SAN ANTONIO REGIONAL HOSPITAL: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: SAN ANTONIO REGIONAL HOSPITAL (EIN 95-1183919)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-14
IRS object ID: 202403199349315590
Schema version: 2023v5.1
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 H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-14T17:00:12+00:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	18101 VON KARMAN AVENUE	AddressLine1Txt
City	IRVINE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92612	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	951183919	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SAN ANTONIO REGIONAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SANA	BusinessNameControlTxt
Phone	9099852811	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	999 SAN BERNARDINO ROAD	AddressLine1Txt
City	UPLAND	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	917864920	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	WAH-CHUNG HSU	PersonNm
Person Title	VICE PRESIDENT/CFO	PersonTitleTxt
Signature	2024-11-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kara Adams	PreparerPersonNm
PTIN	P00023315	PTIN
Phone	9497942300	PhoneNum
Preparation	2024-11-13	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	999 SAN BERNARDINO ROAD	AddressLine1Txt
City	UPLAND	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	917864920	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$481,079,302	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	SARH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1920	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	OUR MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	2858	TotalEmployeeCnt
Total Volunteers	305	TotalVolunteersCnt
Total Gross UBI	$4,435,695	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$209,468	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,331,863	PYContributionsGrantsAmt
CY Contributions Grants	$319,434	CYContributionsGrantsAmt
PY Program Service Revenue	$451,232,220	PYProgramServiceRevenueAmt
CY Program Service Revenue	$437,106,440	CYProgramServiceRevenueAmt
PY Investment Income	$1,933,659	PYInvestmentIncomeAmt
CY Investment Income	$8,568,139	CYInvestmentIncomeAmt
PY Other Revenue	$11,591,494	PYOtherRevenueAmt
CY Other Revenue	$13,768,969	CYOtherRevenueAmt
PY Total Revenue	$467,089,236	PYTotalRevenueAmt
CY Total Revenue	$459,762,982	CYTotalRevenueAmt
PY Grants And Similar Paid	$340,430	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$95,618	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$218,129,268	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$227,494,788	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$217,215,005	PYOtherExpensesAmt
CY Other Expenses	$213,960,824	CYOtherExpensesAmt
PY Total Expenses	$435,684,703	PYTotalExpensesAmt
CY Total Expenses	$441,551,230	CYTotalExpensesAmt
PY Revenues Less Expenses	$31,404,533	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$18,211,752	CYRevenuesLessExpensesAmt
Total Assets BOY	$744,326,867	TotalAssetsBOYAmt
Total Assets EOY	$785,690,411	TotalAssetsEOYAmt
Total Liabilities BOY	$262,623,661	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$274,683,003	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$481,703,206	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$511,007,408	NetAssetsOrFundBalancesEOYAmt
Mission	OUR MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE WE SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$401,488,970	ExpenseAmt
Grant	$95,618	GrantAmt
Revenue	$446,467,862	RevenueAmt
Desc	See Schedule O.	Desc
Total Program Service Expenses	$401,488,970	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	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	false	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 With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	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	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	356	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2858	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	false	QuidProQuoContributionsInd
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
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	11	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	Yes (true)	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	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WAH-CHUNG HSU	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9099852811	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	999 SAN BERNARDINO ROAD	AddressLine1Txt
City	UPLAND	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	91786	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 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
Dora Barilla
Trustee/Secretary	4.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
John Chapman
President & CEO	40.0	3.0	Yes (X)	Yes (X)	$1,016,418	$0	$111,379
Sohan Bassi MD
Trustee/Vice Chairman	4.0	1.0	Yes (X)	Yes (X)	$15,500	$0	$0
Victor Ching MD
Trustee/Treasurer	4.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Wes Fifield
Trustee/Chairman	4.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
Al Arguello
Trustee	4.0	0.0	Yes (X)		$0	$0	$0
Ali Heidari DO
Trustee	4.0	0.0	Yes (X)		$0	$0	$0
Deborah Freund
Trustee	4.0	0.0	Yes (X)		$0	$0	$0
Dennis Trigueros MD
Trustee/Medical Staff President	4.0	0.0	Yes (X)		$0	$0	$0
Mary Lopez
Trustee	4.0	0.0	Yes (X)		$0	$0	$0
Robert Mendez
Trustee	4.0	0.0	Yes (X)		$0	$0	$0
Steven Barag DO
Trustee	4.0	0.0	Yes (X)		$0	$0	$0
Susan Leonis-Jensen
Trustee	4.0	0.0	Yes (X)		$0	$0	$0
Wah-chung Hsu
Vice President & CFO	40.0	5.0		Yes (X)	$641,091	$0	$129,862
Gurjeet Dhillon
Chief Operating Officer	40.0	0.0			$394,374	$0	$3,525	Yes (X)
Leanne Logan
Vice President & Chief Nursing Officer	40.0	0.0			$301,632	$0	-$43,188	Yes (X)
Sandra Wier
Chief Human Resources Officer	40.0	0.0			$432,689	$0	$23,367	Yes (X)
Dennis Ancheta
Director Pharmacy	40.0	0.0			$243,375	$0	$22,936		Yes (X)
Heather Raymond
VP Business Development & Community Outreach	40.0	0.0			$261,909	$0	$67,126		Yes (X)
Kamal Pandya
VP Chief Information Officer	40.0	0.0			$463,566	$0	-$30,059		Yes (X)
Ronald Nowosad
Director Program Development	40.0	0.0			$253,402	$0	$25,046		Yes (X)
Saurabh Ashier
Manager Cardiovascular Services	40.0	0.0			$268,763	$0	$13,927		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,292,719	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$323,921	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	714	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	Address Line2ContractorAddress/USAddress/AddressLine2Txt
SHIFTWISE INC
1800 SW 1ST AVE SUITE 510	PORTLAND	OR	97201	NURSING REGISTRY	$12,368,509
DVA Renal Healthcare
PO BOX 781607	PHILADELPHIA	PA	191781607	DIALYSIS SERVICES	$3,657,910
ALLIED ANESTHESIA MEDICAL GROUP INC
400 N TUSTIN AVE	SANTA ANA	CA	92705	MEDICAL SERVICES	$2,028,800
Synergy CT Surgery Partnership
901 San Bernardino Road	Upland	CA	91786	Medical Services	$1,647,396	Suite 102
Morgan Lewis & Brockius LLP
1701 Market Street	Philadelphia	PA	191032921	Legal Services	$1,354,447

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	97	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$319,434	RelatedOrganizationsAmt
Government Grants	$0	GovernmentGrantsAmt
All Other Contributions	$0	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$319,434	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SERVICE REVENUE	622110	$376,163,892	$376,163,892
PROVIDER FEE REVENUE	622110	$55,992,060	$55,992,060	$0	$0
RENTAL INCOME - MOB	531120	$4,259,079	$4,259,079	$0	$0
CAPITATION REVENUE	622110	$595,041	$595,041	$0	$0
OUTSIDE LAB REVENUE	621500	$96,368	$0	$96,368	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$437,106,440	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,929,224	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$8,929,224	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Gross Rents GrossRentsGrp

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

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$20,716,605	SecuritiesAmt
Other	$52,485	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$21,045,271	SecuritiesAmt
Other	$84,904	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$328,666	SecuritiesAmt
Other	-$32,419	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$361,085	TotalRevenueColumnAmt
Exclusion	-$361,085	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$0	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

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

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$254,365	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$186,145	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$68,220	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$68,220	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
OTHER REVENUE	622110	$5,315,398	$5,315,398	$0	$0
PHARMACY AT CASA COLINA	446110	$4,174,862	$0	$4,174,862	$0
INSURANCE INCENTIVE PAYMENT	622110	$2,299,850	$2,299,850	$0	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,910,639	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,746,174	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$164,465	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$13,700,749	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$459,762,982	TotalRevenueColumnAmt
Related Or Exempt Func Income	$446,371,494	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$4,435,695	UnrelatedBusinessRevenueAmt
Exclusion	$8,636,359	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$95,618	TotalAmt
Program Services	$95,618	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,026,649	TotalAmt
Program Services	$765,359	ProgramServicesAmt
Management And General	$2,261,290	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$185,930,358	TotalAmt
Program Services	$165,951,254	ProgramServicesAmt
Management And General	$19,979,104	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,911,226	TotalAmt
Program Services	$3,490,946	ProgramServicesAmt
Management And General	$420,280	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$21,426,338	TotalAmt
Program Services	$19,123,976	ProgramServicesAmt
Management And General	$2,302,362	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$13,200,217	TotalAmt
Program Services	$11,781,791	ProgramServicesAmt
Management And General	$1,418,426	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,378,548	TotalAmt
Management And General	$1,378,548	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$386,160	TotalAmt
Management And General	$386,160	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$64,608	TotalAmt
Management And General	$64,608	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$501,952	TotalAmt
Management And General	$501,952	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$39,680,262	TotalAmt
Program Services	$39,680,262	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$803,966	TotalAmt
Management And General	$803,966	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,066,551	TotalAmt
Program Services	$6,386,063	ProgramServicesAmt
Management And General	$680,488	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$11,076,920	TotalAmt
Program Services	$9,886,652	ProgramServicesAmt
Management And General	$1,190,268	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$20,627,306	TotalAmt
Program Services	$18,640,958	ProgramServicesAmt
Management And General	$1,986,348	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$46,177	TotalAmt
Program Services	$41,215	ProgramServicesAmt
Management And General	$4,962	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,058,204	TotalAmt
Program Services	$5,058,204	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$20,001,461	TotalAmt
Program Services	$18,075,380	ProgramServicesAmt
Management And General	$1,926,081	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,538,765	TotalAmt
Management And General	$4,538,765	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$56,763,493	$56,763,493	$0	$0
PROVIDER FEE	$25,492,295	$25,492,295	$0	$0
DRUGS	$17,407,978	$17,407,978	$0	$0
Other	$2,034,834	$1,816,182	$218,652	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,031,344	TotalAmt
Program Services	$1,031,344	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$441,551,230	TotalAmt
Program Services	$401,488,970	ProgramServicesAmt
Management And General	$40,062,260	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$57,062	BOYAmt
EOY	$77,330	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$13,047,456	BOYAmt
EOY	$8,684,707	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	$64,869,549	BOYAmt
EOY	$62,951,716	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,450,773	BOYAmt
EOY	$6,700,409	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$12,637,052	BOYAmt
EOY	$10,659,160	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$501,978,153	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$205,711,498	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$268,459,879	BOYAmt
EOY	$296,266,655	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$254,366,226	BOYAmt
EOY	$244,823,403	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$6,105,362	BOYAmt
EOY	$6,310,662	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$118,333,508	BOYAmt
EOY	$149,216,369	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$744,326,867	BOYAmt
EOY	$785,690,411	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$89,936,769	BOYAmt
EOY	$102,228,543	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	$138,615,419	BOYAmt
EOY	$135,028,673	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	$34,071,473	BOYAmt
EOY	$37,425,787	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$262,623,661	BOYAmt
EOY	$274,683,003	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$471,129,648	BOYAmt
EOY	$500,741,665	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,573,558	BOYAmt
EOY	$10,265,743	EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$481,703,206	BOYAmt
EOY	$511,007,408	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$744,326,867	BOYAmt
EOY	$785,690,411	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$18,211,752	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$5,787,892	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$5,304,558	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	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

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)
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	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$64,608	OtherActivitiesAmt
Total Lobbying Expenditures	$64,608	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	SARH IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA, WHICH CONDUCT LOBBYING ACTIVITIES IN SUPPORT OF MEMBER HOSPITALS AND GENERAL HEALTHCARE ISSUES. BOTH ASSOCIATIONS PROVIDE THE PERCENTAGE OF DUES THAT RELATE TO LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,193,941	BeginningYearBalanceAmt
Contributions	$18,575	ContributionsAmt
Investment Earnings Or Losses	$1,437,847	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$1,362,452	OtherExpendituresAmt
Administrative Expenses	$75,395	AdministrativeExpensesAmt
End Year Balance	$5,212,516	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,945,691	BeginningYearBalanceAmt
Contributions	$253,250	ContributionsAmt
Investment Earnings Or Losses	$410,648	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$385,936	OtherExpendituresAmt
Administrative Expenses	$29,712	AdministrativeExpensesAmt
End Year Balance	$5,193,941	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,945,691	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$634,274	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$605,765	OtherExpendituresAmt
Administrative Expenses	$28,509	AdministrativeExpensesAmt
End Year Balance	$4,945,691	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,898,286	BeginningYearBalanceAmt
Contributions	$25,000	ContributionsAmt
Investment Earnings Or Losses	$388,504	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$339,657	OtherExpendituresAmt
Administrative Expenses	$26,442	AdministrativeExpensesAmt
End Year Balance	$4,945,691	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,095,691	BeginningYearBalanceAmt
Contributions	$825,000	ContributionsAmt
Investment Earnings Or Losses	$169,882	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$177,910	OtherExpendituresAmt
Administrative Expenses	$14,377	AdministrativeExpensesAmt
End Year Balance	$4,898,286	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$18,587,749	OtherCostOrOtherBasisAmt
Book Value	$18,587,749	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$308,675,103	OtherCostOrOtherBasisAmt
Depreciation	$89,167,068	DepreciationAmt
Book Value	$219,508,035	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$9,600,798	OtherCostOrOtherBasisAmt
Depreciation	$6,449,491	DepreciationAmt
Book Value	$3,151,307	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$138,910,125	OtherCostOrOtherBasisAmt
Depreciation	$110,094,939	DepreciationAmt
Book Value	$28,815,186	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$26,204,378	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$26,204,378	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$296,266,655	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDesc	Book ValueBookValueAmt
RECEIVABLE - PROVIDER FEE PROG	$73,365,803
BENEFICIAL INTEREST IN SAHF	$53,643,001
MALPRACTICE CLAIMS RECEIVABLE	$7,372,500
DUE FROM RELATED ENTITIES	$4,126,518
CAPITAL LEASE	$8,828,841
DEFERRED REVENUE	$1,676,346
PHYSICIAN GUARANTEE ASSET	$103,360
PURCHASE OPTION	$100,000
Other	$0

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$149,216,369	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
PENSION PLAN LIABILITY FAS158	$16,344,496
INSURANCE CLAIMS	$13,805,797
RIGHT OF USE LIABILITY	$6,900,217
PHYSICIAN GUARANTEE LIABILITY	$375,277

Field	Value	IRS element (for citing)
Total Liability	$37,425,787	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule D, Part V, Line 4 Intended uses of endowment funds

PROCEEDS FROM THE ENDOWMENT FUNDS ARE RESTRICTED FOR THE PURCHASE OF PROPERTY AND EQUIPMENT FOR THE BENEFIT OF SAN ANTONIO REGIONAL HOSPITAL.

