CHINESE HOSPITAL ASSOCIATION: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: CHINESE HOSPITAL ASSOCIATION (EIN 94-0382780)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-12
IRS object ID: 202013179349308911
Schema version: 2019v5.1
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-12T17:11:27-06:00	ReturnTs
Tax Period End	2019-12-31	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	2019-01-01	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	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Phone	4156772440	PhoneNum
Signature	2020-11-11	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MICHAEL LUMSDEN	PreparerPersonNm
PTIN	P01262236	PTIN
Phone	4159561500	PhoneNum
Preparation	2020-11-11	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	76.14.38.113	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-11-11	IPDt
IP Tm	15:46:49	IPTm
IP Timezone	PS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	00C4359F54289D19625D58AABAD73364CEA05A5F	AtSubmissionCreationDeviceId
At Submission Filing Device Id	00C4359F54289D19625D58AABAD73364CEA05A5F	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	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	$123,019,303	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	539	TotalEmployeeCnt
Total Volunteers	185	TotalVolunteersCnt
Total Gross UBI	$1,557,994	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$383,612	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,416,388	PYContributionsGrantsAmt
CY Contributions Grants	$2,182,762	CYContributionsGrantsAmt
PY Program Service Revenue	$101,904,624	PYProgramServiceRevenueAmt
CY Program Service Revenue	$115,644,749	CYProgramServiceRevenueAmt
PY Investment Income	$1,459,212	PYInvestmentIncomeAmt
CY Investment Income	$1,790,523	CYInvestmentIncomeAmt
PY Other Revenue	$4,309,832	PYOtherRevenueAmt
CY Other Revenue	$2,966,873	CYOtherRevenueAmt
PY Total Revenue	$109,090,056	PYTotalRevenueAmt
CY Total Revenue	$122,584,907	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$860,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$52,285,340	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$47,941,526	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$2,500	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$214,663	CYTotalFundraisingExpenseAmt
PY Other Expenses	$78,703,224	PYOtherExpensesAmt
CY Other Expenses	$79,756,742	CYOtherExpensesAmt
PY Total Expenses	$130,991,064	PYTotalExpensesAmt
CY Total Expenses	$128,558,268	CYTotalExpensesAmt
PY Revenues Less Expenses	-$21,901,008	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$5,973,361	CYRevenuesLessExpensesAmt
Total Assets BOY	$297,099,892	TotalAssetsBOYAmt
Total Assets EOY	$313,420,456	TotalAssetsEOYAmt
Total Liabilities BOY	$116,999,395	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$144,471,546	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$180,100,497	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$168,948,910	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	$95,465,621	ExpenseAmt
Grant	$860,000	GrantAmt
Revenue	$115,644,749	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	$95,465,621	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	0	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	244	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	539	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	16	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	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	MUKESH SANGHVI	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4156772399	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	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	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
GEORGE LEW
PRESIDENT	5.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
HARVEY LOUIE
VICE PRESIDENT	5.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
THOMAS T NG
ENGLISH SECRETARY	5.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
KIN F YEE DDS
ASSISTANT ENGLISH SECRETARY	5.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
