CHINESE HOSPITAL ASSOCIATION: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- CHINESE HOSPITAL ASSOCIATION (EIN 94-0382780)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-07
- IRS object ID
- 201633129349302533
- Schema version
- 2015v2.1
- 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 O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-07T17:12:34-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | 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 | 2015-01-01 | 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 | 4156772418 | 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 | SCOTT GOODIN | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 4156772399 | PhoneNum |
| Signature | 2016-11-07 | 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 | 2016-11-04 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | Yes (X) | AmendedReturnInd |
| Principal Officer | BRENDA YEE | 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 | $135,549,751 | 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 | 502 | TotalEmployeeCnt |
| Total Volunteers | 51 | TotalVolunteersCnt |
| Total Gross UBI | $3,650,053 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $702,810 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,531,109 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,054,600 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $119,117,291 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $120,366,764 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,752,152 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,069,522 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,122,040 | PYOtherRevenueAmt |
| CY Other Revenue | $2,908,821 | CYOtherRevenueAmt |
| PY Total Revenue | $130,522,592 | PYTotalRevenueAmt |
| CY Total Revenue | $134,399,707 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $155,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $180,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $43,715,848 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $48,362,475 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $330,359 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $65,222,540 | PYOtherExpensesAmt |
| CY Other Expenses | $70,599,736 | CYOtherExpensesAmt |
| PY Total Expenses | $109,093,388 | PYTotalExpensesAmt |
| CY Total Expenses | $119,142,211 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $21,429,204 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $15,257,496 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $327,624,956 | TotalAssetsBOYAmt |
| Total Assets EOY | $342,097,512 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $124,149,450 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $123,582,036 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $203,475,506 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $218,515,476 | 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 |
| Expense | $104,857,419 | ExpenseAmt |
| Grant | $180,000 | GrantAmt |
| Revenue | $118,777,468 | RevenueAmt |
| Desc | INPATIENT NURSING SERVICES - CHINESE HOSPITAL IS A 54 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, 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 | $104,857,419 | 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 | false | 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 | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | 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 | 225 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 502 | 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 | 845 JACKSON STREET | 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 (24 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 | Key EmployeeKeyEmployeeInd | 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 | ||
| York J So | |||||||||
| Assistant English Secretary | 5.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Larry S Mao | |||||||||
| 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 | ||
| David Lam | |||||||||
| Board Member | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Dan B Lee | |||||||||
| Board Member | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Maria K Li | |||||||||
| Board Member | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| L Eric Leung MD | |||||||||
| Board Member | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Rose Pak | |||||||||
| Board Member | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Ivan Pung | |||||||||
| 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 | |||
| Kin F Yee DDS | |||||||||
| Board Member | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Brenda Yee Ngou | |||||||||
| CEO | 30.0 | 30.0 | Yes (X) | $461,331 | $461,331 | $233,082 | |||
| Thomas Bolger | |||||||||
| CFO | 40.0 | 0.0 | Yes (X) | $391,886 | $0 | $130,326 | |||
| Jian Qing Zhang | |||||||||
| COO | 40.0 | 0.0 | $329,149 | $0 | $80,804 | Yes (X) | |||
| Ellen Lau | |||||||||
| RN II | 40.0 | 0.0 | $277,561 | $0 | $75,786 | Yes (X) | |||
| Lydia Chan | |||||||||
| Director of Human Resources | 40.0 | 0.0 | $251,597 | $0 | $61,792 | Yes (X) | |||
| Peggy Cmiel | |||||||||
| Director of Nursing | 40.0 | 0.0 | $247,600 | $0 | $42,239 | Yes (X) | |||
| Alson Toy | |||||||||
| RN II | 40.0 | 0.0 | $236,191 | $0 | $52,676 | Yes (X) | |||
| Stephanie Shao | |||||||||
| medical Physician | 40.0 | 0.0 | $231,352 | $0 | $26,277 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,426,667 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $461,331 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $702,982 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 124 | 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 |
|---|---|---|---|---|---|
