2024-11-15T13:00:03-06:00 2023-12-31 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2023-01-01 940382780 CHINESE HOSPITAL ASSOCIATION CHIN 4156772440 845 JACKSON STREET SAN FRANCISCO CA 94133 CHI-KUO CHUNG PRESIDENT & CFO 4156772440 2024-11-15 1 0 MICHAEL LUMSDEN P01262236 4159561500 2024-11-15 2023 2024-10-15 13:58:12Z DR JIAN ZHANG 845 JACKSON STREET SAN FRANCISCO CA 94133 146920307 0 X WWW.CHINESEHOSPITAL-SF.ORG X 1925 CA COST EFFECTIVE HEALTH CARE WHICH IS RESPONSIVE TO THE COMMUNITY'S ETHNIC AND CULTURAL UNIQUENESS. 16 16 601 33 2523466 999804 23345543 14054161 123367111 129572178 923725 1308767 2150539 1622849 149786918 146557955 110000 110000 0 0 57021565 60892545 0 0 786561 94405023 96833470 151536588 157836015 -1749670 -11278060 300335964 305053559 150757308 166338887 149578656 138714672 X 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. 0 0 110683714 110000 129572178 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. 110683714 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 205 0 1 601 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 16 16 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X CHI-KUO (MICHAEL) CHUNG 4156772494 445 GRANT AVENUE SUITE 200 SAN FRANCISCO CA 94108 KIN F YEE DDS CHAIR 5.00 0.00 X X 0 0 0 HARVEY LOUIE VICE CHAIR 5.00 0.00 X X 0 0 0 THOMAS T NG SECRETARY 5.00 0.00 X X 0 0 0 ROGER S ENG MD ASSISTANT SECRETARY 5.00 0.00 X X 0 0 0 ROBERT WONG TREASURER 5.00 0.00 X X 0 0 0 CHARLES LAI BOARD MEMBER 2.00 0.00 X 0 0 0 CHARLES C CHOW BOARD MEMBER 2.00 0.00 X 0 0 0 CLIFTON LEUNG BOARD MEMBER 2.00 0.00 X 0 0 0 DONALD LUU BOARD MEMBER 2.00 0.00 X 0 0 0 DI AN CHEN BOARD MEMBER 2.00 0.00 X 0 0 0 GLENN FONG BOARD MEMBER 2.00 0.00 X 0 0 0 LAWRENCE WONG BOARD MEMBER 2.00 0.00 X 0 0 0 JACK SIT BOARD MEMBER 2.00 0.00 X 0 0 0 DING BONG LEE BOARD MEMBER 2.00 0.00 X 0 0 0 MISHA TSUKERMAN BOARD MEMBER 2.00 0.00 X 0 0 0 THOMAS YUEN BOARD MEMBER 2.00 0.00 X 0 0 0 DR JIAN ZHANG CHIEF EXECUTIVE OFFICER 40.00 0.00 X 596719 0 99729 CHI-KUO MICHAEL CHUNG PRESIDENT & CHIEF FINANCIAL OFFICER 40.00 0.00 X 454506 0 29381 SYLVIA MUNGUIA PITTMAN MSHR CHIEF HUMAN RESOURCES OFFICER 40.00 0.00 X 345807 0 43451 PATRICIA CHUNG VP OF QUALITY, MED STAFF & COMPL 40.00 0.00 X 280645 0 86049 SCOTT L HUANG MD MEDICAL DIRECTOR/PHYSICIAN 40.00 0.00 X 308204 0 23866 GINA KO YAM PHARMD VICE PRESIDENT OF OPERATIONS 40.00 0.00 X 276109 0 43472 ANTONIA NIA LENDARIS MSN CNS RN CHIEF NURSING OPERATIONS OFFICER 40.00 0.00 X 289133 0 26011 ANDERSON D ENG MD MEDICAL PHYSICIAN 40.00 0.00 X 323360 0 32058 AUNG KYAW S MAUNG MD MEDICAL PHYSICIAN 40.00 0.00 X 314313 0 39249 ALSON TOY RN SURGERY 40.00 0.00 X 292526 0 60632 FRANK CHEN MD MEDICAL PHYSICIAN 40.00 0.00 X 320274 0 22597 JENNIFER CHEN MD MEDICAL PHYSICIAN 40.00 0.00 X 303140 0 20489 4104736 0 526984 180 0 1 0 MAR CON COMPANY 8108A CAPWELL DR OAKLAND CA 94621 CONSTRUCTION SERVICES 3356457 HENRY HU MD A PROFESSIONAL CORPORATION 911 PARROTT DRIVE HILLSBOROUGH CA 94010 ANESTHESIA SERVICES 1655603 AYA HEALTHCARE INC 1200 E CAMPBELL RD STE 108 RICHARDSON TX 75081 MEDICAL STAFFING 1507129 SAN FRANCISCO UNIFIED PHYSICIANS GROUP 2440 16TH ST 108 SAN FRANCISCO CA 94103 HOSPITALIST SERVICES 1220188 CA EMERGENCY ASSOCIATES A CA MEDICAL CO PO BOX 677979 DALLAS TX 752677979 ER PHYSICIAN SERVICES 1207927 46 612847 12197996 1243318 14054161 CAPITATION REVENUE 621110 57028344 57028344 NET PATIENT SERVICE REVENUE 621110 49769525 49769525 PHARMACY REVENUE 456110 19228444 16746499 2481945 CLINIC REVENUE 621110 1788633 1788633 PAY FOR PERFORMANCE 621110 491576 491576 1265656 1265656 129572178 1308767 1308767 278132 157794 120338 120338 41521 78817 116207 612847 204558 -88351 -88351 MANAGEMENT FEE 900099 1287548 1287548 PARKING REVENUE 561000 271342 271342 CAFETERIA 722514 31972 31972 1590862 146557955 127090233 2523466 2890095 X 110000 110000 2903082 1221463 1681619 35087618 25547210 9420574 119834 3742209 2654761 1075534 11914 15800985 7860605 7922310 18070 3358651 2416304 931898 10449 224333 145440 78893 283887 283887 19232008 14179015 4608584 444409 22317 22317 1409321 1371124 38197 1377342 1377342 2118092 145740 1972352 20358 20358 36209 36209 4678729 4678729 8838777 8773982 64795 