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

THE PRINCIPAL OPERATIONS OF THE HOSPITAL ARE EXEMPT FROM TAXATION PURSUANT TO INTERNAL REVENUE CODE SECTION 501(C)(3) AND THE PROVISIONS OF THE STATE IN WHICH THE HOSPITAL OPERATES. ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. ASC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE, AND TRANSITION. THE GUIDANCE IS APPLICABLE TO PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. NO SIGNIFICANT TAX EXPENSE OR LIABILITY FOR TAX BENEFITS, INTEREST, OR PENALTIES WAS ACCRUED AT OR FOR THE YEARS ENDED DECEMBER 31, 2023 OR 2022. THE HOSPITAL CURRENTLY FILES FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, AND FORM 990-T, EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN, IN THE U.S. FEDERAL JURISDICTION AND THE STATE OF CALIFORNIA FOR EACH TAX-EXEMPT ORGANIZATION, AS APPROPRIATE. THE STATUTE OF LIMITATIONS FOR THE YEARS 2020 THROUGH 2022 REMAINS OPEN TO EXAMINATION BY THE MAJOR U.S. TAXING JURISDICTIONS TO WHICH THE HOSPITAL IS SUBJECT.

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	300	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
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	$1,419,013	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,419,013	NetCommunityBenefitExpnsAmt
Total Expense	0.0032	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$121,134,521	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$107,019,204	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,115,317	NetCommunityBenefitExpnsAmt
Total Expense	0.0320	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$122,553,534	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$107,019,204	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,534,330	NetCommunityBenefitExpnsAmt
Total Expense	0.0352	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	21	ActivitiesOrProgramsCnt
Persons Served	8905	PersonsServedCnt
Total Community Benefit Expns	$1,155,608	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$64,633	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,090,975	NetCommunityBenefitExpnsAmt
Total Expense	0.0025	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$125,822	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$125,822	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$218,937	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$218,937	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	14091	PersonsServedCnt
Total Community Benefit Expns	$133,124	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,506	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$95,618	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	25	ActivitiesOrProgramsCnt
Persons Served	22996	PersonsServedCnt
Total Community Benefit Expns	$1,633,491	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$102,139	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,531,352	NetCommunityBenefitExpnsAmt
Total Expense	0.0035	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	25	ActivitiesOrProgramsCnt
Persons Served	22996	PersonsServedCnt
Total Community Benefit Expns	$124,187,025	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$107,121,343	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,065,682	NetCommunityBenefitExpnsAmt
Total Expense	0.0386	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	1900	PersonsServedCnt
Total Community Benefit Expns	$66,132	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$66,132	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	1900	PersonsServedCnt
Total Community Benefit Expns	$66,132	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$66,132	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Reimbursed By Medicare	$64,320,556	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$64,332,845	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$12,289	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	SA AMBULATORY SURG	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	OUTPATIENT SURGICAL CENTER	PrimaryActivitiesTxt
Org Profit Or Ownership	0.284	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.0	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.716	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
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	SAN ANTONIO REGIONAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	999 SAN BERNARDINO ROAD	AddressLine1Txt
City	UPLAND	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	91786	ZIPCd

