SAN ANTONIO REGIONAL HOSPITAL: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: SAN ANTONIO REGIONAL HOSPITAL (EIN 95-1183919)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-11-17
IRS object ID: 201433229349300703
Schema version: 2013v3.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2014-11-17T17:04:27-07:00	ReturnTs
Tax Period End	2013-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Ernst & Young U S LLP	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	18111 Von Karman Avenue	AddressLine1
Address Line2	Suite 1000	AddressLine2
City	Irvine	City
State	CA	State
ZIP Code	92612	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-01-01	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 COMMUNITY HOSPITAL INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	SANA	BusinessNameControlTxt
Phone	9099206103	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	999 San Bernardino Road	AddressLine1
City	Upland	City
State	CA	State
ZIP Code	917864920	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Wah-chung Hsu	PersonNm
Person Title	CFO/Secretary	PersonTitleTxt
Phone	9099206103	PhoneNum
Signature	2014-11-17	SignatureDt
Discuss With Paid Preparer	0	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kara Adams	PreparerPersonNm
PTIN	P00023315	PTIN
Phone	9494370205	PhoneNum
Preparation	2014-11-17	PreparationDt

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	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	AddressLine1
City	Upland	City
State	CA	State
ZIP Code	917864920	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$386,033,736	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	sach.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 Community 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	15	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	2177	TotalEmployeeCnt
Total Volunteers	307	TotalVolunteersCnt
Total Gross UBI	$1,254,319	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$628,555	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$3,484	CYContributionsGrantsAmt
PY Program Service Revenue	$272,784,272	PYProgramServiceRevenueAmt
CY Program Service Revenue	$254,248,139	CYProgramServiceRevenueAmt
PY Investment Income	$13,411,227	PYInvestmentIncomeAmt
CY Investment Income	$7,741,237	CYInvestmentIncomeAmt
PY Other Revenue	$3,162,374	PYOtherRevenueAmt
CY Other Revenue	$4,373,792	CYOtherRevenueAmt
PY Total Revenue	$289,357,873	PYTotalRevenueAmt
CY Total Revenue	$266,366,652	CYTotalRevenueAmt
PY Grants And Similar Paid	$119,452	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$132,814	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$151,514,743	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$139,620,258	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$124,299,371	PYOtherExpensesAmt
CY Other Expenses	$129,993,479	CYOtherExpensesAmt
PY Total Expenses	$275,933,566	PYTotalExpensesAmt
CY Total Expenses	$269,746,551	CYTotalExpensesAmt
PY Revenues Less Expenses	$13,424,307	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$3,379,899	CYRevenuesLessExpensesAmt
Total Assets BOY	$573,640,761	TotalAssetsBOYAmt
Total Assets EOY	$565,860,115	TotalAssetsEOYAmt
Total Liabilities BOY	$222,506,049	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$193,641,936	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$351,134,712	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$372,218,179	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	The mission of San Antonio Community Hospital 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.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$234,277,620	ExpenseAmt
Grant	$120,943	GrantAmt
Revenue	$256,832,040	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	$234,277,620	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	0	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	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	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	387	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2177	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	15	GoverningBodyVotingMembersCnt
Independent Voting Member	11	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	Yes (1)	LocalChaptersInd
Policies Reference Chapters	Yes (1)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Wah-chung Hsu	PersonNm
Phone	9099206103	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	999 San Bernardino Road	AddressLine1
City	Upland	City
State	CA	State
ZIP Code	917864920	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Donald Alpiner DO
Trustee	4	0	Yes (X)	$2,765	$0	$0
Dora Barilla
Trustee	4	0	Yes (X)	$0	$0	$0
Mark Bertone
Trustee/Chairman	4	1	Yes (X)	$0	$0	$0	Yes (X)
Dann Bowman
Trustee/Treasurer	4	0	Yes (X)	$0	$0	$0	Yes (X)
Vincent Carollo MD
Trustee	4	0	Yes (X)	$0	$0	$0
Harvey Cohen MD
Trustee/Medical Staff President	4	0	Yes (X)	$70,035	$0	$0
Andrea Dutton
Trustee	4	0	Yes (X)	$0	$0	$0
Richard Gilbert
Trustee	4	0	Yes (X)	$0	$0	$0
Ronald King
Trustee	4	0	Yes (X)	$0	$0	$0
Harris Koenig
President/CEO	40	3	Yes (X)	$459,151	$0	$52,284	Yes (X)
Thomas Ritchie
Trustee/Vice Chairman	4	0	Yes (X)	$0	$0	$0	Yes (X)
Carl Schultz MD
Trustee	4	0	Yes (X)	$0	$0	$0
Jay Shah MD
Trustee	4	0	Yes (X)	$15,950	$0	$0
Tejinder Singh MD
Trustee	4	0	Yes (X)	$12,003	$0	$0
Steven Spears
Trustee	4	0	Yes (X)	$0	$0	$0
Wah-Chung Hsu
CFO/Secretary	40	5		$436,436	$0	$28,773	Yes (X)
Peter Aprato
Vice President	40	0		$239,160	$0	$45,309		Yes (X)
Liz Aragon
Vice President	40	0		$247,163	$0	-$10,978		Yes (X)
Lynn Kelly
Vice President	40	0		$230,306	$0	$30,057		Yes (X)
Kenneth Saltgaver
Director Pharmacy	40	0		$182,204	$0	-$5,737			Yes (X)
Ron Nowosad
Director Clinic Services	40	0		$171,298	$0	$26,951			Yes (X)
Kamal Pandya
Director Information Technology	40	0		$168,305	$0	-$30,856			Yes (X)
Sharon Simmons
Director Finance	40	0		$162,910	$0	-$42,722			Yes (X)
Bettina Celifie
Director Surgery	40	0		$161,350	$0	$9,362			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,559,036	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$102,443	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	197	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/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
HBE Corporation
11330 Olive Blvd	St Louis	MO	63141	Design Build Firm	$18,080,477
Hamilton Construction
202 Mercury Circle	Pomona	CA	91768	Construction Contractor	$5,781,606
Cerner Corporation
2800 Rockcreek Parkway	Kansas City	MO	64117	Integrated Clinical Information System	$3,931,349
MKH Testing and Inspection Inc
4195 Chino Hills Pkwy 169	Chino Hills	CA	91709	Testing and inspection services	$1,596,701
Mayo Medical Laboratories
PO Box 9146	Minneapolois	MN	55480	Purchased lab services	$925,015

