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        <Real>1500</Real>
      </GrossRents>
      <RentalIncomeOrLoss>
        <Real>1500</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>1500</TotalRevenueColumn>
        <ExclusionAmount>1500</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>317392</Securities>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>310360</Securities>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>7032</Securities>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>7032</TotalRevenueColumn>
        <ExclusionAmount>7032</ExclusionAmount>
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      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>PEER REVIEW INCOME</Description>
        <BusinessCode>621110</BusinessCode>
        <TotalRevenueColumn>5700</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>5700</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <TotalOtherRevenue>5700</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>74161948</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>72894040</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>241725</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>778848</Total>
        <ProgramServices>778848</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>408964</Total>
        <ManagementAndGeneral>408964</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
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      <OtherSalariesAndWages>
        <Total>825887</Total>
        <ManagementAndGeneral>825887</ManagementAndGeneral>
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      <PensionPlanContributions>
        <Total>26163</Total>
        <ManagementAndGeneral>26163</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>87662</Total>
        <ManagementAndGeneral>87662</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>71973</Total>
        <ManagementAndGeneral>71973</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>5942</Total>
        <ManagementAndGeneral>5942</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>35000</Total>
        <ManagementAndGeneral>35000</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>34483</Total>
        <ManagementAndGeneral>34483</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>71990</Total>
        <ManagementAndGeneral>71990</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>67609</Total>
        <ManagementAndGeneral>67609</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>22965</Total>
        <ManagementAndGeneral>22965</ManagementAndGeneral>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>72322</Total>
        <ManagementAndGeneral>72322</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>39663</Total>
        <ManagementAndGeneral>39663</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>33618</Total>
        <ManagementAndGeneral>33618</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>0</Total>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>388465</Total>
        <ManagementAndGeneral>388465</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>51009</Total>
        <ManagementAndGeneral>51009</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>SENIOR ENCOUNTER DATA REVIEW</Description>
        <Total>260483</Total>
        <ManagementAndGeneral>260483</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PHYSICIAN/EDUCATIONAL EXPENSES</Description>
        <Total>377176</Total>
        <ManagementAndGeneral>377176</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MEDICAL EXPENSES</Description>
        <Total>66746237</Total>
        <ProgramServices>66746237</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>FIVE STAR INITIATIVE</Description>
        <Total>52421</Total>
        <ManagementAndGeneral>52421</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>CONTRACT MANAGEMENT FEE</Description>
        <Total>5325787</Total>
        <ProgramServices>5325787</ProgramServices>
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      <AllOtherExpenses>
        <Total>63087</Total>
        <ProgramServices>4683</ProgramServices>
        <ManagementAndGeneral>58404</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
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        <ProgramServices>72855555</ProgramServices>
        <ManagementAndGeneral>2992199</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <CashNonInterestBearing>
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      <SavingsAndTempCashInvestments>
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      <PledgesAndGrantsReceivable>
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      <AccountsReceivable>
        <BOY>5126281</BOY>
        <EOY>3959262</EOY>
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      <ReceivablesFromOfficersEtc>
        <EOY>0</EOY>
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      <ReceivablesFromDisqualPersons>
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      <OtherNotesLoansReceivableNet>
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      <InventoriesForSaleOrUse>
        <EOY>0</EOY>
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      <PrepaidExpensesDeferredCharges>
        <BOY>46620</BOY>
        <EOY>424098</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>5974320</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>1035877</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>3207041</BOY>
