CHINESE HOSPITAL ASSOCIATION: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: CHINESE HOSPITAL ASSOCIATION (EIN 94-0382780)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-11-14
IRS object ID: 201833189349305823
Schema version: 2017v2.3
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 L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-11-14T13:19:19-06:00	ReturnTs
Tax Period End	2017-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	3975 Freedom Circle Dr Suite 100	AddressLine1Txt
City	Santa Clara	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95054	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-01-01	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)
In Care Of	% PATRICIA HOM	InCareOfNm
Business Name Control	CHIN	BusinessNameControlTxt
Phone	4156772496	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	STEVE FORNEY	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	4156772399	PhoneNum
Signature	2018-11-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	VALERIE J BALL	PreparerPersonNm
PTIN	P00178114	PTIN
Phone	4083675764	PhoneNum
Preparation	2018-11-13	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.102.5	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	77070920183185000000	FederalOriginalSubmissionId
Federal Original Submission Id	2018-11-14	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	AFC1CABF2724952AFBFC3879A4882118A11459E7	AtSubmissionCreationDeviceId
At Submission Filing Device Id	AFC1CABF2724952AFBFC3879A4882118A11459E7	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Jian Qing 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	$123,980,614	GrossReceiptsAmt
Group Return For Affiliates	false	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	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.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	522	TotalEmployeeCnt
Total Volunteers	33	TotalVolunteersCnt
Total Gross UBI	$3,290,184	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$851,492	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,909,739	PYContributionsGrantsAmt
CY Contributions Grants	$1,819,825	CYContributionsGrantsAmt
PY Program Service Revenue	$116,064,666	PYProgramServiceRevenueAmt
CY Program Service Revenue	$117,180,797	CYProgramServiceRevenueAmt
PY Investment Income	$3,502,960	PYInvestmentIncomeAmt
CY Investment Income	$1,739,306	CYInvestmentIncomeAmt
PY Other Revenue	$3,476,963	PYOtherRevenueAmt
CY Other Revenue	$3,123,568	CYOtherRevenueAmt
PY Total Revenue	$125,954,328	PYTotalRevenueAmt
CY Total Revenue	$123,863,496	CYTotalRevenueAmt
PY Grants And Similar Paid	$180,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$200,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$50,252,080	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$57,188,692	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$30,482	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$34,447	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$256,533	CYTotalFundraisingExpenseAmt
PY Other Expenses	$80,760,181	PYOtherExpensesAmt
CY Other Expenses	$78,279,972	CYOtherExpensesAmt
PY Total Expenses	$131,222,743	PYTotalExpensesAmt
CY Total Expenses	$135,703,111	CYTotalExpensesAmt
PY Revenues Less Expenses	-$5,268,415	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$11,839,615	CYRevenuesLessExpensesAmt
Total Assets BOY	$320,979,003	TotalAssetsBOYAmt
Total Assets EOY	$320,255,261	TotalAssetsEOYAmt
Total Liabilities BOY	$107,211,511	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$117,741,785	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$213,767,492	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$202,513,476	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 HEALTH CARE ACCESSIBILITY TO ALL SOCIOECONOMIC LEVELS.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Activity	621300	ActivityCd
Expense	$119,516,797	ExpenseAmt
Grant	$200,000	GrantAmt
Revenue	$115,710,808	RevenueAmt
Desc	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	Desc
Total Program Service Expenses	$119,516,797	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (true)	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	200	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	522	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	16	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	PATRICIA HOM	PersonNm
Phone	4156772399	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	170 COLUMBUS AVENUE SUITE 368	AddressLine1Txt
City	SAN FRANCISCO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94133	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 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	Highest Compensated EmployeeHighestCompensatedEmployeeInd
James K Ho
President	5.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
Harvey Louie
Vice President	5.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
Thomas T Ng
English Secretary	5.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
Kin F Yee DDS
Assistant English Secretary	5.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
Jack Sit
Chinese Secretary	5.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
Jack Lee Fong
Assistant Chinese Secretary	5.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
Mel Lee
Treasurer	5.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
Faye Woo Lee
Assistant Treasurer	5.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
Paul M Lee
Board Member	2.0	2.0	Yes (X)		$0	$0	$0
Siu Kong Tam
Board Member	2.0	2.0	Yes (X)		$0	$0	$0
Tim Siow
Board Member	2.0	2.0	Yes (X)		$0	$0	$0
Kitman chan
Board Member	2.0	2.0	Yes (X)		$0	$0	$0
Yick C Tam
Board Member	2.0	2.0	Yes (X)		$0	$0	$0
George Lew
Board Member	2.0	2.0	Yes (X)		$0	$0	$0
Dick W Wong
Board Member	2.0	2.0	Yes (X)		$0	$0	$0
Edward Y C Chan MD
Board Member	2.0	2.0	Yes (X)		$0	$0	$0
Brenda Yee Ngou
CEO (thru 9/17)	30.0	30.0		Yes (X)	$449,705	$348,495	$154,829
Scott Goodin
CFO (Thru 9/17)	40.0	0.0		Yes (X)	$227,566	$0	$9,871
JIAN QING ZHANG
COO(Thru 9/17),CEO(From 10/17)	40.0	0.0		Yes (X)	$397,963	$0	$107,569
Amy Tsui
CFO (From 10/17)	40.0	0.0		Yes (X)	$60,808	$211,543	$39,217
KEITH MINARD
CIO	40.0	0.0			$295,774	$0	$20,751	Yes (X)
ALSON TOY
RN II	40.0	0.0			$281,724	$0	$60,996	Yes (X)
CHENGYU XU
MEDICAL PHYSICIAN	40.0	0.0			$278,003	$0	$36,346	Yes (X)
Eng Anderson
Medical Physician	40.0	0.0			$298,676	$0	$18,079	Yes (X)
Aung Kyaw Maung
Medical Physician	40.0	0.0			$295,033	$0	$36,484	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,585,252	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$560,038	TotReportableCompRltdOrgAmt
Total Other Compensation	$484,142	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	157	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	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	OAKLAND	CA	94607	CONSTRUCTION	$3,492,213
EMERGENCY PHYSICIANS MED GROUP
4535 DRESSLER ROAD NW	CANTON	OH	44718	MEDICAL SERVICES	$1,973,769
THE STINNETT GROUP LLP
388 MARKET STREET	SAN FRANCISCO	CA	94111	Architectural svcs	$1,202,588
BAY AREA HOSPITALIST ASSOCIATES
1900 SULLIVAN AVENUE	DALY CITY	CA	94015	MEDICAL SERVICES	$1,036,462
QUEST DIAGNOSTICS LAB
48 FRANKLIN AVENUE	SOUTH SAN FRANCISCO	CA	94080	MEDICAL SERVICES	$951,108

