SAN ANTONIO REGIONAL HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: SAN ANTONIO REGIONAL HOSPITAL (EIN 95-1183919)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-15
IRS object ID: 201933199349318973
Schema version: 2018v3.1
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	2019-11-15T19:47:05-06:00	ReturnTs
Tax Period End	2018-12-31	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	2018-01-01	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
Signature	2019-11-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	INAS RAOUF	PreparerPersonNm
PTIN	P01254678	PTIN
Phone	9497942300	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	164.57.159.253	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	33577420193195000108	FederalOriginalSubmissionId
Federal Original Submission Id	2019-11-15	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	63991ECD757B78CD3B239E7D9EBABEB28EC9BCD7	AtSubmissionCreationDeviceId
At Submission Filing Device Id	337686BC7CC6EC2662FF9B863E3DABD55E8368B5	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-04-17 16:48:07Z	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	$522,188,700	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	8	VotingMembersIndependentCnt
Total Employee	2796	TotalEmployeeCnt
Total Volunteers	382	TotalVolunteersCnt
Total Gross UBI	$2,749,085	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$587,738	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$138,268	PYContributionsGrantsAmt
CY Contributions Grants	$1,844,328	CYContributionsGrantsAmt
PY Program Service Revenue	$347,183,036	PYProgramServiceRevenueAmt
CY Program Service Revenue	$343,724,179	CYProgramServiceRevenueAmt
PY Investment Income	$11,617,569	PYInvestmentIncomeAmt
CY Investment Income	$15,896,430	CYInvestmentIncomeAmt
PY Other Revenue	$5,964,058	PYOtherRevenueAmt
CY Other Revenue	$7,350,081	CYOtherRevenueAmt
PY Total Revenue	$364,902,931	PYTotalRevenueAmt
CY Total Revenue	$368,815,018	CYTotalRevenueAmt
PY Grants And Similar Paid	$167,385	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$208,810	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$189,312,518	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$199,062,994	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$196,703,739	PYOtherExpensesAmt
CY Other Expenses	$177,291,374	CYOtherExpensesAmt
PY Total Expenses	$386,183,642	PYTotalExpensesAmt
CY Total Expenses	$376,563,178	CYTotalExpensesAmt
PY Revenues Less Expenses	-$21,280,711	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$7,748,160	CYRevenuesLessExpensesAmt
Total Assets BOY	$656,726,149	TotalAssetsBOYAmt
Total Assets EOY	$625,188,103	TotalAssetsEOYAmt
Total Liabilities BOY	$284,026,283	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$275,330,603	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$372,699,866	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$349,857,500	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	$340,856,162	ExpenseAmt
Grant	$208,810	GrantAmt
Revenue	$346,426,385	RevenueAmt
Desc	HISTORY AND ORGANIZATIONAL STRUCTURE - 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 373-BED REGIONAL MEDICAL FACILITY WITH OVER 2,300 EMPLOYEES AND A MEDICAL STAFF OF MORE THAN 550 PHYSICIANS. IN EARLY 2017, THE HOSPITAL OPENED THE LARGEST EXPANSION IN ITS 110-YEAR HISTORY ON THE MAIN CAMPUS IN UPLAND. THE 179,000 SQUARE FOOT ADDITION, WHICH INCLUDES A NEW 52-BED EMERGENCY DEPARTMENT AND 92-BED PATIENT TOWER, OFFICIALLY OPENED TO THE PUBLIC ON JANUARY 6, 2017. THE PROJECT 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. LEADERSHIP - SAN ANTONIO REGIONAL HOSPITAL IS GOVERNED BY A 13-MEMBER BOARD OF TRUSTEES. THE HOSPITAL'S MEDICAL STAFF PRESIDENT-ELECT, PRESIDENT, AND IMMEDIATE PAST PRESIDENT ARE MEMBERS OF THE BOARD BY VIRTUE OF THEIR OFFICES. AT LEAST TWO ADDITIONAL PHYSICIANS ARE ELECTED FROM THE MEDICAL STAFF, AND THE REMAINING MEMBERS ARE ELECTED FROM THE COMMUNITY AT-LARGE. THE BOARD OF TRUSTEES, WITH PHYSICIAN LEADERS COMPRISING A SIGNIFICANT PORTION OF ITS MEMBERSHIP, SETS THE DIRECTION FOR THE HOSPITAL'S COMMUNITY BENEFITS PROGRAM. THE EXECUTIVE MANAGEMENT GROUP DIRECTS THE HOSPITAL'S STRATEGIC PLANNING PROCESS AND ALLOCATES RESOURCES FOR COMMUNITY BENEFIT ACTIVITIES. THE EXECUTIVE MANAGEMENT GROUP IS COMPRISED OF THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, CHIEF NURSING OFFICER, VICE PRESIDENT OF HUMAN RESOURCES, VICE PRESIDENT OF BUSINESS DEVELOPMENT AND COMMUNITY OUTREACH, AND PRESIDENT OF THE HOSPITAL FOUNDATION. DEPARTMENT DIRECTORS ARE RESPONSIBLE FOR THE OPERATION AND MANAGEMENT OF INDIVIDUAL DEPARTMENTS. THE DIRECTORS ENCOURAGE EMPLOYEE PARTICIPATION IN COMMUNITY BENEFIT ACTIVITIES, AND IT IS THIS SUPPORT THAT ENSURES THE ULTIMATE SUCCESS OF THE HOSPITAL'S COMMUNITY BENEFITS PROGRAM AS DELINEATED IN ITS TRIENNIAL IMPLEMENTATION STRATEGY AND PLAN. OUR COMMITMENT - THE LEADERSHIP AT SARH HAS AN UNWAVERING COMMITMENT TO THE HOSPITAL'S MISSION, VISION, VALUES, AND STRATEGIC PLAN, WHICH FOCUS ON IMPROVING THE REGION'S OVERALL HEALTH BY PROVIDING QUALITY PATIENT CARE IN A COMPASSIONATE AND CARING ENVIRONMENT. OUR MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE WE SERVE. OUR VISION IS TO BE A LEADER IN CREATING HEALTHY FUTURES THROUGH EXCELLENCE AND COMPASSION. OUR VALUES ARTICULATE THE PRINCIPLES THAT HELP US TO FULFILL OUR MISSION AND VISION, AND OUR STRATEGIC PLAN SPECIFICALLY ADDRESSES THE DEVELOPMENT OF PROGRAMS AND SERVICES IN RESPONSE TO OUR REGION'S COMMUNITY NEEDS. 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. ANY SURPLUSES GENERATED FROM HOSPITAL OPERATIONS ARE USED TO PURCHASE NEW OR UPGRADED EQUIPMENT, EXPAND SERVICES, AND PROVIDE CARE FOR VULNERABLE POPULATIONS. WHILE THE INLAND EMPIRE IS A MATURING ECONOMIC MARKET, MANY INDIVIDUALS AND FAMILIES ARE AT SIGNIFICANT RISK DURING A MEDICAL CRISIS. OFTEN THIS IS DUE TO AN INABILITY TO ACCESS HEALTH INSURANCE OR THE RESULT OF INADEQUATE INSURANCE COVERAGE. THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY PROVIDES RELIEF TO THESE FAMILIES WHO WOULD OTHERWISE FACE MEDICAL BANKRUPTCY. DURING 2018, $3,823,602 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 $28,483,706 IN UNREIMBURSED COSTS INCURRED IN PROVIDING CARE AND TREATMENT FOR MEDI-CAL PATIENTS, WHILE OTHER UNCOMPENSATED CARE (BAD DEBTS) TOTALED $1,146,109 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. 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 2016, 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 11 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 PICUTRE 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 STRATEFIED ACROSS CATEGORIES AND SERVICE AREAS TO ALLOW TARGETED IDENTIFICATION OF UNIQUE CHALLENGES AND OPPORTUNITIES SURROUNDING HEALTH STATUS, QUALITY OF LIFE, AND RISK FACTORS. THE 2016 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	Desc