908146 908146 MEDICAL CLAIMS EXPENSE 34371931 34371931 MEDICAL SUPPLIES 20799343 20799343 MEDI-CAL QUALITY ASSURA 2307953 2307953 INCOME TAX EXPENSE 204724 204724 157836015 110683714 46365740 786561 3200 3200 6786374 20983586 3054595 0 17138737 16323212 1890411 1810189 772604 674665 334362829 105766716 232062461 228596113 31823233 34272169 400000 400000 6404349 1990425 300335964 305053559 13551256 15906246 4721933 4681790 36908420 36935068 64413684 72462727 31162015 36353056 150757308 166338887 X 146821756 128190956 2756900 10523716 149578656 138714672 300335964 305053559 X -11278060 1158548 -744472 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 11742 11742 0 PART II-B, LINE 1: 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 ($11,742) OF THOSE MEMBERSHIP DUES HAVE BEEN INDICATED AS USED FOR LOBBYING PURPOSES. 6197597 6197597 1810000 271201113 68678289 204332824 39595459 32443131 7152328 15558660 4645296 10913364 228596113 ACCRUED MEDICAL CLAIMS 12462568 PENSION LIABILITY 22185316 OPERATING LEASE LIABILITIES 1705172 36353056 GOLF TOURNAMENT 505032 435427 69605 59764 62840 6765 16878 124TH ANNIVERSARY 224022 177420 46602 43301 3300 11710 729054 612847 116207 59764 106141 10065 28588 204558 -88351 1 1 X 1 X 1 X 1 1 1 0 1 1 1771560 1771560 0.01120 11280894 10378548 902346 0.00570 13052454 10378548 2673906 0.01690 214713 214713 0.00140 74770 74770 0.00050 7622070 6628034 994036 0.00630 110000 110000 0.00070 8021553 6628034 1393519 0.00890 21074007 17006582 4067425 0.02580 1 271609 251431 42275214 76601650 -34326436 X 1 1 1 1 CHINESE HOSPITAL ASSOCIATION 845 JACKSON STREET SAN FRANCISCO CA 94133 WWW.CHINESEHOSPITAL-SF.ORG 220000122 X X X CHINESE HOSPITAL ASSOCIATION 0 0 1 X X X X X X X X 22 1 1 1 1 X HTTPS://CHINESEHOSPITAL-SF.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ X 1 22 1 HTTPS://CHINESEHOSPITAL-SF.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X X X 1 X HTTPS://CHINESEHOSPITAL-SF.ORG/FINANCIAL-ASSISTANCE/ X HTTPS://CHINESEHOSPITAL-SF.ORG/FINANCIAL-ASSISTANCE/ X HTTPS://CHINESEHOSPITAL-SF.ORG/FINANCIAL-ASSISTANCE/ X X X X X X 1 X 0 X X X X 1 X 0 0 CHINESE HOSPITAL ASSOCIATION PART V, SECTION B, LINE 5: THE CHINESE HOSPITAL SUPPLEMENTAL CHNA WAS CONDUCTED THROUGH FOCUS GROUPS DESIGNED TO ASSESS THE HEALTH STATUS, CONCERNS, AND ACCESS AMONG THE CHINESE POPULATION THAT CHINESE HOSPITAL SERVES IN THE CITY AND COUNTY OF SAN FRANCISCO. THE RECRUITMENT OF THESE FOCUS GROUPS WAS CONDUCTED THROUGH ETHNIC MEDIA PRESS RELEASES, CCHP MEMBER SERVICES, AS WELL AS THROUGH POPULAR CHINESE SOCIAL MEDIA APP, WECHAT. THE FOCUS GROUP PARTICIPANTS WERE RECRUITED FROM OVER 19 DIFFERENT ZIP CODE NEIGHBORHOODS.A SERIES OF SEVEN (7) FOCUS GROUPS WERE CONDUCTED TO ASSESS AND IDENTIFY THE PREDOMINANT HEALTH CONCERNS OF THE CHINESE-SPEAKING POPULATION. THE FOCUS GROUPS WERE CONDUCTED BETWEEN MARCH 24 APRIL 12, 2022. TWO FOCUS GROUPS TOOK PLACE AT CHINESE HOSPITAL WITH AN AVERAGE OF 12 PARTICIPANTS PER GROUP. FIVE (5) FOCUS GROUPS WERE HELD VIA ZOOM WITH AN AVERAGE OF 6 PARTICIPANTS PER GROUP. ALL SEVEN (7) FOCUS GROUPS WERE CONDUCTED IN CANTONESE CHINESE, THE PREFERRED CHINESE DIALECT OF THE PARTICIPANTS. ALL PARTICIPANTS COMPLETED A DEMOGRAPHIC SURVEY, AND THE FOCUS GROUP SESSIONS WERE AUDIO/VIDEO RECORDED WITH PARTICIPANTS' CONSENT. THE FACILITATORS UTILIZED A QUESTION GUIDE TO SOLICIT FEEDBACK FROM PARTICIPANTS THROUGH A SEMI-STRUCTURED FOCUS GROUP FORMAT. THE FACILITATORS HAND RECORDED THE MEETING NOTES. PARTICIPANTS WERE ASKED TO RANK THEIR HEALTH NEEDS FROM 1-5, WITH 1 BEING THE MOST IMPORTANT. THE FACILITATOR OF THE FOCUS GROUPS WERE BILINGUAL, TRAINED HEALTH EDUCATORS WITH MORE THAN 10 YEARS OF EXPERIENCE IN CONDUCTING QUALITATIVE INTERVIEW SESSIONS. CHINESE HOSPITAL ASSOCIATION PART V, SECTION B, LINE 6A: CHINESE HOSPITAL ASSOCIATION IS A PART OF SAN FRANCISCO HEALTH IMPROVEMENT PARTNERSHIP (SFHIP), WHICH IS A COLLABORATIVE BODY WHOSE MISSION IS TO EMBRACE COLLECTIVE IMPACT AND TO IMPROVE COMMUNITY HEALTH AND WELLNESS IN SAN FRANCISCO. SFHIP (WHOSE MEMBERS INCLUDE SAN FRANCISCO'S NON-PROFIT HOSPITALS) COMPLETES A CITYWIDE CHNA, WHICH IS THE FOUNDATION FOR EACH OF SAN FRANCISCO'S NON-PROFIT HOSPITALS' CHNA. IN ADDENDUM