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      <InvestmentsOtherSecurities>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <EOY>0</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <EOY>0</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>31920868</BOY>
        <EOY>29872368</EOY>
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      <AccountsPayableAccruedExpenses>
        <BOY>13008815</BOY>
        <EOY>12963104</EOY>
      </AccountsPayableAccruedExpenses>
      <GrantsPayable>
        <EOY>100000</EOY>
      </GrantsPayable>
      <TotalLiabilities>
        <BOY>13008815</BOY>
        <EOY>13063104</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>18912053</BOY>
        <EOY>15978294</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <EOY>830970</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>18912053</BOY>
        <EOY>16809264</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>31920868</BOY>
        <EOY>29872368</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-1685806</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-416983</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>false</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="11000144" softwareVersion="2011v1.2">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="11000144" softwareVersion="2011v1.2">
      <Land>
        <OtherCostOrOtherBasis>1300000</OtherCostOrOtherBasis>
        <BookValue>1300000</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>2576373</OtherCostOrOtherBasis>
        <Depreciation>19622</Depreciation>
        <BookValue>2556751</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>63797</OtherCostOrOtherBasis>
        <Depreciation>34691</Depreciation>
        <BookValue>29106</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>2034150</OtherCostOrOtherBasis>
        <Depreciation>981564</Depreciation>
        <BookValue>1052586</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>4938443</TotalOfBookValueLandBuildings>
      <TotalRevenue>74161948</TotalRevenue>
      <TotalExpenses>75847754</TotalExpenses>
      <ExcessOrDeficitForYear>-1685806</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>-416983</NetUnrealizedGLOnInvestments>
      <TotalAdjustments>-416983</TotalAdjustments>
      <ExcessOrDeficitPerFS>-2102789</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>73744965</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>-416983</NetUnrealizedGainsInvestments>
      <RevenueNotRptdF990>-416983</RevenueNotRptdF990>
      <RevenueSubtotal>74161948</RevenueSubtotal>
      <TotalRevenuePerForm990>74161948</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>75847754</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>75847754</ExpensesSubtotal>
      <TotalExpensesPerForm990>75847754</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XI, Line 8</Identifier>
        <ReturnReference>Part XI, Line 8: Other Changes in Net Assets or Fund Balances</ReturnReference>
        <Explanation>Depreciation on return not on book $ -0</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="IRS990ScheduleI" softwareId="11000144" softwareVersion="2011v1.2">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>PUBLIC HEALTH FOUND ENTERPRI</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>101 GROVE ST RM 408</AddressLine1>
          <City>SAN FRANCISCO</City>
          <State>CA</State>
          <ZIPCode>94102</ZIPCode>
        </AddressUS>
        <EINOfRecipient>952557063</EINOfRecipient>
        <IRCSection>501 C (3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>HEP B BEST PRACTICES</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>NICOS CHINESE HEALTH COALITION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1208 MASON STREET</AddressLine1>
          <City>San Francisco</City>
          <State>CA</State>
          <ZIPCode>94108</ZIPCode>
        </AddressUS>
        <EINOfRecipient>943184812</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>20000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>HEALTH ACCESS DISASTER PREP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>NCAPIP</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1322 18th St NW Suite 200</AddressLine1>
          <City>Washington</City>
          <State>DC</State>
          <ZIPCode>20036</ZIPCode>
        </AddressUS>
        <EINOfRecipient>943030866</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>20000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>RAISE HEALTH AWARENESS APIA</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Community Youth Center of San Fr</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1038 Post St</AddressLine1>
          <City>San Francisco</City>
          <State>CA</State>
          <ZIPCode>94109</ZIPCode>
        </AddressUS>
        <EINOfRecipient>941728818</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>21810</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>CPR&amp;FIRST AID TRAINING, FITNESS DAY</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CHINESE IMMERSION SCH DEAVILA</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1250 WALLER ST</AddressLine1>
          <City>SAN FRANCISCO</City>
          <State>CA</State>
          <ZIPCode>94117</ZIPCode>
        </AddressUS>
        <EINOfRecipient>943216902</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>10298</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>EDUCATE &amp; COMBAT CHILD OBESITY</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CHINESE HOSPITAL ASSOCIATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>845 JACKSON STREET</AddressLine1>
