SAN ANTONIO REGIONAL HOSPITAL: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- SAN ANTONIO REGIONAL HOSPITAL (EIN 95-1183919)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-13
- IRS object ID
- 201803189349312580
- Schema version
- 2017v2.0
- 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 | 2018-11-13T11:48:03-07:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ernst & Young US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18101 Von Karman Avenue 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 | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 951183919 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAN ANTONIO REGIONAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SANA | BusinessNameControlTxt |
| Phone | 9099852811 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 999 San Bernardino Road | AddressLine1Txt |
| City | Upland | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 917864920 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Wah-chung Hsu | PersonNm |
| Person Title | Vice President & CFO | PersonTitleTxt |
| Phone | 9099852811 | PhoneNum |
| Signature | 2018-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kara Adams | PreparerPersonNm |
| PTIN | P00023315 | PTIN |
| Phone | 9497942300 | PhoneNum |
| Preparation | 2018-11-12 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 198.134.52.71 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Harris Koenig | 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 | $469,220,660 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | 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 | 9 | VotingMembersIndependentCnt |
| Total Employee | 2655 | TotalEmployeeCnt |
| Total Volunteers | 311 | TotalVolunteersCnt |
| Total Gross UBI | $3,087,171 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $1,005,464 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $10,000,000 | PYContributionsGrantsAmt |
| CY Contributions Grants | $138,268 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $320,264,354 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $347,183,036 | CYProgramServiceRevenueAmt |
| PY Investment Income | $8,319,640 | PYInvestmentIncomeAmt |
| CY Investment Income | $11,617,569 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,566,816 | PYOtherRevenueAmt |
| CY Other Revenue | $5,964,058 | CYOtherRevenueAmt |
| PY Total Revenue | $343,150,810 | PYTotalRevenueAmt |
| CY Total Revenue | $364,902,931 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $189,973 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $167,385 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $170,799,808 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $189,312,518 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $154,210,472 | PYOtherExpensesAmt |
| CY Other Expenses | $196,703,739 | CYOtherExpensesAmt |
| PY Total Expenses | $325,200,253 | PYTotalExpensesAmt |
| CY Total Expenses | $386,183,642 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $17,950,557 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$21,280,711 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $606,939,388 | TotalAssetsBOYAmt |
| Total Assets EOY | $656,726,149 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $221,669,343 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $284,026,283 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $385,270,045 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $372,699,866 | 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 | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $338,902,668 | ExpenseAmt |
| Grant | $167,385 | GrantAmt |
| Revenue | $348,824,725 | RevenueAmt |
| Desc | SEE SCHEDULE O. | Desc |
| Total Other Prog Srvc Expense | $0 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $0 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $338,902,668 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 385 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2655 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | 0 | Form8899Filedind |
| Form1098 C Filed | 0 | Form1098CFiledInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | 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 | 917864920 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 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 |
|---|---|---|---|---|---|---|---|---|---|
| Thomas Ritchie | |||||||||
| Trustee/Chairman | 4 | 1 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Carl Schultz MD | |||||||||
| Trustee/Vice Chairman | 4 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Steven Spears | |||||||||
| Trustee/Treasurer | 4 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Howard Borenstein | |||||||||
| Secretary/Trustee | 4 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Sohan Bassi MD | |||||||||
| Trustee | 4 | 0 | Yes (X) | $15,000 | $0 | $0 | |||
| Vincent Carollo MD | |||||||||
| Trustee | 4 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Michael Chai MD | |||||||||
| Trustee | 4 | 0 | Yes (X) | $3,600 | $0 | $0 | |||
| Andrea Dutton | |||||||||
| Trustee | 4 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Deborah Freund | |||||||||
| Trustee | 4 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Ron King | |||||||||
| Trustee | 4 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Rohinder Sandhu MD | |||||||||
| Trustee/Medical Staff President | 4 | 0 | Yes (X) | $77,615 | $0 | $0 | |||
| Carlos Vigil MD | |||||||||
| Trustee | 4 | 0 | Yes (X) | $17,938 | $0 | $0 | |||
| Harris Koenig | |||||||||
| President/CEO | 40 | 3 | Yes (X) | Yes (X) | $848,791 | $0 | $113,548 | ||
| Wah-Chung Hsu | |||||||||
| Vice President & CFO | 40 | 5 | Yes (X) | $460,483 | $0 | $81,364 | |||
| Peter Aprato | |||||||||
| Sr. VP Admin Serv & Compliance | 40 | 0 | $342,637 | $0 | $67,315 | Yes (X) | |||
| David Batista | |||||||||
| VP Strategic Development | 40 | 0 | $320,397 | $0 | $62,592 | Yes (X) | |||
| Laura Escobar Kato | |||||||||
| Vice President Human Resources | 40 | 0 | $185,570 | $0 | $54,233 | Yes (X) | |||
| Gudrun Moll | |||||||||
| VP & Chief Nursing Officer | 40 | 0 | $313,390 | $0 | $66,576 | Yes (X) | |||
| Mike Tracey | |||||||||
| President-Foundation | 40 | 0 | $262,463 | $0 | $60,060 | Yes (X) | |||
| Saurabh Ashier | |||||||||
| Manager of Cardiovascular Services | 40 | 0 | $239,447 | $0 | $18,832 | Yes (X) | |||
| Kamal Pandya | |||||||||
| Director Information Technology | 40 | 0 | $224,862 | $0 | $57,567 | Yes (X) | |||
| Bettina Celifie | |||||||||
| Director of Surgery | 40 | 0 | $209,094 | $0 | $11,044 | Yes (X) | |||
| Ronald Nowosad | |||||||||
| Director of Program Develop & Clinic Operations | 40 | 0 | $197,136 | $0 | $22,370 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,718,423 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $615,501 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 396 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | 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 | $6,715,864 |
| Cerner Corporation | |||||
| 2800 Rockcreek Parkway | Kansas City | MO | 64117 | Integrated Clinical Information | $2,691,085 |
| DVA Renal Healthcare | |||||
| PO Box 8500-1607 | Philadelphia | PA | 191781607 | Dialysis | $2,360,545 |
| OPTIMA HEALTHCARE INSURANCE SERVICES | |||||
| 9229 SIERRA COLLEGE BLVD | ROSEVILLE | CA | 95661 | INSURANCE | $1,021,463 |
| Mayo Medical Laboratories | |||||
| PO Box 9146 | Minneapolis | MN | 55480 | Laboratory | $989,087 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 48 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $138,268 | RelatedOrganizationsAmt |
| Government Grants | $0 | GovernmentGrantsAmt |
| All Other Contributions | $0 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $138,268 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Net Patient Service Revenue | 622110 | $344,026,804 | $344,026,804 | $0 | $0 |
| Rental Income - MOB | 531120 | $2,296,688 | $2,296,688 | $0 | $0 |
| Capitation Revenue | 622110 | $784,939 | $784,939 | $0 | $0 |
| Outside Laboratory Revenue | 622110 | $74,605 | $0 | $74,605 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $347,183,036 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,427,947 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $422,514 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,005,433 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $109,399,211 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $104,209,589 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,189,622 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,189,622 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,189,622 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rpt Fundraising Event | $0 | ContriRptFundraisingEventAmt |
| Gross Sales Of Inventory | $197,080 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $108,140 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $88,940 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $88,940 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Cafeteria | 722310 | $1,643,377 | $0 | $0 | $1,643,377 |
| Pharmacy at Casa Colina | 622110 | $2,590,052 | $0 | $2,590,052 | $0 |
| Other Revenue | 622110 | $1,641,689 | $1,641,689 | $0 | $0 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,875,118 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $364,902,931 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $348,750,120 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $3,087,171 | UnrelatedBusinessRevenueAmt |
| Exclusion | $12,927,372 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,385 | TotalAmt |
| Program Services | $167,385 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,015,057 | TotalAmt |
| Program Services | $1,031,993 | ProgramServicesAmt |
| Management And General | $1,983,064 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $145,365,273 | TotalAmt |
