SAN ANTONIO REGIONAL HOSPITAL: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: SAN ANTONIO REGIONAL HOSPITAL (EIN 95-1183919)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-16
IRS object ID: 202033219349316628
Schema version: 2019v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-16T15:15:45-06:00	ReturnTs
Tax Period End	2019-12-31	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	2019-01-01	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	2020-11-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kara Adams	PreparerPersonNm
PTIN	P00023315	PTIN
Phone	9497942300	PhoneNum
Preparation	2020-11-16	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	172.88.243.146	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	33577420203215000033	FederalOriginalSubmissionId
Federal Original Submission Id	2020-11-16	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	3B6F2444A65916AAE762AE88CFEABAFDE46687DB	AtSubmissionCreationDeviceId
At Submission Filing Device Id	F991D6D3E7059131D89F76663626030BF402C6D1	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	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	$464,642,985	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	sarh.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1920	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	OUR MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	2728	TotalEmployeeCnt
Total Volunteers	520	TotalVolunteersCnt
Total Gross UBI	$3,391,012	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$658,720	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,844,328	PYContributionsGrantsAmt
CY Contributions Grants	$575,131	CYContributionsGrantsAmt
PY Program Service Revenue	$343,724,179	PYProgramServiceRevenueAmt
CY Program Service Revenue	$378,136,938	CYProgramServiceRevenueAmt
PY Investment Income	$15,896,430	PYInvestmentIncomeAmt
CY Investment Income	$6,142,561	CYInvestmentIncomeAmt
PY Other Revenue	$7,350,081	PYOtherRevenueAmt
CY Other Revenue	$7,378,946	CYOtherRevenueAmt
PY Total Revenue	$368,815,018	PYTotalRevenueAmt
CY Total Revenue	$392,233,576	CYTotalRevenueAmt
PY Grants And Similar Paid	$208,810	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$197,106	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$199,062,994	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$214,708,470	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$177,291,374	PYOtherExpensesAmt
CY Other Expenses	$179,922,725	CYOtherExpensesAmt
PY Total Expenses	$376,563,178	PYTotalExpensesAmt
CY Total Expenses	$394,828,301	CYTotalExpensesAmt
PY Revenues Less Expenses	-$7,748,160	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$2,594,725	CYRevenuesLessExpensesAmt
Total Assets BOY	$625,188,103	TotalAssetsBOYAmt
Total Assets EOY	$646,177,281	TotalAssetsEOYAmt
Total Liabilities BOY	$275,330,603	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$276,356,195	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$349,857,500	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$369,821,086	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	$359,216,810	ExpenseAmt
Grant	$197,106	GrantAmt
Revenue	$380,243,981	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 OVER 2,400 EMPLOYEES AND A MEDICAL STAFF OF NEARLY 600 PHYSICIANS. 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 WITH THE GOAL OF MEETING 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. 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 WHICH INCLUDES CITY OF HOPE'S COMPREHENSIVE CANCER CENTER. THE HOSPITAL'S WOMEN'S BREAST AND IMAGING CENTER, AS WELL AS PRE-OPERATIVE AND PRE-PROCEDURE SERVICES ARE LOCATED ON THE SECOND FLOOR. SAN ANTONIO ALSO PROVIDES SERVICES AND PROGRAMS TO COMPLEMENT CITY OF HOPE'S CANCER CENTER. LEADERSHIP - SAN ANTONIO REGIONAL HOSPITAL IS GOVERNED BY A 15-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. CARING FOR OUR COMMUNITY - COMMUNITY BENEFITS ARE MORE THAN JUST NUMBERS. THEY REPRESENT PEOPLE - CHILDREN, PARENTS, GRANDPARENTS, AND THOSE WHO MAY BE BOTH DISADVANTAGED AND DISENFRANCHISED. THIS REPORT HIGHLIGHTS HOW SAN ANTONIO REGIONAL HOSPITAL GOES ABOVE AND BEYOND THE DELIVERY OF 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 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 TO BE USED IN PURCHASING NEW OR UPGRADED EQUIPMENT, EXPANDING SERVICE, AND PROVIDING CARE FOR THE VULNERABLE POPULATION. 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 CHARITY CARE POLICY PROVIDES RELIEF TO THESE FAMILIES WHO WOULD OTHERWISE FACE MEDICAL BANKRUPTCY. DURING 2019, $2,426,165 IN CHARITY CARE WAS PROVIDED FOR PATIENTS ENTERING THE HOSPITAL'S EMERGENCY DEPARTMENT WHO WERE EITHER TREATED AND RELEASED OR REQUIRED AN INPATIENT STAY. THE HOSPITAL ABSORBED $26,562,530 IN UNREIMBURSED COSTS INCURRED IN PROVIDING CARE AND TREATMENT FOR MEDI-CAL PATIENTS, WHILE OTHER UNCOMPENSATED CARE (BAD DEBTS) TOTALED $872,882 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 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 MAXIMUM BENEFIT FOR ITS RESIDENTS. COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) - DURING 2019, SARH JOINED OTHER HOSPITALS IN SOUTHERN CALIFORNIA'S