2018-11-14T13:19:19-06:00 2017-12-31 KPMG LLP 3975 Freedom Circle Dr Suite 100 Santa Clara CA 95054 990 2017-01-01 940382780 CHINESE HOSPITAL ASSOCIATION % PATRICIA HOM CHIN 4156772496 845 JACKSON STREET SAN FRANCISCO CA 94133 STEVE FORNEY CFO 4156772399 2018-11-14 true VALERIE J BALL P00178114 4083675764 2018-11-13 167.68.102.5 77070920183185000000 2018-11-14 P AFC1CABF2724952AFBFC3879A4882118A11459E7 AFC1CABF2724952AFBFC3879A4882118A11459E7 2017 2019-02-21 02:37:17Z Jian Qing Zhang 845 JACKSON STREET SAN FRANCISCO CA 94133 123980614 false X WWW.CHINESEHOSPITAL-SF.ORG X 1925 CA CHINESE HOSPITAL, A COMMUNITY OWNED, NOT FOR PROFIT ORGANIZATION, EXISTS TO DELIVER QUALITY HEALTH CARE IN A COST EFFECTIVE WAY, RESPONSIVE TO THE COMMUNITY WHICH IT SERVES. 16 16 522 33 3290184 851492 2909739 1819825 116064666 117180797 3502960 1739306 3476963 3123568 125954328 123863496 180000 200000 0 0 50252080 57188692 30482 34447 256533 80760181 78279972 131222743 135703111 -5268415 -11839615 320979003 320255261 107211511 117741785 213767492 202513476 X CHINESE HOSPITAL, A COMMUNITY OWNED, NOT FOR PROFIT ORGANIZATION, EXISTS PRIMARILY TO DELIVER QUALITY HEALTH CARE IN A COST EFFECTIVE WAY, RESPONSIVE TO THE COMMUNITY'S ETHNIC AND CULTURAL UNIQUENESS, PROVIDING HEALTH CARE ACCESSIBILITY TO ALL SOCIOECONOMIC LEVELS. false false 621300 119516797 200000 115710808 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 119516797 true true false true false false false false false false true false false false true true false true false false false false false true true false true true true false true true false false false false false false false false false true true false false false false true true true false false true 200 0 true 522 true true true false false false false true true false false false false X 16 16 false false false false false false false true true false false false true true true true true true true false CA X PATRICIA HOM 4156772399 170 COLUMBUS AVENUE SUITE 368 SAN FRANCISCO CA 94133 X James K Ho President 5.0 2.0 X X 0 0 0 Harvey Louie Vice President 5.0 2.0 X X 0 0 0 Thomas T Ng English Secretary 5.0 2.0 X X 0 0 0 Kin F Yee DDS Assistant English Secretary 5.0 2.0 X X 0 0 0 Jack Sit Chinese Secretary 5.0 2.0 X X 0 0 0 Jack Lee Fong Assistant Chinese Secretary 5.0 2.0 X X 0 0 0 Mel Lee Treasurer 5.0 2.0 X X 0 0 0 Faye Woo Lee Assistant Treasurer 5.0 2.0 X X 0 0 0 Paul M Lee Board Member 2.0 2.0 X 0 0 0 Siu Kong Tam Board Member 2.0 2.0 X 0 0 0 Tim Siow Board Member 2.0 2.0 X 0 0 0 Kitman chan Board Member 2.0 2.0 X 0 0 0 Yick C Tam Board Member 2.0 2.0 X 0 0 0 George Lew Board Member 2.0 2.0 X 0 0 0 Dick W Wong Board Member 2.0 2.0 X 0 0 0 Edward Y C Chan MD Board Member 2.0 2.0 X 0 0 0 Brenda Yee Ngou CEO (thru 9/17) 30.0 30.0 X 449705 348495 154829 Scott Goodin CFO (Thru 9/17) 40.0 0.0 X 227566 0 9871 JIAN QING ZHANG COO(Thru 9/17),CEO(From 10/17) 40.0 0.0 X 397963 0 107569 Amy Tsui CFO (From 10/17) 40.0 0.0 X 60808 