2019-11-12T13:24:20-06:00 2018-12-31 KPMG LLP 3975 Freedom Circle Dr Suite 100 Santa Clara CA 95054 990 2018-01-01 940382780 CHINESE HOSPITAL ASSOCIATION % MUKESH SANGHVI CHIN 4156772496 845 JACKSON STREET SAN FRANCISCO CA 94133 PAUL ZIEGELE Interim CFO 4156772399 2019-11-11 true VALERIE J BALL P00178114 4083675764 2019-11-12 167.68.102.5 77070920193165000000 2019-11-12 P 4FBB8320309D351308B0CFDEBCC6427E2B2F960D AFC1CABF2724952AFBFC3879A4882118A11459E7 2018 2020-03-31 21:24:44Z Jian Qing Zhang 845 JACKSON STREET SAN FRANCISCO CA 94133 109246848 false X WWW.CHINESEHOSPITAL-SF.ORG X 1925 CA CHINESE HOSPITAL, A COMMUNITY OWNED, NOT FOR PROFIT ORGANIZATION, EXISTS TO DELIVER QUALITY HEALTH CARE IN A COST EFFECTIVE WAY, RESPONSIVE TO THE COMMUNITY WHICH IT SERVES. 16 16 528 48 3670047 354502 1819825 1416388 117180797 101904624 1739306 1459212 3123568 4309832 123863496 109090056 200000 0 0 0 57188692 52285340 34447 2500 323498 78279972 78703224 135703111 130991064 -11839615 -21901008 320255261 297099892 117741785 116999395 202513476 180100497 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 HEALTH CARE ACCESSIBILITY TO ALL SOCIOECONOMIC LEVELS. false false 621300 121477421 0 100524998 INPATIENT NURSING SERVICES - CHINESE HOSPITAL IS A 65 BED, ACUTE CARE, COMMUNITY-OWNED, NON-PROFIT HOSPITAL OFFERING A WIDE RANGE OF MEDICAL, SURGICAL AND SPECIALTY PROGRAMS. PHARMACY DEPARTMENT (INPATIENT & OUTPATIENT COMBINED)- THE HOSPITAL PHARMACY PROVIDES A WIDE RANGE OF INPATIENT AND OUTPATIENT SERVICES THAT ENSURES THAT PATIENTS' MEDICATION REQUIREMENTS ARE MET. THE PHARMACY DEPARTMENT SERVICES INCLUDE DISPENSING OF PHARMACEUTICALS IN ACCORDANCE WITH FEDERAL AND STATE OF CALIFORNIA REGULATIONS, APPROPRIATE INVENTORY MAINTENANCE FUNCTIONS, DRUG MONITORING, PATIENT DRUG ASSESSMENT FUNCTIONS, APPROPRIATE RECORD KEEPING, DRUG INFORMATION, EDUCATION SERVICES AND PERFORMANCE IMPROVEMENT FUNCTIONS. RADIOLOGY DEPARTMENTS (INPATIENT AND OUTPATIENT COMBINED)- CHINESE HOSPITAL'S RADIOLOGY/IMAGING SERVICES OFFERS QUALITY DIAGNOSTIC IMAGING TESTING FOR PATIENTS OF ALL AGES, IN ALL STAGES AND VARIATIONS OF HEALTH AND DISEASE. THESE TESTS ALLOW PHYSICIANS TO MAKE COMPREHENSIVE EVALUATIONS, AND DIAGNOSE, PLAN, AND MONITOR TREATMENTS. THE DEPARTMENT IS FULLY DIGITAL WITH ADVANCED RADIOLOGY INFORMATION SYSTEMS (RIS) AND PICTURE ARCHIVAL COMMUNICATIONS SYSTEMS (PACS). DIAGNOSTIC IMAGING SERVICES AVAILABLE INCLUDE: X-RAYS AND FLUOROSCOPY, MAGNETIC RESONANCE IMAGING SCANNER (MRI), 64-SLICE CT, COMPUTED TOMOGRAPHY, DIGITAL MAMMOGRAPHY, ULTRASOUND, DEXA BONE DENSITOMETRY, NUCLEAR MEDICINE AND INTERVENTIONAL RADIOLOGY. OTHER PROGRAM SERVICES INCLUDE COARDIOPULMONARY SERVICES, COMMUNITY CLINICS, IMMUNIZATION SERVICES, HEPATITIS B PROGRAM, OUTPATIENT MEDICAL THERAPY CENTER, SAME DAY SURGERY AND ENDOSCOPY SERVICES, AND SUPPORT HEALTH SERVICES. SEE SCHEDULE O FOR ADDITIONAL INFORMATION FROM THE COMMUNITY BENEFIT REPORT. 121477421 true true false true false false false false false false true false false false true true false true false false false false false false true false true true false false true true false false false false false false false false false true false false false false false true true true false false true 234 0 true 528 true true true false false false false true true false false false false true false X 16 16 false false false false false false false true true false false true true true true true true true true false CA X MUKESH SANGHVI 4156772399 445 GRANT AVENUE SUITE 200 San Francisco CA 94108 X George Lew PRESIDENT 5.0 2.0 X X 0 0 0 Harvey Louie Vice President 5.0 2.0 X X 0 0 0 Thomas T Ng English Secretary 5.0 2.0 X X 0 0 0 Kin F Yee DDS Assistant English Secretary 5.0 2.0 X X 0 0 0 Jack Lee Fong Chinese Secretary 5.0 2.0 X X 0 0 0 Gustin Ho MD Assistant Chinese Secretary 5.0 2.0 X X 0 0 0 Robert Wong Treasurer 5.0 2.0 X X 0 0 0 Yick C Tam Assistant Treasurer 5.0 2.0 X X 0 0 0 Edward Chan MD Board Member 2.0 2.0 X 0 0 0 Kitman chan Board Member 2.0 2.0 X 0 0 0 Robert Chiang Board Member 2.0 2.0 X 0 0 0 Mel Lee Board Member 5.0 2.0 X 0 0 0 Paul M Lee Board Member 2.0 2.0 X 0 0 0 Kent Lim Board Member 2.0 2.0 X 0 0 0 Dan Quan Board Member 2.0 2.0 X 0 0 0 Dick W Wong Board Member 2.0 2.0 X 0 0 0 JIAN QING ZHANG CEO 40.0 0.0 X 504539 0 101357 Amy Tsui CFO (Thru 08/18) 40.0 0.0 X 261894 0 90976 Stephen Forney CFO (From 06/18) 40.0 0.0 X 124231 0 48744 KEITH MINARD CIO 40.0 0.0 X 306237 0 20026 ALSON TOY Medical Physician 40.0 0.0 X 291553 0 61694 CHENGYU XU MEDICAL PHYSICIAN 40.0 0.0 X 309026 0 30847 Eng Anderson Medical Physician 40.0 0.0 X 323778 0 20026 Scott Huang MEDICAL PHYSICIAN 40.0 0.0 X 327402 0 56865 Brenda Yee Ngou CEO 0.0 0.0 X 544306 544306 102989 2992966 544306 533524 147 true true false CHARLES PANKOW BUILDERS 1111 BORADWAY STREET SUITE 200 OAKLAND CA 94607 CONSTRUCTION 5219376 EMERGENCY MEDICINE PHYSICIANS 4535 DRESSLER ROAD NW CANTON OH 44718 ED PHYSICIANS 2391914 QUEST DIAGNOSTICS P O BOX 912411 PASADENA CA 91110 LAB WORK 562802 CORPORATE SECURITY SERVICES 53 STREET SUITE 314 SAN FRANCISCO CA 94103 SECURITY COVERAGE 488674 CURIALE