SAN ANTONIO REGIONAL HOSPITAL: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: SAN ANTONIO REGIONAL HOSPITAL (EIN 95-1183919)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-11-11
IRS object ID: 202233159349307703
Schema version: 2021v4.2
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	2022-11-11T18:33:36-06:00	ReturnTs
Tax Period End	2021-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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 AVE SUITE 1700	AddressLine1Txt
City	IRVINE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92612	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-01-01	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)
In Care Of	% WAH-CHUNG HSU	InCareOfNm
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
Phone	9099852811	PhoneNum
Signature	2022-11-11	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Wah-chung	PersonFirstNm
Person Last	Hsu	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KARA ADAMS	PreparerPersonNm
PTIN	P00023315	PTIN
Phone	9497942300	PhoneNum
Preparation	2022-11-10	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	John Chapman	PrincipalOfficerNm

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	$521,691,139	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	14	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	2756	TotalEmployeeCnt
Total Volunteers	192	TotalVolunteersCnt
Total Gross UBI	$4,744,350	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$681,395	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$46,008,129	PYContributionsGrantsAmt
CY Contributions Grants	$3,251,741	CYContributionsGrantsAmt
PY Program Service Revenue	$401,983,066	PYProgramServiceRevenueAmt
CY Program Service Revenue	$425,519,992	CYProgramServiceRevenueAmt
PY Investment Income	$10,843,359	PYInvestmentIncomeAmt
CY Investment Income	$5,410,157	CYInvestmentIncomeAmt
PY Other Revenue	$8,704,295	PYOtherRevenueAmt
CY Other Revenue	$11,790,166	CYOtherRevenueAmt
PY Total Revenue	$467,538,849	PYTotalRevenueAmt
CY Total Revenue	$445,972,056	CYTotalRevenueAmt
PY Grants And Similar Paid	$105,628	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$112,034	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$209,060,184	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$202,967,547	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$201,596,351	PYOtherExpensesAmt
CY Other Expenses	$199,241,504	CYOtherExpensesAmt
PY Total Expenses	$410,762,163	PYTotalExpensesAmt
CY Total Expenses	$402,321,085	CYTotalExpensesAmt
PY Revenues Less Expenses	$56,776,686	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$43,650,971	CYRevenuesLessExpensesAmt
Total Assets BOY	$703,716,513	TotalAssetsBOYAmt
Total Assets EOY	$729,626,898	TotalAssetsEOYAmt
Total Liabilities BOY	$280,430,398	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$248,852,148	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$423,286,115	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$480,774,750	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
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	$363,170,610	ExpenseAmt
Grant	$112,034	GrantAmt
Revenue	$431,232,403	RevenueAmt
Desc	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 2,200 EMPLOYEES, OVER 400 VOLUNTEERS, AND A MEDICAL STAFF OF NEARLY 600 PHYSICIANS REPRESENTING A WIDE SPECTRUM OF MEDICAL AND SURGICAL SPECIALTIES. IN 2021, THE HOSPITAL HAD APPROXIMATELY 15,758 ADMISSIONS, 122,026 OUTPATIENT VISITS, AND 79,616 EMERGENCY ROOM VISITS. 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, AND EASTVALE, AND WILL SOON ADD A FOURTH URGENT CARE IN THE CITY OF 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 14-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. THE DIRECTORS ENCOURAGE EMPLOYEE PARTICIPATION IN COMMUNITY BENEFIT ACTIVITIES, AND IT IS THIS SUPPORT THAT ENSURES THE ULTIMATE SUCCESS OF THE SARH'S COMMUNITY OUTREACH PROGRAM. 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 2021, SARH WAS NAMED A RECIPIENT OF HEALTHGRADES AMERICA'S 50 BEST HOSPITALS FOR CARDIAC SURGERY. HEALTHGRADES IS A LEADING RESOURCE FOR CONNECTING CONSUMERS, PHYSICIANS, AND HEALTH SYSTEMS. EVERY YEAR, HEALTHGRADES EVALUATES HOSPITAL PERFORMANCE AT NEARLY 4,500 HOSPITALS NATIONWIDE FOR 31 OF THE MOST COMMON INPATIENT PROCEDURES AND CONDITIONS, INCLUDING CARDIAC SURGERY. HOSPITALS THAT HAVE ACHIEVED THE HEALTHGRADES AMERICA'S 50 BEST HOSPITALS FOR CARDIAC SURGERY AWARD HAVE DEMONSTRATED EXCEPTIONAL QUALITY OF CARE, ON AVERAGE, A 52.8% LOWER RISK OF DURING THAN IF THEY WERE TREATED IN HOSPITALS THAT DID NOT RECEIVE THE AWARD. SAN ANTONIO REGIONAL HOSPITAL WAS ALSO RECOGNIZED BY HEALTHGRADES FOR THE FOLLOWING ADDITIONAL CLINICAL ACHIEVEMENTS: CARDIAC SURGERY EXCELLENCE AWARD AND FIVE-STAR RECIPIENT FOR CORONARY BYPASS SURGERY. IN ADDITION, SARH' S STROKE CARE HAS BEEN RECOGNIZED WITH THE 2021 GET WITH THE GUIDELINES STROKE GOLD PLUS ACHIEVEMENT AWARD FROM THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION. THE AWARD IS GIVEN TO HOSPITALS THAT DEMONSTRATE 85 PERCENT OR HIGHER COMPLIANCE IN EACH OF THE ASSOCIATION'S SEVEN GET WITH THE GUIDELINES - STROKE ACHIEVEMENT MEASURES. HOSPITALS WITH THE GOLD STATUS HAVE DEMONSTRATED THIS COMPLIANCE FOR 24 CONSECUTIVE MONTHS. SAN ANTONIO'S STROKE RESPONSE TEAM MEMBERS WORK DILIGENTLY TO REDUCE TREATMENT TIME - FROM THE MOMENT THE PATIENT ARRIVES IN OUR EMERGENCY DEPARTMENT UNTIL THE MEDICAL TEAM CAN DIAGNOSE A STROKE AND ADMINISTER THE LIFESAVING TPA CLOT-BUSTING DRUG. THIS REDUCES THE DISABLING EFFECTS OF STROKE AND SAVES LIVES. IN 2021, SAN ANTONIO REGIONAL HOSPITAL HAS BEEN RECOGNIZED BY ANTHEM BLUE CROSS WITH A BLUE DISTINCTION CENTERS+ (BDC+) FOR MATERNITY CARE DESIGNATION, AS PART OF THE BLUE DISTINCTION SPECIALTY CARE PROGRAM. THE BLUE DISTINCTION CENTERS FOR MATERNITY CARE PROGRAM WAS EXPANDED BEYOND TRADITIONAL OUTCOME MEASURES TO INCLUDE ASSESSMENTS OF INTERNAL QUALITY IMPROVEMENT, DATA COLLECTION, AND DISSEMINATION, AND INTERNAL PROTOCOLS THAT BETTER ADDRESS CLINICAL QUALITY AND EQUITY ISSUES IN MATERNITY CARE. SARH WAS ALSO RECOGNIZED WITH THE 2021 WOMEN'S CHOICE AWARD AS ONE OF AMERICA'S BEST HOSPITALS FOR ORTHOPEDICS, HEART, STROKE, AND CANCER. 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. WE UNDERSTAND THAT COMMUNITY BENEFITS ARE MORE THAN JUST NUMBERS. THEY REPRESENT PEOPLE - CHILDREN, PARENTS, GRANDPARENTS, AND THOSE WHO MAY BE MARGINALIZED, DISADVANTAGED, AND DISENFRANCHISED. 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 2021, $1,454,613 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 $34,920,980 IN UNREIMBURSED COSTS INCURRED IN PROVIDING CARE AND TREATMENT FOR MEDI-CAL PATIENTS, WHILE OTHER UNCOMPENSATED CARE (BAD DEBTS) TOTALED $13,340,290 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. AN INVENTORY OF THESE PROGRAMS AND ACTIVITIES IS PROVIDED LATER IN THIS REPORT. IN MANY COMMUNITIES WITHIN THE HOSPITAL'S SERVICE AREA, NEEDS FAR EXCEED ACCESSIBLE RESOURCES. SAN ANTONIO REGIONAL HOSPITAL UNDERSTANDS THE POWER OF COLLABORATION AND SEEKS ALLIANCES WITH OTHER HEALTH AND SOCIAL SERVICE PROVIDERS TO DEVELOP COMMUNITY-BASED PROGRAMS WITH DEFINED GOALS AND MEASURABLE OUTCOMES. THESE PARTNERSHIPS HELP TO LEVERAGE THE COMMUNITY'S RESOURCES TO ACHIEVE THE M	Desc
Total Program Service Expenses	$363,170,610	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
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	332	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2756	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	14	GoverningBodyVotingMembersCnt
Independent Voting Member	10	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