Field	Value	IRS element (for citing)
Website Address	SARH.ORG	WebsiteAddressTxt
State License	240000196	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	SAN ANTONIO REGIONAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	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	WWW.SARH.ORG/ABOUT-US/COMMUNITY-CONNECTION/COMMUNITY-BENEFIT/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	23	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.SARH.ORG	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.sarh.org/patients-and-visitors/billing/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.sarh.org/patients-and-visitors/billing/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.sarh.org/patients-and-visitors/billing/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	false	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY, IDENTIFIED AND PRIORITIZED THROUGH THE CHNA INCLUDE: MATERNAL AND CHILD HEALTH - KEY INFORMANTS REVEALED HIGH INFANT DEATH RATE, HIGH RATES OF PRE-TERM BIRTHS, HIGH TOBACCO USE DURING PREGNANCY. EARLY PRENATAL CARE IS BELOW BENCHMARK, PARTICULARLY IN POPULATIONS IDENTIFYING AS BLACK/AFRICAN AMERICAN. OVER THE NEXT THREE YEARS, THE HOSPITAL AIMS TO INCREASE SUPPORT TO PARENTS AND CAREGIVERS, SOCIALLY AND EMOTIONALLY, WITH FAMILY-FOCUSED ACTIVITIES, EDUCATION AND SERVICES. MENTAL AND BEHAVIORAL HEALTH - THE CHNA REVEALED THAT COMMUNITY MEMBERS STRUGGLE TO IDENTIFY AND ACCESS PREVENTATIVE CARE AND MENTAL HEALTH SERVICES. IN ORDER TO ADDRESS THIS NEED, SAN ANTONIO WILL STRIVE TO INCREASE ACCESS TO PREVENTATIVE CARE, AS WELL AS INCREASE AWARENESS OF MENTAL HEALTH CARE RESOURCES, SERVICES AND EDUCATION. CARDIOVASCULAR DISEASE & DIABETES - PRIMARY DATA COLLECTION REVEALED THAT COMMUNITY MEMBERS FEEL HEALTH MANAGEMENT IS THE MOST PRESSING ISSUE, AS IT ENABLES ONE TO STAY HEALTHY AND INCREASE LONGEVITY. CHRONIC ILLNESSES ASSOCIATED WITH CARDIOVASCULAR DISEASE AND DIABETES CONTINUE TO BE AN INCREASING HEALTH RISK ACROSS THE NATION AND IN OUR COMMUNITY, FOR BOTH ADULTS AND CHILDREN. SAN ANTONIO WILL REDUCE THE IMPACT OF CARDIOVASCULAR DISEASE AND DIABETES, WHILE INCREASING THE FOCUS ON THEIR PREVENTION AND TREATMENT EDUCATION.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - San Antonio Regional Hospital. THE HOSPITAL CONDUCTED ITS COMMUNITY HEALTH NEEDS ASSESSMENT IN 2022 FOR THE CALENDAR YEARS OF 2023, 2024, AND 2025. THE 2022 INLAND EMPIRE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS THE WORK OF A DIVERSE GROUP OF STAKEHOLDERS THAT SET OUT TO IDENTIFY THE TOP HEALTH AND WELL-BEING NEED OF INLAND EMPIRE RESIDENTS. TO ENSURE BROAD COMMUNITY INPUT, SAN ANTONIO REGIONAL HOSPITAL COLLABORATED WITH THESE STAKEHOLDERS TO IDENTIFY THE TOP HEALTH AND WELL-BEING NEEDS OF INLAND EMPIRE RESIDENTS. KEY STAKEHOLDERS INCLUDED REPRESENTATION NOT ONLY FROM THE HOSPITAL, PUBLIC HEALTH AND THE BROAD COMMUNITY, BUT FROM LOW-INCOME, MINORITY AND OTHER UNDERSERVED POPULATIONS. THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDES BURDEN OF DISEASE DATA, VITAL CONDITIONS DATA AND HOSPITAL UTILIZATION DATA, ALONG WITH INFORMATION GATHERED THROUGH KEY INFORMANT INTERVIEWS AND FACILITATED LISTENING SESSIONS WITH COMMUNITY RESIDENTS. TO AID SAN ANTONIO REGIONAL HOSPITAL IN UNDERSTANDING THE DATA COLLECTED, AN ONLINE PLATFORM, CALLED IP3 \| ASSESS, WAS LAUNCHED TO SUPPORT AND ENGAGE HOSPITAL STAFF AND COMMUNITY MEMBERS TOWARDS COLLECTIVE ACTION. SAN ANTONIO REGIONAL HOSPITAL COLLABORATED WITH THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA, INLAND EMPIRE HEALTH PLAN, SAN BERNARDINO COUNTY DEPARTMENT OF PUBLIC HEALTH AND RIVERSIDE COUNTY DEPARTMENT OF PUBLIC HEALTH TO PLAN AND EXECUTE THE 2022 INLAND EMPIRE REGIONAL CHNA. TOGETHER ALONGSIDE THREE OTHER HOSPITALS (MONTCLAIR HOSPITAL MEDICAL CENTER, REDLANDS COMMUNITY HOSPITAL, AND SAN GORGONIO MEMORIAL HOSPITAL), SAN ANTONIO REGIONAL HOSPITAL CONTINUED TO SHARE RESOURCES, COLLABORATE FOR COLLECTIVE IMPACT, AND BUILD UPON THE EXISTING BODY OF WORK THROUGH EXPANDED DATA COLLECTION FROM IMPORTANT VOICES IN OUR COMMUNITY. PRIMARY AND SECONDARY DATA SOURCES WERE INCLUDED IN THE CHNA. PRIMARY DATA WAS COLLECTED FOR THE INLAND EMPIRE REGIONAL CHNA FROM TWO SOURCES: KEY INFORMANT INTERVIEWS AND COMMUNITY LISTENING SESSIONS. HOSPITAL SECONDARY DATA IN THIS NEEDS ASSESSMENT FOCUS ON HOSPITAL INPATIENT AND EMERGENCY DEPARTMENT (ED) UTILIZATION DATA, THE TOP CAUSES OF DEATH, MORBIDITIES (HEALTH CONDITIONS), CHRONIC CONDITIONS AND THE SOCIAL DETERMINANTS AFFECTING HOSPITAL USE. THE MAIN OBJECTIVE IN ENGAGING THE COMMUNITY WAS TO UNDERSTAND THE GREATEST AREAS OF NEED AND TO DISCOVER STRATEGIES IN WHICH PARTICIPATING HOSPITALS COULD COLLABORATE TO BETTER SERVE COMMUNITIES AND ELEVATE THE HEALTH STATUS OF OUR REGION. PRIMARY DATA - THE CHNA STAKEHOLDERS IDENTIFIED NINE KEY INFORMANTS WHO WERE INTERVIEWED INDIVIDUALLY IN PERSON OR BY TELEPHONE IN MARCH, APRIL AND MAY 2022. THE INFORMANTS REPRESENTED COMMUNITY, CIVIC AND GOVERNMENT LEADERS IN THE INLAND EMPIRE. QUESTIONS FOCUSED ON KEY HEALTH NEEDS, SOCIAL FACTORS AND COMMUNITY CONDITIONS THAT AFFECT HEALTH AS WELL AS COMMUNITY ASSETS THAT COULD BE USED TO ADDRESS THESE ISSUES. KEY THEMES THAT EMERGED FROM THESE INTERVIEWS INCLUDED MENTAL HEALTH, SUBSTANCE USE DISORDER, EDUCATION, FINANCIAL STRAIN, AS WELL AS UNEMPLOYMENT AND LACK OF APPROPRIATE JOB SKILLS TRAINING. LISTENING SESSIONS - A TOTAL OF EIGHT LISTENING SESSIONS WERE CONDUCTED AT MULTIPLE LOCATIONS, IN ENGLISH AND SPANISH, THROUGHOUT THE INLAND EMPIRE TO GAIN INSIGHTS FROM DIVERSE COMMUNITIES ON REGIONAL HEALTH PRIORITIES. EFFORTS WERE TAKEN TO INCLUDE PARTICIPANTS IDENTIFYING WITH POPULATIONS WHOSE VOICES CHNA STAKEHOLDERS WANTED TO ELEVATE IN THE PRIORITIZATION OF REGIONAL HEALTH ISSUES: IMMIGRANTS, YOUTH, WORKING-CLASS COMMUNITY MEMBERS AND INDIVIDUALS WHO IDENTIFIED AS BIPOC (BLACK, INDIGENOUS AND PEOPLE OF COLOR). EFFORTS TO RECRUIT PARTICIPANTS INCLUDED PHONE CALLS, EMAILS, SOCIAL MEDIA POSTS AND DIRECT OUTREACH IN COMMUNITY LOCATIONS. THE MOST COMMON HEALTH THEMES THAT EMERGED IN THE LISTENING SESSIONS WERE MENTAL HEALTH (DEPRESSION, ANXIETY, AND SUBSTANCE USE), CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), DIABETES, HYPERTENSION, HEART DISEASE, CANCER, AND OBESITY. ENVIRONMENTAL AND OTHER COMMUNITY THEMES WERE ALSO DISCUSSED. THE MOST COMMON THEMES OF THIS CATEGORY INCLUDED AIR QUALITY, AFFORDABLE HOUSING, MORE GREEN SPACES, CRIME AND VIOLENCE, AS WELL AS LACK OF COMMUNITY ACTIVITIES AND CELEBRATIONS. SECONDARY DATA - HOSPITAL SECONDARY DATA IN THIS NEEDS ASSESSMENT FOCUS ON HOSPITAL INPATIENT AND EMERGENCY DEPARTMENT (ED) UTILIZATION DATA, THE TOP CAUSES OF DEATH, MORBIDITIES (HEALTH CONDITIONS), CHRONIC CONDITIONS AND THE SOCIAL DETERMINANTS AFFECTING HOSPITAL USE. THE 2016-2020 HOSPITAL DATA WERE DERIVED FROM CALIFORNIA'S DEPARTMENT OF HEALTH CARE ACCESS AND INFORMATION (HCAI) AND INTEGRATED WITH DATA FROM THE FEDERAL AGENCY FOR HEALTHCARE RESEARCH AND QUALITY (AHRQ), CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS), THE AMERICAN MEDICAL ASSOCIATION (AMA) AND THE U.S. CENSUS BUREAU. THE HOSPITAL DATA WERE STRATIFIED BY THE INLAND EMPIRE AS A WHOLE AND BY SAN BERNARDINO AND RIVERSIDE COUNTIES. IN ADDITION, DATA SPECIFIC TO EACH HOSPITAL'S SERVICE AREA. THE CALIFORNIA HOSPITAL DATA FOR INPATIENT ADMISSIONS - FLAGGED FOR PREVENTION QUALITY INDICATORS (PQIS) AND "Z" TYPE DIAGNOSIS ARE IMPORTANT BECAUSE THEY HIGHLIGHT THE MOST COMMON CHRONIC CONDITIONS AND SOCIAL DRIVERS OF HEALTH IN THE DESIGNATED REGIONS. ADDITIONAL SECONDARY DATA FOR THIS ASSESSMENT WERE DERIVED FROM THE IP3 ASSESS PLATFORM DEVELOPED BY THE INSTITUTE FOR PEOPLE, PLACE, AND POSSIBILITY (IP3). IP3 ASSESS USES TWO FRAMEWORKS: BURDEN OF DISEASE AND VITAL CONDITIONS FOR WELL-BEING. THE DOMAINS IN THE BURDEN OF DISEASE FRAMEWORK CONSIST OF COMMON HEALTH CONDITIONS, AND THE DOMAINS IN THE VITAL CONDITIONS FRAMEWORK COMPRISE SEVEN COMMUNITY CONDITIONS THAT AFFECT HEALTH AND WELL-BEING. THE IP3 ASSESS DATA WERE REVIEWED SYSTEMATICALLY BY REGIONAL CHNA STAKEHOLDERS IN PRIORITIZING KEY HEALTH AND ENVIRONMENTAL ISSUES TO SUPPORT HEALTH IN THE INLAND EMPIRE. FOLLOWING THE COMPLETION OF THE REGIONAL CHNA, SAN ANTONIO FINALIZED ITS 2022 CHNA AND EMBARKED ON A METHODICAL PRIORITIZATION PROCESS TO IDENTIFY THE MOST SIGNIFICANT HEALTH NEEDS TO BE ADDRESSED OVER NEXT THREE YEARS. THE RESULTS WERE SIMILAR TO THE REGIONAL PRIORITIZATION, WITH THE FOLLOWING AREAS OF NEED IDENTIFIED: MENTAL AND BEHAVIORAL HEALTH, INFANT AND MATERNAL HEALTH, AS WELL AS CARDIOVASCULAR DISEASE AND DIABETES.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - San Antonio Regional Hospital. OTHER HOSPITALS INCLUDED IN THE DEVELOPMENT OF THE HOSPITAL'S CHNA WERE MONTCLAIR HOSPITAL MEDICAL CENTER, REDLANDS COMMUNITY HOSPITAL, AND SAN GORGONIO MEMORIAL HOSPITAL.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - San Antonio Regional Hospital. OTHER ORGANIZATIONS INCLUDED IN THE DEVELOPMENT OF THE HOSPITAL'S CHNA WERE THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA, INLAND EMPIRE HEALTH PLAN, THE PUBLIC HEALTH DEPARTMENT OF SAN BERNARDINO COUNTY AND THE PUBLIC HEALTH DEPARTMENT OF RIVERSIDE COUNTY.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - San Antonio Regional Hospital. COMMUNITY HEALTH NEEDS ARE COMPLEX, OFTEN DIFFICULT TO DEFINE, AND MAY AFFECT DIVERSE POPULATIONS. EQUALLY CHALLENGING IS THE TASK OF CREATING INTERVENTIONS TO ADDRESS THESE NEEDS IN MEANINGFUL WAYS THAT ARE IMPACTFUL AND MEASURABLE. WITH THE COMPLETION OF THE CHNA AND THE PRIORITIZATION PROCESS, THE NEXT STEP WAS TO DEVELOP AND/OR EXPAND COMMUNITY BENEFIT PROGRAMS DESIGNED TO IMPROVE COMMUNITY HEALTH STATUS. THE RESULTS OF THE CHNA GUIDED THE CREATION OF SAN ANTONIO'S COMMUNITY BENEFIT IMPLEMENTATION STRATEGY BY PROVIDING THE FRAMEWORK FOR DETERMINING HOW WE CAN IMPROVE THE HEALTH OF OUR COMMUNITY, AND PARTICULARLY, THE MOST VULNERABLE AMONG US. DURING THE STRATEGIC PLANNING PROCESS, THE COMMUNITY BENEFIT TEAM DEVELOPED INITIATIVES WITHIN EACH OF THE IDENTIFIED PRIORITY AREAS WITH DEFINED GOALS, OBJECTIVES, AND EVALUATION METRICS. EACH INITIATIVE IN SAN ANTONIO REGIONAL HOSPITAL'S IMPLEMENTATION STRATEGY RELATES TO ONE OR MORE OF THE THREE AREAS OF NEED IDENTIFIED IN THE 2022 CHNA AND IS CENTRALLY FOCUSED ON IMPROVING ACCESS TO PRIMARY CARE OR IMPROVING ACCESS TO PREVENTATIVE CARE. MATERNAL AND CHILD HEALTH - IN ORDER TO INCREASE EMOTIONALLY SUPPORT PARENTS AND CAREGIVERS, SARH AIMS TO PROVIDE FAMILY-FOCUSED ACTIVITIES, EDUCATION AND SERVICES. STRATEGIES TO ACCOMPLISH THIS GOAL INCLUDE INCREASING AWARENESS OF THE HOSPITAL'S CONTRACTED LABORIST PROGRAM, PROMOTE THE UPCOMING WOMEN'S HEALTH & BIRTHING CENTER, AND DEVELOP PARTNERSHIPS WITH LOCAL GOVERNMENT AND COMMUNITY-BASED ORGANIZATIONS. ADDITIONALLY, SARH HAS SET OUT TO EXPAND EDUCATIONAL AWARENESS OPPORTUNITIES WITH THE HEALTHY BEGINNINGS PROGRAM - ONE OF THE HOSPITAL'S LONGSTANDING MATERNAL AND INFANT HEALTH INITIATIVES. MENTAL AND BEHAVIORAL HEALTH - SARH AIMS TO INCREASE ACCESS TO PREVENTATIVE CARE AS WELL AS INCREASE AWARENESS OF MENTAL HEALTH CARE RESOURCES, SERVICES AND EDUCATION. STRATEGIES TO ADDRESS THIS NEED INCLUDE PARTICIPATING IN A REGIONAL COLLABORATIVE ON BEHAVIORAL HEALTH THROUGH THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA, DEVELOPING A TELEPSYCH PROGRAM FOR PATIENTS IN THE EMERGENCY DEPARTMENT, AND CREATING RELATIONSHIPS WITH ACUTE BEHAVIORAL HEALTH PROVIDERS. CARDIOVASCULAR DISEASE & DIABETES - SAN ANTONIO WILL REDUCE THE IMPACT OF CARDIOVASCULAR DISEASE AND DIABETES AND INCREASE THE FOCUS ON CARDIOVASCULAR DISEASE AND DIABETES PREVENTION AND TREATMENT EDUCATION. SARH HAS CREATED A NEW CARDIAC OBSERVATION UNIT AND AIMS TO INCREASE AWARENESS OF THIS NEW UNIT ALONG WITH OTHER HOSPITAL SERVICES INCLUDING THE HEART INSTITUTE, DIABETES EDUCATION PROGRAM, COMMUNITY CARDIOVASCULAR WORKSHOP SERIES, AND THE ELECTROPHYSIOLOGY PROGRAM. ADDITIONALLY, THE HOSPITAL IS EXPLORING HOW TO EXPAND THE COMMUNITY HEALTH IMPROVEMENT PROGRAM WHICH SUPPORTS PATIENTS WITH COMPLEX, CHRONIC HEALTH CONDITIONS, AS WELL AS INCREASING EDUCATION AND SCREENING PROGRAMS AVAILABLE TO THE COMMUNITY. TAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, SAN ANTONIO REGIONAL HOSPITAL WILL NOT DIRECTLY ADDRESS THE REMAINING HEALTH NEEDS IDENTIFIED IN THE CHNA INCLUDING: BASIC NEEDS FOR HEATLH AND SAFETY, HUMANE HOUSING, AND MEANINGFUL WORK AND WEALTH. THE HOSPITAL CANNOT ADDRESS ALL THE HEALTH NEEDS PRESENT IN THE COMMUNITY; THEREFORE, IT WILL CONCENTRATE ON THOSE HEALTH NEEDS THAT CAN MOST EFFECTIVELY BE ADDRESSED GIVEN THE ORGANIZATION'S AREAS OF FOCUS AND EXPERTISE. SAN ANTONIO REGIONAL HOSPITAL WILL LOOK FOR PARTNERSHIP OPPORTUNITIES THAT ADDRESS NEEDS NOT SELECTED WHERE IT CAN APPROPRIATELY CONTRIBUTE TO ADDRESSING THOSE NEEDS, OR WHERE THOSE NEEDS ALIGN WITH CURRENT STRATEGIES AND PRIORITIES.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - SAN ANTONIO REGIONAL HOSPITAL. SARH UNDERSTANDS THAT CERTAIN PATIENTS MAY BE NON-RESPONSIVE TO THE FINANCIAL ASSISTANCE APPLICATION PROCESS. UNDER THESE CIRCUMSTANCES, SARH MAY UTILIZE OTHER SOURCES OF INFORMATION TO MAKE AN INDIVIDUAL ASSESSMENT OF FINANCIAL NEED. THE INFORMATION WILL ENABLE SARH TO MAKE AN INFORMED DECISION ON THE FINANCIAL NEED OF NON-RESPONSIVE PATIENTS UTILIZING THE BEST ESTIMATES AVAILABLE IN THE ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT. SARH MAY UTILIZE A STATE APPROVED THIRD-PARTY TO CONDUCT AN ELECTRONIC REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY RECOGNIZED MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THIS PREDICTIVE MODEL IS DESIGNED TO ASSESS EACH PATIENT TO THE SAME STANDARDS AND THE TRADITIONAL APPLICATION PROCESS. THE ELECTRONIC TECHNOLOGY WILL BE DEPLOYED PRIOR TO BAD DEBT ASSIGNMENT AFTER IN-HOUSE COLLECTION EFFORTS AND ALL OTHER ELIGIBILITY AND PAYMENT SOURCES HAVE BEEN EXHAUSTED. THIS PROCESS ALLOWS SARH TO SCREEN ALL PATIENTS FOR FINANCIAL ASSISTANCE PRIOR TO EXPLORING ANY EXTRAORDINARY COLLECTION ACTIONS. THE DATA RETURNED FROM THIS ELECTRONIC ELIGIBILITY REVIEW WILL CONSTITUTE ADEQUATE DOCUMENTATION OF FINANCIAL NEED UNDER THIS POLICY. A COMPLETED FINANCIAL ASSISTANCE APPLICATION MAY NOT BE REQUIRED IN CERTAIN CIRCUMSTANCES. THESE CIRCUMSTANCES ARE LIMITED TO SITUATION WHEN SARH DETERMINES IT HAS SUFFICIENT PATIENT FINANCIAL INFORMATION FROM WHICH TO MAKE A FINANCIAL ASSISTANCE ELIGIBILITY AND QUALIFICATION DECISION. EXAMPLES OF CIRCUMSTANCES NOT REQUIRING A FINANCIAL ASSISTANCE APPLICATION INCLUDE, BUT ARE NOT LIMITED TO: 1. PATIENT IS HOMELESS; 2. PATIENT IS A RESIDENT AT A SHELTER INCLUDING BUT NOT LIMITED TO PROTOTYPES AND THE AMERICAN RECOVERY CENTER; 3. PATIENT'S ADDRESS IS THE ADDRESS FOR THE DEPARTMENT OF PUBLIC SOCIAL SERVICES; 4. PATIENT IS UNKNOWN; 5. PATIENT IS RECEIVING GENERAL RELIEF, CAL WORKS OR CAL FRESH (DOCUMENTATION REQUIRED); 6. PATIENT QUALIFIED FOR MEDI-CAL WITHOUT A SHARE OF COST (SOC) DURING A PORTION OF THE CONFINEMENT OR SUBSEQUENT TO THEIR DISCHARGE/VISIT (PROOF OF ELIGIBILITY REQUIRED); 7. NON-COVERED AND /OR DENIED SERVICES PROVIDED TO MEDI-CAL ELIGIBLE PATIENTS.