Total Program Service Expenses	$340,856,162	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
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 With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	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	425	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2796	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	8	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
Andrea Dutton
Trustee/Treasurer	4.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Harris Koenig
President/CEO	40.0	3.0	Yes (X)	Yes (X)	$822,193	$0	$118,062
Sohan Bassi MD
Trustee	4.0	0.0	Yes (X)		$21,438	$0	$0
Michael Chai MD
Trustee/Med.Staff President	4.0	0.0	Yes (X)		$42,000	$0	$0
Victor Ching MD
Trustee	4.0	0.0	Yes (X)		$0	$0	$0
Ed DiGiamarino MD
Trustee	4.0	0.0	Yes (X)		$12,651	$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
Ron King
Trustee / Secretary	4.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Howard Borenstein
Trustee / Chair	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
Rohinder Sandhu MD
Trustee	4.0	0.0	Yes (X)		$60,922	$0	$0
Wah-Chung Hsu
Vice President/CFO	40.0	5.0		Yes (X)	$459,268	$0	$73,910
Peter Aprato 11-111818
Sr VP Admin Serv & Compliance	40.0	0.0			$399,686	$0	$63,857	Yes (X)
Gudrun Moll
VP/Chief Nursing Officer	40.0	0.0			$331,324	$0	$67,725	Yes (X)
David Batista 11-51818
VP Strategic Development	40.0	0.0			$321,257	$0	$29,421	Yes (X)
Cathy Rebman
VP Busin Devel & Comm Outreach	40.0	0.0			$222,618	$0	$33,576		Yes (X)
Michael Tracey
President-Foundation	0.0	40.0			$268,330	$0	$62,716		Yes (X)
Saurabh Ashier
Manager Cardiovascular Serv	40.0	0.0			$245,786	$0	$19,983		Yes (X)
Martin Torres
Director - Pharmacy	40.0	0.0			$207,384	$0	$6,382		Yes (X)
Kamal Pandya
VP/Chief Information Offier	4.0	0.0			$236,924	$0	$2,267		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,651,781	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$477,899	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	426	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	$6,902,806
Mayo Medical Laboratories
PO Box 9146	MINNEAPOLIS	MN	55480	Medical Laboratory	$1,001,039
DVA Renal Healthcare
PO Box 8500-1607	PHILADELPHIA	PA	191781607	Dialysis	$2,785,307
Emerald Textiles LLC
1725 Dornoch Ct	SAN DIEGO	CA	92154	Linen Services	$1,191,637
Cerner Corporation
2800 Rockcreek Parkway	KANSAS CITY	MO	64117	Clinical Information	$7,353,639

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	51	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,844,328	RelatedOrganizationsAmt
Total Contributions	$1,844,328	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	$339,969,090	$339,969,090
RENTAL INCOME - MOB	531120	$2,278,066	$2,278,066
CAPITATION REVENUE	622110	$963,849	$963,849
MEANINGFUL USE REVENUE	622110	$398,551	$398,551
OUTSIDE LAB REVENUE	621500	$114,623		$114,623

Field	Value	IRS element (for citing)
Total Program Service Revenue	$343,724,179	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,684,132	TotalRevenueColumnAmt
Exclusion	$5,684,132	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	$163,427,261	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$153,214,963	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$10,212,298	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,212,298	TotalRevenueColumnAmt
Exclusion	$10,212,298	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	$297,657	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$158,719	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$138,938	TotalRevenueColumnAmt
Exclusion	$138,938	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA	722310	$1,874,475	$1,874,475
PHARMACY AT CASA COLINA	446110	$2,321,192		$2,321,192
OTHER REVENUE	622110	$2,702,206			$2,702,206

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$313,270	TotalRevenueColumnAmt
Unrelated Business Revenue	$313,270	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$7,211,143	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$368,815,018	TotalRevenueColumnAmt
Related Or Exempt Func Income	$346,311,762	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,749,085	UnrelatedBusinessRevenueAmt
Exclusion	$17,909,843	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$208,810	TotalAmt
Program Services	$208,810	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	$2,823,709	TotalAmt
Program Services	$1,064,013	ProgramServicesAmt
Management And General	$1,759,696	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	$154,942,311	TotalAmt
Program Services	$138,599,701	ProgramServicesAmt
Management And General	$16,342,610	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$10,306,094	TotalAmt
Program Services	$9,219,054	ProgramServicesAmt
Management And General	$1,087,040	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$19,655,872	TotalAmt
Program Services	$17,582,660	ProgramServicesAmt
Management And General	$2,073,212	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$11,335,008	TotalAmt
Program Services	$10,139,443	ProgramServicesAmt
Management And General	$1,195,565	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	$1,498,441	TotalAmt
Management And General	$1,498,441	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$397,149	TotalAmt
Management And General	$397,149	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$29,329	TotalAmt
