SAN ANTONIO REGIONAL HOSPITAL: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- SAN ANTONIO REGIONAL HOSPITAL (EIN 95-1183919)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-10
- IRS object ID
- 201703189349309905
- Schema version
- 2016v3.0
- 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 | 2017-11-10T17:23:42-07:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ernst & Young US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18101 Von Karman Avenue | AddressLine1Txt |
| Address Line2 | Suite 1700 | AddressLine2Txt |
| City | Irvine | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92612 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | 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 | 2017-11-15 | 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 | 2017-11-10 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 198.134.51.41 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | 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 | $475,380,632 | 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 | THE MISSION OF SAN ANTONIO REGIONAL HOSPITAL IS TO IMPROVE THE OVERALL HEALTH OF OUR REGIONAL COMMUNITY BY OFFERING SERVICES THAT BOTH COMFORT AND CURE IN SETTINGS THAT INSPIRE CONFIDENCE AND IN A MANNER THAT EARNS THE TRUST OF OUR PATIENTS, OUR PHYSICIANS AND OUR EMPLOYEES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 2443 | TotalEmployeeCnt |
| Total Volunteers | 311 | TotalVolunteersCnt |
| Total Gross UBI | $2,281,816 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $432,182 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $10,000,000 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $292,896,524 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $320,264,354 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,680,297 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,319,640 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,599,848 | PYOtherRevenueAmt |
| CY Other Revenue | $4,566,816 | CYOtherRevenueAmt |
| PY Total Revenue | $306,176,669 | PYTotalRevenueAmt |
| CY Total Revenue | $343,150,810 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $90,093 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $189,973 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $158,102,194 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $170,799,808 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $137,666,859 | PYOtherExpensesAmt |
| CY Other Expenses | $154,210,472 | CYOtherExpensesAmt |
| PY Total Expenses | $295,859,146 | PYTotalExpensesAmt |
| CY Total Expenses | $325,200,253 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $10,317,523 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $17,950,557 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $596,025,077 | TotalAssetsBOYAmt |
| Total Assets EOY | $606,939,388 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $219,499,131 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $221,669,343 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $376,525,946 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $385,270,045 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF SAN ANTONIO REGIONAL HOSPITAL IS TO IMPROVE THE OVERALL HEALTH OF OUR REGIONAL COMMUNITY BY OFFERING SERVICES THAT BOTH COMFORT AND CURE IN SETTINGS THAT INSPIRE CONFIDENCE AND IN A MANNER THAT EARNS THE TRUST OF OUR PATIENTS, OUR PHYSICIANS AND OUR EMPLOYEES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $285,514,016 | ExpenseAmt |
| Grant | $189,973 | GrantAmt |
| Revenue | $321,710,053 | 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 | $285,514,016 | 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 | 464 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2443 | 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 | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | 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 | 0 | 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 (26 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 |
|---|---|---|---|---|---|---|---|---|---|
| Donald Alpiner DO | |||||||||
| Trustee/Treasurer | 4 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Dora Barilla | |||||||||
| Trustee/Secretary | 4 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Howard Borenstein | |||||||||
| Trustee | 4 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Vincent Carollo MD | |||||||||
| Trustee | 4 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Andrea Dutton | |||||||||
| Trustee | 4 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Woody Fox | |||||||||
| Trustee | 4 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Ron King | |||||||||
| Trustee | 4 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Harris Koenig | |||||||||
| President/CEO | 40 | 3 | Yes (X) | Yes (X) | $730,330 | $0 | $104,025 | ||
| Thomas Ritchie | |||||||||
| Trustee/Chairman | 4 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Carl Schultz MD | |||||||||
| Trustee/Vice Chairman | 4 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Jay Shah MD | |||||||||
| Trustee | 4 | 0 | Yes (X) | $10,000 | $0 | $0 | |||
| Steven Spears | |||||||||
| Trustee | 4 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Carlos Vigil MD | |||||||||
| Trustee/Medical Staff President | 4 | 0 | Yes (X) | $53,350 | $0 | $0 | |||
| Sohan Bassi MD | |||||||||
| Trustee | 4 | 0 | Yes (X) | $22,626 | $0 | $0 | |||
| Deborah Freund | |||||||||
| Trustee | 4 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Rohinder Sandhu MD | |||||||||
| Trustee | 4 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Wah-Chung Hsu | |||||||||
| Vice President & CFO | 40 | 5 | Yes (X) | $483,640 | $0 | $76,709 | |||
| Peter Aprato | |||||||||
| Sr. VP Admin Serv & Compliance | 40 | 0 | $337,667 | $0 | $64,788 | Yes (X) | |||
| Laura Escobar Kato | |||||||||
| Vice President Human Resources | 40 | 0 | $233,924 | $0 | $56,190 | Yes (X) | |||
| Gudrun Moll | |||||||||
| VP & Chief Nursing Officer | 40 | 0 | $304,510 | $0 | $63,524 | Yes (X) | |||
| David Batista | |||||||||
| VP Strategic Development | 40 | 0 | $287,017 | $0 | $62,253 | Yes (X) | |||
| Kenneth Saltgaver | |||||||||
| Director Pharmacy | 40 | 0 | $204,681 | $0 | $82,124 | Yes (X) | |||
| Kamal Pandya | |||||||||
| Director Information Technology | 40 | 0 | $214,394 | $0 | $44,247 | Yes (X) | |||
| Lynn Hill | |||||||||
| Administrative Director of Cardiac Services | 40 | 0 | $193,440 | $0 | $8,588 | Yes (X) | |||
| Mike Tracey | |||||||||
| President-Foundation | 40 | 0 | $255,600 | $0 | $62,433 | Yes (X) | |||
| Saurabh Ashier | |||||||||
| Manager of Cardiovascular Services | 40 | 0 | $218,232 | $0 | $14,347 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,549,411 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $639,228 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 345 | 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 |
