SAN ANTONIO REGIONAL HOSPITAL: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: SAN ANTONIO REGIONAL HOSPITAL (EIN 95-1183919)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-14
IRS object ID: 201603209349311380
Schema version: 2015v2.1
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule 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	2016-11-14T15:58:56-07:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Ernst & Young US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	18101 Von Karman Avenue Suite 1700	AddressLine1Txt
City	Irvine	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92612	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	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	2016-11-15	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	9494370205	PhoneNum
Preparation	2016-11-14	PreparationDt

Field	Value	IRS element (for citing)
Tax	2015	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	Same as C above	AddressLine1Txt
City	Upland	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	917864920	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$472,404,194	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	14	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	2304	TotalEmployeeCnt
Total Volunteers	303	TotalVolunteersCnt
Total Gross UBI	$1,640,514	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$390,789	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$287,934,185	PYProgramServiceRevenueAmt
CY Program Service Revenue	$292,896,524	CYProgramServiceRevenueAmt
PY Investment Income	$7,846,669	PYInvestmentIncomeAmt
CY Investment Income	$7,680,297	CYInvestmentIncomeAmt
PY Other Revenue	$7,204,104	PYOtherRevenueAmt
CY Other Revenue	$5,599,848	CYOtherRevenueAmt
PY Total Revenue	$302,984,958	PYTotalRevenueAmt
CY Total Revenue	$306,176,669	CYTotalRevenueAmt
PY Grants And Similar Paid	$74,500	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$90,093	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$149,588,317	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$158,102,194	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$132,829,860	PYOtherExpensesAmt
CY Other Expenses	$137,666,859	CYOtherExpensesAmt
PY Total Expenses	$282,492,677	PYTotalExpensesAmt
CY Total Expenses	$295,859,146	CYTotalExpensesAmt
PY Revenues Less Expenses	$20,492,281	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$10,317,523	CYRevenuesLessExpensesAmt
Total Assets BOY	$602,793,522	TotalAssetsBOYAmt
Total Assets EOY	$596,025,077	TotalAssetsEOYAmt
Total Liabilities BOY	$229,911,561	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$219,499,131	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$372,881,961	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$376,525,946	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	$263,795,558	ExpenseAmt
Grant	$90,093	GrantAmt
Revenue	$295,691,817	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	$263,795,558	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	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	422	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2304	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	14	GoverningBodyVotingMembersCnt
Independent Voting Member	10	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	0	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 (24 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)	$137	$0	$0
Robert Armada DO
Trustee	4	0	Yes (X)		$35,250	$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)	$860,605	$0	$101,484
Thomas Ritchie
Trustee/Chairman	4	1	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)		$33,000	$0	$0
Steven Spears
Trustee	4	0	Yes (X)		$0	$0	$0
Carlos Vigil MD
Trustee/Medical Staff President	4	0	Yes (X)		$22,335	$0	$0
Wah-Chung Hsu
Vice President & CFO	40	5		Yes (X)	$454,452	$0	$75,818
Lynn Kelly
Vice President Human Resources-Left April 2015	40	0			$150,755	$0	$9,590	Yes (X)
Peter Aprato
Sr. VP Admin Serv & Compliance	40	0			$352,898	$0	$65,427	Yes (X)
Laura Escobar Kato
Vice President Human Resources-from Apr 2015	40	0			$166,160	$0	$40,226	Yes (X)
Gudrun Moll
VP & Chief Nursing Officer	40	0			$242,976	$0	$56,202	Yes (X)
Ronald Nowosad
Director Chronic Care Program & Clinic Operations	40	0			$186,240	$0	$20,790		Yes (X)
Kenneth Saltgaver
Director Pharmacy	40	0			$198,906	$0	$37,302		Yes (X)
Kamal Pandya
Director Information Technology	40	0			$182,503	$0	$14,846		Yes (X)
Lynn Hill
Administrative Director of Cardiac Services	40	0			$176,498	$0	$25,972		Yes (X)
Mike Tracey
President-Foundation	40	0			$252,392	$0	$61,986		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,315,107	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$509,643	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	256	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
HBE Corporation
11330 Olive Blvd	St Louis	MO	64117	Design Build Firm	$7,517,573
Hamilton Construction
202 Mercury Circle	Pomona	CA	91768	Building Construction	$2,319,462
Cerner Corporation
2800 Rockcreek Parkway	Kansas City	MO	64117	Integrated Clinical Information	$1,985,801
MKH Testing & Inspection Inc
4195 Chino Hills Parkway 169	Chino Hills	CA	91709	Testing & inspection service	$1,443,944
DVA Renal Healthcare
PO Box 8500-16078	Philadelphia	PA	191781607	Dialysis	$1,224,511

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	71	CntrctRcvdGreaterThan100KCnt
Total Contributions	$0	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Net Patient Service Revenue	622110	$289,993,354	$289,993,354	$0	$0
Rental Income - MOB	531120	$1,631,999	$1,631,999	$0	$0
Capitation Revenue	622110	$486,052	$486,052	$0	$0
Urgent Care	621500	$726,516	$726,516	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$58,603	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$58,603	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$292,896,524	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,429,282	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$6,429,282	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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$167,067,891	SecuritiesAmt
Other	$311,352	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$165,773,191	SecuritiesAmt
Other	$355,037	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,294,700	SecuritiesAmt
Other	-$43,685	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,251,015	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,251,015	ExclusionAmt

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$154,902	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$99,297	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$55,605	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$55,605	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Deferred Revenue-Construction	622110	$622,666	$622,666	$0	$0
Cafeteria	722310	$1,167,039	$0	$0	$1,167,039
Other Revenue	622110	$729,053	$729,053	$0	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,025,485	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,443,574	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,581,911	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$5,544,243	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$306,176,669	TotalRevenueColumnAmt
Related Or Exempt Func Income	$295,633,214	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,640,514	UnrelatedBusinessRevenueAmt
Exclusion	$8,902,941	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$90,093	TotalAmt