TO THE SFHIP CHNA, CHINESE HOSPITAL ALSO COMPLETES A SUPPLEMENTAL CHNA WITH A FOCUS ON THE CHINESE SUBPOPULATION IN SAN FRANCISCO. CHINESE HOSPITAL ASSOCIATION PART V, SECTION B, LINE 6B: NON-HOSPITAL MEMBERS OF SFHIP (WHO COMPLETED THE SAN FRANCISCO CITY-WIDE CHNA WHICH SERVES AS THE FOUNDATION FOR CHINESE HOSPITAL'S CHNA) INCLUDE THE SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH, SAN FRANCISCO UNIFIED SCHOOL DISTRICT, THE OFFICE OF THE MAYOR, AND COMMUNITY REPRESENTATIVES FROM: THE ASIAN AND PACIFIC ISLANDER HEALTH PARITY COALITION; HUMAN SERVICES NETWORK; CHICANO/LATINO/INDIGENA HEALTH EQUITY COALITION; AFRICAN AMERICAN COMMUNITY HEALTH COUNCIL; COMMUNITY CLINIC CONSORTIUM; AS WELL AS OTHER FAITH-BASED AND OTHER PHILANTHROPIC PARTNERS. CHINESE HOSPITAL ASSOCIATION PART V, SECTION B, LINE 11: AMONG ALL THE COMMUNITY HEALTH NEEDS IDENTIFIED BY CHINESE HOSPITAL 2022 SUPPLEMENTAL CHNA, BASED ON THE RESOURCES AVAILABLE, CHINESE HOSPITAL SELECTED THE FOLLOWING 3 MAIN AREAS AS OUR PRIORITIES TO ADDRESS:1. MENTAL HEALTH2. COMMUNITY SAFETY AND ACCESS TO HEALTH3. IN-LANGUAGE HEALTH EDUCATIONMENTAL HEALTH: TO ADDRESS THE HEALTH NEED OF MENTAL HEALTH, IN 2023 CHA:1. CONTINUES TO RAISE AWARENESS RELATED TO PSYCHOSOCIAL HEALTH. IN 2023, CCHRC, IN COLLABORATION WITH CHA, PUT ON A SERIES OF MENTAL HEALTH AND COVID-19 RELATED ONLINE HEALTH SEMINARS, SPECIFICALLY TARGETING MENTAL HEALTH EFFECTS. IN 2023, THESE 6 CLASSES INCLUDED COPD+COVID, STRESS MANAGEMENT, AND DEPRESSION FOR 70 PARTICIPANTS. IN ADDITION, CHA RECEIVED 474 PAGE VIEWS ON HEALTH EDUCATION MATERIAL RELATED TO MENTAL HEALTH, AND DEVELOPED AND DISTRIBUTED NEWSLETTER ARTICLES ON THE TOPICS OF MENTAL HEALTH, STRESS MANAGEMENT, AND SELF-CARE TOPICS (APPROXIMATELY 16 HOURS OF STAFF TIME). LASTLY, CCHRC STAFF AND INTERNS SPENT 10 HOURS ON FINALIZING A BOOKLET CONTENT ON MENTAL HEALTH BASED ON COMMUNITY FOCUS GROUP FEEDBACK.2. CONTINUES TO PROVIDE EDUCATION PROGRAMS FOR CAREGIVERS/FAMILY MEMBERS LIVING WITH INDIVIDUALS WITH MENTAL DISORDERS. THIS WAS ACCOMPLISHED THROUGH CHA AND CCHRC'S CONTINUING TO SERVE AS A COMMUNITY ADVISOR FOR THE CENTER FOR AGING IN DIVERSE COMMUNITIES AS WELL AS FOR THE LIVING ALONE WITH COGNITIVE IMPAIRMENT PROJECT, BOTH IN CONJUNCTION WITH UCSF.3. CONTINUES TO RAISE AWARENESS AMONG MENTAL HEALTH PROVIDERS ABOUT CULTURAL COMPETENCY WHILE PROVIDING PROGRAMS AND SERVICES TO ASIAN AMERICANS LIVING WITH MENTAL DISORDERS. THIS WAS ACCOMPLISHED BY: (I) PROVIDING INFORMATION ON AVAILABLE MENTAL HEALTH RELATED EDUCATIONAL PROGRAMS THROUGH HEALTH SYSTEM NEWSLETTERS AND CCHRC'S WEBSITE; (II) DISSEMINATING INFORMATION ON AVAILABLE MENTAL HEALTH RESOURCES THROUGH CHA, AS WELL AS LOCAL COMMUNITY PARTNERS; AND (III) EXPANDING ITS OUTPATIENT MENTAL HEALTH SERVICES TO INCLUDE A PSYCHIATRIST ON ITS CLINICAL TEAM AND PROVIDING TELEMEDICINE TO VARIOUS PARTNER SITES IN THE SF BAR AREA. LASTLY, CHA IS A PART OF THE CALHIVE BEHAVIORAL HEALTH INTEGRATION IMPROVEMENT COLLABORATIVE, A THREE-YEAR INITIATIVE HOSTED BY CALIFORNIA QUALITY COLLABORATIVE (CQC) AS WELL AS THE CALHIVE ADVISORY BOARD.COMMUNITY SAFETY AND ACCESS TO HEALTH: TO ADDRESS THE HEALTH NEED ON IMPROVING ACCESS TO COORDINATED, CULTURALLY, AND LINGUISTICALLY APPROPRIATE CARE AND SERVICES FOR THE VULNERABLE CHINESE POPULATIONS, IN 2023 CHA:1. CONTINUED TO OFFER CULTURALLY RELEVANT HEALTH EDUCATION PROGRAMS THROUGH THE CHINESE HEALTH RESOURCE CENTER AND CHINESE HOSPITAL OUTPATIENT CENTER/CLINICS TO IMPROVE ACCESS TO CULTURALLY APPROPRIATE PROGRAMS AND SERVICES. IN 2023, CCHRC SPENT 125 HOURS CONDUCTING HEALTH EDUCATION, AND SPENT 28 HOURS DEVELOPING AND DISTRIBUTED NEWSLETTER ARTICLES ON THE TOPICS OF FLU SHOTS, TELEHEALTH, LUNG HEALTH, AND BREAST CANCER. ADDITIONALLY, HEALTH INFORMATION ON OVER 268 DIFFERENT TOPICS WAS AVAILABLE THROUGH CCHRC'S WEBSITES, WHERE 111,802 PAGE VIEWS WERE RECEIVED. FURTHER, 5 BILINGUAL ARTICLES AND 1 VIDEO ON VARIOUS HEALTH TOPIC WAS DEVELOPED THROUGH CCHRC, CHA DEVELOPED AN ADDITIONAL 7 BILINGUAL ARTICLES ON VARIOUS HEALTH TOPICS, AND CHINESE HOSPITAL EAST WEST HEALTH SERVICES SPENT 4 HOURS DEVELOPING ARTICLES ON ACUPUNCTURE. CHA ALSO PROVIDED 49 HOURS OF PRESCRIPTION COUNSELING