|---|---|---|---|---|---|
| Hamilton Construction | |||||
| 202 Mercury Circle | Pomona | CA | 91768 | Building Construction | $13,614,667 |
| Cerner Corporation | |||||
| 2800 Rockcreek Parkway | Kansas City | MO | 64117 | Integrated Clinical Information | $7,391,035 |
| Shiftwise Inc | |||||
| 1800 SW 1st Avenue Suite 510 | Portland | OR | 97201 | Nursing Registry | $4,274,151 |
| DVA Renal Healthcare | |||||
| PO Box 8500-1607 | Philadelphia | PA | 191781607 | Dialysis | $1,743,138 |
| MKH Testing & Inspection Inc | |||||
| 4195 Chino Hills Pkwy 169 | Chino Hills | CA | 91709 | Testing & Inspection Service | $1,731,910 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 57 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $10,000,000 | RelatedOrganizationsAmt |
| Government Grants | $0 | GovernmentGrantsAmt |
| All Other Contributions | $0 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $10,000,000 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Net Patient Service Revenue | 622110 | $314,644,045 | $314,644,045 | $0 | $0 |
| Rental Income - MOB | 531120 | $2,265,441 | $2,265,441 | $0 | $0 |
| Capitation Revenue | 622110 | $1,357,050 | $1,357,050 | $0 | $0 |
| Urgent Care | 621500 | $1,182,440 | $1,182,440 | $0 | $0 |
| Meaningful Use of E-Health Records | 622110 | $664,251 | $664,251 | $0 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $151,127 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $151,127 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $320,264,354 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,501,223 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $424,319 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,076,904 | 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 | $133,950,441 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $132,132,024 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,818,417 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,818,417 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,818,417 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rpt Fundraising Event | $0 | ContriRptFundraisingEventAmt |
| Gross Sales Of Inventory | $155,916 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $97,798 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $58,118 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $58,118 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Cafeteria | 722310 | $1,356,629 | $0 | $0 | $1,356,629 |
| Other Revenue | 622110 | $1,290,033 | $1,290,033 | $0 | $0 |
| Pharmacy at Casa Colina | 622110 | $1,706,370 | $0 | $1,706,370 | $0 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $155,666 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $155,666 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,508,698 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $343,150,810 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $321,558,926 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,281,816 | UnrelatedBusinessRevenueAmt |
| Exclusion | $9,310,068 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $189,973 | TotalAmt |
| Program Services | $189,973 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| 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 | $2,890,553 | TotalAmt |
| Program Services | $960,411 | ProgramServicesAmt |
| Management And General | $1,930,142 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,011,751 | TotalAmt |
| Program Services | $113,972,413 | ProgramServicesAmt |
| Management And General | $15,039,338 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,844,172 | TotalAmt |
| Program Services | $7,813,177 | ProgramServicesAmt |
| Management And General | $1,030,995 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,633,778 | TotalAmt |
| Program Services | $18,228,428 | ProgramServicesAmt |
| Management And General | $2,405,350 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,419,554 | TotalAmt |
| Program Services | $8,321,485 | ProgramServicesAmt |
| Management And General | $1,098,069 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,496,747 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $6,496,747 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $264,175 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $264,175 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,695 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $31,695 | 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 | $564,371 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $564,371 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,312,230 | TotalAmt |
| Program Services | $25,312,230 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,849,077 | TotalAmt |
| Management And General | $1,849,077 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,674,528 | TotalAmt |
| Program Services | $6,935,494 | ProgramServicesAmt |
| Management And General | $739,034 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,453,118 | TotalAmt |
| Program Services | $6,584,283 | ProgramServicesAmt |
| Management And General | $868,835 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,280,855 | TotalAmt |
| Program Services | $12,001,948 | ProgramServicesAmt |
| Management And General | $1,278,907 | 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 | $696,522 | TotalAmt |
| Program Services | $615,326 | ProgramServicesAmt |
| Management And General | $81,196 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $999,830 | TotalAmt |
| Program Services | $999,830 | 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 | $12,903,735 | TotalAmt |
| Program Services | $11,661,144 | ProgramServicesAmt |
| Management And General | $1,242,591 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,890,755 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $3,890,755 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Medical Supplies | $41,519,446 | $41,519,446 | $0 | $0 |
| Medi-Cal Fee Program | $16,860,657 | $16,860,657 | $0 | $0 |
| Drugs | $12,545,039 | $12,545,039 | $0 | $0 |
| Taxes and Licenses | $743,963 | $0 | $743,963 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,123,729 | TotalAmt |
| Program Services | $992,732 | ProgramServicesAmt |
| Management And General | $130,997 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $325,200,253 | TotalAmt |
| Program Services | $285,514,016 | ProgramServicesAmt |
| Management And General | $39,686,237 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,321 | BOYAmt |
| EOY | $9,843 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,336,105 | BOYAmt |
| EOY | $6,211,081 | 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 | $42,906,107 | BOYAmt |
| EOY | $45,462,348 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,342,042 | BOYAmt |