Program Services	$90,093	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,667,314	TotalAmt
Program Services	$822,694	ProgramServicesAmt
Management And General	$1,844,620	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$120,702,417	TotalAmt
Program Services	$107,594,978	ProgramServicesAmt
Management And General	$13,107,439	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,998,050	TotalAmt
Program Services	$6,238,111	ProgramServicesAmt
Management And General	$759,939	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$18,905,895	TotalAmt
Program Services	$16,852,847	ProgramServicesAmt
Management And General	$2,053,048	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,828,518	TotalAmt
Program Services	$7,869,803	ProgramServicesAmt
Management And General	$958,715	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,189,894	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,189,894	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$327,159	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$327,159	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$191,916	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$191,916	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	$531,390	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$531,390	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$20,751,861	TotalAmt
Program Services	$20,751,861	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,411,059	TotalAmt
Management And General	$1,411,059	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,395,713	TotalAmt
Program Services	$6,683,528	ProgramServicesAmt
Management And General	$712,185	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$6,794,020	TotalAmt
Program Services	$6,056,237	ProgramServicesAmt
Management And General	$737,783	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$11,985,482	TotalAmt
Program Services	$10,831,316	ProgramServicesAmt
Management And General	$1,154,166	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	$329,235	TotalAmt
Program Services	$293,482	ProgramServicesAmt
Management And General	$35,753	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$980,664	TotalAmt
Program Services	$980,664	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	$12,842,371	TotalAmt
Program Services	$11,605,689	ProgramServicesAmt
Management And General	$1,236,682	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,286,202	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$5,286,202	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical Supplies	$42,225,705	$42,225,705	$0	$0
Medi-Cal Fee Program	$13,581,868	$13,581,868	$0	$0
Drugs	$9,818,844	$9,818,844	$0	$0
Taxes and Licenses	$343,168	$0	$343,168	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,680,308	TotalAmt
Program Services	$1,497,838	ProgramServicesAmt
Management And General	$182,470	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$295,859,146	TotalAmt
Program Services	$263,795,558	ProgramServicesAmt
Management And General	$32,063,588	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$13,712	BOYAmt
EOY	$8,321	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$22,510,500	BOYAmt
EOY	$4,336,105	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$38,712,930	BOYAmt
EOY	$42,906,107	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,142,238	BOYAmt
EOY	$4,342,042	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$8,550,447	BOYAmt
EOY	$5,613,573	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$497,850,281	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$249,322,384	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$237,590,260	BOYAmt
EOY	$248,527,897	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$222,843,901	BOYAmt
EOY	$218,242,958	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$4,798,943	BOYAmt
EOY	$4,893,296	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$63,630,591	BOYAmt
EOY	$67,154,778	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$602,793,522	BOYAmt
EOY	$596,025,077	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$54,405,975	BOYAmt
EOY	$55,047,119	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$117,069,536	BOYAmt
EOY	$115,191,773	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$58,436,050	BOYAmt
EOY	$49,260,239	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$229,911,561	BOYAmt
EOY	$219,499,131	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$353,487,893	BOYAmt
EOY	$355,180,771	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$15,356,877	BOYAmt
EOY	$17,302,984	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,037,191	BOYAmt
EOY	$4,042,191	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$372,881,961	BOYAmt
EOY	$376,525,946	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$602,793,522	BOYAmt
EOY	$596,025,077	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$10,317,523	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$7,897,362	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$1,223,824	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 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	$191,916	RalliesDemonstrationsAmt
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$191,916	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. ADDITIONALLY, ALL MEMBERS OF THE CALIFORNIA HOSPITAL ASSOCIATION WERE REQUIRED TO PAY AN ASSESSMENT TO FUND THE LABOR MANAGEMENT COOPERATION ACT COMMITTEE, WHICH WAS $148,710 IN 2015.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,017,691	BeginningYearBalanceAmt
Contributions	$9,500	ContributionsAmt
Investment Earnings Or Losses	$32,936	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	-$5,194	OtherExpendituresAmt
Administrative Expenses	$38,130	AdministrativeExpensesAmt
End Year Balance	$4,027,191	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00	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	$14,935,977	OtherCostOrOtherBasisAmt
Book Value	$14,935,977	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$154,024,343	OtherCostOrOtherBasisAmt
Depreciation	$112,482,468	DepreciationAmt
Book Value	$41,541,875	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$4,068,032	OtherCostOrOtherBasisAmt
Depreciation	$1,538,297	DepreciationAmt
Book Value	$2,529,735	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$162,180,610	OtherCostOrOtherBasisAmt
Depreciation	$135,301,619	DepreciationAmt
Book Value	$26,878,991	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$162,641,319	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$162,641,319	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$248,527,897	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt
Due from Affiliates	$11,149,447
Amounts received under Third Party Reimbursement	$5,185,932
Deferred Financing Costs	$1,320,698
Beneficial Interest in San Antonio Hospital Foundation	$41,753,702
Deferred Compensation Plan Assets	$327,526
Physician Recruitment Receivable	$407,038
Malpractice Claims Receivable	$6,538,500
Urgent Care Purchase	$471,935

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$67,154,778	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Pension Plan Liability	$35,548,539
Insurance Claims	$13,375,520
Physician Guarantee Liability	$336,180

Field	Value	IRS element (for citing)