Management And General	$29,329	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	$545,947	TotalAmt
Management And General	$545,947	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$31,657,374	TotalAmt
Program Services	$31,657,374	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,237,323	TotalAmt
Management And General	$1,237,323	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,078,995	TotalAmt
Program Services	$6,397,309	ProgramServicesAmt
Management And General	$681,686	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$9,517,720	TotalAmt
Program Services	$8,513,834	ProgramServicesAmt
Management And General	$1,003,886	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$15,474,924	TotalAmt
Program Services	$13,984,735	ProgramServicesAmt
Management And General	$1,490,189	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	$143,316	TotalAmt
Program Services	$128,200	ProgramServicesAmt
Management And General	$15,116	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,833,312	TotalAmt
Program Services	$5,833,312	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$17,447,652	TotalAmt
Program Services	$15,767,495	ProgramServicesAmt
Management And General	$1,680,157	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,362,780	TotalAmt
Management And General	$4,362,780	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$46,926,684	$46,926,684
MEDI-CAL FEE PROGRAM	$18,035,178	$18,035,178
DRUGS	$14,195,665	$14,195,665
OTHER	$2,909,585	$2,602,695	$306,890

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$376,563,178	TotalAmt
Program Services	$340,856,162	ProgramServicesAmt
Management And General	$35,707,016	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$15,601	BOYAmt
EOY	$43,214	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$9,190,007	BOYAmt
EOY	$17,404,990	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	$55,266,565	BOYAmt
EOY	$52,797,602	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	$4,307,997	BOYAmt
EOY	$5,455,747	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,844,684	BOYAmt
EOY	$7,296,588	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$397,909,527	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$116,572,903	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$274,253,787	BOYAmt
EOY	$281,336,624	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$219,336,559	BOYAmt
EOY	$181,176,428	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	$13,577,868	BOYAmt
EOY	$12,958,950	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	$74,933,081	BOYAmt
EOY	$66,717,960	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$656,726,149	BOYAmt
EOY	$625,188,103	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$75,155,676	BOYAmt
EOY	$74,120,565	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	$155,057,457	BOYAmt
EOY	$152,034,417	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$53,813,150	BOYAmt
EOY	$49,175,621	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$284,026,283	BOYAmt
EOY	$275,330,603	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$362,373,252	BOYAmt
EOY	$340,727,804	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,243,423	BOYAmt
EOY	$5,034,005	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,083,191	BOYAmt
EOY	$4,095,691	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$372,699,866	BOYAmt
EOY	$349,857,500	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$656,726,149	BOYAmt
EOY	$625,188,103	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$7,748,160	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$16,956,368	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$1,862,162	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	Yes (true)	RalliesDemonstrationsInd
Rallies Demonstrations	$29,329	RalliesDemonstrationsAmt
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$29,329	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	$4,083,191	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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,037,191	BeginningYearBalanceAmt
Investment Earnings Or Losses	$129,048	InvestmentEarningsOrLossesAmt
Other Expenditures	$119,260	OtherExpendituresAmt
Administrative Expenses	$9,788	AdministrativeExpensesAmt
End Year Balance	$4,037,191	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	$246,234,470	OtherCostOrOtherBasisAmt
Depreciation	$46,247,409	DepreciationAmt
Book Value	$199,987,061	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,283,286	OtherCostOrOtherBasisAmt
Depreciation	$3,074,879	DepreciationAmt
Book Value	$3,208,407	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$106,102,362	OtherCostOrOtherBasisAmt
Depreciation	$67,250,615	DepreciationAmt
Book Value	$38,851,747	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$24,422,309	OtherCostOrOtherBasisAmt
Book Value	$24,422,309	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$281,336,624	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
RECEIVABLE - HOSPITAL FEE PROG	$23,422,070
DUE FROM AFFILIATES	$3,365,280
BENEFICIAL INTEREST IN SAHF	$39,930,610

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$66,717,960	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
PENSION PLAN LIABILITY FAS 158	$34,916,370
INSURANCE CLAIMS	$12,604,720
PHYSICIAN GUARANTEE LIABILITY	$1,654,531

Field	Value	IRS element (for citing)
Total Liability	$49,175,621	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, 2018 or 2017. 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 2015 through 2017 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	$3,823,642	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,823,642	NetCommunityBenefitExpnsAmt
Total Expense	0.01160	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$89,510,256	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$61,026,550	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,483,706	NetCommunityBenefitExpnsAmt
Total Expense	0.08680	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$93,333,898	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$61,026,550	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,307,348	NetCommunityBenefitExpnsAmt