| EOY | $4,272,517 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,613,573 | BOYAmt |
| EOY | $8,066,544 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $358,071,526 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $80,989,293 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $248,527,897 | BOYAmt |
| EOY | $277,082,233 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $218,242,958 | BOYAmt |
| EOY | $200,645,021 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,893,296 | BOYAmt |
| EOY | $4,880,421 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,154,778 | BOYAmt |
| EOY | $60,309,380 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $596,025,077 | BOYAmt |
| EOY | $606,939,388 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,047,119 | BOYAmt |
| EOY | $51,887,126 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $115,191,773 | BOYAmt |
| EOY | $112,000,209 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,260,239 | BOYAmt |
| EOY | $57,782,008 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $219,499,131 | BOYAmt |
| EOY | $221,669,343 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $355,180,771 | BOYAmt |
| EOY | $375,611,218 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,302,984 | BOYAmt |
| EOY | $5,606,636 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,042,191 | BOYAmt |
| EOY | $4,052,191 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $376,525,946 | BOYAmt |
| EOY | $385,270,045 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $596,025,077 | BOYAmt |
| EOY | $606,939,388 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $17,950,557 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $3,154,387 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $28,810 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$12,389,655 | 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
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 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 | $31,695 | RalliesDemonstrationsAmt |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $31,695 | 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 | $4,042,191 | 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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,027,191 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $787,050 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $746,597 | OtherExpendituresAmt |
| Administrative Expenses | $40,453 | AdministrativeExpensesAmt |
| End Year Balance | $4,027,191 | 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 | $70,099,117 | OtherCostOrOtherBasisAmt |
| Depreciation | $31,130,979 | DepreciationAmt |
| Book Value | $38,968,138 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $4,208,444 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,472,557 | DepreciationAmt |
| Book Value | $2,735,887 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $72,926,046 | OtherCostOrOtherBasisAmt |
| Depreciation | $48,385,757 | DepreciationAmt |
| Book Value | $24,540,289 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $195,970,819 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $195,970,819 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $277,082,233 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (9 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Due from Affiliates | $4,556,925 |
| Amounts received under Third Party Reimbursement | $12,072,792 |
| Beneficial Interest in San Antonio Hospital Foundation | $35,376,255 |
| Deferred Compensation Plan Assets | $471,418 |
| Physician Recruitment Receivable | $1,322,557 |
| Malpractice Claims Receivable | $5,997,750 |
| Urgent Care Purchase | $361,970 |
| Purchase Option | $100,000 |
| Capital Lease | $49,713 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $60,309,380 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Pension Plan Liability | $39,066,826 |
| Insurance Claims | $13,633,047 |
| Physician Guarantee Liability | $1,082,135 |
| Other LT Liabilities | $4,000,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $57,782,008 | 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, 2016 OR 2015. 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 2013 THROUGH 2015 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 |
| Percent300 | Yes (X) | Percent300Ind |
| 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 | 0 | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,742,247 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,742,247 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0096 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $65,742,014 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $51,183,834 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,588,180 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0511 | 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 | $68,484,261 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $51,183,834 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,330,427 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0607 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 36 | ActivitiesOrProgramsCnt |
| Persons Served | 250868 | PersonsServedCnt |
| Total Community Benefit Expns | $1,723,005 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $74,993 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,648,012 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0058 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 7 | PersonsServedCnt |
| Total Community Benefit Expns | $163,500 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $163,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0006 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $188,899 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $188,899 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0007 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 210 | PersonsServedCnt |
| Total Community Benefit Expns | $97,880 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $97,880 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0003 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 45 | ActivitiesOrProgramsCnt |
| Persons Served | 251085 | PersonsServedCnt |
| Total Community Benefit Expns | $2,173,284 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $74,993 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,098,291 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0074 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 45 | ActivitiesOrProgramsCnt |
| Persons Served | 251085 | PersonsServedCnt |