| DPR Construction Inc | |||||
| 1050 Sansome St ste 600 | SAN FRANCISCO | CA | 94111 | Construction | $28,900,082 |
| Chinese Community Health Care ASSN | |||||
| 445 GRANT AVE | SAN FRANCISCO | CA | 94108 | MEDICAL SERVICES | $10,834,174 |
| CALIFORNIA PACIFIC MEDICAL CENTER | |||||
| PO BOX 742412 | LOS ANGELES | CA | 90074 | MEDICAL SERVICES | $3,142,814 |
| ST MARY'S HOSPITAL | |||||
| PO BOX 743276 | LOS ANGELES | CA | 90074 | MEDICAL SERVICES | $2,529,900 |
| SAN FRANCISCO GENERAL HOSPITAL | |||||
| PO BOX 740432 | LOS ANGELES | CA | 90074 | MEDICAL SERVICES | $2,329,094 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 64 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $915,441 | FundraisingAmt |
| All Other Contributions | $4,139,159 | AllOtherContributionsAmt |
| Total Contributions | $5,054,600 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Capitation Revenue | 621400 | $63,233,070 | $63,233,070 | |
| PATIENT SERVICE REVENUE | 621300 | $42,129,701 | $42,129,701 | |
| PHARMACY REVENUE | 621400 | $11,480,146 | $9,918,667 | $1,561,479 |
| Clinic Revenue | 621400 | $2,417,491 | $2,417,491 | |
| MEDICARE EHR STIMULUS FUND | 623000 | $651,668 | $651,668 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $454,688 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $426,871 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $27,817 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $120,366,764 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,776,685 | TotalRevenueColumnAmt |
| Exclusion | $3,776,685 | 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 | $118,855 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $118,855 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $118,855 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $77,108 | UnrelatedBusinessRevenueAmt |
| Exclusion | $41,747 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,364,597 | SecuritiesAmt |
| Other | $1,928,240 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,000,000 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,364,597 | SecuritiesAmt |
| Other | $928,240 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,292,837 | TotalRevenueColumnAmt |
| Exclusion | $2,292,837 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $143,250 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $915,441 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $150,044 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$6,794 | TotalRevenueColumnAmt |
| Exclusion | -$6,794 | ExclusionAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
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 | $1,983,649 | $1,983,649 | |
| PARKING REVENUE | 561000 | $279,207 | $279,207 | |
| Education Revenues | 561000 | $160,800 | $160,800 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $373,104 | TotalRevenueColumnAmt |
| Exclusion | $373,104 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,796,760 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $134,399,707 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $118,777,468 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $3,650,053 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,917,586 | 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 | $180,000 | TotalAmt |
| Program Services | $180,000 | 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 | $2,087,909 | TotalAmt |
| Management And General | $2,087,909 | 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 | $34,749,365 | TotalAmt |
| Program Services | $30,231,948 | ProgramServicesAmt |
| Management And General | $4,378,420 | ManagementAndGeneralAmt |
| Fundraising | $138,997 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,435,833 | TotalAmt |
| Program Services | $3,859,175 | ProgramServicesAmt |
| Management And General | $558,915 | ManagementAndGeneralAmt |
| Fundraising | $17,743 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,509,475 | TotalAmt |
| Program Services | $3,923,243 | ProgramServicesAmt |
| Management And General | $568,194 | ManagementAndGeneralAmt |
| Fundraising | $18,038 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,579,893 | TotalAmt |
| Program Services | $2,243,991 | ProgramServicesAmt |
| Management And General | $325,582 | ManagementAndGeneralAmt |
| Fundraising | $10,320 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $364,743 | TotalAmt |
| Program Services | $310,032 | ProgramServicesAmt |
| Management And General | $54,711 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,886 | TotalAmt |
| Management And General | $162,886 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $235,744 | TotalAmt |
| Management And General | $235,744 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,995 | TotalAmt |
| Management And General | $87,995 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
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 | $14,961,471 | TotalAmt |
| Program Services | $13,455,432 | ProgramServicesAmt |
| Management And General | $1,460,737 | ManagementAndGeneralAmt |
| Fundraising | $45,302 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181,524 | TotalAmt |
| Program Services | $154,295 | ProgramServicesAmt |
| Management And General | $19,968 | ManagementAndGeneralAmt |
| Fundraising | $7,261 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,845,988 | TotalAmt |
| Program Services | $2,476,010 | ProgramServicesAmt |
| Management And General | $358,594 | ManagementAndGeneralAmt |
| Fundraising | $11,384 | 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 | $1,881,307 | TotalAmt |
| Program Services | $1,599,111 | ProgramServicesAmt |
| Management And General | $282,196 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,206 | TotalAmt |