211543 39217 KEITH MINARD CIO 40.0 0.0 X 295774 0 20751 ALSON TOY RN II 40.0 0.0 X 281724 0 60996 CHENGYU XU MEDICAL PHYSICIAN 40.0 0.0 X 278003 0 36346 Eng Anderson Medical Physician 40.0 0.0 X 298676 0 18079 Aung Kyaw Maung Medical Physician 40.0 0.0 X 295033 0 36484 2585252 560038 484142 157 false true false Charles Pankow Builders Ltd 1111 BROADWAY STREET OAKLAND CA 94607 CONSTRUCTION 3492213 EMERGENCY PHYSICIANS MED GROUP 4535 DRESSLER ROAD NW CANTON OH 44718 MEDICAL SERVICES 1973769 THE STINNETT GROUP LLP 388 MARKET STREET SAN FRANCISCO CA 94111 Architectural svcs 1202588 BAY AREA HOSPITALIST ASSOCIATES 1900 SULLIVAN AVENUE DALY CITY CA 94015 MEDICAL SERVICES 1036462 QUEST DIAGNOSTICS LAB 48 FRANKLIN AVENUE SOUTH SAN FRANCISCO CA 94080 MEDICAL SERVICES 951108 23 473882 1345943 77145 1819825 Patient Service revenue 621300 52595355 52595355 Capitation Revenue 621400 43006809 43006809 PHARMACY REVENUE 621400 17267304 16184907 1082397 CLINIC REVENUE 623000 2865464 2865464 OTHER OPERATING REVENUE 621400 1406782 1319167 87615 39083 8841 30242 117180797 1317117 1317117 0 0 113689 113689 0 113689 113689 403504 18685 403504 18685 422189 422189 141770 473882 117118 24652 24652 0 0 0 0 0 0 MANAGEMENT FEE 900099 2089930 2089930 REINSURANCE RECOVERIES 561000 223413 223413 PARKING REVENUE 561000 303184 303184 368700 368700 2985227 123863496 115980543 3290184 2772944 X 200000 200000 0 0 0 1693396 1693396 0 43029427 39333203 3558534 137690 4378183 4020379 343730 14074 5328065 4870385 440631 17049 2759621 2428467 322875 8279 203186 178804 23773 609 228732 228732 166380 166380 76287 76287 34447 34447 0 13959058 12307997 1633210 17851 37469 37469 1678854 1477391 196426 5037 0 0 2998116 2638342 350780 8994 21510 18929 2517 64 0 0 2821398 2491294 330104 0 11110594 9810654 1299940 401566 354583 46983 MEDICAL SUPPLIES 19264233 17010318 2253915 Medical Claims Expense 19030090 16803569 2226521 REPAIRS & MAINTENANCE 3754996 3304397 439334 11265 INCOME TAX EXPENSE 175178 175178 2352325 2230616 120535 1174 135703111 119516797 15929781 256533 0 0 7749147 4783663 0 0 5594327 13406820 0 0 0 0 0 0 1435315 1195860 2674252 2002745 306865211 54548780 252330885 252316431 44163619 37882720 0 0 0 0 0 0 7031458 8667022 320979003 320255261 13677289 23612606 0 0 0 0 63031324 61620527 0 0 0 0 0 0 0 0 30502898 32508652 107211511 117741785 X 212564987 201313368 1173986 1171589 28519 28519 213767492 202513476 320979003 320255261 X -11839615 -263783 849382 X false true X true false X false false false false false true 76287 false false false 76287 false Part II-B Line 1f The Hospital paid $76,287 over the course of 2017 to the National Group for Lobbying for Hospital related issues. 