| Total Community Benefit Expns | $70,657,545 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $51,258,827 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,428,718 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0681 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $14,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,000 | NetCommunityBenefitExpnsAmt |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $1,197 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,197 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $15,197 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,197 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $13,486,939 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,200,000 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $57,996,102 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $54,851,167 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $3,144,935 | 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 | 0.285 | OrgProfitOrOwnershipPct |
| Ofcr Etc Profit Or Ownership | 0 | OfcrEtcProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.715 | 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 |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | 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 | 16 | 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 | 300 | 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 |
| 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 (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 3-SAN ANTONIO REGIONAL HOSPITAL | 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 A COLLECTIVE LENS INCLUDING HEALTH OUTCOMES AND CLINICAL CARE COMPONENTS, BUT ALSO SOCIAL DETERMINANTS AND HEALTH INDICATORS FROM THE BUILT ENVIRONMENT. THE CHNA INCORPORATED THREE DISTINCT DATA METHODOLOGIES THAT, WHEN INTERPRETED TOGETHER, PROVIDED A DEEPLY RICH PICTURE OF THE HEALTH LANDSCAPE OF THE HOSPITALS' INDIVIDUAL COMMUNITIES, AS WELL AS THE REGION, AS A WHOLE. THE ASSESSMENT INCLUDED A PLETHORA OF HEALTH INDICATORS FROM MULTIPLE PRIMARY AND SECONDARY SOURCES, ALONG WITH A ROBUST QUALITY OF LIFE SURVEY AND TARGETED FOCUS GROUPS. THE DATA FROM THESE THREE SOURCES WERE AGGREGATED AND STRATIFIED ACROSS CATEGORIES AND SERVICE AREAS TO ALLOW TARGETED IDENTIFICATION OF UNIQUE CHALLENGES AND OPPORTUNITIES SURROUNDING HEALTH STATUS, QUALITY OF LIFE, AND RISK FACTORS. THE 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, INTEND TO USE THE CHNA AS A TOOL TO BEGIN COLLECTIVELY ADDRESSING THE IDENTIFIED HEALTH NEEDS OF THE REGION. |
| Schedule H, Part V, Section B, Line 5-SAN ANTONIO REGIONAL HOSPITAL | THE HOSPITAL CONDUCTED ITS COMMUNITY HEALTH NEEDS ASSESSMENT USING A REGIONAL APPROACH, WHICH 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, COMMUNITY VITAL SIGNS. 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 COMMUNITIES IN ADDRESSING THEIR MOST PRESSING HEALTH 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 EIGHT 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 QUALITY 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 OR 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 AMONG HIGHER NEED SEGMENTS OF THE HOSPITAL'S PRIMARY SERVICE AREA. FOCUS GROUPS WERE CONDUCTED WITH A RANGE OF GROUPS INCLUDING: CONSUMERS OF LOW-COST AND FREE SERVICES (MONOLINGUAL NON-ENGLISH-SPEAKING AND ENGLISH-SPEAKING), PARENTS, ELDERLY, AND PROFESSIONALS LEADING COMMUNITY-WIDE HEALTH INITIATIVES IN SARH'S SERVICE AREA. GENERAL HEALTH ISSUES FOR EACH GROUP OF PARTICIPANTS WERE USED TO CREATE A QUESTION OUTLINE SPECIFIC TO EACH GROUP. A THOROUGH EVALUATION AND SYNTHESIS OF THE RESULTS REVEALED SEVERAL MAJOR CONCERNS, WHICH FELL INTO FOUR PRIORITY AREAS: ACCESS TO HEALTHCARE, HEALTH LITERACY, HEALTH MANAGEMENT, AND A HEALTHY ENVIRONMENT. |
| 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 | THE MOST SIGNIFICANT NEEDS HAVE BEEN ADDRESSED THROUGH COMMUNITY INITIATIVES, SUCH AS THE KYN INTERVENTION. THIS INTERVENTION FOCUSES ON REDUCING OBESITY WITHIN ONE OF THE HIGHEST NEED COMMUNITIES IN SARH'S IMMEDIATE SERVICE AREA. WHILE OBESITY REDUCTION WAS A PRIMARY FOCUS, OTHER ISSUES ADDRESSED INCLUDED DIABETES, CARDIOVASCULAR DISEASE AND ACCESS TO HEALTHCARE SERVICES. ALTHOUGH SARH STRIVES TO MEET AS MANY NEEDS AS POSSIBLE, SOME SOLUTIONS REMAIN IN THE EARLY STAGES OF PROGRESS. THE 2013 TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT, MENTIONED TRANSPORTATION AS A NEED WITHIN THE COMMUNITY, SPECIFICALLY WITHIN THE SENIOR POPULATION. THIS WAS A STATED NEED IN 2015 AND CONTINUES TO BE A NEED IN 2016. THE SPECIFIC RECOMMENDATION WAS FOR IMPROVED ACCESS TO HOSPITALS AND PRIMARY CARE CENTERS. IN 2016, THE HOSPITAL DOES NOT YET HAVE THE CAPACITY TO ADDRESS TRANSPORTATION WITHIN THIS REGION; HOWEVER, SARH DOES PROVIDE VOUCHERS FOR TAXI AND PUBLIC TRANSPORTATION. THE HOSPITAL WILL CONTINUE TO PARTICIPATE IN LOCAL COALITIONS TO RAISE AWARENESS FOR ENHANCED TRANSPORTATION WITHIN THE SERVICE AREA. |
| Schedule H, Part V, Section B, Line 13h-SAN ANTONIO REGIONAL HOSPITAL | 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. ELIGIBLITY 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 | 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 | SAN ANTONIO REGIONAL HOSPITAL - WWW.SARH.ORG/ABOUT_US/COMMUNITY_OUTREACH/COMMUNITY-OUTREACH_PUBLICATIONS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 6 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| SARH 685 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 |
| SARH RSA BUILDING DIAGNOSTIC CENTER | ||||
| 7777 MILLIKEN AVE | RANCHO CUCAMONGA | CA | 91730 | LAB, RADIOLOGY, PHYSICAL THERAPY AND URGENT CARE SERVICES IN A FREESTANDING MEDICAL OFFICE BUILDING |
| SARH SIERRA SAN ANTONIO DIAGNOSTIC CENTER | ||||
| 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 (17 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. 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. ELIGIBLITY 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 I, Line 6a | SAN ANTONIO REGIONAL HOSPITAL PREPARED A COMMUNITY BENEFIT REPORT AS REQUIRED BY THE STATE OF CALIFORNIA. |
| 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 7b | THE CALIFORNIA HOSPITAL FEE PROGRAM RESULTED IN A NET BENEFIT TO SARH OF APPROXIMATELY $2,800,000 THAT REDUCED SARH'S MEDICAL SHORTFALL. |
| Schedule H, Part I, Line 7g | NONE OF THE COSTS ON THIS LINE WAS ATTRIBUTABLE TO A PHYSICIAN CLINIC. |
| Schedule H, Part II | SAN ANTONIO REGIONAL HOSPITAL PROVIDED SUPPORT TO TWO LOCAL COMMUNITY ORGANIZATIONS THAT SERVE THE COMMUNITIES SURROUNDING THE HOSPITAL. THESE ORGANIZATIONS WERE RECIPIENTS OF FINANCIAL CONTRIBUTIONS THAT WERE USED TO ENHANCE THE HEALTH OF THE COMMUNITY. THESE ORGANIZATIONS INCLUDED THE UPLAND YMCA AND THE BOY SCOUTS OF AMERICA-CALIFORNIA. BOTH OF THESE ORGANIZATIONS' SUPPORT A MISSION THAT PROVIDES THE COMMUNITY WITH OPPORTUNITIES TO PARTICIPATE IN HEALTH-RELATED ACTIVITIES AND PROGRAMS, AND TO PROMOTE HEALTHY EATING AND ACTIVE LIVING. THE COALITION BUILDING ACTIVITY REPRESENTS THE TIME SPENT BY THE HOSPITAL'S COMMUNITY HEALTH SPECIALIST WORKING DIRECTLY WITH COMMUNITY GROUPS TO PROVIDE HEALTH EDUCATION AND TECHNICAL ASSISTANCE TO SUPPORT EFFORTS THAT COMPLEMENT OBJECTIVES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THROUGH THESE PARTNERSHIPS, SARH IS ABLE TO WORK COLLABORATIVELY TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY THEY SERVE. |