INLAND EMPIRE TO CONDUCT A REGIONAL CHNA. THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA SERVED AS A CATALYST IN COORDINATING THE EFFORT AMONG THE 7 HOSPITALS PARTICIPATING IN THE PROJECT. SARH SERVED AN ACTIVE ROLE ON THE CHNA COMMITTEE TO DESIGN THE OVERALL STRATEGY, AS WELL AS THE COORDINATION OF PRIMARY AND SECONDARY DATA COLLECTION IN COLLABORATION WITH THE DEPARTMENTS OF PUBLIC HEALTH IN SAN BERNARDINO AND RIVERSIDE COUNTIES. THE CHNA VIEWS HEALTH WITH COLLECTIVE LENS INCLUDING HEALTH OUTCOMES AND CLINICAL CARE COMPONENTS, BUT ALSO SOCIAL DETERMINANTS AND HEALTH INDICATORS FROM THE BUILT ENVIRONMENT. THE CHNA INCORPORATED THREE DISTINCT DATA METHODOLOGIES THAT, WHEN INTERPRETED TOGETHER, PROVIDED A DEEPLY RICH PICTURE OF THE HEALTH LANDSCAPE OF THE HOSPITALS' INDIVIDUAL COMMUNITIES, AS WELL AS THE REGION AS A WHOLE. THE ASSESSMENT INCLUDED A PLETHORA OF HEALTH INDICATORS FROM MULTIPLE PRIMARY AND SECONDARY SOURCES, ALONG WITH A ROBUST QUALITY OF LIFE SURVEY AND TARGETED FOCUS GROUPS. THE DATA FROM THESE THREE SOURCES WERE AGGREGATED AND STRATIFIED ACROSS CATEGORIES AND SERVICE AREAS TO ALLOW TARGETED IDENTIFICATION OF UNIQUE CHALLENGES AND OPPORTUNITIES SURROUNDING HEALTH STATUS, QUALITY OF LIFE, AND RISK FACTORS. THE CHNA INCLUDED A LARGE GROUP OF GEOGRAPHICALLY DIVERSE HOSPITALS IN THE INLAND EMPIRE. THE COLLABORATION ACHIEVED THROUGH THIS PROCESS IS PROVIDING A SOLID BASIS FOR MORE UNIFIED AND STRATEGIC THINKING TO ADDRESS POPULATION HEALTH NEEDS ACROSS THE REGION. THE PARTICIPATING HOSPITALS, ALONG WITH ADDITIONAL HOSPITALS INTERESTED IN REGIONAL PLANNING EFFORTS, ARE USING THE CHNA AS A TOOL TO ADDRESS IDENTIFIED HEALTH NEEDS IN THE REGION. THE RESULT HAS BEEN THE DEVELOPMENT OF COLLECTIVE IMPACT INITIATIVES THAT INCORPORATE HOSPITALS ALONG WITH AN EXPANDING NETWORK OF MULTISECTORIAL PARTNERS. COMMUNITY EDUCATION - SARH OFFERS A BROAD ARRAY OF EDUCATION CLASSES, SUPPORT GROUPS, AND COMMUNITY LECTURES TO MEET THE HEALTH NEEDS OF ITS COMMUNITY. MANY PROGRAMS ARE OFFERED ON-SITE, HOWEVER SOME PROGRAMS ARE PROVIDED AT LOCATIONS THROUGHOUT THE COMMUNITY TO REACH THOSE WHO MAY HAVE SPECIAL NEEDS OR LACK TRANSPORTATION AND WOULD OTHERWISE FAIL TO ACCESS THESE IMPORTANT SERVICES. IN ADDITION TO GAINING KNOWLEDGE ABOUT IMPORTANT HEALTH TOPICS, PARTICIPANTS MAY PARTICIPATE IN FREE SCREENINGS TO IDENTIFY POTENTIAL HEALTH CONCERNS SUCH AS HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, AND HIGH GLUCOSE. COMMUNITY BENEFIT INITIATIVES - AS PART OF ITS MISSION TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES, SARH CONDUCTS AN ONGOING ASSESSMENT PROCESS TO IDENTIFY COMMUNITY HEALTH NEEDS, WHICH INCLUDES, BUT IS NOT LIMITED TO, THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT IS CONDUCTED EVERY THREE YEARS. THE HOSPITAL'S COMMUNITY OUTREACH DEPARTMENT SUPPORTS A VARIETY OF SERVICES DESIGNED TO MEET THESE NEEDS, INCLUDING SUPPORT GROUPS, EDUCATIONAL SEMINARS, COMMUNITY HEALTH FAIRS, AND SPECIAL EVENTS. IN ADDITION, SARH ADDRESSES A NUMBER OF COMMUNITY HEALTH NEEDS THROUGH TARGETED HEALTH INITIATIVES. A FEW OF THESE PROGRAMS ARE HIGHLIGHTED HERE. HEALTHY BEGINNINGS - SARH'S MATERNAL/CHILD SERVICES, COLLECTIVELY KNOWN AS HEALTHY BEGINNINGS, IS COMMITTED TO PROVIDING EXCELLENT SERVICE AND CARE, WHICH RESULT IN THE BEST POSSIBLE OUTCOME FOR THE NEWEST MEMBERS OF ITS COMMUNITY AND THEIR FAMILIES. IN SUPPORT OF THIS GOAL, THE HOSPITAL ENGAGED IN AN EXTENSIVE PROCESS TO BECOME A "BABY FRIENDLY HOSPITAL," WHICH IS AN INTERNATIONAL DESIGNATION RECOGNIZING THE INSTITUTION'S COMPREHENSIVE PROGRAM SUPPORTING BREASTFEEDING AND INFANT/PARENT BONDING. AS PART OF THIS PROGRAM, PARENTS ARE ENCOURAGED TO TAKE ADVANTAGE OF THE MANY EDUCATIONAL OPPORTUNITIES AND SUPPORT SERVICES OFFERED BEFORE, DURING, AND AFTER DELIVERY. EXPECTANT PARENTS ATTENDING THE BREASTFEEDING CLASS RECEIVE ENCOURAGEMENT AND INSTRUCTION TO PROMOTE A SUCCESSFUL BREASTFEEDING EXPERIENCE. INTERNATIONALLY BOARD CERTIFIED LACTATION CONSULTANTS, SUPPORTED BY L	Desc
Total Program Service Expenses	$359,216,810	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	468	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2728	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	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 (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Harris Koenig 119-9
President/CEO	40.0	3.0	Yes (X)	Yes (X)	$797,750	$0	$37,721
Wah-Chung Hsu
Vice President/CFO	40.0	5.0		Yes (X)	$428,535	$0	$83,920
John Chapman 919-12
President/CEO, Interim, COO	40.0	3.0	Yes (X)	Yes (X)	$353,351	$0	$71,811
Gudrun Moll
VP/Chief Nursing Officer	40.0	0.0			$354,442	$0	$69,118	Yes (X)
Kamal Pandya
VP/Chief Information Offier	40.0	0.0			$245,696	$0	$139,636		Yes (X)
La Donna Najieb
Chief Human Resources officer	40.0	0.0			$298,087	$0	$71,724	Yes (X)
Cathy Rebman
VP Busin Devel & Comm Outreach	40.0	0.0			$217,571	$0	$139,775		Yes (X)
Michael Tracey
President-Foundation	40.0	0.0			$261,646	$0	$61,336		Yes (X)
Saurabh Ashier
Manager Cardiovascular Serv	40.0	0.0			$253,934	$0	$17,868		Yes (X)
Ronald Nowosad
Director/Chronic Care Program	40.0	0.0			$193,116	$0	$22,697		Yes (X)
Ed DiGiamarino MD