Field	Value	IRS element (for citing)
Person	WAH-CHUNG HSU	PersonNm
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 (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Key EmployeeKeyEmployeeInd
Wah-chung Hsu
VICE PRESIDENT/CFO	40.0	5.0	Yes (X)	$546,564	$0	$112,523
John Chapman
President/CEO	40.0	3.0	Yes (X)	$548,183	$0	$96,077	Yes (X)
Harris Koenig
FORMER CEO	0.0	0.0		$453,031	$0	$0		Yes (X)
Kamal Pandya
VP/Chief Information Officer	40.0	0.0		$372,908	$0	$73,126			Yes (X)
Sandra Wier
Chief Human Resources Officer	40.0	0.0		$367,640	$0	$71,780				Yes (X)
Debora Turner
Chief Operating Officer	40.0	0.0		$341,396	$0	$75,363				Yes (X)
Cathy Rebman
VP Busin Devel & Comm Outreach	40.0	0.0		$326,995	$0	$34,452			Yes (X)
Gurjeet Dhillon
VP/Chief Nursing Officer	40.0	0.0		$256,445	$0	$41,655				Yes (X)
Saurabh Ashier
Manager Cardiovascular Serv	40.0	0.0		$252,898	$0	$18,603			Yes (X)
Femely Rubino
Registered Nurse	40.0	0.0		$238,032	$0	$12,481			Yes (X)
Sarah Khan MD
Trustee	4.0	0.0		$237,745	$0	$0	Yes (X)
Melissa Wood
Director Finance	40.0	0.0		$229,052	$0	$6,238			Yes (X)
Gudrun Moll 11-226
VP/Chief Nursing Officer	40.0	0.0		$203,258	$0	$9,008				Yes (X)
Sohan Bassi MD
Trustee/Secretary	4.0	0.0	Yes (X)	$16,750	$0	$0	Yes (X)
David Dang MD
Trustee/Med. Staff President	4.0	0.0		$10,500	$0	$0	Yes (X)
Dennis Trigueros MD
Trustee	4.0	0.0		$3,000	$0	$0	Yes (X)
Vincent Carollo MD
Trustee/Chairman	4.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
Wes Fifield
Trustee/Vice Chair	4.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
Victor Ching MD
Trustee/Treasurer	4.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
Al Arguello
Trustee	4.0	0.0		$0	$0	$0	Yes (X)
Dora Barilla
Trustee	4.0	0.0		$0	$0	$0	Yes (X)
Deborah Freund
Trustee	4.0	0.0		$0	$0	$0	Yes (X)
Susan Leonis-Jensen
Trustee	4.0	0.0		$0	$0	$0	Yes (X)
Mary Lopez
Trustee	4.0	0.0		$0	$0	$0	Yes (X)
Robert Mendez
Trustee	4.0	0.0		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,404,397	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$551,306	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	591	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	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
Shiftwise Inc
1800 SW 1st Avenue Suite 510	PORTLAND	OR	97201	Nursing Registry	$8,539,532
DVA Renal Healthcare
PO Box 8500-1607	PHILADELPHIA	PA	191781607	Dialysis	$3,924,693
Huron Consulting
550 WEST VAN BUREN STREET	CHICAGO	IL	60607	Consulting Services	$3,697,913
Synergy CT Surgery Partnership
901 San Bernardino Road 102	UPLAND	CA	91786	Medical Services	$1,483,669
Emerald Textiles LLC
1725 Dornoch Ct	SAN DIEGO	CA	92154	Linen Services	$1,245,687

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	49	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,891,138	RelatedOrganizationsAmt
Government Grants	$1,360,603	GovernmentGrantsAmt
Total Contributions	$3,251,741	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	622110	$390,134,492	$390,134,492
PROVIDER FEE REVENUE	622110	$31,633,850	$31,633,850
RENTAL INCOME - MOB	531120	$3,094,123	$3,094,123
CAPITATION REVENUE	622110	$563,021	$563,021
OUTSIDE LAB REVENUE	621500	$94,506		$94,506

Field	Value	IRS element (for citing)
Total Program Service Revenue	$425,519,992	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,419,599	TotalRevenueColumnAmt
Exclusion	$4,419,599	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$76,573,237	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$75,582,679	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$990,558	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$990,558	TotalRevenueColumnAmt
Exclusion	$990,558	ExclusionAmt