Field	Value	IRS element (for citing)
Facility	8	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
SCHEU FAMILY OP SERVICES
1100 SAN BERNARDINO ROAD	UPLAND	CA	91786	LAB AND RADIOLOGY SERVICES IN A FREESTANDING MEDICAL OFFICE BUILDING
901 BUILDING
901 SAN BERNARDINO ROAD	UPLAND	CA	91786	PHYSICAL THERAPY SERVICES IN A FREESTANDING MEDICAL OFFICE BUILDING
RANCHO SAN ANTONIO MEDICAL PLAZA
7777 MILLIKEN AVE	RANCHO CUCAMONGA	CA	91730	LAB, X-RAY, PHYSICAL THERAPY & URGENT CARE IN A FREESTANDING MEDICAL OFFICE BUILDING
SIERRA SAN ANTONIO MEDICAL PLAZA
16465 SIERRA LAKES PARKWAY	FONTANA	CA	92336	LAB, X-RAY, PHYSICAL THERAPY & URGENT CARE IN A FREESTANDING MEDICAL OFFICE BUILDING
EASTVALE SAN ANTONIO MEDICAL PLAZA
12442 LIMONITE AVE	EASTVALE	CA	91752	LAB, X-RAY & URGENT CARE IN A FREESTANDING MEDICAL OFFICE BUILDING
685 BUILDING
685 N 13TH AVENUE	UPLAND	CA	91786	CARDIAC REHAB SERVICES IN A FREESTANDING MEDICAL OFFICE BUILDING
SAN ANTONIO AMBULATORY SURGERY CENTER
901 SAN BERNARDINO ROAD	UPLAND	CA	91786	OUTPATIENT SURGERY CENTER
SAN ANTONIO URGENT CARE ONTARIO
970 NORTH MOUNTAIN AVE	ONTARIO	CA	91762	URGENT CARE IN A FREESTANDING BUILDING

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c	SARH UNDERSTANDS THAT CERTAIN PATIENTS MAY BE NON-RESPONSIVE TO THE FINANCIAL ASSISTANCE APPLICATION PROCESS. UNDER THESE CIRCUMSTANCES, SARH MAY UTILIZE OTHER SOURCES OF INFORMATION TO MAKE AN INDIVIDUAL ASSESSMENT OF FINANCIAL NEED. THE INFORMATION WILL ENABLE SARH TO MAKE AN INFORMED DECISION ON THE FINANCIAL NEED OF NON-RESPONSIVE PATIENTS UTILIZING THE BEST ESTIMATES AVAILABLE IN THE ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT. SARH MAY UTILIZE A STATE APPROVED THIRD-PARTY TO CONDUCT AN ELECTRONIC REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY RECOGNIZED MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THIS PREDICTIVE MODEL IS DESIGNED TO ASSESS EACH PATIENT TO THE SAME STANDARDS AND THE TRADITIONAL APPLICATION PROCESS. THE ELECTRONIC TECHNOLOGY WILL BE DEPLOYED PRIOR TO BAD DEBT ASSIGNMENT AFTER IN-HOUSE COLLECTION EFFORTS AND ALL OTHER ELIGIBILITY AND PAYMENT SOURCES HAVE BEEN EXHAUSTED. THIS PROCESS ALLOWS SARH TO SCREEN ALL PATIENTS FOR FINANCIAL ASSISTANCE PRIOR TO EXPLORING ANY EXTRAORDINARY COLLECTION ACTIONS. THE DATA RETURNED FROM THIS ELECTRONIC ELIGIBILITY REVIEW WILL CONSTITUTE ADEQUATE DOCUMENTATION OF FINANCIAL NEED UNDER THIS POLICY. A COMPLETED FINANCIAL ASSISTANCE APPLICATION MAY NOT BE REQUIRED IN CERTAIN CIRCUMSTANCES. THESE CIRCUMSTANCES ARE LIMITED TO SITUATION WHEN SARH DETERMINES IT HAS SUFFICIENT PATIENT FINANCIAL INFORMATION FROM WHICH TO MAKE A FINANCIAL ASSISTANCE ELIGIBILITY AND QUALIFICATION DECISION. EXAMPLES OF CIRCUMSTANCES NOT REQUIRING A FINANCIAL ASSISTANCE APPLICATION INCLUDE, BUT ARE NOT LIMITED TO: 1. PATIENT IS HOMELESS; 2. PATIENT IS A RESIDENT AT A SHELTER INCLUDING BUT NOT LIMITED TO PROTOTYPES AND THE AMERICAN RECOVERY CENTER; 3. PATIENT'S ADDRESS IS THE ADDRESS FOR THE DEPARTMENT OF PUBLIC SOCIAL SERVICES; 4. PATIENT IS UNKNOWN; 5. PATIENT IS RECEIVING GENERAL RELIEF, CAL WORKS OR CAL FRESH (DOCUMENTATION REQUIRED); 6. PATIENT QUALIFIED FOR MEDI-CAL WITHOUT A SHARE OF COST (SOC) DURING A PORTION OF THE CONFINEMENT OR SUBSEQUENT TO THEIR DISCHARGE/VISIT (PROOF OF ELIGIBILITY REQUIRED); 7. NON-COVERED AND /OR DENIED SERVICES PROVIDED TO MEDI-CAL ELIGIBLE PATIENTS.
Schedule H, Part I, Line 6a	SAN ANTONIO REGIONAL HOSPITAL PREPARED A COMMUNITY BENEFIT REPORT AS REQUIRED BY THE STATE OF CALIFORNIA. THE REPORT WAS PUBLISHED AND MADE AVAILABLE TO THE PUBLIC ONLINE AT https://www.sarh.org/programs/community-connection/community-benefit/ .
Schedule H, Part II Community Building Activities	THE LEWIS-SAN ANTONIO HEALTHY COMMUNITIES INSTITUTE (HCI) WAS ESTABLISHED IN APRIL 2016 BY RANDALL LEWIS (A LOCAL COMMUNITY VISIONARY, INNOVATOR AND PHILANTHROPIST) IN COLLABORATION WITH SAN ANTONIO REGIONAL HOSPITAL TO POSITIVELY IMPACT THE HEALTH OF THEN INLAND EMPIRE REGION. HCI AIMS TO FORM SOLUTIONS IN RESPONSE TO THE HIGH NUMBERS OF CHRONIC DISEASES AND LOW NUMBERS OF HEALTHCARE PROFESSIONALS IN THE REGION. THE INSTITUTE IS DESIGNED TO SERVE AS A VEHICLE TO HELP CREATE INNOVATIVE SOLUTIONS AND TO SUPPORT THE EFFORTS OF LOCAL CITIES AND HEALTHCARE ENTITIES BY PROVIDING STRUCTURE, PROGRAMS, AND SPECIFIC TRAINING. IN 2023, HCI'S ACTIVE PROGRAMS INCLUDED POSITIVE MINDS, HEALTHY ACTIONS, AS WELL AS THE INTRODUCTION OF TWO EARLY CAREER EXPOSURE PROGRAMS: SUPER SCIENCE DAYS AND THE HIGH SCHOOL CLINICAL SHADOWING PROGRAM. THE LEWIS-SAN ANTONIO HEALTHY COMMUNITIES INSTITUTE AND SELECT SCHOOL DISTRICTS COLLABORATED TO PROVIDE STUDENTS ENROLLED IN THE PEER COUNSELING CLASS SUPPLEMENTAL INFORMATION ON TOPICS RELATED TO SOCIAL EMOTIONAL LEARNING. STUDENTS IN THE POSITIVE MINDS, HEALTHY ACTIONS: SOCIAL EMOTIONAL TRAINING PROGRAM (PMHA) RECEIVED ADDITIONAL KNOWLEDGE AND SKILLS NECESSARY TO ENHANCE THEIR CAPABILITIES AS PEER COUNSELORS. THE GOAL OF THE POSITIVE MINDS, HEALTHY ACTIONS: SOCIAL EMOTIONAL TRAINING PROGRAM IS TO PROMOTE AWARENESS AND INCREASE KNOWLEDGE ON TOPICS RELATED TO SOCIAL EMOTIONAL LEARNING AND TO PROVIDE STUDENTS WITH KNOWLEDGE AND SKILLS TO IMPROVE THEIR ROLES AS PEER COUNSELORS. IN THE SPRING OF 2023, PMHA WAS IMPLEMENTED AT FOUR SCHOOLS IN THE CHAFFEY JOINT UNION HIGH SCHOOL DISTRICT FOR A TOTAL OF 80 STUDENTS FROM CHAFFEY, COLONY, ONTARIO, AND MONTCLAIR HIGH SCHOOLS. SUPER SCIENCE DAYS ENGAGES AND EXCITES ELEMENTARY SCHOOL STUDENTS IN STEM AND HEALTHCARE CAREERS. STUDENTS ARE ENCOURAGED TO PARTICIPATE IN INTERACTIVE EXPERIMENTS AND INTERDISCIPLINARY STEM ACTIVITIES SUCH AS "SOLVE THE OUTBREAK," THAT TEACHES FOOD SAFETY AND EXPOSES STUDENTS TO THE FIELD OF EPIDEMIOLOGY. FOR THE FIRST YEAR, 18 STUDENTS AT MARIPOSA ELEMENTARY SCHOOL IN ONTARIO PARTICIPATED IN THIS PROGRAM. SCHOOL ADMINISTRATORS EXPRESSED APPRECIATION FOR THE PROGRAM AS THEY SAW IT IGNITE EXCITEMENT IN THE STUDENTS NOT JUST FOR PARTICIPATING IN THE ACTIVITIES BUT ALSO FOR ATTENDING SCHOOL OVERALL. THE CLINICAL SHADOWING PROGRAM WAS LAUNCHED AS AN INITIATIVE TO BRIDGE THE GAP BETWEEN CLASSROOM LEARNING, EARLY CAREER EXPLORATION, AND REAL-WORLD MEDICAL PRACTICE. BY PILOTING THE PROGRAM DURING THE SUMMER OF 2023, THE INAUGURAL CLASS OF 8 HIGH SCHOOL STUDENTS FROM UPLAND HIGH SCHOOL AND 1 STUDENT FROM LOS OSOS HIGH SCHOOL WERE GIVEN THE OPPORTUNITY TO OBSERVE AND LEARN DIRECTLY FROM HEALTHCARE EXPERTS IN THE SURGERY, CARDIOLOGY, LABORATORY, PHARMACY AND TELEMETRY DEPARTMENTS OF THE HOSPITAL. FROM RECEIVING MENTORSHIP ON THE FLOOR FROM MEDICAL PROFESSIONALS TO OBSERVING SURGERIES AND PROCEDURES, PARTICIPANTS GAINED A FIRSTHAND UNDERSTANDING OF THE CHALLENGES AND REWARDS OF A MEDICAL CAREER. THE PROGRAM'S CURRICULUM WAS CAREFULLY CURATED TO ENSURE A COMPREHENSIVE EXPERIENCE. PARTICIPATING STUDENTS ENGAGED IN INTERACTIVE LEADERSHIP SEMINARS, WORKSHOPS AND DISCUSSIONS LED BY HEALTHCARE PROFESSIONALS IN BOTH CLINICAL AND NON-CLINICAL FIELDS. THESE LEADERSHIP TRAININGS ALLOWED STUDENTS THE OPPORTUNITY TO ENHANCE THEIR CRITICAL THINKING, PROBLEM-SOLVING, AND EFFECTIVE COMMUNICATION SKILLS - ALL CRUCIAL ASPECTS OF A SUCCESSFUL HEALTHCARE CAREER. THE POPULATION HEALTH DEPARTMENT OVERSEES SARH'S COMMUNITY-BASED, NON-CLINICAL INTERNSHIP PROGRAM. UNDERGRADUATE, GRADUATE AND DOCTORAL STUDENTS FROM LOCAL UNIVERSITIES IN VARIOUS HEALTH DISCIPLINES, SUCH AS PUBLIC HEALTH, SOCIAL WORK, HEALTHCARE ADMINISTRATION, NUTRITION, AND BUSINESS ADMINISTRATION ARE BROUGHT TOGETHER TO COMPLETE THEIR FIELD EXPERIENCES ON-SITE AND IN THE COMMUNITY. STUDENTS ARE CONNECTED TO VARIOUS HEALTH PROFESSIONALS IN AND OUT OF THE HOSPITAL, EXPOSED TO THE NEED FOR HEALTH PROFESSIONALS IN THE LOCAL AREA, AND ARE ENCOURAGED TO REMAIN IN THE REGION WHILE FULFILLING THEIR PROFESSIONAL ASPIRATIONS. INTERNS HAVE OPPORTUNITIES TO PARTICIPATE IN PROGRAM DEVELOPMENT, EVALUATION, HEALTH EDUCATION, MARKETING AND BUSINESS DEVELOPMENT RELATED TO THE HOSPITAL'S CHNA. CURRENTLY, HCI HAS MEMORANDUMS OF UNDERSTANDING WITH 9 UNIVERSITIES ACROSS THE SOUTHERN CALIFORNIA REGION, INCLUDING CALIFORNIA STATE UNIVERSITIES SAN BERNARDINO, FULLERTON, LOMA LINDA UNIVERSITY, CLAREMONT GRADUATE UNIVERSITY AND KECK GRADUATE INSTITUTE. ALL NON-CLINICAL INTERNS COMPLETED THEIR HOURS ON A HYBRID OR FULLY-REMOTE SCHEDULE IN 2023. AS A RESULT, SARH HAD 19 INTERNS AT THE UNDERGRADUATE, GRADUATE, AND DOCTORAL LEVELS WHO COLLECTIVELY SERVED 9,980 HOURS FOR THE YEAR.
Schedule H, Part I, Line 7g Subsidized Health Services	SAN ANTONIO REGIONAL HOSPITAL PROVIDES SUBSIDIZED HEALTH SERVICES BY PROVIDING REIMBURSEMENT FOR ON-CALL PHYSICIAN SERVICES PROVIDED TO UNINSURED, INDIGENT PATIENTS WHO PRESENT THROUGH THE EMERGENCY ROOM.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE COSTING METHODOLOGY USED ON 7A: CALCULATED USING WORKSHEETS 1&2 IN THE INSTRUCTIONS; THE COST TO CHARGE OPTION. THE COSTING METHODOLOGY USED ON 7B: CALCULATED USING WORKSHEET 3 IN THE INSTRUCTIONS; THE COST TO CHARGE OPTION. THE COSTING METHODOLOGY USED ON 7E TO 7I: CALCULATED USING ACTUAL COSTS FROM SARH'S GENERAL LEDGER.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	SARH EXPERIENCED A MEDICARE SHORTFALL IN 2023 OF -$12,289. THE COST AND REIMBURSEMENT DATA WERE TAKEN DIRECTLY FROM SARH'S DECEMBER 31, 2023 MEDICARE COST REPORT. THE MEDICARE COST REPORT USES A STEP-DOWN COST ALLOCATION PROCESS AND THEN APPORTIONS CLINICAL DEPARTMENT COSTS ON A CHARGE TO CHARGE BASIS.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	WHEN A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, INCLUDING, BUT NOT LIMITED TO CHARITY CARE, THE HOSPITAL MAY WAIVE SOME OR ALL OF ITS COLLECTION EFFORTS. FOR A PATIENT THAT QUALIFIES FOR CHARITY CARE, THE ENTIRE BILL IS WRITTEN OFF TO CHARITY ALLOWANCE AND THE HOSPITAL MAKES NO COLLECTION EFFORTS. THE HOSPITAL FOLLOWS DEBT COLLECTION POLICY AND PROCEDURE FOR ANY PORTION OF THE BILL NOT ELIGIBLE FOR WRITE-OFF.
Schedule H, Part V, Section B, Line 16a FAP website	- SAN ANTONIO REGIONAL HOSPITAL: Line 16a URL: https://www.sarh.org/patients-and-visitors/billing/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- SAN ANTONIO REGIONAL HOSPITAL: Line 16b URL: https://www.sarh.org/patients-and-visitors/billing/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- SAN ANTONIO REGIONAL HOSPITAL: Line 16c URL: https://www.sarh.org/patients-and-visitors/billing/;
Schedule H, Part VI, Line 2 Needs assessment	ALTHOUGH CALIFORNIA'S COMMUNITY BENEFIT LEGISLATION (SB 697) ONLY REQUIRES A TRIENNIAL COMMUNITY ASSESSMENT, SAN ANTONIO REGIONAL HOSPITAL (SARH) REVIEWS AND UPDATES THE SECONDARY DATA EACH YEAR AND CONDUCTS PRIMARY RESEARCH NO LESS THAN EVERY THREE YEARS. IN ADDITION TO THE ANNUAL ASSESSMENT OF SECONDARY DATA, THE TRIENNIAL ASSESSMENT INCLUDES PRIMARY RESEARCH THAT INCLUDES WRITTEN SURVEYS, KEY INFORMANT INTERVIEWS, AND FOCUS GROUPS. THE ANNUAL ASSESSMENT LOOKS AT THE HOSPITAL'S COMMUNITY FROM A WIDE PERSPECTIVE IN TERMS OF POPULATION, DEMOGRAPHICS, AND KEY HEALTH INDICATORS. MOST OF THE DATA IS FOCUSED ON THE HOSPITAL'S PRIMARY SERVICE AREA, SINCE THIS IS WHERE OVER 80% OF THE HOSPITAL'S PATIENTS RESIDE. DURING THE ASSESSMENT, PRIMARY SERVICE AREA POPULATION AND DEMOGRAPHICS ARE EVALUATED BASED ON THE FOLLOWING STATISTICS: CURRENT YEAR POPULATION'S ESTIMATES, FIVE-YEAR POPULATION SEGMENTS (CHILDREN, SENIORS, WOMEN OF CHILD BEARING AGE), AND MEDIAN AGE, ETHNICITY, EDUCATION, INCOME, AND HOSPITALIZATION RATES. ALTHOUGH THE ASSESSMENT FOCUSES ON DEMOGRAPHIC AND HEALTH INFORMATION FOR SARH'S SERVICE AREA, THERE ARE BENEFITS IN EXAMINING COUNTY DATA, SINCE MANY HEALTH INDICATORS ARE ONLY AVAILABLE AT THE COUNTY LEVEL. IN ADDITION, GIVEN THE TRANSIENT NATURE OF THE POPULATION IN SAN BERNARDINO COUNTY, IT MAKES SENSE FOR HOSPITALS TO WORK TOGETHER AND WITH OTHER HEALTHCARE AGENCIES TO ADDRESS ISSUES THAT AFFECT ALL COUNTY RESIDENTS. POPULATION AND DEMOGRAPHIC DATA ARE UPDATED AND REVIEWED FOR SAN BERNARDINO COUNTY, AND GENERAL HEALTH INDICATORS ARE COMPARED TO OTHER CALIFORNIA COUNTIES, STATE AVERAGES, AND NATIONAL GOALS.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	THE FINANCIAL ASSISTANCE POLICY SUMMARY IS INCLUDED IN ALL ADMISSION PACKETS. THERE ARE NOTICES OF CHARITY AND DISCOUNT CARE OFFERED IN EACH OF THE ADMITTING AREAS AND EMERGENCY LOBBY. THE SUMMARY PROVIDES THE WEBSITE LINK TO THE FULL POLICY AND STATES SARH WILL PROVIDE A PRINTED COPY OF THE FINANCIAL ASSISTANCE POLICY AND APPLICATION UPON REQUEST.
Schedule H, Part VI, Line 4 Community information	SARH DEFINES ITS COMMUNITY IN TERMS OF ITS "SERVICE AREA", WHICH IS THE GEOGRAPHIC AREA FROM WHICH IT RECEIVES MOST ITS HOSPITAL ADMISSIONS. FOR PURPOSES OF ANALYSIS, THE SERVICE AREA IS DIVIDED INTO "PRIMARY "SECONDARY" AREAS, WITH THE PRIMARY SERVICE AREA ACCOUNTING FOR APPROXIMATELY 80% OF THE ADMISSIONS AND MOST SARH'S PLANNING EFFORTS. SARH'S PRIMARY SERVICE AREA IS COMPROMISED OF THE CITIES OF CHINO, CLAREMONT, EAST VALE, FONTANA, MONTCLAIR, ONTARIO, RANCHO CUCAMONGA, AND UPLAND WITH A TOTAL ESTIMATED POPULATION OF 1,982,996. A MEDIAN AGE OF 33.6, A MEDIAN HOUSEHOLD INCOME OF $83,503, AN AVERAGE HOUSEHOLD SIZE OF 3.45, AND A MEDIAN HOME VALUE OF $519,573. 18% HAVE NO HIGH SCHOOL DIPLOMA, 24% HAVE A HIGH SCHOOL DIPLOMA, 18% HAVE A BACHELOR'S DEGREE, AND 9% HAVE A GRADUATE/PROFESSIONAL DEGREE. THE POPULATION (BASED ON DATA PROVIDED BY ESRI, AMERICAN COMMUNITY SURVEY (ACS), 2021) IS PREDOMINATELY HISPANIC OR LATINO AT 56% AND NOT HISPANIC OR LATINO AT 44%; OF THOSE NOT HISPANIC OR LATINO ARE AS FOLLOWS: CAUCASIANS AT 54%, ASIAN-AMERICANS AT 23%, AFRICAN-AMERICANS AT 15%, AMERICAN INDIAN AND ALASKA NATIVE 1%, TWO OR MORE RACES 6% THE SECONDARY SERVICE AREA, WHICH REPRESENTS APPROXIMATELY 10% OF SARH'S ADMISSIONS, INCLUDES POMONA ON THE WEST, RIALTO TO THE EAST, AND NORCO TO THE SOUTHEAST WITH AN ESTIMATED TOTAL POPULATION OF 373,597, A MEDIAN AGE OF 33.0, A MEDIAN HOUSEHOLD INCOME OF $77,891, AN AVERAGE HOUSEHOLD SIZE 3.65, AND A MEDIAN HOME VALUE $523,616. 22% HAVE NO HIGH SCHOOL DIPLOMA, 25% HAVE A HIGH SCHOOL DIPLOMA, 17% HAVE A BACHELOR'S DEGREE, 8% HAVE A GRADUATE/PROFESSIONAL DEGREE. THE POPULATION (BASED ON DATA PROVIDED BY ESRI, AMERICAN COMMUNITY SURVEY (ACS), 2019) IS PREDOMINATELY HISPANIC OR LATINO AT 60% AND NOT HISPANIC OR LATINO AT 40%; OF THOSE NOT HISPANIC OR LATINO ARE AS FOLLOWS: CAUCASIANS AT 45%, ASIAN-AMERICANS AT 32%, AFRICAN-AMERICANS AT 17%, AMERICAN INDIAN AND ALASKA NATIVE 1%, TWO OR MORE RACES 4% IN ADDITION TO SAN ANTONIO REGIONAL HOSPITAL, THERE ARE THREE HOSPITALS, CHINO VALLEY HOSPITAL, KAISER PERMANENTE ONTARIO, AND KAISER PERMANENTE FONTANA, PRESENT WITHIN THE PRIMARY SERVICE AREA. SAN ANTONIO REGIONAL HOSPITAL IS NOT LOCATED IN A FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREA.
Schedule H, Part VI, Line 5 Promotion of community health	SARH HAS A COMMUNITY BOARD AND OPEN MEDICAL STAFF PRIVILEGES. AS IN MOST COMMUNITIES, HEALTH AND SERVICE NEEDS ARE GREAT, BUT THE RESOURCES LIMITED. SARH UNDERSTANDS THE POWER OF COLLABORATION AND SEEKS ALLIANCES WITH OTHER HEALTH AND SOCIAL SERVICES PROVIDERS TO DEVELOP COMMUNITY BASED PROGRAMS WITH DEFINED GOALS AND MEASURABLE OUTCOMES. THESE PARTNERSHIPS HELP TO LEVERAGE THE COMMUNITY'S SCARCE RESOURCES AND ACHIEVE THE MAXIMUM BENEFIT FOR ITS RESIDENTS, WHICH RESULTS IN DEMONSTRATED IMPROVEMENT IN THEIR HEALTH. THE HOSPITAL HAS BEEN PROACTIVE IN RESPONDING TO THE SPECIFIC HEALTH NEEDS OF SPECIAL POPULATIONS WITHIN OUR COMMUNITY THIS INCLUDES NON-ENGLISH SPEAKERS, PERSONS WHO LIVE IN POVERTY, HAVE MENTAL OR PHYSICAL DISABILITIES, OR IN OTHER WAYS ARE DISENFRANCHISED. SARH STAFF SERVE ON EXECUTIVE COMMITTEES, PLANNING COMMITTEES, AND VARIOUS WORKGROUPS THROUGHOUT THE COMMUNITY, PROVIDING INSIGHT AND ADVICE TO SUPPORT STRATEGIC PLANNING, IMPLEMENTATION, AND EVALUATION OF HEALTH AND WELLNESS INITIATIVES. SARH HAS SERVED ON PLANNING AND TASK FORCES, SUCH AS ONTARIO'S PLANNING, YMCA, UPLAND UNIFIED MEDI-CAL PLANNING, HEALTH ACCESS, AND PREVENTION AND WELLNESS INITIATIVES, RANCHO CUCAMONGA'S HEALTHY RC STEERING AND OTHER SUB-COMMITTEES. THESE EFFORTS HAVE REAPED SUBSTANTIAL REWARDS, NOT ONLY IN COMMUNITY BUILDING, BUT ALSO IN IMPROVED HEALTH AND WELLNESS. IN ADDITION TO THESE COLLABORATIVE EFFORTS, SARH CONTINUES TO PROVIDE MONETARY AND IN-KIND SUPPORT TO HEALTH-RELATED NONPROFIT COMMUNITY ORGANIZATIONS SUCH AS THE AMERICAN CANCER SOCIETY, WHICH PROVIDES EDUCATIONAL OUTREACH AND SUPPORT PROGRAMS FOR CANCER PATIENTS AND THEIR FAMILIES.
Schedule H, Part VI, Line 7 State filing of community benefit report	CA