| Program Services | $129,713,329 | ProgramServicesAmt |
| Management And General | $15,651,944 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,038,855 | TotalAmt |
| Program Services | $9,850,266 | ProgramServicesAmt |
| Management And General | $1,188,589 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,320,818 | TotalAmt |
| Program Services | $17,240,484 | ProgramServicesAmt |
| Management And General | $2,080,334 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,572,515 | TotalAmt |
| Program Services | $9,434,138 | ProgramServicesAmt |
| Management And General | $1,138,377 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$600,617 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | -$600,617 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,769 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $86,769 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,217 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $32,217 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $543,849 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $543,849 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,794,767 | TotalAmt |
| Program Services | $33,794,767 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,452,460 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $1,452,460 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,699,401 | TotalAmt |
| Program Services | $6,957,972 | ProgramServicesAmt |
| Management And General | $741,429 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,608,750 | TotalAmt |
| Program Services | $7,681,818 | ProgramServicesAmt |
| Management And General | $926,932 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,167,584 | TotalAmt |
| Program Services | $13,706,991 | ProgramServicesAmt |
| Management And General | $1,460,593 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $223,054 | TotalAmt |
| Program Services | $199,037 | ProgramServicesAmt |
| Management And General | $24,017 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,393,881 | TotalAmt |
| Program Services | $7,393,881 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,141,843 | TotalAmt |
| Program Services | $15,491,135 | ProgramServicesAmt |
| Management And General | $1,650,708 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,817,889 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $1,817,889 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Medical Supplies | $44,691,151 | $44,691,151 | $0 | $0 |
| Medi-Cal Fee Program | $25,962,547 | $25,962,547 | $0 | $0 |
| Drugs | $12,695,115 | $12,695,115 | $0 | $0 |
| Loss on Extinguishment of Debt | $16,753,617 | $0 | $16,753,617 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,239,462 | TotalAmt |
| Program Services | $2,890,659 | ProgramServicesAmt |
| Management And General | $348,803 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $386,183,642 | TotalAmt |
| Program Services | $338,902,668 | ProgramServicesAmt |
| Management And General | $47,280,974 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,843 | BOYAmt |
| EOY | $15,601 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,211,081 | BOYAmt |
| EOY | $9,190,007 | 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 | $45,462,348 | BOYAmt |
| EOY | $55,266,565 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,272,517 | BOYAmt |
| EOY | $4,307,997 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,066,544 | BOYAmt |
| EOY | $5,844,684 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $373,348,037 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $99,094,250 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $277,082,233 | BOYAmt |
| EOY | $274,253,787 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200,645,021 | BOYAmt |
| EOY | $219,336,559 | 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 | $4,880,421 | BOYAmt |
| EOY | $13,577,868 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,309,380 | BOYAmt |
| EOY | $74,933,081 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $606,939,388 | BOYAmt |
| EOY | $656,726,149 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,887,126 | BOYAmt |
| EOY | $75,155,676 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $112,000,209 | BOYAmt |
| EOY | $155,057,457 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,782,008 | BOYAmt |
| EOY | $53,813,150 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $221,669,343 | BOYAmt |
| EOY | $284,026,283 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $375,611,218 | BOYAmt |
| EOY | $362,373,252 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,606,636 | BOYAmt |
| EOY | $6,243,423 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,052,191 | BOYAmt |
| EOY | $4,083,191 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $385,270,045 | BOYAmt |
| EOY | $372,699,866 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $606,939,388 | BOYAmt |
| EOY | $656,726,149 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$21,280,711 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,055,321 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | -$10,670 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $6,665,881 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | Yes (1) | RalliesDemonstrationsInd |
| Rallies Demonstrations | $32,217 | RalliesDemonstrationsAmt |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $32,217 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 | 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
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,052,191 | BeginningYearBalanceAmt |
| Contributions | $31,000 | ContributionsAmt |
| Investment Earnings Or Losses | $266,663 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $243,279 | OtherExpendituresAmt |
| Administrative Expenses | $23,384 | AdministrativeExpensesAmt |
| End Year Balance | $4,083,191 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,042,191 | BeginningYearBalanceAmt |
| Contributions | $10,000 | ContributionsAmt |
| Investment Earnings Or Losses | $239,897 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $217,182 | OtherExpendituresAmt |
| Administrative Expenses | $22,715 | AdministrativeExpensesAmt |
| End Year Balance | $4,052,191 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,037,191 | BeginningYearBalanceAmt |
| Contributions | $5,000 | ContributionsAmt |
| Investment Earnings Or Losses | $186,859 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $166,327 | OtherExpendituresAmt |
| Administrative Expenses | $20,532 | AdministrativeExpensesAmt |
| End Year Balance | $4,042,191 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,037,191 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $129,048 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $119,260 | OtherExpendituresAmt |
| Administrative Expenses | $9,788 | AdministrativeExpensesAmt |
| End Year Balance | $4,037,191 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,027,191 | BeginningYearBalanceAmt |
| Contributions | $10,000 | ContributionsAmt |
| Investment Earnings Or Losses | $233,694 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $189,295 | OtherExpendituresAmt |
| Administrative Expenses | $44,399 | AdministrativeExpensesAmt |
| End Year Balance | $4,037,191 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $14,867,100 | OtherCostOrOtherBasisAmt |
| Book Value | $14,867,100 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $241,760,814 | OtherCostOrOtherBasisAmt |
| Depreciation | $38,672,193 | DepreciationAmt |
| Book Value | $203,088,621 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $6,140,184 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,247,468 | DepreciationAmt |
| Book Value | $3,892,716 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $100,876,261 | OtherCostOrOtherBasisAmt |
| Depreciation | $58,174,589 | DepreciationAmt |
| Book Value | $42,701,672 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $9,703,678 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $9,703,678 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $274,253,787 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Receivable - Hospital Fee Program | $28,657,904 |
| Due from Affiliates | $3,804,140 |
| Beneficial Interest in San Antonio Hospital Foundation | $42,471,037 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $74,933,081 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Pension Plan Liability | $39,768,057 |
| Insurance Claims | $11,635,439 |
| Physician Guarantee Liability | $2,409,654 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $53,813,150 | 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, 2017 OR 2016. THE HOSPITAL CURRENTLY FILES FORM 990 (INFORMATIONAL RETURN OF ORGANIZATIONS EXEMPT FROM INCOME TAXES) AND FORM 990-T (BUSINESS INCOME TAX RETURN FOR AN EXEMPT ORGANIZATION) 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 2014 THROUGH 2016 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 (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 3 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $3,797,585 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,797,585 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0098 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $88,855,578 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $78,518,684 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,336,894 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0266 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $92,653,163 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $78,518,684 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,134,479 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0364 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 42 | ActivitiesOrProgramsCnt |
| Persons Served | 36963 | PersonsServedCnt |