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$242,048	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$136,404	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$105,644	TotalRevenueColumnAmt
Exclusion	$105,644	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PHARMACY AT CASA COLINA	446110	$4,263,921	$4,263,921
OTHER REVENUE	622110	$3,480,521		$3,480,521
INSURANCE INCENTIVE PAYMENT	622110	$2,231,890		$2,231,890

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,708,190	TotalRevenueColumnAmt
Unrelated Business Revenue	$385,923	UnrelatedBusinessRevenueAmt
Exclusion	$1,322,267	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$11,684,522	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$445,972,056	TotalRevenueColumnAmt
Related Or Exempt Func Income	$431,137,897	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$4,744,350	UnrelatedBusinessRevenueAmt
Exclusion	$6,838,068	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$112,034	TotalAmt
Program Services	$112,034	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,937,887	TotalAmt
Program Services	$1,080,212	ProgramServicesAmt
Management And General	$1,857,675	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$167,221,951	TotalAmt
Program Services	$149,284,624	ProgramServicesAmt
Management And General	$17,937,327	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,430,396	TotalAmt
Program Services	$3,955,163	ProgramServicesAmt
Management And General	$475,233	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$16,163,658	TotalAmt
Program Services	$14,429,838	ProgramServicesAmt
Management And General	$1,733,820	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$12,213,655	TotalAmt
Program Services	$10,903,538	ProgramServicesAmt
Management And General	$1,310,117	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$4,053,029	TotalAmt
Management And General	$4,053,029	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$390,681	TotalAmt
Management And General	$390,681	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$107,989	TotalAmt
Management And General	$107,989	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$590,950	TotalAmt
Management And General	$590,950	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$36,301,597	TotalAmt
Program Services	$36,301,597	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$473,805	TotalAmt
Management And General	$473,805	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,887,494	TotalAmt
Program Services	$5,320,546	ProgramServicesAmt
Management And General	$566,948	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$10,192,617	TotalAmt
Program Services	$9,099,290	ProgramServicesAmt
Management And General	$1,093,327	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$16,369,427	TotalAmt
Program Services	$14,793,100	ProgramServicesAmt
Management And General	$1,576,327	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$15,884	TotalAmt
Program Services	$14,180	ProgramServicesAmt
Management And General	$1,704	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,251,012	TotalAmt
Program Services	$5,251,012	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$19,615,627	TotalAmt
Program Services	$17,726,701	ProgramServicesAmt
Management And General	$1,888,926	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,589,048	TotalAmt
Management And General	$4,589,048	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES	$49,983,224	$49,983,224
DRUGS	$21,132,916	$21,132,916
PROVIDER FEE	$18,687,711	$18,687,711
DUES AND SUBSCRIPTIONS	$903,936	$903,936

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,694,557	TotalAmt
Program Services	$4,190,988	ProgramServicesAmt
Management And General	$503,569	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$402,321,085	TotalAmt
Program Services	$363,170,610	ProgramServicesAmt
Management And General	$39,150,475	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$26,748	BOYAmt
EOY	$57,414	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$7,741,744	BOYAmt
EOY	$24,641,530	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	$78,802,932	BOYAmt
EOY	$67,020,263	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	$5,983,921	BOYAmt
EOY	$6,749,888	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,481,626	BOYAmt
EOY	$9,105,565	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$443,445,837	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$169,500,821	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$278,523,140	BOYAmt
EOY	$273,945,016	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$220,839,976	BOYAmt
EOY	$236,678,737	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$5,720,004	BOYAmt
EOY	$6,154,773	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$98,596,422	BOYAmt
EOY	$105,273,712	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$703,716,513	BOYAmt
EOY	$729,626,898	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$81,739,680	BOYAmt
EOY	$69,158,945	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	$145,593,893	BOYAmt
EOY	$142,109,204	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	$53,096,825	BOYAmt
EOY	$37,583,999	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$280,430,398	BOYAmt
EOY	$248,852,148	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	$411,635,088	BOYAmt
EOY	$468,684,228	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$11,651,027	BOYAmt
EOY	$12,090,522	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$423,286,115	BOYAmt
EOY	$480,774,750	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$703,716,513	BOYAmt
EOY	$729,626,898	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$43,650,971	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$6,559,989	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$20,397,653	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)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$107,989	OtherActivitiesAmt
Total Lobbying Expenditures	$107,989	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1i	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

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,083,191	BeginningYearBalanceAmt
Investment Earnings Or Losses	$325,117	InvestmentEarningsOrLossesAmt
Other Expenditures	$301,452	OtherExpendituresAmt
Administrative Expenses	$11,165	AdministrativeExpensesAmt
End Year Balance	$4,095,691	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,052,191	BeginningYearBalanceAmt
Contributions	$31,000	ContributionsAmt
Investment Earnings Or Losses	$266,663	InvestmentEarningsOrLossesAmt
Other Expenditures	$243,279	OtherExpendituresAmt
Administrative Expenses	$23,384	AdministrativeExpensesAmt
End Year Balance	$4,083,191	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
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)
Other Cost Or Other Basis	$14,864,344	OtherCostOrOtherBasisAmt
Book Value	$14,864,344	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$288,790,562	OtherCostOrOtherBasisAmt
Depreciation	$71,094,204	DepreciationAmt
Book Value	$217,696,358	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,349,919	OtherCostOrOtherBasisAmt
Depreciation	$4,988,553	DepreciationAmt
Book Value	$1,361,366	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$126,040,298	OtherCostOrOtherBasisAmt
Depreciation	$93,418,064	DepreciationAmt
Book Value	$32,622,234	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,400,714	OtherCostOrOtherBasisAmt
Book Value	$7,400,714	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$273,945,016	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt
BENEFICIAL INTEREST IN SAHF	$52,094,539
RECEIVABLE - PROVIDER FEE PROG	$37,026,011
MALPRACTICE CLAIMS RECEIVABLE	$7,371,000
CAPITAL LEASE	$3,761,302
DUE FROM RELATED ENTITIES	$3,588,186
PHYSICIAN GUARANTEE ASSET	$538,532
DEFERRED REVENUE	$794,142
PURCHASE OPTION	$100,000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$105,273,712	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
PENSION PLAN LIABILITY FAS 158	$20,167,111
INSURANCE CLAIMS	$14,951,054
RIGHT OF USE LIABILITY	$2,099,605
PHYSICIAN GUARANTEE LIABILITY	$366,229

Field	Value	IRS element (for citing)
Total Liability	$37,583,999	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule D, Part V, Line 4