Total Expense	0.09840	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	41	ActivitiesOrProgramsCnt
Persons Served	30707	PersonsServedCnt
Total Community Benefit Expns	$3,337,221	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$904,727	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,432,494	NetCommunityBenefitExpnsAmt
Total Expense	0.00740	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	148	PersonsServedCnt
Total Community Benefit Expns	$164,401	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$164,401	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$194,153	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$194,153	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$7,155	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,155	NetCommunityBenefitExpnsAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	9700	PersonsServedCnt
Total Community Benefit Expns	$122,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,190	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$95,810	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	50	ActivitiesOrProgramsCnt
Persons Served	40555	PersonsServedCnt
Total Community Benefit Expns	$3,824,930	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$930,917	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,894,013	NetCommunityBenefitExpnsAmt
Total Expense	0.00880	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	50	ActivitiesOrProgramsCnt
Persons Served	40555	PersonsServedCnt
Total Community Benefit Expns	$97,158,828	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$61,957,467	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,201,361	NetCommunityBenefitExpnsAmt
Total Expense	0.10720	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$9,548	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,548	NetCommunityBenefitExpnsAmt

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$16,719	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,719	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$474	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$474	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	915	PersonsServedCnt
Total Community Benefit Expns	$19,006	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$19,006	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	915	PersonsServedCnt
Total Community Benefit Expns	$45,747	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$45,747	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Reimbursed By Medicare	$63,796,184	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$62,987,079	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$809,105	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	0.286	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.714	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	16	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	17	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 (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION C, LINE 3E	THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 5 SAN ANTONIO REGIONAL HOSPITAL (SARH) CONDUCTED ITS COMMUNITY HEALTH NEEDS ASSESSMENT USING A REGIONAL APPROACH AND WELCOMED THE PARTICIPATION OF AND INPUT FROM A DIVERSE GROUP OF COMMUNITY MEMBERS. THE REGIONAL CHNA WAS BUILT ON THE COMMUNITY HEALTH IMPROVEMENT PROCESS INITIATED BY THE SAN BERNARDINO COUNTY DEPARTMENT OF PUBLIC HEALTH. AS HEALTH CARE CONTINUES TO EVOLVE AND SYSTEMS OF CARE BECOME MORE COMPLEX, THE CHNA PROCESS IS INCREASINGLY BECOMING A KEY COMPONENT TO THE COLLECTIVE EFFORTS OF COMMUNTIIES IN ADDRESSING THEIR MOST PRESSING NEEDS. THE REPORT VIEWS HEALTH WITH A COLLECTIVE LENS AND INCLUDES NOT ONLY HEALTH OUTCOMES AND CLINICAL CARE COMPONENTS BUT SOCIAL DETERMINANTS AND HEALTH INDICATORS FROM THE BUILT ENVIRONMENT. TO SUCCESSFULLY GATHER ROBUST PRIMARY DATA, NUMEROUS DEMOGRAPHIC GROUPS WERE PROVIDED AN ONLINE SURVEY AND DIVERSE SETS OF FOCUS GROUPS, AND KEY INFORMANT INTERVIEWS WERE CONDUCTED. FOCUS GROUPS TOOK PLACE FROM FEBRUARY 8, 2016 TO FEBRUARY 11, 2016. QUALITATIVE DATA WAS GARNERED THROUGH THE USE OF COMMUNITY MEMBERS, HEALTH EXPERTS AND KEY STAKEHOLDER FOCUS GROUPS. THE FOCUS GROUPS WERE CONDUCTED IN BOTH ENGLISH AND SPANISH TO REVEAL THOUGHTS AND PERCEPTIONS, AND TO AUGMENT THE QUANTITATIVE DATA COLLECTED IN THE ASSESSMENT PROCESS. THE FOCUS GROUPS ALLOWED A DEEP UNDERSTANDING OF THE ISSUES RESPONDENTS BELIEVE ARE IMPORTANT. THE ASSESSMENT DISPLAYS DATA AT THE COUNTY LEVEL AND WHEN AVAILABLE SEVERAL HEALTH INDICATORS ARE PROVIDED FOR EACH HOSPITAL'S SERVICE AREA. IN ADDITION, QUALITY OF LIFE SURVEYS WERE CONDUCTED FROM FEBRUARY 7, 2016 TO MARCH 12, 2016. THE COMMUNITY HEALTH QUALIFY OF LIFE SURVEY WAS ADMINISTERED TO OBTAIN COMMUNITY INPUT REGARDING THE STRENGTHS AND AREAS OF OPPORTUNITY THAT EXIST IN EACH COMMUNITY. THE SURVEY WAS AVAILABLE IN ENGLISH AND SPANISH AND WAS DISSEMINATED THROUGH A VARIETY OF CHANNELS ACROSS HOSPITAL SERVICE AREAS. A TOTAL OF 541 INDIVIDUALS COMPLETED THE QOL SURVEY. OF THOSE WHO COMPLETED THE SURVEY, 50% WERE BETWEEN THE AGES OF 40-65, 12.6% WERE SENIORS WHO WERE 65 YEARS OF OLDER, 30% HAD AN ANNUAL HOUSEHOLD INCOME OF $25,000 OR LESS, AND 60% WERE HISPANIC. THE COMMUNITY GROUPS SELECTED INCLUDED SENIORS, FAMILY PROGRAMS FOR PARENTS AND CHILDREN IN AT-RISK AREAS, FORMER PATIENTS, PUBLIC HEALTH PROFESSIONALS AND CIVIC LEADERS. SARH'S TEAM ENDEAVORED TO GAIN A BETTER UNDERSTANDING OF THE CURRENT CONCERNS AND INTERESTS AMOUNG HIGHER NEED SEGMENTS OF THE HOSPITAL'S PRIMARY SERVICE AREA. FOCUS GROUPS WERE CONDUCTED WITH A RANGE OF GROUPS INCLUDING: CONSUMERS OF LOW-COST AND FREE SERVICES (MONOLINGUAL NON-ENGLISH-SPEAKING AND ENGLISH-SPEAKING), PARENTS, ELDERLY AND PROFESSIONALS LEADING COMMUNITY-WIDE HEALTH INITIATIVES IN SARH'S SERVICE AREA. GENERAL HEALTH ISSUES FOR EACH GROUP OF PARTICIPANTS WERE USED TO CREATE A QUESTION OUTLINE SPECIFIC TO EACH GROUP. A THOROUGH EVALUATION AND SYNTHESIS OF THE RESULTS REVEALED SEVERAL MAJOR CONCERNS WHICH FELL INFO FOUR PRIORITY AREAS: ACCESS TO HEALTHCARE, HEALTH LITERACY, HEALTH MANAGEMENT AND A HEALTHY ENVIRONMENT.