| Schedule H, Part III, Section A, Line 2 | 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. |
| Schedule H, Part III, Section A, Line 3 | 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 A, Line 4 | THE FOOTNOTE FOR ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS APPEARS IN THE AUDITED FINANCIAL STATEMENTS ON PAGES 11-12. |
| Schedule H, Part III, Section B, Line 8 | SARH HAS NOT EXPERIENCED A MEDICARE SHORTFALL IN 2016. THE COST AND REIMBURSEMENT DATA WERE TAKEN DIRECTLY FROM SARH'S DECEMBER 31, 2016 MEDICARE COST REPORT. THE MEDICARE COST REPORT USES A STEP-DOWN COST ALLOCATION PROCESS AND THEN APPORTIONS CLINICAL DEPARTMENT COSTS ON A COST 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, HOWEVER, 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 DETAILED BELOW, 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, MARITAL STATUS, HOUSEHOLD/FAMILIES, ETHNICITY, LANGUAGE, EDUCATION, EMPLOYMENT, 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. WITH THIS IN MIND, 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 THE MAJORITY OF 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 THE MAJORITY OF SARH'S PLANNING EFFORTS. SARH'S PRIMARY SERVICE AREA IS COMPRISED OF THE CITIES OF CHINO, CLAREMONT, EASTVALE, FONTANA, MONTCLAIR, ONTARIO, RANCHO CUCAMONGA, AND UPLAND WITH A TOTAL ESTIMATED POPULATION OF 906,701, A MEDIAN AGE OF 33, A MEDIAN HOUSEHOLD INCOME OF $63,908, AND 2.8% HAVE INCOMES BELOW THE POVERTY GUIDELINE. IN THE POPULATION 25 YEARS OF AGE AND OLDER, 10.3% HAVE NOT GRADUATED HIGH SCHOOL, 24.2% HAVE A HIGH SCHOOL DIPLOMA, 24.8% HAVE SOME EDUCATION BEYOND HIGH SCHOOL, AND 22.1% HAVE A BACHELOR'S DEGREE OR HIGHER. THE POPULATION IS PREDOMINANTLY HISPANIC AT 55.5%, FOLLOWED BY CAUCASIANS AT 25.3%, ASIAN-AMERICANS AT 9.5%, AFRICAN-AMERICANS AT 6.9%, AND ALL OTHERS AT 2.8%. FURTHERMORE, 10.3% OF RESIDENTS WITHIN THE PRIMARY SERVICE AREA DO NOT HAVE HEALTH INSURANCE AND 17.3% RECEIVE THEIR HEALTHCARE BENEFITS THROUGH MEDI-CAL (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 362,587, A MEDIAN AGE OF 33, A MEDIAN HOUSEHOLD INCOME OF $61,351, AND 7.3% HAVE INCOMES BELOW THE POVERTY GUIDELINE. IN THE POPULATION 25 YEARS OF AGE AND OLDER, 12.8% HAVE NOT GRADUATED HIGH SCHOOL, 24.7% HAVE A HIGH SCHOOL DIPLOMA, 21.2% HAVE SOME EDUCATION BEYOND HIGH SCHOOL, AND 20.4% HAVE A BACHELOR'S DEGREE OR HIGHER. THE POPULATION IS PREDOMINATELY HISPANIC AT 59.9%, FOLLOWED BY CAUCASIANS AT 18.6%, ASIAN-AMERICANS AT 11.3%, AFRICAN-AMERICANS AT 7.7%, AND ALL OTHERS AT 2.5%. WITHIN THE SECONDARY SERVICE AREA, 12.1% OF RESIDENTS LACK HEALTH INSURANCE AND 20.2% ARE COVERED BY MEDI-CAL. OVERALL, 10.8% OF THE HOSPITAL'S PATIENTS ARE UNINSURED AND 18.2% ARE MEDI-CAL BENEFICIARIES. 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 PROGRAMS IN ITS SERVICE AREA INCLUDING HEALTHY CHINO, HEALTHY FONTANA, MONTCLAIR COMMUNITY COLLABORATIVE, HEALTHY ONTARIO, HEALTHY RANCHO CUCAMONGA, AND UPLAND 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, MONTCLAIR'S WE CARE (WEST END CHILDREN'S ACTIVITY RESOURCE COALITION) COMMITTEE, AND RANCHO CUCAMONGA EXECUTIVE, STEERING, SUB-COMMITTEES. THESE EFFORTS HAVE REAPED SUBSTANTIAL REWARDS, NOT ONLY IN COMMUNITY BUILDING, BUT ALSO IN IMPROVED HEALTH AND WELLNESS. FOR EXAMPLE, SARH HAS BEEN IN DISCUSSION WITH THE CITY OF UPLAND AS THEY UPDATE THEIR GENERAL PLAN. 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, THE KIDS COME FIRST COMMUNITY HEALTH CENTER WHICH PROVIDES MEDICAL CARE TO DISADVANTAGED CHILDREN, AND THE SAN ANTONIO REGIONAL HOSPITAL DENTAL CENTER WHICH PROVIDES CHILD DENTAL HEALTH FOR AT RISK CHILDREN WHO ARE UNABLE TO RECEIVE SERVICES OTHERWISE. |
| 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 |
|---|---|---|---|---|---|---|---|---|---|
| San Antonio Hospital Foundation | |||||||||
| 999 San Bernardino Road | Upland | CA | 91786 | 330042666 | 501c3 | $92,093 | $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 | $10,125 | $0 | Cash | Support programs of the American Heart Association |
| National Health Foundation | |||||||||
| 515 S Figueroa Street Suite 1300 | Los Angeles | CA | 90071 | 237314808 | 501c3 | $35,000 | $0 | Cash | Support programs of the National Health Foundation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | 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 FURTHURING POPULATION HEALTH. ALL ORGANIZATIONS CHOSEN HAVE DEMONSTRATED CONTINUOUS DEDICATION TO SERVING RESIDENTS IN SARH'S SERVICE AREA, WITH SPECIFIC FOCUSES ON THE PREVENTION OF CHRONIC DISEASE, THE PREVENTION OF TERMINAL DISEASE, AND UPSTREAM APPROACHES TO HEALTH IMPROVEMENT. FURTHERMORE, 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 | $546,624 | $0 | $133,534 | $0 | $50,172 | $0 | $69,628 | $0 | $34,396 | $0 | $834,354 | $0 | $44,838 | $0 |
| Wah-Chung Hsu | ||||||||||||||
| Vice President & CFO | $374,153 | $0 | $47,787 | $0 | $61,700 | $0 | $42,312 | $0 | $34,396 | $0 | $560,348 | $0 | $59,394 | $0 |
| Peter Aprato | ||||||||||||||
| Sr. VP Admin Serv & Compliance | $285,777 | $0 | $36,269 | $0 | $15,621 | $0 | $34,735 | $0 | $30,052 | $0 | $402,454 | $0 | $10,287 | $0 |
| David Batista | ||||||||||||||
| VP Strategic Development | $285,952 | $0 | $0 | $0 | $1,065 | $0 | $27,453 | $0 | $34,800 | $0 | $349,270 | $0 | $0 | $0 |
| Laura Escobar Kato | ||||||||||||||
| Vice President Human Resources | $201,622 | $0 | $29,390 | $0 | $2,913 | $0 | $25,292 | $0 | $30,898 | $0 | $290,115 | $0 | $0 | $0 |
| Gudrun Moll | ||||||||||||||
| VP & Chief Nursing Officer | $268,893 | $0 | $32,705 | $0 | $2,913 | $0 | $33,472 | $0 | $30,052 | $0 | $368,035 | $0 | $0 | $0 |
| Mike Tracey | ||||||||||||||
| President-Foundation | $228,646 | $0 | $19,377 | $0 | $7,576 | $0 | $28,204 | $0 | $34,229 | $0 | $318,032 | $0 | $4,729 | $0 |
| Saurabh Ashier | ||||||||||||||
| Manager of Cardiovascular Services | $215,512 | $0 | $2,500 | $0 | $220 | $0 | $4,768 | $0 | $9,579 | $0 | $232,579 | $0 | $0 | $0 |
| Kamal Pandya | ||||||||||||||
| Director Information Technology | $209,771 | $0 | $3,860 | $0 | $762 | $0 | $37,449 | $0 | $6,798 | $0 | $258,640 | $0 | $0 | $0 |
| Kenneth Saltgaver | ||||||||||||||
| Director Pharmacy | $199,505 | $0 | $3,990 | $0 | $1,186 | $0 | $70,263 | $0 | $11,860 | $0 | $286,804 | $0 | $0 | $0 |
| Lynn Hill | ||||||||||||||
| Administrative Director of Cardiac Services | $185,155 | $0 | $6,550 | $0 | $1,735 | $0 | $2,051 | $0 | $6,537 | $0 | $202,028 | $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 MANAGEMENT GROUP RECEIVED PAYMENTS AND THESE AMOUNTS ARE SHOWN ON SCH J, PART II, COL F. |