0 253329 253329 243604012 27039352 216564660 51957600 27509428 24448172 11050270 0 11050270 252316431 0 ACCRUED MEDICAL CLAIMS 3726180 LIABILITY FOR PENSION BENEFITS 27836069 OTHER LONG TERM LIABILITIES 178686 EST. THIRD-PARTY PAYOR SETTLEM 767717 32508652 X 123668436 -263783 -263783 123932219 -68723 -68723 123863496 134922452 134922452 780659 780659 135703111 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 X X X X X true Sixth Sense Consulting Group 221 East Pine St Suite 300 Fort Bragg CA 95437 Sponsorship Development false 30000 30000 CA Golf Tournament 615652 473882 141770 59146 48714 9258 0 615652 473882 141770 59146 48714 9258 117118 24652 Schedule G, Part I 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. true true X true X 350. true X true true false true true 481834 481834 0.00360 7902593 4960766 2941827 0.02170 18904 18904 0.00010 8403331 4960766 3442565 0.02540 398576 398576 0.00290 3158541 1336922 1821619 0.01340 11124 11124 0.00010 380762 380762 0.00280 3949003 1336922 2612081 0.01920 12352334 6297688 6054646 0.04460 200000 200000 0.00150 200000 200000 0.00150 true 554900 12098599 15995211 -3896612 true true 1 1 Chinese Hospital 845 Jackson Street San Francisco CA 94133 www.chinesehospital-sf.org 220000122 X X X Chinese Hospital 1 false false true X X X X X X X X X 16 true true true true X See Schedule H, Part V, Section C true 16 true See Schedule H, Part V, Section C false true X 350. 350. X X true true X X X X true X See Sch H, Part V, Section C X See Sch H, Part V, Section C X See Sch H, Part V, Section C X X X X X X true X false X X true X false false PART V, SECTION B, LINE 5 THE HOSPITAL'S CHNA WAS CONDUCTED IN CONJUNCTION WITH THE SAN FRANCISCO HEALTH IMPROVEMENT PARTNERSHIP (SFHIP) WHICH IS A COLLABORATIVE BODY WHOSE MISSION IS TO EMBRACE THE COLLECTIVE IMPACT AND TO IMPROVE COMMUNITY HEALTH AND WELLNESS IN SAN FRANCISCO. SFHIP INCLUDES THE SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH, SAN FRANCISCO'S NON-PROFIT HOSPITALS, THE CLINICAL AND TRANSLATION SCIENCE INSTITUTE'S COMMUNITY ENGAGEMENT AND HEALTH POLICY PROGRAM AT UCSF, THE SAN FRANCISCO UNIFIED SCHOOL DISTRICT, THE OFFICE OF THE MAYOR, COMMUNITY REPRESENTATIVES FROM THE ASIAN AND PACIFIC ISLANDER HEALTH PARITY COALITION, HUMAN SERVICES NETWORK, CHICANO/LATINO/INDIGENA HEALTH EQUITY COALITION, AND AFRICAN AMERICAN COMMUNITY HEALTH COUNCIL, COMMUNITY CLINIC CONSORTIUM, FAITH-BASED AND OTHER PHILANTHROPIC PARTNERS. THE TASK FORCE MEETINGS WERE CONDUCTED TO DISCUSS SPECIFIC ISSUES AFFECTING HEALTHCARE ACCESS IN SAN FRANCISCO. THE MEETINGS WERE OPEN TO THE PUBLIC AND NEIGHBORHOOD MEETINGS ALLOTTED TIME ON THE AGENDAS FOR COMMUNITY MEMBERS TO COMMENT. THE TASK FORCE CONSISTED OF PERSONS FROM VARYING SEGMENTS OF THE POPULATION INCLUDING REPRESENTATIVES FROM THE SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH, SAN FRANCISCO UNIFIED SCHOOL DISTRICT, AIDS HOUSING ALLOWANCE, CHINESE HOSPITAL, KAISER PERMANENTE, UCSF MEDICAL CENTER, SAN FRANCISCO MUNICIPAL TRANSIT AUTHORITY, CALIFORNIA NURSES ASSOCIATION, AND MANY OTHERS. PART V, SECTION B, LINE 6a THE FOLLOWING SAN FRANCISCO HOSPITALS ALSO PARTICIPATED IN THE CHNA: SAINT FRANCIS MEMORIAL HOSPITAL, ST. MARY'S MEDICAL CENTER, SUTTER HEALTH