| Program Services | $30,775 | ProgramServicesAmt |
| Management And General | $5,431 | ManagementAndGeneralAmt |
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 | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,457,968 | TotalAmt |
| Program Services | $2,089,273 | ProgramServicesAmt |
| Management And General | $368,695 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $466,434 | TotalAmt |
| Program Services | $396,469 | ProgramServicesAmt |
| Management And General | $69,965 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Medical Claims Expense | $22,957,947 | $22,957,947 | ||
| MEDICAL SUPPLIES | $17,314,054 | $15,063,227 | $2,181,571 | $69,256 |
| MEDICAL PROVIDER FEE | $3,277,530 | $3,277,530 | ||
| INCOME TAX EXPENSE | $369,061 | $369,061 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,998,878 | TotalAmt |
| Program Services | $2,608,961 | ProgramServicesAmt |
| Management And General | $377,859 | ManagementAndGeneralAmt |
| Fundraising | $12,058 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,142,211 | TotalAmt |
| Program Services | $104,857,419 | ProgramServicesAmt |
| Management And General | $13,954,433 | ManagementAndGeneralAmt |
| Fundraising | $330,359 | 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 | $24,978,800 | BOYAmt |
| EOY | $20,316,813 | 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 | $14,908,467 | BOYAmt |
| EOY | $8,066,427 | 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 | $5,773,154 | BOYAmt |
| EOY | $2,791,605 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,418,839 | BOYAmt |
| EOY | $1,349,372 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,140,139 | BOYAmt |
| EOY | $2,071,893 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $229,884,158 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $41,020,894 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,067,323 | BOYAmt |
| EOY | $188,863,264 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $166,974,098 | BOYAmt |
| EOY | $108,774,385 | 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 | $5,364,136 | BOYAmt |
| EOY | $9,863,753 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $327,624,956 | BOYAmt |
| EOY | $342,097,512 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,519,004 | BOYAmt |
| EOY | $20,810,833 | 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 | $69,386,320 | BOYAmt |
| EOY | $69,135,927 | 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 | $37,244,126 | BOYAmt |
| EOY | $33,635,276 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $124,149,450 | BOYAmt |
| EOY | $123,582,036 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $203,353,566 | BOYAmt |
| EOY | $218,393,536 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,421 | BOYAmt |
| EOY | $93,421 | 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 | $203,475,506 | BOYAmt |
| EOY | $218,515,476 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $327,624,956 | BOYAmt |
| EOY | $342,097,512 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $15,257,496 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$3,793,783 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $3,576,257 | 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
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
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 | $87,995 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $87,995 | 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 $75,737 OVER THE COURSE OF 2015 TO THE NATIONAL GROUP FOR LOBBYING FOR HOSPITAL RELATED ISSUES. THE HOSPITAL ALSO PAID DUES OF $20,122 TO THE AMERICAN HOSPITAL ASSOCIATION, AND $45,743 TO THE HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA OF WHICH $4,587 AND $7,671, RESPECTIVELY WERE DEEMED LOBBYING EXPENSES. | 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) |
|---|---|---|
| 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 | $116,105,339 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,776,775 | DepreciationAmt |
| Book Value | $101,328,564 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,451,435 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,540,026 | DepreciationAmt |
| Book Value | $911,409 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $33,789,953 | OtherCostOrOtherBasisAmt |
| Depreciation | $24,704,093 | DepreciationAmt |
| Book Value | $9,085,860 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $77,284,102 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $77,284,102 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $188,863,264 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED MEDICAL CLAIMS | $4,604,698 |
| RISK-SHARING SETTLEMENTS/OTHER | $3,996,051 |
| LIABILITY FOR PENSION BENEFITS | $24,178,403 |
| OTHER LONG TERM LIABILITIES | $212,803 |
| EST. THIRD-PARTY PAYOR SETTLEM | $643,321 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $33,635,276 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $130,755,966 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$3,793,785 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $150,044 | OtherRevenueAmt |
| Revenue Not Reported | -$3,643,741 | RevenueNotReportedAmt |
| Revenue Subtotal | $134,399,707 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $134,399,707 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $115,715,996 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | -$3,426,215 | OtherExpensesIncludedAmt |
| Expenses Not Reported | -$3,426,215 | ExpensesNotReportedAmt |
| Expenses Subtotal | $119,142,211 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $119,142,211 | 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) 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 THE ASSOCIATION'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. MANAGEMENT IS NOT AWARE OF ANY UNCERTAIN TAX POSITIONS THAT HAVE NOT BEEN ACCOUNTED FOR AS OF DECEMBER 31, 2015 OR 2014. |