| Total Community Benefit Expns | $2,007,680 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $75,288 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,932,392 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.005 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 1113 | PersonsServedCnt |
| Total Community Benefit Expns | $267,339 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $69 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $267,270 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0007 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $315,556 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $315,556 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0008 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 7 | ActivitiesOrProgramsCnt |
| Persons Served | 1003 | PersonsServedCnt |
| Total Community Benefit Expns | $88,885 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $88,885 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0002 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 56 | ActivitiesOrProgramsCnt |
| Persons Served | 39079 | PersonsServedCnt |
| Total Community Benefit Expns | $2,679,460 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $75,357 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,604,103 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0067 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 56 | ActivitiesOrProgramsCnt |
| Persons Served | 39079 | PersonsServedCnt |
| Total Community Benefit Expns | $95,332,623 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $78,594,041 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,738,582 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0431 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 6175 | PersonsServedCnt |
| Total Community Benefit Expns | $9,633 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,633 | NetCommunityBenefitExpnsAmt |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 2 | PersonsServedCnt |
| Total Community Benefit Expns | $3,468 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,468 | NetCommunityBenefitExpnsAmt |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $6,467 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,467 | NetCommunityBenefitExpnsAmt |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 1764 | PersonsServedCnt |
| Total Community Benefit Expns | $12,630 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,630 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 7941 | PersonsServedCnt |
| Total Community Benefit Expns | $32,198 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $32,198 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $11,317,256 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,200,000 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $63,972,351 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $64,513,451 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$541,100 | 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 (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | San Antonio Ambulatory Surgery Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | Outpatient surgical center | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.287 | OrgProfitOrOwnershipPct |
| Ofcr Etc Profit Or Ownership | 0 | OfcrEtcProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.713 | 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 | STATE LIC# 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 | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | 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 (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | 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 (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 17 | ImplementationStrategyAdptYr |
| Strategy Posted Website | 0 | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (1) | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | 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 (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | 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 |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | 0 | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | 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 (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5-SAN ANTONIO REGIONAL HOSPITAL | THE HOSPITAL 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-SAN ANTONIO REGIONAL HOSPITAL | OTHER HOSPITALS INCLUDED IN THE DEVELOPMENT OF THE HOSPITAL'S CHNA WERE LOMA LINDA UNIVERSITY MEDICAL CENTER, LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA, PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER, REDLANDS COMMUNITY HOSPITAL, SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL, SAN GORGONIO MEMORIAL HOSPITAL, RIDGECREST REGIONAL HOSPITAL AND MONTCLAIR HOSPITAL MEDICAL CENTER. |
| Schedule H, Part V, Section B, Line 6b-SAN ANTONIO REGIONAL HOSPITAL | 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-SAN ANTONIO REGIONAL HOSPITAL | WWW.SARH.ORG/ABOUT_US/COMMUNITY_OUTREACH/COMMUNITY_OUTREACH_PUBLICATIONS |
| Schedule H, Part V, Section B, Line 11-SAN ANTONIO REGIONAL HOSPITAL | SOME OF THE ACCOMPLISHMENTS OF THE COMMUNITY OUTREACH PROGRAM WILL BE DISCUSSED. HEALTHY BEGINNINGS - SARH'S MATERNAL/CHILD SERVICES, COLLECTIVELY KNOWN AS HEALTHY BEGINNINGS, IS COMMITTED TO PROVIDING EXCELLENT SERVICE AND CARE, WHICH RESULT IN THE BEST POSSIBLE OUTCOME FOR THE NEWEST MEMBERS OF ITS COMMUNITY AND THEIR FAMILIES. IN SUPPORT OF THIS GOAL, THE HOSPITAL ENGAGED IN AN EXTENSIVE PROCESS TO BECOME A "BABY FRIENDLY HOSPITAL," WHICH IS AN INTERNATIONAL DESIGNATION RECOGNIZING THE INSTITUTION'S COMPREHENSIVE PROGRAM SUPPORTING BREASTFEEDING AND INFANT/PARENT BONDING. AS PART OF THIS PROGRAM, PARENTS ARE ENCOURAGED TO TAKE ADVANTAGE OF THE MANY EDUCATIONAL OPPORTUNITIES AND SUPPORT SERVICES OFFERED BEFORE, DURING, AND AFTER DELIVERY. EXPECTANT PARENTS ATTENDING THE BREASTFEEDING CLASS RECEIVE ENCOURAGEMENT AND INSTRUCTION TO PROMOTE A SUCCESSFUL BREASTFEEDING EXPERIENCE. INTERNATIONALLY BOARD CERTIFIED LACTATION CONSULTANTS, SUPPORTED BY LACTATION EDUCATORS, ARE AVAILABLE TO PROVIDE SUPPORT DURING THE FAMILY'S HOSPITAL STAY, AND EVERY FAMILY IS ENCOURAGED TO VISIT THE HEALTHY BEGINNINGS NEWBORN FEEDING CENTER AFTER THEY LEAVE THE HOSPITAL. IN ADDITION TO PROVIDING BREASTFEEDING EVALUATION AND SUPPORT, THE NEWBORN FEEDING CENTER ASSESSES MOTHER AND NEWBORN, PROVIDING REFERRALS TO COMMUNITY RESOURCES WHEN NEEDED. THIS EVALUATION PROCESS HAS YIELDED SIGNIFICANT OUTCOMES INCLUDING A REDUCTION IN NEWBORN READMISSION RATES, INCREASED BREASTFEEDING RATES, EARLY INTERVENTION FOR DEVELOPMENT DELAYS, AND IDENTIFICATION AND TREATMENT OF POSTNATAL ILLNESS, FROM BABY BLUES TO POSTPARTUM PSYCHOSIS. WHILE SOME FAMILIES JUST NEED REASSURANCE THAT THEIR BABY IS THRIVING, OTHERS MAY REQUIRE FURTHER EDUCATION OR SUPPORT, AND A FEW REQUIRE INTERVENTION OR TREATMENT. THE CENTER OFFERS SUPPORT TO ALL NEW FAMILIES IN THE COMMUNITY, REGARDLESS OF WHERE THEIR BABIES ARE BORN. IN FACT, MANY LOCAL PEDIATRICIANS INCLUDE A VISIT TO THE CENTER AS PART OF THE DISCHARGE INSTRUCTIONS FOR THEIR PATIENTS. COMMUNITY LECTURES - EVERY MONTH SAN ANTONIO REGIONAL HOSPITAL HOSTS A COMMUNITY HEALTH EDUCATION LECTURE. THESE LECTURES ARE OPEN TO THE PUBLIC FOR THE PURPOSE OF ENGAGING THE COMMUNITY AND INCREASING EDUCATION RELATED TO SPECIFIC HEALTH TOPICS. LECTURES ARE LED BY THE HOSPITAL'S PHYSICIANS OR OTHER CLINICAL STAFF. TOPICS INCLUDED THE FOLLOWING; BREAST CANCER, COLORECTAL CANCER, DIABETES MANAGEMENT, GYNECOLOGIC CANCER, HEALTHY COOKING DEMONSTRATIONS, HEART DISEASE MANAGEMENT, JOINT HEALTH, METABOLIC SYNDROME, PROSTATE CANCER, SEASONAL ALLERGIES, STROKE RISKS AND TREATMENT. LEWIS-SAN ANTONIO HEALTHY COMMUNITIES INSTITUTE - THE LEWIS-SAN ANTONIO HEALTHY COMMUNITIES INSTITUTE (HCI) WAS ESTABLISHED IN APRIL 2016 TO IDENTIFY OPPORTUNITIES, SOLUTIONS, AND PARTNERS TO POSITIVELY IMPACT THE HEALTH OF OUR REGION. IN 2017, HCI FOCUSED ON FOUR PROGRAM AREAS: HEALTHCARE WORKFORCE, FOOD RECOVERY, POLICY EDUCATION, AND NON-CLINICAL HEALTHCARE INTERNSHIPS. ALTHOUGH SARH STRIVES TO MEET AS MANY NEEDS AS POSSIBLE, SOME SOLUTIONS REMAIN IN THE EARLY STAGES OF PROGRESS. |
| Schedule H, Part V, Section B, Line 13h-SAN ANTONIO REGIONAL HOSPITAL | 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-SAN ANTONIO REGIONAL HOSPITAL | WWW.SARH.ORG/ABOUT_US/COMMUNITY_OUTREACH/COMMUNITY_OUTREACH_PUBLICATIONS |
| Schedule H, Part V, Section B, Line 16b-SAN ANTONIO REGIONAL HOSPITAL | WWW.SARH.ORG/ABOUT_US/COMMUNITY_OUTREACH/COMMUNITY_OUTREACH_PUBLICATIONS |
| Schedule H, Part V, Section B, Line 16c-SAN ANTONIO REGIONAL HOSPITAL | WWW.SARH.ORG/ABOUT_US/COMMUNITY_OUTREACH/COMMUNITY_OUTREACH_PUBLICATIONS |
| Schedule H, Part V, Section B, Line 16j-SAN ANTONIO REGIONAL HOSPITAL | NOTIFICATION ABOUT CHARITY AVAILABLE FROM SARH, WHICH SHALL INCLUDE A CONTACT NUMBER (909.466.8566), SHALL BE DISSEMINATED BY SARH BY VARIOUS MEANS, WHICH WILL INCLUDE, BUT ARE NOT LIMITED TO 1) ALL PATIENTS REGISTERED IN THE EMERGENCY DEPARTMENT OR ADMITTING OFFICE WILL RECEIVE A LETTER ADVISING THE PATIENT THAT THAT HOSPITAL OFFERS DISCOUNT, CHARITY, AND OTHER PAYMENT ALTERNATIVE PROGRAMS; 2) OUTPATIENT REGISTRATION WILL PROVIDE THE SAME LETTER TO ALL PATIENTS WHO HAVE NEVER PREVIOUSLY BEEN TREATED AT SARH; 3) BY POSTING NOTICES IN VARIOUS AREAS INCLUDING THE EMERGENCY ROOM, BILLING OFFICE, AND OUTPATIENT REGISTRATION AREAS; AND 4) AT OTHER PUBLIC PLACES AS SARH MAY ELECT. SARH ALSO SHALL PUBLISH AND WIDELY PUBLICIZE A SUMMARY OF THIS CHARITY CARE POLICY ON FACILITY WEBSITES, IN BROCHURES AVAILABLE IN PATIENT ACCESS SITES AND AT OTHER PLACES WITHIN THE COMMUNITY SERVED BY THE HOSPITAL AS SARH MAY ELECT. SUCH NOTICES AND SUMMARY INFORMATION SHALL BE PROVIDED IN THE PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY SARH. REFERRAL OF PATIENTS FOR CHARITY MAY BE MADE BY ANY MEMBER OF SARH'S STAFF OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKERS, CASE MANAGERS, CHAPLAINS, AND RELIGIOUS SPONSORS. A REQUEST FOR CHARITY MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND, OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS. |