WILSON LLP 201 SPEAR ST STE 1100 SAN FRANCISCO CA 94105 LEGAL SERVICES 276231 20 140465 1275923 6815 1416388 PATIENT SERVICE REVENUE 621300 47207760 47207760 CAPITATION REVENUE 621400 35793579 35793579 PHARMACY REVENUE 621400 15845051 14495615 1349436 CLINIC REVENUE 623000 2365114 2365114 PAY FOR PERFORMANCE REVENUE 621400 103903 103903 589217 559027 30190 101904624 967779 967779 0 0 214080 214080 0 214080 214080 491433 491433 491433 55771 435662 479461 140465 156792 322669 322669 0 0 0 0 0 0 MANAGEMENT FEE 900099 2234650 2234650 REINSURANCE RECOVERIES 561000 914865 914865 PARKING REVENUE 561000 307651 307651 315917 315917 3773083 109090056 100524998 3670047 3478623 0 0 0 0 872521 872521 1305939 1305939 40385514 39320100 856670 208744 3206974 3185999 14754 6221 3792892 3566593 208050 18249 2721500 2556411 148343 16746 46083 40553 5392 138 439693 152370 287323 592926 474341 118585 6300 6300 2500 2500 0 12431487 8349371 4082116 37674 31014 0 6660 909318 766372 125054 17892 1424630 1282167 142463 0 0 4347112 4206699 130413 10000 11052 10227 747 78 0 31167 12081 19086 2362270 2244156 118114 0 7493788 7343913 149875 447047 64935 382112 MEDICAL SUPPLIES 21124281 21110281 14000 MEDICAL CLAIMS EXPENSE 20290163 20290163 PROVIDER FEES 3324756 3324756 INCOME TAX EXPENSE 185812 0 185812 3197665 3144919 16476 36270 130991064 121477421 9190145 323498 0 0 4783663 2762758 0 0 13406820 16570406 0 0 0 0 0 0 1195860 1369044 2002745 1831836 309767254 59866094 252316431 249901160 37882720 24193572 0 0 0 0 0 0 8667022 471116 320255261 297099892 23612606 19044571 0 0 0 0 61620527 60149852 0 0 0 0 0 0 0 0 32508652 37804972 117741785 116999395 X 201313368 179818600 1171589 253378 28519 28519 202513476 180100497 320255261 297099892 X -21901008 -1398131 886160 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 6300 false false false 6300 false Part II-B Line 1f The Hospital paid $6,300 over the course of 2018 to the National Group for Lobbying for Hospital related issues. 253330 253330 242986126 28719794 214266332 0 0 50184178 31146300 19037878 16343620 16343620 249901160 0 ACCRUED MEDICAL CLAIMS 5443717 LIABILITY FOR PENSION BENEFITS 27907665 OTHER LONG TERM LIABILITIES 433943 EST. THIRD-PARTY PAYOR SETTLEM 595612 ACCRUED PAYROLL 3424035 37804972 X 107848717 -1398131 156792 -1241339 109090056 109090056 130261696 130261696 729368 729368 130991064 Part X Line 2 Accounting Standards Codification (ASC) Topic 740, Income Taxes, provides guidance for how uncertain tax positions should be recognized, measured, presented, and disclosed in the consolidated financial statements. ASC Topic 740 requires the evaluation of tax positions taken in the course of preparing CCHPs tax returns to determine whether tax positions are more likely than not of being sustained by the applicable tax authority. Tax benefits of positions not deemed to meet the more-likely than-not threshold would be recorded as tax expense in the current year. Reconciliation of Revenue and Expense Part XI, Line 2d Fundraising event expense to Part VIII $ 156,792 ====================================================== Total Part XI, Line 2d $ 156,792 Part XII, Line 4b Decrease in Pension Liability $ 886,160 Fundraising Event Exp to Part VIII $ (156,792) ====================================================== Total Part XII, Line 4B $ 729,368 CA Anniversary 148078 22212 125866 0 261 10756 0 0 21745 Golf 441012 110253 330759 0 0 106980 0 0 13852 1 30836 8000 22836 0 0 0 0 0 3198 619926 140465 479461 0 261 117736 0 0 38795 156792 322669 true true X true X 350. true X true true false true true 1532083 1532083 0.01170 5973475 2405533 3567942 0.02720 48409647 27425904 20983743 0.16000 55915205 29831437 26083768 0.19890 350946 350946 0.00270 398576 398576 0.00300 12934 12934 0.00010 762456 762456 0.00580 56677661 29831437 26846224 0.20470 true 957613 27425904 6442161 20983743 true true 1 1 Chinese Hospital 845 Jackson Street San Francisco CA 94133 www.chinesehospital-sf.org 220000122 X X X Chinese Hospital 1 false false true X X X X X X X X X 16 true true true true X See Schedule H, Part V, Section C true 16 true See Schedule H, Part V, Section C false true X 350. 350. X X true true X X X X true X See Sch H, Part V, Section C X See Sch H, Part V, Section C X See Sch H, Part V, Section C X X X X X X X true X false X X X X true X false false PART V, SECTION B, LINE 5 THE HOSPITAL'S CHNA WAS CONDUCTED IN CONJUNCTION WITH THE SAN FRANCISCO HEALTH IMPROVEMENT PARTNERSHIP (SFHIP) WHICH IS A COLLABORATIVE BODY WHOSE MISSION IS TO EMBRACE THE COLLECTIVE IMPACT AND TO IMPROVE COMMUNITY HEALTH AND WELLNESS IN SAN FRANCISCO. SFHIP INCLUDES THE SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH, SAN FRANCISCO'S NON-PROFIT HOSPITALS, THE CLINICAL AND TRANSLATION SCIENCE INSTITUTE'S COMMUNITY ENGAGEMENT AND HEALTH POLICY PROGRAM AT UCSF, THE SAN FRANCISCO UNIFIED SCHOOL DISTRICT, THE OFFICE OF THE MAYOR, COMMUNITY REPRESENTATIVES FROM THE ASIAN AND PACIFIC ISLANDER HEALTH PARITY COALITION, HUMAN SERVICES NETWORK, CHICANO/LATINO/INDIGENA HEALTH EQUITY COALITION, AND AFRICAN AMERICAN COMMUNITY HEALTH COUNCIL, COMMUNITY