| Reconciliation of Revenue and Expense | Part XI, Line 2d Fundraising Event Expenses to Part VIII - 150,044 Part XII, Line 2d Decrease in Pension Liability - (3,576,259) Fundraising Event Expenses to Part VIII - 150,044 ============================================================= (3,426,215) |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Golf Tournament | Event1Nm |
| Gross Receipts Event1 | $869,428 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $744,928 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $124,500 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $54,476 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $49,125 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $19,887 | OtherDirectExpensesEvent1Amt |
| Event2 | Spring Fling | Event2Nm |
| Gross Receipts Event2 | $189,263 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $170,513 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $18,750 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $14,329 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $5,924 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $1,175 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $5,128 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 0 | OtherEventsTotalCnt |
| Gross Receipts Total | $1,058,691 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $915,441 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $143,250 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $68,805 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $55,049 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $1,175 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $25,015 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $150,044 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$6,794 | NetIncomeSummaryAmt |
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 | $393,319 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $393,319 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00330 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,313,562 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,154,538 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $159,024 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $50,246 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $50,246 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,757,127 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,154,538 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $602,589 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00500 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $59,933 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $59,933 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,090,587 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $316,555 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,774,032 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03170 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $195,403 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $195,403 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $533,565 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $533,565 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00450 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,879,488 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $316,555 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,562,933 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03830 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,636,615 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,471,093 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,165,522 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04330 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $180,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $180,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $180,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $180,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $317,017 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $11,386,756 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $17,277,568 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$5,890,812 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | 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 | HTTP://WWW.CHINESEHOSPITAL-SF.ORG | OwnWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 14 | ImplementationStrategyAdptYr |
| Strategy Posted Website | false | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (true) | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| 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 |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| 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 |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Lowest Negotiated Rates | Yes (X) | LowestNegotiatedRatesInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule H, Part V, Section B, Additional Information | FormAndLineReferenceDesc |