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

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, 2021 or 2020. 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 2018 through 2020 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	$1,454,613	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,454,613	NetCommunityBenefitExpnsAmt
Total Expense	0.00360	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$107,984,184	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$87,308,924	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,675,260	NetCommunityBenefitExpnsAmt
Total Expense	0.05140	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$109,438,797	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$87,308,924	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,129,873	NetCommunityBenefitExpnsAmt
Total Expense	0.05500	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	26	ActivitiesOrProgramsCnt
Persons Served	7911	PersonsServedCnt
Total Community Benefit Expns	$2,216,153	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$241,283	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,974,870	NetCommunityBenefitExpnsAmt
Total Expense	0.00490	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	11	PersonsServedCnt
Total Community Benefit Expns	$118,529	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$118,529	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$275,020	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$275,020	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	13971	PersonsServedCnt
Total Community Benefit Expns	$121,484	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,450	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$112,034	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	31	ActivitiesOrProgramsCnt
Persons Served	21893	PersonsServedCnt
Total Community Benefit Expns	$2,731,186	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$250,733	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,480,453	NetCommunityBenefitExpnsAmt
Total Expense	0.00620	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	31	ActivitiesOrProgramsCnt
Persons Served	21893	PersonsServedCnt
Total Community Benefit Expns	$112,169,983	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$87,559,657	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,610,326	NetCommunityBenefitExpnsAmt
Total Expense	0.06120	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	23	PersonsServedCnt
Total Community Benefit Expns	$370	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$370	NetCommunityBenefitExpnsAmt