CLINIC CONSORTIUM, FAITH-BASED AND OTHER PHILANTHROPIC PARTNERS. THE TASK FORCE MEETINGS WERE CONDUCTED TO DISCUSS SPECIFIC ISSUES AFFECTING HEALTHCARE ACCESS IN SAN FRANCISCO. THE MEETINGS WERE OPEN TO THE PUBLIC AND NEIGHBORHOOD MEETINGS ALLOTTED TIME ON THE AGENDAS FOR COMMUNITY MEMBERS TO COMMENT. THE TASK FORCE CONSISTED OF PERSONS FROM VARYING SEGMENTS OF THE POPULATION INCLUDING REPRESENTATIVES FROM THE SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH, SAN FRANCISCO UNIFIED SCHOOL DISTRICT, AIDS HOUSING ALLOWANCE, CHINESE HOSPITAL, KAISER PERMANENTE, UCSF MEDICAL CENTER, SAN FRANCISCO MUNICIPAL TRANSIT AUTHORITY, CALIFORNIA NURSES ASSOCIATION, AND MANY OTHERS. PART V, SECTION B, LINE 6a THE FOLLOWING SAN FRANCISCO HOSPITALS ALSO PARTICIPATED IN THE CHNA: SAINT FRANCIS MEMORIAL HOSPITAL, ST. MARY'S MEDICAL CENTER, SUTTER HEALTH CALIFORNIA PACIFIC MEDICAL CENTER, KAISER PERMANENTE SAN FRANCISCO, AND UCSF. PART V, SECTION B, LINE 6B CHINESE HOSPITAL IS PART OF THE 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 INCLUDES THE SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH, THE CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTES COMMUNITY ENGAGEMENT AND HEALTH POLICY PROGRAM AT UCSF, THE SAN FRANCISCO UNIFIED SCHOOL DISTRICT, THE OFFICE OF THE MAYOR, COMMUNITY REPRESENTATIVES FROM THE ASIAN AND PACIFIC ISLANDER HEALTH PARITY COALITION, HUMAN SERVICES NETWORK, CHICANO/LATINO/INDIGENE HEALTH EQUITY COALITION, AND AFRICAN AMERICAN COMMUNITY HEALTH COUNCIL, COMMUNITY CLINIC CONSORTIUM, FAITH-BASED AND OTHER PHILANTHROPIC PARTNERS. PART V, SECTION B, LINE 7A Chinese Hospital made its CHNA report widely available on its hospital website at: http://www.chinesehospital-sf.org/community-health-needs-assessment PART V, SECTION B, LINE 10A Chinese Hospital made its Implementation Strategy report widely available on its hospital website and is included within the CHNA report at: http://www.chinesehospital-sf.org/community-health-needs-assessment PART V, SECTION B, LINE 11 THE SIGNIFICANT NEEDS IDENTIFIED AND ADDRESSED AS PART OF OUR IMPLEMENTATION STRATEGY ARE: * EXPAND PATIENT-CENTERED CULTURALLY AND LINGUISTICALLY APPROPRIATE CHRONIC DISEASE MANAGEMENT AND EDUCATION PROGRAMS - CHINESE HOSPITAL PATIENT-CENTERED PROGRAMS (DIABETES, CARDIOVASCULAR DISEASE, HYPERTENSION, HEPATITIS B, ETC) OFFER COMPREHENSIVE CARE AND EDUCATION TO THE COMMUNITY WITH A BILINGUAL MULTIDISCIPLINARY APPROACH. WE WILL EXPAND SERVICES TO ALL CHINESE HOSPITAL CLINIC SITES IN SAN FRANCISCO AND DALY CITY. * INCREASE CULTURALLY AND LINGUISTICALLY APPROPRIATE MENTAL HEALTH SERVICES CHINESE HOSPITAL AND CLINICS CREATE SYSTEM-WIDE MENTAL HEALTH SERVICES AND EXPAND EDUCATIONAL PROGRAMS ON MENTAL HEALTH THAT ARE CULTURALLY AND LINGUISTICALLY APPROPRIATE FOR THIS POPULATION, SUCH AS FREE OR LOW-COST STRESS RELIEF WORKSHOPS, GENTLE FITNESS CLASSES LIKE YOGA AND TAI CHI. * EXPAND URGENT CARE ACCESS IN THE AREAS IDENTIFIED AS LACKING ACCESS TO THESE SERVICES EXPAND CLINICS OPERATION HOURS TO WEEKENDS AND AFTER HOURS, CONTRACT WITH EXISTING URGENT CARE AGENCIES IN THE IDENTIFIED AREAS, AND EXPAND TELEMEDICINE SERVICES FOR THOSE WHO CANT ACCESS OUR EXISTING SERVICES. * IMPROVE PREVENTIVE HEALTH EDUCATION AND SERVICES USE A MULTIMEDIA APPROACH AND PROVIDE EDUCATION PROGRAMS FOR OUTREACHING TO PROMOTE PUBLIC AWARENESS OF PREVENTIVE HEALTH. * PROVIDE INTEGRATIVE HEALTH SERVICES EXPAND TRADITIONAL CHINESE MEDICINAL SERVICES TO OTHER CHINESE POPULATIONS IN THE SAN FRANCISCO AND SAN MATEO COMMUNITIES. * IMPROVE CHILDRENS DENTAL HEALTH EDUCATION AND SERVICES PROVIDE AWARENESS AND EDUCATON TO THE CHINESE COMMUNITY AND ONE-ON-ONE TRAINING TO COMMUNITY PEDIATRICIANS AND PRIMARY CARE PHYSICIANS WITH YOUNG PEDIATRIC PATIENTS ON DENTAL CARE, CAVITIES, AND VARNISH APPLICATION. NEEDS IDENTIFIED THAT ARE NOT BEING ADDRESSED: 1. SMOKING IS ANOTHER HEALTH CONCERN OF THE COMMUNITY THAT IS NOT BEING ADDRESSED DUE TO AVAILABILITY OF RESOURCES. Part V, Section B, Line 16a, 16b, & 16c http://www.chinesehospital-sf.org/billing-insurance PART V, SECTION B, LINE 16J THE FINANCIAL ASSISTANCE POLICY IS PROVIDED TO OTHER ORGANIZATIONS IN SAN FRANCISCO WHO PROVIDE INFORMATION TO THE COMMUNITY, INCLUDING THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT'S (OSHPD) WEBSITE. 5 Excelsior Health Services 888 Paris Street San Francisco CA 94112 Clinic Daly City Health Services 93 Skyline Plaza Daly City CA 94015 Clinic Sunset Health Services 1800 31st Avenue San Francisco CA 94122 Clinic Gellert Health Services 386 Gellert blvd Daly City CA 94105 Clinic East West Clinic 445 Grant Avenue San Francisco CA 94108 Clinic Part I, Line 7 THE COST TO CHARGE RATIO WAS NOT DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. THE RATIO OF COSTS PER CHARGES USED FOR THE AMOUNTS ENTERED IN THE TABLE IN PART I LINE 7 WERE DERIVED FROM THE HOSPITAL'S 2018 MEDICARE COST REPORT. Part I, Line 7k, Total Community Benefit Percentage CHINESE HOSPITAL OWNS A KNOX-KEENE LICENSED, INTEGRATED, PREPAID HEALTH PLAN, CHINESE COMMUNITY HEALTH PLAN (CCHP), WHICH PROVIDES LOW-COST INSURANCE PRODUCTS TO THE COMMUNITY. WITHOUT THESE LOW-COST INSURANCE PRODUCTS, MANY OF CCHP'S MEMBERS WOULD OTHERWISE ACCESS HEALTH CARE SERVICES THROUGH CHINESE HOSPITAL'S CHARITY CARE PROGRAM. ADDITIONALLY, APPROXIMATELY 80% OF PATIENTS SEEN AT CHINESE HOSPITAL ARE SENIORS COVERED BY MEDICARE AND/OR MEDI-CAL. ONLY APPROXIMATELY 1% OF CHINESE HOSPITAL'S PATIENTS ARE UNINSURED. Part III: Line 2 THE COSTING METHODOLOGY USED IN DETERMING 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 THE HOSPITAL'S MEDICARE COST REPORT WHEN THEY ARE NOT WRITTEN OFF YET. 