| Explanation | Schedule H, Part V, Section B, Line 5 THE HOSPITAL'S CHNA WAS CONDUCTED IN CONJUNCTION WITH THE SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH AND THE SAN FRANCISCO PLANNING DEPARTMENT AS PART OF THE DEVELOPMENT OF THE SAN FRANCISCO HEALTH CARE SERVICE MASTER PLAN. COMPRISED OF A BROAD RANGE OF COMMUNITY STAKEHOLDERS REPRESENTING HEALTH CARE CONSUMERS, COMMUNITY ADVOCACY GROUPS, LABOR, HOSPITALS, AND MORE, THE TASK FORCE SERVED AS AN ADVISORY BODY CHARGED WITH DEVELOPING RECOMMENDATIONS THAT REFLECTED BOTH RELEVANT DATA AND COMMUNITY FEEDBACK. BETWEEN JULY 2012 AND MAY 2013 THE TASK FORCE MET 10 TIMES, MEETING IN NEIGHBORHOODS AS WELL AS HAVING MEETINGS TO DISCUSS SPECIFIC ISSUES AFFECTING HEALTHCARE ACCESS IN SAN FRANCISCO. THE TASK FORCE 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, UCSF Medical Center, California Pacific Medical Center, and San Francisco General Hospital. PART V, SECTION B, LINE 6B THE HOSPITAL'S CHNA WAS CONDUCTED IN CONJUNCTION WITH THE SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH AND THE SAN FRANCISCO PLANNING DEPARTMENT AS PART OF THE DEVELOPMENT OF THE SAN FRANCISCO HEALTH CARE SERVICE MASTER PLAN. Part V, Section B, Line 11 THE SIGNIFICANT NEEDS IDENTIFIED AND ADDRESSED AS PART OF OUR IMPLEMENTATION STRATEGY ARE: * Increase access to appropriate care for San Francisco's vulnerable populations - Chinese Hospital plans to open in January 2016 an outpatient diagnostic center located in Daly City. A large Chinese population resides in the area, including many with Covered California insurance coverage. * Ensure that San Francisco has sufficient capacity of long-term care options for its growing senior population and for persons with disabilities to support their ability to live independently in the community. - Chinese Hospital has planned for 22 Skilled Nursing beds as part of the new hospital project schedule for completion in CY 2016. * Ensure that health care providers have the cultural, linguistic, and physical capacity to meet the needs of San Francisco's diverse population. - Over 90% of the staff employed at Chinese Hospital and the majority of the Chinese Hospital Medical Staff speak Cantonese and/or Mandarin. As the demographics of our population change, we are recruiting bilingual staff in English, Spanish, Tagalog and Vietnamese. Printed educational materials are currently available in both English and Cantonese. * Ensure SF residents have available transportation options (e.g. public transportation, shuttle services, and bikes) and parking to enable them to reach their health care destinations safely, affordably and in a timely manner. - All of the hospital's locations are easily accessible through the public transportation systems. The new hospital will provide bicycle parking and the new central subway will have a station one block from the Hospital. * Facilitate sustainable health information technology systems that are interoperable, consumer friendly and that increase access to high-quality health care and wellness services. - Chinese Hospital has implemented an Electronic Health Records (EHR) system that is interfaced with other clinical applications within the hospital. Additionally, Chinese Community Health Resource Center (CCHRC) provides computer laboratory training and assistance to community members on setting up e-mail accounts and learning to navigate the internet. * Promote the development of cost-effective health care delivery models that address patient needs. - The globally capped model used by Chinese Hospital involves Chinese Community Health Plan (CCHP) a Knox Keene licensed HMO and Chinese Community Health Care Association (CCHCA) an independent practice association. During the first two years of Covered California over 12,500 members enrolled. Chinese Hospital serves a significant number of patients with limited means. Over 85% of the elderly patients served by Chinese Hospital are dual eligible and are covered by Medicare and Medi-Cal. NEEDS IDENTIFIED THAT ARE NOT BEING ADDRESSED: The recommendation to improve local health data collection and dissemination efforts has not been addressed because the development of the "Healthshare Bay Area" (HSBA) as a central repository for patient information has been placed on hold due to several factors: 1. Many hospitals and physician practices were converting to EHR systems and 2. Lack of funding to support the development of the repository for San Francisco. Chinese Hospital is a member of the Governing Committee for the development of HSBA and will re-engage if the committee reconvenes. Part V, Section B, Line 16(I) THE FINANCIAL ASSITANCE POLICY WAS MADE AVAILABLE ON THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT'S (OSHPD) WEBSITE. Part V, Section B, Line 16(I) THE FINANCIAL ASSITANCE POLICY WAS MADE AVAILABLE ON THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT'S (OSHPD) WEBSITE. | ExplanationTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 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 |
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 2015 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. THE DIFFERENCE IN DSH ADD-ON PAYMENT IS APPROXIMATELY $4 MILLION. 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 ADMITTING AREA AND IN THE ER. IF A PERSON ENTERS THE HOSPITAL WITHOUT INSURANCE THEY ARE PROVIDED THE POLICY AND PATIENT ACCOUNTING WILL PROVIDE ASSISTANCE. |
| 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 | $180,000 | 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 Center, 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 | false | 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 (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | 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 | $386,502 | $386,502 | $74,829 | $74,829 | $63,985 | $126,629 | $17,766 | $24,702 | $543,082 | $612,662 | $0 | $0 |
| Thomas Bolger | ||||||||||||
| CFO | $321,886 | $0 | $70,000 | $0 | $105,731 | $0 | $24,595 | $0 | $522,212 | $0 | $0 | $0 |
| Jian Qing Zhang | ||||||||||||
| COO | $284,149 | $0 | $45,000 | $0 | $62,352 | $0 | $18,452 | $0 | $409,953 | $0 | $0 | $0 |
| Ellen Lau | ||||||||||||
| RN II | $277,561 | $0 | $0 | $0 | $70,107 | $0 | $5,679 | $0 | $353,347 | $0 | $0 | $0 |