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$680	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$680	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	2408	PersonsServedCnt
Total Community Benefit Expns	$105,063	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$103,321	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,742	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	2431	PersonsServedCnt
Total Community Benefit Expns	$106,113	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$103,321	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,792	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Reimbursed By Medicare	$63,249,505	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$56,573,128	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$6,676,377	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	0.28404	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.05677	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.60263	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	19	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	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	20	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.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	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	SEE SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SECTION C	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 (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5	THE HOSPITAL CONDUCTED ITS COMMUNITY HEALTH NEEDS ASSESSMENT IN 2019 FOR THE CALENDAR YEARS OF 2020, 2021, AND 2022. SAN ANTONIO REGIONAL HOSPITAL (SARH) WELCOMED THE PARTICIPATION OF AND INPUT FROM OUR COMMUNITY MEMBERS. TO SUCCESSFULLY GATHER ROBUST PRIMARY DATA, NUMEROUS DEMOGRAPHIC GROUPS WERE PROVIDED AN ONLINE SURVEY AND DIVERSE SETS OF FOCUS GROUPS AND KEY INFORMANT INTERVIEWS WERE CONDUCTED. THE COMMUNITY GROUPS SELECTED INCLUDED SENIORS, FAMILY PROGRAMS FOR PARENTS AND CHILDREN IN AT-RISK AREAS, FORMER PATIENTS, PUBLIC HEALTH PROFESSIONALS, AND CIVIC LEADERS. SARH'S TEAM ENDEAVORED TO GAIN A BETTER UNDERSTANDING OF THE CURRENT CONCERNS AND INTERESTS AMONG HIGHER NEED SEGMENTS OF THE HOSPITAL'S PRIMARY SERVICE AREA. FOCUS GROUPS WERE CONDUCTED WITH A RANGE OF GROUPS INCLUDING: CONSUMERS OF LOW-COST AND FREE SERVICES (MONOLINGUAL NON-ENGLISH-SPEAKING AND ENGLISH-SPEAKING), PARENTS, ELDERLY, AND PROFESSIONALS LEADING COMMUNITY-WIDE HEALTH INITIATIVES IN SARH'S SERVICE AREA. GENERAL HEALTH ISSUES FOR EACH GROUP OF PARTICIPANTS WERE USED TO CREATE A QUESTION OUTLINE SPECIFIC TO EACH GROUP. A THOROUGH EVALUATION AND SYNTHESIS OF THE RESULTS REVEALED SEVERAL MAJOR CONCERNS, WHICH FELL INTO FOUR PRIORITY AREAS: ACCESS TO HEALTHCARE, HEALTH LITERACY, HEALTH MANAGEMENT, AND A HEALTHY ENVIRONMENT. SAN ANTONIO REGIONAL HOSPITAL COLLABORATED WITH THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA TO PLAN AND EXECUTE THE 2019 INLAND EMPIRE REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). TOGETHER WITH SEVEN OTHER HOSPITALS (DESERT REGIONAL MEDICAL CENTER, HI-DESERT MEDICAL CENTER, INLAND VALLEY MEDICAL CENTER, JFK MEMORIAL HOSPITAL, MOUNTAINS COMMUNITY HOSPITAL, RANCHO SPRINGS MEDICAL CENTER, AND REDLANDS COMMUNITY 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. FROM NOVEMBER 12, 2018 TO JANUARY 18, 2019, MULTIPLE FOCUS GROUPS, KEY INFORMANT INTERVIEWS, AND ONLINE SURVEYS WERE ADMINISTERED. A TOTAL OF 228 PEOPLE WERE SURVEYED TO OBTAIN INPUT FROM THE COMMUNITY IN THE FORM OF 11 FOCUS GROUPS (WITH A TOTAL OF 97 FOCUS GROUP PARTICIPANTS), 32 KEY INFORMANT INTERVIEWS, AND 99 ONLINE SURVEYS (INCLUDING A SPANISH OPTION). 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 HOSPITALS PARTICIPATING IN THE TWO-COUNTY ASSESSMENT WORKED TO IDENTIFY RELEVANT KEY INFORMANTS AND TOPICAL FOCUS GROUPS TO GATHER MORE INSIGHTFUL DATA AND TO AID IN DESCRIBING THE COMMUNITY. TO DETERMINE FOCUS GROUPS AND KEY INFORMANTS, MEMBERS OF THE INLAND EMPIRE REGIONAL CHNA TASKFORCE INDIVIDUALLY CREATED INTERVIEW LISTS. TASKFORCE MEMBERS CONSIDERED A VARIETY OF SECTORS TO BE REPRESENTED, INCLUDING COMMUNITY-BASED ORGANIZATIONS, LOCAL BUSINESSES, FOUNDATION/FUNDERS, SCHOOL BOARDS/DISTRICTS, CITY COUNCILS, PUBLIC HEALTH DEPARTMENTS, LAW ENFORCEMENT, LEGAL, FAITH-BASED ORGANIZATIONS, AND HOSPITAL LEADERS. IN ADDITION, THE FOLLOWING POPULATIONS WERE CONTEMPLATED FOR THE FOCUS GROUPS: THOSE DEALING WITH MENTAL HEALTH ISSUES OR SUBSTANCE ABUSE, MINORITIES, LOW INCOME, MEDICALLY UNDERSERVED/UNINSURED/UNDERINSURED, AND YOUTH. COMMUNITY VOICES - AN ONLINE SURVEY IN ENGLISH AND SPANISH WAS CREATED AND DISTRIBUTED FOR GREATER COMMUNITY INPUT. IT SHOULD BE NOTED THAT THE SURVEY RESULTS WERE NOT BASED ON A STRATIFIED RANDOM SAMPLE OF RESIDENTS THROUGHOUT RIVERSIDE AND SAN BERNARDINO COUNTIES. THE PERSPECTIVES CAPTURED IN THIS DATA SIMPLY REPRESENT THE COMMUNITY MEMBERS WHO AGREED TO PARTICIPATE AND HAVE AN INTEREST IN HEALTHCARE. IN ADDITION, THE ASSESSMENT RELIED ON SEVERAL NATIONAL AND STATE ENTITIES WITH PUBLICLY AVAILABLE DATA. ALL LIMITATIONS INHERENT IN THESE SOURCES WERE PRESENT FOR THE ASSESSMENT. PARTICIPANTS IN THE FOCUS GROUPS WERE END-USERS OF PROGRAMS AND SERVICES AS WELL AS VOLUNTEERS AND/OR AUXILIARY BOARD MEMBERS PROVIDED BY THE HOSPITALS PARTICIPATING IN THIS CHNA. POPULATIONS REPRESENTED BY FOCUS GROUP MEMBERS INCLUDED LOW-INCOME POPULATIONS, HOMELESS, SENIORS, WOMEN'S CANCER, SINGLE MOTHERS/MATERNAL HEALTH, AND SPANISH-SPEAKING PROMOTORAS. KEY INFORMANT INTERVIEWS CONSISTED OF KEY LEADERS IN OUR COMMUNITY FROM AN ARRAY OF AGENCIES, INCLUDING THOSE THAT SERVE CHILDREN, HOMELESS POPULATIONS, VETERANS, SENIORS, AND SPANISH-SPEAKING POPULATIONS. OTHER ORGANIZATIONS REPRESENTED INCLUDED PUBLIC HEALTH AGENCIES, LAW ENFORCEMENT, HEALTHCARE ORGANIZATIONS, FUNDERS, AND SCHOOL DISTRICTS. MOST OF THE KEY INFORMANTS HAD TITLES SUCH AS DIRECTOR OR EXECUTIVE DIRECTOR, PRESIDENT OR VICE PRESIDENT, OR WERE A PART OF THE MEDICAL STAFF OF THEIR ORGANIZATIONS. SEVEN RESPONDENTS MENTIONED WORKING FOR NONPROFIT ORGANIZATIONS. COMMUNITY HOSPITALS, PUBLIC AND/OR POPULATION HEALTH, WORKFORCE DEVELOPMENT, AFFORDABLE HOUSING, AND FIRE PROTECTION SERVICES WERE MOST FREQUENTLY STATED AS SERVICES PROVIDED. SECONDARY SOURCES INCLUDED PUBLICLY AVAILABLE STATE AND NATIONALLY RECOGNIZED DATA SOURCES AVAILABLE AT THE ZIP CODE, COUNTY AND STATE LEVEL. HEALTH INDICATORS FOR SOCIAL AND ECONOMIC FACTORS, HEALTH SYSTEM, PUBLIC HEALTH AND PREVENTION, AND PHYSICAL ENVIRONMENT WERE INCLUDED. THE TOP LEADING CAUSES OF DEATH AS WELL AS CONDITIONS OF MORBIDITY THAT ILLUSTRATE THE COMMUNICABLE AND CHRONIC DISEASE BURDEN ACROSS SAN BERNARDINO AND RIVERSIDE COUNTIES WERE ALSO INCLUDED. A SIGNIFICANT PORTION OF THE DATA FOR THE ASSESSMENT WAS COLLECTED THROUGH A CUSTOM REPORT GENERATED THROUGH COMMUNITY COMMON'S ENGAGEMENT NETWORK CHNA. OTHER SOURCES INCLUDE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, COUNTY HEALTH RANKINGS & ROADMAPS, AND CALIFORNIA ENVIRONMENTAL PROTECTION AGENCY'S OFFICE OF ENVIRONMENTAL HEALTH HAZARD ASSESSMENT. WHEN FEASIBLE, HEALTH METRICS WERE FURTHER COMPARED TO ESTIMATES FOR THE STATE OR NATIONAL BENCHMARKS, SUCH AS THE HEALTHY PEOPLE 2020 OBJECTIVES. INPATIENT HOSPITALIZATION DISCHARGE DATA FOR 2017 WAS DERIVED FROM THE CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) HOSPITAL DATASET UTILIZING THE SPEEDTRACK ANALYTICS PLATFORM. HOSPITALIZATION DISCHARGE DATA WAS STRATIFIED BY GENDER, RACE/ETHNICITY, AND AGE. THE FOCUS GROUPS, KEY INFORMANTS, AND SURVEYS CONTAINED QUESTIONS ABOUT THE MOST SIGNIFICANT HEALTH NEED IN THE COMMUNITY. BASED ON THOSE RESPONSES, PRIORITIZATION WAS GIVEN TO THE ISSUES MOST FREQUENTLY MENTIONED IN ALL THREE DATA SOURCES. FOLLOWING THE COMPLETION OF THE REGIONAL CHNA, SAN ANTONIO FINALIZED ITS 2019 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 HEALTH, CHRONIC DISEASES, ACCESS TO HEALTH, AND PREVENTION AND WELLNESS.
Schedule H, Part V, Section B, Line 6a	OTHER HOSPITALS INCLUDED IN THE DEVELOPMENT OF THE HOSPITAL'S CHNA WERE DESERT REGIONAL MEDICAL CENTER, HI-DESERT MEDICAL CENTER, INLAND VALLEY MEDICAL CENTER, JFK MEMORIAL HOSPITAL, MOUNTAINS COMMUNITY HOSPITAL, RANCHO SPRINGS MEDICAL CENTER, AND REDLANDS COMMUNITY HOSPITAL.
Schedule H, Part V, Section B, Line 6b	OTHER ORGANIZATIONS INCLUDED IN THE DEVELOPMENT OF THE HOSPITAL'S CHNA WERE THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA, THE HEALTH DEPARTMENT OF SAN BERNARDINO COUNTY AND THE HEALTH DEPARTMENT OF RIVERSIDE COUNTY.
Schedule H, Part V, Section B, Line 7a	WWW.SARH.ORG/ABOUT-US/COMMUNITY-CONNECTION/COMMUNITY-BENEFIT/
Schedule H, Part V, Section B, Line 11	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. USING THE CHNA AS BOTH CONTEXT AND THE LENS THROUGH WHICH THE COMMUNITY'S NEEDS WERE IDENTIFIED, SAN ANTONIO EMBARKED ON A FORMAL PRIORITIZATION PROCESS THAT INCLUDED INPUT FROM COMMUNITY STAKEHOLDERS. 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. 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 FOUR PRIORITY AREAS, THE SPECIFIC NEEDS IDENTIFIED IN THE 2019 CHNA, AND INPUT SOUGHT AND PROVIDED BY COMMUNITY STAKEHOLDERS. MENTAL HEALTH WAS ONE OF THE MOST FREQUENTLY MENTIONED HEALTH NEEDS IN NEARLY EVERY QUESTION BY THE FOCUS GROUPS, KEY INFORMANTS, AND SURVEY RESPONDENTS. CHILDREN AND THE AGING POPULATION WERE NOTED AS POPULATIONS WITH MENTAL HEALTH CONCERNS. ISSUES MENTIONED INCLUDED SHORTAGE OF STAFF, ADDICTION, LACK OF AVAILABLE SERVICES, TRAUMA, ISOLATION, AND SOCIAL FACTORS SUCH AS TRANSPORTATION, ALL OF WHICH LEAD TO CONTINUED UNMET NEEDS. SARH WILL ADDRESS THESE ISSUES BY SUPPORTING LOCAL AND REGIONAL MENTAL HEALTH POLICY AND EDUCATIONAL AWARENESS INITIATIVES TO INCREASE KNOWLEDGE AND ACCESS TO MENTAL HEALTH RESOURCES. THE TOP THREE LEADING CAUSES OF DEATH IN SAN BERNARDINO AND RIVERSIDE COUNTIES ARE CANCER, HEART DISEASE, AND CHRONIC LOWER RESPIRATORY DISEASE. ANALYSIS OF THE PREVENTION QUALITY INDICATORS (PQI) REVEAL THAT SAN BERNARDINO COUNTY HAS THE NUMBER OF HIGHEST HOSPITAL ADMISSIONS FOR DIABETES SHORT-TERM COMPLICATIONS, DIABETES LONG-TERM COMPLICATIONS, HYPERTENSION, UNCONTROLLED DIABETES, AND ASTHMA IN YOUNGER ADULTS. SARH WILL BE COMMITTED TO IMPROVE THE HEALTH STATUS OF AN AT-RISK POPULATION BY SCREENING FREQUENT EMERGENCY DEPARTMENT VISITORS AND CONDUCTING EVALUATIONS FOR PROGRAM PARTICIPATION. THE GOAL IS TO IMPROVE HEALTH STATUS OF ENROLLED CHIP MEMBERS. THE WHEALTH (ADOLESCENT WELLNESS & WORKFORCE DEVELOPMENT) PROGRAM PROVIDES A THREE PRONGED APPROACH INCLUDING CURRICULUM ON FITNESS, NUTRITION, AND MENTAL RESILIENCY. THE PROGRAM IS OFFERED IN PARTNERSHIP WITH LOCAL UNIVERSITIES AND SCHOOL DISTRICTS TO IMPROVE THE HEALTH AND WELL-BEING OF STUDENTS BY PROMOTING HEALTHY LIFESTYLES AND ACTIVITIES IN OUR YOUTH. EACH YEAR, AND AT THE CONCLUSION OF THE THREE-YEAR IMPLEMENTATION STRATEGY, SAN ANTONIO REGIONAL HOSPITAL EVALUATES THE EFFECTIVENESS OF ITS COMMUNITY BENEFIT PROGRAMS TO DETERMINE THE LEVEL OF MEASURABLE COMMUNITY HEALTH IMPACT. 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: TRANSPORTATION , POVERTY AND FOOD INSECURITY, AND AFFORDABLE HOUSING AND HOMELESSNESS. 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 13h	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 V, Section B, Line 16a	www.sarh.org/patients-and-visitors/billing/
Schedule H, Part V, Section B, Line 16b	www.sarh.org/patients-and-visitors/billing/
Schedule H, Part V, Section B, Line 16c	www.sarh.org/patients-and-visitors/billing/
Schedule H, Part V, Section B, Line 3e	THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.