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. THE DOLLAR FIGURE REPORTED AS BAD DEBT WILL BE BASED ON COST TO CHARGE RATIO AS DESCRIBED ABOVE. THE HOSPITAL TAKES EXTRAORDINARY CARE TO IDENTIFY PATIENTS ELIGIBLE FOR EITHER CHARITY CARE OR FOR DISCOUNT. IF A PATIENT COMES IN AS A SELF-PAY, THEY EITHER PAY IMMEDIATELY OR ARE ASKED TO PROVIDE THE HOSPITAL WITH THE NECESSARY SUPPORTING DOCUMENTATION THAT WOULD QUALIFY THEM FOR CHARITY CARE. DISCOUNT OPTION IS GIVEN IF THE PATIENT IS WILLING TO PAY. IF THE PATIENT DECLINES TO PROVIDE SUCH DOCUMENTATION OR OPTS TO NOT APPLY FOR CHARITY CARE, THEN THE AMOUNT OWED IS CONSIDERED AS RECEIVABLE WHEREBY WE WILL FOLLOW THE NECESSARY STEPS TO COLLECT THE BALANCE OWED. THE HOSPITAL'S EXPERIENCE IS THAT IF PATIENT IS ELIGIBLE FOR CHARITY CARE, THEN THEY ARE ENCOURAGED AND HELP THEM QUALIFY IF THEY ARE ELIGIBLE BASED ON OUR PUBLISHED CRITERIA. THIS MEANS THAT WE WILL REPORT CHARTIY CARE NUMBER SEPARATE FROM BAD DEBT NUMBER. IF A PATIENT DOES NOT QUALIFY FOR CHARITY CARE AND IS NOT WILLING TO TAKE ADVANTAGE OF PROMPT DISCOUNT BY PAYING FOR THE AMOUNT OWED, THEN WE SEND THESE ACCOUNTS TO COLLECTION AGENCY. AFTER EXHAUSTING THAT ATTEMPT, WE MAY END UP WRITING THEM OFF AS BAD DEBTS (BASED ON METHODOLOGY AS OUTLINED ABOVE). Part III: Line 3 THE HOSPITAL FOLLOWS HFMA STATEMENT 15 AND THEREFORE NO PART OF BAD DEBT, AS DEFINED BY STATEMENT 15, REPRESENTS AMOUNTS ATTRIBUTABLE TO PATIENTS ELIGIBLE TO RECEIVE FINANCIAL ASSISTANCE. Part III, Line 4 FOOTNOTE FROM THE AUDITED FINANCIAL STATEMENTS: THE HOSPITAL'S PATIENT ACCOUNTS RECEIVABLES CONSISTS OF AMOUNTS OWED BY VARIOUS GOVERNMENTAL AGENCIES, INSURANCE COMPANIES, AND PRIVATE PATIENTS. THE HOSPITAL MANAGES THE RECEIVABLES BY REGULARLY REVIEWING ITS ACCOUNTS AND CONTRACTS AND BY PROVIDING APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE AMOUNTS. Part III, Line 9b THE HOSPITAL POSTS THE COLLECTION POLICIES AT THE HOSPITAL'S CENTRALIZED REGISTRATION LOCATION. THE HOSPITAL'S CHARITY CARE AND DISCOUNTED PAYMENT POLICIES ARE AVAILABLE ON THE HOSPITAL'S WEB-SITE AND ALSO ON THE STATE OF CALIFORNIA'S OFFICE OF STATEWIDE HEALTH PLANNING WEB-SITE. SELF PAY PATIENTS ARE USUALLY SCREENED USING THE PATIENT'S HISTORICAL INCOME APPLIED AGAINST 350% OF THE FPL IN DETERMINING THEIR CHARITY CARE QUALIFICATIONS. HOWEVER, THERE ARE SOME PATIENTS WHO ARE UNWILLING TO PROVIDE THEIR INCOME INFORMATION TO DETERMINE IF THEY QUALIFY FOR CHARITY CARE OR DISCOUNTED PAYMENT. IF THESE PATIENTS DO NOT PAY, THEY ARE SENT A DATA MAILER REQUESTING CONTACT OR PAYMENT EVERY 15 DAYS. IF THERE'S NO RESPONSE, A FINAL NOTICE IS SENT 30 DAYS AFTER THE SENDING OF THE 3RD DATA MAILER. IF THERE'S NO RESPONSE TO THE FINAL NOTICE, THE ACCOUNT IS TURNED OVER TO AN EXTERNAL COLLECTION AGENCY. DURING THIS PROCESS, SHOULD INFORMATION BECOME AVAILABLE THAT INDICATES THE PATIENT COULD BE ELIGIBLE FOR CHARITY CARE, THE ACCOUNT IS RETURNED TO THE HOSPITAL SO THAT WE MAY WORK WITH THE PATIENT TO QUALIFY THEM FOR CHARITY CARE OR OTHER FINANCIAL ASSISTANCE. Needs Assessment THE HOSPITAL'S ASSESSMENT PROCESS INCLUDES SURVEYS OF PROGRAM PARTICIPANTS, COMMUNITY MEMBERS INCLUDING AGENCIES AND PROVIDERS, CHINESE COMMUNITY HEALTH PLAN (CCHP) MEMBERS AND PROVIDERS, CHINESE COMMUNITY HEALTH CARE ASSOCIATION (CCHCA) MEMBERS AND PROVIDERS AND THE HOSPITAL PATIENTS AND STAFF. SURVEY RESPONDENTS ARE ASKED FOR PROGRAM TOPICS OR ISSUES THAT THEY WOULD LIKE TO HAVE ADDRESSED. A REVIEW OF HEALTH TRENDS AND LOCAL COMMUNITY NEEDS BASED ON HEALTH STATISTICS IS ALSO DONE. TOPIC SUGGESTIONS ARE SENT TO CHINESE COMMUNITY HEALTH RESOURCE CENTER'S (CCHRC) ADVISORY COMMITTEE. THE COMMITTEE PRIORITIZES TOPICS FOR IMPLEMENTATION, OR NON-IMPLEMENTATION. Patient Education of Elegibility for Assistance THE HOSPITAL SERVES A LARGE POPULATION OF LOW-INCOME PATIENTS. 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. OUR INTEGRATED HEALTHCARE DELIVERY SYSTEM 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, CCHP AND CCHCA (IPA ORGANIZATION). THESE THREE ORGANIZATIONS SPONSOR THE CHINESE COMMUNITY HEALTH RESOURCE CENTER, A NONPROFIT ORGANIZATION WITH THE MISSION TO BUILD A HEALTHY COMMUNITY THROUGH CULTURALLY AND LINGUISTICALLY COMPETENT PREVENTIVE HEALTH, DISEASE MANAGEMENT, AND RESEARCH PROGRAMS. OUR FINANCIAL ASSISTANCE POLICY IS ALSO POSTED IN THE BUSINESS OFFICE, ADMITTING AND REGISTRATION AREAS AND EMERGENCY DEPARTMENT. ADDITIONALLY, PATIENT STATEMENTS MUST INCLUDE STANDARD LANGUAGE INFORMING PATIENTS THAT THEY MAY REQUEST FINANCIAL SCREENING TO DETERMINE ELIGIBILITY FOR CHARITY DISCOUNTS AND HOW THAT REQUEST MAY BE MADE. IF A PERSON ENTERS THE HOSPITAL WITHOUT INSURANCE, THEY ARE PROVIDED THE FINANCIAL ASSISTANCE/CHARITY POLICIES IN THE PRIMARY LANGUAGE OF THE PATIENT. ENGLISH, SPANISH, CANTONESE AND CHINESE LANGUAGE POLICIES ARE AVAILABLE. Community Information THE HOSPITAL PROVIDES ACCESS AND CARE FOR A LARGE NUMBER OF UNDERSERVED, LOW INCOME PATIENTS - SERVING AS A SAN FRANCISCO SAFETY NET HOSPITAL. THE INDIGENT AND ELDERLY MONOLINGUAL ASIANS OF CHINATOWN HAVE MADE CHINESE HOSPITAL THEIR POINT OF ACCESS TO THE MEDICAL SYSTEM. THE PRIMARY SERVICE AREA IS THE GREATER CHINATOWN AND NORTH BEACH DISTRICTS OF SAN FRANCISCO. 