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	23	CntrctRcvdGreaterThan100KCnt
Fundraising	$473,882	FundraisingAmt
All Other Contributions	$1,345,943	AllOtherContributionsAmt
Noncash Contributions	$77,145	NoncashContributionsAmt
Total Contributions	$1,819,825	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Service revenue	621300	$52,595,355	$52,595,355
Capitation Revenue	621400	$43,006,809	$43,006,809
PHARMACY REVENUE	621400	$17,267,304	$16,184,907	$1,082,397
CLINIC REVENUE	623000	$2,865,464	$2,865,464
OTHER OPERATING REVENUE	621400	$1,406,782	$1,319,167	$87,615

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$39,083	TotalRevenueColumnAmt
Related Or Exempt Func Income	$8,841	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$30,242	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$117,180,797	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,317,117	TotalRevenueColumnAmt
Exclusion	$1,317,117	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$113,689	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$113,689	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$113,689	TotalRevenueColumnAmt
Exclusion	$113,689	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$403,504	SecuritiesAmt
Other	$18,685	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$403,504	SecuritiesAmt
Other	$18,685	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$422,189	TotalRevenueColumnAmt
Exclusion	$422,189	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$141,770	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$473,882	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$117,118	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$24,652	TotalRevenueColumnAmt
Exclusion	$24,652	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
MANAGEMENT FEE	900099	$2,089,930	$2,089,930
REINSURANCE RECOVERIES	561000	$223,413		$223,413
PARKING REVENUE	561000	$303,184		$303,184