CALIFORNIA PACIFIC MEDICAL CENTER, KAISER PERMANENTE SAN FRANCISCO, AND UCSF. PART V, SECTION B, LINE 6B CHINESE HOSPITAL IS PART OF THE SAN FRANCISCO HEALTH IMPROVEMENT PARTNERSHIP (SFHIP), WHICH IS A COLLABORATIVE BODY WHOSE MISSION IS TO EMBRACE COLLECTIVE IMPACT AND TO IMPROVE COMMUNITY HEALTH AND WELLNESS IN SAN FRANCISCO. SFHIP INCLUDES THE SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH, THE CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTES COMMUNITY ENGAGEMENT AND HEALTH POLICY PROGRAM AT UCSF, THE SAN FRANCISCO UNIFIED SCHOOL DISTRICT, THE OFFICE OF THE MAYOR, COMMUNITY REPRESENTATIVES FROM THE ASIAN AND PACIFIC ISLANDER HEALTH PARITY COALITION, HUMAN SERVICES NETWORK, CHICANO/LATINO/INDIGENE HEALTH EQUITY COALITION, AND AFRICAN AMERICAN COMMUNITY HEALTH COUNCIL, COMMUNITY CLINIC CONSORTIUM, FAITH-BASED AND OTHER PHILANTHROPIC PARTNERS. PART V, SECTION B, LINE 7A Chinese Hospital made its CHNA report widely available on its hospital website at: http://www.chinesehospital-sf.org/community-health-needs-assessment PART V, SECTION B, LINE 10A Chinese Hospital made its Implementation Strategy report widely available on its hospital website and is included within the CHNA report at: http://www.chinesehospital-sf.org/community-health-needs-assessment PART V, SECTION B, LINE 11 THE SIGNIFICANT NEEDS IDENTIFIED AND ADDRESSED AS PART OF OUR IMPLEMENTATION STRATEGY ARE: * EXPAND PATIENT-CENTERED CULTURALLY AND LINGUISTICALLY APPROPRIATE CHRONIC DISEASE MANAGEMENT AND EDUCATION PROGRAMS - CHINESE HOSPITAL PATIENT-CENTERED PROGRAMS (DIABETES, CARDIOVASCULAR DISEASE, HYPERTENSION, HEPATITIS B, ETC) OFFER COMPREHENSIVE CARE AND EDUCATION TO THE COMMUNITY WITH A BILINGUAL MULTIDISCIPLINARY APPROACH. WE WILL EXPAND SERVICES TO ALL CHINESE HOSPITAL CLINIC SITES IN SAN FRANCISCO AND DALY CITY. * INCREASE CULTURALLY AND LINGUISTICALLY APPROPRIATE MENTAL HEALTH SERVICES CHINESE HOSPITAL AND CLINICS CREATE SYSTEM-WIDE MENTAL HEALTH SERVICES AND EXPAND EDUCATIONAL PROGRAMS ON MENTAL HEALTH THAT ARE CULTURALLY AND LINGUISTICALLY APPROPRIATE FOR THIS POPULATION, SUCH AS FREE OR LOW-COST STRESS RELIEF WORKSHOPS, GENTLE FITNESS CLASSES LIKE YOGA AND TAI CHI. * EXPAND URGENT CARE ACCESS IN THE AREAS IDENTIFIED AS LACKING ACCESS TO THESE SERVICES EXPAND CLINICS OPERATION HOURS TO WEEKENDS AND AFTER HOURS, CONTRACT WITH EXISTING URGENT CARE AGENCIES IN THE IDENTIFIED AREAS, AND EXPAND TELEMEDICINE SERVICES FOR THOSE WHO CANT ACCESS OUR EXISTING SERVICES. * IMPROVE PREVENTIVE HEALTH EDUCATION AND SERVICES USE A MULTIMEDIA APPROACH AND PROVIDE EDUCATION PROGRAMS FOR OUTREACHING TO PROMOTE PUBLIC AWARENESS OF PREVENTIVE HEALTH. * PROVIDE INTEGRATIVE HEALTH SERVICES EXPAND TRADITIONAL CHINESE MEDICINAL SERVICES TO OTHER CHINESE POPULATIONS IN THE SAN FRANCISCO AND SAN MATEO COMMUNITIES. * IMPROVE CHILDRENS DENTAL HEALTH EDUCATION AND SERVICES PROVIDE AWARENESS AND EDUCATON TO THE CHINESE COMMUNITY AND ONE-ON-ONE TRAINING TO