JACK LEE FONG
CHINESE SECRETARY	5.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
GUSTIN HO MD
ASSISTANT CHINESE SECRETARY	5.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
ROBERT WONG
TREASURER	5.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
YICK C TAM
ASSISTANT TREASURER	5.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
KITMAN CHAN
BOARD MEMBER	2.00	2.00	Yes (X)		$0	$0	$0
EDWARD Y C CHANG MD
BOARD MEMBER	2.00	2.00	Yes (X)		$0	$0	$0
ROBERT CHIANG
BOARD MEMBER	2.00	2.00	Yes (X)		$0	$0	$0
MEL LEE
BOARD MEMBER	2.00	2.00	Yes (X)		$0	$0	$0
PAUL M LEE
BOARD MEMBER	2.00	2.00	Yes (X)		$0	$0	$0
KENT LIM
BOARD MEMBER	2.00	2.00	Yes (X)		$0	$0	$0
DAN QUAN
BOARD MEMBER	2.00	2.00	Yes (X)		$0	$0	$0
DICK W WONG
BOARD MEMBER	2.00	2.00	Yes (X)		$0	$0	$0
DR JIAN ZHANG
CHIEF EXECUTIVE OFFICER	40.00	0.00		Yes (X)	$546,376	$0	$26,551
STEPHEN FORNEY
CFO THROUGH 9/2019	40.00	0.00		Yes (X)	$282,579	$0	$14,178
PAUL ZIEGELE
INTERIM CFO EFFECTIVE 9/2019	40.00	0.00		Yes (X)	$0	$0	$0
KEITH MINARD
CHIEF INFORMATION OFFICER	40.00	0.00			$302,827	$0	$20,234	Yes (X)
LYDIA MAHR-CHAN
CHIEF HUMAN RESOURCES OFFICER	40.00	0.00			$282,228	$0	$18,827	Yes (X)
ANDERSON ENG MD
MEDICAL PHYSICIAN	40.00	0.00			$297,332	$0	$20,234		Yes (X)
ALSON TOY
RN SURGERY	40.00	0.00			$294,974	$0	$7,144		Yes (X)
AUNG KYAW MAUNG MD
MEDICAL PHYSICIAN	40.00	0.00			$283,997	$0	$18,904		Yes (X)
JUDI WONG MD
MEDICAL PHYSICIAN - GELLERT CLINIC	40.00	0.00			$283,356	$0	$17,756		Yes (X)
FRANK CHEN MD
MEDICAL PHYSICIAN - SUNSET CLINIC	40.00	0.00			$278,068	$0	$19,497		Yes (X)
BRENDA YEE
FORMER CHIEF EXECUTIVE OFFICER	0.00	0.00			$556,658	$0	$0			Yes (X)
SCOTT GOODIN
FORMER CHIEF FINANCIAL OFFICER	0.00	0.00			$306,131	$0	$6,484			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,714,526	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$169,809	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	138	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	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
CHARLES PANKOW BUILDERS LTD
1111 BROADWAY STREET SUITE 200	OAKLAND	CA	94607	CONSTRUCTION SERVICES	$4,708,178
EMERGENCY MEDICINE PHYSICIANS
4535 DRESSLER RD NW	CANTON	OH	44718	EMERGENCY PHYSICIANS GROUP	$1,110,676
GE PRECISION HEALTHCARE LLC
PO BOX 96483	CHICAGO	IL	60693	IMAGING SERVICES	$994,534
THE STINNETT GROUP LLP
550 MONTGOMERY STREET SUITE 500	SAN FRANCISCO	CA	94111	CONSTRUCTION SERVICES	$799,072
QUEST DIAGNOSTICS
PO BOX 912411	PASADENA	CA	91110	LABORATORY SERVICES	$777,419

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	100	CntrctRcvdGreaterThan100KCnt
Fundraising	$774,619	FundraisingAmt
All Other Contributions	$1,408,143	AllOtherContributionsAmt
Total Contributions	$2,182,762	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	$55,944,786	$55,944,786
CAPITATION REVENUE	621400	$38,625,420	$38,625,420
PHARMACY REVENUE	621400	$16,650,617	$15,082,037	$1,568,580
CLINIC REVENUE	623000	$2,068,259	$2,068,259
PAY FOR PERFORMANCE	621400	$432,314	$432,314

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,923,353	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,902,975	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$20,378	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$115,644,749	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$791,441	TotalRevenueColumnAmt
Exclusion	$791,441	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$210,677	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$234,623	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$23,946	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$23,946	TotalRevenueColumnAmt
Unrelated Business Revenue	-$30,964	UnrelatedBusinessRevenueAmt
Exclusion	$7,018	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$999,082	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	$999,082	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$999,082	TotalRevenueColumnAmt