Field	Value	IRS element (for citing)
Facility	7	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule H, Part VI	FormAndLineReferenceDesc
Explanation	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 WWW.SARH.ORG. Schdule H, Part I, Line 7 - 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. Sch H, Part II - THE LEWIS-SAN ANTONIO HEALTHY COMMUNITIES INSTITUTE (HCI) WAS ESTABLISHED IN APRIL 2016 TO IDENTIFY OPPORTUNITIES, SOLUTIONS, AND PARTNERS TO POSITIVELY IMPACT THE HEALTH OF OUR REGION. HCI SEEKS TO ADDRESS THE HEALTHCARE WORKER SHORTAGE AS WELL AS ELEMENTS OF THE EDUCATIONAL ATTAINMENT GAP THROUGH ITS WHEALTH PROGRAM. THE MISSION IS TO CREATE A PIPELINE OF STUDENTS, ESPECIALLY UNDERREPRESENTED POPULATIONS, WHO ARE INTERESTED IN, ENGAGED, AND PREPARED FOR COLLEGE AND HEALTH RELATED FIELDS. HCI IS CURRENTLY FOCUSING ON THREE PROGRAM AREAS: HEALTHCARE WORKFORCE, HEALTH POLICY EDUCATION, AND NON-CLINICAL HEALTHCARE INTERNSHIPS. HEALTH CARE WORKFORCE - SOUTHERN CALIFORNIA'S INLAND EMPIRE REGION INCLUDES SAN BERNARDINO, THE LARGEST US GEOGRAPHICAL COUNTY, AND RIVERSIDE COUNTIES. THIS REGION HAS POORER HEALTH STATUS AND A GREATER SHORTAGE OF HEALTHCARE PROFESSIONALS THAN SURROUNDING COMMUNITIES. LEWIS-SAN ANTONIO HEALTHY COMMUNITIES INSTITUTE (HCI) DEVELOPED TWO SCHOOL-BASED ADOLESCENT PROGRAMS CALLED "WHEALTH" (WELLNESS + HEALTHCARE) AND THE "YOUNG HEALTHCARE PROFESSIONALS" TO ADDRESS THESE TWO MAJOR NEEDS TO BUILD HEALTHIER OUTCOMES FOR THE FUTURE OF THE INLAND EMPIRE. WHEALTH - SUPPORTS STUDENTS IN THEIR HEALTH CAREER JOURNEY BY: 1) CREATING LEARNING OPPORTUNITIES AROUND CHRONIC DISEASE PREVENTION; 2) HELPING TO ESTABLISH LIFELONG HEALTHY HABITS; AND 3) SUPPORTING AN INTEREST IN HEALTHCARE CAREERS. THIS PROGRAM AIMS TO INCREASE KNOWLEDGE ON WELLNESS TOPICS AND HEALTHCARE PROFESSIONAL DEVELOPMENT TRAINING. THE WHEALTH CURRICULUM IS ADAPTED FROM HEALTHCORPS INC., A NATIONAL NONPROFIT, AND ALIGNS WITH THE NATIONAL HEALTH EDUCATION STANDARDS FOCUSING ON NUTRITION, FITNESS, AND MENTAL RESILIENCE. THE WHEALTH PROGRAM GOALS INCLUDE: 1) INCREASING KNOWLEDGE IN NUTRITION, PHYSICAL ACTIVITY, AND MENTAL RESILIENCE AMONG JUNIOR HIGH AND HIGH SCHOOL PARTICIPANTS USING HEALTHCORPS CURRICULUM; AND 2) INCREASING PROFESSIONAL DEVELOPMENT TRAINING FOR HEALTHCARE CAREER PREPAREDNESS AMONG HIGH SCHOOL PARTICIPANTS. THE CURRICULUM UTILIZES UNIVERSITY STUDENTS FROM ACROSS THE REGION TO INSTRUCT HIGH SCHOOL WELLNESS IN EIGHT CLASSROOM SESSIONS. PROFESSIONAL DEVELOPMENT THROUGH THE "TRAIN-THE-TRAINER MODEL" IS INTEGRATED THROUGHOUT THE PROGRAM ALONG WITH INSTRUCTION AND MENTORSHIP AMONG VARIOUS EDUCATIONAL LEVELS. THE UNIVERSITY STUDENTS ARE INSTRUCTORS ON THE WELLNESS CURRICULUM AND MENTORS TO THE HIGH SCHOOL STUDENTS AS THEY ANSWER QUESTIONS ON COLLEGE LIFE, MAJORS, AND CAREER PLANNING. ONCE THE HIGH SCHOOL STUDENTS COMPLETE THEIR EIGHT-WEEK HEALTHCORPS PROGRAM, THEY HAVE THE OPPORTUNITY TO TEACH THE CURRICULUM TO JUNIOR HIGH STUDENTS, WHILE GAINING PEER-TO-PEER TRAINING AND BUILDING PRESENTATION SKILLS FOR PROFESSIONAL DEVELOPMENT. FOLLOWING THE EIGHT SESSIONS, HIGH SCHOOL STUDENTS MAY SUBMIT APPLICATIONS TO THE "TRAINER PROGRAM," WHICH OCCURS IN THE SECOND HALF OF THE SCHOOL YEAR. THIS PORTION OF THE PROGRAM INCLUDES PROFESSIONAL SKILLS WORKSHOPS ON RESUME-BUILDING, GROUP INTERVIEWS, DRESS FOR SUCCESS, SOCIAL MEDIA ETIQUETTE, AND TRAINING SESSIONS FOR TEAM BUILDING AND LESSON DEVELOPMENT. THE ORIGINAL INTENT FOR THIS MODEL IS FOR THE HIGH SCHOOL STUDENTS TO INSTRUCT A SIMPLIFIED VERSION OF THE HEALTHCORPS WELLNESS LESSONS TO JUNIOR HIGH STUDENTS. IN 2021, HOWEVER, THE ONGOING COVID-19 PANDEMIC BROUGHT ON ANOTHER YEAR OF CHALLENGES WITH REMOTE LEARNING AT ALL SCHOOL SITES. TO MAINTAIN SAFETY PRECAUTIONS, THE TRAINER PROGRAM WENT ON HIATUS. IN LIEU OF THE TRAINER PROGRAM, AN ADVOCACY PROJECT WAS PILOTED WITH 11TH AND 12TH GRADE STUDENTS FROM CHAFFEY HIGH SCHOOL (N=7). THE ADVOCACY PROJECT INCLUDED CAREER READINESS TRAINING AND PROVIDED STUDENTS WITH AN OPPORTUNITY TO CREATE CHANGE WITHIN THEIR SCHOOL COMMUNITY AS PEER HEALTH ADVOCATES. THE STUDENTS DEVELOPED A SOCIAL MEDIA CAMPAIGN TARGETING STRESS AND ANXIETY. THEY PROMOTED MENTAL WELLNESS TIPS AND COPING STRATEGIES TO THEIR PEERS THROUGH INSTAGRAM THROUGHOUT THE SPRING SEMESTER. FOR WHEALTH, THE SUMMER OF 2021 WAS DEVOTED TO PROGRAM PLANNING. IN FALL 2021, SCHOOL SITES RETURNED TO IN-PERSON LEARNING. THE WHEALTH PROGRAM CONTINUED ITS FIFTH YEAR IN-PERSON AT CHAFFEY HIGH SCHOOL (N=94) AND UPLAND HIGH SCHOOL (N=137). THE RETURN TO IN-PERSON LEARNING ALLOWED FOR THE EXPANSION OF THE WHEALTH PROGRAM TO TWO NEW SCHOOL SITES, MONTCLAIR HIGH SCHOOL (N=44) & ONTARIO HIGH SCHOOL (N=52). THE EXPANSION TO TWO NEW SITES WAS WELL RECEIVED BY BOTH THE STUDENTS AND TEACHERS. A MATH TEACHER FROM ONTARIO HIGH SCHOOL THAT PARTICIPATED IN THE PROGRAM SAW IMPROVEMENTS IN CLASSROOM PARTICIPATION AND ATTITUDES THROUGHOUT THE PROGRAM DURATION. AS WELL, STUDENT FEEDBACK FROM EACH OF THE FOUR SCHOOL SITES WAS OVERTLY POSITIVE. THE EXPANSION OF THE WHEALTH PROGRAM WOULD NOT HAVE BEEN POSSIBLE WITHOUT FUNDING FROM CHAFFEY JOINT UNIFIED HIGH SCHOOL DISTRICT'S STRONG WORKFORCE GRANT. HCI WAS SELECTED AS AN AWARDEE FOR THE GRANT WHICH ALLOWED FOR THE EXPANSION OF ITS PREMIER PROGRAM, WHEALTH; THE DEVELOPMENT OF A NEW PROGRAM; AND THE APPOINTMENT OF TWO NEW PART-TIME HEALTHY COMMUNITIES SPECIALISTS. YOUNG HEALTHCARE PROFESSIONALS - THE YOUNG HEALTHCARE PROFESSIONALS (YHP) PROGRAM DEVELOPED WITH FUNDING FROM THE STRONG WORKFORCE GRANT. THE YHP PROGRAM SUPPORTS STUDENTS IN THEIR HEALTH CAREER JOURNEY BY: 1) SUPPORTING AN INTEREST IN ALLIED HEALTHCARE CAREERS; 2) TRAINING STUDENTS FOR ENTRY-LEVEL HEALTHCARE POSITIONS IN THE REGION; 3) HELPING TO ESTABLISH LIFELONG HEALTHY HABITS; AND 4) MENTORING YOUTH AS THEY TRANSITION TO ADULTHOOD. THIS PROGRAM AIMS TO INCREASE KNOWLEDGE AND SKILLS FOR ALLIED HEALTHCARE PROFESSIONS, AS WELL AS INCREASE KNOWLEDGE OF HEALTHY LIVING STRATEGIES. THE YHP PROGRAM GOALS INCLUDE: 1) INCREASING THE NUMBER OF ADOLESCENTS PURSUING THE FIELD OF HEALTHCARE AS A CAREER; AND INCREASING KNOWLEDGE OF WELLNESS LIFESTYLE HABITS USING THE 8 DIMENSIONS OF WELLNESS BY THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA). THE CURRICULUM UTILIZES UNIVERSITY STUDENTS FROM ACROSS THE INLAND EMPIRE TO INSTRUCT HIGH SCHOOL STUDENTS OVER 5 SATURDAY SESSIONS. THE YOUNG HEALTHCARE PROFESSIONALS PROGRAM WAS PILOTED AS A HYBRID PROGRAM	ExplanationTxt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
American Cancer Society
6355 Riverside Avenue	Riverside	CA	92506	941170350	501(c)(3)	$10,000	Program support
Meals on Wheels
4792 Falconview Court	Fontana	CA	92336	952799275	501(c)(3)		Program support	$84,334	Cost	Meals provided
Upland Unified School District
390 North Euclid Avenue	Upland	CA	91786	330209386	GOVT			$6,500	COST