| Schedule J, Part II | EMPLOYEES HIRED PRIOR TO DECEMBER 31, 2005 ARE PARTICIPANTS IN THE HOSPITAL'S DEFINED BENEFIT PENSION PLAN. THE AMOUNT IN COLUMN C INCLUDES THE ESTIMATED INCREASE IN ACTUARIAL VALUE FOR THOSE EMPLOYEES WHO ARE PLAN PARTICIPANTS. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | City of Upland | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 956000805 | BondIssuerEIN |
| CUSIP | 915346FH8 | CUSIPNum |
| Bond Issued | 2011-01-27 | BondIssuedDt |
| Issue Price | $122,414,361 | IssuePriceAmt |
| Purpose | See attached statement | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $0 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $126,545,064 | TotalProceedsAmt |
| In Reserve Fund | $0 | InReserveFundAmt |
| Capitalized Interest | $0 | CapitalizedInterestAmt |
| Refunding Escrow | $14,667,046 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $1,865,015 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $0 | CreditEnhancementAmt |
| Working Capital Expenditures | $0 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $110,004,997 | CapitalExpendituresAmt |
| Other Spent Proceeds | $0 | OtherSpentProceedsAmt |
| Unspent | $0 | UnspentAmt |
| Substantial Completion | 2015 | SubstantialCompletionYr |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | Yes (1) | Form8038TFiledInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail (2 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 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 | THE MISSION OF SAN ANTONIO REGIONAL HOSPITAL IS TO IMPROVE THE OVERALL HEALTH OF OUR REGIONAL COMMUNITY BY OFFERING SERVICES THAT BOTH COMFORT AND CURE IN SETTINGS THAT INSPIRE CONFIDENCE AND IN A MANNER THAT EARNS THE TRUST OF OUR PATIENTS, OUR PHYSICIANS AND OUR EMPLOYEES. |
| Form 990, Part III | SAN ANTONIO REGIONAL HOSPITAL (SARH) WAS FOUNDED BY DR. WILLIAM HOWARD CRAIG IN 1907, JUST A YEAR AFTER THE CITY OF UPLAND WAS INCORPORATED. AS THE COMMUNITY SURROUNDING THE HOSPITAL GREW, IT BECAME APPARENT THAT LARGER, MORE MODERN FACILITIES WERE NEEDED. FRANCES MARY PAUL, THE WIDOW OF A LOCAL BANKER, SPEARHEADED THE EFFORT TO RAISE FUNDS TO BUILD A NEW HOSPITAL BY PERSONALLY DONATING $75,000. THE COMMUNITY RALLIED AND SUFFICIENT FUNDS WERE RAISED. THE HOSPITAL MOVED ON JULY 30, 1924, FROM ITS ORIGINAL LOCATION ON THE CORNER OF SAN ANTONIO AVENUE AND ARROW HIGHWAY, TO ITS PRESENT LOCATION ON SAN BERNARDINO ROAD. SARH HAS GROWN FROM ITS MODEST BEGINNING AS AN EIGHTEEN-BED HOSPITAL WITH FIVE PHYSICIANS AND LIMITED STAFF TO A REGIONAL MEDICAL FACILITY WITH 1,711 FULL TIME EQUIVALENT EMPLOYEES AND A MEDICAL STAFF OF OVER 500 PHYSICIANS. IN 2016 SARH FINISHED CONSTRUCTION OF THE LARGEST EXPANSION IN ITS 100-YEAR HISTORY, BRINGING THE TOTAL BED CAPACITY TO 363. IN ADDITION TO 92 PRIVATE ROOMS IN A NEW PATIENT TOWER, THE PROJECT REPLACED THE EMERGENCY DEPARTMENT AND EXPANDED CAPACITY FROM 34 TO 52 PRIVATE TREATMENT FOOMS, INCLUDING 3 MAJOR TREATMENT ROOMS WITH THE CAPABILITY OF HANDLING HIGHLY COMPLEX TRAUMA PATIENTS. THE NEW VINEYARD TOWER WILL ENABLE THE HOSPITAL TO MEET THE NEEDS OF THE GROWING POPULATION IN THE WEST END OF CALIFORNIA'S INLAND EMPIRE FOR MANY YEARS TO COME. LEADERSHIP - SARH IS GOVERNED BY A BOARD OF TRUSTEES, COMPRISED OF 16 MEMBERS OF THE COMMUNITY. THE HOSPITAL'S PRESIDENT AND CHIEF EXECUTIVE OFFICER, THE MEDICAL STAFF'S PRESIDENT-ELECT, PRESIDENT, AND IMMEDIATE PAST PRESIDENT ARE MEMBERS OF THE BOARD BY VIRTUE OF THEIR OFFICES. 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 33 PERCENT OF ITS MEMBERSHIP, SETS THE DIRECTION FOR THE HOSPITAL AND ITS COMMUNITY BENEFITS PROGRAM. THE EXECUTIVE MANAGEMENT GROUP DIRECTS THE HOSPITAL'S STRATEGIC PLANNING PROCESS AND ALLOCATES RESOURCES FOR COMMUNITY BENEFIT ACTIVITIES. THE EXECUTIVE MANAGEMENT GROUP IS COMPRISED OF THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, CHIEF NURSING OFFICER, VICE PRESIDENT OF ADMINSTRATIVE SERVICES AND COMPLIANCE, VICE PRESIDENT OF HUMAN RESOURCES, VICE PRESIDENT OF STRATEGIC DEVELOPMENT, VICE PRESIDENT OF BUSINESS DEVELOPMENT AND COMMUNITY OUTREACH, AND PRESIDENT OF THE HOSPITAL FOUNDATION. DEPARTMENT DIRECTORS ARE RESPONSIBLE FOR THE OPERATION AND MANAGEMENT OF THE INDIVIDUAL DEPARTMENTS. THE DIRECTORS ENCOURAGE EMPLOYEE PARTICIPATION IN COMMUNITY BENEFIT ACTIVITIES, AND IT IS THIS SUPPORT THAT ENSURES THE ULTIMATE SUCCESS OF THE SARH'S COMMUNITY OUTREACH PROGRAM. |
| Form 990, Part III (Cont. 1) | 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 OVERALL HEALTH OF OUR REGIONAL COMMUNITY BY OFFERING HEALTHCARE SERVICES THAT BOTH COMFORT AND CURE, IN SETTINGS THAT INSPIRE CONFIDENCE, AND IN A MANNER THAT EARNS THE TRUST OF OUR PATIENTS, OUR PHYSICIANS, AND OUR EMPLOYEES. OUR VISION IS TO USE OUR STRENGTHS TO ENHANCE OUR REPUTATION FOR EXCELLENCE IN QUALITY CARE, PATIENT EXPERIENCE, AND AN EXCEPTIONAL WORKING AND PRACTICE ENVIRONMENT. 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 REGIONAL COMMUNITY NEEDS. CARING FOR OUR COMMUNITY - COMMUNITY BENEFITS ARE MORE THAN JUST NUMBERS. THEY REPRESENT PEOPLE - PARENTS, CHILDREN, GRANDPARENTS AND WHO MAY BE BOTH DISADVANTAGED AND DISENFRANCHISED. SAN ANTONIO REGIONAL HOSPITAL GOES ABOVE AND BEYOND THE DELIVERY OF ESSENTIAL PATIENT CARE SERVICES TO ENSURE HEALTHIER CHILDREN, EARLY DETECTION OF DISEASE, AND ENHANCED ACCESS TO BASIC HEALTHCARE SERVICES. IT CAPTURES THE ESSENCE OF OUR PURPOSE: TO IMPROVE HEALTH AND MAKE THE COMMUNITY A BETTER PLACE TO WORK, GROW, AND PLAY. AS A REGIONAL HEALTHCARE PROVIDER, SARH 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, AS A WHOLE, MANY INDIVIDUALS AND FAMILIES ARE AT SIGNIFICANT RISK DURING A MEDICAL CRISIS. OFTEN THIS IS DUE TO AN INABILITY TO ACCESS HEALTH INSURANCE OR AS A RESULT OF INADEQUATE INSURANCE COVERAGE. THE HOSPITAL'S CHARITY CARE POLICY PROVIDES RELIEF TO THESE FAMILIES WHO WOULD OTHERWISE FACE MEDICAL BANKRUPTCY. DURING 2016, $2,742,247 (AT COST) 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 $14,558,180 IN UNREIMBURSED COSTS INCURRED IN PROVIDING CARE AND TREATMENT FOR MEDI-CAL PATIENTS, WHILE OTHER UNCOMPENSATED COSTS (BAD DEBTS) TOTALED $4,012,838 IN ACTUAL COSTS INCURRED FOR TREATING OTHER PATIENTS. IN ADDITION TO THIS DIRECT MEDICAL CARE, SARH REACHES OUT TO ITS COMMUNITY IN A VARIETY OF WAYS THAT GO WELL BEYOND THE TRADITIONAL CARE PROVIDED BY AN ACUTE CARE HOSPITAL. PLANNING - SARH CONDUCTS A FORMAL STRATEGIC PLANNING PROCESS INVOLVING SENIOR MANAGEMENT, THE BOARD, AND THE MEDICAL STAFF LEADERSHIP EVERY THREE YEARS WITH ANNUAL REVIEWS AND UPDATES. IN 2014, THE EXECUTIVE MANAGEMENT TEAM WORKED CLOSELY WITH SARH'S BOARD OF TRUSTEES AND MEDICAL STAFF TO DEVELOP A THREE-YEAR STRATEGIC PLAN FOR 2015 TO 2017, WHICH INCLUDES DETAILS OF STRATEGIC, OPERATIONAL, QUALITY AND SAFETY AND COMMUNITY BENEFIT INITIATIVES. IN ADDITION TO PROGRAMMATIC AND SERVICE ENHANCEMENT PROJECTS, THE STRATEGIC PLAN INCLUDES A FACILITIES MASTER PLAN, WHICH CALLS FOR THE RENOVATION AND EXPANSION OF THE HOSPITAL'S MAIN CAMPUS. |