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 FOR THEIR HEALTH CARE NEEDS. IN 1987 CHINESE HOSPITAL AND ITS PARTNER PHYSICIAN GROUP CREATED CHINESE COMMUNITY HEALTH PLAN (CCHP)AS A MANAGED CARE HMO INSURANCE PLAN. CHINESE HOSPITAL THROUGH CCHP IS ABLE TO OFFER AFFORDABLE INSURANCE OPTIONS TO INDIVIDUALS AND MANY ASIAN SMALL BUSINESSES LOCATED IN SAN FRANCISCO. AS A RESULT, CHINESE HOSPITAL SEES VERY FEW UNINSURED PATIENTS. TO IMPROVE HEALTHCARE ACCESS TO THE EXPANDING ASIAN POPULATION IN THE WESTERN PART OF SAN FRANCISCO, THREE COMMUNITY CLINICS WERE ADDED. THESE CLINICS PROVIDE A WIDE-RANGE OF CULTURALLY COMPETENT HEALTHCARE SERVICES. GELLERT CLINICS WAS EXPANDED LAST YEAR TO INCORPORATE LAB, OPTOMETRY AND PHARMACY SERVICES. DEMOGRAPHICS OF THE COMMUNITY SERVED: 81% OF OUR IN-PATIENTS ARE ON MEDICARE. 91% OF THESE PATIENTS ARE MEDICARE/ MEDICAID ELIGIBLE AND SERVES A PROXY FOR UTILIZATION BY LOW-INCOME PATIENTS IN THE COMMUNITY. ANOTHER 9% ARE MEDICAID. THE COMMUNITY THE HOSPITAL SERVES CONTAINS MULTIPLE FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS. THERE ARE SIX OTHER HOSPITALS IN SAN FRANCISCO. State Filing of Community Benefit Report: THE HOSPITAL FILES A COMMUNITY BENEFIT REPORT IN CALIFORNIA. Promotion of Community Health 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. THIS COMMITTEE OVERSEES THE OPERATING AND CAPITAL BUDGETING PROCESS AND MAKES RECOMMENDATIONS TO THE FULL BOARD REGARDING RESOURCE USE. SEE THE COMMUNITY BENEFIT REPORT CONTAINED IN SCHEDULE O FOR ADDITIONAL INFORMATION. X X X X true true false false false false false false false JIAN QING ZHANG CEO 504539 0 0 0 0 0 79975 0 21382 0 605896 0 0 0 Amy Tsui CFO (Thru 08/18) 261894 0 0 0 0 0 81644 0 9332 0 352870 0 0 0 Stephen Forney CFO (From 06/18) 124231 0 0 0 0 0 39050 0 9694 0 172975 0 0 0 KEITH MINARD CIO 306237 0 0 0 0 0 13750 0 6276 0 326263 0 0 0 ALSON TOY Medical Physician 291553 0 0 0 0 0 54793 0 6901 0 353247 0 0 0 CHENGYU XU MEDICAL PHYSICIAN 284026 0 25000 0 0 0 30829 0 18 0 339873 0 0 0 Eng Anderson Medical Physician 278778 0 25000 0 20000 0 13750 0 6276 0 343804 0 0 0 Scott Huang MEDICAL PHYSICIAN 277402 0 50000 0 0 0 50417 0 6448 0 384267 0 0 0 Brenda Yee Ngou CEO 0 0 0 0 544306 544306 47222 47222 4272 4273 595800 595801 0 0 Schedule J, Part I, Question 4b Brenda Yee Ngou participates in a nonqualified deferred compensation plan to be paid out upon termination of employment at CHA. $430,640 was paid out in 2018. Schedule J, Part I, Question 4A The following individual listed on Part VII received a severance payment in 2018. Brenda Yee Ngou - $657,972 A CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LJ57 2012-11-08 69923971 FINANCE NEW HEALTH CARE FACILITIES false false false A 4040000 0 71143476 4240975 9551013 0 1411465 2607615 0 52411636 0 29519 2016 false false true true A false false false false 0 false false false true A false true false false 0 false 0 false true A true SUPPLEMENTAL INFORMATION Schedule K, Part II, Line 2 The amount on line 2 differs from the issue price due to cumulative investment earnings. Schedule K, part iv, line 2c The arbitrage rebate calculation was last completed in January 2019. Corporate Security Service Substantial Contributor 488634 Security Services false PART VI, SECTION B, LINE 11B Form 990 Review Process: THE FORM 990 WAS REVIEWED BY THE FINANCE DIRECTOR AND THE CFO. THE FORM 990 WAS THEN PRESENTED TO THE FINANCE COMMITTEE. THE FINANCE COMMITTEE REVIEWED AND APPROVED THE FORM 990 PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. Form 990, Part VI, Line 12c Conflict of Interest Policy & Procedures CONFLICT OF INTEREST: THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE THROUGH AN ANNUAL CONFLICT OF INTEREST SURVEY AND DECLARATION. IN ADDITION, THE BOARD MEMBERS ARE COGNIZANT OF THE REQUIREMENTS TO REMAIN INDEPENDENT DURING DELIBERATIONS THAT IMPACT THE ORGANIZATION. IN ADDITION TO THE ANNUAL CONFLICT OF INTEREST STATEMENT THAT DIRECTORS, OFFICERS, AND KEY EMPLOYEES COMPLETE, THERE IS VOLUNTARY DISCLOSURE OF ANY POTENTIAL CONFLICTS AS DISCUSSIONS OF PENDING TRANSACTIONS OCCUR. THE LEGAL DEPARTMENT AND CFO REVIEW THE CONFLICT OF INTEREST STATEMENTS. IF A CONFLICT ARISES, THE PERSON WITH THE CONFLICT RECUSES HIMSELF OR HERSELF FROM THE DELIBERATIONS AND DECISION MAKING PROCESS REGARDING THAT PARTICULAR MATTER. Form 990, Part VI, Line 15 Determination of Compensation FOR 2018 COMPENSATION, THE COMPENSATION AND BENEFITS PACKAGE OF THE