FREE TO THE COMMUNITY. LASTLY, CCHRC'S PATIENT NAVIGATION PROGRAM PROVIDED 75 HOURS OF PATIENT NAVIGATION SERVICES TO CONNECT 314 PATIENTS TO RESOURCES.2. CONTINUED TO PROVIDE CULTURALLY RELEVANT HEALTH EDUCATIONAL INFORMATION THROUGH COMMUNITY HEALTH FAIRS, WEBSITES, MEDIA, AND CCHRC'S PROGRAMS AND SERVICES. IN TOTAL, CHA AND CCHRC PARTICIPATED IN 28 VARIOUS COMMUNITY-SPONSORED HEALTH FAIRS, REACHING OUT TO A TOTAL OF 2,461 PARTICIPANTS. ADDITIONALLY, CCHRC'S WELLNESS LIBRARY HOUSES BILINGUAL EDUCATIONAL BOOKS, BROCHURES, AND MATERIALS ON MANY HEALTH TOPICS THAT ARE AVAILABLE AT NO COST TO THE COMMUNITY.3. CONTINUED TO MEET WITH COMMUNITY ORGANIZATIONS TO DEVELOP SOLUTIONS TO HEALTH-RELATED ISSUES IDENTIFIED THROUGH NEEDS ASSESSMENT ACTIVITIES. IN 2023, CHA AND CCHRC PARTNERED WITH MANY LOCAL ORGANIZATIONS TO PROVIDE PROGRAMS FOR THEIR PATIENTS AND FAMILIES. FURTHER, CHA STAFF CONTINUES TO PARTICIPATE ON THE SFHIP STEERING COMMITTEE, AND CCHRC STAFF SERVES AS MEMBERS OF COMMUNITY ADVISORY BOARDS FOR VARIOUS DEPARTMENTS AND PROJECTS OF UCSF.IN-LANGUAGE HEALTH EDUCATION:TO ADDRESS THE HEALTH NEED OF PROVIDING IN-LANGUAGE HEALTH EDUCATION, IN 2023 CHA:1. CONTINUED TO WORK WITH MEDIA PARTNERS TO PROVIDE EDUCATIONAL PROGRAMS AND COMMUNITY RESOURCES ON COVID-19 HEALTH EDUCATION, AND COMMUNITY SAFETY TO THE CHINESE IMMIGRANT COMMUNITY. THIS WAS ACCOMPLISHED THROUGH: (I) THE CONDUCTING OF TV INTERVIEWS, WHICH STAFF DEDICATED APPROXIMATELY 55 HOURS TO; (II) HOLDING PRESS CONFERENCES FOR THE PUBLIC AND LOCAL ETHNIC MEDIA, WHICH STAFF DEDICATED APPROXIMATELY 50 HOURS TO; AND (III) CONDUCTING A TOTAL OF 45 HOURS OF INTERVIEWS AND 260 HOURS OF INFOMERCIALS ON CHINESE SING TAO RADIO, WHICH IS ONE OF THE MOST PROMINENT ETHNIC RADIO BROADCASTING STATIONS IN THE SAN FRANCISCO BAY AREA.2. CONTINUED TO PROVIDE EDUCATIONAL PROGRAMS RELATED TO COVID-19, HEALTH EDUCATION, AND COMMUNITY SAFETY THROUGH THE CHINESE HOSPITALS' COMMUNITY CLINICS AND CHINESE COMMUNITY HEALTH RESOURCES CENTER. IN 2023, CHA'S RESOURCE WEB PAGES RECEIVED 30,000 PAGE VIEWS, THE MARKETING TEAM PRODUCED 3 VIDEOS WITH A TOTAL OF 6,500 VIEWS, AND THE RESOURCE WEB PAGE RECEIVED 398 PAGE VIEWS. FURTHER, CHA AND CCHRC PROVIDED COVID-19 HEALTH EDUCATION AND COMMUNITY SAFETY RELATED EDUCATIONAL INFORMATION THAT WAS FEATURED IN 8 ISSUES AMONG THE TWO SYSTEM PARTNERS' NEWSLETTERS, AND DEVELOPED AND DISTRIBUTED NEWSLETTER ARTICLES FOR COVID-19 EDUCATION (APPROXIMATELY 8 STAFF HOURS).3. CONTINUED TO WORK WITH NETWORK PARTNERS TO PROVIDE EDUCATIONAL INFORMATION AND COMMUNITY RESOURCES ON COVID-19 HEALTH, EDUCATION, AND COMMUNITY SAFETY FOR THE CHINESE IMMIGRANT COMMUNITY. IN 2023, CCHRC PROVIDED COVID-19 TESTING TO 463 PARTICIPANTS. ADDITIONAL INFORMATION REGARDING PROGRAMS AND SERVICES OFFERED IN 2023 IN RESPONSE TO THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND ON THE 2023 COMMUNITY BENEFIT REPORT POSTED TO THE ORGANIZATION'S WEBSITE. 4 1 - SUNSET HEALTH SERVICES 1800 31ST AVENUE SAN FRANCISCO CA 94122 OUTPATIENT CLINIC 2 - EXCELSIOR HEALTH SERVICES 888 PARIS STREET SUITE 202 SAN FRANCISCO CA 94112 OUTPATIENT CLINIC 4 - EAST WEST HEALTH SERVICES 445 GRANT AVENUE GROUND FLOOR SAN FRANCISCO CA 94108 OUTPATIENT CLINIC 5 - CHINESE HOSPITAL OUTPATIENT CENTER 386 GELLERT BLVD DALY CITY CA 94015 OUTPATIENT CLINIC PART I, LINE 7: A COST-TO-CHARGE RATIO WAS UTILIZED TO DETERMINE THE AMOUNTS ON SCHEDULE H, PART I, LINE 7. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES INCLUDES MANAGED CARE SERVICES. PART III, LINE 3: THE HOSPITAL RUNS A CREDIT SCORE AND COLLECTS TAX RETURNS FOR PATIENTS APPLYING FOR FINANCIAL ASSISTANCE; BASED OFF THIS INFORMATION, AN ESTIMATE IS MADE TO DETERMINE HOW MUCH OF THE BAD DEBT EXPENSE ON PART III, LINE 3 WOULD BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. IN ADDITION, SOME OF THE BAD DEBT EXPENSE IS RELATED TO HOMELESS PATIENTS, WHICH WOULD BE ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. THE HOSPITAL ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND CO-INSURANCE FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGES BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY AND DEEMED UNCOLLECTIBLE ARE RECORDED AS BAD DEBT