| Form 990, Part III (Cont. 2) | 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 THERE ARE 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, HIGH GLUCOSE, AND SKIN CANCER. 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, AND COMMUNITY HEALTH FAIRS, AS WELL AS SEVERAL TARGETED HEALTH INITIATIVES. A FEW OF THESE PROGRAMS ARE HIGHLIGHTED HERE. |
| Form 990, Part III (Cont. 3) | 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. |
| Form 990, Part III (Cont. 4) | COMMUNITY HEALTH IMPROVEMENT PROGRAM (CHIP) - THE ESCALATING NUMBER OF PATIENTS WITH CHRONIC CONDITIONS AND THE IMPLEMENTATION OF THE AFFORDABLE CARE ACT ARE TWO PRINCIPAL REASONS SAN ANTONIO DEVELOPED AND IMPLEMENTED THE COMMUNITY HEALTH IMPROVEMENT PROGRAM (CHIP). THE CENTERS FOR DISEASE CONTROL HAS REPORTED THAT AS A NATION, 86% OF OUR HEALTH CARE DOLLARS GOES TO TREATMENT OF CHRONIC DISEASES. TO ADDRESS THESE PERSISTENT CONDITIONS AND THE ASSOCIATED BURGEONING HEALTHCARE COSTS, THE AFFORDABLE CARE ACT, AMONG OTHER THINGS, ENCOURAGES THE DEVELOPMENT OF NEW APPROACHES, SUCH AS THE FORMATION OF "MEDICAL HOMES" AND "ACCOUNTABLE CARE ORGANIZATIONS" (ACOS), IN THE BELIEF THAT THEY WILL IMPROVE HEALTHCARE QUALITY AND SLOW THE GROWTH OF HEALTHCARE SPENDING IN AMERICA. THE COMMUNITY HEALTH IMPROVEMENT PROGRAM IS ONE OF THE INITIATIVES SAN ANTONIO REGIONAL HOSPITAL 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 (CHIP), 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) AND WESTERN UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF GRADUATE NURSING. AFTER APPROPRIATE SCREENING, SELECTED STUDENTS PARTICIPATE IN A SEMINAR TAUGHT BY OUR INTERDISCIPLINARY TEAM OF HEALTHCARE PROFESSIONALS INCLUDING PHYSICIANS, NURSES, NUTRITIONISTS, SOCIAL WORKERS AND HOSPITAL ADMINISTRATORS. LICENSED PROFESSIONALS (RN AND MD) OVERSEE THE WORK OF THE STUDENT HEALTH COACHES; THE STUDENTS' SCOPE OF ACTIVITIES IS CONSISTENT WITH THEIR COMPETENCE, TRAINING AND DEMONSTRATED SKILLS PROVIDED THROUGH THE PROGRAM. ONCE TRAINED, STUDENT HEALTH COACHES ARE ASSIGNED TO 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 THAT IMPEDE EFFECTIVE RISK FACTOR MANAGEMENT AND PATIENT CARE. IN 2016, CHIP SUCCESSFULLY RECRUITED 51 STUDENT HEALTH COACHES, TOTALING 82 TO DATE. IN ADDITION THESE STUDENT HEALTH COACHES CARED FOR 110 PATIENTS, WHICH REPRESENTED A SIGNIFICANT INCREASE FROM 44 PATIENTS IN 2015. HEALTH AND HOT RODS - SARH'S ANNUAL MEN'S HEALTH EVENT AND CAR SHOW AIMS TO HEIGHTEN AWARENESS OF PREVENTABLE HEALTH PROBLEMS AND TO ENCOURAGE EARLY DETECTION AND TREATMENT OF DISEASE AMONG MEN. WITH THE OVERWHELMING RESPONSE AND SUPPORT FROM THE COMMUNITY, HEALTH AND HOT RODS HAS BECOME AN INCREASINLY POPULAR EVENT AMONG BOTH MEN AND WOMEN. WHILE THE CLASSIC CAR AND HOT ROD SHOW IS A BIG DRAW, ALL GUESTS ARE ENCOURAGED TO PARTICIPATE IN A BIOMETRIC SCREENING AND TO HEAR PHYSICIAN SPEAKERS SHARING IMPORTANT HEALTH AND DISEASE PREVENTATION INFORMATION. THE SCREENING INCLUDES HEIGHT, WEIGHT, WAIST, BMI, BLOOD PRESSURE, GLUCOSE AND CHOLESTEROL READINGS. AT THE COMPLETION OF THE SCREENING, GUESTS CAN SIT WITH A HEALTH COACH TO DISCUSS THEIR RESULTS AND CREATE A PLAN FOR NEXT STEPS, WHICH MAY INCLUDE FOLLOWING UP WITH A PHYSICIAN, CREATING A PLAN TO INCREASE PHYSICAL ACTIVITY AND MONITORING BLOOD PRESSURE. IN 2016, THE TOPICS INCLUDED THE IMPORTANCE OF REGULAR PHYSICIAN VISITS AND SCREENINGS, KEY HEART METRICS AND MARKERS FOR HEART DISEASE AND CANCERS IN MEN. SARH IS COMMITTED TO ENGAGING ALL PERSONS IN BEING CHAMPIONS FOR THEIR OWN HEALTH. WOMEN CARING FOR WOMEN - THERE ARE MANY WOMEN IN THE WEST END WHO FAIL TO ACCESS THE SERVICES THEY NEED MOST OFTEN DUE TO CIRCUMSTANCES BEYOND THEIR CONTROL. THE WOMEN CARING FOR WOMEN (WCW) PROGRAM PROVIDES A LIFELINE TO WOMEN IN NEED. THE GREATEST IMPEDIMENT TO OBTAINING APPROPRIATE BREAST CANCER TREATMENT IS THE LACK OF ADEQUATE HEALTH INSURANCE, AND IN TODAY'S CHALLENGING ECONOMIC ENVIRONMENT, THE NUMBER OF UNINSURED AND UNDER INSURED WHO LACK THE ABILITY TO PAY THEIR SHARE OF THE COST FOR BREAST CANCER SCREENING AND DIAGNOSTIC SERVICES IS GROWING AT AN ALARMING RATE. FUNDED THROUGH A PARTNERSHIP WITH SUSAN G. KOMEN INLAND EMPIRE, THIS PROGRAM IS RESPONDING TO A SIGNIFICANT COMMUNITY NEED IN THE HOSPITAL'S SERVICE AREA. WOMEN, PARTICULARLY WOMEN WHO MAY BE UNABLE TO QUALIFY FOR COUNTY FUNDED PROGRAMS, CAN NOW TURN TO WOMEN CARING FOR WOMEN TO RECEIVE CRITICAL DIAGNOSTIC SERVICES THAT WILL EITHER RULE OUT CANCER OR PROVIDE THE DIAGNOSIS NEEDED TO ACCESS SAFETY NET PROGRAMS THROUGH THE COUNTY. BREAST CANCER DOES NOT DISCRIMINATE AGAINST AGE, RACE, OR GENDER. IN ADDITION TO SERVICES PROVIDED THROUGH THE WOMEN'S CENTER, SARH'S CANCER EDUCATION AND RESOURCE CENTER OFFERS A WIDE VARIETY OF CANCER SURVIVORSHIP, SUPPORT GROUPS, AND RESOURCES FOR CANCER PATIENTS AND THEIR FAMILIES. CLASSES AND SUPPORT GROUPS INCLUDE NUTRITIONAL CARE, EXERCISE, PILATES, CAREGIVER SUPPORT AND PATIENT SUPPORT. AN ON SITE SALON PROVIDES FREE WIGS AND HOSTS THE AMERICAN CANCER SOCIETY'S LOOK GOOD FEEL BETTER PROGRAM. THE SAN ANTONIO HOSPITAL FOUNDATION HAS COLLABORATED WITH A NUMBER OF LOCAL COMMUNITY PARTNERS TO PROVIDE FREE MAMMOGRAM SCREENING FOR VULNERABLE, AT RISK WOMEN WHO ARE UNINSURED, UNDER INSURED AND LACK THE FINANCIAL RESOURCES TO ACCESS THIS CRITICALLY IMPORTANT PREVENTIVE HEALTH SERVICE. SARH IS COMMITTED TO MEETING THE NEEDS OF WOMEN FACING BREAST CANCER SO THEY CAN RECEIVE THE CARE AND TREATMENT THEY NEED IN AN ENVIRONMENT THAT SUPPORTS THEIR UNIQUE NEEDS THROUGH DIAGNOSIS, TREATMENT AND RECOVERY. |
| Form 990, Part III (Cont. 5) | GENERATIONS AHEAD - OLDER ADULTS WHO REMAIN PHYSICALLY ACTIVE AND PURSUE HEALTHY LIFESTYLES ARE FINDING THAT VITALITY, RATHER THAN DISABILITY, IS DEFINING THEIR CONCEPT OF FUTURE HEALTH STATUS. THE GROWING NEEDS OF SENIORS SPURRED THE DEVELOPMENT OF A MEMBERSHIP PROGRAM CREATED TO AUGMENT TRADITIONAL GERIATRIC SERVICES. GENERATIONS AHEAD HAS BEEN DESIGNED TO MEET THE SPECIAL HEALTH AND EDUCATIONAL NEEDS OF SENIORS THROUGH TARGETED SERVICES AND PROGRAMS. THE HOSPITAL HAS COLLABORATED WITH PHYSICIANS TO PROVIDE PRESENTATIONS THAT ADDRESS SENIOR HEALTH ISSUES, WHICH INCLUDE OSTEOPOROSIS, DIABETES, STROKE PREVENTION AND MORE. IN ADDITION TO PHYSICIAN PARTNERSHIPS, OTHER ORGANIZATIONS IN THE COMMUNITY SUCH AS SENIOR CENTERS AND LOCAL NON PROFITS HAVE SHOWN THEIR SUPPORT BY ENCOURAGING THEIR SENIOR POPULATION TO BE PARTICIPANTS IN GENERATIONS AHEAD. THE PROGRAM HAS OVER 500 MEMBERS AND CONTINUES TO GROW. SERVICES PROVIDED THROUGH GENERATIONS AHEAD INCLUDE FREE SCREENINGS, DISCOUNTS IN THE CAFÉ AND GIFT SHOP AT THE HOSPITAL AND MORE. GENERATIONS AHEAD IS DIRECTED BY A THREE MEMBER TEAM THAT PLANS AND COORDINATES THE