Total Liability	$49,260,239	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, 2015 OR 2014. 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 2012 THROUGH 2014 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	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,100,872	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,100,872	NetCommunityBenefitExpnsAmt
Total Expense	0.0172	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$55,773,238	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$42,130,681	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,642,557	NetCommunityBenefitExpnsAmt
Total Expense	0.0461	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	$60,874,110	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$42,130,681	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,743,429	NetCommunityBenefitExpnsAmt
Total Expense	0.0633	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	39	ActivitiesOrProgramsCnt
Persons Served	200519	PersonsServedCnt
Total Community Benefit Expns	$838,099	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$77,555	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$760,544	NetCommunityBenefitExpnsAmt
Total Expense	0.0026	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	71	PersonsServedCnt
Total Community Benefit Expns	$146,115	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,335	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$135,780	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$15,093	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,093	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	44	ActivitiesOrProgramsCnt
Persons Served	200590	PersonsServedCnt
Total Community Benefit Expns	$999,307	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$87,890	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$911,417	NetCommunityBenefitExpnsAmt
Total Expense	0.0032	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	44	ActivitiesOrProgramsCnt
Persons Served	200590	PersonsServedCnt
Total Community Benefit Expns	$61,873,417	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$42,218,571	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,654,846	NetCommunityBenefitExpnsAmt
Total Expense	0.0665	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	80	PersonsServedCnt
Total Community Benefit Expns	$1,026	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,026	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$792	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$792	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	80	PersonsServedCnt
Total Community Benefit Expns	$1,818	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,818	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$0	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$55,861,398	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$53,315,999	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$2,545,399	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	0.29	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.67	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
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	14	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	14	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 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
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	0	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	0	NondisEmergencyCarePolicyInd
No Emergency Care Policy	Yes (X)	NoEmergencyCarePolicyInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5-SAN ANTONIO REGIONAL HOSPITAL	THE HOSPITAL CONDUCTED ITS COMMUNITY HEALTH NEEDS ASSESSMENT AND WELCOMED THE PARTICIPATION OF AND INPUT FROM OUR COMMUNITY MEMBERS. TO SUCCESSFULLY GATHER ROBUST PRIMARY DATA, NUMEROUS DEMOGRAPHIC GROUPS WERE PROVIDED AN ONLINE SURVEY AND DIVERSE SETS OF FOCUS GROUPS AND KEY INFORMANT INTERVIEWS WERE CONDUCTED. THE COMMUNITY GROUPS SELECTED INCLUDED SENIORS, FAMILY PROGRAMS FOR PARENTS AND CHILDREN IN AT-RISK AREAS, FORMER PATIENTS, PUBLIC HEALTH PROFESSIONALS, AND CIVIC LEADERS. SARH'S TEAM ENDEAVORED TO GAIN A BETTER UNDERSTANDING OF THE CURRENT CONCERNS AND INTERESTS AMONG HIGHER NEED SEGMENTS OF THE HOSPITAL'S PRIMARY SERVICE AREA. FOCUS GROUPS WERE CONDUCTED WITH A RANGE OF GROUPS INCLUDING: CONSUMERS OF LOW-COST AND FREE SERVICES (MONOLINGUAL NON-ENGLISH-SPEAKING AND ENGLISH-SPEAKING), PARENTS, ELDERLY, AND PROFESSIONALS LEADING COMMUNITY-WIDE HEALTH INITIATIVES IN SARH'S SERVICE AREA. GENERAL HEALTH ISSUES FOR EACH GROUP OF PARTICIPANTS WERE USED TO CREATE A QUESTION OUTLINE SPECIFIC TO EACH GROUP. A THOROUGH EVALUATION AND SYNTHESIS OF THE RESULTS REVEALED A NUMBER OF MAJOR CONCERNS, WHICH FELL INTO FOUR PRIORITY AREAS: ACCESS TO HEALTHCARE, HEALTH LITERACY, HEALTH MANAGEMENT, AND A HEALTHY ENVIRONMENT. ADDITIONAL INFORMATION REGARDING HOW AND WHEN INPUT FROM THE PUBLIC WAS OBTAINED: THE 2013 CHNA PLANNING AND PREPARATION BEGAN IN OCTOBER 2012 WITH THE FINAL DOCUMENT BEING COMPLETED AND SUBMITTED FOR APPROVAL ON OCTOBER 8, 2013. THERE WERE A TOTAL OF FOUR FOCUS GROUPS CONDUCTED, FOURTEEN KEY INFORMANT INTERVIEWS AND 277 COMMUNITY SURVEYS WERE COLLECTED WITH A COMPLETION RATE OF 66.8%. THE INDIVIDUALS IDENTIFIED TO PARTICIPATE IN THE FOCUS GROUPS WERE SELECTED BECAUSE OF THEIR ABILITY TO PROVIDE MULTIPLE PERSPECTIVES ON HEALTH. THE TOPICS OF THE FOCUS GROUPS INCLUDED GENERAL COMMUNITY HEALTH (COMMUNITY BASED ORGANIZATIONS), SENIOR HEALTH (GENERATIONS AHEAD MEMBERS) AND ADULT AND CHILDREN HEALTH (UPLAND HEALTHY EATING LIFESTYLE PROGRAM PARTICIPANTS AND ONTARIO HEAL ZONE COMMUNITY MEMBERS). FOCUS GROUP SIZES RANGED FROM SEVEN TO FIFTEEN PARTICIPANTS PER GROUP WITH A TOTAL OF 41 PEOPLE. BOTH NON-PROFIT ORGANIZATIONS AND GENERATIONS AHEAD MEETINGS WERE CONDUCTED IN ENGLISH. MEMBERS OF THE ONTARIO HEAL ZONE AND HEALTHY EATING LIFESTYLE PROGRAM (HELP) REQUIRED SPANISH TRANSLATION. EACH GROUP MEETING LASTED NINETY MINUTES. LOMA LINA UNIVERSITY GRADUATE PUBLIC HEALTH AND BUSINESS ADMINISTRATION STUDENTS SERVED AS FACILITATORS AND NOTE TAKERS.
Schedule H, Part V, Section B, Line 7a-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 11-SAN ANTONIO REGIONAL HOSPITAL	SAN ANTONIO REGIONAL HOSPITAL - THE HOSPITAL CREATED AN IMPLEMENTATION PLAN TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA. MOST OF THE NEW INITIATIVES REQUIRED SUBSTANTIVE PLANNING DURING 2014, WITH THE PROGRAM OR ACTIVITY TO BE LAUNCHED IN 2015. THE HOSPITAL DID IDENTIFY GRANT OPPORTUNITIES WHICH WILL ASSIST IN SUPPORTING HEALTH AND WELLNESS AS WELL AS DISEASE PREVENTION TO VULNERABLE POPULATIONS. IN ADDITION, EDUCATION MATERIALS ARE NOW PRODUCED IN BOTH ENGLISH AND SPANISH. FINALLY, THE COMMUNITY HEALTH IMPROVEMENT PROGRAM CONTINUES TO EXPAND. SEE THE ATTACHED IMPLEMENTATION PLAN FOR FURTHER DETAILS ON OUR PLAN. IN THE 2013 TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT, TRANSPORTATION WAS MENTIONED AS A NEED WITHIN THE COMMUNITY, SPECIFICALLY WITHIN THE SENIOR POPULATION. THE EXPRESSED NEED WAS FOR IMPROVED ACCESS TO HOSPITALS AND PRIMARY CARE CENTERS. THE HOSPITAL DOES NOT HAVE THE CAPACITY TO ADDRESS TRANSPORTATION WITHIN THIS REGION; HOWEVER, SARH DOES PROVIDE VOUCHERS FOR TAXI AND PUBLIC TRANSPORTATION. THE HOSPITAL CONTINUES 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. ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED (E.G., MEDICAID SPEND-DOWN); 7. LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; AND 8. PATIENT IS DECEASED WITH NO KNOWN ESTATE.