| 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 BUILDING 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, RADIOLOGY, PHYSICAL THERAPY AND URGENT CARE SERVICES IN A FREESTANDING MEDICAL OFFICE BUILDING |
| SIERRA SAN ANTONIO MEDICAL PLAZA | ||||
| 16465 SIERRA LAKES PKWY | FONTANA | CA | 92336 | LAB, RADIOLOGY, PHYSICAL THERAPY AND URGENT CARE SERVICES IN A FREESTANDING MEDICAL OFFICE BUILDING |
| EASTVALE SAN ANTONIO MEDICAL PLAZA | ||||
| 12442 LIMONITE AVE | EASTVALE | CA | 91752 | LAB, RADIOLOGY AND URGENT CARE SERVICES IN A FREESTANDING MEDICAL OFFICE BUILDING |
| SAN ANTONIO AMBULATORY SURGERY CENTER | ||||
| 901 SAN BERNARDINO ROAD | UPLAND | CA | 91786 | OUTPATIENT SURGERY CENTER |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
| Schedule 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. |
| Schedule H, Part I, Line 7g | NONE OF THE COSTS ON THIS LINE WERE ATTRIBUTABLE TO A PHYSICIAN CLINIC. |
| Schedule H, Part II | LEADERSHIP DEVELOPMENT/TRAINING FOR COMMUNITY MEMBERS- THE HEALTHY COMMUNITIES LEADERSHIP ACADEMY (HCLA) WAS REEVALUATED MID-2017, WITH THE REMAINDER OF THE YEAR DEDICATED TO REVISING THE APPROACH. HCI COLLABORATED WITH TWO REGIONAL COUNCILS OF GOVERNMENT (COG'S) TO ESTABLISH A POLICYMAKER TRAINING SERIES. THE SERIES IS TO BE DIRECTED TO THEIR MEMBERSHIP TO DISCUSS PROGRAMS AND PRACTICES THAT CAN IMPROVE HEALTH ON A COMMUNITY WIDE BASIS. COG MEMBERSHIP INCLUDES POLICYMAKERS FROM THROUGHOUT THE ENTIRE INLAND EMPIRE REGION INCLUDING COMMISSIONERS, COUNCIL MEMBERS, AND CITY MANAGEMENT STAFF. HEALTH CARE WORKFORCE - HCI SUPPORTS YOUTH INTERESTED IN HEALTH CAREERS BY PROMOTING HIGHER EDUCATION PROGRAMS, ENGAGING STUDENTS THROUGH A HEALTH AND WELLNESS CURRICULUM, AND PROVIDING CONNECTIONS TO ROLE MODELS/MENTORS MAJORING IN HEALTH DISCIPLINES FROM COLLEGES AND UNIVERSITIES IN THE REGION. THE PROGRAM IS CALLED "WHEALTH" (WELLNESS + HEALTHCARE). DURING 2017, HCI EXPANDED ITS PARTNERSHIPS WITH UPLAND UNIFIED SCHOOL DISTRICT AND BEGAN PLANNING WITHIN CHAFFEY JOINT UNION HIGH SCHOOL DISTRICT. IN UPLAND, HCI WORKED DIRECTLY WITH UPLAND HIGH SCHOOL'S HOPE (HEALTH OCCUPATIONS PREPARATION EDUCATION) ACADEMY. AT CHAFFEY JOINT UNION, HCI WORKED WITH CHAFFEY HIGH SCHOOL IN ONTARIO. THE GOAL OF WHEALTH IS TO SUPPORT STUDENTS IN THEIR HEALTH CAREER JOURNEY BY CREATING LEARNING OPPORTUNITIES AROUND CHRONIC DISEASE PREVENTION, EXPOSURE TO HEALTH PROFESSIONALS, AND TOURS WITH COMMUNITY PARTNERS SUCH AS FARMS AND SUPERMARKETS. ADDITIONALLY, IT NOT ONLY ENCOURAGES CAREERS IN HEALTH DISCIPLINES, BUT ALSO HELPS TO RETAIN LOCAL STUDENTS IN THE REGION. HIGH SCHOOL STUDENTS RECEIVED INSTRUCTION FROM HOSPITAL STAFF, RANDALL LEWIS HEALTH POLICY FELLOWS, AND LOCAL UNIVERSITY INTERNS FROM ACROSS THE REGION. THE FELLOWS AND INTERNS WERE NOT ONLY INSTRUCTORS, BUT ALSO ROLE MODELS, AS THE STUDENTS LOOKED TO THEM FOR ANSWERS TO QUESTIONS ON COLLEGE LIFE, MAJORS, AND CAREER PLANNING. THE WHEALTH CURRICULUM IS ADAPTED FROM HEALTHCORPS, A NATIONAL NON-PROFIT, AND ALIGNED TO NATIONAL HEALTH EDUCATION STANDARDS FOCUSING ON NUTRITION, FITNESS, AND MENTAL RESILIENCY. ONCE THE HIGH SCHOOL STUDENTS COMPLETED THEIR SIX-WEEK HEALTHCORPS PROGRAM, THEY HAD THE OPPORTUNITY TO TEACH THE CURRICULUM TO MIDDLE SCHOOL STUDENTS, WHILE PROVIDING PEER TO PEER TRAINING AND BUILDING PRESENTATION SKILLS. HCI ALSO INTRODUCED THE KNOW YOUR NUMBERS PROGRAM TO THE HIGH SCHOOL STUDENTS AND INTERESTED PARENTS. THE GOAL IS TO PROMOTE A BETTER UNDERSTANDING OF PERSONAL HEALTH AND TO HELP ESTABLISH LIFELONG HEALTHY HABITS, WHILE SUPPORTING AN INTEREST IN HEALTHCARE CAREERS. IN 2017, HCI INTERNS PROVIDED THE WHEALTH PROGRAM TO 450 HIGH SCHOOL AND 120 JUNIOR HIGH STUDENTS FROM UPLAND. PLANNING FOR CHAFFEY HIGH SCHOOL OCCURRED WITH THE DISTRICT THROUGHOUT THE FALL, PREPPING TEACHERS IN THE HIGH SCHOOL AND THE JUNIOR HIGH FOR THIS NEW PROGRAM TO BEGIN IN JANUARY 2018. HCI STAFF AND INTERNS ALSO SUPERVISED BIOMETRIC SCREENINGS OF THE HIGH SCHOOL PARTICIPANTS (N=114), COLLECTED DATA, AND PROVIDED OVERALL PROGRAM EVALUATION. THE WHEALTH PROGRAM IS IN HIGH DEMAND, WITH FURTHER EXPANSION PLANNED IN 2018 TO INCLUDE ADDITIONAL DISTRICTS AND THE INCLUSION OF COMMUNITY COLLEGE STUDENTS AS MENTORS. NON-CLINICAL INTERNSHIPS - HCI EXPANDED SAN ANTONIO'S GRADUATE STUDENT INTERNSHIP PROGRAM IN 2017, BRINGING STUDENTS FROM VARIOUS HEALTH DISCIPLINES ON-SITE AND IN THE COMMUNITY FOR PRACTICUM EXPERIENCES. STUDENTS RANGED FROM UNDERGRAD, GRADUATE, AND DOCTORAL LEVELS PURSUING DEGREES IN PUBLIC HEALTH, SOCIAL WORK, HEALTHCARE ADMINISTRATION, NUTRITION, AND BUSINESS ADMINISTRATION. THESE STUDENTS WERE MATCHED WITH PROJECTS THAT MET THEIR PRACTICUM REQUIREMENTS AND SUPPORTED A COMMUNITY NEED SUCH AS NUTRITION EDUCATION AND PROGRAM EVALUATION. MANY WERE ALSO INSTRUCTORS FOR THE WHEALTH PROGRAM, PROVIDING MENTORSHIP AND INSIGHT ON HIGHER EDUCATION PATHWAYS. ADDITIONALLY, STUDENTS WERE CONNECTED TO VARIOUS HEALTH PROFESSIONALS IN AND OUT OF THE HOSPITAL, EXPOSED TO THE NEED FOR HEALTH PROFESSIONALS IN THE LOCAL AREA, AND ENCOURAGED TO REMAIN IN THE REGION. TEN STUDENTS PARTICIPATED IN THESE OPPORTUNITIES THROUGHOUT 2017. SARH ALSO SUPPORTED COALITION BUILDING ACTIVITIES. THIS ACTIVITY WAS REPRESENTED AS TIME SPENT BY THE SARH COMMUNITY HEALTH SPECIALIST WITHIN VARIOUS COMMUNITY COLLABORATIONS. THE COMMUNITY HEALTH SPECIALIST WORKED DIRECTLY WITH COMMUNITY GROUPS TO PROVIDE HEALTH EDUCATION AND TECHNICAL ASSISTANCE TO SUPPORT EFFORTS THAT COMPLIMENT THE OBJECTIVES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. AMONG THESE COLLABORATIONS WERE THE FOLLOWING: HEALTHY ONTARIO INITIATIVE, HEALTHY RC, HEALTHY FONTANA AND HEALTHY COMMUNITIES (COMPRISING ALL HEALTHY CITY INITIATIVES IN SAN BERNARDINO COUNTY). THROUGH THESE PARTNERSHIPS, SARH WORKS COLLABORATIVELY TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES THEY SERVE. |
| Schedule H, Part III, Section A, Line 4 | THE FOOTNOTE FOR ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS APPEARS IN THE AUDITED FINANCIAL STATEMENTS ON PAGES 11-12. BAD DEBT AMOUNTS ARE BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS FOR EACH MAJOR PAYOR SOURCE, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE HOSPITAL'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE HOSPITAL RECORDS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD SERVICES ARE PROVIDED TO SELF-PAY PATIENTS, INCLUDING BOTH UNINSURED PATIENTS AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR A PORTION OF THEIR BALANCE. FOR RECEIVABLES ASSOCIATED WITH PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED, IN ACCORDANCE WITH THE HOSPITAL'S POLICIES. MANAGEMENT ESTIMATES THAT APPROXIMATELY 10% OF PATIENT DEBTS WOULD HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE IF APPROPRIATE INFORMATION HAD BEEN MADE AVAILABLE BY APPLICABLE PATIENTS. FROM A DIFFERENT PERSPECTIVE, SARH ESTIMATES THAT APPROXIMATELY 80% OF ALL PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WERE IDENTIFIED. THE MAJORITY OF SARH'S BAD DEBTS RESULT FROM MEDICALLY INDIGENT PATIENTS IN THE EMERGENCY DEPARTMENT. SARH PROVIDES THIS EMERGENCY CARE AND RELATED INPATIENT CARE WITHOUT COMPENSATION IMPROVING THE OVERALL HEALTH AND WELL BEING OF THE COMMUNITY. |
| Schedule H, Part III, Section B, Line 8 | SARH EXPERIENCED A MEDICARE SHORTFALL IN 2017 OF $541,100. THE COST AND REIMBURSEMENT DATA WERE TAKEN DIRECTLY FROM SARH'S DECEMBER 31, 2017 MEDICARE COST REPORT. THE MEDICARE COST REPORT USES A STEP-DOWN COST ALLOCATION PROCESS AND THEN APPORTIONS CLINICAL DEPARTMENT COSTS ON A CHARGE TO CHARGE BASIS. |
| Schedule H, Part III, Section C, Line 9b | WHEN A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, INCLUDING, BUT NOT LIMITED TO CHARITY CARE, THE HOSPITAL MAY WAIVE SOME OR ALL OF ITS COLLECTION EFFORTS. FOR A PATIENT THAT QUALIFIES FOR CHARITY CARE, THE ENTIRE BILL IS WRITTEN OFF TO CHARITY ALLOWANCE AND THE HOSPITAL MAKES NO COLLECTION EFFORTS. THE HOSPITAL FOLLOWS DEBT COLLECTION POLICY AND PROCEDURE FOR ANY PORTION OF THE BILL NOT ELIGIBLE FOR WRITE-OFF. |
| Schedule H, Part VI, Line 2 | ALTHOUGH CALIFORNIA'S COMMUNITY BENEFIT LEGISLATION (SB697) ONLY REQUIRES A TRIENNIAL COMMUNITY ASSESSMENT, SAN ANTONIO REGIONAL HOSPITAL (SARH) REVIEWS AND UPDATES THE SECONDARY DATA EACH YEAR AND CONDUCTS PRIMARY RESEARCH NO LESS THAN EVERY THREE YEARS. IN ADDITION TO THE ANNUAL ASSESSMENT OF SECONDARY DATA, THE TRIENNIAL ASSESSMENT INCLUDES PRIMARY RESEARCH THAT INCLUDES WRITTEN SURVEYS, KEY INFORMANT INTERVIEWS, AND FOCUS GROUPS. THE ANNUAL ASSESSMENT LOOKS AT THE HOSPITAL'S COMMUNITY FROM A WIDE PERSPECTIVE IN TERMS OF POPULATION, DEMOGRAPHICS, AND KEY HEALTH INDICATORS. MOST OF THE DATA IS FOCUSED ON THE HOSPITAL'S PRIMARY SERVICE AREA, SINCE THIS IS WHERE OVER 80% OF THE HOSPITAL'S PATIENTS RESIDE, AND IS ALSO THE AREA MOST OFTEN TARGETED FOR ITS COMMUNITY OUTREACH EFFORTS. DURING THE ASSESSMENT, PRIMARY SERVICE AREA POPULATION AND DEMOGRAPHICS ARE EVALUATED BASED ON THE FOLLOWING STATISTICS: CURRENT YEAR POPULATION'S ESTIMATES, FIVE-YEAR POPULATION SEGMENTS (CHILDREN, SENIORS, WOMEN OF CHILD BEARING AGE), MEDIAN AGE, ETHNICITY, EDUCATION, INCOME, AND HOSPITALIZATION RATES. ALTHOUGH THE ASSESSMENT FOCUSES ON DEMOGRAPHIC AND HEALTH INFORMATION FOR SARH'S SERVICE AREA, THERE ARE BENEFITS IN EXAMINING COUNTY DATA, SINCE MANY HEALTH INDICATORS ARE ONLY AVAILABLE AT THE COUNTY LEVEL. IN ADDITION, GIVEN THE TRANSIENT NATURE OF THE POPULATION IN SAN BERNARDINO COUNTY, IT MAKES SENSE FOR HOSPITALS TO WORK TOGETHER AND WITH OTHER HEALTHCARE AGENCIES TO ADDRESS ISSUES THAT AFFECT ALL COUNTY RESIDENTS. POPULATION AND DEMOGRAPHIC DATA ARE UPDATED AND REVIEWED FOR SAN BERNARDINO COUNTY, AND GENERAL HEALTH INDICATORS ARE COMPARED TO OTHER CALIFORNIA COUNTIES, STATE AVERAGES, AND NATIONAL GOALS. |