Schedule H, Part V, Section B, Line 6a	OTHER HOSPITALS INCLUDED IN THE DEVELOPMENT OF THE HOSPITAL'S CHNA WERE LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CENTER, LOMA LINDA UNIVERSITY MEDICAL CENTER, LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA, LOMA LINDA UNIVERSITY MEDICAL CENTER CHILDREN'S HOSPITAL, MONTCLAIR HOSPITAL MEDICAL CENTER, PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER, REDLANDS COMMUNITY HOSPITAL, RIDGECREST REGIONAL HOSPITAL, SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL AND SAN GORGONIO MEMORIAL 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 programs and initiatives from the 2016 Community Health Needs Assessment were summarized into the following categories through a compilation and analysis of CHNA findings: . Chronic Disease Management . Access to Healthcare . Prevention and Wellness . Healthy Environment . Behavioral Health Chronic Disease Management Expand the Community Health Improvement Program (CHIP) The CHIP program is a strategy to address chronic disease management skills thereby reducing hospital readmission rates, minimizing chronic disease morbidities, and improving the quality of life among community members with chronic diseases. University students are recruited and specially trained as health coaches to provide comprehensive care management through a combination of follow up clinic services and an in-home visitation program. Once trained, student health coaches provide in-home and phone interactions. Students engage in the process of education and motivating at-risk members to take an active and meaningful role in their health and well-being. The primary objectives of the health coach are to foster meaningful interactions for boosting cooperation and adherence, while helping to resolve non-medical issues (social determinants of health) that impede effective risk factor management and patient care. CHIP has successfully recruited and trained over 165 coaches over the past four years who provided to 238 patients. To date, unnecessary ED visits were reduced by 33% and hospitalizations by 38% among CHIP participants enrolled for nine months. ACCESS TO HEALTHCARE and PREVENTION AND WELLNESS . Know Your Numbers Expansion . BUILD Case Management Program (BUILD Health Challenge-Ontario) The Know Your Numbers (KYN) program is a strategy to reduce chronic disease incidence in impoverished, uninsured, and underinsured populations through screening and health education. KYN provides biometric screenings for the low-income population living in Ontario's "HEAL"(Healthy Eating and Active Living) Zone and surrounding communities. KYN provides health education, social determinant of health assessments, and biometric screenings, including blood pressure, body mass index (BMI), glucose, and cholesterol through community-based point-of-care testing. In 2016, KYN was incorporated into the Healthy Ontario Initiative (HOI), an innovative multi-sectorial collaborative partnership in the City of Ontario. This effort was funded, in part, by a "BUILD" Health Challenge Grant provided by: 1) The Advisory Board Company, 2) de Beaumont Foundation, 3) The Colorado Health Foundation, 4) The Kresge Foundation, and 5) Robert Wood Johnson Foundation. The goal of the BUILD funding partners was to foster and expand meaningful partnerships among hospitals, community-based organizations, and local public health departments to create Bold, Upstream, Innovative, Local, Data-driven solutions to address the complex problems that influence the health of local residents. The remaining funding and other resources for the program were provided by HOI's partners, which include San Antonio Regional Hospital, The City of Ontario, and the San Bernardino County Public Health Department. HOI's goal was to reduce obesity and its associated health impact on vulnerable populations. San Antonio's KYN program served a key role in engaging the community in understanding health issues and healthcare access, as well as, empowering participants to take an active role in improving health status individually and across the community. In 2017, there was a push to further enhance the case management aspect of the program. The Clinical Community Health Worker (CCHW) model was utilized. Community Health workers (CHWs) received professional development in addition to their basic training. San Antonio staff, community partners, and CCHWs worked diligently on developing health curricula for the case management sub-population within the whole population. Case management parameters were created to determine which participants needed individual care and a three tiered system was developed to distinguish level of need and/or service. In addition to the new curriculum, efforts were made to provide individual nutrition education for participants with the highest need. This education took place in the homes of individual participants presented by one of the hospital's registered dietitians (RD). Home visits allowed for an in-depth analysis of diet patterns and living conditions. This allowed the RD to tailor each plan to the individual, maximizing individual success and satisfaction with the program. A total of eight CCHWs have been developed over the past 3 years. Quarterly screenings at four health hubs has attracted over 500 participants in 2018, with 330 new participants joining the program. The 330 new participants attended with a retention rate of 57%. More than 57% of the case managed populations were still actively involved in the program after a year and 141 participants were referred to a medical home such as the Ontario Health Center. The Ontario HOI KYN program continues to see improvement in BMI and specifically, reduction in waist circumference across all participants. Prevention and Wellness Expand HELP 12+ (Healthy Eating and Lifestyles Program for children 12 years and older) During 2017, the HELP program was rebranded as wHealth (Wellness + Healthcare). The focus was changed to include nutrition, fitness, and mental resiliency, along with professional development as students are introduced to health careers. Interns from regional universities are recruited as health educators and operations to provide curriculum to high schoolers who receive additional professional development as prospective high school health coaches. The high school health coaches receive career training including; resume building, interviewing and presentation skills. The high schoolers continue to receive supervision from the university interns as they work with they provide instruction to their respective junior high schools. During the last three years, the wHealth program has grown to provide training to 1029 high schoolers, trained 68 high school health coaches, and instructed 307 junior high students across three high schools, and four junior high schools in two school districts. The program continues to grow and is scheduled to expand into another district and two more high schools in the coming year. Healthy Environment Healthy Communities Leadership Development The program concept was revised in 2017 to provide health policy training directed at decision makers. During 2017 and 2018, collaboration occurred with County Department of Public Health from both Riverside and San Bernardino Counties to provide training around healthy communities' policies. The training was part of a regional conference attended by policy makers from across the Inland Empire including councilpersons, city managers, and city planners, held at the Ontario Convention Center as part of the Healthy Communities Summit. Additionally, a regional Food Recovery Workshop provided by WasteNot OC was facilitated. The purpose was to introduce policy makers and stakeholders to food recovery models to replicate in the region. The County of San Bernardino Department of Public Health has now taken the lead for this region. BEHAVIORAL HEALTH Support local and regional behavioral health policy change and educational awareness San Antonio supported the Hospital Association of Southern California in its advocacy efforts to raise awareness and create policy change to address unmet behavioral health needs in the region. Additionally, the third pillar of the Healthcorps curriculum used by the wHealth program covers mental resiliency. The curriculum is geared toward adolescents and addresses topics such as bullying, stress, mindfulness, and how to seek help. The following is a list of identified health needs that were not addressed: . Health Conditions (Arthritis, Asthma, Mental illness) . Environment (safe & secure places) . Social Determinants of Health (low educational attainment, low income, high poverty) . Unhealthy Behaviors (smoking, substance abuse) The complete list of identified needs was prioritized by community focus groups and was based on the alignment with hospital mission, scope, and strategic plan. Additionally considered was the severity of need and the hospital resources available to address it as well as the ability to impact the community need. Various community and local government partners focused on these needs allowing the hospital to direct its resources towards those most at risk populations.