CEO WAS EVALUATED AND REVIEWED BY AN INDEPENDENT COMPENSATION COMMITTEE APPOINTED BY THE PRESIDENT AND VICE PRESIDENT OF THE BOARD, WHO ARE INDEPENDENT. AS PART OF THIS PROCESS, AN INDEPENDENT CONSULTANT WAS USED TO PROVIDE COMPARABLE DATA PROVIDED FOR SIMILAR POSITIONS AT SIMILAR SIZE HOSPITALS AND HEALTH PLANS AND THE COMPENSATION PACKAGE WAS REVIEWED AND APPROVED BY THE BOARD. FOR 2018 COMPENSATION, THE COMPENSATION COMMITTEE, ALSO REVIEWED THE DATA AND APPROVED THE COMPENSATION PACKAGE FOR OTHER OFFICERS AND KEY EMPLOYEES. THE COMMITTEE'S DISCUSSIONS AND DELIBERATIONS REGARDING COMPENSATION FOR THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES WERE CONTEMPORANEOUSLY DOCUMENTED IN THE MINUTES. Part VI Section C Line 19 Disclosure of Documents FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY BE MADE AVAILABLE FOR PUBLIC INSPECTION, AS SUCH THESE DOCUMENTS ARE NOT AVAILABLE FOR PUBLIC INSPECTION. HOWEVER, THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE UPON REQUEST AND THEY ARE ALSO ATTACHED TO A COPY OF THIS FORM 990. Part XI, Line 9 Decrease in pension liability $ 886,160 Community Benefit Report THE FOLLOWING IS AN EXCERPT FROM THE 2018 COMMUNITY BENEFIT REPORT General Overview Chinese Hospital is a unique healthcare provider within the City and County of San Francisco, having a long and rich history of providing access to culturally competent health care services to the Chinese Community. In 1900, the Tung Wah Dispensary opened in San Franciscos Chinatown, and by the early 1920s outgrown its space as other San Francisco providers continued to deny health care access for the local Chinese community. With visionary acumen, fifteen community organizations established a non-profit public benefit corporation in 1923 - the Chinese Hospital Association. The fifteen founding members of the Board of Trustees raised funds for construction of a new facility at 835 Jackson Street, and in October 1925 celebrated the grand opening of the first Chinese Hospital. In the mid-1970s Chinese Hospital required a brand new facility. Once again the Board of Trustees conducted extensive fund raising and received Hill Burton funding for construction of the current hospital facility that opened in September 1979 at 845 Jackson Street, next door to the original Chinese Hospital, and maintaining a licensed bed capacity of 54 beds. Chinese Hospital opened an eight-story new tower in October 2016. This will enable Chinese Hospital to better serve the needs of the community. Licensed beds increased to 65 beds. New services include an Magnetic Resonance Imaging Scanner (MRI); an expanded standby Emergency Department; 4 bed Outpatient Observation Unit; a Support Health Services clinic (which supports the community physicians and their patients by providing health educational needs); expanded and new outpatient Pharmacy; expanded Cardio-Pulmonary Unit (new body box for pulmonary functions testing, two new tread mills for stress tests); 3rd and 4th floor Medical and Surgical Units with private rooms; Surgery Department expanded from 2 Operating Rooms to 4- new and state of the art ORs; new Intensive Care Units expanded to 6-private rooms with new state of the art equipment for monitoring patients; and new state of the art Telemetry Unit, with 12 beds. An Integrated Delivery System In the mid-1980s, managed care programs surfaced in the San Francisco Bay Area. Through a collaborative program with Blue Shield of California, Chinese Hospital and its physician partner organization created Chinese Community Health Plan (CCHP). In 1987, Blue Shield transferred the health plan to the ownership of Chinese Hospital, which received its own Knox-Keene license from the State of California Department of Corporations. Chinese Community Health Plan provides low-cost commercial insurance products for individual and employer groups, most of which represent small Asian businesses. Our fully integrated healthcare delivery system also serves managed care Medicare and Medi-Cal enrollees in the community. In 2009, CCHP expanded its coverage to Northern San Mateo County. Chinese Hospital and its physician partners, Jade Healthcare Medical Group, Chinese Community Health Care Association (CCHCA), serve Medicare, Medi-Cal and commercial enrollees. Chinese Hospital Association provided without any limitations medical care to all members of the following medical insurance plans like Blue Cross, Blue Shield, Aetna, San Francisco Health Plan, Healthy Kids San Francisco, United Healthcare, HealthNet, CCHP and other providers that came for care at Chinese Hospital and its Clinics. The Jade Healthcare Medical Group is a for-profit physicians independent practice association (IPA), organized in 2016 with the mission to improve the health of our community by delivering high-quality, affordable healthcare through culturally competent and linguistically appropriate services. In 1989, the three associations Chinese Hospital, the Chinese Community Health Care Association (CCHCA), and Chinese Community Health Plan (CCHP) established of the Chinese Community Health Resource