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	Meals On Wheels Inland Valley Inc	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4792 Falconview Court	AddressLine1Txt
City	Fontana	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92336	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	952799275	RecipientEIN
IRC Section	501(C)3	IRCSectionDesc
Cash Grant	$0	CashGrantAmt
Non Cash Assistance	$94,418	NonCashAssistanceAmt
Valuation Method Used	COST	ValuationMethodUsedDesc
Non Cash Assistance	Meals Provided	NonCashAssistanceDesc
Purpose Of Grant	Program Support	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	ORGANIZATIONS ARE SELECTED TO RECEIVE CASH AND IN-KIND DONATIONS DUE TO THEIR COMMITMENT EACH OFFERS TO FURTHERING POPULATION HEALTH. THESE ORGANIZATIONS HAVE DEMONSTRATED CONTINUOUS DEDICATION TO SERVING RESIDENTS IN SARH'S SERVICE AREA, WITH SPECIFIC FOCUS ON THE PREVENTION OF CHRONIC DISEASE, PREVENTION OF TERMINAL DISEASE AND UPSTREAM APPROACHES TO HEALTH IMPROVEMENT. SARH HAS MAINTAINED ONGOING, SUPPORTIVE RELATIONSHIPS WITH EACH ORGANIZATION.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
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 (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
John Chapman
President & CEO	$581,894	$0	$386,295	$0	$48,229	$0	$73,766	$0	$37,613	$0	$1,127,797	$0	$39,993	$0
Wah-chung Hsu
Vice President & CFO	$455,251	$0	$158,949	$0	$26,891	$0	$92,249	$0	$37,613	$0	$770,953	$0	$25,085	$0
Sandra Wier
Chief Human Resources Officer	$316,680	$0	$109,760	$0	$6,249	$0	-$9,197	$0	$32,564	$0	$456,056	$0	$0	$0
Gurjeet Dhillon
Chief Operating Officer	$287,263	$0	$101,299	$0	$5,812	$0	-$36,416	$0	$39,941	$0	$397,899	$0	$0	$0
Leanne Logan
Vice President & Chief Nursing Officer	$248,834	$0	$52,235	$0	$563	$0	-$64,927	$0	$21,739	$0	$258,444	$0	$0	$0
Kamal Pandya
VP Chief Information Officer	$333,824	$0	$114,774	$0	$14,968	$0	-$56,550	$0	$26,491	$0	$433,507	$0	$12,196	$0
Heather Raymond
VP Business Development & Community Outreach	$253,779	$0	$7,500	$0	$630	$0	$33,679	$0	$33,447	$0	$329,035	$0	$0	$0
Saurabh Ashier
Manager Cardiovascular Services	$267,143	$0	$0	$0	$1,620	$0	$252	$0	$13,675	$0	$282,690	$0	$0	$0
Ronald Nowosad
Director Program Development	$219,555	$0	$31,561	$0	$2,286	$0	$5,625	$0	$19,421	$0	$278,448	$0	$0	$0
Dennis Ancheta
Director Pharmacy	$209,328	$0	$29,546	$0	$4,501	$0	$4,852	$0	$18,084	$0	$266,311	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Tax indemnification and gross-up payments	SARH REQUESTS BOARD MEMBERS TO ATTEND VARIOUS EDUCATIONAL SESSIONA DURING THEIR TERM. IN RECOGNITION THE BOARD MEMEBERS SERVE WITHOUT COMPENSATIONAND THAT ATTENDING EDUCATIONAL SESSIONS TAKES MOST BOARD MEMBERS AWAY FROM THEIR JOBS OR BUSINESSES, SARH PROVIDES REIMBURSEMENT FOR SPOUSAL TRAVEL. SARH ALSO GROSSES UP THE SPOUSAL TRAVEL REIMBURSEMENT AND REPORTS THE GROSSED UP AMOUNT ON A 1099 GIVEN TO THE BOARD MEMBERS.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	SARH PROVIDES A 457(F) SUPPLEMENTAL NON-QUALIFIED PLAN FOR ITS EXECUTIVE MANAGEMENT TEAM. IN CONJUNCTION WITH THE 457(B) PLAN, EACH EXECUTIVE ACCRUES 10% OF THEIR BASE PAY ANNUALLY. HOSPITAL CONTRIBUTIONS ARE NOT VESTED UNTIL DECEMBER 31 OF THE EXECUTIVE'S THIRD CALENDAR YEAR OF EMPLOYMENT. AFTER INITIAL ELIGIBILITY, EACH YEAR'S CONTRIBUTION WILL VEST ON DECEMBER 31 OF EACH CALENDAR YEAR. THREE MEMBERS OF THE EXECUTIVE MANAGEMENT GROUP RECEIVED PAYMENTS AND THESE AMOUNTS ARE SHOWN ON SCH J, PART II.
Schedule J, Part II	EMPLOYEES HIRED PRIOR TO DECEMBER 31, 2005 ARE PARTICIPANTS IN THE HOSPITAL'S DEFINED BENEFIT PENSION PLAN. THE AMOUNT IN COLUMN C INCLUDES THE ESTIMATED INCREASE IN ACTUARIAL VALUE FOR THOSE EMPLOYEES WHO ARE PLAN PARTICIPANTS.
Schedule J, Part II, Column (C) Negative amounts	The negative amounts shown are a result of actuarial value decreases for the hospitals defined benefit pension plan from prior year.
Schedule J, Part II, Column (F) 457f Plan Payouts	Payouts from the 457f Plan were made to the following individuals in 2023: John Chapman $39,993, Wah-chung Hsu $25,085 and Kamal Pandya $12,196.