Trustee	4.0	0.0	Yes (X)		$31,500	$0	$0
Sohan Bassi MD
Trustee/Secretary	4.0	0.0	Yes (X)	Yes (X)	$19,875	$0	$0
Michael Chai MD
Trustee	4.0	0.0	Yes (X)		$9,000	$0	$0
Sarah Khan MD
Trustee/Med. Staff President	4.0	0.0	Yes (X)		$9,000	$0	$0
Andrea Dutton
Trustee/Treasurer	4.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Victor Ching MD
Trustee	4.0	0.0	Yes (X)		$0	$0	$0
Wes FiField
Trustee	4.0	0.0	Yes (X)		$0	$0	$0
Deborah Freund
Trustee	4.0	0.0	Yes (X)		$0	$0	$0
Howard Borenstein
Trustee/Chairman	4.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Vincent Carrollo MD
Trustee/Vice Chair	4.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Susan Leonis-Jensen
Trustee	4.0	0.0	Yes (X)		$0	$0	$0
Al Arguello
Trustee	4.0	0.0	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,473,503	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$715,606	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	491	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Shiftwise Inc
1800 SW 1st Avenue Suite 510	PORTLAND	OR	97201	Nursing Registry	$3,022,814
Mayo Medical Laboratories
PO Box 9146	MINNEAPOLIS	MN	55480	Medical Laboratory	$1,068,758
DVA Renal Healthcare
PO Box 8500-1607	PHILADELPHIA	PA	191781607	Dialysis	$3,988,629
Emerald Textiles LLC
1725 Dornoch Ct	SAN DIEGO	CA	92154	Linen Services	$1,218,939
Cerner Corporation
2800 Rockcreek Parkway	KANSAS CITY	MO	64117	Clinical Information	$761,873

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	56	CntrctRcvdGreaterThan100KCnt
Related Organizations	$575,131	RelatedOrganizationsAmt
Total Contributions	$575,131	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	$374,014,067	$374,014,067
RENTAL INCOME - MOB	531120	$2,670,083	$2,670,083
CAPITATION REVENUE	622110	$955,325	$955,325
MEANINGFUL USE REVENUE	622110	$394,119	$394,119
OUTSIDE LAB REVENUE	621500	$103,344		$393,576

Field	Value	IRS element (for citing)
Total Program Service Revenue	$378,136,938	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,364,414	TotalRevenueColumnAmt
Exclusion	$5,364,414	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	$72,986,334	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$72,208,187	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$778,147	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$778,147	TotalRevenueColumnAmt
Exclusion	$778,147	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	$272,707	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$201,222	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$71,485	TotalRevenueColumnAmt
Exclusion	$71,485	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
PHARMACY AT CASA COLINA	446110	$2,814,054	$2,702,146
OTHER REVENUE	622110	$2,107,043		$2,107,043
CAFETERIA	722310	$2,091,074			$2,091,074

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$295,290	TotalRevenueColumnAmt
Unrelated Business Revenue	$295,290	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$7,307,461	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$392,233,576	TotalRevenueColumnAmt
Related Or Exempt Func Income	$380,140,637	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,391,012	UnrelatedBusinessRevenueAmt
Exclusion	$8,305,120	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$197,106	TotalAmt
Program Services	$197,106	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	$2,530,588	TotalAmt
Program Services	$750,432	ProgramServicesAmt
Management And General	$1,780,156	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	$164,022,581	TotalAmt
Program Services	$147,151,022	ProgramServicesAmt
Management And General	$16,871,559	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$13,176,232	TotalAmt
Program Services	$11,820,909	ProgramServicesAmt
Management And General	$1,355,323	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$23,049,156	TotalAmt
Program Services	$20,678,292	ProgramServicesAmt
Management And General	$2,370,864	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$11,929,913	TotalAmt
Program Services	$10,702,788	ProgramServicesAmt
Management And General	$1,227,125	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	$1,876,932	TotalAmt
Management And General	$1,876,932	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$392,632	TotalAmt
Management And General	$392,632	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$37,067	TotalAmt
Management And General	$37,067	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	$519,840	TotalAmt
Management And General	$519,840	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$28,441,167	TotalAmt
Program Services	$28,441,167	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,057,933	TotalAmt
Management And General	$1,057,933	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,421,005	TotalAmt
Program Services	$5,802,681	ProgramServicesAmt
Management And General	$618,324	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$10,102,492	TotalAmt
Program Services	$9,063,338	ProgramServicesAmt
Management And General	$1,039,154	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$16,553,941	TotalAmt
Program Services	$14,959,846	ProgramServicesAmt
Management And General	$1,594,095	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	$29,357	TotalAmt