| Lydia Chan | ||||||||||||
| Director of Human Resources | $224,097 | $0 | $27,500 | $0 | $52,977 | $0 | $8,815 | $0 | $313,389 | $0 | $0 | $0 |
| Peggy Cmiel | ||||||||||||
| Director of Nursing | $207,600 | $0 | $40,000 | $0 | $18,380 | $0 | $23,859 | $0 | $289,839 | $0 | $0 | $0 |
| Alson Toy | ||||||||||||
| RN II | $236,191 | $0 | $0 | $0 | $46,997 | $0 | $5,679 | $0 | $288,867 | $0 | $0 | $0 |
| Stephanie Shao | ||||||||||||
| medical Physician | $206,352 | $0 | $25,000 | $0 | $20,598 | $0 | $5,679 | $0 | $257,629 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule J, Part I, Question 4b | FormAndLineReferenceDesc |
| Explanation | 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 during 2015. | ExplanationTxt |
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 | $0 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $70,202,173 | TotalProceedsAmt |
| In Reserve Fund | $4,240,975 | InReserveFundAmt |
| Capitalized Interest | $9,123,725 | 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 | $406,757 | UnspentAmt |
| 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 | false | 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 | false | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | false | 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 Although the organization did not have separate written policies and procedures in place by 12/31/15, they are in the process of developing and implementing such written policies. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Federal Form 990, Box B, Amended Return | CHINESE HOSPITAL ASSOCIATION'S 2015 FEDERAL FORM 990 IS BEING AMENDED TO ATTACH THE IMPLEMENTATION STRATEGY, AS IT WAS INADVERTENTLY OMITTED FROM THE ORIGINALLY FILED RETURN. PART VI, SECTION B, LINE 11B 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. PART VI, SECTION B, LINE 12C: 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 DELIBARATIONS 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. PART VI, SECTION B, LINE 15: For 2015 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 2015 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 | 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 Other Changes in Net Assets: Decrease in Pension Liability 3,576,259 |
| Community Benefit Report | THE FOLLOWING IS AN EXCERPT FROM THE 2015 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. 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 partner, Chinese Community Health Care Association (CCHCA), serve Medicare, Medi-Cal and commercial enrollees under capitated arrangements with several managed care plans. These managed care plans include Blue Cross, Blue Shield, Etna, San Francisco health Plan, Healthy San Francisco and CCHP. The Chinese Community Health Care Association (CCHCA), is a non profit tax-exempt physicians independent practice association (IPA), organized in 1982 with the mission of providing culturally competent and culturally appropriate health care for the Chinese Community of San Francisco. In 1989, the three associations Chinese Hospital, the Chinese Community Health Care Association (CCHCA), and Chinese Community Health Plan (CCHP) established 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 from its inception and in 2009 had 4,149 users. In May 2004, CCHRC launched a bilingual website as an additional educational resource and by 2008 documented 1,034,876 page-hits. In 2009, 630,038 hits were recorded. In March 2009, CCHRC established the Teens in Charge website and noted 4,351 visits. On October 4, 2008, CCHRC organized the first Vision Day, which attracted over 1200 participants. In 2009, CCHRC collaborated with local community organizations and developed the Nation's first multi-Asian language children story book aimed to raise awareness of child sexual abuse; bilingual DVD and booklet on hospice care; and conducted a qualitative study among 74 Asian youth on their health concerns through expression of art. Ever-cognizant of its role, Chinese Community Health Resource Center (CCHRC) continues to provide and sponsor linguistically and culturally sensitive community education, wellness programs and counseling services, aiming to promote wellness and a healthier lifestyle for the Chinese community. In 2011, a total of 5,568 individuals participated in CCHRC events and co-sponsored community programs. 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. Over 9,000 patients were seen in 2010. In the Fall of 2005, construction began on a second community clinic in the South Eastern (Visitation Valley) part of San Francisco. 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, 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. Responding to San Francisco City and Countys Healthy San Francisco Access Program, Chinese Hospital and its physician partners, Chinese Community Health Care Association, are the first private sectors to offer a medical home to individuals with an income less than 300% of the federal poverty level in September 2008. At the end of 2011 the program had enrolled 1080 individuals. The leadership for charity care at Chinese Hospital starts with our Chief Executive Officer, Brenda Yee, as she personally sits on several non-profit boards and is an active member of the Chinese community Cardiac Council, American Hospital Association (she serves a voice to provide care and education for ethnic groups and their health disparities), the San Francisco Health Authority Board, and NICOS Chinese Health Coalition. 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 Domestics Violence, San Francisco Hepatitis B Free campaign, San Francisco Bay Area American Diabetic Association Board, to name a few. |