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	CITY OF UPLAND	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	956000805	BondIssuerEIN
CUSIP	915346GBO	CUSIPNum
Bond Issued	2017-12-21	BondIssuedDt
Issue Price	$147,137,583	IssuePriceAmt
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
Bond Defeased	$147,137,583	BondDefeasedAmt
Refunding Escrow	$120,410,119	RefundingEscrowAmt
Issuance Costs From Proceeds	$1,727,464	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$0	CapitalExpendituresAmt
Other Spent Proceeds	$12,347,370	OtherSpentProceedsAmt
Unspent	$12,652,630	UnspentAmt
Refunding Tax Exempt Bonds	false	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	Yes (true)	RefundingTaxableBondsInd
Final Allocation Made	false	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

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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
Total Private Business Use	0.0	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
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	false	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	Yes (true)	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	false	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

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Bond Reference	A	BondReferenceCd
Procedures Corrective Action	false	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I	CITY OF UPLAND 12/21/2017 $147,137,583 - THE PROCEEDS OF THE 2017 CERTIFICATES WILL BE APPLIED TO (A) REFINANCE A PORTION OF THE SERIES 2011 CERTIFICATES ISSUED 1/27/2011, (B) FINANCE, REFINANCE OR REIMBURSE A PORTION OF THE COSTS ASSOCIATED WITH THE SITE PREPARATION, CONSTRUCTION, FIT OUT, FURNISHING & EQUIPPING OF THE PROPOSED CITY OF HOPE BUILDING, (C) FINANCE, REFINANCING OR REIMBURSE A PORTION OF THE COSTS ASSOCIATED WITH THE CONSTRUCTION, RENOVATION, IMPROVEMENT, EQUIPPING AND FURNISHING OF OTHER OF THE HEALTH FACILITIES AS CONTEMPLATED IN THE FACILITIES MASTER PLAN, (D) FINANCE, REFINANCE OR REIMBURSE CERTAIN ROUTINE CAPITAL EXPENDITURES OF SARH AND (E) TO FINANCE THE COSTS OF DELIVERY ASSOCIATED WITH THE CERTIFICATES.
Schedule K, Part V	SAN ANTONIO REGIONAL HOSPITAL IS IN THE PROCESS OF DEVELOPING POST-ISSUANCE PROCEDURES.
Schedule K, Part IV, Line 2c COLUMN A	Issuer name: CITY OF UPLAND The calculation for computing no rebate due was performed on 01/01/2024