Program Services	$26,337	ProgramServicesAmt
Management And General	$3,020	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,621,147	TotalAmt
Program Services	$5,621,147	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$17,926,984	TotalAmt
Program Services	$16,200,669	ProgramServicesAmt
Management And General	$1,726,315	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,946,186	TotalAmt
Management And General	$2,946,186	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$50,391,808	$50,391,808	$0
MEDI-CAL FEE PROGRAM	$19,604,055	$19,604,055	$0
DRUGS	$15,039,594	$15,039,594	$0
TAXES AND LICENSES	$1,065,153	$1,065,153	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,895,432	TotalAmt
Program Services	$1,700,466	ProgramServicesAmt
Management And General	$194,966	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$394,828,301	TotalAmt
Program Services	$359,216,810	ProgramServicesAmt
Management And General	$35,611,491	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$43,214	BOYAmt
EOY	$49,754	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$17,404,990	BOYAmt
EOY	$16,527,802	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	$52,797,602	BOYAmt
EOY	$62,920,632	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	$5,455,747	BOYAmt
EOY	$5,368,050	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,296,588	BOYAmt
EOY	$5,592,005	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$421,100,213	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$134,389,920	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$281,336,624	BOYAmt
EOY	$286,710,293	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$181,176,428	BOYAmt
EOY	$174,662,496	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	$12,958,950	BOYAmt
EOY	$16,971,183	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	$66,717,960	BOYAmt
EOY	$77,375,066	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$625,188,103	BOYAmt
EOY	$646,177,281	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$74,120,565	BOYAmt
EOY	$78,157,227	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	$152,034,417	BOYAmt
EOY	$148,900,351	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	$49,175,621	BOYAmt
EOY	$49,298,617	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$275,330,603	BOYAmt
EOY	$276,356,195	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	$340,727,804	BOYAmt
EOY	$358,162,550	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,129,696	BOYAmt
EOY	$11,658,536	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$349,857,500	BOYAmt
EOY	$369,821,086	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$625,188,103	BOYAmt
EOY	$646,177,281	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$2,594,725	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$9,766,230	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$12,792,081	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$37,067	OtherActivitiesAmt
Total Lobbying Expenditures	$37,067	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 CALIFORNIA ASSOCIATION 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	$4,095,691	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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,042,191	BeginningYearBalanceAmt
Contributions	$10,000	ContributionsAmt
Investment Earnings Or Losses	$239,897	InvestmentEarningsOrLossesAmt
Other Expenditures	$217,182	OtherExpendituresAmt
Administrative Expenses	$22,715	AdministrativeExpensesAmt
End Year Balance	$4,052,191	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,037,191	BeginningYearBalanceAmt
Contributions	$5,000	ContributionsAmt
Investment Earnings Or Losses	$186,859	InvestmentEarningsOrLossesAmt
Other Expenditures	$166,327	OtherExpendituresAmt
Administrative Expenses	$20,532	AdministrativeExpensesAmt
End Year Balance	$4,042,191	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	$14,867,100	OtherCostOrOtherBasisAmt
Book Value	$14,867,100	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$275,731,591	OtherCostOrOtherBasisAmt
Depreciation	$54,025,613	DepreciationAmt
Book Value	$221,705,978	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,263,640	OtherCostOrOtherBasisAmt
Depreciation	$3,922,424	DepreciationAmt
Book Value	$2,341,216	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$115,915,405	OtherCostOrOtherBasisAmt
Depreciation	$76,441,883	DepreciationAmt
Book Value	$39,473,522	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,322,477	OtherCostOrOtherBasisAmt
Book Value	$8,322,477	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$286,710,293	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
RECEIVABLE - HOSPITAL FEE PROG	$26,506,634
DUE FROM AFFILIATES	$1,044,257
BENEFICIAL INTEREST IN SAHF	$49,359,748
DEFERRED REVENUE	$464,427

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$77,375,066	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
PENSION PLAN LIABILITY FAS 158	$33,157,938
INSURANCE CLAIMS	$10,982,733
PHYSICIAN GUARANTEE LIABILITY	$5,157,946

Field	Value	IRS element (for citing)