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$368,700	TotalRevenueColumnAmt
Exclusion	$368,700	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,985,227	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$123,863,496	TotalRevenueColumnAmt
Related Or Exempt Func Income	$115,980,543	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,290,184	UnrelatedBusinessRevenueAmt
Exclusion	$2,772,944	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	$200,000	TotalAmt
Program Services	$200,000	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,693,396	TotalAmt
Management And General	$1,693,396	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$43,029,427	TotalAmt
Program Services	$39,333,203	ProgramServicesAmt
Management And General	$3,558,534	ManagementAndGeneralAmt
Fundraising	$137,690	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,378,183	TotalAmt
Program Services	$4,020,379	ProgramServicesAmt
Management And General	$343,730	ManagementAndGeneralAmt
Fundraising	$14,074	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,328,065	TotalAmt
Program Services	$4,870,385	ProgramServicesAmt
Management And General	$440,631	ManagementAndGeneralAmt
Fundraising	$17,049	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,759,621	TotalAmt
Program Services	$2,428,467	ProgramServicesAmt
Management And General	$322,875	ManagementAndGeneralAmt
Fundraising	$8,279	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$203,186	TotalAmt
Program Services	$178,804	ProgramServicesAmt
Management And General	$23,773	ManagementAndGeneralAmt
Fundraising	$609	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$228,732	TotalAmt
Management And General	$228,732	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$166,380	TotalAmt
Management And General	$166,380	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$76,287	TotalAmt
Management And General	$76,287	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$34,447	TotalAmt
Fundraising	$34,447	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$13,959,058	TotalAmt
Program Services	$12,307,997	ProgramServicesAmt
Management And General	$1,633,210	ManagementAndGeneralAmt
Fundraising	$17,851	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$37,469	TotalAmt
Program Services	$37,469	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,678,854	TotalAmt
Program Services	$1,477,391	ProgramServicesAmt
Management And General	$196,426	ManagementAndGeneralAmt
Fundraising	$5,037	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,998,116	TotalAmt
Program Services	$2,638,342	ProgramServicesAmt
Management And General	$350,780	ManagementAndGeneralAmt
Fundraising	$8,994	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$21,510	TotalAmt
Program Services	$18,929	ProgramServicesAmt
Management And General	$2,517	ManagementAndGeneralAmt
Fundraising	$64	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,821,398	TotalAmt
Program Services	$2,491,294	ProgramServicesAmt
Management And General	$330,104	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$11,110,594	TotalAmt
Program Services	$9,810,654	ProgramServicesAmt
Management And General	$1,299,940	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$401,566	TotalAmt
Program Services	$354,583	ProgramServicesAmt
Management And General	$46,983	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$19,264,233	$17,010,318	$2,253,915
Medical Claims Expense	$19,030,090	$16,803,569	$2,226,521
REPAIRS & MAINTENANCE	$3,754,996	$3,304,397	$439,334	$11,265
INCOME TAX EXPENSE	$175,178		$175,178

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,352,325	TotalAmt
Program Services	$2,230,616	ProgramServicesAmt
Management And General	$120,535	ManagementAndGeneralAmt
Fundraising	$1,174	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$135,703,111	TotalAmt
Program Services	$119,516,797	ProgramServicesAmt
Management And General	$15,929,781	ManagementAndGeneralAmt
Fundraising	$256,533	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$7,749,147	BOYAmt
EOY	$4,783,663	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,594,327	BOYAmt
EOY	$13,406,820	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,435,315	BOYAmt
EOY	$1,195,860	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,674,252	BOYAmt
EOY	$2,002,745	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$306,865,211	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$54,548,780	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$252,330,885	BOYAmt
EOY	$252,316,431	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$44,163,619	BOYAmt
EOY	$37,882,720	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$7,031,458	BOYAmt
EOY	$8,667,022	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$320,979,003	BOYAmt
EOY	$320,255,261	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$13,677,289	BOYAmt
EOY	$23,612,606	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$63,031,324	BOYAmt
EOY	$61,620,527	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$30,502,898	BOYAmt
EOY	$32,508,652	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$107,211,511	BOYAmt
EOY	$117,741,785	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$212,564,987	BOYAmt
EOY	$201,313,368	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,173,986	BOYAmt
EOY	$1,171,589	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$28,519	BOYAmt
EOY	$28,519	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$213,767,492	BOYAmt
EOY	$202,513,476	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$320,979,003	BOYAmt
EOY	$320,255,261	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$11,839,615	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$263,783	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$849,382	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	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 (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$76,287	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$76,287	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B Line 1f	FormAndLineReferenceDesc
Explanation	The Hospital paid $76,287 over the course of 2017 to the National Group for Lobbying for Hospital related issues.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$253,329	OtherCostOrOtherBasisAmt
Book Value	$253,329	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$243,604,012	OtherCostOrOtherBasisAmt
Depreciation	$27,039,352	DepreciationAmt
Book Value	$216,564,660	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$51,957,600	OtherCostOrOtherBasisAmt
Depreciation	$27,509,428	DepreciationAmt
Book Value	$24,448,172	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,050,270	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$11,050,270	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$252,316,431	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
ACCRUED MEDICAL CLAIMS	$3,726,180
LIABILITY FOR PENSION BENEFITS	$27,836,069
OTHER LONG TERM LIABILITIES	$178,686
EST. THIRD-PARTY PAYOR SETTLEM	$767,717