| Schedule H, Part VI, Line 3 | PATIENTS WHO MAY QUALIFY FOR CHARITY CARE UNDER THE HOSPITAL'S CHARITY CARE POLICY ARE PROVIDED WITH INFORMATION AND AN APPLICATION FORM FOR CHARITY CARE DURING THE ADMITTING OR OUTPATIENT PROCESS. THE HOSPITAL'S CHARITY CARE POLICY IS POSTED IN PATIENT REGISTRATION AREAS. THE HOSPITAL'S CHARITY CARE POLICY PROVIDES RELIEF TO FAMILIES WHO HAVE NO MEANS FOR MAKING PAYMENT. |
| Schedule H, Part VI, Line 4 | SARH DEFINES ITS COMMUNITY TERMS OF ITS "SERVICE AREA", WHICH IS THE GEOGRAPHIC AREA FROM WHICH IT RECEIVES MOST ITS HOSPITAL ADMISSIONS. FOR PURPOSES OF ANALYSIS, THE SERVICE AREA IS DIVIDED INTO "PRIMARY" AND "SECONDARY" AREAS, WITH THE PRIMARY SERVICE AREA ACCOUNTING FOR APPROXIMATELY 80% OF THE ADMISSIONS AND MOST SARH'S PLANNING EFFORTS. SARH'S PRIMARY SERVICE AREA IS COMPROMISED OF THE CITIES OF CHINO, CLAREMONT, EASTVALE, FONTANA, MONTCLAIR, ONTARIO, RANCHO CUCAMONGA, AND UPLAND WITH A TOTAL ESTIMATED POPULATION OF 938,983, A MEDIAN AGE OF 34, A MEDIAN HOUSEHOLD INCOME OF $77,862,. IN THE POPULATION 25 YEARS OF AGE AND OLDER, 10.5% HAVE LESS THAN A HIGH SCHOOL EDUCATION 9.7% HAVE NOT GRADUATED HIGH SCHOOL, 24.7% HAVE A HIGH SCHOOL DIPLOMA, 7.7% HAVE AN ASSOCIATES DEGREE, 24% HAVE SOME EDUCATION BEYOND HIGH SCHOOL, 15.2% HAVE A BACHELOR'S DEGREE, AND 7.9% HAVE A PROFESSIONAL OR GRADUATE DEGREE.THE POPULATION IS PREDOMINATELY HISPANIC AT 35.9%, CAUCASIANS AT 34.16%, ASIAN-AMERICANS AT 6.3%, AFRICAN-AMERICANS AT 5.2%, MULTIRACE AT 3.2% AND ALL OTHERS AT 14.92%. FURTHERMORE, 13.5% OF RESIDENTS WITHIN THE PRIMARY SERVICE AREA DO NOT HAVE HEALTH INSURANCE, 17.4% (<18 - 64) HAVE MEDICAID, .65% (<18 - 64) HAVE MEDICARE AND 1.65% HAVE MEDICARE-MEDICAID. THE SECONDARY SERVICE AREA, WHICH REPRESENTS APPROXIMATELY 10% OF SARH'S ADMISSIONS, INCLUDES POMONA ON THE WEST, RIALTO TO THE EAST, AND NORCO TO THE SOUTHEAST WITH AN ESTIMATED TOTAL POPULATION OF 370,571, A MEDIAN AGE OF 33, A MEDIAN HOUSEHOLD INCOME OF $69,862, AND 7.3% HAVE INCOMES BELOW THE POVERTY GUIDELINE. IN THE POPULATION 25 YEARS OF AGE AND OLDER, 13.4% HAVE LESS THAN A HIGH SCHOOL EDUCATION 11.1% HAVE NOT GRADUATED HIGH SCHOOL, 24.9% HAVE A HIGH SCHOOL DIPLOMA, 6.8% HAVE AN ASSOCIATES DEGREE, 21.3% HAVE SOME EDUCATION BEYOND HIGH SCHOOL, 15.3% HAVE A BACHELOR'S DEGREE, AND 6.9% HAVE A PROFESSIONAL OR GRADUATE DEGREE.THE POPULATION IS PREDOMINATELY HISPANIC AT 37%, CAUCASIANS AT 30.4%, ASIAN-AMERICANS AT 7.9%, AFRICAN-AMERICANS AT 6%, MULTIRACE AT 2.9% AND ALL OTHERS AT 15.5%. IN ADDITION TO SAN ANTONIO REGIONAL HOSPITAL, THERE ARE THREE HOSPITALS, CHINO VALLEY HOSPITAL, KAISER PERMANENTE ONTARIO, AND KAISER PERMANENTE FONTANA, PRESENT WITHIN THE PRIMARY SERVICE AREA. SAN ANTONIO REGIONAL HOSPITAL IS NOT LOCATED IN A FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREA. |
| Schedule H, Part VI, Line 5 | SARH HAS A COMMUNITY BOARD AND OPEN MEDICAL STAFF PRIVILEGES. AS IN MOST COMMUNITIES, HEALTH AND SERVICE NEEDS ARE GREAT, BUT THE RESOURCES LIMITED. SARH UNDERSTANDS THE POWER OF COLLABORATION AND SEEKS ALLIANCES WITH OTHER HEALTH AND SOCIAL SERVICES PROVIDERS TO DEVELOP COMMUNITY BASED PROGRAMS WITH DEFINED GOALS AND MEASURABLE OUTCOMES. THESE PARTNERSHIPS HELP TO LEVERAGE THE COMMUNITY'S SCARCE RESOURCES AND ACHIEVE THE MAXIMUM BENEFIT FOR ITS RESIDENTS, WHICH RESULTS IN DEMONSTRATED IMPROVEMENT IN THEIR HEALTH. THE HOSPITAL HAS BEEN PROACTIVE IN RESPONDING TO THE SPECIFIC HEALTH NEEDS OF SPECIAL POPULATIONS WITHIN OUR COMMUNITY THIS INCLUDES NON-ENGLISH SPEAKERS, PERSONS WHO LIVE IN POVERTY, HAVE MENTAL OR PHYSICAL DISABILITIES, OR IN OTHER WAYS ARE DISENFRANCHISED. SARH IS AN INTEGRAL PART OF SAN BERNARDINO COUNTY'S HEALTHY COMMUNITIES INITIATIVE WHICH PROMOTES PHYSICAL, SOCIAL, AND ECONOMIC ENVIRONMENTS THAT SUPPORT THE WELLBEING OF ITS MEMBERS AND EMBRACES THE BELIEF THAT HEALTH IS MORE THAN MERELY THE ABSENCE OF DISEASE. HEALTHY COMMUNITIES CONTAIN ELEMENTS THAT ENABLE PEOPLE TO MAINTAIN A HIGH QUALITY OF LIFE AND PRODUCTIVITY. FINALLY, HEALTHY COMMUNITIES OFFER ACCESS TO HEALTHCARE SERVICES THAT FOCUS ON BOTH TREATMENT PREVENTION AND TREATMENT OF DISEASE FOR ALL MEMBERS OF THE COMMUNITY. SARH HAS PROVIDED LEADERSHIP AND PROFESSIONAL EXPERTISE TO SUPPORT THE HEALTHY CITIES IN ITS SERVICE AREA INCLUDING HEALTHY CHINO, HEALTHY FONTANA, MONTCLAIR COMMUNITY COLLABORATIVE, HEALTHY ONTARIO, HEALTHY RANCHO CUCAMONGA, AND UPLAND COMMUNITY PARTNERSHIP. SARH STAFF SERVE ON EXECUTIVE COMMITTEES, PLANNING COMMITTEES, AND VARIOUS WORKGROUPS WITHIN THESE HEALTHY CITIES PROGRAMS, PROVIDING INSIGHT AND ADVICE TO SUPPORT STRATEGIC PLANNING, IMPLEMENTATION, AND EVALUATION OF HEALTH AND WELLNESS INITIATIVES. SARH HAS SERVED ON PLANNING AND TASK FORCES, SUCH AS ONTARIO'S PLANNING, HEALTH ACCESS, AND PREVENTION AND WELLNESS INITIATIVES, RANCHO CUCAMONGA'S HEALTHY RC STEERING AND SUB-COMMITTEES, AND THE INLAND EMPIRE BRIDGING FOR HEALTH FINANCE AND INTERVENTION WORK GROUPS. THESE EFFORTS HAVE REAPED SUBSTANTIAL REWARDS, NOT ONLY IN COMMUNITY BUILDING, BUT ALSO IN IMPROVED HEALTH AND WELLNESS. FOR EXAMPLE, SARH HELPED TO INFORM THE HEALTH ELEMENTS OF UPLAND'S GENERAL PLAN UPDATE. THE HOSPITAL IS AN INTEGRAL PART OF THE COMMUNITY FOR RESIDENTS AND OTHERS BEYOND THE CITY LIMITS. THE VALUE OF THE COALITION BUILDING ACTIVITIES ARE REPORTED IN PART II LINE 6. IN ADDITION TO THESE COLLABORATIVE EFFORTS, SARH CONTINUES TO PROVIDE MONETARY AND IN-KIND SUPPORT TO HEALTH-RELATED NONPROFIT COMMUNITY ORGANIZATIONS SUCH AS THE AMERICAN CANCER SOCIETY, WHICH PROVIDES EDUCATIONAL OUTREACH AND SUPPORT PROGRAMS FOR CANCER PATIENTS AND THEIR FAMILIES. |
| Schedule H, Part VI, Line 6 | NOT APPLICABLE. |
| Schedule H, Part VI, Line 7 | SAN ANTONIO REGIONAL HOSPITAL FILES A COMMUNITY BENEFIT REPORT WITH THE STATE OF CALIFORNIA. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Purpose Of GrantPurposeOfGrantTxt | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|---|---|---|---|---|
| San Antonio Hospital Foundaiton | ||||||||||
| 999 San Bernardino Road | Upland | CA | 91786 | 330042666 | 501c3 | $78,500 | $0 | Cash | Support San Antonio Regional Hospital Programs | |
| American Cancer Society | ||||||||||
| 6355 Riverside Avenue | Riverside | CA | 92506 | 941170350 | 501c3 | $10,000 | $0 | Cash | Support programs of the American Cancer Society | |
| American Heart Association | ||||||||||
| PO Box 50085 | Prescott | AZ | 86304 | 135613797 | 501c3 | $10,000 | $0 | Cash | Support programs of the American Heart Association | |
| Meals on Wheels | ||||||||||
| 4792 Falconview Court | Fontana | CA | 92336 | 952799275 | 501c3 | $45,725 | Cost to Hospital | Support Meals on Wheels program | Meals provided | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 | 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. THE ORGANIZATIONS CHOSEN TO RECEIVE CASH DONATIONS WERE CHOSEN DUE TO THE COMMITMENT EACH OFFERS TO FURTHERING POPULATION HEALTH. ALL ORGANIZATIONS CHOSEN 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) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | 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 | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Harris Koenig | ||||||||||||||
| President/CEO | $600,854 | $0 | $193,300 | $0 | $54,637 | $0 | $77,527 | $0 | $36,020 | $0 | $962,338 | $0 | $49,303 | $0 |
| Wah-Chung Hsu | ||||||||||||||
| Vice President & CFO | $396,333 | $0 | $42,571 | $0 | $21,579 | $0 | $45,344 | $0 | $36,020 | $0 | $541,847 | $0 | $20,613 | $0 |
| Peter Aprato | ||||||||||||||
| Sr. VP Admin Serv & Compliance | $293,792 | $0 | $32,311 | $0 | $16,534 | $0 | $36,048 | $0 | $31,267 | $0 | $409,952 | $0 | $11,200 | $0 |
| David Batista | ||||||||||||||
| VP Strategic Development | $288,735 | $0 | $30,822 | $0 | $841 | $0 | $29,006 | $0 | $33,585 | $0 | $382,989 | $0 | $0 | $0 |
| Laura Escobar Kato | ||||||||||||||
| Vice President Human Resources | $155,230 | $0 | $28,494 | $0 | $1,846 | $0 | $21,011 | $0 | $33,221 | $0 | $239,802 | $0 | $0 | $0 |
| Gudrun Moll | ||||||||||||||
| VP & Chief Nursing Officer | $280,475 | $0 | $31,059 | $0 | $1,856 | $0 | $35,309 | $0 | $31,267 | $0 | $379,966 | $0 | $0 | $0 |
| Mike Tracey | ||||||||||||||
| President-Foundation | $237,239 | $0 | $17,178 | $0 | $8,046 | $0 | $28,793 | $0 | $31,267 | $0 | $322,523 | $0 | $5,224 | $0 |
| Saurabh Ashier | ||||||||||||||
| Manager of Cardiovascular Services | $236,767 | $0 | $2,500 | $0 | $180 | $0 | $5,757 | $0 | $13,074 | $0 | $258,278 | $0 | $0 | $0 |
| Kamal Pandya | ||||||||||||||
| Director Information Technology | $219,318 | $0 | $4,750 | $0 | $794 | $0 | $50,074 | $0 | $7,493 | $0 | $282,429 | $0 | $0 | $0 |
| Bettina Celifie | ||||||||||||||
| Director of Surgery | $204,012 | $0 | $4,490 | $0 | $592 | $0 | $4,128 | $0 | $6,916 | $0 | $220,138 | $0 | $0 | $0 |
| Ronald Nowosad | ||||||||||||||
| Director of Program Develop & Clinic Operations | $191,288 | $0 | $4,630 | $0 | $1,218 | $0 | $4,541 | $0 | $17,828 | $0 | $219,505 | $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 15% 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. FOUR 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 | 915346FH8 | 2011-01-27 | $122,414,361 | See attached statement | 0 | 0 | 0 |
| City of Upland | ||||||||
| B | 956000805 | 915346GB0 | 2017-12-21 | $147,137,583 | See attached statement | 0 | 0 | 0 |
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 | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $0 | $0 | $122,414,361 | $0 | $0 | $0 | $1,865,015 | $0 | $0 | $108,139,982 | $12,409,364 | $0 | 2015 | Yes (1) | 0 | Yes (1) | Yes (1) |
| B | $0 | $0 | $147,137,583 | $0 | $0 | $120,410,119 | $1,727,464 | $0 | $0 | $0 | $0 | $25,000,000 | 0 | Yes (1) | 0 | Yes (1) |