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM IS PREPARED BY THE FINANCE DEPARTMENT AND REVIEWED BY THE CFO AND EXTERNAL TAX ACCOUNTANTS. FOLLOWING THE EXTERNAL REVIEW, THE CFO REVIEWS THE FORM WITH THE CEO. THE FORM IS PROVIDED AND PRESENTED TO THE AUDIT COMMITTEE FOR REVIEW AND APPROVAL. ONCE THE AUDIT COMMITTEE APPROVES THE FORM, A DRAFT IS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING.
Form 990, Part VI, Line 12c Conflict of interest policy	SARH HAS A COMPLIANCE OFFICER WHO REVIEWS THE ORGANIZATION'S COMPLIANCE POLICIES, INCLUDING ITS CONFLICT OF INTEREST STATEMENTS, AT LEAST ANNUALLY. EACH JANUARY, A CONFLICT OF INTEREST STATEMENT IS COMPLETED AND SIGNED BY EACH MEMBER OF THE BOARD OF DIRECTORS, OFFICERS, AND KEY EMPLOYEES. THE COMPLIANCE OFFICER AND CFO, WHO ATTEND ALL BOARD MEETINGS, REVIEW THE CONFLICT OF INTEREST STATEMENTS. IF A NEW POTENTIAL CONFLICT ARISES DURING THE YEAR, A NEW CONFLICT OF INTEREST STATEMENT IS SIGNED. IF A POTENTIAL CONFLICT OF INTEREST EXISTS DURING A BOARD DISCUSSION, THE BOARD MEMBER IS REQUIRED TO STATE THE CONFLICT AND ABSTAIN FROM ANY RELATED BOARD VOTE. BOARD MINUTES REFLECT THESE ABSTENTIONS. AT LEAST SEMI-ANNUALLY, SARH'S COMPLIANCE OFFICER PROVIDES A VERBAL COMPLIANCE UPDATE AT A BOARD MEETING AND REMINDS BOARD MEMBERS OF THEIR DUTY TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	SARH'S EXECUTIVE COMPENSATION PROGRAM IS DIRECTED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. SARH HAS DEVELOPED AND APPROVED A FORMAL EXECUTIVE COMPENSATION POLICY THAT CURRENTLY COVERS EIGHT SENIOR MANAGEMENT EMPLOYEES, INCLUDING THE CEO AND CFO. A COMPREHENSIVE BASE PAY AND TOTAL EXECUTIVE COMPENSATION ANALYSIS IS PERFORMED BY AN OUTSIDE COMPENSATION CONSULTING FIRM EVERY TWO YEARS. IN THE INTERVENING YEARS, AN ANALYSIS OF SARH'S EXECUTIVE COMPENSATION IS REVIEWED AGAINST THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA'S COMPENSATION SURVEY. THE CONSULTANT PRESENTS THE SURVEY DATA AND ANALYSIS TO THE COMPENSATION COMMITTEE. THE EXTERNAL COMPENSATION STUDY INCLUDES AN EVALUATION FOR EXCESS BENEFIT TRANSACTIONS UNDER THE INTERMEDIATE SANCTIONS FOR TAX-EXEMPT ORGANIZATIONS AND AN ANALYSIS OF BOTH BASE AND TOTAL COMPENSATION OF ALL MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM AND THEIR SALARY POSITION IN RELATION TO THE FIFTIETH AND SIXTY-FIFTH PERCENTILE OF THE MARKET. HOWEVER, THE CONSULTANT IS NOT EITHER TAX OR LEGAL COUNSEL AND THEREFORE CANNOT ASSURE COMPLIANCE WITH IRC 4958, BUT RATHER ASSURES THAT SARH'S EXECUTIVE COMPENSATION PRACTICES FALL BETWEEN THE FIFTIETH AND SIXTY-FIFTH PERCENTILE OF THE MARKET PLACE AND DO NOT EXCEED THE SEVENTY-FIFTH PERCENTILE. THE LATEST SURVEY AND ANALYSIS WERE CONDUCTED IN APRIL 2023. THE CONSULTANT USED SURVEY DATA FROM FOUR DIFFERENT PUBLISHED SURVEYS THAT INCLUDE CALIFORNIA HOSPITALS WITH COMPARABLE REVENUES, EMPLOYEES AND COMPLEXITY. THE COMPENSATION COMMITTEE REVIEWS THE CONSULTANT'S FINDINGS IN ACCORDANCE WITH THE COMPENSATION POLICY AND THEIR CHARTER AND PROVIDES DIRECTION FOR ANY NEEDED COMPENSATION POLICY OR PAY RANGE CHANGES FOR THE CEO AND APPROVES ANY SUCH RECOMMENDATIONS THAT MAY BE MADE BY THE CEO FOR OTHER EXECUTIVES. THE PROCEDURES DESCRIBED HERE ARE DOCUMENTED IN THE BOARD MINUTES.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	OTHER KEY EMPLOYEE COMPENSATION, VICE PRESIDENTS AND DEPARTMENT DIRECTORS ARE EVALUATED BASED ON MARKET-BASED COMPENSATION SURVEY DATA PROVIDED BY THE HOSPITAL COUNCIL OF SOUTHERN CALIFORNIA, TAKING INTO CONSIDERATION PAY RATES FOR SIMILAR MANAGEMENT POSITIONS. THE LATEST SURVEY AND ANALYSIS WERE CONDUCTED IN APRIL 2023. THE PROCEDURES DESCRIBED HERE ARE DOCUMENTED IN THE BOARD MINUTES.
Form 990, Part VI, Line 19 Required documents available to the public	SARH HAS NOT MADE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. THE FINANCIAL STATEMENTS ARE PART OF THE ANNUAL REPORT FILED WITH THE CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) AND ARE AVAILABLE ON THE OSHPD WEBSITE. THE FINANCIAL STATEMENTS ARE INCLUDED AS PART OF ITS ANNUAL MEDICARE AND MEDICAID COST REPORT FILINGS, WHICH ARE PUBLICLY AVAILABLE ON THE CMS (MEDICARE) WEBSITE. THE FINANCIAL STATEMENTS ARE ALSO PROVIDED TO ANYONE UPON A VERBAL OR WRITTEN REQUEST. THE AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THE FORM 990 IN ACCORDANCE WITH IRS INSTRUCTIONS.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Other - Total Revenue: 1910639, Related or Exempt Function Revenue: 1746174, Unrelated Business Revenue: 164465, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	OTHER CHANGES IN NET ASSETS INCLUDES THE CHANGE IN THE ADDITIONAL MINIMUM PENSION LIABILITY - -1664580; CHANGE IN NET ASSETS WITH DONOR RESTRICTIONS - -307815; CHANGE IN BENEFICIAL INTEREST IN SAN ANTONIO HOSPITAL FOUNDATION - 7276953;
Form 990, Part III, Line 4a Accomplishments	SAN ANTONIO REGIONAL HOSPITAL WAS FOUNDED BY DR. WILLIAM HOWARD CRAIG IN 1907 TO MEET THE HEALTHCARE NEEDS OF LOCAL RESIDENTS. AS THE COMMUNITY SURROUNDING THE HOSPITAL GREW, IT BECAME APPARENT THAT LARGER, MORE MODERN FACILITIES WERE NEEDED. COMMUNITY LEADERS RALLIED TO RAISE THE NEEDED CAPITAL AND THE HOSPITAL MOVED TO ITS CURRENT LOCATION ON SAN BERNARDINO ROAD IN 1924. THROUGH COMMUNITY SUPPORT, THE HOSPITAL GREW - FROM ITS MODEST BEGINNING WITH 18 BEDS, 5 PHYSICIANS, AND LIMITED STAFF - TO A 363-BED REGIONAL MEDICAL FACILITY WITH 2,858 EMPLOYEES, 305 VOLUNTEERS, AND A MEDICAL STAFF OF 550 PHYSICIANS REPRESENTING A WIDE SPECTRUM OF MEDICAL AND SURGICAL SPECIALTIES. ON JANUARY 6, 2017, THE HOSPITAL'S MAIN CAMPUS IN UPLAND OPENED THE LARGEST EXPANSION IN ITS HISTORY. THE 179,000 SQUARE FOOT ADDITION, WHICH INCLUDES A NEW 52-BED EMERGENCY DEPARTMENT AND 92-BED PATIENT TOWER, INCORPORATED THE LATEST HEALTHCARE ARCHITECTURAL DESIGN AND ADVANCED TECHNOLOGICAL FEATURES TO MEET THE NEEDS OF THE GROWING POPULATION IN THE WEST END OF CALIFORNIA'S INLAND EMPIRE. IN ADDITION TO THE MAIN CAMPUS, THE HOSPITAL HAS SATELLITE LOCATIONS IN RANCHO CUCAMONGA, FONTANA, EASTVALE AND ONTARIO. THESE FACILITIES PROVIDE OUTPATIENT CARE IN A CLOSE, CONVENIENT SETTING FOR THE REGION'S GROWING POPULATION. ADDITIONALLY, SAN ANTONIO OPENED A NEW 60,000-SQUARE-FOOT TWO-STORY AMBULATORY CARE FACILITY DIRECTLY ACROSS THE STREET FROM THE HOSPITAL IN 2019. THE SCHEU BUILDING HOUSES CITY OF HOPE'S COMPREHENSIVE CANCER CENTER ON THE FIRST FLOOR AND THE HOSPITAL'S OUTPATIENT SERVICES AND PROGRAMS ON THE SECOND FLOOR. THE WOMEN'S BREAST AND IMAGING CENTER, PRE-OPERATIVE AND PRE-PROCEDURE SERVICES, AND TARGETED PROGRAMS TO COMPLEMENT CITY OF HOPE'S CANCER CENTER ARE AMONG THE HOSPITAL'S OFFERINGS IN THIS LOCATION. LEADERSHIP - SAN ANTONIO REGIONAL HOSPITAL IS GOVERNED BY A 13-MEMBER BOARD OF TRUSTEES. THE HOSPITAL'S MEDICAL STAFF PRESIDENT-ELECT, PRESIDENT, AND IMMEDIATE PAST PRESIDENT ARE MEMBERS OF THE BOARD BY VIRTUE OF THEIR OFFICES. AT LEAST TWO ADDITIONAL PHYSICIANS ARE ELECTED FROM THE MEDICAL STAFF, AND THE REMAINING MEMBERS ARE ELECTED FROM THE COMMUNITY AT-LARGE. THE BOARD OF TRUSTEES, WITH PHYSICIAN LEADERS COMPRISING A SIGNIFICANT PORTION OF ITS MEMBERSHIP, SETS THE DIRECTION FOR THE HOSPITAL'S COMMUNITY BENEFITS PROGRAM. THE EXECUTIVE MANAGEMENT GROUP DIRECTS THE HOSPITAL'S STRATEGIC PLANNING PROCESS AND ALLOCATES RESOURCES FOR COMMUNITY BENEFIT ACTIVITIES. THE EXECUTIVE MANAGEMENT GROUP INCLUDES THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, CHIEF OPERATING OFFICER, CHIEF NURSING OFFICER, CHIEF STRATEGY OFFICER, CHIEF HUMAN RESOURCE OFFICER, CHIEF INFORMATION OFFICER, AND PRESIDENT OF THE HOSPITAL FOUNDATION. DEPARTMENT DIRECTORS ARE RESPONSIBLE FOR THE OPERATION AND MANAGEMENT OF THE INDIVIDUAL DEPARTMENTS. OUR COMMITMENT- THE LEADERSHIP AT SAN ANTONIO REGIONAL HOSPITAL HAS AN UNWAVERING COMMITMENT TO THE HOSPITAL'S MISSION, VISION, VALUES, AND STRATEGIC PLAN, WHICH FOCUS ON IMPROVING THE REGION'S OVERALL HEALTH BY PROVIDING QUALITY PATIENT CARE IN A COMPASSIONATE AND CARING ENVIRONMENT. OUR MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE WE SERVE. OUR VISION IS TO BE A LEADER IN CREATING HEALTHY FUTURES THROUGH EXCELLENCE AND COMPASSION. OUR VALUES ARTICULATE THE PRINCIPLES THAT HELP US TO FULFILL OUR MISSION AND VISION, AND OUR STRATEGIC PLAN SPECIFICALLY ADDRESSES THE DEVELOPMENT OF PROGRAMS AND SERVICES IN RESPONSE TO THE REGIONAL COMMUNITY NEEDS. SAN ANTONIO'S COMMITMENT TO PROVIDING QUALITY CARE FOR ALL MEMBERS OF OUR COMMUNITY HAS RECEIVED NATIONAL RECOGNITION. IN 2023, SARH EARNED A LEVEL 3 GERIATRIC EMERGENCY DEPARTMENT ACCREDITATION FROM THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS IN RECOGNITION OF THE HOSPITAL'S OUTSTANDING EFFORTS TO PROVIDE THE HIGHEST STANDARDS OF CARE TO THE COMMUNITY'S SENIOR POPULATION. ADDITIONALLY, SARH EARNED A DISTINGUISHED THREE-STAR RATING FROM THE SOCIETY OF THORACIC SURGEONS FOR ITS PATIENT CARE AND OUTCOMES IN ISOLATED CORONARY ARTERY BYPASS GRAFTING. THE HOSPITAL HAS BEEN NAMED AS ONE OF AMERICA'S BEST HOSPITALS BY THE WOMEN'S CHOICE AWARD, EARNING RECOGNITION FOR SIX CLINICAL AREAS: HEART CARE, ORTHOPEDICS, STROKE CARE, MAMMOGRAM IMAGING, CANCER CARE, AND PATIENT SAFETY. THE HOSPITAL IS CONTINUOUSLY RECOGNIZED FOR ITS STROKE CARE, EARNING RECOGNITION FROM THE AMERICAN HEART ASSOCIATION AND U.S. NEWS & WORLD REPORT. CARING FOR OUR COMMUNITY - SAN ANTONIO REGIONAL HOSPITAL IS COMMITTED TO IMPROVING THE HEALTH AND WELLNESS OF THE RESIDENTS THAT IT SERVES. AS SUCH, WE DO OUR BEST TO BUILD PARTNERSHIPS WITH OTHER ORGANIZATIONS THAT SHARE OUR VALUES AND MISSION. SAN ANTONIO REGIONAL HOSPITAL UNDERSTANDS THAT EACH COMMUNITY IT SERVES ALSO HAS ITS DISTINCTIVE CHALLENGES, BUT ALSO OPPORTUNITIES BY DELIVERING ESSENTIAL PATIENT CARE SERVICES TO PROMOTE HEALTHIER LIFESTYLES, EARLY DETECTION OF DISEASE, AND ENHANCED ACCESS TO BASIC HEALTHCARE SERVICES. AS A REGIONAL HEALTHCARE PROVIDER, SAN ANTONIO REGIONAL HOSPITAL IS COMMITTED TO MAINTAINING THE HIGHEST QUALITY OF CARE FOR THOSE WE SERVE. AS A NONPROFIT HOSPITAL, ALL OF OUR RESOURCES ARE DEVOTED TO PROVIDING HEALTHCARE SERVICES. WE STRIVE TO PROVIDE OUR COMMUNITY WITH THE BEST OF CARE BY ALLOCATING A PERCENTAGE OF HOSPITAL OPERATIONS BY PURCHASING NEW OR UPGRADED EQUIPMENT, EXPANDING SERVICES, AND PROVIDING CARE FOR THE VULNERABLE POPULATION WITH FREE OR LOW-COST SCREENINGS, SERVICES, AND HEALTH EDUCATION TO PREVENT CHRONIC DISEASES AND IMPROVE HEALTH OUTCOMES. WHILE THE INLAND EMPIRE IS A MATURING ECONOMIC MARKET, MANY INDIVIDUALS AND FAMILIES ARE AT SIGNIFICANT RISK DURING A MEDICAL CRISIS. OFTEN THIS IS DUE TO AN INABILITY TO ACCESS HEALTH INSURANCE OR THE RESULT OF INADEQUATE INSURANCE COVERAGE. THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY PROVIDES RELIEF TO THE FAMILIES WHO WOULD OTHERWISE FACE MEDICAL BANKRUPTCY. IN 2023, $1,419,013 IN FINANCIAL ASSISTANCE WAS PROVIDED FOR PATIENTS ENTERING THE HOSPITAL'S EMERGENCY DEPARTMENT WHO WERE EITHER TREATED AND RELEASED OR REQUIRED AN INPATIENT STAY. THE HOSPITAL ABSORBED $46,349,923 IN UNREIMBURSED COSTS INCURRED IN PROVIDING CARE AND TREATMENT FOR MEDI-CAL PATIENTS, WHILE OTHER UNCOMPENSATED CARE (BAD DEBTS) TOTALED $11,234,335 IN ACTUAL COSTS INCURRED BY THE HOSPITAL TO TREAT THESE PATIENTS. IN ADDITION TO DIRECT MEDICAL CARE, SAN ANTONIO REGIONAL HOSPITAL REACHES OUT TO ITS COMMUNITY IN A VARIETY OF WAYS THAT GO WELL BEYOND THE TRADITIONAL CARE PROVIDED BY AN ACUTE CARE HOSPITAL. PLANNING - SARH CONDUCTS A FORMAL STRATEGIC PLANNING PROCESS INVOLVING SENIOR MANAGEMENT, THE BOARD, THE MEDICAL STAFF LEADERSHIP EVERY THREE YEARS WITH ANNUAL REVIEWS AND UPDATES. THE EXECUTIVE MANAGEMENT TEAM WORKED CLOSELY WITH SARH'S BOARD OF TRUSTEES AND MEDICAL STAFF TO DEVELOP A THREE-YEAR STRATEGIC PLAN, WHICH INCLUDES DETAILS OF STRATEGIC, OPERATIONAL, QUALITY AND COMMUNITY BENEFIT INITIATIVES. IN ADDITION TO PROGRAMMATIC AND SERVICE ENHANCEMENT PROJECTS, THE STRATEGIC PLAN INCLUDING THE EXPANSION OF COMMUNITY HEALTH IMPROVEMENT PROGRAMS. HOSPITAL SERVICES - SARH PROVIDES A FULL SPECTRUM OF PREVENTATIVE ACUTE, PRIMARY, AND SPECIALTY CARE TO THE COMMUNITIES IT SERVICES. THESE SERVICES INCLUDE INPATIENT MEDICAL AND SURGICAL SERVICES, EMERGENCY AND INTENSIVE CARE SERVICES, PALLIATIVE CARE, AND A COMMUNITY WELLNESS AND HEALTH PROMOTION PROGRAM. AREAS OF SPECIAL EXPERTISE INCLUDE CARDIOVASCULAR SERVICES PROVIDED AT SARH'S HEART CENTER, SPECIALIZED INFANT CARE PROVIDED AT THE LEVEL II NEONATAL INTENSIVE CARE UNIT (NICU), AND THE DIAGNOSTIC AND TREATMENT SERVICES AVAILABLE AT ITS CANCER CENTER. AT SAN ANTONIO REGIONAL HOSPITAL, WE ARE DEDICATED TO PROVIDING THE BEST URGENT CARE FACILITIES AND WALK-IN CLINICS IN EASTVALE, FONTANA, RANCHO CUCAMONGA, AND ONTARIO - WITH THE EXPERTS AND TECHNOLOGY TO TREAT LIFE'S UNEXPECTED INTERRUPTIONS.
Form 990, Part III, Line 4a continued 1	THE HEART CENTER - SARH'S HEART PROGRAM COORDINATES THE COMPREHENSIVE CARDIAC SERVICES WHICH INCLUDES NON-INVASIVE CARDIOLOGY, DIAGNOSTIC AND INTERVENTIONAL CARDIAC CATHETERIZATION, ELECTROPHYSIOLOGY STUDIES, CARDIAC NUCLEAR SCANNING, CARDIOVASCULAR SURGERY, AND CARDIAC REHABILITATION. THE HOSPITAL HOLDS A CHEST PAIN CENTER ACCREDITATION WITH PRIMARY PCI FROM THE AMERICAN COLLEGE OF CARDIOLOGY, WHICH WAS AWARDED AFTER A RIGOROUS ONSITE EVALUATION DETERMINED THE HOSPITAL'S EXCEPTIONAL COMPETENCY IN EVALUATING, DIAGNOSING, AND TREATING PATIENTS WHO MAY BE EXPERIENCING A HEART ATTACK. SAN ANTONIO IS ALSO DESIGNATED AS A STEMI RECEIVING CENTER BY THE INLAND COUNTY EMERGENCY MEDICAL AGENCY (ICEMA), BASED ON THE EXPERIENCE AND EXPERTISE OF OUR MEDICAL TEAM AND THE ADVANCED TECHNOLOGY AND PROCESSES IN PLACE TO RAPIDLY HANDLE HEART ATTACK PATIENTS. CANCER CENTER - SARH'S CANCER PROGRAM HAS BEEN FULLY ACCREDITED BY THE AMERICAN COLLEGE OF SURGEON'S COMMISSION ON CANCER SINCE 1980, AND RECENTLY RECEIVED COMMENDATIONS IN SEVERAL AREAS FROM THE COMMISSION ON CANCER, A CONSORTIUM OF PROFESSIONAL ORGANIZATIONS DEDICATED TO IMPROVING SURVIVAL AND QUALITY OF LIFE FOR CANCER PATIENTS. THE CANCER PROGRAM TREATMENT MODALITIES INCLUDE SURGERY, CHEMOTHERAPY, IMMUNOTHERAPY, RADIOACTIVE SEED IMPLANTATION, SENTINEL NODE/LYMPHATIC MAPPING, STEREOTACTIC CORE BIOPSY, PHYSICAL REHABILITATION, SUPPORT GROUPS AND CLASSES, AND NUTRITIONAL CONSULTS. OTHER MODALITIES/SERVICES, DAVINCI ROBOTIC SURGICAL SYSTEM, A NON-INVASIVE NEUROSURGICAL TOOL, ENDOSCOPIC ULTRASOUND FOR GI CANCERS AS A DIAGNOSTIC TOOL, AND PALLIATIVE CARE TEAM. THE CANCER CENTER PROVIDES EDUCATION AND SUPPORT SERVICES FOR CANCER PATIENTS AND THEIR FAMILIES. NURSE NAVIGATORS ARE PART THE CANCER TEAM AND MEET WITH EVERY HOSPITALIZED PATIENT WITH CANCER. THE NAVIGATORS ALSO WORK CLOSELY WITH THE PHYSICIANS ON AN OUTPATIENT BASIS TO ENSURE THAT PATIENTS HAVE A POSITIVE EXPERIENCE AS THEY MOVE BETWEEN THE INPATIENT AND OUTPATIENT STATUS DURING DIFFERENT STAGES OF THEIR TREATMENT. WITH CANCER TREATMENTS BECOMING INCREASINGLY COMPLEX AND NEW PROTOCOLS EVOLVING RAPIDLY, SAN ANTONIO REGIONAL HOSPITAL AND THE CITY OF HOPE HAVE DEVELOPED A SPECIAL PARTNERSHIP TO GIVE LOCAL PATIENTS ACCESS TO LEADING-EDGE ONCOLOGY TREATMENT, INNOVATIVE RESEARCH, AND CLINICAL TRIALS HERE IN THE INLAND EMPIRE. THE PARTNERSHIP COMBINES CITY OF HOPE'S WORLD-CLASS CANCER CARE AND RESEARCH WITH SAN ANTONIO REGIONAL HOSPITAL'S 100-PLUS-YEAR-TRADITION OF PROVIDING HIGH-QUALITY PATIENT CARE. THE COLLABORATION IS FOCUSED ON CREATING A SEAMLESS CARE SYSTEM FOR ONCOLOGY PATIENTS WHO CAN ACCESS A FULL SPECTRUM OF MEDICAL AND SURGICAL CANCER SERVICES IN THEIR LOCAL COMMUNITY. SAN ANTONIO PROVIDES COMPLEMENTARY SERVICES FOR CANCER PATIENTS IN THE SCHEU BUILDING SO THAT OUTPATIENT CARE CAN BE ACCESSED IN ONE CONVENIENT LOCATION. THESE SERVICES INCLUDE IMAGING SERVICES (PET CT SCANNER, ULTRASOUND, AND OTHER DIAGNOSTIC RADIOLOGY SERVICES), A LABORATORY DRAW STATION, AND COMPREHENSIVE PRE-PROCEDURE AND PRE-SURGICAL SERVICES. WHEN CANCER SURGERY REQUIRES HOSPITALIZATION, SAN ANTONIO REGIONAL HOSPITAL HAS A DEDICATED ONCOLOGY UNIT WITH PRIVATE ROOMS LOCATED IN OUR VINEYARD TOWER. THIS UNIT FEATURES CERTIFIED ONCOLOGY NURSES SPECIALLY TRAINED IN COMPASSIONATE CANCER CARE. THESE HEALTHCARE SPECIALISTS ARE DEDICATED TO PROVIDING EXCEPTIONAL, EVIDENCE-BASED CARE FOR ALL OUR CANCER PATIENTS. WOMEN'S BREAST AND IMAGING CENTER - OUR STATE-OF-THE-ART WOMEN'S BREAST AND IMAGING CENTER OFFERS ADVANCED DIAGNOSTIC IMAGING SERVICES SUCH AS DIGITAL MAMMOGRAMS, 3D MAMMOGRAMS, ULTRASOUNDS, BREAST MRI, AND BONE DENSITY SCANS. WE ALSO PROVIDE MINIMALLY INVASIVE DIAGNOSTIC PROCEDURES SUCH AS STEREOTACTIC AND ULTRASOUND CORE BREAST BIOPSIES. OUR UNIQUE APPROACH TO SUPPORTING BREAST HEALTH ALSO INCLUDES BREAST HEALTH EDUCATION AND PATIENT NAVIGATION SERVICES. THE NURSE NAVIGATOR COORDINATES THE BREAST CANCER PATIENT'S CARE THROUGHOUT DIAGNOSIS, TREATMENT, AND RECOVERY. MATERNAL CHILD SERVICES - COORDINATES CARE WITH OBSTETRICIANS AND PEDIATRICIANS TO PROVIDE COMPREHENSIVE PRENATAL, DELIVERY, AND POSTPARTUM CARE. THE MATERNAL CHILD DEPARTMENT INCLUDES 20 MATERNITY BEDS, 4 LABOR, DELIVERY, AND RECOVERY ROOMS, 6 LABOR ROOMS, 10 LABOR, DELIVERY, RECOVERY AND POSTPARTUM ROOMS, 1 DELIVERY ROOM, 1 CESAREAN SECTION SURGICAL SUITE AND 1 (2-BED) PACU/RECOVERY ROOM. IT ALSO FEATURES A 20 BED NICU. A POSTPARTUM FOLLOW-UP CENTER IS LOCATED NEAR THE MAIN HOSPITAL TO PROVIDE SCREENING AND SUPPORT SERVICES FOR INFANTS AND THEIR PARENTS. SARH'S MATERNAL CHILD SERVICES, COLLECTIVELY KNOWN AS HEALTHY BEGINNINGS, IS COMMITTED TO PROVIDING EXCELLENT SERVICE AND CARE, WHICH RESULT IN THE BEST POSSIBLE OUTCOME FOR THE NEWEST MEMBERS OF ITS COMMUNITY AND THEIR FAMILIES. IN SUPPORT OF THIS GOAL, THE HOSPITAL ENGAGED IN AN EXTENSIVE PROCESS TO BECOME A "BABY FRIENDLY HOSPITAL," WHICH IS AN INTERNATIONAL DESIGNATION RECOGNIZING THE INSTITUTION'S COMPREHENSIVE PROGRAM SUPPORTING BREASTFEEDING AND INFANT/PARENT BONDING. AS PART OF THIS PROGRAM, PARENTS ARE ENCOURAGED TO TAKE ADVANTAGE OF THE MANY EDUCATIONAL OPPORTUNITIES AND SUPPORT SERVICES OFFERED BEFORE, DURING, AND AFTER DELIVERY. INTERNATIONALLY BOARD-CERTIFIED LACTATION CONSULTANTS, SUPPORTED BY LACTATION EDUCATORS, ARE AVAILABLE TO PROVIDE SUPPORT DURING THE FAMILY'S HOSPITAL STAY. THE NEWBORN FEEDING CENTER ASSESSES BOTH MOTHER AND NEWBORN, PROVIDING REFERRALS TO COMMUNITY RESOURCES WHEN NEEDED. THIS EVALUATION PROCESS HAS YIELDED SIGNIFICANT OUTCOMES INCLUDING A REDUCTION IN NEWBORN READMISSION RATES, INCREASED BREASTFEEDING RATES, EARLY INTERVENTION FOR DEVELOPMENT DELAYS, AND IDENTIFICATION AND TREATMENT OF POSTNATAL ILLNESS, FROM BABY BLUES TO POSTPARTUM PSYCHOSIS. WHILE SOME FAMILIES JUST NEED REASSURANCE THAT THEIR BABY IS THRIVING, OTHERS MAY REQUIRE FURTHER EDUCATION OR SUPPORT, AND A FEW REQUIRE INTERVENTION OR TREATMENT. THE CENTER OFFERS SUPPORT TO ALL NEW FAMILIES IN THE COMMUNITY, REGARDLESS OF WHERE THEIR BABIES ARE BORN. IN FACT, MANY LOCAL PEDIATRICIANS INCLUDE A VISIT TO THE CENTER AS PART OF THE DISCHARGE INSTRUCTIONS FOR THEIR PATIENTS.
Form 990, Part III, Line 4a continued 2	COMMUNITY HEALTH IMPROVEMENT (CHIP) - THIS PROGRAM ADDRESSES CHRONIC DISEASE MANAGEMENT SKILLS, MINIMIZING CHRONIC DISEASE MORBIDITIES, AND IMPROVING THE QUALITY OF LIFE AMONG COMMUNITY MEMBERS WITH CHRONIC DISEASES. UNIVERSITY STUDENTS ARE RECRUITED AND SPECIALLY TRAINED AS HEALTH COACHES TO PROVIDE COMPREHENSIVE CARE MANAGEMENT THROUGH A COMBINATION OF FOLLOW-UP CLINIC SERVICES AND AN IN-HOME VISITATION PROGRAM. STUDENTS ENGAGE IN EDUCATING AND MOTIVATING AT-RISK MEMBERS TO TAKE AN ACTIVE AND MEANINGFUL ROLE IN THEIR HEALTH AND WELL-BEING. THE PRIMARY OBJECTIVES OF THE HEALTH COACH ARE TO FOSTER MEANINGFUL INTERACTIONS FOR BOOSTING COOPERATION AND ADHERENCE, WHILE HELPING TO RESOLVE NON-MEDICAL ISSUES (SOCIAL DETERMINANTS OF HEALTH) THAT IMPEDE EFFECTIVE RISK FACTOR MANAGEMENT AND PATIENT CARE. POPULATION HEALTH - AS PART OF ITS MISSION TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES, SARH CONDUCTS AN ONGOING ASSESSMENT PROCESS TO IDENTIFY COMMUNITY HEALTH NEEDS. THE HOSPITAL'S POPULATION HEALTH DEPARTMENT SUPPORTS A VARIETY OF SERVICES DESIGNED TO MEET THESE NEEDS, INCLUDING EDUCATIONAL SEMINARS AND COMMUNITY HEALTH FAIRS, AS WELL AS SEVERAL TARGETED HEALTH INITIATIVES. SOME OF THE PROGRAMS ARE OFFERED VIRTUALLY OR ARE PROVIDED AT LOCATIONS THROUGHOUT THE COMMUNITY TO REACH THOSE WHO MAY HAVE SPECIAL NEEDS OR LACK TRANSPORTATION AND WOULD OTHERWISE FAIL TO ACCESS THESE IMPORTANT SERVICES. IN ADDITION TO GAINING KNOWLEDGE ABOUT IMPORTANT HEALTH TOPICS, PARTICIPANTS CAN ACCESS FREE SCREENINGS TO IDENTIFY POTENTIAL HEALTH CONCERNS SUCH AS HIGH BLOOD PRESSURE AND COLORECTAL CANCER. LEWIS-SAN ANTONIO HEALTHY COMMUNITIES INSTITUTE - THE LEWIS-SAN ANTONIO HEALTHY COMMUNITIES INSTITUTE (HCI) WAS ESTABLISHED IN APRIL 2016 BY RANDALL LEWIS (A LOCAL COMMUNITY VISIONARY, INNOVATOR AND PHILANTHROPIST) IN COLLABORATION WITH SAN ANTONIO REGIONAL HOSPITAL TO POSITIVELY IMPACT THE HEALTH OF THE INLAND EMPIRE REGION. HCI AIMS TO DEVELOP SOLUTIONS IN RESPONSE TO THE HIGH INCIDENCE OF CHRONIC DISEASES AND THE SHORTAGE OF HEALTHCARE PROFESSIONALS IN THE REGION. THE INSTITUTE IS DESIGNED TO SERVE AS A VEHICLE TO HELP CREATE INNOVATIVE SOLUTIONS AND TO SUPPORT THE EFFORTS OF LOCAL CITIES AND HEALTHCARE ENTITIES BY PROVIDING STRUCTURE, PROGRAMS, AND SPECIFIC TRAINING. IN 2023, HCI'S ACTIVE PROGRAMS INCLUDED POSITIVE MINDS, HEALTHY ACTIONS, AS WELL AS THE INTRODUCTION OF TWO EARLY CAREER EXPOSURE PROGRAMS: SUPER SCIENCE DAYS AND THE CLINICAL SHADOWING PROGRAM. THE CLINICAL SHADOWING PROGRAM WAS LAUNCHED AS AN INITIATIVE TO BRIDGE THE GAP BETWEEN CLASSROOM LEARNING, EARLY CAREER EXPLORATION, AND REAL-WORLD MEDICAL PRACTICE. BY PILOTING THE PROGRAM DURING THE SUMMER OF 2023, THE INAUGURAL CLASS OF 9 HIGH SCHOOL STUDENTS WERE GIVEN THE OPPORTUNITY TO OBSERVE AND LEARN DIRECTLY FROM HEALTHCARE EXPERTS IN THE SURGERY, CARDIOLOGY, LABORATORY, PHARMACY AND TELEMETRY DEPARTMENTS OF THE HOSPITAL. FROM RECEIVING MENTORSHIP ON THE FLOOR FROM MEDICAL PROFESSIONALS TO OBSERVING SURGERIES AND PROCEDURES, PARTICIPANTS GAIN A FIRSTHAND UNDERSTANDING OF THE CHALLENGES AND REWARDS OF A MEDICAL CAREER.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	EASTVALE SAN ANTONIO LAND COMPANY LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	999 SAN BERNARDINO ROAD	AddressLine1Txt
City	UPLAND	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	91786	ZIPCd