Schedule H, Part V, Section B, Line 16a-SAN ANTONIO REGIONAL HOSPITAL	SAN ANTONIO REGIONAL HOSPITAL - www.sarh.org/About_Us/Community_Outreach/Community_Outreach_Publications
Schedule H, Part V, Section B, Line 16i-SAN ANTONIO REGIONAL HOSPITAL	SAN ANTONIO REGIONAL HOSPITAL - NOTIFICATION ABOUT CHARITY AVAILABLE FROM SARH, WHICH SHALL INCLUDE A CONTACT NUMBER (909.466.8566), SHALL BE DISSEMINATED BY SARH BY VARIOUS MEANS, WHICH WILL INCLUDE, BUT ARE NOT LIMITED TO 1) ALL PATIENTS REGISTERED IN THE EMERGENCY DEPARTMENT OR ADMITTING OFFICE WILL RECEIVE A LETTER ADVISING THE PATIENT THAT THAT HOSPITAL OFFERS DISCOUNT, CHARITY, AND OTHER PAYMENT ALTERNATIVE PROGRAMS; 2) OUTPATIENT REGISTRATION WILL PROVIDE THE SAME LETTER TO ALL PATIENTS WHO HAVE NEVER PREVIOUSLY BEEN TREATED AT SARH; 3) BY POSTING NOTICES IN VARIOUS AREAS INCLUDING THE EMERGENCY ROOM, BILLING OFFICE, AND OUTPATIENT REGISTRATION AREAS; AND 4) AT OTHER PUBLIC PLACES AS SARH MAY ELECT. SARH ALSO SHALL PUBLISH AND WIDELY PUBLICIZE A SUMMARY OF THIS CHARITY CARE POLICY ON FACILITY WEBSITES, IN BROCHURES AVAILABLE IN PATIENT ACCESS SITES AND AT OTHER PLACES WITHIN THE COMMUNITY SERVED BY THE HOSPITAL AS SARH MAY ELECT. SUCH NOTICES AND SUMMARY INFORMATION SHALL BE PROVIDED IN THE PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY SARH. REFERRAL OF PATIENTS FOR CHARITY MAY BE MADE BY ANY MEMBER OF SARH'S STAFF OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKERS, CASE MANAGERS, CHAPLAINS, AND RELIGIOUS SPONSORS. A REQUEST FOR CHARITY MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND, OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS.
Schedule H, Part V, Section B, Line 21d-SAN ANTONIO REGIONAL HOSPITAL	THE HOSPITAL'S POLICY REQUIRES THE HOSPITAL PROVIDE, WITHOUT DISCRIMINATION, CARE FOR EMERGENCY MEDICAL CONDITIONS TO INDIVIDUALS WITHOUT REGARD TO THEIR ELIGIBILITY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THE POLICY WILL BE FORMALIZED IN WRITING IN 2016.

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 (16 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. ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED (E.G., MEDICAID SPEND-DOWN); 7. LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; AND 8. PATIENT IS DECEASED WITH NO KNOWN ESTATE.
Schedule H, Part I, Line 6a	SAN ANTONIO REGIONAL HOSPITAL PREPARED A COMMUNITY BENEFIT REPORT AS REQUIRED BY THE STATE OF CALIFORNIA. THE REPORT WAS PUBLISHED AND MADE AVAILABLE TO THE PUBLIC ONLINE AT WWW.SARH.ORG.
Schedule H, Part I, Line 7	THE COSTING METHODOLOGY USED ON 7A: CALCULATED USING WORKSHEETS 1&2 IN THE INSTRUCTIONS; THE COST TO CHARGE OPTION. THE COSTING METHODOLOGY USED ON 7B: CALCULATED USING WORKSHEET 3 IN THE INSTRUCTIONS; THE COST TO CHARGE OPTION. THE COSTING METHODOLOGY USED ON 7E TO 7I: CALCULATED USING ACTUAL COSTS FROM SARH'S GENERAL LEDGER.
Schedule H, Part I, Line 7b	THE CALIFORNIA HOSPITAL FEE PROGRAM RESULTED IN A NET BENEFIT TO SARH OF $598,595 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 LOCAL COMMUNITY ORGANIZATIONS THAT SERVE THE COMMUNITIES SURROUNDING THE HOSPITAL. THESE ORGANIZATIONS WERE RECIPIENTS OF FINANCIAL CONTRIBUTIONS THAT WERE USED TO ENHANCE THE HEALTH OF THE COMMUNITY. THESE ORGANIZATIONS INCLUDED THE AMERICAN CANCER SOCIETY, CITY OF RANCHO CUCAMONGA, CITY OF FONTANA, AND CITY OF ONTARIO LOCATED IN THE INLAND EMPIRE, CALIFORNIA. ALL 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 IN VULNERABLE, MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY COMMUNITIES. THESE EFFORTS COMPLIMENT OBJECTIVES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THROUGH THESE PARTNERSHIPS, SARH IS ABLE TO WORK COLLABORATIVELY TO ADDRESS DETERMINANTS OF HEALTH AND IMPROVE THE HEALTH STATUS OF THE COMMUNITIES THEY SERVE.
Schedule H, Part III, Section A, Line 2	HOSPITAL HAD A NET BAD DEBT RECOVERY OF $(3,704,859) IN FY 2015.
Schedule H, Part III, Section A, Line 4	THE FOOTNOTE FOR ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS APPEARS IN THE AUDITED FINANCIAL STATEMENTS ON PAGES 12-13.
Schedule H, Part III, Section B, Line 8	SARH HAS NOT EXPERIENCED A MEDICARE SHORTFALL IN 2015. THE COST AND REIMBURSEMENT DATA WERE TAKEN DIRECTLY FROM SARH'S DECEMBER 31, 2015 MEDICARE COST REPORT. THE MEDICARE COST REPORT USES A STEP-DOWN COST ALLOCATION PROCESS AND THEN APPORTIONS CLINICAL DEPARTMENT COSTS ON A CHARGE TO CHARGE BASIS.
Schedule H, Part III, Section C, Line 9b	WHEN A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, INCLUDING, BUT NOT LIMITED TO CHARITY CARE, THE HOSPITAL MAY WAIVE SOME OR ALL OF ITS COLLECTION EFFORTS. FOR A PATIENT THAT QUALIFIES FOR CHARITY CARE, THE ENTIRE BILL IS WRITTEN OFF TO CHARITY ALLOWANCE AND THE HOSPITAL MAKES NO COLLECTION EFFORTS. THE HOSPITAL FOLLOWS DEBT COLLECTION POLICY AND PROCEDURE FOR ANY PORTION OF THE BILL NOT ELIGIBLE FOR WRITE-OFF.