EXPENSE. PART III, LINE 4: THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DOES NOT HAVE A SEPARATE FOOTNOTE ADDRESSING BAD DEBT EXPENSE; HOWEVER, THE FOOTNOTE WHICH ADDRESSES PATIENT ACCOUNTS RECEIVABLE CAN BE FOUND ON PAGE PATIENT ACCOUNTS RECEIVABLE CAN BE FOUND ON PAGES 9 AND 15 OF THE AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: THE MEDICARE SHORTFALL REPORTED ON SCHEDULE H, PART III, LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT AS MEDICARE RATES ARE NON-NEGOTIABLE AND SOMETIMES OUT-OF-LINE WITH THE TRUE COSTS OF TREATING MEDICARE PATIENTS. BY CONTINUING TO TREAT PATIENTS ELIGIBLE TO MEDICARE, HOSPITALS ALLEVIATE THE FEDERAL GOVERNMENT'S BURDEN FOR DIRECTLY PROVIDING MEDICAL SERVICES. ADDITIONALLY, IRS REV. RUL. 69-545 STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.A COST-TO-CHARGE IS UTILIZED TO DETERMINE THE AMOUNTS ON SCHEDULE H, PART III, LINES 6. PART III, LINE 9B: AT LEAST 30 DAYS PRIOR TO INITIATING ECAS, CHINESE HOSPITAL OR ITS AUTHORIZED VENDOR WILL PROVIDE THE PATIENT WITH A WRITTEN NOTICE ("ECA NOTICE") THAT WILL: (A) INDICATE THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR ELIGIBLE INDIVIDUALS; (B) IDENTIFY THE ECA(S) THAT THE HOSPITAL FACILITY OR AUTHORIZED VENDOR INTENDS TO INITIATE TO OBTAIN PAYMENT FOR THE CARE; (C) STATE A DEADLINE AFTER WHICH SUCH ECA(S) MAY BE INITIATED THAT IS NO EARLIER THAN 30 DAYS AFTER THE DATE THAT THE WRITTEN ECA NOTICE IS PROVIDED; (D) INCLUDE THE FOLLOWING STATEMENT OR ANY FURTHER STATEMENT REQUIRED BY AN AMENDMENT TO CALIFORNIA HEALTH & SAFETY CODE 127430: "STATE AND FEDERAL LAW REQUIRE DEBT COLLECTORS TO TREAT YOU FAIRLY AND PROHIBIT DEBT COLLECTORS FROM MAKING FALSE STATEMENTS OR THREATS OF VIOLENCE, USING OBSCENE OR PROFANE LANGUAGE, AND MAKING IMPROPER COMMUNICATIONS WITH THIRD PARTIES, INCLUDING YOUR EMPLOYER. EXCEPT UNDER UNUSUAL CIRCUMSTANCES, DEBT COLLECTORS MAY NOT CONTACT YOU BEFORE 8:00 A.M. OR AFTER 9:00 P.M. IN GENERAL, A DEBT COLLECTOR MAY NOT GIVE INFORMATION ABOUT YOUR DEBT TO ANOTHER PERSON, OTHER THAN YOUR ATTORNEY OR SPOUSE. A DEBT COLLECTOR MAY CONTACT ANOTHER PERSON TO CONFIRM YOUR LOCATION OR TO ENFORCE A JUDGMENT. FOR MORE INFORMATION ABOUT DEBT COLLECTION ACTIVITIES, YOU MAY CONTACT THE FEDERAL TRADE COMMISSION BY TELEPHONE AT 1- 877-FTC-HELP (382-4357) OR ONLINE AT WWW.FTC.GOV.; CHINESE HOSPITAL OR ITS AUTHORIZED VENDORS MAY EMPLOY THE FOLLOWING ECAS, SUBJECT TO ANY RESTRICTIONS DESCRIBED BELOW: 1. CREDIT REPORTING(A) FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER CHINESE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, NEITHER CHINESE HOSPITAL NOR ANY OF ITS AUTHORIZED VENDORS WILL REPORT ADVERSE INFORMATION TO A CONSUMER CREDIT REPORTING AGENCY FOR NON-PAYMENTS AT ANY TIME PRIOR TO 150 DAYS AFTER THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT. 2. CIVIL ACTIONS (E.G., LITIGATION, DEBTOR'S EXAMS)(A) FOR UNINSURED PATIENTS OR PATIENTS WITH HIGH MEDICAL COSTS (AS DEFINED IN CHINESE HOSPITAL'S FINANCIAL ASSISTANCE POLICY), NEITHER CHINESE HOSPITAL NOR ANY OF ITS AUTHORIZED VENDORS WILL COMMENCE CIVIL ACTION FOR NON-PAYMENTS AT ANY TIME PRIOR TO 150 DAYS AFTER THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT. (B) THIS RESTRICTION DOES NOT PRECLUDE CHINESE HOSPITAL FACILITIES FROM PURSUING REIMBURSEMENT FROM THIRD-PARTY LIABILITY SETTLEMENTS, TORTFEASORS, OR OTHER LEGALLY RESPONSIBLE PARTIES. (C) THE COSTS, INCLUDING ATTORNEY FEES, ASSOCIATED WITH ANY LEGAL ACTION THAT CHINESE HOSPITAL OR ITS AUTHORIZED VENDORS IS REQUIRED TO TAKE MAY ALSO BE THE RESPONSIBILITY OF THE PATIENT. 3. RENEWAL OF EXISTING JUDGMENTS4. PROPERTY LIENS(A) CHINESE HOSPITAL AND ITS AUTHORIZED VENDORS THAT ARE AFFILIATES OR SUBSIDIARIES OF CHINESE HOSPITAL WILL NOT PLACE LIENS ON THE PRIMARY RESIDENCE OF A PATIENT ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY AS A MEANS OF COLLECTING UNPAID HOSPITAL BILLS. (B) AUTHORIZED VENDORS THAT ARE NOT AFFILIATES OR SUBSIDIARIES OF CHINESE HOSPITAL WILL NOT NOTICE OR CONDUCT A SALE OF THE PRIMARY RESIDENCE OF A PATIENT ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY AS A MEANS OF COLLECTING UNPAID HOSPITAL BILLS. 