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Supplemental Information	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	Yes (true)	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 (13 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	$545,561	$0	$0	$0	$2,622	$0	$59,770	$0	$36,307	$0	$644,260	$0	$0	$0
Wah-chung Hsu
VICE PRESIDENT/CFO	$426,739	$0	$93,460	$0	$26,365	$0	$76,216	$0	$36,307	$0	$659,087	$0	$23,743	$0
Gudrun Moll 11-226
VP/Chief Nursing Officer	$56,209	$0	$74,852	$0	$72,197	$0	$2,936	$0	$6,072	$0	$212,266	$0	$14,924	$0
Kamal Pandya
VP/Chief Information Officer	$304,150	$0	$62,576	$0	$6,182	$0	$47,219	$0	$25,907	$0	$446,034	$0	$0	$0
Debora Turner
Chief Operating Officer	$298,087	$0	$39,720	$0	$3,589	$0	$43,790	$0	$31,573	$0	$416,759	$0	$0	$0
Cathy Rebman
VP Busin Devel & Comm Outreach	$260,268	$0	$55,205	$0	$11,522	$0	$2,879	$0	$31,573	$0	$361,447	$0	$5,252	$0
Sandra Wier
Chief Human Resources Officer	$297,437	$0	$66,376	$0	$3,827	$0	$40,207	$0	$31,573	$0	$439,420	$0	$0	$0
Saurabh Ashier
Manager Cardiovascular Serv	$252,247	$0	$0	$0	$651	$0	$5,889	$0	$12,714	$0	$271,501	$0	$0	$0
Gurjeet Dhillon
VP/Chief Nursing Officer	$230,031	$0	$19,633	$0	$6,781	$0	$16,057	$0	$25,598	$0	$298,100	$0	$0	$0
Sarah Khan MD
Trustee	$237,745	$0	$0	$0	$0	$0	$0	$0	$0	$0	$237,745	$0	$0	$0
Harris Koenig
FORMER CEO	$0	$0	$0	$0	$453,031	$0	$0	$0	$0	$0	$453,031	$0	$0	$0
Femely Rubino
Registered Nurse	$234,151	$0	$2,000	$0	$1,881	$0	$4,766	$0	$7,715	$0	$250,513	$0	$0	$0
Melissa Wood
Director Finance	$222,967	$0	$5,000	$0	$1,085	$0	$5,533	$0	$705	$0	$235,290	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a	SARH REQUESTS BOARD MEMBERS TO ATTEND VARIOUS EDUCATIONAL SESSIONS DURING THEIR TERM. IN RECOGNITION THAT BOARD MEMBERS SERVE WITHOUT COMPENSATION AND 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 MEMBER.
Schedule J, Part I, Line 4	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. AN INDIVIDUAL REPORTED ON PART VII OF THE 990 RECEIVED SEVERANCE PAYMENT IN 2021.
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 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
Purpose	See attached statement	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$147,137,583	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
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