Field	Value	IRS element (for citing)
Total Liability	$32,508,652	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$123,668,436	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$263,783	NetUnrealizedGainsInvstAmt
Revenue Not Reported	-$263,783	RevenueNotReportedAmt
Revenue Subtotal	$123,932,219	RevenueSubtotalAmt
Other Revenues Not Included	-$68,723	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$68,723	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$123,863,496	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$134,922,452	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$134,922,452	ExpensesSubtotalAmt
Other Expenses Not Included	$780,659	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$780,659	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$135,703,111	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part X Line 2

ASC 740 footnote: THE FOLLOWING IS AN EXCERPT FROM THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CHINESE HOSPITAL ASSOCIATION AND SUBSIDIARY (ASSOCIATION): ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740 PROVIDES GUIDANCE FOR HOW UNCERTAIN TAX POSITIONS SHOULD BE RECOGNIZED, MEASURED, PRESENTED, AND DISCLOSED IN THE CONSOLIDATED FINANCIAL STATEMENTS. ASC 740 REQUIRES THE EVALUATION OF TAX POSITIONS TAKEN IN THE COURSE OF PREPARING CCHP'S 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 4b Fundraising event expense to Part VIII $ (117,118) Fundraising Income not included on books $ 48,395 ====================================================== Total Part XI, Line 4b $ (68,723) Part XII, Line 4b Decrease in Pension Liability $ 889,817 Fundraising Event Exp to Part VIII $ (117,118) Donated goods not included in AFS $ 7,960 ====================================================== Total Part XII, Line 4b $ 780,659

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
Phone Solicitations	Yes (X)	PhoneSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (true)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Field	Value	IRS element (for citing)
Person	Sixth Sense Consulting Group	PersonNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	221 East Pine St Suite 300	AddressLine1Txt
City	Fort Bragg	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95437	ZIPCd

Field	Value	IRS element (for citing)
Activity	Sponsorship Development	ActivityTxt
Fundraiser Control Of Funds	false	FundraiserControlOfFundsInd
Retained By Contractor	$30,000	RetainedByContractorAmt

Field	Value	IRS element (for citing)
Total Retained By Contractors	$30,000	TotalRetainedByContractorsAmt
Licensed States	CA	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Golf Tournament	Event1Nm
Gross Receipts Event1	$615,652	GrossReceiptsEvent1Amt
Charitable Contri Event1	$473,882	CharitableContriEvent1Amt
Gross Revenue Event1	$141,770	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$59,146	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$48,714	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$9,258	OtherDirectExpensesEvent1Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Total	$615,652	GrossReceiptsTotalAmt
Charitable Contributions Tot	$473,882	CharitableContributionsTotAmt
Gross Revenue Total Events	$141,770	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$59,146	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$48,714	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$9,258	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$117,118	DirectExpenseSummaryEventsAmt
Net Income Summary	$24,652	NetIncomeSummaryAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule G, Part I	FormAndLineReferenceDesc
Explanation	The professional fundraiser listed provides consulting services to assist the foundation in its fundraising efforts, and are not attributed to any specific charitable contributions raised. During the year, support was provided through the development of strategic sponsorships as well as the identification of new sponsorship opportunities. Additionally, the professional fundraiser did not have control over or retain any of the funds raised.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	350.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent350	Yes (X)	Percent350Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$481,834	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$481,834	NetCommunityBenefitExpnsAmt
Total Expense	0.00360	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,902,593	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,960,766	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,941,827	NetCommunityBenefitExpnsAmt
Total Expense	0.02170	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,904	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,904	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,403,331	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,960,766	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,442,565	NetCommunityBenefitExpnsAmt
Total Expense	0.02540	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$398,576	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$398,576	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,158,541	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,336,922	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,821,619	NetCommunityBenefitExpnsAmt
Total Expense	0.01340	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,124	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,124	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$380,762	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$380,762	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,949,003	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,336,922	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,612,081	NetCommunityBenefitExpnsAmt
Total Expense	0.01920	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,352,334	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,297,688	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,054,646	NetCommunityBenefitExpnsAmt
Total Expense	0.04460	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$200,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$200,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$200,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$200,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$554,900	BadDebtExpenseAmt
Reimbursed By Medicare	$12,098,599	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$15,995,211	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$3,896,612	MedicareSurplusOrShortfallAmt
Costing Methodology Used		CostingMethodologyUsedGrp
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	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	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	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	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	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Schedule H, Part V, Section C	OwnWebsiteURLTxt
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	See Schedule H, Part V, Section C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	350.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	350.	FPGFamilyIncmLmtDscntCarePct
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	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 (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Sch H, Part V, Section C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Sch H, Part V, Section C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Sch H, Part V, Section C	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 (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp

Field	Value	IRS element (for citing)
Form And Line Reference	PART V, SECTION B, LINE 5	FormAndLineReferenceDesc
Explanation	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 https://www.chinesehospital-sf.org/billing-insurance	ExplanationTxt

Field	Value	IRS element (for citing)
Facility	4	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
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

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 2017 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 II, Line 3 Community Support CHINESE HOSPITAL ALSO SPONSORS A NON-PROFIT ORGANIZATION, THE CHINESE COMMUNITY HEALTH RESOURCE CENTER (CCHRC), WHICH PROVIDES LINGUISTICALLY AND CULTURALLY SENSITIVE COMMUNITY EDUCATION, WELLNESS PROGRAMS, AND COUNSELING SERVICES. 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. THE HOSPITAL TAKES EXTRAORDINARY CARE TO IDENTIFY PATIENTS ELIGIBLE FOR EITHER CHARITY CARE OR FOR DISCOUNT CARE STATUS. 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 ALLOW THEM TO QUALIFY FOR CHARITY CARE STATUS OR DISCOUNT CARE STATUS. IF THE PATIENT DECLINES TO PROVIDE SUCH DOCUMENTATION, THE AMOUNT OWED THEN BECOMES A PATIENT RECEIVABLE. THE HOSPITAL'S EXPERIENCE IS THAT THERE IS VERY LITTLE BAD DEBT THAT WOULD HAVE QUALIFIED AS CHARITY CARE BECAUSE OF THE FACT THAT THE HOSPITAL WORKS VERY HARD WITH THE PATIENTS TO QUALIFY THEM. OVERALL THE AMOUNT OF PATIENT BAD DEBT EXPERIENCED BY THE HOSPITAL HAS BEEN VERY SMALL. 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 8	THE SHORTFALL IS PRIMARILY A RESULT OF CHINESE HOSPITAL SERVING ONE OF THE MOST DISPROPORTIONATELY LOW-INCOME POPULATIONS OF ANY HOSPITAL IN THE UNITED STATES. APPROX. 90% OF OUR MEDICARE BENEFICIARIES QUALIFY AS LOW-INCOME. TO ASSIST HOSPITALS SERVING A LARGE NUMBER OF LOW-INCOME MEDICARE AND MEDICAID PATIENTS, CONGRESS ESTABLISHED THE DISPROPORTIONATE SHARE HOSPITAL PAYMENT (DSH)PAYMENT ADJUSTMENT UNDER SECTION 1886(D)(5)(F) OF THE SOCIAL SECURITY ACT. DEPENDING ON THE TYPE AND SIZE OF THE HOSPITAL, THE DSH PERCENTAGE IS USED IN A FORMULA TO DETERMINE THE ACTUAL ADJUSTMENT FACTOR FOR INPATIENTS. BECAUSE WE ARE CLASSIFIED AS AN URBAN HOSPITAL WITH FEWER THAN 100 BEDS OUR DSH ADJUSTMENT IS CAPPED AT A 12% ADD-ON PAYMENT INSTEAD OF 64% ADD-ON PAYMENT. GIVEN THIS UNIQUE SITUATION, WE COULD JUSTIFY INCLUDING THE SHORTFALL REPORTED IN LINE 7 AS A COMMUNITY BENEFIT. THE AMOUNTS REPORTED IN LINES 5, 6 AND 7 COME FROM THE HOSPITAL'S FILED MEDICARE COST REPORT. THE TOTAL REVENUE EQUATES TO MEDICARE PAYMENTS AND THE MEDICARE ALLOWABLE COSTS ARE DETERMINED ON THE MEDICARE COST REPORT THAT UTILIZED COST TO CHARGE RATIOS APPLIED TO COVERED MEDICARE REVENUES.
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.
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. 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.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Chinese Community Health Resource Center Inc	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	835 Pacific Avenue	AddressLine1Txt
City	San Francisco	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94133	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	204251913	RecipientEIN
IRC Section	501(c)(3)	IRCSectionDesc
Cash Grant	$200,000	CashGrantAmt
Purpose Of Grant	Health Education	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part II, Supplemental Information	FormAndLineReferenceDesc
Explanation	As one of the founding supporters of Chinese Community Health Resource CenterY Inc. (CCHRC), Chinese Hospital continues to work closely with and provide support for CCHRC's health education programs that benefit the residents living in the community that Chinese Hospital serves.	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 (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 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
Brenda Yee Ngou
CEO (thru 9/17)	$348,494	$348,495	$0	$0	$101,211	$0	$57,901	$57,901	$19,513	$19,514	$527,119	$425,910	$0	$0
Scott Goodin
CFO (Thru 9/17)	$227,566	$0	$0	$0	$0	$0	$9,871	$0	$0	$0	$237,437	$0	$0	$0
JIAN QING ZHANG
COO(Thru 9/17),CEO(From 10/17)	$377,963	$0	$20,000	$0	$0	$0	$88,565	$0	$19,004		$505,532	$0	$0	$0
KEITH MINARD
CIO	$295,774	$0	$0	$0	$0	$0	$0	$0	$20,751	$0	$316,525	$0	$0	$0
ALSON TOY
RN II	$281,724	$0	$0	$0	$0	$0	$55,001	$0	$5,995	$0	$342,720	$0	$0	$0
CHENGYU XU
MEDICAL PHYSICIAN	$278,003	$0	$0	$0		$0	$18,000	$0	$18,346	$0	$314,349	$0	$0	$0
Amy Tsui
CFO (From 10/17)	$60,808	$211,543	$0	$0	$0	$0	$10,650	$0	$3,355	$25,212	$74,813	$236,755	$0	$0
Eng Anderson
Medical Physician	$273,676	$0	$25,000	$0	$0	$0	$0	$0	$18,079	$0	$316,755	$0	$0	$0
Aung Kyaw Maung
Medical Physician	$250,033	$0	$45,000	$0	$0	$0	$18,000	$0	$18,484	$0	$331,517	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Question 4a	The following individuals listed on Part VII received severance payments in 2017. Scott Goodin - $ 11,538 Brenda Yee Ngou - $ 101,211
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. No amount was paid out in 2017.

