | $11,000 | $0 | $0 | $0 | $14,500 | $0 | $8,012 | $0 | $331,977 | $0 | $0 | $0 |
| PATRICIA CHUNG | ||||||||||||||
| VP OF MEDICAL STAFF, QUALITY & COMPL | $245,212 | $0 | $9,616 | $0 | $0 | $0 | $52,331 | $0 | $23,249 | $0 | $330,408 | $0 | $0 | $0 |
| ANDERSON D ENG MD | ||||||||||||||
| MEDICAL PHYSICIAN | $282,884 | $0 | $12,450 | $0 | $0 | $0 | $14,039 | $0 | $15,999 | $0 | $325,372 | $0 | $0 | $0 |
| ALSON TOY | ||||||||||||||
| RN SURGERY | $267,238 | $0 | $550 | $0 | $0 | $0 | $41,908 | $0 | $8,652 | $0 | $318,348 | $0 | $0 | $0 |
| SCOTT L HUANG MD | ||||||||||||||
| CLINIC MEDICAL DIRECTOR/PHYSICIAN | $263,804 | $0 | $14,856 | $0 | $0 | $0 | $14,299 | $0 | $8,012 | $0 | $300,971 | $0 | $0 | $0 |
| FRANK CHEN MD | ||||||||||||||
| MEDICAL PHYSICIAN | $265,935 | $0 | $10,681 | $0 | $0 | $0 | $13,205 | $0 | $8,012 | $0 | $297,833 | $0 | $0 | $0 |
| SYLVIA MUNGUIA PITTMAN | ||||||||||||||
| CHIEF HUMAN RESOURCE OFFICER | $207,755 | $0 | $40,818 | $0 | $0 | $0 | $10,388 | $0 | $17,437 | $0 | $276,398 | $0 | $0 | $0 |
| GINA KO YAM | ||||||||||||||
| VICE PRESIDENT OF OPERATIONS | $224,479 | $0 | $10,000 | $0 | $0 | $0 | $11,234 | $0 | $23,249 | $0 | $268,962 | $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 HEALTH FACILITIES FINANCING AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 521643828 | BondIssuerEIN |
| CUSIP | 13033LJ57 | CUSIPNum |
| Bond Issued | 2012-11-08 | BondIssuedDt |
| Issue Price | $69,923,971 | IssuePriceAmt |
| Purpose | FINANCE NEW HEALTH CARE FACILITIES | 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 |
| Retired | $8,780,000 | RetiredAmt |
| Total Proceeds | $70,428,773 | TotalProceedsAmt |
| In Reserve Fund | $4,241,305 | InReserveFundAmt |
| Capitalized Interest | $9,551,013 | CapitalizedInterestAmt |
| Issuance Costs From Proceeds | $1,411,465 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $2,607,615 | CreditEnhancementAmt |
| Capital Expenditures | $52,617,375 | CapitalExpendituresAmt |
| Substantial Completion | 2016 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | 0 | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | 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 | Yes (1) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | Yes (1) | EngageBondCounselContractsInd |
| 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 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| DATE REBATE COMPUTATION PERFORMED | ISSUER NAME: CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 01/01/2019 |
| SCHEDULE K, PART I, COLUMN (E) AND SCHEDULE K, PART II, LINE 3: | THE DIFFERENCE BETWEEN THE ISSUE PRICE REPORTED ON SCHEDULE K, PART I, COLUMN (E) AND THE TOTAL PROCEEDS OF ISSUE REPORTED ON SCHEDULE K, PART II, LINE 3 IS DUE TO CUMULATIVE INVESTMENT EARNINGS ON BOND FUNDS. |
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 | $1,810,000 | NoncashContributionsRptF990Amt |
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 6 | ContributionCnt |
| Noncash Contributions Rpt F990 | $11,778 | NoncashContributionsRptF990Amt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | FOOD/MEALS FOR STAFF | Desc |
| Contribution | 3 | ContributionCnt |
| Noncash Contributions Rpt F990 | $6,300 | NoncashContributionsRptF990Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | 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 THE DONATED REAL ESTATE (WHICH HAS NOT BEEN SOLD AS OF THE FILING OF THIS TAX RETURN). |
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 CHIEF FINANCIAL OFFICER/PRESIDENT; 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 4,124,067. MANAGEMENT AND GENERAL EXPENSES 5,420,954. FUNDRAISING EXPENSES 5,636. TOTAL EXPENSES 9,550,657. TPA FEES - CCHP: PROGRAM SERVICE EXPENSES 4,680,748. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,680,748. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,427,004. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,427,004. |
| FORM 990, PART XI, LINE 9: | CHANGE IN PENSION LIABILITY 8,101,992. RETIREMENT PLAN BENEFIT GAIN 1,311,615. |
Schedule R IRS990ScheduleR
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHINESE COMMUNITY HEALTH PLAN | ||||||||||||
| 445 GRANT AVENUE SUITE 700 | SAN FRANCISCO | CA | 94108 | 943021419 | INSURANCE | CA | CHA | C | $120,467,403 | $58,413,685 | 1.00000 | Yes (1) |
| CHARITABLE REMAINDER TRUST (2) | ||||||||||||
| CHARITABLE GIVING | CA | CHA | Yes (1) | |||||||||
| 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 | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (7 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CHINESE COMMUNITY HEALTH PLAN | ||
| A | $64,809 | BOOK VALUE |
| CHINESE COMMUNITY HEALTH PLAN | ||
| D | $1,278,723 | BOOK VALUE |
| CHINESE COMMUNITY HEALTH PLAN | ||
| K | $184,216 | BOOK VALUE |
| CHINESE COMMUNITY HEALTH PLAN | ||
| L | $1,881,284 | BOOK VALUE |
| CHINESE COMMUNITY HEALTH PLAN | ||
| M | $4,023,270 | BOOK VALUE |
| CHINESE COMMUNITY HEALTH PLAN | ||
| P | $264,062 | BOOK VALUE |
| CHINESE COMMUNITY HEALTH PLAN | ||
| Q | $3,602,983 | BOOK VALUE |