Total Liability	$49,298,617	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 related state provisions. 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 liability for tax benefits, interest, or penalties was accrued at December 31, 2019 or 2018. 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 2016 through 2018 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	$2,426,165	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,426,165	NetCommunityBenefitExpnsAmt
Total Expense	0.00610	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$102,499,002	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$75,936,472	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,562,530	NetCommunityBenefitExpnsAmt
Total Expense	0.06730	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$104,925,167	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$75,936,472	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,988,695	NetCommunityBenefitExpnsAmt
Total Expense	0.07340	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	45	ActivitiesOrProgramsCnt
Persons Served	240704	PersonsServedCnt
Total Community Benefit Expns	$3,399,360	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$973,364	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,425,996	NetCommunityBenefitExpnsAmt
Total Expense	0.00610	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	41	PersonsServedCnt
Total Community Benefit Expns	$152,533	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$152,533	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$253,778	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$253,778	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	9228	PersonsServedCnt
Total Community Benefit Expns	$127,161	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,528	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$103,633	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	49	ActivitiesOrProgramsCnt
Persons Served	249973	PersonsServedCnt
Total Community Benefit Expns	$3,932,832	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$996,892	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,935,940	NetCommunityBenefitExpnsAmt
Total Expense	0.00740	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	49	ActivitiesOrProgramsCnt
Persons Served	249973	PersonsServedCnt
Total Community Benefit Expns	$108,857,999	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$76,933,364	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,924,635	NetCommunityBenefitExpnsAmt
Total Expense	0.08080	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$2,999	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,999	NetCommunityBenefitExpnsAmt

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$7,286	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,286	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	268	PersonsServedCnt
Total Community Benefit Expns	$28,770	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,229	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,541	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	268	PersonsServedCnt
Total Community Benefit Expns	$39,055	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,229	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,826	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$8,728,819	BadDebtExpenseAmt
Bad Debt Expense Attributable	$872,882	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$67,357,698	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$63,971,936	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$3,385,762	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	0.28471	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.71529	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	false	StrategyPostedWebsiteInd
Strategy Attached	Yes (true)	StrategyAttachedInd
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	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 (HTTPS://ENGAGEMENTNETWORK.ORG/ASSESSMENT/). OTHER SOURCES INCLUDED 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. DATA CONTAINING AN N-VALUE OF 10 OR LESS WERE NOT INCLUDED. 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_OUTREACH/COMMUNITY_OUTREACH_PUBLICATIONS
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 Know Your Numbers (KYN) program provides health education and biometric screenings in community health hubs that serve low-income, uninsured, or underinsured populations. KYN utilizes a clinical community health worker (CCHW) model to engage the population. The objective is: - To increase access to health education and preventative services by increasing number of people assed among vulnerable populations and connecting participants with a medical home. - To improve the health and well-being of community residents by promoting healthy lifestyles and activities to residents. 