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	119	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$3,484	RelatedOrganizationsAmt
Government Grants	$0	GovernmentGrantsAmt
All Other Contributions	$0	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$3,484	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Net Patient Revenue	622000	$250,019,144	$250,019,144	$0	$0
Rental Income MOB	531120	$1,989,202	$1,989,202	$0	$0
Lab Path Pharm Revenue UBI	621500	$577,219	$0	$577,219	$0
Capitation Revenue	622000	$730,134	$730,134	$0	$0
Electronic Health Record Meaningful Use	900099	$932,440	$932,440	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

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

Field	Value	IRS element (for citing)
Total Program Service Revenue	$254,248,139	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,828,442	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$6,828,442	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$120,418,753	SecuritiesAmt
Other	$45,450	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$119,518,935	SecuritiesAmt
Other	$32,473	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$899,818	SecuritiesAmt
Other	$12,977	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$912,795	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$912,795	ExclusionAmt

Field	Value	IRS element (for citing)
Contri Rpt Fundraising Event	$0	ContriRptFundraisingEventAmt
Gross Sales Of Inventory	$188,008	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$115,676	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$72,332	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$72,332	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Def Revenue - Construction for Other	622000	$622,666	$622,666	$0	$0
Cafeteria Revenue	722100	$1,040,459	$0	$0	$1,040,459
Surgery Center UBI	621990	$677,100	$0	$677,100	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,961,235	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,961,235	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,301,460	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$266,366,652	TotalRevenueColumnAmt
Related Or Exempt Func Income	$256,254,821	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,254,319	UnrelatedBusinessRevenueAmt
Exclusion	$8,854,028	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$132,814	TotalAmt
Program Services	$132,814	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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,712,969	TotalAmt
Program Services	$554,924	ProgramServicesAmt
Management And General	$1,158,045	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$110,987,721	TotalAmt
Program Services	$108,350,354	ProgramServicesAmt
Management And General	$2,637,367	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,068,492	TotalAmt
Program Services	$5,871,028	ProgramServicesAmt
Management And General	$197,464	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$12,696,746	TotalAmt
Program Services	$12,283,603	ProgramServicesAmt
Management And General	$413,143	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,154,330	TotalAmt
Program Services	$7,888,994	ProgramServicesAmt
Management And General	$265,336	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$151,160	TotalAmt
Program Services	$142,009	ProgramServicesAmt
Management And General	$9,151	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$639,359	TotalAmt
Management And General	$639,359	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$215,847	TotalAmt
Program Services	$2,795	ProgramServicesAmt
Management And General	$213,052	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$50,879	TotalAmt
Management And General	$50,879	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$592,967	TotalAmt
Program Services	$4,752	ProgramServicesAmt
Management And General	$588,215	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$20,429,005	TotalAmt
Program Services	$14,184,250	ProgramServicesAmt
Management And General	$6,244,755	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,382,100	TotalAmt
Management And General	$1,382,100	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,017,584	TotalAmt
Program Services	$7,279,268	ProgramServicesAmt
Management And General	$738,316	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$10,516,845	TotalAmt
Program Services	$10,214,085	ProgramServicesAmt
Management And General	$302,760	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,464,122	TotalAmt
Program Services	$4,562,275	ProgramServicesAmt
Management And General	$901,847	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$338,943	TotalAmt
Program Services	$202,005	ProgramServicesAmt
Management And General	$136,938	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$74,795	TotalAmt
Program Services	$40,910	ProgramServicesAmt
Management And General	$33,885	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$881,412	TotalAmt
Program Services	$828,055	ProgramServicesAmt