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 | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd |
|---|---|---|---|---|---|---|---|---|---|
| A | Yes (1) | 0 | 0 | 0 | 0 | 0 | |||
| B | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule K, Part I-01/27/2011 122,414,361 City of Upland | THE BOND PROCEEDS ARE TO BE USED FOR THE CONSTRUCTION OF A 4-STORY PATIENT CARE TOWER, AN ENERGY PLANT, AND RELATED SITE UTILITIES AND TO REFUND EXISTING LONG-TERM DEBT - TAX EXEMPT BONDS ISSUED SEPTEMBER 1, 1993. |
| Schedule K, Part I-12/21/2017 147,137,583 City of Upland | THE PROCEEDS OF THE 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. |
| Schedule K, Part V-01/27/2011 122,414,361 City of Upland | SAN ANTONIO REGIONAL HOSPITAL IS IN THE PROCESS OF DEVELOPING POST-ISSUANCE PROCEDURES TO BE IN PLACE PRIOR TO DEBT-FINANCED ADDITION BEING PLACED INTO SERVICE. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part I, Line 1 | OUR MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE WE SERVE. |
| Form 990, Part III | 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 1,955 FULL TIME EQUIVALENT 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, SENIOR VICE PRESIDENT OF ADMINISTRATIVE SERVICES AND COMPLIANCE, 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 2017, $3,797,585 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 $10,336,894 IN UNREIMBURSED COSTS INCURRED IN PROVIDING CARE AND TREATMENT FOR MEDI-CAL PATIENTS AND $541,100 FOR MEDICARE PATIENTS, WHILE OTHER UNCOMPENSATED CARE (BAD DEBTS) TOTALED $2,382,948 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. |
| Form 990, Part III (Cont. 1) | 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 PICTURE OF THE HEALTH LANDSCAPE OF THE HOSPITALS' INDIVIDUAL COMMUNITIES, AS WELL AS THE REGION AS A WHOLE. THE ASSESSMENT INCLUDED A PLETHORA OF HEALTH INDICATORS FROM MULTIPLE PRIMARY AND SECONDARY SOURCES, ALONG WITH A ROBUST QUALITY OF LIFE SURVEY AND TARGETED FOCUS GROUPS. THE DATA FROM THESE THREE SOURCES WERE AGGREGATED AND 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 "BABY FRIENDLY HOSPITAL," WHICH IS AN INTERNATIONAL DESIGNATION RECOGNIZING THE INSTITUTION'S COMPREHENSIVE PROGRAM SUPPORTING BREASTFEEDING AND INFANT/PARENT BONDING. AS PART OF THIS PROGRAM, PARENTS ARE ENCOURAGED TO TAKE ADVANTAGE OF THE MANY EDUCATIONAL OPPORTUNITIES AND SUPPORT SERVICES OFFERED BEFORE, DURING, AND AFTER DELIVERY. EXPECTANT PARENTS ATTENDING THE BREASTFEEDING CLASS RECEIVE ENCOURAGEMENT AND INSTRUCTION TO PROMOTE A SUCCESSFUL BREASTFEEDING EXPERIENCE. INTERNATIONALLY BOARD CERTIFIED LACTATION CONSULTANTS, SUPPORTED BY LACTATION EDUCATORS, ARE AVAILABLE TO PROVIDE SUPPORT DURING THE FAMILY'S HOSPITAL STAY, AND EVERY FAMILY IS ENCOURAGED TO VISIT THE HEALTHY BEGINNINGS NEWBORN FEEDING CENTER AFTER THEY LEAVE THE HOSPITAL. IN ADDITION TO PROVIDING BREASTFEEDING EVALUATION AND SUPPORT, THE NEWBORN FEEDING CENTER ASSESSES MOTHER AND NEWBORN, PROVIDING REFERRALS TO COMMUNITY RESOURCES WHEN NEEDED. THIS EVALUATION PROCESS HAS YIELDED SIGNIFICANT OUTCOMES INCLUDING A REDUCTION IN NEWBORN READMISSION RATES, INCREASED BREASTFEEDING RATES, EARLY INTERVENTION FOR DEVELOPMENT DELAYS, AND IDENTIFICATION AND TREATMENT OF POSTNATAL ILLNESS, FROM BABY BLUES TO POSTPARTUM PSYCHOSIS. WHILE SOME FAMILIES JUST NEED REASSURANCE THAT THEIR BABY IS THRIVING, OTHERS MAY REQUIRE FURTHER EDUCATION OR SUPPORT, AND A FEW REQUIRE INTERVENTION OR TREATMENT. THE CENTER OFFERS SUPPORT TO ALL NEW FAMILIES IN THE COMMUNITY, REGARDLESS OF WHERE THEIR BABIES ARE BORN. IN FACT, MANY LOCAL PEDIATRICIANS INCLUDE A VISIT TO THE CENTER AS PART OF THE DISCHARGE INSTRUCTIONS FOR THEIR PATIENTS. COMMUNITY LECTURES - EVERY MONTH SAN ANTONIO REGIONAL HOSPITAL HOSTS A COMMUNITY HEALTH EDUCATION LECTURE. THESE LECTURES ARE OPEN TO THE PUBLIC FOR THE PURPOSE OF ENGAGING THE COMMUNITY AND INCREASING EDUCATION RELATED TO SPECIFIC HEALTH TOPICS. LECTURES ARE LED BY THE HOSPITAL'S PHYSICIANS OR OTHER CLINICAL STAFF. TOPICS IN 2017 INCLUDED THE FOLLOWING: BREAST CANCER, COLORECTAL CANCER, DIABETES MANAGEMENT, GYNECOLOGIC CANCER, HEALTHY COOKING DEMONSTRATIONS, HEART DISEASE MANAGEMENT, JOINT HEALTH, METABOLIC SYNDROME, PROSTATE CANCER, SEASONAL ALLERGIES, STROKE RISKS AND TREATMENT. |
| Form 990, Part III (Cont. 2) | COMMUNITY HEALTH IMPROVEMENT PROGRAM (CHIP) - THE CONTINUED ESCALATION OF PATIENTS WITH CHRONIC CONDITIONS IS A PRINCIPLE REASON SAN ANTONIO DEVELOPED AND IMPLEMENTED THE COMMUNITY HEALTH IMPROVEMENT PROGRAM IN JANUARY 2015. THE CENTERS FOR DISEASE CONTROL HAS REPORTED THAT, AS A NATION, 86% OF OUR HEALTHCARE DOLLARS ARE EXPENDED IN TREATING CHRONIC DISEASES. THESE PERSISTENT CONDITIONS HAVE CONTRIBUTED TO THE BURGEONING HEALTHCARE COSTS THAT HAVE CREATED NEW STRUCTURES TO ADDRESS THE GROWING DEMAND AND ESCALATING COSTS. "MEDICAL HOMES" AND "ACCOUNTABLE CARE ORGANIZATIONS" (ACOS) HAVE EMERGED IN THE BELIEF THAT THEY WILL IMPROVE HEALTHCARE QUALITY AND SLOW THE GROWTH OF HEALTHCARE SPENDING IN AMERICA. THE COMMUNITY HEALTH IMPROVEMENT PROGRAM (CHIP) IS ONE OF THE INITIATIVES SAN ANTONIO DEVELOPED TO: 1) DIMINISH HEALTHCARE GAPS, 2) PROMOTE THE DELIVERY OF EVIDENCE-BASED CARE, AND 3) REDUCE UNNECESSARY EMERGENCY ROOM VISITS AND HOSPITALIZATIONS. COORDINATED BY A DEDICATED INTERDISCIPLINARY HEALTHCARE TEAM EMPLOYING A SERIES OF INDIVIDUALIZED CONTINUOUS CARE ALGORITHMS, THIS PROGRAM FOCUSES ON APPROPRIATE PATIENT IDENTIFICATION, PREVENTION, EVIDENCE-BASED DISEASE MANAGEMENT, AND EXEMPLARY TREATMENT OF INDIVIDUALS WITH CHRONIC CONDITIONS. EACH PARTICIPATING CHIP MEMBER IS CLOSELY MONITORED IN ACCORDANCE WITH AN INDIVIDUALIZED COMPREHENSIVE HEALTH PROFILE (CHP), QUALITY CARE PLAN (QCP), AND LONGITUDINAL PATIENT SCORECARD. A NOVEL STRATIFICATION SCALE THAT ASSESSES SOCIOECONOMIC STATUS, EDUCATION/ASSIMILATION CAPACITY, MENTAL HEALTH HISTORY, ADHERENCE POTENTIAL, PSYCHOLOGICAL STRESS FACTORS, AND SUPPORT IS UTILIZED ALONG WITH DATA MINING AND STANDARDIZED CLINICAL ASSESSMENTS TO INDIVIDUALIZE EVIDENCE-BASED CLINICAL STRATEGIES BASED UPON EACH PERSON'S RESPECTIVE NEEDS AND CAPABILITIES. A UNIQUE ASPECT OF CHIP IS THE TRAINING AND UTILIZATION OF STUDENT HEALTH COACHES. IN ADDITION TO THE CHIP INTERDISCIPLINARY CLINICAL TEAM, MEMBERS ARE MONITORED BY HEALTH COACHES TRAINED THROUGH AN INNOVATIVE CREDIT-BASED COLLABORATIVE EDUCATIONAL SEMINAR AND INTERNSHIP PROGRAM WITH CALIFORNIA STATE UNIVERSITY SAN BERNARDINO SCHOOLS OF PUBLIC HEALTH, NURSING, BIOLOGY, AND KINESIOLOGY; WESTERN UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF GRADUATE NURSING; AND CAL POLY POMONA. AFTER APPROPRIATE SCREENING, SELECTED STUDENTS PARTICIPATE IN A SEMINAR TAUGHT BY OUR INTERDISCIPLINARY TEAM OF HEALTHCARE PROFESSIONALS INCLUDING PHYSICIANS, NURSES, NUTRITIONISTS, SOCIAL WORKERS, AND HOSPITAL ADMINISTRATORS. THE WORK OF THE STUDENT HEALTH COACHES IS OVERSEEN BY LICENSED PROFESSIONALS (REGISTERED NURSE AND PHYSICIAN) AS NEEDED AND THEIR SCOPE OF ACTIVITIES ARE CONSISTENT WITH THEIR COMPETENCE AND THE TRAINING AND DEMONSTRATED SKILLS PROVIDED THROUGH THE PROGRAM. ONCE TRAINED, STUDENT HEALTH COACHES PROVIDE IN-HOME VISITS AND PHONE INTERACTIONS. STUDENTS ENGAGE IN THE PROCESS OF EDUCATING AND MOTIVATING AT-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. IN 2017, CHIP SUCCESSFULLY RECRUITED 45 STUDENTS TO BECOME HEALTH COACHES AND HAS NOW TRAINED A TOTAL OF 122. CHIP ENROLLED 60 PATIENTS IN 2017 RAISING THE TOTAL NUMBER CARED FOR BY THESE HEALTH COACHES TO 170 PATIENTS. |
| Form 990, Part III (Cont. 3) | HEALTH AND HOT RODS - THE ANNUAL MEN'S HEALTH EVENT TOOK PLACE ON JUNE 10, 2017 FROM 8 AM TO 12 PM. THIS EVENT IS OFFERED TO COMMUNITY MEMBERS IN THE HOSPITAL'S SERVICE AREA, MAKING IT CONVENIENT FOR MEN TO RECEIVE HEALTH SCREENINGS AND EDUCATION, WHILE ENJOYING THE DISPLAY OF CLASSIC CARS AND HOT RODS. THE EVENT WAS BROADLY PUBLICIZED AND OPEN TO THE ENTIRE COMMUNITY. THE EVENT SERVED NEARLY 150 GUESTS AND PROVIDED SCREENINGS TO 85 PARTICIPANTS IN 2017. THROUGHOUT THE EVENT VENUE, EDUCATIONAL OPPORTUNITIES WERE PROVIDED IN THE FORM OF PHYSICIAN LECTURES, BOOTHS, POSTERS, AND THE MATERIALS INCLUDED AT REGISTRATION. BOOTHS INCLUDED: SAN ANTONIO CANCER CENTER, SAN ANTONIO HEART CENTER, 4URHEALTH WELLNESS PROGRAM, STROKE, AND NUTRITION. REPRESENTATIVES FROM THE AMERICAN CANCER SOCIETY (ACS), THE AMERICAN HEART ASSOCIATION (AHA), AND THE AMERICAN MEDICAL RESPONSE (AMR) ORGANIZATION WERE PRESENT TO PROVIDE ADDITIONAL HEALTH EDUCATION. IN 2017, THE EDUCATION TOPICS INCLUDED LUNG CANCER PREVENTION AND SMOKING CESSATION, PRESENTED BY SAN ANTONIO DOCTORS. GIRLS' DAY OUT - FOR SEVERAL YEARS, SAN ANTONIO REGIONAL HOSPITAL HAS HOSTED A SERIES OF CANCER AWARENESS EVENTS DURING THE MONTH OF OCTOBER, WITH A SPECIAL PREVENTION EVENT CALLED GIRLS' NIGHT OUT. IN 2017, WHILE MAINTAINING THE SAME PREVENTION FOCUS AS PREVIOUS YEARS, THE TITLE WAS CHANGED TO GIRLS' DAY OUT. THE EVENT WAS HELD FROM 10 AM TO 3 PM AND WELCOMED A TOTAL OF 150 REGISTERED PARTICIPANTS. THE EVENT WAS BROADLY PUBLICIZED AND OPEN TO THE ENTIRE COMMUNITY. THE MESSAGE OF PREVENTION WAS CONSISTENT THROUGHOUT THE EVENT, BEGINNING WITH THE EDUCATIONAL MATERIALS DISTRIBUTED AT REGISTRATION TO THE POSTERS CONTAINING KEY CANCER PREVENTION MESSAGES DISPLAYED THROUGHOUT THE EVENT VENUE. A MULTITUDE OF EDUCATIONAL BOOTHS WERE PRESENT SUCH AS THE AMERICAN CANCER SOCIETY, SAN ANTONIO CANCER CENTER, SAN ANTONIO WOMEN'S BREAST AND IMAGING CENTER, AMERICAN LUNG ASSOCIATION, SAN ANTONIO'S HEART AND STROKE CENTERS, AMERICAN HEART ASSOCIATION, AND THE 4URHEALTH WELLNESS PROGRAM. A MEMBER OF SAN ANTONIO'S MEDICAL STAFF AND REPRESENTATIVES OF THE AMERICAN CANCER SOCIETY AND THE AMERICAN LUNG ASSOCIATION PROVIDED HEALTH PRESENTATIONS. DR. KIMBERLY BEKEMEIER FOCUSED ON LUNG CANCER PREVENTION, WITH AN EMPHASIS ON HEALTHY NUTRITION, REGULAR