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	THERE ARE INSTANCES WHEN A PATIENT MAY APPEAR ELIGIBLE FOR CHARITY CARE DISCOUNTS, BUT THERE IS NO FINANCIAL ASSISTANCE FORM ON FILE DUE TO A LACK OF SUPPORTING DOCUMENTATION. OFTEN THERE IS ADEQUATE INFORMATION PROVIDED BY THE PATIENT OR THROUGH OTHER SOURCES, WHICH COULD PROVIDE SUFFICIENT EVIDENCE TO PROVIDE THE PATIENT WITH CHARITY CARE ASSISTANCE. IN THE EVENT THERE IS NO EVIDENCE TO SUPPORT A PATIENT'S ELIGIBILITY FOR CHARITY CARE, SARH COULD USE OUTSIDE AGENCIES IN DETERMINING ESTIMATED INCOME AMOUNTS FOR THE BASIS OF DETERMINING CHARITY CARE ELIGIBILITY AND POTENTIAL DISCOUNT AMOUNTS. ONCE DETERMINED, DUE TO THE INHERENT NATURE OF THE PRESUMPTIVE CIRCUMSTANCES, THE ONLY DISCOUNT THAT CAN BE GRANTED IS A 100% WRITE-OFF OF THE ACCOUNT BALANCE. PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: 1. STATE-FUNDED PRESCRIPTION PROGRAMS; 2. HOMELESS OR RECEIVED CARE FROM A HOMELESS CLINIC; 3. PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC); 4. FOOD STAMP ELIGIBILITY; 5. SUBSIDIZED SCHOOL LUNCH PROGRAM ELIGIBILITY; 6. ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED (E.G., MEDICAID SPEND-DOWN); 7. LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; AND 8. PATIENT IS DECEASED WITH NO KNOWN ESTATE.
Schedule H, Part V, Section B, Line 16a	WWW.SARH.ORG/ABOUT_US/COMMUNITY_OUTREACH/COMMUNITY_OUTREACH_PUBLICATIONS
Schedule H, Part V, Section B, Line 16b	WWW.SARH.ORG/ABOUT_US/COMMUNITY_OUTREACH/COMMUNITY_OUTREACH_PUBLICATIONS
Schedule H, Part V, Section B, Line 16c	WWW.SARH.ORG/ABOUT_US/COMMUNITY_OUTREACH/COMMUNITY_OUTREACH_PUBLICATIONS
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	6	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
SARH 685 BLDG DIAGNOSTIC CENTER
685 N 13TH AVE	UPLAND	CA	91786	LAB AND RADIOLOGY SERVICES IN A FREESTANDING MEDICAL OFFICE BUILDING
SARH 901 BUILDING DIAGNOSTIC CENTER
999 SAN BERNARDINO ROAD	UPLAND	CA	91786	RADIOLOGY 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, PHYSICAL THERAPY & URGENT CARE 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 - 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: A. PATIENT IS HOMELESS B. PATIENT IS A RESIDENT AT A SHELTER INCLUDING BUT NOT LIMITED TO PROTOTYPES AND THE AMERICAN RECOVERY CENTER C. PATIENT'S ADDRESS IS THE ADDRESS FOR THE DEPARTMENT OF PUBLIC SOCIAL SERVICES D. PATIENT IS UNKNOWN E. PATIENT IS RECEIVING GENERAL RELIEF, CAL WORKS OR CAL FRESH (DOCUMENTATION REQUIRED) F. 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). G. 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. Line 7g - NONE OF THE COSTS ON THIS LINE WERE ATTRIBUTABLE TO A PHYSICIAN CLINIC. Sch H, Part II - SAN ANTONIO REGIONAL HOSPITAL PROVIDED SUPPORT TO LOCAL COMMUNITY ORGANIZATIONS THAT SERVE THE COMMUNITIES SURROUNDING THE HOSPITAL. THESE ORGANIZATIONS WERE RECIPIENTS OF FINANCIAL CONTRIBUTIONS THAT WERE USED TO ENHANCE THE HEALTH OF THE COMMUNITY. THESE ORGANIZATIONS INCLUDED THE AMERICAN HEART ASSOCIATION, THE AMERICAN CANCER SOCIETY, THE AMERICAN LUNG ASSOCIATION, AND THE ASSISTANCE LEAGUE OF THE FOOTHILL COMMUNITIES. OTHER ORGANIZATIONS, SUCH AS THE SCHEU YMCA, ETIWANDA SCHOOL DISTRICT MAA AND MEALS ON WHEELS, WERE SUPPORTED THROUGH IN-KIND DONATIONS. THESE ENTITIES PROVIDE THE COMMUNITY WITH OPPORTUNITIES TO PARTICIPATE IN HEALTH-RELATED ACTIVITIES OR PROGRAMS, AND PROMOTE HEALTHY EATING AND ACTIVE LIVING. IN 2019 SARH MANAGED NUMEROUS COMMUNITY PROGRAMS, INCLUDING THE FOLLOWING: . HEALTHY BEGINNINGS - SARH'S MATERNAL/CHILD SERVICES, COLLECTIVELY KNOWN AS HEALTHY BEGINNINGS, IS COMMITTED TO PROVIDING EXCELLENT SERVICE AND CARE, WHICH RESULT IN THE BEST POSSIBLE OUTCOME FOR THE NEWEST MEMBERS OF ITS COMMUNITY AND THEIR FAMILIES. IN SUPPORT OF THIS GOAL, THE HOSPITAL ENGAGED IN AN EXTENSIVE PROCESS TO BECOME A "BABY FRIENDLY HOSPITAL," WHICH IS AN INTERNATIONAL DESIGNATION RECOGNIZING THE INSTITUTION'S COMPREHENSIVE PROGRAM SUPPORTING BREASTFEEDING AND INFANT/PARENT BONDING. AS PART OF THIS PROGRAM, PARENTS ARE ENCOURAGED TO TAKE ADVANTAGE OF THE MANY EDUCATIONAL OPPORTUNITIES AND SUPPORT SERVICES OFFERED BEFORE, DURING, AND AFTER DELIVERY. EXPECTANT PARENTS ATTENDING THE BREASTFEEDING CLASS RECEIVE ENCOURAGEMENT AND INSTRUCTION TO PROMOTE A SUCCESSFUL BREASTFEEDING EXPERIENCE. INTERNATIONALLY BOARD CERTIFIED LACTATION CONSULTANTS, SUPPORTED BY LACTATION EDUCATORS, ARE AVAILABLE TO PROVIDE SUPPORT DURING THE FAMILY'S HOSPITAL STAY, AND EVERY FAMILY IS ENCOURAGED TO VISIT THE HEALTHY BEGINNINGS NEWBORN FEEDING CENTER AFTER THEY LEAVE THE HOSPITAL. IN ADDITION TO PROVIDING BREASTFEEDING EVALUATION AND SUPPORT, THE NEWBORN FEEDING CENTER ASSESSES MOTHER AND NEWBORN, PROVIDING REFERRALS TO COMMUNITY RESOURCES WHEN NEEDED. THIS EVALUATION PROCESS HAS YIELDED SIGNIFICANT OUTCOMES INCLUDING A REDUCTION IN NEWBORN READMISSION RATES, INCREASED BREASTFEEDING RATES, EARLY INTERVENTION FOR DEVELOPMENT DELAYS, AND IDENTIFICATION AND TREATMENT OF POSTNATAL ILLNESS, FROM BABY BLUES TO POSTPARTUM PSYCHOSIS. WHILE SOME FAMILIES JUST NEED REASSURANCE THAT THEIR BABY IS THRIVING, OTHERS MAY REQUIRE FURTHER EDUCATION OR SUPPORT, AND A FEW REQUIRE INTERVENTION OR TREATMENT. THE CENTER OFFERS SUPPORT TO ALL NEW FAMILIES IN THE COMMUNITY, REGARDLESS OF WHERE THEIR BABIES ARE BORN. IN FACT, MANY LOCAL PEDIATRICIANS INCLUDE A VISIT TO THE CENTER AS PART OF THE DISCHARGE INSTRUCTIONS FOR THEIR PATIENTS. . COMMUNITY LECTURES - EVERY MONTH SAN ANTONIO REGIONAL HOSPITAL HOSTS A COMMUNITY HEALTH EDUCATION LECTURE. THESE LECTURES ARE OPEN