Exclusion	$999,082	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$671,532	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$774,619	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$199,773	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$471,759	TotalRevenueColumnAmt
Exclusion	$471,759	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
MANAGEMENT FEE	900099	$2,187,644	$2,187,644
PARKING REVENUE	561000	$298,198	$298,198
CAFETERIA	722514	$33,218	$33,218

Field	Value	IRS element (for citing)
Other Revenue Total	$2,519,060	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$122,584,907	TotalRevenueColumnAmt
Related Or Exempt Func Income	$114,055,791	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,557,994	UnrelatedBusinessRevenueAmt
Exclusion	$4,788,360	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	$860,000	TotalAmt
Program Services	$860,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,493,800	TotalAmt
Program Services	$323,061	ProgramServicesAmt
Management And General	$1,170,739	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$869,273	TotalAmt
Management And General	$869,273	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$35,807,454	TotalAmt
Program Services	$22,373,998	ProgramServicesAmt
Management And General	$13,262,930	ManagementAndGeneralAmt
Fundraising	$170,526	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,998,242	TotalAmt
Program Services	$2,387,046	ProgramServicesAmt
Management And General	$1,593,142	ManagementAndGeneralAmt
Fundraising	$18,054	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,058,290	TotalAmt
Program Services	$1,845,820	ProgramServicesAmt
Management And General	$1,198,541	ManagementAndGeneralAmt
Fundraising	$13,929	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,714,467	TotalAmt
Program Services	$1,616,298	ProgramServicesAmt
Management And General	$1,086,015	ManagementAndGeneralAmt
Fundraising	$12,154	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$249,900	TotalAmt
Management And General	$249,900	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$249,346	TotalAmt
Program Services	$99,738	ProgramServicesAmt
Management And General	$149,608	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$283,000	TotalAmt
Management And General	$283,000	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$84,049	TotalAmt
Management And General	$84,049	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$15,265,411	TotalAmt
Program Services	$13,939,131	ProgramServicesAmt
Management And General	$1,326,280	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$34,681	TotalAmt
Management And General	$34,681	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$930,033	TotalAmt
Management And General	$930,033	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,280,851	TotalAmt
Program Services	$1,088,723	ProgramServicesAmt
Management And General	$192,128	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,186,312	TotalAmt
Program Services	$2,892,109	ProgramServicesAmt
Management And General	$294,203	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$9,337	TotalAmt
Management And General	$9,337	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$46,651	TotalAmt
Management And General	$46,651	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,489,065	TotalAmt
Management And General	$2,489,065	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$9,160,718	TotalAmt
Program Services	$9,009,798	ProgramServicesAmt
Management And General	$150,920	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$526,969	TotalAmt
Management And General	$526,969	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$22,129,509	$22,129,509
MEDICAL CLAIMS EXPENSE	$16,024,087	$16,024,087
QUALITY ASSURANCE FEE	$3,786,512		$3,786,512
INCOME TAX EXPENSE	$146,251		$146,251

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,874,060	TotalAmt
Program Services	$876,303	ProgramServicesAmt
Management And General	$2,997,757	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$128,558,268	TotalAmt
Program Services	$95,465,621	ProgramServicesAmt
Management And General	$32,877,984	ManagementAndGeneralAmt