EXERCISE, MAINTAINING MINDFULNESS, AND THE IMPORTANCE OF LIFESTYLE CHANGES, ESPECIALLY SMOKING CESSATION. CATHY ZAPPIA OF THE AMERICAN CANCER SOCIETY PRESENTED ON THE IMPACT OF TOBACCO USE AND TOBACCO-RELATED ILLNESSES. SHE HIGHLIGHTED THE DECLINE IN SMOKING RATES, AS WELL AS POLICIES AIMED AT SMOKING PREVENTION. TERRY ROBERTS OF THE AMERICAN LUNG ASSOCIATION PRESENTED ON OVERALL LUNG HEALTH AND THE CONNECTION TO AIR POLLUTION. SHE EMPHASIZED LUNG CANCER EFFECTS ON WOMEN AND PROVIDED INFORMATION ON LUNG CANCER SCREENING. BOTH GUEST SPEAKERS PROVIDED RESOURCES AND SKILLS FOR PREVENTING LUNG CANCER AS AN INDIVIDUAL AND AS A COMMUNITY. THOSE IN ATTENDANCE WERE ENCOURAGED TO TAKE ADVANTAGE OF THE HOSPITAL'S LOW COST LUNG CANCER SCREENING PROMOTION BY TAKING THE SCREENING TOOL RECEIVED AT REGISTRATION TO THEIR PERSONAL PHYSICIAN FOR EVALUATION OF ELIGIBILITY FOR THE SCREENING. NON-SMOKERS WERE ENCOURAGED TO SHARE THIS OPPORTUNITY WITH FRIENDS AND FAMILY MEMBERS WHO MAY BE SMOKERS. EVENT PARTICIPANTS COMPLETED SURVEYS MEASURING CANCER PREVENTION KNOWLEDGE, INCLUDING ALCOHOL CONSUMPTION, PHYSICAL ACTIVITY, SCREENING ACTIVITIES ,AND LEADING CANCER DEATHS. THE PRE-SURVEY ESTABLISHED A BASELINE OF HEALTH KNOWLEDGE RELATED TO CANCER AND CANCER PREVENTION. SURVEY PARTICIPANTS WERE ALSO ENCOURAGED TO COMPLETE A POST-SURVEY. THOSE WHO COMPLETED BOTH THE PRE-SURVEY AND POST-SURVEY WERE ENTERED INTO A PRIZE DRAWING TO ENCOURAGE PARTICIPATION. COMPREHENSIVE SCREENINGS, INCLUDING CHOLESTEROL, BLOOD GLUCOSE, BLOOD PRESSURE, AND BMI WERE ALSO OFFERED. GENERATIONS AHEAD - SAN ANTONIO UNDERSTANDS THE IMPORTANCE OF SUPPORTING HEALTHY LIFESTYLE CHOICES AT ALL AGES. GENERATIONS AHEAD IS THE HOSPITAL'S SENIOR PROGRAM, WHICH PROVIDES TARGETED SERVICES AND PROGRAMS DESIGNED TO ASSIST OLDER ADULTS IN MAINTAINING THEIR HEALTH AND VITALITY. SENIORS HAVE ENRICHED THE COMMUNITY, AND IN RETURN, THE HOSPITAL CONSTANTLY STRIVES TO RECOGNIZE THEIR CONTRIBUTIONS BY HELPING THEM MAINTAIN THEIR HEALTH AND VITALITY. IN ADDITION TO HEALTH LECTURES FOR THE BROADER COMMUNITY, THE HOSPITAL HOSTS LECTURES FOR SENIOR COMMUNITY MEMBERS. THESE LECTURES OCCUR MONTHLY AND ARE LED BY HOSPITAL CLINICAL STAFF. TOPICS FOR 2017 INCLUDED; ARTHRITIS, BALANCE, BLOOD PRESSURE, BREAST CANCER, HEALTHY EATING, HEART DISEASE, JOINT HEALTH, PHYSICAL THERAPY FOR CHRONIC DISEASE, SEASONAL ALLERGIES, STROKE PREVENTION, AND RESTORATIVE CHAIR YOGA FOR STABILITY AND FLEXIBILITY. |
| Form 990, Part III (Cont. 4) | KNOW YOUR NUMBERS PROGRAM (KYN) - IN FEBRUARY 2015, SAN ANTONIO, IN COLLABORATION WITH LOMA LINDA UNIVERSITY MASTERS OF PUBLIC HEALTH STUDENTS, INITIATED THE KNOW YOUR NUMBERS (KYN) PROGRAM IN ONTARIO, CALIFORNIA. THE GOAL OF THE PROGRAM WAS TO REDUCE CHRONIC DISEASE INCIDENCE IN IMPOVERISHED, UNINSURED, AND UNDERINSURED POPULATIONS THROUGH SCREENING AND HEALTH EDUCATION. KYN PROVIDES BIOMETRIC SCREENINGS IN ONTARIO'S "HEAL ZONE" INCLUDING BLOOD PRESSURE, BODY MASS INDEX, BLOOD GLUCOSE, AND BLOOD CHOLESTEROL POINT-OF-CARE TESTS AMONG THE LOW-INCOME POPULATION LIVING IN SURROUNDING COMMUNITIES. KYN IS A SELF-MANAGEMENT AND HEALTH EDUCATION PROGRAM DESIGNED AROUND THE HEALTH BELIEF MODEL THAT ASSUMES HEALTH-RELATED ACTIONS DEPEND ON A PARTICIPANTS' BELIEF THAT HE/SHE IS SUSCEPTIBLE TO SIGNIFICANT HEALTH ISSUES THAT IMPROVE THROUGH A PRESCRIBED HEALTH RECOMMENDATION. PARTICIPANTS CONSULT WITH A REGISTERED NURSE (RN) FOLLOWING THE SCREENING TO LEARN ABOUT THEIR OWN NUMBERS AND THE IMPACTS THESE FACTORS HAVE ON HEALTH STATUS. FOLLOWING CONSULTATION, PARTICIPANTS ARE PAIRED WITH A CLINICAL COMMUNITY HEALTH WORKER (CCHW) AND ARE CONNECTED TO ADDITIONAL RESOURCES THROUGH REFERRALS, EDUCATIONAL MATERIALS, AND COMMUNITY PROGRAMS. THE INITIAL SCREENING PROGRAM INCLUDED 50 PARTICIPANTS, OF WHICH 72% WERE HISPANIC, 22% WERE UNINSURED, 48% DID NOT HAVE A PRIMARY CARE PHYSICIAN, AND 36% HAD NEVER VISITED A HOSPITAL. THIRTY-FOUR PERCENT OF THE PARTICIPANTS HAD HIGH BLOOD PRESSURE AND 20% DISPLAYED NUMBERS INDICATIVE OF A HYPERTENSIVE CRISIS. FIFTY PERCENT OF THE PARTICIPANTS WERE CLINICALLY OBESE AND 34% WERE OVERWEIGHT AS INDICATED BY THEIR BMI METRICS. DUE TO THE SUCCESS OF THE PILOT PROGRAM, KYN WAS EXPANDED TO INCLUDE SEVERAL SCREENING LOCATIONS RESIDING IN AND AROUND THE HEALTHY EATING AND ACTIVE LIVING (HEAL) ZONE OF ONTARIO. IN 2016, KYN WAS INCORPORATED INTO THE HEALTHY ONTARIO INITIATIVE (HOI), AN INNOVATIVE MULTI-SECTORIAL COLLABORATIVE PARTNERSHIP IN THE CITY OF ONTARIO. HOI'S GOAL WAS TO REDUCE OBESITY AND ITS ASSOCIATED HEALTH IMPACT ON VULNERABLE POPULATIONS. THIS WORK 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. 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. SAN ANTONIO STAFF AND COMMUNITY PARTNERS WORKED DILIGENTLY ON DEVELOPING HEALTH CURRICULUM FOR THE CASE MANAGEMENT SUB-POPULATION WITHIN THE WHOLE POPULATION. CASE MANAGEMENT PARAMETERS WERE CREATED TO DETERMINE WHICH PARTICIPANTS NEEDED INDIVIDUAL CARE. 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. KYN TOOK PLACE IN THE HEART OF ONTARIO, BUT WAS OPEN TO OTHERS WITHIN THE HOSPITAL'S SERVICE AREA. OVER THE LAST TWO YEARS, NEARLY ALL PARTICIPANTS WERE HISPANIC AND THE VAST MAJORITY WERE WOMEN. WOMEN WERE MORE LIKELY TO PARTICIPATE IN CASE MANAGEMENT AND HISPANICS WERE ALSO MORE LIKELY TO BE ENGAGED THAN PARTICIPANTS OF OTHER ETHNICITIES. IN GENERAL, PARTICIPANTS HAD LOW INCOMES, OVER A THIRD DID NOT HAVE A HIGH SCHOOL DEGREE, AND OVER HALF WERE UNEMPLOYED. THOSE WHO WERE UNEMPLOYED AND WHO HAD LOW EDUCATION LEVELS WERE MORE LIKELY TO PARTICIPATE IN CASE MANAGEMENT. THIS PROGRAM WAS ESPECIALLY SUCCESSFUL AT INCREASING ACCESS TO HEALTHCARE SERVICES. ABOUT HALF OF ALL PARTICIPANTS DID NOT HAVE A PRIMARY CARE PHYSICIAN AND ABOUT HALF DID NOT HAVE HEALTH INSURANCE. THOSE WITHOUT A PRIMARY CARE DOCTOR AND HEALTH INSURANCE WERE MOST LIKELY TO PARTICIPATE IN CASE MANAGEMENT. THIS DEMONSTRATES THE NEED FOR INCREASED ACCESS WITHIN THE HOSPITAL'S SERVICE AREA. THE ONTARIO HOI KYN PROGRAM CONCLUDED WITH THE SUNSET OF THE BUILD CHALLENGE GRANT IN 2017. THE PROGRAM'S FINDINGS DEMONSTRATE KYN MAINTAINED A STEADY NUMBER OF PARTICIPANTS, SUCCESSFULLY SCREENING 318 IN 2017, SOME CAME ONCE AND SOME CAME UP TO FOUR TIMES. OF THE 318, 182 WERE NEW PARTICIPANTS AND 136 WERE RETURNING. THE PERCENT OF THE POPULATION FOUND AT-RISK WERE AS FOLLOWS: TOTAL CHOLESTEROL 41%, SYSTOLIC BLOOD PRESSURE 47%, BMI 82%, AND GLUCOSE 8%. OF THE 318 PARTICIPANTS, 166 PARTICIPATED IN CASE MANAGEMENT. MORE THAN 20% OF CASE MANAGEMENT PARTICIPANTS WERE STILL ACTIVELY INVOLVED IN THE PROGRAM AFTER A YEAR AND A HALF AND NEARLY 30% WERE ACTIVE AFTER ONE YEAR. WITHIN THE TOTAL POPULATION, APPROXIMATELY HALF OF PARTICIPANTS RETURNED FOR A FOLLOW-UP WITHIN ONE YEAR. ALL PARTICIPANTS, INCLUDING THE HEALTHY AND THOSE AT-RISK BUT NOT CHOOSING TO PARTICIPATE IN CASE MANAGEMENT, WERE OFFERED EDUCATIONAL MATERIALS AND INVITED TO MONITOR THEIR HEALTH BY RETURNING FOR A FOLLOW-UP SCREENING. RESULTS OF THIS PILOT STUDY WERE POSITIVE AND LIFTED KYN AS A MODEL FOR A DUAL-COUNTY INITIATIVE TO PREVENT PRE-DIABETES AND TYPE II DIABETES. THIS INITIATIVE, KNOWN AS BRIDGING FOR HEALTH, IS FUNDED IN PART BY THE ROBERT WOOD JOHNSON FOUNDATION. IT LEVERAGES A COLLECTIVE IMPACT STRATEGY TO IDENTIFY COMMUNITY HEALTH NEEDS AND TO DEVELOP AN INNOVATIVE, SUSTAINABLE FINANCING MODEL. THE INLAND EMPIRE (RIVERSIDE COUNTY AND SAN BERNARDINO COUNTY) IS ONE OF FIVE COMMUNITIES IN THE NATION SELECTED TO RECEIVE THE SMALL START-UP GRANT FOR THIS EFFORT. SAN ANTONIO STAFF DEDICATED SIGNIFICANT TIME AND EFFORT IN 2017 TO WORK WITH PARTNERS ON DEVELOPING AN ENHANCED VERSION OF THE KYN MODEL TO BE IMPLEMENTED IN 2018. LEWIS-SAN ANTONIO HEALTHY COMMUNITIES INSTITUTE - THE LEWIS-SAN ANTONIO HEALTHY COMMUNITIES INSTITUTE (HCI) WAS ESTABLISHED IN APRIL 2016 TO IDENTIFY OPPORTUNITIES, SOLUTIONS, AND PARTNERS TO POSITIVELY IMPACT THE HEALTH OF OUR REGION. IN 2017, HCI FOCUSED ON FOUR PROGRAM AREAS: HEALTHCARE WORKFORCE, FOOD RECOVERY, POLICY EDUCATION, AND NON-CLINICAL HEALTHCARE INTERNSHIPS. LEADERSHIP DEVELOPMENT/TRAINING FOR COMMUNITY MEMBERS- THE HEALTHY COMMUNITIES LEADERSHIP ACADEMY (HCLA) WAS REEVALUATED MID-2017, WITH THE REMAINDER OF THE YEAR DEDICATED TO REVISING THE APPROACH. HCI COLLABORATED WITH TWO REGIONAL COUNCILS OF GOVERNMENT (COG) TO ESTABLISH A POLICYMAKER TRAINING SERIES. THE SERIES IS TO BE DIRECTED TO THEIR MEMBERSHIP TO DISCUSS PROGRAMS AND PRACTICES THAT CAN IMPROVE HEALTH ON A COMMUNITY-WIDE BASIS. COG MEMBERSHIP INCLUDES POLICYMAKERS FROM THROUGHOUT THE ENTIRE INLAND EMPIRE REGION INCLUDING COMMISSIONERS, COUNCIL MEMBERS, AND CITY MANAGEMENT STAFF. |