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

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 - 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. PATIENT IS HOMELESS; 2. PATIENT IS A RESIDENT AT A SHELTER INCLUDING BUT NOT LIMITED TO PROTOTYPES AND THE AMERICAN RECOVERY CENTER; 3. PATIENT'S ADDRESS IS THE ADDRESS FOR THE DEPARTMENT OF PUBLIC SOCIAL SERVICES; 4. PATIENT IS UNKNOWN; 5. PATIENT IS RECEIVING GENERAL RELIEF, CAL WORKS OR CAL FRESH (DOCUMENTATION REQUIRED); 6. PATIENT QUALIFIED FOR MEDI-CAL WITHOUT A SHARE OF COST (SOC) DURING A PORTION OF THE CONFINEMENT OR SUBSEQUENT TO THEIR DISCHARGE/VISIT (PROOF OF ELIGIBILITY REQUIRED); 7. NON-COVERED AND/OR DENIED SERVICES PROVIDED TO MEDI-CAL ELIGIBLE PATIENTS. Schedule H, Part I, Line 6a - SAN ANTONIO REGIONAL HOSPITAL PREPARED A COMMUNITY BENEFIT REPORT AS REQUIRED BY THE STATE OF CALIFORNIA. THE REPORT WAS PUBLISHED AND MADE AVAILABLE TO THE PUBLIC ONLINE AT WWW.SARH.ORG. Schdule H, Part I, Line 7 - THE COSTING METHODOLOGY USED ON 7A: CALCULATED USING WORKSHEETS 1&2 IN THE INSTRUCTIONS; THE COST TO CHARGE OPTION. THE COSTING METHODOLOGY USED ON 7B: CALCULATED USING WORKSHEET 3 IN THE INSTRUCTIONS; THE COST TO CHARGE OPTION. THE COSTING METHODOLOGY USED ON 7E TO 7I: CALCULATED USING ACTUAL COSTS FROM SARH'S GENERAL LEDGER. Line 7g - NONE OF THE COSTS ON THIS LINE WERE ATTRIBUTABLE TO A PHYSICIAN CLINIC. Sch H, Part II - THE HEALTHY COMMUNITIES LEADERSHIP ACADEMY (HCLA) WAS REEVALUATED MID-2017, WITH THE REMAINDER OF THE YEAR DEDICATED TO REVISING THE APPROACH. IN 2018, HCI COLLABORATED WITH THE COUNTY OF SAN BERNARDINO, THE COUNTY OF RIVERSIDE, WESTERN RIVERSIDE COUNCIL OF GOVERNMENTS, SAN BERNARDINO COUNTY TRANSPORTATION AUTHORITY, AND COMMUNITY PARTNERS FROM BOTH COUNTIES TO DEVELOP AND SUPPORT A REGIONAL INLAND EMPIRE HEALTHY COMMUNITIES CONFERENCE. HCI PARTICIPATED IN THE DEVELOPMENT OF THE LEADERSHIP DEVELOPMENT TRACK SESSIONS AND SPONSORED THE SERVICES OF CHANGELAB SOLUTIONS WHO PROVIDED A POLICY MAKERS TRAINING ON HEALTHY COMMUNITIES POLICIES. THIS TRAINING WAS ATTENDED BY COUNCILPERSONS, CITY MANAGERS, AND PLANNERS FROM CITIES ACROSS THE INLAND EMPIRE. ADDITIONALLY, HCI COLLABORATED WITH SAN BERNARDINO COUNTY DEPARTMENT OF PUBLIC HEALTH TO PROVIDE POLICY TRAINING AROUND THE TOPIC OF HEALTH EQUITY AT THE COMMUNITY LEVEL. THIS TRAINING WAS AIMED AT COMMUNITY-BASED ORGANIZATIONS AND COMMUNITY HEALTH WORKERS ACROSS SAN BERNARDINO COUNTY. A UNIQUE COMPONENT INCLUDED THE KYN CLINICAL COMMUNITY HEALTH WORKERS LEADING A SESSION ON EQUITY FOR THEIR PEERS. THIS SESSION WAS WELL RECEIVED AND PROVIDED OUR KYN TEAM WITH THE OPPORTUNITY TO LEAD OTHERS IN BUILDING THEIR COMMUNITY NETWORK AND PROMOTING EQUITY ACROSS THE REGION. HEALTH CARE WORKFORCE - SOUTHERN CALIFORNIA'S INLAND EMPIRE REGION INCLUDES SAN BERNARDINO, THE LARGEST US GEOGRAPHICAL COUNTY, AND RIVERSIDE COUNTIES. THIS REGION HAS POORER HEALTH STATUS AND A GREATER SHORTAGE OF HEALTHCARE PROFESSIONALS THAN SURROUNDING COMMUNITIES. LEWIS-SAN ANTONIO HEALTHY COMMUNITIES INSTITUTE (HCI) DEVELOPED A SCHOOL-BASED ADOLESCENT PROGRAM CALLED "WHEALTH" (WELLNESS + HEALTHCARE) TO ADDRESS THESE TWO MAJOR NEEDS TO BUILD HEALTHIER OUTCOMES FOR THE FUTURE OF THE INLAND EMPIRE. WHEALTH SUPPORTS STUDENTS IN THEIR HEALTH CAREER JOURNEY BY: 1) CREATING LEARNING OPPORTUNITIES AROUND CHRONIC DISEASE PREVENTION; 2) HELPING TO ESTABLISH LIFELONG HEALTHY HABITS; 3) SUPPORTING AN INTEREST IN HEALTHCARE CAREERS; AND 4) RETAINING LOCAL STUDENTS IN THE REGION. THIS PROGRAM AIMS TO INCREASE KNOWLEDGE ON WELLNESS TOPICS AND HEALTHCARE PROFESSIONAL DEVELOPMENT TRAINING. THE WHEALTH