Schedule H, Part VI, Line 2	ALTHOUGH CALIFORNIA'S COMMUNITY BENEFIT LEGISLATION (SB697) ONLY REQUIRES A TRIENNIAL COMMUNITY ASSESSMENT, SAN ANTONIO REGIONAL HOSPITAL (SARH) REVIEWS AND UPDATES THE SECONDARY DATA EACH YEAR AND CONDUCTS PRIMARY RESEARCH NO LESS THAN EVERY THREE YEARS. IN ADDITION TO THE ANNUAL ASSESSMENT OF SECONDARY DATA 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 PREDOMINATELY 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 (2 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	$75,000	$0	Cash	Support San Antonio Regional Hospital Programs
American Cancer Society
				941170350	501c3	$7,500	$0	Cash	Support programs of the American Cancer Society

Field	Value	IRS element (for citing)
Total501c3 Org	2	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.	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	$530,606	$0	$174,225	$0	$155,774	$0	$67,233	$0	$34,251	$0	$962,089	$0	$150,440	$0
Wah-Chung Hsu
Vice President & CFO	$391,334	$0	$61,600	$0	$1,518	$0	$41,567	$0	$34,251	$0	$530,270	$0	$0	$0
Peter Aprato
Sr. VP Admin Serv & Compliance	$277,086	$0	$43,700	$0	$32,112	$0	$33,170	$0	$32,257	$0	$418,325	$0	$26,983	$0
Laura Escobar Kato
Vice President Human Resources	$164,384	$0	$0	$0	$1,776	$0	$19,231	$0	$20,995	$0	$206,386	$0	$0	$0
Gudrun Moll
VP & Chief Nursing Officer	$241,601	$0	$0	$0	$1,375	$0	$30,405	$0	$25,797	$0	$299,178	$0	$0	$0
Mike Tracey
President-Foundation	$220,301	$0	$22,000	$0	$10,091	$0	$27,735	$0	$34,251	$0	$314,378	$0	$7,244	$0
Kenneth Saltgaver
Director Pharmacy	$194,080	$0	$3,584	$0	$1,242	$0	$25,541	$0	$11,761	$0	$236,208	$0	$0	$0
Ronald Nowosad
Director Chronic Care Program & Clinic Operations	$180,809	$0	$4,250	$0	$1,181	$0	$4,731	$0	$16,059	$0	$207,030	$0	$0	$0
Kamal Pandya
Director Information Technology	$177,923	$0	$4,150	$0	$430	$0	$8,105	$0	$6,741	$0	$197,349	$0	$0	$0
Lynn Hill
Administrative Director of Cardiac Services	$171,469	$0	$4,050	$0	$979	$0	$19,231	$0	$6,741	$0	$202,470	$0	$0	$0
Lynn Kelly
Vice President Human Resources-Left April 2015	$98,301	$0	$43,300	$0	$1,776	$0	$7,377	$0	$9,590	$0	$160,344	$0	$7,377	$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. THREE 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	0	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, Column f-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 (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 271-BED REGIONAL MEDICAL FACILITY WITH 1,644 FULL TIME EQUIVALENT EMPLOYEES AND A MEDICAL STAFF OF NEARLY 500 PHYSICIANS. IN 2015, THE HOSPITAL HAD 78,668 EMERGENCY ROOM VISITS. SARH IS CURRENTLY CONSTRUCTING THE LARGEST EXPANSION IN ITS 100-YEAR HISTORY TO REPLACE ITS EMERGENCY DEPARTMENT AND ADD A PATIENT TOWER TO MEET THE NEEDS OF THE GROWING POPULATION IN THE WEST END OF CALIFORNIA'S INLAND EMPIRE. LEADERSHIP - SARH IS GOVERNED BY A 14-MEMBER BOARD OF TRUSTEES. THE HOSPITAL'S PRESIDENT AND CHIEF EXECUTIVE OFFICER, AND 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 HUMAN RESOURCES, VICE PRESIDENT OF ADMINISTRATIVE SERVICES, 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 - MOMS AND DADS, CHILDREN AND GRANDPARENTS, AND THE VULNERABLE. 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 DUE TO THEIR INABILITY TO ACCESS HEALTH INSURANCE OR AS THE RESULT OF INADEQUATE INSURANCE COVERAGE. THE HOSPITAL'S CHARITY CARE POLICY PROVIDES RELIEF TO THESE FAMILIES WHO WOULD OTHERWISE FACE MEDICAL BANKRUPTCY. DURING 2015, $5,100,872 (AT COST) IN CHARITY CARE WAS PROVIDED FOR QUALIFYING 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 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 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. DENTAL CENTER - THE SAN ANTONIO REGIONAL HOSPITAL DENTAL CENTER HAS BEEN OPERATING FOR OVER 75 YEARS WITH THE MISSION TO PROVIDE DENTAL CARE TO LOW-INCOME, UNINSURED CHILDREN IN WESTERN SAN BERNARDINO COUNTY. ONCE LOCATED ON THE HOSPITAL'S CAMPUS, THE DENTAL CENTER IS NOW HOUSED IN A DEDICATED BUILDING IN RANCHO CUCAMONGA, OPERATED BY THE ASSISTANCE LEAGUE OF THE FOOTHILL COMMUNITIES. SARH CONTINUES TO PROVIDE FINANCIAL ASSISTANCE AND OTHER SERVICES TO SUPPORT THE PROGRAM. THE DENTAL CENTER OPERATES DURING THE SCHOOL YEAR, WITH CLINICS HELD FROM OCTOBER THROUGH MAY. THE DENTAL CENTER'S GOAL IS TO EDUCATE CHILDREN ABOUT THE IMPORTANCE OF DENTAL HYGIENE AND TO PROVIDE PROPHYLACTIC AND THERAPEUTIC DENTAL AND ORTHODONTIC SERVICES. SOME OF THE CHILDREN TREATED HAVE BEEN UNABLE TO EAT PROPERLY OR TO FUNCTION IN SCHOOL DUE TO THE PAIN BEING EXPERIENCED. THE DENTAL CENTER IS A PRIME EXAMPLE OF THE BENEFITS THAT CAN BE PROVIDED TO FAMILIES IN NEED THROUGH COLLABORATIVE EFFORTS. SARH, THE ASSISTANCE LEAGUE OF THE FOOTHILL COMMUNITIES, VOLUNTEER DENTISTS, HYGIENISTS AND OTHER HEALTH AND DENTAL PROFESSIONALS, ALONG WITH A VARIETY OF FUNDING AGENCIES ARE DEVOTED TO IMPROVING THE HEALTH AND WELL-BEING OF ELEMENTARY AND JUNIOR HIGH SCHOOL CHILDREN THROUGHOUT THE COMMUNITY.