Fundraising	$214,663	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,090	BOYAmt
EOY	$3,200	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,759,668	BOYAmt
EOY	$3,320,530	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$15,208,219	BOYAmt
EOY	$25,631,367	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,369,044	BOYAmt
EOY	$1,592,020	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,831,836	BOYAmt
EOY	$4,782,073	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$316,053,474	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$71,582,049	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$249,901,160	BOYAmt
EOY	$244,471,425	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$24,193,572	BOYAmt
EOY	$28,111,913	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,433,303	BOYAmt
EOY	$5,107,928	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$297,099,892	BOYAmt
EOY	$313,420,456	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$22,625,851	BOYAmt
EOY	$15,882,778	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$60,149,852	BOYAmt
EOY	$58,624,758	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
EOY	$34,937,191	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$34,223,692	BOYAmt
EOY	$35,026,819	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$116,999,395	BOYAmt
EOY	$144,471,546	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	$179,818,600	BOYAmt
EOY	$168,667,013	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$281,897	BOYAmt
EOY	$281,897	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$180,100,497	BOYAmt
EOY	$168,948,910	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$297,099,892	BOYAmt
EOY	$313,420,456	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$5,973,361	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$294,892	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$5,473,118	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	0	FederalGrantAuditRequiredInd

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	$10,656	OtherActivitiesAmt
Total Lobbying Expenditures	$10,656	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 CALIFORNIA HOSPITAL ASSOCIATION, AN ORGANIZATION WHICH ADVOCATES FOR CALIFORNIA'S HOSPITALS AND HEALTH SYSTEMS; A PORTION ($10,656) 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	$5,904,093	OtherCostOrOtherBasisAmt
Book Value	$5,904,093	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$253,788,075	OtherCostOrOtherBasisAmt
Depreciation	$37,247,950	DepreciationAmt
Book Value	$216,540,125	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$47,872,689	OtherCostOrOtherBasisAmt
Depreciation	$34,334,099	DepreciationAmt
Book Value	$13,538,590	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,488,617	OtherCostOrOtherBasisAmt
Book Value	$8,488,617	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$244,471,425	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
ACCRUED MEDICAL CLAIMS	$2,158,166
PENSION LIABILITY	$31,629,319
OPERATING LEASE LIABILITIES	$1,239,334

Field	Value	IRS element (for citing)
Total Liability	$35,026,819	TotalLiabilityAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GOLF	Event1Nm
Gross Receipts Event1	$869,428	GrossReceiptsEvent1Amt
Charitable Contri Event1	$260,829	CharitableContriEvent1Amt
Gross Revenue Event1	$608,599	GrossRevenueEvent1Amt
Cash Prizes Event1	$150	CashPrizesEvent1Amt
Non Cash Prizes Event1	$320	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$54,476	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$49,125	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$19,887	OtherDirectExpensesEvent1Amt
Event2	ANNIVERSARY	Event2Nm
Gross Receipts Event2	$189,263	GrossReceiptsEvent2Amt
Charitable Contri Event2	$126,330	CharitableContriEvent2Amt
Gross Revenue Event2	$62,933	GrossRevenueEvent2Amt
Rent Facility Costs Event2	$14,329	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$5,924	FoodAndBeverageEvent2Amt
Entertainment Event2	$1,175	EntertainmentEvent2Amt
Other Direct Expenses Event2	$51,278	OtherDirectExpensesEvent2Amt