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0	PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	false	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	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

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	false	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	false	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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.
Part V	San Antonio Regional Hospital is in the process of developing post-issuance procedures.
Part IV	SAN ANTONIO REGIONAL HOSPITAL HAD AN INTERIM ARBITRAGE ANALYSIS PERFORMED FOR THE COMPUTATION PERIOD ENDED DECEMBER 31, 2021.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part VI, Section B, Line 11b	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.
Part VI, Section B, Line 12C	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.
Part VI, Section B, Line 15	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 MARCH 2021. 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. 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 SEPTEMBER 2021. THE PROCEDURES DESCRIBED HERE ARE DOCUMENTED IN THE BOARD MINUTES.
Part VI, Section C, Line 19	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.
Part XI, Line 9	OTHER CHANGES IN NET ASSETS INCLUDES THE CHANGE IN THE ADDITIONAL MINIMUM PENSION LIABILITY OF $11,612,508, CHANGE IN NET ASSETS WITH DONOR RESTRICTIONS OF $439,495, ELIMINATION OF MEDICAL STAFF NET ASSETS OF -$68,887 AND CHANGE IN BENEFICIAL INTEREST IN SAN ANTONIO HOSPITAL FOUNDATION OF $8,414,537.

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	$92,759	TotalIncomeAmt
End Of Year Assets	$407,900	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	501c(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 (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
Cucamonga Health Services Inc
999 San Bernardino Road	Upland	CA	91786	330010073	Holding compa	CA	SARH	C corp	$1,076,106	$13,464,571	1.00000	Yes (true)
FMP Holding Inc
999 San Bernardino Road	Upland	CA	91786	815066476	Holding compa	CA	SARH	C Corp	$25,113	$1,773,263	1.00000	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
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	$13,889,853	Cash
San Antonio Hospital Foundation Inc
c	$1,891,138	Cash
San Antonio Hospital Foundation Inc
q	$815,334	Cash
Cucamonga Health Services Inc
j	$126,418	cash