TO THE PUBLIC FOR THE PURPOSE OF ENGAGING THE COMMUNITY AND INCREASING EDUCATION RELATED TO SPECIFIC HEALTH TOPICS. LECTURES ARE LED BY THE HOSPITAL'S PHYSICIANS, CLINICAL STAFF, OR COMMUNITY ORGANIZATIONS. COMMUNITY LECTURES ARE BROADLY PUBLICIZED AND OPEN TO THE ENTIRE COMMUNITY. APPROXIMATELY, 743 COMMUNITY MEMBERS REGISTERED FOR COMMUNITY LECTURES AND THE HEART HEALTH SERIES IN 2019. COMMUNITY LECTURE TOPICS WERE AS FOLLOWS: LEGAL AND FINANCIAL WORKSHOP FOR ALZHEIMER'S DISEASE AND RELATED DEMENTIA, PROTECTING YOUR BOTTOM LINE: COLORECTAL CANCER PREVENTION AND SCREENING, PROSTATE CANCER: NEW SCREENING GUIDELINES AND EARLY DETECTION, VAPING: THE NEW PUBLIC HEALTH ISSUE, AND BREAST CANCER. DURING THE MONTH OF FEBRUARY, WE HELD A HEART HEALTH SERIES. TOPICS ARE AS FOLLOWS: SAVING YOUR HEART: THE PREVENTION AND TREATMENT OF CARDIOVASCULAR DISEASE, CONSIDERING A FAD DIET? WHAT DOES YOUR HEART SAY, WOMEN & HEART DISEASE, CONSIDERING A FAD DIET? WHAT DOES YOUR HEART SAY, WOMEN & HEART DISEASE, HAS YOUR HEART VALVE SPRUNG A LEAK, LIFE GOES ON: HEALING YOUR HEART AND MIND AFTER A CARDIAC EVENT, FREE GLUCOSE, BLOOD LIPIDS, AND BMI SCREENINGS (JANUARY). . COMMUNITY HEALTH IMPROVEMENT PROGRAM (CHIP) - IN 2019, CHIP SUCCESSFULLY RECRUITED 40 STUDENTS TO BECOME HEALTH COACHES AND A TOTAL OF 216 OVER THE PAST FOUR YEARS. CHIP ENROLLED 68 PATIENTS IN 2019 RAISING THE TOTAL NUMBER CARED FOR BY THESE HEALTH COACHES TO 306 PATIENTS. TO DATE, UNNECESSARY ER VISITS WERE REDUCED BY 36% AND HOSPITALIZATIONS BY 42% AMONG CHIP PARTICIPANTS ENROLLED FOR NINE MONTHS. THE CENTER FOR DISEASE CONTROL HAS REPORTED THAT SIX IN TEN AMERICANS LIVE WITH AT LEAST ONE CHRONIC DISEASE, LIKE HEART DISEASE, CANCER, STROKE, OR DIABETES. THESE AND OTHER CHRONIC DISEASES ARE THE LEADING CAUSES OF DEATH AND DISABILITY IN AMERICA, AND THEY ARE ALSO A LEADING DRIVER OF HEALTHCARE COSTS. IN FACT, THE CDC HAS REPORTED THAT 90% OF THE NATION'S $3.3 TRILLION IN ANNUAL HEALTHCARE EXPENDITURES RELATE TO CARING FOR PEOPLE WITH CHRONIC AND MENTAL HEALTH CONDITIONS. THE AGING POPULATION AND THE CONTINUED ESCALATION OF PATIENTS WITH CHRONIC CONDITIONS IS A PRINCIPAL REASON SAN ANTONIO REGIONAL HOSPITAL DEVELOPED AND IMPLEMENTED THE COMMUNITY HEALTH IMPROVEMENT PROGRAM (CHIP) IN JANUARY 2015. CHIP IS ONE OF THE INITIATIVES SAN ANTONIO DEVELOPED TO: 1) DIMINISH HEALTHCARE GAPS, 2) PROMOTE THE DELIVERY OF EVIDENCE-BASED CARE, AND 3) REDUCE UNNECESSARY EMERGENCY ROOM VISITS AND HOSPITALIZATIONS. COORDINATED BY A DEDICATED INTERDISCIPLINARY HEALTHCARE TEAM EMPLOYING A SERIES OF INDIVIDUALIZED CONTINUOUS CARE ALGORITHMS, THIS PROGRAM FOCUSES ON APPROPRIATE PATIENT IDENTIFICATION, PREVENTION, EVIDENCE-BASED DISEASE MANAGEMENT, AND EXEMPLARY TREATMENT OF INDIVIDUALS WITH CHRONIC CONDITIONS. EACH PARTICIPATING CHIP MEMBER IS CLOSELY MONITORED IN ACCORDANCE WITH AN INDIVIDUALIZED COMPREHENSIVE HEALTH PROFILE (CHP), QUALITY CARE PLAN (QCP), AND LONGITUDINAL PATIENT SCORECARD. A NOVEL STRATIFICATION SCALE THAT ASSESSES SOCIOECONOMIC STATUS, EDUCATION/ASSIMILATION CAPACITY, MENTAL HEALTH HISTORY, ADHERENCE POTENTIAL, PSYCHOLOGICAL STRESS FACTORS, AND SUPPORT IS UTILIZED ALONG WITH DATA MINING AND STANDARDIZED CLINICAL ASSESSMENTS TO INDIVIDUALIZE EVIDENCE-BASED CLINICAL STRATEGIES BASED UPON EACH PERSON'S RESPECTIVE NEEDS AND CAPABILITIES. A UNIQUE ASPECT OF CHIP IS THE TRAINING AND UTILIZATION OF STUDENT HEALTH COACHES. IN ADDITION TO THE CHIP INTERDISCIPLINARY CLINICAL TEAM, MEMBERS ARE MONITORED BY HEALTH COACHES TRAINED THROUGH AN INNOVATIVE CREDIT-BASED COLLABORATIVE EDUCATIONAL SEMINAR AND INTERNSHIP PROGRAM WITH CALIFORNIA STATE UNIVERSITY SAN BERNARDINO SCHOOLS OF PUBLIC HEALTH, NURSING, BIOLOGY, AND KINESIOLOGY; WESTERN UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF GRADUATE NURSING; AND CAL POLY POMONA DIETITIAN/ NUTRITION STUDENTS. AFTER APPROPRIATE SCREENING, SELECTED STUDENTS PARTICIPATE IN A SEMINAR TAUGHT BY OUR INTERDISCIPLINARY TEAM OF HEALTHCARE PROFESSIONALS INCLUDING PHYSICIANS, NURSES, NUTRITIONISTS, SOCIAL WORKERS, AND HOSPITAL ADMINISTRATORS. LICENSED PROFESSIONALS (REGISTERED NURSE AND PHYSICIAN) OVERSEE THE WORK OF THE STUDENT HEALTH COACHES, AND THEIR SCOPE OF ACTIVITIES ARE CONSISTENT WITH THEIR COMPETENCE AND THE TRAINING AND DEMONSTRATED SKILLS PROVIDED THROUGH THE PROGRAM.ONCE TRAINED, STUDENT HEALTH COACHES PROVIDE IN-HOME VISITS AND PHONE INTERACTIONS. STUDENTS ENGAGE IN THE PROCESS OF EDUCATING AND MOTIVATING AT-RI	ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (4 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
San Antonio Hospital Foundation Inc
999 San Bernardino Road	Upland	CA	91786	330042666	501(C)(3)	$87,500	Program support
American Cancer Society
6355 Riverside Avenue	Riverside	CA	92506	941170350	501(c)(3)	$20,000	Program support
Meals on Wheels
4792 Falconview Court	Fontana	CA	92336	952799275	501(c)(3)		Program support	$54,686	Cost	Meals provided
American Heart Association
PO Box 50085	Prescott	AZ	86304	135613797	501(c)(3)	$10,000	Program support

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Supplemental Information	FormAndLineReferenceDesc