5. WAGE GARNISHMENTS (A) CHINESE HOSPITAL OR ITS AUTHORIZED VENDORS THAT ARE AFFILIATES OR SUBSIDIARIES OF CHINESE HOSPITAL WILL NOT FILE A WRIT OF GARNISHMENT AGAINST A PATIENT ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY AS A MEANS OF COLLECTING UNPAID HOSPITAL BILLS. (B) CHINESE HOSPITAL'S AUTHORIZED VENDORS THAT ARE NOT AFFILIATES OR SUBSIDIARIES OF CHINESE HOSPITAL WILL NOT FILE A WRIT OF GARNISHMENT AGAINST A PATIENT ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY, UNLESS SUCH WRIT IS BY ORDER OF THE COURT UPON NOTICED MOTION, SUPPORTED BY A DECLARATION FILED BY THE MOVANT IDENTIFYING THE BASIS FOR WHICH IT BELIEVES THE PATIENT HAS THE ABILITY TO MAKE PAYMENTS ON THE JUDGMENT UNDER THE WAGE GARNISHMENT. (C) WAGE GARNISHMENT AMOUNTS WILL NOT EXCEED LIMITS PERMITTED UNDER STATE LAWS. PART VI, LINE 2: THE CHINESE HOSPITAL SUPPLEMENTAL COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED THROUGH FOCUS GROUPS DESIGNED TO ASSESS THE HEALTH STATUS, CONCERNS, AND ACCESS AMONG THE CHINESE POPULATION THAT CHINESE HOSPITAL SERVES IN THE CITY AND COUNTY OF SAN FRANCISCO. AS CHINESE-SPEAKING RESIDENTS ARE THE PRIMARY TARGET POPULATION STUDY, ALL OF OUR FOCUS GROUP INDIVIDUALS WHO REPORTED THEIR BIRTHPLACE INDICATED THEY WERE FOREIGN BORN. IN ADDITION, CHINESE HOSPITAL HOLDS VARIOUS COMMUNITY EVENTS AND SCREENINGS, WHICH ALLOWS IT TO FURTHER ASSESS THE HEALTH NEEDS OF THE COMMUNITY. PART VI, LINE 3: THE HOSPITAL POSTS ITS FINANCIAL ASSISTANCE POLICY WITHIN ADMITTING AND REGISTRATION AREAS, THE EMERGENCY DEPARTMENT, AND THE BUSINESS OFFICE. ALL ADMITS TO THE HOSPITAL ARE ALSO PROVIDED THE FINANCIAL ASSISTANCE/CHARITY CARE POLICIES IN THE PRIMARY LANGUAGE OF THE PATIENT.CHINESE HOSPITAL ALSO MAKES REASONABLE EFFORTS TO PROVIDE ALL PATIENTS WHO RECEIVE CARE (WHETHER EMERGENCY, INPATIENT, OR OUTPATIENT) FROM A CHINESE HOSPITAL FACILITY, AND MAY BE BILLED FOR THAT CARE, WITH A CONSPICUOUS WRITTEN NOTICE ON EACH BILLING STATEMENT THAT INCLUDES THE FOLLOWING: (I) INFORMATION ABOUT THE AVAILABILITY OF CHINESE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND OTHER DISCOUNTS AVAILABLE FROM CHINESE HOSPITAL; (II) INFORMATION ABOUT ELIGIBILITY FOR FINANCIAL ASSISTANCE AND OTHER DISCOUNTS; (III) CONTACT INFORMATION FOR A HOSPITAL EMPLOYEE OR OFFICE FROM WHICH THE PERSON MAY OBTAIN FURTHER INFORMATION ABOUT CHINESE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND OTHER DISCOUNTS; AND (IV) THE DIRECT WEBSITE WHERE COPIES OF THE FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY CAN BE OBTAINED.IF A PATIENT HAS NOT PROVIDED PROOF OF HEALTH COVERAGE BY A THIRD PARTY AT THE TIME CARE IS PROVIDED OR BY THE TIME THE PATIENT IS DISCHARGED, CHINESE HOSPITAL'S FIRST POST-DISCHARGE BILL WILL PROVIDE THE PATIENT WITH A BILL THAT CONTAINS A CLEAR AND CONSPICUOUS STATEMENT THAT, IF THE PATIENT DOES NOT HAVE HEALTH INSURANCE COVERAGE FOR THE CHARGES, THE PATIENT MAY BE ELIGIBLE FOR (I) A GOVERNMENT-SPONSORED HEALTHCARE PROGRAM, SUCH AS MEDICARE, MEDICAID, OR CHIP, (II) COVERAGE OFFERED THROUGH A HEALTH BENEFITS EXCHANGE; (III) COVERAGE THROUGH OTHER STATE-OR COUNTY-FUNDED HEALTH PROGRAMS (E.G. CALIFORNIA CHILDREN'S SERVICES PROGRAM), OR (IV) FINANCIAL ASSISTANCE FROM CHINESE HOSPITAL UNDER ITS FINANCIAL ASSISTANCE POLICY. A STATEMENT IS ALSO INCLUDING INDICATING HOW PATIENTS MAY OBTAIN APPLICATIONS FOR THE AFOREMENTIONED PROGRAMS AND THAT THE HOSPITAL WILL PROVIDE THE APPLICATIONS. THE HOSPITAL SERVES A LARGE POPULATION OF LOW-INCOME. APPROXIMATELY 90% OF OUR MEDICARE PATIENTS MEET THE FEDERAL CRITERIA FOR "LOW-INCOME". ITS WHOLLY OWNED SUBSIDIARY, CCHP, OFFERS A LOW-COST COMMERCIAL INSURANCE PRODUCT FOR INDIVIDUALS AND EMPLOYER GROUPS, MOST OF WHICH REPRESENT SMALL ASIAN BUSINESSES. OUR INTEGRATED HEALTHCARE DELIVERY SYSTEM ALSO SERVES MANAGED CARE MEDICAID ENROLLEES (SAN FRANCISCO HEALTH PLAN) IN THE COMMUNITY, WHICH BECAME THE FIRST PRIVATE SECTOR ORGANIZATION TO OFFER A MEDICAL HOME TO INDIVIDUALS PARTICIPATING IN THE HEALTHY SAN FRANCISCO PROGRAM FOR INDIVIDUALS WITH INCOMES THAT ARE LESS THAN 300% OF THE FPL. ALL THESE PROGRAMS ARE WIDELY PUBLICIZED IN BOTH ENGLISH AND CHINESE (ELECTRONICALLY AND IN HARD-COPY) TO THE COMMUNITY. THIS INFORMATION IS ON THE WEBSITES