Other Events Total	1	OtherEventsTotalCnt
Gross Receipts Other Events	$387,460	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$387,460	CharitableContriOtherEventsAmt
Food And Beverage Other Events	$630	FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events	$2,479	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$1,446,151	GrossReceiptsTotalAmt
Charitable Contributions Tot	$774,619	CharitableContributionsTotAmt
Gross Revenue Total Events	$671,532	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$150	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$320	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$68,805	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$55,679	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$1,175	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$73,644	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$199,773	DirectExpenseSummaryEventsAmt
Net Income Summary	$471,759	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	$2,454,291	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,454,291	NetCommunityBenefitExpnsAmt
Total Expense	0.01910	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,571,495	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,313,759	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,257,736	NetCommunityBenefitExpnsAmt
Total Expense	0.00980	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,025,786	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,313,759	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,712,027	NetCommunityBenefitExpnsAmt
Total Expense	0.02890	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$903,553	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$903,553	NetCommunityBenefitExpnsAmt
Total Expense	0.00700	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,641	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,641	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$915,194	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$915,194	NetCommunityBenefitExpnsAmt
Total Expense	0.00710	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,940,980	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,313,759	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,627,221	NetCommunityBenefitExpnsAmt
Total Expense	0.03600	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,827,499	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,869,340	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$34,021,129	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$55,249,782	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$21,228,653	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
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
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://WWW.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://WWW.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
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://WWW.CHINESEHOSPITAL-SF.ORG/FINANCIAL-ASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.CHINESEHOSPITAL-SF.ORG/FINANCIAL-ASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.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	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - CHINESE HOSPITAL OUTPATIENT CENTER
386 GELLERT BOULEVARD	DALY CITY	CA	94015	OUTPATIENT HEALTH SERVICES/MEDICAL CLINIC
2 - SUNSET HEALTH SERVICES
1800 31ST AVENUE	SAN FRANCISCO	CA	94122	OUTPATIENT HEALTH SERVICES/MEDICAL CLINIC
3 - EXCELSIOR HEALTH SERVICES
888 PARIS STREET SUITE 202	SAN FRANCISCO	CA	94112	OUTPATIENT HEALTH SERVICES/MEDICAL CLINIC
4 - SUPPORT HEALTH SERVICES
845 JACKSON STREET B1	SAN FRANCISCO	CA	94133	OUTPATIENT HEALTH SERVICES/MEDICAL CLINIC
5 - EAST WEST HEALTH SERVICES
445 GRANT AVENUE GROUND FLOOR	SAN FRANCISCO	CA	94108	ACCUPUNCTURE & HERBAL MEDICINE SPECIALTY

Supplemental Information Detail SupplementalInformationDetail (12 entries)