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 (CHP), QUALITY CARE PLAN (QCP), AND LONGITUDINAL PATIENT SCORECARD. A NOVEL STRATIFICATION SCALE THAT ASSESSES SOCIOECONOMIC STATUS, EDUCATION/ASSIMILATION CAPACITY, MENTAL HEALTH HISTORY, ADHERENCE POTENTIAL, PSYCHOLOGICAL STRESS FACTORS, AND SUPPORT IS UTILIZED ALONG WITH DATA MINING AND STANDARDIZED CLINICAL ASSESSMENTS TO INDIVIDUALIZE EVIDENCE-BASED CLINICAL STRATEGIES BASED UPON EACH PERSON'S RESPECTIVE NEEDS AND CAPABILITIES. A UNIQUE ASPECT OF CHIP IS THE TRAINING AND UTILIZATION OF STUDENT HEALTH COACHES. IN ADDITION TO THE CHIP INTERDISCIPLINARY CLINICAL TEAM, MEMBERS ARE MONITORED BY HEALTH COACHES TRAINED THROUGH AN INNOVATIVE CREDIT BASED COLLABORATIVE EDUCATIONAL SEMINAR AND INTERNSHIP PROGRAM WITH CALIFORNIA STATE UNIVERSITY SAN BERNARDINO (SCHOOLS OF PUBLIC HEALTH, NURSING, BIOLOGY, AND KINESIOLOGY) 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. THE WORK OF THE STUDENT HEALTH COACHES IS OVERSEEN BY LICENSED PROFESSIONALS (RN AND MD) AS NEEDED AND THEIR SCOPE OF ACTIVITIES ARE CONSISTENT WITH THEIR COMPETENCE AND THE TRAINING AND DEMONSTRATED SKILLS PROVIDED THROUGH THE PROGRAM. ONCE TRAINED, STUDENT HEALTH COACHES 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 2015, CHIP SUCCESSFULLY RECRUITED 31 STUDENT HEALTH COACHES, OF WHICH 10 STUDENTS LEFT THE PROGRAM BEFORE THE END OF THE YEAR TO PURSUE EMPLOYMENT OPPORTUNITIES OR ENROLL IN MEDICAL SCHOOL. THESE HEALTH COACHES CARED FOR A TOTAL OF 44 PATIENTS IN 2015, WHICH INCREASED SIGNIFICANTLY FROM 7 PATIENTS IN 2014.GIRLS' NIGHT OUT - SAN ANTONIO REGIONAL HOSPITAL HAS HOSTED AN ANNUAL CELEBRATION FOR BREAST CANCER AWARENESS MONTH FOR SEVERAL YEARS WITH ITS SPECIAL PREVENTION PROGRAM CALLED GIRL'S NIGHT OUT. THIS PROGRAM IS PRESENTED IN RESPONSE TO AN IDENTIFIED COMMUNITY NEED AND ADDRESSES ONE OF THE HOSPITAL'S TOP FIVE CANCERS, BREAST CANCER. THE GIRL'S NIGHT OUT PROGRAM IS OPEN TO WOMEN OF ALL AGES. IN ADDITION TO HAVING THE OPPORTUNITY TO TOUR THE WOMEN'S BREAST & IMAGING CENTER, WOMEN ENGAGE IN A VARIETY OF EDUCATIONAL OPPORTUNITIES DESIGNED TO INFORM AND POSITIVELY INFLUENCE BEHAVIOR RELATED PREVENTION ACTIVITIES TO DETECT THE ONSET OF BREAST CANCER. CONSISTENT WITH ACS AND NCCN GUIDELINES (RISK REDUCTION INTERVENTIONS - LIFESTYLE MODIFICATIONS), GIRL'S NIGHT OUT ADDRESSES DIET, BODY WEIGHT, EXERCISE, ALCOHOL CONSUMPTION, AND SMOKING. ONE OF THE HOSPITAL'S HIGHLY REGARDED FEMALE FAMILY PRACTICE PHYSICIANS, DR. KIMBERLY BEKEMEIER, OPENED THE PROGRAM WITH A DYNAMIC AND INFORMATIVE PRESENTATION ABOUT MINDFULNESS AND THE IDEA OF OPENING ONE'S CONSCIOUSNESS TO BE MORE AWARE OF LIFESTYLE CHOICES AND HOW THESE BEHAVIORAL CHOICES IMPACT LONG-TERM HEALTH. FOLLOWING HER LEAD, OTHER FEMALE COLLEAGUES CONTINUED THE DIALOGUE BY ADDRESSING TOPICS RANGING FROM EXERCISE, NUTRITION, AND ADOPTING LIFESTYLE CHANGES THAT AFFECT AND CAN REDUCE THE RISK OF BREAST CANCER. THE KEYNOTE SPEAKER FOR THE EVENING WAS DR. LINDA BOSSERMAN, ONE OF THE HOSPITAL'S CELEBRATED ONCOLOGISTS, WHO PRESENTED THE IDEA OF LAYING A FOUNDATION FOR LONG-TERM HEALTH IMPROVEMENT AND PREVENTION BY MAKING KEY LIFESTYLE CHANGES. THIS IDEA WAS FURTHER ENCOURAGED BY CHALLENGING THE PARTICIPANTS TO A 30-DAY HEALTH CHALLENGE DESIGNED TO INSPIRE THEM TO MAKE A POSITIVE CHANGE IN THEIR DAILY LIVES. THE CHALLENGE GOALS INCLUDED MAKING LIFESTYLE CHANGES PERTAINING TO HEALTHY EATING, EXERCISE, HEALTH SCREENINGS, SMOKING, AND ALCOHOL CONSUMPTION. IN TOTAL, 79 WOMEN ENROLLED IN THE HEALTH CHALLENGE AND RECEIVED WEEKLY HEALTH EDUCATION, PRACTICAL TECHNIQUES, AND MESSAGES OF ENCOURAGEMENT RELEVANT TO THEIR CHOSEN CHALLENGE TOPIC. AT THE CONCLUSION OF THE 30 DAYS, PARTICIPANTS WERE ENCOURAGED TO SHARE THEIR STORIES AND SUCCESSES. IN ADDITION TO THE FORMAL PRESENTATIONS, GIRL'S NIGHT OUT PARTICIPANTS WERE INTRODUCED TO INTERACTIVE EDUCATIONAL DEMONSTRATIONS AND WERE OFFERED COMPREHENSIVE SCREENINGS, INCLUDING CHOLESTEROL, BLOOD GLUCOSE, BLOOD PRESSURE, AND BMI. THE SCREENINGS WERE A NEW FEATURE FOR 2015 AND WERE WELL RECEIVED BY PARTICIPANTS. THE MESSAGE OF PREVENTION WAS CONSISTENT FROM THE INFORMATIONAL PACKETS THAT EACH PARTICIPANT RECEIVED TO THE EDUCATIONAL POSTER DISPLAY THAT LINED THE HALLWAYS OF THE HOSPITAL. ALL OF THESE RESOURCES WERE CONSISTENT WITH THE MESSAGES DELIVERED IN THE PHYSICIAN PRESENTATIONS AS WELL AS THE HEALTH CHALLENGES. ANOTHER NEW ELEMENT OF THE EVENT INTRODUCED IN 2015 WAS THE INCLUSION OF A PRE AND POST SURVEY. GUESTS WERE CHOSEN AT RANDOM TO PARTICIPATE IN A PRE-SURVEY UPON REGISTRATION THAT ASKED QUESTIONS TO ESTABLISH A BASELINE FOR HEALTH KNOWLEDGE AND BEHAVIORS AS WELL AS SOCIOECONOMIC DEMOGRAPHICS. THE SURVEYS WERE DESIGNED WITH A REASONED ACTION APPROACH, RELYING ON THE THEORY OF SOCIAL EXCHANGE TO ENCOURAGE PARTICIPATION. THE SURVEY PARTICIPANTS WERE INVITED TO RETURN AT THE CONCLUSION OF THE EVENT TO COMPLETE A POST SURVEY WHERE THEY WOULD RECEIVE A SPECIAL GIFT. THE