COMMUNITY PEDIATRICIANS AND PRIMARY CARE PHYSICIANS WITH YOUNG PEDIATRIC PATIENTS ON DENTAL CARE, CAVITIES, AND VARNISH APPLICATION. NEEDS IDENTIFIED THAT ARE NOT BEING ADDRESSED: 1. SMOKING IS ANOTHER HEALTH CONCERN OF THE COMMUNITY THAT IS NOT BEING ADDRESSED DUE TO AVAILABILITY OF RESOURCES. Part V, Section B, Line 16a, 16b, & 16c https://www.chinesehospital-sf.org/billing-insurance 4 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 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. true Chinese Community Health Resource Center Inc 835 Pacific Avenue San Francisco CA 94133 204251913 501(c)(3) 200000 Health Education 1 Schedule I, Part II, Supplemental Information 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. X X X X true true false false false false false false false Brenda Yee Ngou CEO (thru 9/17) 348494 348495 0 0 101211 0 57901 57901 19513 19514 527119 425910 0 0 Scott Goodin CFO (Thru 9/17) 227566 0 0 0 0 0 9871 0 0 0 237437 0 0 0 JIAN QING ZHANG COO(Thru 9/17),CEO(From 10/17) 377963 0 20000 0 0 0 88565 0 19004 505532 0 0 0 KEITH MINARD CIO 295774 0 0 0 0 0 0 0 20751 0 316525 0 0 0 ALSON TOY RN II 281724 0 0 0 0 0 55001 0 5995 0 342720 0 0 0 CHENGYU XU MEDICAL PHYSICIAN 278003 0 0 0 0 18000 0 18346 0 314349 0 0 0 Amy Tsui CFO (From 10/17) 60808 211543 0 0 0 0 10650 0 3355 25212 74813 236755 0 0 Eng Anderson Medical Physician 273676 0 25000 0 0 0 0 0 18079 0 316755 0 0 0 Aung Kyaw Maung Medical Physician 250033 0 45000 0 0 0 18000 0 18484 0 331517 0 0 0 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. A CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 13033LJ57 2012-11-08 69923971 FINANCE NEW HEALTH CARE FACILITIES false false false A 2630000 0 70252223 4240975 9551013 0 1411465 2607615 0 52411636 0 29519 2016 false false true true A false false false false 0 false false false true A false true false false 0 false 0 false true A true SUPPLEMENTAL INFORMATION Schedule K, Part II, Line 2 The amount on line 2 differs from the issue price due to cumulative investment earnings. Schedule K, Part IV, Line 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 Charles Pankow Builders Ltd Substantial Contributor 3492213 construction engineering false X 4 350 FMv X 1 25635 Average Market Value X 11 33340 FMV X Sports Gear & Memorabilia 8 10000 FMV X Consumer Goods 24 7820 FMV false true false Supplemental Information 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 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 CHINESE COMMUNITY HEALTH PLAN 445 GRANT AVENUE SUITE 700 SAN FRANCISCO CA 94108 943021419 insurance CA CHA Corporation 137490550 65021225 1.00000 true CHARITABLE REMAINDER TRUST (2) INVESTMENTS CA CHA TRUST true false false false false true false false false false false true false false false false false false false Chinese Community Health Plan A 87615 Per Agreement Chinese Community Health Plan L 2089930 Per Agreement Chinese Community Health Plan F 122500 Per Agreemnent