Explanation	The volunteers and medical staff of San Antonio Regional Hospital (SARH) raise funds to support the hospital. Those funds are donated annually to the San Antonio Hospital Foundation (SAHF), a related 501(c)(3) organization. SARH's CFO is also CFO for SAHF; he is responsible for monitoring all SAHF disbursements. Other organizations are selected to receive cash donations due to their commitment each offers to furthering population health. These organizations have demonstrated continuous dedication to serving residents in SARH's service area, with specific focus on the prevention of chronic disease, prevention of terminal disease and upstream approaches to health improvement. SARH has maintained ongoing, supportive relationships with each organization.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Wah-Chung Hsu
Vice President/CFO	$404,150	$0	$0	$0	$24,385	$0	$48,069	$0	$35,851	$0	$512,455	$0	$22,579	$0
Harris Koenig 119-919
President/CEO	$697,999	$0	$0	$0	$99,751	$0	$7,000	$0	$30,721	$0	$835,471	$0	$38,648	$0
John Chapman 919-1219
President/CEO, Interim, COO	$352,385	$0	$0	$0	$966	$0	$35,960	$0	$35,851	$0	$425,162	$0	$0	$0
Gudrun Moll
VP/Chief Nursing Officer	$311,873	$0	$0	$0	$42,569	$0	$37,896	$0	$31,222	$0	$423,560	$0	$40,763	$0
Cathy Rebman
VP Busin Devel & Comm Outreach	$211,559	$0	$0	$0	$6,012	$0	$108,553	$0	$31,222	$0	$357,346	$0	$3,240	$0
Michael Tracey
President-Foundation	$250,299	$0	$0	$0	$11,347	$0	$30,114	$0	$31,222	$0	$322,982	$0	$5,988	$0
Saurabh Ashier
Manager Cardiovascular Serv	$253,664	$0	$0	$0	$270	$0	$5,555	$0	$12,313	$0	$271,802	$0	$0	$0
Kamal Pandya
VP/Chief Information Offier	$243,840	$0	$0	$0	$1,856	$0	$113,642	$0	$25,994	$0	$385,332	$0	$0	$0
La Donna Najieb
Chief Human Resources officer	$277,457	$0	$20,000	$0	$630	$0	$35,873	$0	$35,851	$0	$369,811	$0	$0	$0
Ronald Nowosad
Director/Chronic Care Program	$191,933	$0	$0	$0	$1,183	$0	$5,038	$0	$17,659	$0	$215,813	$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. THE CEO ACCRUED 12% OF HIS BASE PAY. 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. FIVE MEMBERS OF THE EXECUTIVE MANAGEMENT GROUP RECEIVED PAYMENTS AND THESE AMOUNTS ARE SHOWN ON SCH J, PART II.
Schedule J, Part II	EMPLOYEES HIRED PRIOR TO DECEMBER 31, 2005 ARE PARTICIPANTS IN THE HOSPITAL'S DEFINED BENEFIT PENSION PLAN. THE AMOUNT IN COLUMN C INCLUDES THE ESTIMATED INCREASE IN ACTUARIAL VALUE FOR THOSE EMPLOYEES WHO ARE PLAN PARTICIPANTS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY OF UPLAND
A	956000805	915346GB0	2017-12-21	$147,137,583	See attached statement	false	false	false
CITY OF UPLAND
B	956000805	915536FH8	2011-01-27	$122,414,361	See attached statement	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Substantial CompletionSubstantialCompletionYr
A	$0	$0	$147,137,583	$0	$0	$120,410,119	$1,727,464	$0	$0	$0	$12,547,748	$12,452,252	false	Yes (true)	false	Yes (true)
B	$0	$0	$122,414,361	$0	$0	$0	$1,865,015	$0	$0	$108,139,982	$12,409,364	$0	Yes (true)	false	Yes (true)	Yes (true)	2015

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	0	false	false	false	false
B	false	false	false	false	0	false	false	false	false

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	false	Yes (true)	false	false	false	0	false	false
0
B	false	false	false	Yes (true)	false	false	false	0	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I	CITY OF UPLAND 1/27/2011 $122,414,361 - THE PROCEEDS WERE USED FOR THE CONSTRUCTION OF A 4-STORY PATIENT CARE TOWER, AN ENERGY PLANT AND RELATED SITE UTILITIES AND TO REFUND THE TAX EXEMPT BONDS ISSUED SEPTEMBER 1, 1993. 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, (B) FINANCE THE ACQUISITION OF CERTAIN LAND ADJACENT TO THE HOSPITAL'S CAMPUS, (C) 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, (D) 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, (E) FINANCE, REFINANCE OR REIMBURSE CERTAIN ROUTINE CAPITAL EXPENDITURES OF SARH AND (F) 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 21, 2018.

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 SIX 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 2017. 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 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 $3,362,943, CHANGE IN TEMPORARILY RESTRICTED NET ASSETS OF $2,528,840 AND CHANGE IN BENEFICIAL INTEREST IN SAN ANTONIO HOSPITAL FOUNDATION OF $6,900,298.

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	$84,953	TotalIncomeAmt
End Of Year Assets	$4,176,815	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 company	CA	SARH	C corp	$49,739	$417,105	1.00000	Yes (true)
FMP Holding Inc
999 San Bernardino Road	Upland	CA	91786	815066476	Holding company	CA	SARH	C Corp	-$36,522	-$94,565	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	Yes (true)	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
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	Yes (true)	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	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
San Antonio Hospital Foundation Inc
b	$87,500	Cash
San Antonio Community Health Care Plan
r	$16,645,145	Cash
San Antonio Hospital Foundation Inc
c	$575,131	Cash
Cucamonga Health Services
j	$103,016	Cash