CURRICULUM IS ADAPTED FROM HEALTHCORPS INC., A NATIONAL NONPROFIT, AND IS ALIGNED TO NATIONAL HEALTH EDUCATION STANDARDS FOCUSING ON NUTRITION, FITNESS, AND MENTAL RESILIENCY. THE PROGRAM GOALS INCLUDE: 1) INCREASING KNOWLEDGE IN NUTRITION, PHYSICAL ACTIVITY, AND MENTAL RESILIENCE AMONG JUNIOR HIGH AND HIGH SCHOOL PARTICIPANTS USING HEALTHCORPS CURRICULUM; AND 2) INCREASING PROFESSIONAL DEVELOPMENT TRAINING FOR HEALTHCARE CAREER PREPAREDNESS AMONG HIGH SCHOOL PARTICIPANTS. THE CURRICULUM UTILIZES UNIVERSITY STUDENTS FROM ACROSS THE REGION TO TEACH HIGH SCHOOL WELLNESS IN SIX CLASSROOM SESSIONS. THESE UNIVERSITY STUDENTS ARE EITHER IN A MASTERS OF PUBLIC HEALTH PROGRAM OR A BACHELORS LEVEL PROGRAM IN PUBLIC HEALTH OR HEALTH SCIENCES. THE STUDENTS ARE NOT ONLY FULFILLING THEIR PRACTICUM REQUIREMENT FOR THEIR DEGREE; THEY ARE BEING EXPOSED TO PUBLIC HEALTH NEEDS WITHIN THEIR OWN COMMUNITIES. DURING THEIR 120 TO 400 HOUR PRACTICUM, THE INTERNS INSTRUCT HIGH SCHOOL STUDENTS, CONDUCT PROGRAM OPERATIONS, AND COLLECT DATA IN THE CLASSROOM THROUGHOUT THE PROGRAM IMPLEMENTATION. PROFESSIONAL DEVELOPMENT IS INTEGRATED THROUGHOUT THE PROGRAM AS STUDENTS CONDUCT INSTRUCTION. THIS PROGRAM ALSO INTEGRATES MENTORSHIP AMONG VARIOUS EDUCATIONAL LEVELS. THE UNIVERSITY STUDENTS ARE MENTORS TO THE HIGH SCHOOL STUDENTS AS THEY ANSWER QUESTIONS ON COLLEGE LIFE, MAJORS, AND CAREER PLANNING. ONCE THE HIGH SCHOOL STUDENTS COMPLETE THEIR SIX-WEEK HEALTHCORPS PROGRAM, THEY HAVE THE OPPORTUNITY TO TEACH THE CURRICULUM TO JUNIOR HIGH STUDENTS, WHILE GAINING PEER-TO-PEER TRAINING AND BUILDING PRESENTATION SKILLS FOR PROFESSIONAL DEVELOPMENT. FOLLOWING THE SIX-WEEK SESSIONS, HIGH SCHOOLERS ARE INVITED TO SUBMIT APPLICATIONS TO THE TRAINER PROGRAM. THIS PORTION OF THE PROGRAM INCLUDES A PROFESSIONAL SKILLS WORKSHOP, GROUP INTERVIEWS, DRESS FOR SUCCESS, AND IN-PERSON TRAINING SESSIONS FOR TEAM BUILDING AND LESSON DEVELOPMENT. THE HIGH SCHOOL STUDENTS THEN INSTRUCT A SIMPLIFIED VERSION OF THEIR WELLNESS LESSONS TO JUNIOR HIGH STUDENTS. IN ADDITION TO THEIR LEARNING EXPERIENCE IN THE CLASSROOM, HIGH SCHOOL STUDENTS HAVE THE OPPORTUNITY TO GO ON TOURS WITHIN OUR HOSPITAL AND AT COMMUNITY PARTNER SITES SUCH AS FARMS AND SUPERMARKETS AS A COMPLEMENT TO THE PROGRAM SESSIONS. IN 2018, THE WHEALTH PROGRAM UNDERWENT MANY CHANGES FROM ESTABLISHING BETTER PROGRAM STRUCTURE TO INCREASING PROGRAM PARTICIPATION ON ALL EDUCATIONAL LEVELS. IN THE WINTER (JANUARY - MARCH) A PARTNERSHIP WITH CALIFORNIA STATE UNIVERSITY SAN BERNARDINO WAS ESTABLISHED AND TWO UNDERGRADUATE INTERNS WERE ADDED TO HCI AND THE WHEALTH PROGRAM TEAM. DURING THIS QUARTER, CHAFFEY HIGH SCHOOL WAS ADDED TO OUR PROGRAM IMPLEMENTATION, INTRODUCING A NEW HIGH SCHOOL DISTRICT AS WELL. WITH THIS ADDITION, A TEAM OF THREE INTERNS TAUGHT THREE DIFFERENT CLASSES FOR A TOTAL OF 81 STUDENTS AT CHAFFEY HIGH SCHOOL. IN SPRING QUARTER (MARCH - JUNE), THREE MORE LOMA LINDA GRADUATE INTERNS AND FOUR MORE CAL STATE SAN BERNARDINO UNDERGRADUATE INTERNS JOINED THE TEAM AS TWO STUDENTS COMPLETED THEIR INTERNSHIPS FROM THE PREVIOUS QUARTER. THIS TERM ALSO COMMENCED THE TRAINING FOR THE JUNIOR HIGH COMPONENT OF THE PROGRAM. CHAFFEY HIGH SCHOOL HAD 11 TRAINERS AND UPLAND HIGH SCHOOL HAD 22 TRAINERS TEACHING AT JUNIOR HIGH SCHOOLS WITHIN THEIR DISTRICT OR WITHIN CLOSE PROXIMITY TO THE HIGH SCHOOL. UPLAND HIGH SCHOOL TRAINERS DISSEMINATED THE PROGRAM TO ALL THREE JUNIOR HIGHS WITHIN THE UPLAND UNIFIED SCHOOL DISTRICT: UPLAND JUNIOR HIGH (N=18), PIONEER JUNIOR HIGH (N=42), AND FOOTHILL KNOLLS STEM ACADEMY (APPROXIMATELY 60 STUDENTS) FOR A GRAND TOTAL OF APPROXIMATELY 120 STUDENTS ON THE JUNIOR