OF THE THREE ORGANIZATIONS THAT MAKE UP THE INTEGRATED DELIVERY SYSTEM, CHINESE HOSPITAL ASSOCIATION, CCHP, AND JADE HEALTH CARE MEDICAL GROUP. PART VI, LINE 4: THE COMMUNITY CHINESE HOSPITAL SERVES HAS A MAJORITY OF LOW-INCOME, MONOLINGUAL OR LINGUISTICALLY ISOLATED SENIOR POPULATION. OF THE INPATIENT POPULATION AT CHINESE HOSPITAL, 88% ARE OF CHINESE ANCESTRY, 87% ARE OVER THE AGE OF 60, AND 91% ARE MEDICARE/MEDI-CAL BENEFICIARIES.THE PRIMARY SERVICE AREA IS THE GREATER CHINATOWN NEIGHBORHOOD OF SAN FRANCISCO (94108). THE POPULATION OF THE CHINATOWN IS 13,535, WITH 49.7% OF THE POPULATION BEING FOREIGN-BORN. POPULATION BY RACE IS AS FOLLOWS: ASIAN (54.3%), LATINO (4.1%), WHITE (36.5%), BLACK OR AFRICAN AMERICAN (1.8%), AMERICAN INDIAN AND ALASKA NATIVE (.4%), NATIVE HAWAIIAN AND OTHER PACIFIC ISLAND (.3%), OTHER (2.3%) AND MULTIETHNIC (4.4%). THE CHINESE POPULATION WITHIN CHINATOWN IS 6,142, WHICH REPRESENTS 45.4% OF THE TOTAL POPULATION. THE PER CAPITA INCOME IS $57,624, WITH THE MEDIAN HOUSEHOLD INCOME BEING $64,908. THE PERCENTAGE OF PERSONS 65 YEARS AND OVER IS 23.0%, AND 18% OF INDIVIDUALS WITHIN CHINATOWN ARE BELOW THE POVERTY LEVEL.BECAUSE OF OUR UNIQUE BILINGUAL PROGRAMS AND SENSITIVITY TO CULTURAL TRADITIONS, RESIDENTS FROM OTHER SAN FRANCISCO NEIGHBORHOODS AND CITIES OF THE BAY AREA TRAVEL TO CHINESE HOSPITAL. ADDITIONAL INFORMATION REGARDING THESE SERVICE AREAS CAN BE FOUND IN THE ORGANIZATION'S CHNA REPORT POSTED TO ITS WEBSITE AT HTTPS://CHINESEHOSPITAL-SF.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/. PART VI, LINE 5: A MAJORITY OF THE HOSPITAL'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL PHYSICIANS IN THE COMMUNITY WHO APPLY FOR SUCH PRIVILEGES AND MEET THE REQUIRED MEDICAL QUALIFICATIONS. THE HOSPITAL'S SURPLUS FUNDS ARE APPLIED TO IMPROVEMENTS IN PATIENT CARE, MEDICAL EDUCATION, AND RESEARCH, AS DETERMINED BY THE GOVERNING BODY'S FINANCE COMMITTEE. PART VI, LINE 6: THE CHINESE HOSPITAL HEALTH SYSTEM IS AN INTEGRATIVE HEALTH SYSTEM CONSISTING OF CHINESE HOSPITAL AND CLINICS, CHINESE COMMUNITY HEALTH PLAN (CCHP), AND JADE HEALTH CARE MEDICAL GROUP. EACH ENTITY PERFORMS AN IMPORTANT ROLE IN ACHIEVING THE COMMON GOAL OF PROVIDING THE COMMUNITY WITH QUALITY AFFORDABLE CARE THAT IS CULTURALLY COMPETENT AND LINGUISTICALLY APPROPRIATE. CCHP IS LICENSED WITH THE CALIFORNIA DEPARTMENT OF MANAGED CARE TO OFFER COMMERCIAL HEALTH PLANS AND MAINTAIN A CONTRACT WITH CENTERS FOR MEDICARE AND MEDICAID TO OFFER MEDICARE ADVANTAGE PLANS; CCHP OFFERS A HIGH QUALITY, RIGHT-SIZED ALTERNATIVE FOR HEALTH COVERAGE. JADE HEALTH CARE MEDICAL GROUP IS A MEDICAL GROUP DELIVERING CULTURALLY SENSITIVE, BILINGUAL MANAGED HEALTH CARE IN THE SAN FRANCISCO BAY AREA. PART VI, LINE 7, REPORTS FILED WITH STATES CA 1 CHINESE COMMUNITY HEALTH RESOURCE CENTER INC 818 JACKSON STREET SAN FRANCISCO CA 94133 204251913 501(C)(3) 110000 0 TO SUPPORT BILINGUAL HEALTH EDUCATION SERVICES TO THE CHINESE COMMUNITY 1 0 PART I, LINE 2: 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. X X X X 0 0 0 0 0 0 0 0 0 DR JIAN ZHANG CHIEF EXECUTIVE OFFICER 552148 0 44571 0 0 0 74680 0 25049 0 696448 0 0 0 CHI-KUO MICHAEL CHUNG PRESIDENT & CHIEF FINANCIAL OFFICER 420557 0 33949 0 0 0 20744 0 8637 0 483887 0 0 0 SYLVIA MUNGUIA PITTMAN MSHR CHIEF HUMAN RESOURCES OFFICER 321087 0 24720 0 0 0 18402 0 25049 0 389258 0 0 0 PATRICIA CHUNG VP OF QUALITY, MED STAFF & COMPL 267893 0 12752 0 0 0 61000 0 25049 0 366694 0 0 0 ANDERSON D ENG MD MEDICAL PHYSICIAN 298046 0 25314 0 0 0 14810 0 17248 0 355418 0 0 0 AUNG KYAW S MAUNG MD MEDICAL PHYSICIAN 284000 0 30313 0 0 0 14200 0 25049 0 353562 0 0 0 ALSON TOY RN SURGERY 291526 0 1000 0 0 0 51328 0 9304 0 353158 0 0 0 FRANK CHEN MD MEDICAL PHYSICIAN 290234 0 30040 0 0 0 13960 0 8637 0 342871 0 0 0 SCOTT L HUANG MD MEDICAL DIRECTOR/PHYSICIAN 277964 0 30240 0 0 0 15229 0 8637 0 332070 0 0 0 JENNIFER CHEN MD MEDICAL PHYSICIAN 239181 0 63959 0 0 0 11852 0 8637 0 323629 0 0 0 GINA KO YAM PHARMD VICE PRESIDENT OF OPERATIONS 262848 0 13261 0 0 0 18423 0 25049 0 319581 0 0 0 ANTONIA NIA LENDARIS MSN CNS RN CHIEF NURSING OPERATIONS OFFICER 289133 0 0 0 0 0 17374 0 8637 0 315144 0 0 0 A CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 