POST SURVEY INCLUDED QUESTIONS THAT IDENTIFIED KNOWLEDGE GAINED FROM THE EVENING'S PRESENTATIONS AS WELL AS A COMMITMENT TO MAKE SPECIFIC LIFESTYLE CHANGES IN HEALTH, NUTRITION, AND PHYSICAL ACTIVITY. IN TOTAL, 50 SURVEYS WERE DISTRIBUTED AND 26 SURVEYS WERE SUBMITTED AT THE CONCLUSION OF THE EVENT. THE RESULTS OF THE SURVEY SHOWED AN OVERALL 20% INCREASE IN KNOWLEDGE OF THE IMPORTANCE OF LIFESTYLE CHANGES, ESPECIALLY PERTAINING TO PHYSICAL ACTIVITY. ADDITIONALLY, 68% OF RESPONSES INDICATED INTENT TO INCREASE PHYSICAL ACTIVITY AT LEAST 30 MINUTES PER DAY OVER THE NEXT 30 DAYS AND 92% OF THE RESPONSES INDICATED THEY WERE VERY LIKELY TO BE MORE MINDFUL OF MAKING HEALTHIER FOOD CHOICES. THE GOAL OF THE PROGRAM WAS TO ENCOURAGE POSITIVE HEALTHY LIFESTYLE CHANGES AND INFORM ABOUT REDUCING ONE'S RISK FOR BREAST CANCER. GIRL'S NIGHT OUT ATTRACTED NEARLY 250 WOMEN FROM THE HOSPITAL SERVICE AREA AND BEYOND.
Form 990, Part III (Cont. 5)	HEALTH AND HOT RODS - MEN'S HEALTH EVENT AND CAR SHOW WAS DESIGNED 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 ANNUAL EVENT. THE EVENT INCLUDES A CLASSIC CAR AND HOT ROD SHOW, BUT MORE IMPORTANTLY, ALL GUESTS ARE ENCOURAGED TO PARTICIPATE IN A BIOMETRIC SCREENING AND TO LISTEN TO PHYSICIAN SPEAKERS. 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. AT THIS EVENT GUESTS ALSO HAVE THE OPPORTUNITY TO LISTEN TO PHYSICIANS ADDRESS IMPORTANT HEALTH TOPICS AFFECTING MEN. IN 2015 THE TOPICS INCLUDED THE IMPORTANCE OF REGULAR PHYSICIAN VISITS AND SCREENINGS, KEY HEART METRICS AND MARKERS, AS WELL AS HEART DISEASE AND PROSTATE AND OTHER CANCERS IN MEN. WE ANTICIPATE THAT THIS PROGRAM WILL CONTINUE TO GROW AND DRAW INTEREST REGION WIDE. ONE PARTICIPANT SHARED THAT THE MOST UNIQUE ASPECT ABOUT THIS EVENT WAS HOW WE WERE ABLE TO INTEGRATE HEALTH INTO THE CAR SHOW. HE SAID, "I SAW MY FRIENDS LISTENING TO A CARDIOLOGIST TALK ABOUT TAKING CARE OF YOUR HEART AND EATING HEALTHY AND EXERCISING. I NEVER COULD HAVE IMAGINED SEEING THESE MEN IN A VENUE LIKE THAT BEFORE. WE NEED MORE THINGS LIKE THIS." 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 YOUNG WOMEN UNDER 40 WHO CANNOT QUALIFY FOR COUNTY FUNDED PROGRAMS UNTIL AFTER A DIAGNOSIS IS MADE, 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. THIS WAS THE CASE WITH A 45 YEAR-OLD MOTHER DIAGNOSED WITH STAGE 3 BREAST CANCER. THIS MOTHER, LIKE MANY OTHER WOMEN WITHOUT HEALTH COVERAGE, FOUND HER RESOURCES TO BE VERY LIMITED. DISCOURAGED AND IN DENIAL ABOUT WHAT SHE FELT, SHE WENT UNDIAGNOSED FOR ONE YEAR UNTIL SHE FOUND SUPPORT THROUGH THE WOMEN CARING FOR WOMEN PROGRAM. THE STORY WAS ALL TOO FAMILIAR WHEN FOUR YEARS LATER HER 21 YEAR-OLD DAUGHTER DISCOVERED A LUMP IN HER BREAST. AFTER DISCUSSING THE FINDING WITH HER MOTHER, HER MOTHER IMMEDIATELY CALLED THE NURSE NAVIGATOR AT THE WOMEN'S BREAST & IMAGING CENTER. SHE RECALLED THE TIME SPENT AT THE CENTER FOR SUPPORT GROUPS AND IT WAS ALSO WHERE SHE LEARNED ABOUT THE WCW PROGRAM. FORTUNATELY, THE DIAGNOSIS WAS A CYST. IN ADDITION TO SERVICES PROVIDED THROUGH THE WOMEN'S CENTER, THE HOSPITAL HAS LOCATED ITS CANCER EDUCATION CENTER ACROSS THE HALL AND 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. SAN ANTONIO REGIONAL HOSPITAL 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. 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 PARTNERED 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, MEMBER OF THE AUXILIARY BOARD 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 UNDERSTANDING ABOUT WHERE THEY CAN TURN FOR ASSISTANCE." THE HOSPITAL BELIEVES IN PROMOTING THE INDEPENDENCE SENIORS DESIRE, WHILE OFFERING THE ASSISTANCE THEY NEED. GENERATIONS AHEAD OFFERS A SEAMLESS ARRAY OF PROGRAM S FOR THIS POPULATION AND CONTINUES TO EXPAND TO MEET THE DIVERSE NEEDS OF THE POPULATION BEING SERVED. KNOW YOUR NUMBERS PROGRAM (KYN) IS A FREE SCREENING PROGRAM WHICH PROVIDES BLOOD PRESSURE, BODY MASS INDEX, BLOOD GLUCOSE, AND BLOOD CHOLESTEROL CHECKS AMONG THE LOW-INCOME POPULATION LIVING IN SURROUNDING COMMUNITIES. THE KYN PROGRAM IS A SELF-MANAGEMENT AND HEALTH EDUCATION PROGRAM THAT IS DESIGNED AROUND THE HEALTH BELIEF MODEL THAT ASSUMES THAT HEALTH-RELATED ACTIONS DEPEND ON WHETHER PARTICIPANTS BELIEVE THEY ARE SUSCEPTIBLE TO SIGNIFICANT HEALTH ISSUES AND FOLLOWING A PRESCRIBED HEALTH RECOMMENDATION WOULD EITHER REDUCE, OR ELIMINATE FURTHER RISK. PARTICIPANTS CONSULT WITH A REGISTERED NURSE (RN) FOLLOWING THE SCREENING TO LEARN ABOUT THEIR OWN NUMBERS AND WHAT IMPACTS THEY HAVE ON THEIR HEALTH. FOLLOWING THE CONSULTATION, PARTICIPANTS ARE CONNECTED WITH ADDITIONAL RESOURCES THROUGH REFERRALS, EDUCATIONAL MATERIALS, AND COMMUNITY PROGRAMS TO AID IN IMPROVING THEIR 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 AND INDICATED BY THEIR BMI METRICS. DUE TO THE SUCCESS OF THE INITIAL PILOT PROGRAM, KYN WILL BE EXPANDED TO INCLUDE SEVERAL SCREENING LOCATIONS RESIDING IN AND AROUND THE HEALTHY EATING AND ACTIVE LIVING (HEAL) ZONE OF ONTARIO.