Field	Value	IRS element (for citing)
EIN	460783265	EIN
Primary Activities	LESSOR - LAND	PrimaryActivitiesTxt
Legal Domicile State	CA	LegalDomicileStateCd
Total Income	$81,443	TotalIncomeAmt
End Of Year Assets	$571,701	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
SAN ANTONIO HOSPITAL FOUNDATION INC
999 SAN BERNARDINO ROAD	UPLAND	CA	91786	330042666	SUPPORT SARH	CA	501(c)(3)	7	SARH	Yes (true)
SAN ANTONIO COMMUNITY HEALTH CARE PLAN
999 SAN BERNARDINO ROAD	UPLAND	CA	91786	237391094	HEALTH PLAN	CA	501(c)(9)		SARH	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 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
CUCAMONGA HEALTH SERVICES INC
999 SAN BERNARDINO ROAD	UPLAND	CA	91786	330010073	HOLDING COMPANY	CA	SARH	C Corporation	$1,674,746	$14,155,025	1	Yes (true)
FMP HOLDING INC
999 SAN BERNARDINO ROAD	UPLAND	CA	91786	815066476	HOLDING COMPANY	CA	SARH	C Corporation	$97,990	$1,730,675	1	Yes (true)
SAR MEDICAL GROUP
999 SAN BERNARDINO ROAD	UPLAND	CA	91786	863578927	HOLDING COMPANY	CA	SARH	C Corporation	$74,073	$622,466	1	Yes (true)

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

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SAN ANTONIO COMMUNITY HEALTH CARE PLAN
R	$17,109,258	CASH
SAN ANTONIO HOSPITAL FOUNDATION INC
C	$319,434	CASH
SAN ANTONIO HOSPITAL FOUNDATION INC
C	$1,040,814	CASH
CUCAMONGA HEALTH SERVICES INC
J	$117,057	CASH