HIGH LEVEL. CHAFFEY HIGH SCHOOL IS A PART OF CHAFFEY JOINT UNION HIGH SCHOOL DISTRICT, WHICH CONSISTS OF ONLY HIGH SCHOOLS, SO THESE TRAINERS PRESENTED THE CURRICULUM TO 22 STUDENTS AT VINA DANKS MIDDLE SCHOOL, WHICH IS ADJACENT TO THEIR CAMPUS AND PART OF THE ONTARIO-MONTCLAIR SCHOOL DISTRICT. IN APRIL 2018, HCI HOSTED ITS FIRST "CAREER DAY" FOR 100 UPLAND HIGH SCHOOL STUDENTS. THIS ONE-DAY EVENT FEATURED A FIELD TRIP TO SAN ANTONIO REGIONAL HOSPITAL TO TOUR SEVERAL CLINICAL DEPARTMENTS INCLUDING LABORATORY, PATHOLOGY, PHYSICAL THERAPY, AND PHARMACY. THIS EXPERIENCE EXPOSED STUDENTS TO VARIOUS HEALTHCARE CAREERS USING A "SPEED NETWORKING" FORMAT. STUDENTS WERE PLACED AT ROUND TABLES MANNED BY A HEALTH PROFESSIONAL, AND AFTER THE ALLOTTED TIME THE HEALTH PROFESSIONALS SWITCHED TABLES WHICH ALLOWED THE STUDENTS TO MEET EACH OF THE PROFESSIONALS AND LEARN ABOUT THE VARIOUS HEALTH DISCIPLINES AND CAREER PATHWAYS. IN FALL QUARTER (OCTOBER - DECEMBER 20	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)	$113,000	Program support
American Cancer Society
6355 Riverside Avenue	Riverside	CA	92506	941170350	501(c)(3)	$15,000	Program support
Meals on Wheels
4792 Falconview Court	Fontana	CA	92336	952799275	501(c)(3)		Program support	$55,431	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
Peter Aprato 11-111818
Sr VP Admin Serv & Compliance	$295,813	$0	$83,837	$0	$20,036	$0	$34,335	$0	$29,522	$0	$463,543	$0	$12,049	$0
Wah-Chung Hsu
Vice President/CFO	$397,210	$0	$39,313	$0	$22,745	$0	$36,932	$0	$36,978	$0	$533,178	$0	$21,729	$0
Harris Koenig
President/CEO	$646,792	$0	$120,945	$0	$54,456	$0	$82,621	$0	$35,441	$0	$940,255	$0	$54,122	$0
Gudrun Moll
VP/Chief Nursing Officer	$300,835	$0	$28,683	$0	$1,806	$0	$35,743	$0	$31,982	$0	$399,049	$0	$27,752	$0
Cathy Rebman
VP Busin Devel & Comm Outreach	$201,748	$0	$18,183	$0	$2,687	$0	$2,090	$0	$31,486	$0	$256,194	$0	$0	$0
Michael Tracey
President-Foundation	$243,958	$0	$15,786	$0	$8,586	$0	$30,734	$0	$31,982	$0	$331,046	$0	$5,789	$0
Saurabh Ashier
Manager Cardiovascular Serv	$245,606	$0	$0	$0	$180	$0	$6,193	$0	$13,790	$0	$265,769	$0	$0	$0
Martin Torres
Director - Pharmacy	$206,425	$0	$0	$0	$959	$0	$0	$0	$6,382	$0	$213,766	$0	$0	$0
David Batista 11-51818
VP Strategic Development	$320,885	$0	$0	$0	$372	$0	$0	$0	$0	$0	$321,257	$0	$0	$0
Kamal Pandya
VP/Chief Information Offier	$232,228	$0	$3,500	$0	$1,196	$0	$0	$0	$0	$0	$236,924	$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 MANAGMENT 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	915346FH8	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	$7,574,502	$17,425,498	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	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	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	0.00000	0.00000	0.00000	false	false	false	false
B	false	false	false	false	0.00000	0.00000	0.00000	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 $4,153,178, CHANGE IN TEMPORARILY RESTRICTED NET ASSETS OF ($1,196,918) AND CHANGE IN BENEFICIAL INTEREST IN SAN ANTONIO HOSPITAL FOUNDATION OF ($1,094,098).

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	$71,361	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
999 San Bernardino Road	Upland	CA	91786	330010073	Holding company	CA	SARH	C corp	$95,715	$367,318	1.00000	Yes (true)
FMP Holding Inc
999 San Bernardino Road	Upland	CA	91786	815066476	Holding company	CA	SARH	C Corp	-$26,070	-$56,665	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	$113,000	Cash
San Antonio Community Health Care Plan
r	$18,358,363	Cash
San Antonio Hospital Foundation Inc
c	$1,844,328	Cash
Cucamonga Health Services
j	$103,015	Cash