2018-11-07T18:50:14-06:00 2017-12-31 912007579 LOUIE & WONG LLP 425 WASHINGTON ST 300 SAN FRANCISCO CA 94111 990 2017-01-01 942944137 PATIENT ASSISTANCE FOUNDATION PATI 4159233155 2100 WEBSTER STREET SUITE 100 SAN FRANCISCO CA 94115 SCOTT PLYMALE LCSW EXECUTIVE DIRECTOR 4159233155 2018-11-07 1 ARTHUR LOUIE P00048258 4159819999 68.65.79.67 2018-11-07 09:39:52 PS P 83E199982F787BFA55E0FBCB127AF4B0BBA446CA BE1A9C1947CA2934421F63F989A6CD0F3584B435 2017 2019-02-21 02:37:17Z COMMUNITY HEALTH RESOURCE CENTER SCOTT PLYMALE 2100 WEBSTER STREET STE 100 SAN FRANCISCO CA 94115 744856 0 X CHRCSF.ORG X 1984 CA TO PROVIDE AND PROMOTE INNOVATIVE HEALTH CARE AND HEALTH MAINTENANCE PROGRAMS TO THE GREATER BAY AREA AS WELL AS PATIENTS SERVED BY CPMC. CHRC PROVIDES COUNSELING, EDUCATION AND COORDINATION OF MULTIPLE PATIENT SERVICES TO SUPPLEMENT THE CARE AND SUPPORT PROVIDED BY PHYSICIANS. 13 13 9 15 0 0 393141 389771 333428 314437 28829 23659 13543 16989 768941 744856 0 0 0 0 635481 658234 0 0 51994 384213 393168 1019694 1051402 -250753 -306546 3980106 3847625 24163 45246 3955943 3802379 X TO PROVIDE AND PROMOTE INNOVATIVE HEALTH CARE AND HEALTH MAINTENANCE PROGRAMS TO THE GREATER BAY AREA AS WELL AS PATIENTS SERVED BY CPMC. CHRC PROVIDES COUNSELING, EDUCATION AND COORDINATION OF MULTIPLE PATIENT SERVICES TO SUPPLEMENT THE CARE AND SUPPORT PROVIDED BY PHYSICIANS. 0 0 420909 302345 BEHAVIORAL/MENTAL HEALTH SERVICES AND NUTRITION COUNSELING -- THE ORGANIZATION HAS A TEAM OF LICENSED PROFESSIONALS OFFERING SUPPORT FOR INDIVIDUALS, GROUPS AND FAMILIES LOOKING FOR EMOTIONAL OR PRACTICAL GUIDANCE AND SUPPORT. LIKEWISE, THE ORGANIZATION HAS A TEAM OF REGISTERED DIETITIANS THAT PROVIDES NUTRITION COUNSELING SERVICES. THE ORGANIZATION'S NUTRITION SERVICES PROVIDE EDUCATION AND INSTRUCTION TO HELP SUPPORT ONE'S INDIVIDUAL VARIETY OF CONDITIONS, CONCERNS, GOALS AND LIFE STAGES. 342731 2002 HEALTH EDUCATION -- THE ORGANIZATION OFFERS MONTHLY WELLNESS EVENTS THAT INCLUDE HEALTH SCREENINGS, COMMUNITY EDUCATION LECTURES AND EMPLOYEE WELLNESS PRESENTATIONS. 123857 10090 HEALTH SCREENINGS -- THE ORGANIZATION PROVIDES BOTH GRANT-FUNDED AND CONTRACTED HEALTH SCREENING SERVICES AT EMPLOYEE HEALTH AFFAIRS, WELLNESS EVENTS, SCHOOLS AND COMMUNITY CENTERS. THE HEALTH SCREENING SERVICES, WHICH INCLUDE CHOLESTEROL, BLOOD GLUCOSE, BLOOD PRESSURE, BODY MASS INDEX, BONE DENSITY AND MEMORY SCREENS, ARE CONDUCTED BY REGISTERED NURSES. 