| Form 990, Part III (Cont. 5) | HEALTH CARE WORKFORCE - HCI SUPPORTS YOUTH INTERESTED IN HEALTH CAREERS BY PROMOTING HIGHER EDUCATION PROGRAMS, ENGAGING STUDENTS THROUGH A HEALTH AND WELLNESS CURRICULUM, AND PROVIDING CONNECTIONS TO ROLE MODELS/MENTORS MAJORING IN HEALTH DISCIPLINES FROM COLLEGES AND UNIVERSITIES IN THE REGION. THE PROGRAM IS CALLED "WHEALTH" (WELLNESS + HEALTHCARE). DURING 2017, HCI EXPANDED ITS PARTNERSHIPS WITH UPLAND UNIFIED SCHOOL DISTRICT AND BEGAN PLANNING WITHIN CHAFFEY JOINT UNION HIGH SCHOOL DISTRICT. IN UPLAND, HCI WORKED DIRECTLY WITH UPLAND HIGH SCHOOL'S HOPE (HEALTH OCCUPATIONS PREPARATION EDUCATION) ACADEMY. AT CHAFFEY JOINT UNION, HCI WORKED WITH CHAFFEY HIGH SCHOOL IN ONTARIO. THE GOAL OF WHEALTH IS TO SUPPORT STUDENTS IN THEIR HEALTH CAREER JOURNEY BY CREATING LEARNING OPPORTUNITIES AROUND CHRONIC DISEASE PREVENTION, EXPOSURE TO HEALTH PROFESSIONALS, AND TOURS WITH COMMUNITY PARTNERS SUCH AS FARMS AND SUPERMARKETS. THE PROGRAM NOT ONLY ENCOURAGES CAREERS IN HEALTH DISCIPLINES, BUT ALSO HELPS TO RETAIN LOCAL STUDENTS IN THE REGION. HIGH SCHOOL STUDENTS RECEIVED INSTRUCTION FROM HOSPITAL STAFF, RANDALL LEWIS HEALTH POLICY FELLOWS, AND LOCAL UNIVERSITY INTERNS FROM ACROSS THE REGION. THE FELLOWS AND INTERNS WERE NOT ONLY INSTRUCTORS, BUT ALSO ROLE MODELS, AS THE STUDENTS LOOKED TO THEM FOR ANSWERS TO QUESTIONS ON COLLEGE LIFE, MAJORS, AND CAREER PLANNING. THE WHEALTH CURRICULUM IS ADAPTED FROM HEALTHCORPS, A NATIONAL NON-PROFIT, AND ALIGNED TO NATIONAL HEALTH EDUCATION STANDARDS FOCUSING ON NUTRITION, FITNESS, AND MENTAL RESILIENCY. ONCE THE HIGH SCHOOL STUDENTS COMPLETED THEIR SIX-WEEK HEALTHCORPS PROGRAM, THEY HAD THE OPPORTUNITY TO TEACH THE CURRICULUM TO MIDDLE SCHOOL STUDENTS, WHILE PROVIDING PEER TO PEER TRAINING AND BUILDING PRESENTATION SKILLS. HCI ALSO INTRODUCED THE KNOW YOUR NUMBERS PROGRAM TO THE HIGH SCHOOL STUDENTS AND INTERESTED PARENTS. THE GOAL IS TO PROMOTE A BETTER UNDERSTANDING OF PERSONAL HEALTH AND TO HELP ESTABLISH LIFELONG HEALTHY HABITS, WHILE SUPPORTING AN INTEREST IN HEALTHCARE CAREERS. IN 2017, HCI INTERNS PROVIDED THE WHEALTH PROGRAM TO 450 HIGH SCHOOL AND 120 JUNIOR HIGH STUDENTS FROM UPLAND. PLANNING FOR CHAFFEY HIGH SCHOOL OCCURRED WITH THE DISTRICT THROUGHOUT THE FALL, PREPPING TEACHERS IN THE HIGH SCHOOL AND THE JUNIOR HIGH FOR THIS NEW PROGRAM TO BEGIN IN JANUARY 2018. HCI STAFF AND INTERNS ALSO SUPERVISED BIOMETRIC SCREENINGS OF THE HIGH SCHOOL PARTICIPANTS (N=114), COLLECTED DATA, AND PROVIDED OVERALL PROGRAM EVALUATION. THE WHEALTH PROGRAM IS IN HIGH DEMAND, WITH FURTHER EXPANSION PLANNED IN 2018 TO INCLUDE ADDITIONAL DISTRICTS AND THE INCLUSION OF COMMUNITY COLLEGE STUDENTS AS MENTORS. NON-CLINICAL INTERNSHIPS - HCI EXPANDED SAN ANTONIO'S GRADUATE STUDENT INTERNSHIP PROGRAM IN 2017, BRINGING STUDENTS FROM VARIOUS HEALTH DISCIPLINES ON-SITE AND IN THE COMMUNITY FOR PRACTICUM EXPERIENCES. STUDENTS RANGED FROM UNDERGRAD, GRADUATE, AND DOCTORAL LEVELS PURSUING DEGREES IN PUBLIC HEALTH, SOCIAL WORK, HEALTHCARE ADMINISTRATION, NUTRITION, AND BUSINESS ADMINISTRATION. THESE STUDENTS WERE MATCHED WITH PROJECTS THAT MET THEIR PRACTICUM REQUIREMENTS AND SUPPORTED A COMMUNITY NEED SUCH AS NUTRITION EDUCATION AND PROGRAM EVALUATION. MANY WERE ALSO INSTRUCTORS FOR THE WHEALTH PROGRAM, PROVIDING MENTORSHIP AND INSIGHT ON HIGHER EDUCATION PATHWAYS. ADDITIONALLY, STUDENTS WERE CONNECTED TO VARIOUS HEALTH PROFESSIONALS IN AND OUT OF THE HOSPITAL, EXPOSED TO THE NEED FOR HEALTH PROFESSIONALS IN THE LOCAL AREA, AND ENCOURAGED TO REMAIN IN THE REGION. TEN STUDENTS PARTICIPATED IN THESE OPPORTUNITIES THROUGHOUT 2017. |
| Form 990, Part III, Line 4a | HOSPITAL SERVICES - SARH PROVIDES A FULL SPECTRUM OF PREVENTIVE ACUTE, PRIMARY, AND SPECIALTY CARE TO THE COMMUNITIES IT SERVES. THESE SERVICES INCLUDE INPATIENT MEDICAL AND SURGICAL SERVICES, EMERGENCY AND INTENSIVE CARE SERVICES, PALLIATIVE CARE, AND A COMMUNITY WELLNESS AND HEALTH PROMOTION PROGRAM. A FULL RANGE OF OUTPATIENT SERVICES ARE ALSO PROVIDED, INCLUDING URGENT CARE, DIAGNOSTIC SERVICES SUCH AS LABORATORY, IMAGING, AND CARDIOLOGY AS WELL AS OUTPATIENT SURGERY, REHABILITATION, AND THERAPEUTIC MODALITIES INCLUDING RADIATION ONCOLOGY AND CHEMOTHERAPY. AREAS OF SPECIAL EXPERTISE INCLUDE CARDIOVASCULAR SERVICES PROVIDED AT SARH'S HEART CENTER, SPECIALIZED INFANT CARE PROVIDED AT THE LEVEL II NEONATAL INTENSIVE CARE UNIT (NICU), AND THE DIAGNOSTIC AND TREATMENT SERVICES AVAILABLE AT ITS CANCER CENTER AND GAMMA KNIFE CENTER. THE HEART CENTER - SARH'S HEART PROGRAM - COORDINATES THE COMPREHENSIVE CARDIAC SERVICE LINE, INCLUDING NON-INVASIVE CARDIOLOGY, DIAGNOSTIC AND INTERVENTIONAL CARDIAC CATHETERIZATION, CARDIAC NUCLEAR SCANNING, CARDIOVASCULAR SURGERY, AND CARDIAC REHABILITATION. SARH HAS BEEN DESIGNATED AS "STEMI" (ST-ELEVATION MYOCARDIAL INFARCTION)-RECEIVING HOSPITAL BY SAN BERNARDINO AND RIVERSIDE COUNTIES, MEANING THAT THE HOSPITAL HAS THE EQUIPMENT, EXPERTISE, AND FACILITIES TO ADMINISTER PERCUTANEOUS CORONARY INTERVENTION, THE PREFERRED METHOD OF TREATING SEVERE HEART ATTACK PATIENTS. CANCER CENTER - SARH'S CANCER PROGRAM HAS BEEN FULLY ACCREDITED BY THE AMERICAN COLLEGE OF SURGEON'S COMMISSION ON CANCER SINCE 1980. THE CANCER PROGRAM TREATMENT MODALITIES INCLUDE SURGERY, CHEMOTHERAPY, HORMONE THERAPY, AND IMMUNOTHERAPY. OUTPATIENT RADIATION ONCOLOGY SERVICES INCLUDE 3D CONFORMAL, EXTERNAL BEAM, ELECTRON BEAM, AND INTENSITY MODULATED THERAPY ("IMRT"). THE WOMEN'S BREAST AND IMAGING CENTER, AS WELL AS THE HOSPITAL'S SATELLITE LOCATIONS IN RANCHO CUCAMONGA AND EASTVALE, HAVE THE LATEST GENERATION 3-D DIGITAL MAMMOGRAPHY EQUIPMENT. THE CANCER RESOURCE CENTER PROVIDES EDUCATION AND SUPPORT SERVICES FOR CANCER PATIENTS AND THEIR FAMILIES. NURSE NAVIGATORS ARE PART OF THE CANCER TEAM AND MEET WITH EVERY HOSPITALIZED PATIENT WITH CANCER. THE NAVIGATORS ALSO WORK CLOSELY WITH THE PHYSICIANS ON AN OUTPATIENT BASIS TO ENSURE THAT PATIENTS HAVE A POSITIVE EXPERIENCE AS THEY MOVE BETWEEN INPATIENT AND OUTPATIENT STATUS DURING DIFFERENT STAGES OF THEIR TREATMENT. GAMMA KNIFE CENTER - SARH OFFERS THE ONLY GAMMA KNIFE RADIOSURGERY SYSTEM IN ITS PRIMARY SERVICE AREA. THE GAMMA KNIFE ENABLES THE HOSPITAL'S RADIATION ONCOLOGY AND NEUROSURGERY DEPARTMENT TO CONDUCT NONINVASIVE, OUTPATIENT BRAIN SURGERY, USING LOW-DOSE RADIATION BEAMS TO TARGET TUMORS AND ABNORMAL CELLS WITH PRECISION. THE LESS INVASIVE METHOD IS PERFORMED ON AN OUTPATIENT BASIS, ALLOWING PATIENTS TO RECEIVE TREATMENT AND RETURN HOME THE SAME DAY. WOMEN'S BREAST AND IMAGING CENTER - THE WOMEN'S BREAST AND IMAGING CENTER IS LOCATED IMMEDIATELY ADJACENT TO THE MAIN HOSPITAL FACILITY AND OFFERS PATIENTS THE LATEST ADVANCEMENTS IN SCREENING AND DIAGNOSTIC PROCEDURES FOR EARLY DETECTION OF BREAST CANCER. THE CENTER'S TECHNOLOGY INCLUDES 3-D DIGITAL MAMMOGRAPHY, ULTRASOUND, AND STEREOTACTIC BREAST BIOPSY PROCEDURES. THE NURSE NAVIGATOR COORDINATES THE BREAST CANCER PATIENT'S CARE THROUGHOUT DIAGNOSIS, TREATMENT, AND RECOVERY. ADDITIONAL SCREENING SERVICES FOR WOMEN'S HEALTH OFFERED AT THE CENTER INCLUDE GENERAL ULTRASOUND FOR DIAGNOSING GYNECOLOGICAL DISORDERS AND OSTEOPOROSIS SCREENING FOR ASSESSING BONE HEALTH. A FOCUS OF THE WOMEN'S CENTER IS TO ASSURE THAT THE PATIENT'S EXPERIENCE IS AS POSITIVE AS THEIR MEDICAL OUTCOME. MATERNAL CHILD SERVICES - COORDINATES CARE WITH OBSTETRICIANS AND PEDIATRICIANS TO PROVIDE COMPREHENSIVE PRENATAL, DELIVERY AND POSTPARTUM CARE. THE MATERNAL CHILD DEPARTMENT INCLUDES 32 MATERNITY BEDS, FOUR LABOR, DELIVERY AND RECOVERY ROOMS, 10 LABOR, DELIVERY, RECOVERY AND POSTPARTUM ROOMS, A CESAREAN SECTION SURGICAL SUITE AND RECOVERY ROOM, AND A 20-BED NICU. A POSTPARTUM FOLLOW-UP CENTER IS LOCATED NEAR THE MAIN HOSPITAL TO PROVIDE SCREENING AND SUPPORT SERVICES FOR INFANTS AND THEIR PARENTS. THE SERVICES PROVIDED AT THE CENTER ARE OFFERED TO ALL FAMILIES REGARDLESS OF WHERE THEY DELIVERED THEIR BABY, AND THE NOMINAL FEE IS WAIVED FOR ANY FAMILY THAT CANNOT AFFORD TO PAY FOR THE SERVICES PROVIDED BY SARH'S INTERNATIONALLY BOARD CERTIFIED LACTATION CONSULTANT. SARH IS DESIGNATED A BABY FRIENDLY HOSPITAL BY THE WORLD HEALTH ORGANIZATION. THIS DESIGNATION IS AN IMPORTANT PART OF SARH'S HEALTHY BEGINNINGS PROGRAM, WHICH REINFORCES THE BENEFITS OF BREASTFEEDING. SURGICAL SERVICES - THE SURGERY DEPARTMENT OPERATES NINE SURGICAL SUITES AND TWO ADDITIONAL SURGICAL SUITES DEDICATED TO CARDIOVASCULAR SURGERIES. THE SURGERY DEPARTMENT PERFORMS APPROXIMATELY 340 INPATIENT AND 300 OUTPATIENT SURGERIES PER MONTH, INCLUDING GENERAL SURGERY AND SURGERIES IN THE SPECIALTIES OF ORTHOPEDICS, CARDIOLOGY, GYNECOLOGY, UROLOGY, OTOLARYNGOLOGY, AND OPHTHALMOLOGY. IMAGING AND RADIATION ONCOLOGY SERVICES - THE RADIOLOGY DEPARTMENT PROVIDES IMAGING SERVICES TO SUPPORT SARH'S EMERGENCY, SURGERY, AND OTHER DEPARTMENTS. THE IMAGING SERVICES OFFERED TO BOTH INPATIENTS AND OUTPATIENTS INCLUDE DIAGNOSTIC RADIOLOGY AND FLUOROSCOPY, 64-SLICE CT SCAN, 3-T MAGNETIC RESONANCE IMAGING (MRI), INTERVENTIONAL RADIOLOGY, ULTRASOUND, MAMMOGRAPHY, AND SPECIAL PROCEDURES. THE RADIATION ONCOLOGY DEPARTMENT PROVIDES EXTERNAL BEAM RADIATION FOR THE TREATMENT OF VARIOUS CANCER CONDITIONS AND BRACHYTHERAPY FOR THE TREATMENT OF PROSTATE CANCER. |
| Form 990, 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. |
| Form 990, 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. |
| Form 990, 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. |
| Form 990, 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. |
| Form 990, Part IX, Line 11b | IN 2016 LEGAL EXPENSE FOR A LAWSUIT WAS ACCRUED AND DURING FY 2017 THE EXPENSE TO RESOLVE THE LAWSUIT WAS LESS THAN ANTICIPATED SO A PARTIAL REVERSAL OF THE ACCRUED EXPENSE WAS MADE. LEGAL EXPENSE IN 2017 IS CORRECTLY STATED AS A NEGATIVE AMOUNT. |
| Form 990, Part XI, Line 9 | OTHER CHANGES IN NET ASSETS INCLUDES THE CHANGE IN THE ADDITIONAL MINIMUM PENSION LIABILITY OF ($121,156), CHANGE IN TEMPORARILY RESTRICTED NET ASSETS OF $636,787 AND CHANGE IN BENEFICIAL INTEREST IN SAN ANTONIO HOSPITAL FOUNDATION OF $6,150,250. |
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 OF LAND | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Total Income | $79,744 | TotalIncomeAmt |
| End Of Year Assets | $4,176,815 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAN ANTONIO REGIONAL HOSPITAL | 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 (1) |
| San Antonio Community Hospital Health Care Plan | ||||||||||
| 999 San Bernardino Road | Upland | CA | 91786 | 237391094 | Health Plan services | CA | 501c(9) | SARH | Yes (1) | |
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 | $990,776 | $1,058,792 | 1 | Yes (1) |
| FMP Holding Inc | ||||||||||||
| San Bernardino Road | Upland | CA | 91786 | 815066476 | Holding company | CA | SARH | C | -$18,925 | -$30,688 | 1 | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| San Antonio Hospital Foundation Inc | ||
| b | $78,500 | Cash |
| San Antonio Hospital Foundation Inc | ||
| c | $138,268 | Cash |
| San Antonio Community Hospital Health Care Plan | ||
| r | $17,953,636 | Cash |
| Cucamonga Health Services | ||
| j | $103,016 | Cash |