Center (CCHRC), a non-profit community center with the mission to build a healthy community through culturally and linguistically competent preventive health, disease management, and research programs. CCHRC has maintained a wide range of health education programs and a resource library (www.cchrchealth.org). Chinese Hospital continues to support CCHRC annually and providing in-kind support services to CCHRC on human resource, housekeeping, engineering, finance and IT as well as providing facility space to house CCHRCs Wellness Library and its patient navigation program. To increase healthcare access for the expanding Chinese population in the western part of San Francisco, Chinese Hospital and Chinese Community Health Care Association created the Sunset Health Services Community Clinic in 1997. The community clinic, staffed by physicians specialized in General Medicine, Internal Medicine, Women's Health, Cardiology, Podiatry, Gastroenterology and Oncology, provides a wide range of culturally competent health care services such as primary care with subspecialties: preventive care services, womens health services, health education, and laboratory services. The clinic is also staffed with nurse practitioners, acupuncturists and other clinical personnel who speak Mandarin, Cantonese, Tagalog and English. Chinese Hospital will continue to bring culturally competent healthcare to the Chinese in southern part of San Francisco and northern San Mateo County, as demonstrated by our two clinics in the area. Chinese Hospital will continue to support the community physicians and be a valued resource in the City for the Asian population. Chinese Hospital opened its Support Health Services clinic in Chinatown, in 2008. Staffed by a nurse practitioner (NP), the clinic helps manage patients, in our community, with chronic disease at no cost, with aim to promote effective chronic disease self-management. The clinic also offers management in diabetes, nutritional consult, hypertension, womens health, and anticoagulation therapy. The Support Health Services, along with the satellite clinics also provide a comprehensive immunization program to meet the need of the community, such as childhood immunizations, Hepatitis B, Tdap and Influenza & Pneumococcal vaccination. The leadership for charity care at Chinese Hospital starts with our Chief Executive Officer, Dr. Jian Zhang, serves on several non-profit boards as a member of Board of Directors and is an active member of the Chinese community Cardiac Council, American Hospital Association (she serves a voice to provide care and education for ethnic groups and their health disparities), the San Francisco Health Authority Board, NICOS Chinese Health Coalition, and the Chinese Community Health Resource Center. Many hospital staff members are also active on health coalition boards: such as, Asian Alliance against Domestics Violence, San Francisco Hepatitis B Free campaign, San Francisco Bay Area American Diabetic Association Board, and the Community Advisory Board of the UCSF Helen Diller Family Comprehensive Cancer Center and Center on Aging in Diverse Communities of UCSF, SF CAN, to name a few. The Community Benefit Plan for 2018 will summarize Chinese Hospitals objectives and the plan for community health outreach projects for 2019. A. Medical Care costs not fully compensated resulting in loss in these programs A-1. State sponsored Medi-Cal Program has very low reimbursement rates which results in providing medical care at a loss. At Chinese Hospital, we provided care to 142 patients representing total patient days of 591. Similarly, the outpatient Medi-Cal patients are provided medical care at a loss. Total of 8,827 patients were treated as Outpatients at Chinese Hospital. Chinese Hospital Clinics provided medical care to 5,282 patients. A-2. Medicare programs have reimbursement rates that are not sufficient to provide cost of medical care. At Chinese Hospital we provided care to 1,363 Inpatients, which is a total of 7,182 patient days. Total of 31,279 Medicare patients were seen as Outpatients while the clinics saw total of 21,397 patients. A-2. Traditional Charity Care: Chinese Hospital provided care to 11 patients as Inpatient with total of 266 patient days and 301 patients were taken care of at the Clinics. These individual patients have no insurance coverage and could not afford to pay the cost of care resulting in full amount written off under our charity care policy. A-3. Treatment Center Services: Chinese Hospital provided emergency room care to any patients that sought medical care irrespective to their ability to pay for the care. Once again, patients who have Medi-Cal, Medicare coverage or no coverage consume large dollars of medical care that are not fully compensated resulting in loss under these programs. See table at the end of this report. B. Other Benefits for the Broader Community Chinese Hospital makes significant commitments in providing health education, prevention and support services for the broader Chinese community. B-1. Reduced Cost Immunization/Flu Vaccine Programs: Chinese