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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 2:	THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON PART III, LINE 2 CONSISTS OF THE CHARGES THAT ARE DEEMED TO BE BAD DEBT, MULTIPLIED BY THE RATIO OF COST-TO-CHARGES AS REPORTED ON CHA'S MEDICARE COST REPORT WHEN THEY ARE NOT WRITTEN-OFF YET. THE MAJORITY OF THE BAD DEBT FIGURE IS RELATED TO THE ACTUAL WRITTEN-OFF AMOUNTS WHEN THE PATIENT WAS NOT ABLE TO PAY AFTER EXHAUSTING ALL ATTEMPTS TO COLLECT.
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 7 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 PLAN	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
Recipient EIN	943021419	RecipientEIN
Cash Grant	$860,000	CashGrantAmt
Purpose Of Grant	EQUITY TRANSFER	PurposeOfGrantTxt

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	AN EQUITY TRANSFER OF $860,000 WAS PROVIDED TO CHINESE COMMUNITY HEALTH PLAN, A WHOLLY-OWNED SUBSIDIARY OF CHINESE HOSPTIAL ASSOCIATION. USE OF FUNDS TRANSFERRED WAS MONITORED VIA OVERLAPPING GOVERNANCE OF 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	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	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	$505,586	$0	$40,790	$0	$0	$0	$7,647	$0	$18,904	$0	$572,927	$0	$0	$0
STEPHEN FORNEY
CFO THROUGH 9/2019	$256,890	$0	$25,689	$0	$0	$0	$0	$0	$14,178	$0	$296,757	$0	$0	$0
KEITH MINARD
CHIEF INFORMATION OFFICER	$302,827	$0	$0	$0	$0	$0	$13,750	$0	$6,484	$0	$323,061	$0	$0	$0
LYDIA MAHR-CHAN
CHIEF HUMAN RESOURCES OFFICER	$261,730	$0	$20,498	$0	$0	$0	$12,343	$0	$6,484	$0	$301,055	$0	$0	$0
ANDERSON ENG MD
MEDICAL PHYSICIAN	$272,173	$0	$25,159	$0	$0	$0	$13,750	$0	$6,484	$0	$317,566	$0	$0	$0
ALSON TOY
RN SURGERY	$294,974	$0	$0	$0	$0	$0	$0	$0	$7,144	$0	$302,118	$0	$0	$0
AUNG KYAW MAUNG MD
MEDICAL PHYSICIAN	$259,751	$0	$24,246	$0	$0	$0	$0	$0	$18,904	$0	$302,901	$0	$0	$0
JUDI WONG MD
MEDICAL PHYSICIAN - GELLERT CLINIC	$258,874	$0	$24,482	$0	$0	$0	$11,272	$0	$6,484	$0	$301,112	$0	$0	$0
FRANK CHEN MD
MEDICAL PHYSICIAN - SUNSET CLINIC	$256,188	$0	$21,880	$0	$0	$0	$13,013	$0	$6,484	$0	$297,565	$0	$0	$0
BRENDA YEE
FORMER CHIEF EXECUTIVE OFFICER	$0	$0	$0	$0	$556,658	$0	$0	$0	$0	$0	$556,658	$0	$0	$0
SCOTT GOODIN
FORMER CHIEF FINANCIAL OFFICER	$0	$0	$0	$0	$306,131	$0	$0	$0	$6,484	$0	$312,615	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINES 4A-B	FormAndLineReferenceDesc
Explanation	FORMER CEO BRENDA YEE RECEIVED A SEVERANCE OF $556,658 IN 2019, WHICH WAS TAXABLE COMPENSATION AND REPORTED WITHIN "OTHER REPORTABLE COMPENSATION" ON SCHEDULE J, PART II, COLUMN (B)(III). IN ADDITION, FORMER CFO SCOTT GOODIN RECEIVED $312,615 OF TOTAL SEVERANCE IN 2019, $306,131 OF WHICH WAS TAXABLE AND REPORTED ON SCHEDULE J, PART II, COLUMN (B)(III) AND $6,484 OF WHICH WAS NON-TAXABLE (AS THE INDIVIDUAL WAS ELIGIBLE FOR CONTINUATION OF BENEFITS AS A PART OF THE SEVERANCE ARRANGEMENT) AND REPORTED AS "NONTAXABLE BENEFITS" IN SCHEDULE J, PART II, COLUMN (D). DR. JIAN ZHANG PARTICIPATED IN THE ORGANIZATION'S SUPPLEMENTAL 457(F) DEFERRED COMPENSATION PLAN. EMPLOYER CONTRIBUTIONS TO THE PLAN TOTALED $7,647 IN 2019, WHICH HAS BEEN REPORTED IN "DEFERRED COMPENSATION" ON SCHEDULE J, PART II, COLUMN (C).	ExplanationTxt

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	$5,510,000	RetiredAmt
Total Proceeds	$70,286,003	TotalProceedsAmt
In Reserve Fund	$4,274,755	InReserveFundAmt
Capitalized Interest	$9,551,013	CapitalizedInterestAmt
Issuance Costs From Proceeds	$1,411,465	IssuanceCostsFromProceedsAmt
Credit Enhancement	$2,607,615	CreditEnhancementAmt
Capital Expenditures	$52,441,155	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 (3 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 K, PART IV, LINE 2C	THE ARBITRAGE REBATE CALCULATION WAS LAST COMPLETED IN JANUARY 2019.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3	EFFECTIVE SEPTEMBER 2019, THE ROLE OF INTERIM CHIEF FINANCIAL OFFICER WAS FULFILLED BY PAUL ZIEGELE, A CONSULTANT WITH TATUM (AN ORGANIZATION PROVIDING INTERIM EXECUTIVE SERVICES). TOTAL PAYMENTS MADE TO TATUM IN EXCHANGE FOR PAUL ZIEGELE'S SERVICES TOTALED $249,900 DURING THE 2019 CALENDAR YEAR.