887497 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 22 0 9 1 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X HALL TAI & ASSOCIATES 4155645183 1156 CLEMENT STREET SAN FRANCISCO CA 94118 MARILYN KUTZSCHER MD PRESIDENT 2.00 X X 0 0 0 CHARLES SELLMAN TREASURER - SECRETARY 2.00 X X 0 0 0 ARI BARON MD DIRECTOR 2.00 X 0 0 0 PETER CALLANDER DIRECTOR 2.00 X 0 0 0 SHELLY GORDON MD DIRECTOR - ADVISORY BOARD 2.00 X 0 0 0 BARRY BARON MD DIRECTOR 2.00 X 0 0 0 JOAN DEHOVITZ BRAUN DIRECTOR 2.00 X 0 0 0 HOLLY HOLTER MD DIRECTOR 2.00 X 0 0 0 ANDREW KLOMPUS MD DIRECTOR 2.00 X 0 0 0 JEAN-LUC LAMIRANDE DIRECTOR 2.00 X 0 0 0 ELIZA MCCAW MD DIRECTOR 2.00 X 0 0 0 DAVID TONG MD DIRECTOR 2.00 X 0 0 0 RUSSELL WOO MD DIRECTOR 2.00 X 0 0 0 BROCK BERNSTEN MD DIRECTOR - ADVISORY BOARD 2.00 X 0 0 0 NENA MONTGOMERY DIRECTOR 2.00 X 0 0 0 SCOTT PLYMALE LCSW EXECUTIVE DIRECTOR 40.00 X 145635 0 0 145635 0 0 1 0 0 0 0 389771 389771 PROGRAM 900099 314437 314437 314437 23659 23659 RENTAL INCOME 532000 12000 12000 OTHER INCOME 900099 4989 4989 16989 744856 314437 0 40648 X 145635 128080 8528 9027 374478 327210 22961 24307 138121 121504 8073 8544 10 10 54552 54552 139640 132977 6576 87 28819 25565 2759 495 139221 130708 4170 4343 9644 9052 290 302 14687 10602 3732 353 MISCELLANEOUS 6595 1799 260 4536 1051402 887497 111911 51994 273307 153245 2466782 2294225 22822 36160 17790 5583 82114 42973 48785 39141 1144406 1313057 6214 6214 3980106 3847625 24163 45246 24163 45246 X 1515260 1594770 2440683 2207609 3955943 3802379 3980106 3847625 -306546 152982 0 X X 0 0 1 0 X 438385 366958 787383 393141 389771 2375638 162982 171676 229867 333428 314437 1212390 601367 538634 1017250 726569 704208 3588028 0 0 0 3588028 18701 26882 27249 28829 23659 125320 18701 26882 27249 28829 23659 125320 30966 44188 14515 13543 16989 120201 651034 609704 1059014 768941 744856 3833549 0.93600 0.93690 0.03270 0.03250 X 2440683 328926 562000 2207609 2656802 357781 573900 2440683 2656802 2656802 0 0 60016 27753 32263 22098 15220 6878 39141 INVESTMENTS - MARKETABLE SECURITIES 1313057 F 1313057 897838 152982 152982 744856 0 744856 1051402 0 1051402 0 1051402 PART V, LINE 4: TEMPORARILY RESTRICTED NET ASSET IS USED TO ACCOUNT FOR RESOURCES THAT ARE RESTRICTED BY THE DONOR FOR USE FOR PARTICULAR PURPOSE OR IN A PARTICULAR FUTURE PERIOD. WHEN A RESTRICTION EXPIRES, TEMPORARILY RESTRICED NET ASSETS ARE RECLASSIFIED TO UNRESTRICTED NET ASSETS AND REPORTED IN THE STATEMENT OF ACTIVITIES AS "NET ASSETS RELEASED FROM RESTRICTIONS." X X 0 0 0 0 0 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B ELECTRONIC COPY OF 990 IS DISTRIBUTED TO EACH BOARD MEMBER FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST IS REVIEWED BY EACH OFFICER, DIRECTOR, OR KEY EMPLOYEE AT THE BEGINNING OF EACH MEETING. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE DIRECTOR'S COMPENSATION IS APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER: PROGRAM SERVICE EXPENSES 132,977. MANAGEMENT AND GENERAL EXPENSES 6,576. FUNDRAISING EXPENSES 87. TOTAL EXPENSES 139,640. FORM 990, PART XII, LINE 2C NO CHANGES FROM THE PRIOR YEAR