Form 990, Part III (Cont. 6)	FACILITY EXPANSION - THE EXPANSION, EXPECTED TO OPEN IN 2016, WILL INCLUDE NEW MEDICAL/SURGICAL AND INTENSIVE CARE INPATIENT BEDS AND A NEW EMERGENCY DEPARTMENT, WHICH ARE ESSENTIAL TO ACCOMMODATE THE GROWING NEEDS OF SARH'S SERVICE AREA. THE TREMENDOUS GROWTH EXPERIENCED IN SARH'S EMERGENCY DEPARTMENT SERVICES IS A KEY DRIVER OF THE PLANNED EXPANSION. THE HOSPITAL'S 29-BED EMERGENCY DEPARTMENT, WHICH WAS BUILT IN 1975, WAS DESIGNED TO ACCOMMODATE 30,000 PATIENT VISITS PER YEAR. IN FISCAL YEAR 2015, SARH'S EMERGENCY DEPARTMENT HAD 78,668 VISITS. WITH THE HIGH UNEMPLOYMENT IN THE HOSPITAL'S SERVICE AREA, THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS TREATED IN THE EMERGENCY DEPARTMENT CONTINUES TO RISE, CREATING ADDITIONAL STRESS TO 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 A 52-BED REPLACEMENT EMERGENCY DEPARTMENT, INCLUDING COMPUTERIZED TOMOGRAPHY ("CT") SCANNING AND OTHER RADIOLOGY CAPABILITIES, 80 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 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 THE 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 310 INPATIENT AND 280 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 FEBRUARY 2014. THE CONSULTANT USED SURVEY DATA FROM FOUR DIFFERENT PUBLISHED SURVEYS THAT INCLUDE CALIFORNIA HOSPITALS WITH COMPARABLE REVENUES, EMPLOYEES AND COMPLEXITY. THE COMPENSATION COMMITTEE REVIEWS THE CONSULTANT'S FINDINGS IN ACCORDANCE WITH THE COMPENSATION POLICY AND THEIR CHARTER AND PROVIDES DIRECTION FOR ANY NEEDED COMPENSATION POLICY OR PAY RANGE CHANGES FOR THE CEO AND APPROVES ANY SUCH RECOMMENDATIONS THAT MAY BE MADE BY THE CEO FOR OTHER EXECUTIVES. OTHER KEY EMPLOYEE COMPENSATION, VICE PRESIDENTS AND DEPARTMENT DIRECTORS ARE EVALUATED BASED ON MARKET-BASED COMPENSATION SURVEY DATA PROVIDED BY THE HOSPITAL COUNCIL OF SOUTHERN CALIFORNIA, TAKING INTO CONSIDERATION PAY RATES FOR SIMILAR MANAGEMENT POSITIONS. THE PROCEDURES DESCRIBED HERE ARE DOCUMENTED IN THE BOARD MINUTES.
Form 990, Part VI, Section C, Line 19	SARH HAS NOT MADE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. THE FINANCIAL STATEMENTS ARE PART OF THE ANNUAL REPORT FILED WITH THE CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) AND ARE AVAILABLE ON THE OSHPD WEBSITE. THE FINANCIAL STATEMENTS ARE INCLUDED AS PART OF ITS ANNUAL MEDICARE AND MEDICAID COST REPORT FILINGS, WHICH ARE PUBLICLY AVAILABLE ON THE CMS (MEDICARE) WEBSITE. THE FINANCIAL STATEMENTS ARE ALSO PROVIDED TO ANYONE UPON A VERBAL OR WRITTEN REQUEST. THE AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THE FORM 990 IN ACCORDANCE WITH IRS INSTRUCTIONS.
Form 990, Part XI, Line 9	OTHER CHANGES IN NET ASSETS INCLUDES THE CHANGE IN THE ADDITIONAL MINIMUM PENSION LIABILITY OF ($727,283), CHANGE IN TEMPORARILY RESTRICTED NET ASSETS OF $1,946,107 AND CHANGE IN OTHER OF $5,000.

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	$68,887	TotalIncomeAmt
End Of Year Assets	$4,245,693	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

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Cucamonga Health Services	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	330010073	EIN
Primary Activities	Holding company	PrimaryActivitiesTxt
Legal Domicile State	CA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Entity Type	C	EntityTypeTxt
Share Of Total Income	-$155,830	ShareOfTotalIncomeAmt
Share Of EOY Assets	$11,074,117	ShareOfEOYAssetsAmt
Ownership	1	OwnershipPct
Controlled Organization	Yes (1)	ControlledOrganizationInd

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	0	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 (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
San Antonio Hospital Foundation Inc
b	$75,000	Cash
San Antonio Hospital Foundation Inc
q	$1,052,975	Cash
San Antonio Community Hospital Health Care Plan
r	$13,791,284	Cash