Management And General	$53,357	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$12,197,227	TotalAmt
Program Services	$11,459,452	ProgramServicesAmt
Management And General	$737,775	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,606,789	TotalAmt
Management And General	$3,606,789	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical Supplies	$50,324,232	$50,324,232	$0	$0
Medi-Cal Fee Program	$14,279,887	$0	$14,279,887	$0
Dues & Subscriptions	$466,398	$187,700	$278,698
Taxes & licenses	$513,708	$0	$513,708	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	-$149,780	TotalAmt
Program Services	-$235,885	ProgramServicesAmt
Management And General	$86,105	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$269,746,551	TotalAmt
Program Services	$234,277,620	ProgramServicesAmt
Management And General	$35,468,931	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$167,269	BOYAmt
EOY	$312,048	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$11,789,297	BOYAmt
EOY	$11,738,130	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$70,303,009	BOYAmt
EOY	$42,228,997	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,436,150	BOYAmt
EOY	$4,477,296	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,750,684	BOYAmt
EOY	$7,152,331	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$441,407,584	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$225,035,229	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$183,854,844	BOYAmt
EOY	$216,372,355	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$256,427,550	BOYAmt
EOY	$233,828,326	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$4,691,366	BOYAmt
EOY	$4,765,225	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$37,220,592	BOYAmt
EOY	$44,985,407	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$573,640,761	BOYAmt
EOY	$565,860,115	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$46,529,173	BOYAmt
EOY	$44,393,506	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$120,720,830	BOYAmt
EOY	$117,069,536	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$55,256,046	BOYAmt
EOY	$32,178,894	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$222,506,049	BOYAmt
EOY	$193,641,936	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$334,769,165	BOYAmt
EOY	$353,292,564	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,338,356	BOYAmt
EOY	$14,888,424	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,027,191	BOYAmt
EOY	$4,037,191	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$351,134,712	BOYAmt
EOY	$372,218,179	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$573,640,761	BOYAmt
EOY	$565,860,115	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$3,379,899	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,179,689	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$25,643,055	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	$50,879	RalliesDemonstrationsAmt
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$50,879	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	SAN ANTONIO COMMUNITY HOSPITAL IS A MEMBER OF THE CALIFORNIA ASSOCIATION OF THE AMERICAN HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION WHICH CONDUCTS LOBBYING ACTIVITIES IN SUPPORT OF MEMBER HOSPITALS AND GENERAL HEALTHCARE ISSUES. BOTH ASSOCIATIONS PROVIDE THE PERCENTAGE OF DUES THAT RELATE TO LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,027,191	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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,017,691	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$764,343	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$743,754	OtherExpendituresAmt
Administrative Expenses	$20,589	AdministrativeExpensesAmt
End Year Balance	$4,017,691	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,017,691	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$614,286	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$601,219	OtherExpendituresAmt
Administrative Expenses	$13,067	AdministrativeExpensesAmt
End Year Balance	$4,017,691	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$14,864,343	OtherCostOrOtherBasisAmt
Book Value	$14,864,343	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$133,842,827	OtherCostOrOtherBasisAmt
Depreciation	$105,729,452	DepreciationAmt
Book Value	$28,113,375	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$2,297,861	OtherCostOrOtherBasisAmt
Depreciation	$1,290,221	DepreciationAmt
Book Value	$1,007,640	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$149,130,950	OtherCostOrOtherBasisAmt
Depreciation	$118,015,556	DepreciationAmt
Book Value	$31,115,394	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$141,271,603	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$141,271,603	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$216,372,355	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
Beneficial Interest in SAHF	$36,666,998
Malpractice LT Claims Rec	$6,120,750
Def Financing Costs 2011 Bond	$1,471,278
Def Comp Plan	$421,694
Physician Recruitment Rec	$202,251
Due From Affiliates	$102,436