Hospital offered the general public reduced cost immunizations and no-cost flu vaccines. These programs served over 20 people and generated nearly __ in unsponsored community benefit expenses. B-2. Chinese Community Health Resource Center: Chinese Hospital sponsors the Chinese Community Health Resource Center, a community-based organization providing bilingual health education services to the Chinese community. Programs of the Chinese Community Health Resource Center include health education classes (e.g., Allergies, Arthritis Management, Asthma, Blood Pressure, Cancer Awareness, Cholesterol, Colorectal Cancer, Coronary Artery Disease, COPD, Diabetes Management, Healthy Eating, Heart Failure, Incontinence, Injury Prevention, Insomnia, Medication Management, Memory Improvement, Osteoporosis, Pain Management, Prostate Health, Rheumatoid Arthritis, Stress Management, Stroke Prevention, Urinary Incontinence, Prenatal & Child Health), chronic disease education management, health screenings, holding health fairs, on-site classes, cancer patient services, individual nutrition counseling, smoking cessation counseling, non-clinical social services, video-viewing program, patient navigation, a Wellness Library, and bilingual health education materials. The Center also provides community presentations upon request and participate in various local and national committees. In 2018, there were over 4,611 in-person encounters and 239,750 web page views for health education through the Chinese Community Health Resource Center. In addition, Chinese Hospital donated $200,000 for operating expenses to the Chinese Community Health Resource Center plus provided in-kind support services on IT, housekeeping, engineering, finance, human resources and duties related to serving as the President of CCHRCs Board of Directors. These in-kind support was estimated as unsponsored community benefit expense of more than $70,000. Additionally, Chinese Hospital also provided facility space to house CCHRCs Wellness Library and Patient Navigation program. The square footage for the facility is 620 which estimated to $50,000 additional unsponsored community benefit expense. B-3. Anticoagulation Services: Chinese Hospitals Support Health Services provided free anticoagulation services to 28 seniors and community members. The number of total encounters was 102, and the unsponsored community benefit expense associated with these services was more than $8,000. B-4. Chinese Hospital Employees Participation in Community Programs: employees of the Chinese Hospital have participated in various community education outreach and advocacy activities such as health fairs, health talk shows, cooking competition, public health hearing, phone consultations related to social services, etc. The hours contributed for these activities estimated to be about 217 hours. C. Health Research, Education and Training Programs C-1. Student Internship: Chinese Hospital hosted clinical internships for 1 nursing student with 120 clinical rotation hours; 7 pharmacy students with 1360 rotation hours; 8 phlebotomist trainees with 600 rotation hours; 2 nurse practitioner (NP) students with 190 rotation hours and 15 medical students with 1645 rotation hours. The total staff time for onboarding time spent with the NP and medical students were 152 hours. Other incidental hours associated with this program was close to 400 hours. Total unsponsored community benefit expense of this program was around $65,000. D. Other Quantifiable and Non-Quantifiable Benefits Chinese Hospitals commitments to the community extend beyond the direct services it provides to the community. D-1. Health Fair/Street Fair: Chinese Hospital participated in various Health Fairs/Street Fairs through the volunteer efforts of hospital staff members. At the fairs, health education materials were distributed to community members and free test on blood pressure was provided. Over 2,500 individuals attended these Fairs, and the unsponsored community benefit associated with this effort was around $17,000. D-2. Chinese Hospital Monthly Community Health Day: Chinese Hospital sponsored Monthly Community Health Day in 2018 through volunteer efforts of hospital staff members. Health related educational activities and screenings were provided at the monthly health days. The health screenings offered at these health days included Blood Glucose, Blood Pressure, Body Mass Index, Cholesterol, Osteoporosis and Vision. Total health screenings performed at the health days were 2,619 among 1,174 participants. The unsponsored community benefits associated with this effort was around $23,000. CHINESE COMMUNITY HEALTH PLAN 445 GRANT AVENUE SUITE 700 SAN FRANCISCO CA 94108 943021419 insurance CA CHA Corporation 147017730 55672364 1.00000 true CHARITABLE REMAINDER TRUST (2) INVESTMENTS CA CHA TRUST true false false false false true false false false false false true false false false false false false false Chinese Community Health Plan A 55771 Per Agreement Chinese Community Health Plan L 2234650 Per Agreement Chinese Community Health Plan F 100000 Per Agreement