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	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$2,630,000	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$70,252,223	TotalProceedsAmt
In Reserve Fund	$4,240,975	InReserveFundAmt
Capitalized Interest	$9,551,013	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$1,411,465	IssuanceCostsFromProceedsAmt
Credit Enhancement	$2,607,615	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$52,411,636	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$29,519	UnspentAmt
Substantial Completion	2016	SubstantialCompletionYr
Current Refunding	false	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0	PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SUPPLEMENTAL INFORMATION	FormAndLineReferenceDesc
Explanation	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 2 While the rebate calculation was not performed timely, management does not believe a rebate will be due. Due to CFO changes, the rebate calculation was inadvertently missed. During the Form 990 preparation, management was alerted to the need to perform the rebate calculation and the necessary steps have been taken to ensure it will be completed as soon as possible	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Charles Pankow Builders Ltd	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	Substantial Contributor	RelationshipDescriptionTxt
Transaction	$3,492,213	TransactionAmt
Transaction	construction engineering	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	4	ContributionCnt
Noncash Contributions Rpt F990	$350	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMv	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$25,635	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Average Market Value	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	11	ContributionCnt
Noncash Contributions Rpt F990	$33,340	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	Sports Gear & Memorabilia	8	$10,000	FMV
Yes (X)	Consumer Goods	24	$7,820	FMV