| 2015 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 2015. A. Medical Care Services Provided A-1. Unpaid Costs of Medi-Cal Program: Chinese Hospital provided care to 3,043 Medi-Cal inpatients and Medi-Cal outpatients in 2015. An estimated $1,872,261 in total expenses generated by Medi-Cal patients exceeded the $1,238,672 in payments received by the Medi-Cal Program, resulting in an unsponsored community expense of $633,589. 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 503 persons unable to pay for their care. The estimated cost to treat these patients was $393,319. A-3. Treatment Center Services: Chinese Hospital provided emergency room care to 6,827 persons in 2015 in its 24-hour Treatment Center. The total estimated costs of providing emergency room services were $4,090,587. The hospital received payments of $316,555 for emergency room care, resulting in an unsponsored community benefit expense of $3,774,032. B. Other Benefits for Vulnerable Populations Chinese Hospital has several community benefit activities targeted at vulnerable patient populations. B-1. Blood Pressure Screening Clinic: During 2015, Chinese Hospital offered blood pressure screenings to area residents at the Sunset Health Clinic. This program served more than 310 individuals. B-2. General Health, Cholesterol, Diabetes, and Hepatitis B Screening Clinics: During 2015, Chinese Hospital offered general health screenings to area residents free of charge. These programs served over 1,231 individuals. C. Other Benefits for the Broader Community Chinese Hospital makes significant commitments in providing health education, prevention and support services for the broader Chinese community. C-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 271 people and generated nearly $4,065 in unsponsored community benefit expenses. C-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 2015, there were over 5,000 individuals in the community that utilized the Chinese Community Health Resource Center. Support from Chinese Hospital includes in-kind support for telephone expenses and office rent, with an estimated unsponsored community benefit expense of more than $59,933. In addition, Chinese Hospital donated $180,000 for operating expenses to the Chinese Community Health Resource Center. C-3. Training on Medication Use: Chinese Hospitals nurse educators provided free medication use and other clinical training both to in-house patients prior to discharge and outpatients. This program served over 1,000 patients in 2015. C-4. Anticoagulation Services: Chinese Hospitals Support Health Services provided free anticoagulation services to seniors and community members. The number of individuals served was 20, and the unsponsored community benefit expense associated with these services was more than $1,610. D. Health Research, Education and Training Programs D-1. Pharmacy Internship: Chinese Hospital hosts a Pharmacy Internship Program for 9 Pharmacy students from various Pharmacy Schools. This educational program lasts six weeks and is supervised by Chinese Hospitals Pharmacy staff. Total unsponsored community benefit expense of this program is $26,827. E. Other Quantifiable and Non-Quantifiable Benefits Chinese Hospitals commitments to the community extend beyond the direct services it provides to the community. E-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 1,736 individuals attended these Fairs, and the unsponsored community benefit associated with this effort was $118,983. E-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 200 employees attended this annual event. E-3. Federation of Chinese American and Chinese Canadian Medical Societies: Chinese Hospital along with the Medical Staff support the FCMS which researches diseases specific to the Chinese population. The administrative support that Chinese Hospital staff provides to the Federation of Chinese includes typing meeting minutes, agendas, and other correspondence, mailing materials to Federation members, holding lunch meetings at the Hospital, and attending off-site Board of Directors meetings. Rent, utilities, phone, housekeeping, maintenance, postage and paper supplies are also provided. E-4. Cancer Information Center: Chinese Hospital, CCHRC along with the Medical Staff provide services to the Cancer Information Center. The administrative support from Chinese Hospital includes in-kind support for personnel, rent, utilities, phone, housekeeping, maintenance, postage and paper supplies. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:11207452 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:MEDICAL PURCHASED SERVICES TOTAL FEES:3314054 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:DIRECTORSHIP TOTAL FEES:133270 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:BANK CHARGES TOTAL FEES:106443 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:TRANSCRIPTION SERVICES TOTAL FEES:96724 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:Training Services TOTAL FEES:54598 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:Recruiting TOTAL FEES:35062 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:JCAHO RELATED EXPENSES TOTAL FEES:13868 |
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 | $170,443,249 | $92,101,292 | 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 |
| 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 (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Chinese Community Health Plan | ||
| A | $77,108 | Per Agreement |
| Chinese Community Health Plan | ||
| A | $151,087 | Per Agreement |
| Chinese Community Health Plan | ||
| L | $1,983,649 | Per Agreement |
| Chinese Community Health Plan | ||
| F | $110,000 | Per Agreemnent |
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