          <City>SAN FRANCISCO</City>
          <State>CA</State>
          <ZIPCode>94133</ZIPCode>
        </AddressUS>
        <EINOfRecipient>940382780</EINOfRecipient>
        <IRCSection>501 (c) 3</IRCSection>
        <AmountOfCashGrant>482764</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>BUILDING FUND, TREATMENT CENTER,ETC</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CHINESE COMMUNITY HEALTH RESOURCE CTR</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>835 JACKSON STREET ROOM 425</AddressLine1>
          <City>SAN FRANCISCO</City>
          <State>CA</State>
          <ZIPCode>94133</ZIPCode>
        </AddressUS>
        <EINOfRecipient>204251913</EINOfRecipient>
        <IRCSection>501 (c) (3)</IRCSection>
        <AmountOfCashGrant>150750</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>HEALTH RESOURCES CENTER,ETC</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Chinatown Public Health Center</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1490 Mason St</AddressLine1>
          <City>San Francisco</City>
          <State>CA</State>
          <ZIPCode>94133</ZIPCode>
        </AddressUS>
        <EINOfRecipient>946000417</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>20000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>DIETARY GUIDELINES</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ASIAN WOMENS RESOURCE CENTER</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>940 WASHINGTON ST</AddressLine1>
          <City>SAN FRANCISCO</City>
          <State>CA</State>
          <ZIPCode>94108</ZIPCode>
        </AddressUS>
        <EINOfRecipient>941156357</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>CHILD MENTAL HEALTH EDUCATION</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>AMERICAN RED CROSS BAY AREA CHAP</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>85 SECOND STREET 8TH FLOOR</AddressLine1>
          <City>San Francisco</City>
          <State>CA</State>
          <ZIPCode>94105</ZIPCode>
        </AddressUS>
        <EINOfRecipient>943045430</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>6500</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>DISASTER PREPAREDNESS OUTREACH</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>American Heart Assc</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>100 Montgomery St 1650</AddressLine1>
          <City>San Francisco</City>
          <State>CA</State>
          <ZIPCode>94104</ZIPCode>
        </AddressUS>
        <EINOfRecipient>135613797</EINOfRecipient>
        <IRCSection>501 (C) (3)</IRCSection>
        <AmountOfCashGrant>10680</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>PROMOTE HEALTHY HEART</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>10</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>1</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>Grantmaker's Description of How Grants are Used</Identifier>
        <Explanation>THE ASSOCIATION REQUIRES GRANTEES TO SUBMIT PERIODIC REPORT TO ENSURE THAT ITS GRANTS WERE USED FOR PROPER PURPOSES.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="11000144" softwareVersion="2011v1.2">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>SHU-WING CHAN MD</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>DIRECTOR &amp; V.P.</Relationship>
        <DescriptionOfTransaction>NO BUSINESS TRANSACTION.</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>LARRY MAO</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>DIRECTOR</Relationship>
        <DescriptionOfTransaction>NO BUSINESS TRANSACTION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>EDWARD A CHOW MD</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>EXE. DIRECTOR</Relationship>
        <DescriptionOfTransaction>NO BUSINESS TRANSACTION.</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="11000144" softwareVersion="2011v1.2">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>NO DOCUMENTS AVAILABLE TO THE PUBLIC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>THE ASSOCIATION ADOPTED THE WRITTEN CONFLICT OF INTEREST POLICY ON JULY 12, 2009, AND REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH THE POLICY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>FOR ELECTRONIC SUBMISSION, ACCOUNTING MANAGER REVIEWS THE DRAFT FORM 990 AND SUBMITS THE FORM TO THE DIRECTOR OF OPERATIONS AND THE EXECUTIVE DIRECTOR FOR APPROVAL. THE EXECUTIVE DIRECTOR SIGNS APPROVAL ON THE E-FILE SIGNATURE AUTHORIZATION FORM 8879-EO BEFORE SUBMITTING FORM 990 ELECTRONICALLY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 7b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders</ReturnReference>
        <Explanation>STATUTORY MEMBERS HAVE THE RIGHT TO APPROVE OR VETO ANY DISSOLUTION OF THE ASSOCIATION, OR ANY SALE, LEASE, EXCHANGE TRANSFER OR OTHER DISPOSITION OF SUBSTANTIALLY ALL OF THE ASSOCIATION'S ASSETS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 7a</Identifier>
        <ReturnReference>Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body</ReturnReference>
        <Explanation>PARTICIPATING MEMBERS ELECT 10 TRUSTEES, STATUTORY MEMBERS ELECT ONE TRUSTEE, AND CHINESE COMMUNITY HEALTH PLAN SELECTS ONE TRUSTEE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 6</Identifier>
        <ReturnReference>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</ReturnReference>
        <Explanation>THERE ARE THREE CLASSES OF MEMBERSHIP IN THE ASSOCIATION: STATUTORY MEMBERS, PARTICIPATING MEMBERS AND ASSOCIATE MEMBERS.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>