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Supplemental Information	FormAndLineReferenceDesc
Explanation	The number listed in part I, lines 1, 19, & 25 was determined based on the number of items contributed. The number listed in part I, line 9 was determined based on the number of contributions	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 2017 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 2017 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 $889,817 Auction Proceeds not on books $(40,435) ========================================================= Total Part XI, Line 9 $849,382
Community Benefit Report	THE FOLLOWING IS AN EXCERPT FROM THE 2017 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 (Chinese Community Health Care Association) 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 also partners with Blue Cross, Blue Shield, Aetna, San Francisco Health Plan, Healthy Kids San Francisco, United Healthcare, HealthNet and CCHP. 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 health resource library. 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 as a voice to provide care and education for ethnic groups and their health disparities), the San Francisco Health Authority Board, NICOS Chinese Health Coalition, San Francisco Health Improvement Partnership and the Chinese Community Health Resource Center. Many hospital staff members are also active on health coalition boards: such as, AANCART (Asian American Network for Cancer Awareness, Research and Training), Asian Alliance against Domestic Violence, San Francisco Hepatitis B Free campaign, San Francisco Bay Area American Diabetic Association Board, to name a few. 2017 INVENTORY OF CHINESE HOSPITALS COMMUNITY BENEFIT SERVICES AND ACTIVITIES Chinese Hospitals community benefit services include a broad array of services aimed at meeting the needs of the poor, vulnerable populations and the broader community. The following is a summary of current community benefit activities, organizations collaborating with Chinese Hospital in the provision of these programs, number of persons served and estimated unsponsored community benefit expenses associated with these activities during 2017. A. Medical Care Services Provided A-1. Unpaid Costs of Medi-Cal Program: Chinese Hospital provided care to 4,162 Medi-Cal inpatients and Medi-Cal outpatients in 2017. An estimated $3,608,391 in total expenses generated by Medi-Cal patients exceeded the $1,382,015 in payments received by the Medi-Cal Program, resulting in an unsponsored community expense of $2,226,376. These program costs exclude the costs of Medi-Cal patients using treatment center services which are included in item A-3 below. A-2. Traditional Charity Care: Chinese Hospital provided care to 250 persons unable to pay for their care. The estimated cost to treat these patients was $481,834. A-3. Treatment Center Services: Chinese Hospital provided emergency room care to 2,825 persons in 2017 in its 24-hour Treatment Center. The total estimated costs of providing emergency room services were $3,158,541. The hospital received payments of $1,336,922 for emergency room care, resulting in an unsponsored community benefit expense of $1,821,619.
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 45 people and generated nearly $972 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, annual health day and fairs, on-site classes, cancer patient services, individual nutrition counseling, smoking cessation counseling, non-clinical social services, video-viewing program, The Wellness Library, and bilingual health education materials. The Center also makes community presentations and referrals to other agencies. In 2017, there were over 5,131 in-person encounters and 246,073 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. 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. C. Health Research, Education and Training Programs C-1. Pharmacy Internship: Chinese Hospital hosts a Pharmacy Internship Program for 7 Pharmacy students from UCSF and UOP Pharmacy Schools. Total unsponsored community benefit expense of this program is $11,124. 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 blood pressure tests were given. Over 2,000 individuals attended these Fairs, and the unsponsored community benefit associated with this effort was $11,455. D-2. Hospital Day: Chinese Hospital participated in Hospital Day through volunteer efforts of hospital staff members. Health related educational activities were provided at this event, and the health screenings offered included Blood Glucose, Blood Pressure, Body Mass Index, Cholesterol, Osteoporosis, and Fecal Occult Blood Test. Over 80 employees attended in this annual event, cost of $2,754. employees attended in this annual event, cost of $2,754.
FORM 990 PART IX LINE 11G	DESCRIPTION:Directorship TOTAL FEES:141289
FORM 990 PART IX LINE 11G	DESCRIPTION:Bank Charges TOTAL FEES:86732
FORM 990 PART IX LINE 11G	DESCRIPTION:Transcription Services TOTAL FEES:53851
FORM 990 PART IX LINE 11G	DESCRIPTION:Medical Purchased Services TOTAL FEES:5648602
FORM 990 PART IX LINE 11G	DESCRIPTION:Training Services TOTAL FEES:19618
FORM 990 PART IX LINE 11G	DESCRIPTION:Other Purchased Services TOTAL FEES:8008966

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	Corporation	$137,490,550	$65,021,225	1.00000	Yes (true)
CHARITABLE REMAINDER TRUST (2)
					INVESTMENTS	CA	CHA	TRUST

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

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Chinese Community Health Plan
A	$87,615	Per Agreement
Chinese Community Health Plan
L	$2,089,930	Per Agreement
Chinese Community Health Plan
F	$122,500	Per Agreemnent