680164610 2022-01-27 37575014 REFUND TAXABLE BONDS ISSUED 10/8/2019 0 0 0 A 37575014 396891 37178123 0 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 6 CHA DOES NOT HAVE "MEMBERS" BY DEFINITION OF THE BYLAWS. HOWEVER, THE FORM 990 INSTRUCTIONS ALSO DEFINE "MEMBERS" AS ANY PERSON (INCLUDING A CORPORATION OR OTHER LEGAL ENTITY) WITH THE POWER TO ELECT MEMBER OF THE GOVERNING BODY. ACCORDINGLY, CHA HAS SIXTEEN (16) MEMBERS: (1) CHINESE CONSOLIDATED BENEVOLENT ASSOCIATION; (2) NING YUNG BENEVOLENT ASSOCIATION; (3) SUE HING BENEVOLENT ASSOCIATION; (4) HOP WO BENEVOLENT ASSOCIATION; (5) KONG CHOW BENEVOLENT ASSOCIATION; (6) YEONG WO BENEVOLENT ASSOCIATION; (7) SAM YUP BENEVOLENT ASSOCIATION; (8) YAN WO BENEVOLENT ASSOCIATION; (9) CHINESE CHAMBER OF COMMERCE; (10) CHINESE AMERICAN CITIZENS ALLIANCE; (11) KUOMINTANG OF CHINA; (12) CHEE KUNG TONG; (13) CHINESE DEMOCRATIC CONSTITUTIONALIST PARTY; (14) CHINATOWN Y.M.C.A; (15) CHINESE CHRISTIAN UNION OF SAN FRANCISCO; AND (16) CHINESE HOSPITAL MEDICAL STAFF. FORM 990, PART VI, SECTION A, LINE 7A EACH OF THE ORGANIZATION'S MEMBERS HAS THE POWER TO DESIGNATE ONE MEMBER OF THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT TAX ACCOUNTANT, IN CONJUNCTION WITH THE ORGANIZATION'S FINANCE AND ACCOUNTING DEPARTMENT. THE FORM 990 IS THEN REVIEWED BY THE ORGANIZATION'S PRESIDENT & CHIEF FINANCIAL OFFICER; ADJUSTMENTS ARE MADE, AS NECESSARY. THE FORM 990 IS THEN MADE AVAILABLE TO THE MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY THROUGH AN ANNUAL CONFLICT OF INTEREST SURVEY AND DECLARATION. IN ADDITION TO THE ANNUAL CONFLICT OF INTEREST STATEMENT THAT DIRECTORS, OFFICERS, AND KEY EMPLOYEES COMPLETE, VOLUNTARY DISCLOSURE OF ANY POTENTIAL CONFLICTS AS DISCUSSIONS OF PENDING TRANSACTIONS OCCUR IS REQUIRED. THE LEGAL DEPARTMENT AND CFO REVIEW THE CONFLICT OF INTEREST STATEMENTS. IF A CONFLICT OF INTEREST ARISES, THE PERSON WITH THE CONFLICT RECUSES HIM/HERSELF FROM THE DELIBERATIONS AND DECISION-MAKING PROCESS REGARDING THAT PARTICULAR MATTER. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION AND BENEFITS PACKAGE OF THE CEO IS EVALUATED AND REVIEWED BY AN INDEPENDENT COMPENSATION COMMITTEE APPOINTED BY THE PRESIDENT AND VICE PRESIDENT OF THE BOARD. AS A PART OF THIS PROCESS, AN INDEPENDENT CONSULTANT WAS USED TO PROVIDE COMPARABLE DATA OF EQUIVALENT EMPLOYEES AT SIMILARLY SIZED HOSPITALS AND HEALTH PLANS; THE OVERALL COMPENSATION PACKAGE FOR THE CEO WAS THEN REVIEWED AND APPROVED BY INDEPENDENT MEMBERS OF THE BOARD. THE COMPENSATION AND BENEFITS PACKAGE FOR OTHER OFFICERS AND KEY EMPLOYEES IS ALSO EVALUATED AND REVIEWED BY AN INDEPENDENT COMPENSATION COMMITTEE APPOINTED BY THE PRESIDENT AND VICE PRESIDENT OF THE BOARD, WHICH UTILIZED COMPARABLE DATA FOR SIMILAR EMPLOYEES AT SIMILARLY SIZED HOSPITALS AND HEALTH PLANS. FORM 990, PART VI, SECTION C, LINE 19 FEDERAL LAW DOES NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY BE MADE AVAILABLE FOR PUBLIC INSPECTION; ACCORDINGLY, THESE DOCUMENTS ARE CURRENTLY NOT MADE AVAILABLE TO THE PUBLIC. THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE UPON REQUEST, AND ARE ALSO ATTACHED TO A COPY OF THIS FORM 990. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,630,210. MANAGEMENT AND GENERAL EXPENSES 2,848,912. FUNDRAISING EXPENSES 251,909. TOTAL EXPENSES 5,731,031. TPA FEES: PROGRAM SERVICE EXPENSES 6,728,413. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,728,413. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 4,820,392. MANAGEMENT AND GENERAL EXPENSES 1,759,672. FUNDRAISING EXPENSES 192,500. TOTAL EXPENSES 6,772,564. FORM 990, PART XI, LINE 9: CHANGES IN PENSION LIABILITY -579,612. RETIREMENT PLAN BENEFIT GAIN -164,860. CHINESE COMMUNITY HEALTH PLAN 445 GRANT AVENUE SUITE 700 SAN FRANCISCO CA 94108 943021419 INSURANCE CA CHA C 137347530 48021345 1.00000 1 1 0 0 1 0 0 0 0 0 0 1 1 1 0 1 1 1 0 0 CHINESE COMMUNITY HEALTH PLAN A 44472 BOOK VALUE CHINESE COMMUNITY HEALTH PLAN D 574692 BOOK VALUE CHINESE COMMUNITY HEALTH PLAN K 375524 BOOK VALUE CHINESE COMMUNITY HEALTH PLAN L 1915050 BOOK VALUE CHINESE COMMUNITY HEALTH PLAN M 1921050 BOOK VALUE CHINESE COMMUNITY HEALTH PLAN P 174493 BOOK VALUE