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 FOLLOWING MEMBERS HAS THE POWER TO DESIGNATE ONE MEMBER OF THE BOARD OF TRUSTEES: (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 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 CONTROLLER AND CHIEF FINANCIAL OFFICER; ADJUSTMENTS ARE MADE, AS NECESSARY. THE FORM 990 IS THEN MADE AVAILABLE TO THE MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY THROUGH AN ANNUAL CONFLICT OF INTEREST SURVEY AND DECLARATION. IN ADDITION TO THE ANNUAL CONFLICT OF INTEREST STATEMENT THAT DIRECTORS, OFFICERS, AND KEY EMPLOYEES COMPLETE, VOLUNTARY DISCLOSURE OF ANY POTENTIAL CONFLICTS AS DISCUSSIONS OF PENDING TRANSACTIONS OCCUR IS REQUIRED. THE LEGAL DEPARTMENT AND CFO REVIEW THE CONFLICT OF INTEREST STATEMENTS. IF A CONFLICT OF INTEREST ARISES, THE PERSON WITH THE CONFLICT RECUSES HIM/HERSELF FROM THE DELIBERATIONS AND DECISION-MAKING PROCESS REGARDING THAT PARTICULAR MATTER.
FORM 990, PART VI, SECTION B, LINE 15	THE COMPENSATION AND BENEFITS PACKAGE OF THE CEO IS EVALUATED AND REVIEWED BY AN INDEPENDENT COMPENSATION COMMITTEE APPOINTED BY THE PRESIDENT AND VICE PRESIDENT OF THE BOARD. AS A PART OF THIS PROCESS, AN INDEPENDENT CONSULTANT WAS USED TO PROVIDE COMPARABLE DATA OF EQUIVALENT EMPLOYEES AT SIMILARLY SIZED HOSPITALS AND HEALTH PLANS; THE OVERALL COMPENSATION PACKAGE FOR THE CEO WAS THEN REVIEWED AND APPROVED BY INDEPENDENT MEMBERS OF THE BOARD. THE COMPENSATION AND BENEFITS PACKAGE FOR OTHER OFFICERS AND KEY EMPLOYEES IS ALSO EVALUATED AND REVIEWED BY AN INDEPENDENT COMPENSATION COMMITTEE APPOINTED BY THE PRESIDENT AND VICE PRESIDENT OF THE BOARD, WHICH UTILIZED COMPARABLE DATA FOR SIMILAR EMPLOYEES AT SIMILARLY SIZED HOSPITALS AND HEALTH PLANS.
FORM 990, PART VI, SECTION C, LINE 19	FEDERAL LAW DOES NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY BE MADE AVAILABLE FOR PUBLIC INSPECTION; ACCORDINGLY, THESE DOCUMENTS ARE CURRENTLY NOT MADE AVAILABLE TO THE PUBLIC. THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE UPON REQUEST, AND ARE ALSO ATTACHED TO A COPY OF THIS FORM 990.
FORM 990, PART IX, LINE 11G	PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 9,681,596. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,681,596. TPA FEES - CCHP: PROGRAM SERVICE EXPENSES 4,257,535. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,257,535. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,326,280. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,326,280.
FORM 990, PART XI, LINE 9:	CHANGE IN PENSION LIABILITY -4,687,739. RETIREMENT BENEFIT LOSS -785,379.

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	$144,403,895	$54,588,792	1.00000	Yes (1)
CHARITABLE REMAINEDER 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	Yes (1)	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	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CHINESE COMMUNITY HEALTH PLAN
A	$41,828	BOOK VALUE
CHINESE COMMUNITY HEALTH PLAN
B	$860,000	BOOK VALUE
CHINESE COMMUNITY HEALTH PLAN
D	$3,425,883	BOOK VALUE
CHINESE COMMUNITY HEALTH PLAN
L	$1,702,196	BOOK VALUE
CHINESE COMMUNITY HEALTH PLAN
O	$5,570,000	BOOK VALUE