MONTHLY LECTURES. DOLORES SIMMONS, AUXILIARY BOARD MEMBER AND SOCIAL COORDINATOR FOR GENERATIONS AHEAD, SAID "THIS PROGRAM HAS BEEN WELL RECEIVED BECAUSE IT AFFIRMS THE HOSPITAL'S DEDICATION TO PROVIDING SERVICES FOR OLDER ADULTS AND PROVIDES THEM WITH AN OUTLET TO GAIN NEW KNOWLEDGE AND RESOURCES. THE TOPICS HAVE ALL BEEN VERY INTERESTING AND TIMELY, ESPECIALLY THE MEDICARE SERIES. SENIORS VALUED THE OPPORTUNITY TO LEARN MORE AND TO GAIN AN UNDERSTAING ABOUT WHERE THEY CAN TURN FOR ASISTANCE." THE HOSPITAL BELIEVES IN PROMOTING THE INDEPENDENCE SENIORS DESIRE, WHILE OFFERING THE ASSISTANCE THEY NEED. GENERATIONS AHEAD OFFERS A SEAMLESS ARRAY OF PROGRAMS FOR THIS POPULATION AND CONTINUES TO EXPAND TO MEET THE DIVERSE NEEDS OF THE POLUATION BEING SERVED. KNOW YOUR NUMBERS PROGRAM (KYN) - IN FEBRUARY 2015, SARH IN COLLABORATION WITH LOMA LINDA UNIVERSITY MASTERS OF PUBLIC HEALTH STUDENTS, INITIATED THE KNOW YOUR NUMBERS PROGRAM IN ONTARIO, CALIFORNIA. THE GOAL OF THE PROGRAM IS TO REDUCE CHRONIC DISEASE INCIDENCE IN IMPOVERISHED, UNINSURED AND UNDERINSURED POPULATIONS THROUGH SCREENING AND EDUCATION. KYN IS A FREE PROGRAM WHICH PROVIDES BLOOD PRESSURE, BODY MASS INDEX, BLOOD GLUCOSE AND BLOOD CHOLESTERAL SCREENING AMONG THE LOW-INCOME POPULATION LIVING IN SURROUNDING COMMUNITIES. THE KYN PROGRAM IS A SELF-MANAGEMENT AND HEALTH EDUCATION PROGRAM DESIGNED AROUND THE HEALTH BELIEF MODEL THAT ASSUMES HEALTH-RELATED ACTIONS DEPEND ON A PARTICIPANT'S BELIEF HE/SHE IS SUSCECEPTIBLE TO SIGNIFICANT HEALTH ISSUES WHICH IMPROVE UPON A PRESCRIBED HEALTH RECOMMENDATION. PARTICIPANTS CONSULT WITH A REGISTERED NURSE (RN) FOLLOWING THE SCREENING TO LEARN ABOUT THEIR OWN NUMBERS AND THE IMPACTS THESE NUMBERS HAVE ON HEALTH. 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 WHICH AID IN IMPROVING HEALTH. 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 INITIAL 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 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 IS TO FOSTER AND EXPAND MEANINGFUL PARTNERSHIPS AMONG HOSPITALS, COMMUNITY-BASED ORGANIZATIONS AND LOCAL PUBLIC HEALTH DEPARTMENTS TO CREATE BOLD, UPSTREAM, INNOVATIVE, LOCAL AND DATA-DRIVEN SOLUTIONS TO ADDRESS THE COMPLEX PROBLEMS THAT INFLUENCE THE HEALTH OF LOCAL RESIDENTS. HOI'S GOAL IS TO REDUCE OBESITY AND ITS ASSOCIATED HEALTH IMPACT ON VULNERABLE POPULATIONS. SARH'S KYN PROGRAM SERVED A KEY ROLE IN ENGAGING THE COMMUNITY IN UNDERSTANDING HEALTH ISSUES AND HEALTHCARE ACCESS AND IN EMPOWERING PARTICIPANTS TO TAKE AN ACTIVE ROLE IN IMPROVING HEALTH STATUS INDIVIDUALLY AND ACROSS THE COMMUNITY. THROUGH THE EXPANSION UNDER BUILD, KYN HAS INCREASED THE NUMBER OF PARTICIPANTS FROM 50 TO 345. THE RETENTION RATE FOR THIS PROGRAM IN 2016 WAS 38.5% WITH 133 PARTICIPANTS WHO RETURNED FOR TWO OR MORE SCREENINGS WITHIN THE LAST 180 DAYS. OF THE 2016 PARTICIPANT POPULATION, THE FOLLOWING HEALTH INDICATORS WERE IMPROVED UPON: BODY MASS INDEX (BMI): 21% IMPROVEMENT RATE AMONG TOTAL POPULATION; TOTAL CHOLESTEROL (TC): 17.4% IMPROVEMENT AMONG TOTAL POPULATION; HIGH DENSITY LIPOPROTEIN (HDL): 27.2% IMPROVEMENT AMONG TOTAL POPULATION; TRIGLYCERIDES (TRG): 20.6% IMPROVEMENT AMONG TOTAL POPULATION; LOW DENSITY LIPOPROTEINS (LDL): 15.6% IMPROVEMENT AMONG TOTAL POPULATION; SYSTOLIC BLOOD PRESSURE (SYS): 24.1% IMPROVEMENT AMONG TOTAL POPULATION; DIASTOLIC BLOOD PRESSURE (DIA): 14.2% IMPROVEMENT AMONG TOTAL POPULATION; WAIST CIRCUMFERENCE: 39.1% IMPROVEMENT IN TOTAL CASE MANAGEMENT POPULATION; STEPS TAKEN: 20.3% INCREASE IN REPORTING ANY NUMBER OF STEPS TAKEN AMONG RETURNING PARTICIPANTS; READINESS TO CHANGE: 73.1% OF RESPONDENTS INDICATED A SIGNIFICANT (SCORE OF 4 OR GREATER) WILLINGNESS TO MAKE LIFESTYLE IMPROVEMENTS. |
| Form 990, Part III (Cont. 6) | FACILITY EXPANSION - THE EXPANSION COMPLETED IN THE FALL OF 2016 (OPENED IN JANUARY 2017) INCLUDES NEW MEDICAL/SURGICAL, TELEMETRY, AND INTENSIVE CARE BEDS AND A NEW EMERGENCY DEPARTMENT WITH 52 PRIVATE TREATMENT ROOMS. THESE ADDITIONS WERE ESSENTIAL TO ACCOMMODATE THE GROWING NEEDS OF SARH'S SERVICE AREA; HOWEVER, THE TREMENDOUS GROWTH EXPERIENCED IN SARH'S EMERGENCY DEPARTMENT SERVICES WAS A KEY DRIVER OF THE EXPANSION. WHEN THE FORMER EMERGENCY DEPARTMENT WAS BUILT IN 1975, IT WAS CONSTRUCTED TO ACCOMMODATE APPROXIMATELY 30,000 PATIENT VISITS PER YEAR. IN FISCAL YEAR 2016, SARH'S EMERGENCY DEPARTMENT HAD 75,278 VISITS. IN ADDITION TO POPULATION GROWTH IN SARH'S SERVICE AREA, THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS TREATED IN THE EMERGENCY DEPARTMENT HAS CONTINUED TO RISE, CREATING ADDITIONAL STRESS ON THE ALREADY OVERBURDENED EXISTING FACILITIES. THE PRIMARY STRUCTURE IN THE ADDITION TO SARH'S FACILITIES IS A FOUR-STORY PATIENT CARE TOWER ON THE EAST SIDE OF THE HOSPITAL CAMPUS IMMEDIATELY ADJACENT TO THE EXISTING PATIENT TOWER AND ANCILLARY SERVICE DEPARTMENTS. THE FOUR-STORY TOWER INCLUDES THE 52-BED REPLACEMENT EMERGENCY DEPARTMENT, INCLUDING COMPUTERIZED TOMOGRAPHY ("CT") SCANNING AND OTHER RADIOLOGY CAPABILITIES, 80 PRIVATE MEDICAL/SURGICAL AND TELEMETRY ROOMS, 12 INTENSIVE CARE ROOMS, A NEW MAIN LOBBY, 33,470 SQUARE FEET OF SHELLED SPACE ON THE FIRST FLOOR, AND SITE IMPROVEMENTS INCLUDING PARKING AND LANDSCAPING. ENERGY PLANT AND SITE UTILITIES - THE ADDITION OF THE NEW FOUR-STORY PATIENT CARE TOWER REQUIRED CONSTRUCTION OF A CONVENTIONAL ENERGY PLANT TO SUPPLEMENT EXISTING CO-GENERATION CAPACITY. THE NEW ENERGY PLANT IS NEAR THE EXISTING ENERGY PLANT IN A LOCATION CONSISTENT WITH APPROPRIATE ENVIRONMENTAL STANDARDS. THE SITE UTILITIES PROJECT CONNECTS THE NEW ENERGY PLANT WITH THE NEW FOUR-STORY PATIENT CARE TOWER. |
| 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 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 330 INPATIENT AND 270 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 | 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 XI, Line 9 | OTHER CHANGES IN NET ASSETS INCLUDES THE CHANGE IN THE ADDITIONAL MINIMUM PENSION LIABILITY OF ($4,983,968), CHANGE IN TEMPORARILY RESTRICTED AND PERMANENTLY RESTRICTED NET ASSETS OF ($11,686,347) AND CHANGE IN BENEFICIAL INTEREST IN SAN ANTONIO REGIONAL FOUNDATION OF $4,280,660. |
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 | $75,523 | TotalIncomeAmt |
| End Of Year Assets | $4,348,709 | 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 | $850,467 | $11,254,766 | 1 | Yes (1) |
| FMP Holding Inc | ||||||||||||
| San Bernardino Road | Upland | CA | 91786 | 815066476 | Holding company | CA | SARH | C | -$13,767 | $320,000 | 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 | Yes (1) | 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 | $92,093 | Cash |
| San Antonio Hospital Foundation Inc | ||
| c | $10,000,000 | Cash |
| San Antonio Community Hospital Health Care Plan | ||
| r | $15,840,515 | Cash |
| Cucamonga Health Services | ||
| j | $103,016 | Cash |