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$44,985,407	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Pension Plan liability	$19,636,418
Long Term Insurance Claims	$11,804,810
Def Gain Constr for Other - Current	$622,666
Physician Guarantee Liabilty	$115,000

Field	Value	IRS element (for citing)
Total Liability	$32,178,894	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part V, Line 4	FormAndLineReferenceDesc
Explanation	SAN ANTONIO COMMUNITY HOSPITAL IS THE SOLE CORPORATE MEMBER OF SAN ANTONIO HOSPITAL FOUNDATION INC., SAHF, AND IS REQUIRED TO CONSOLIDATE SAHF ASSETS AND LIABILITIES ONTO ITS BALANCE SHEET. PROCEEDS FROM THE ENDOWMENT FUNDS ARE INTENDED FOR THE PURCHASE OF PROPERTY AND EQUIPMENT FOR THE BENEFIT OF SAN ANTONIO COMMUNITY HOSPITAL.	ExplanationTxt

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
Percent350	Yes (X)	Percent350Ind
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	$414,710	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$414,710	NetCommunityBenefitExpnsAmt
Total Expense	0.0015	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,749,075	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,972,216	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,776,859	NetCommunityBenefitExpnsAmt
Total Expense	0.0102	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	$26,163,785	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,972,216	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,191,569	NetCommunityBenefitExpnsAmt
Total Expense	0.0117	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	43	ActivitiesOrProgramsCnt
Persons Served	199043	PersonsServedCnt
Total Community Benefit Expns	$791,076	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$81,957	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$709,119	NetCommunityBenefitExpnsAmt
Total Expense	0.0026	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$215,546	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,785	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$209,761	NetCommunityBenefitExpnsAmt
Total Expense	0.0008	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	165	PersonsServedCnt
Total Community Benefit Expns	$589,398	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$589,398	NetCommunityBenefitExpnsAmt
Total Expense	0.0022	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	315	PersonsServedCnt
Total Community Benefit Expns	$305	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$305	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	7607	PersonsServedCnt
Total Community Benefit Expns	$51,303	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,495	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,808	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	52	ActivitiesOrProgramsCnt
Persons Served	207130	PersonsServedCnt
Total Community Benefit Expns	$1,647,628	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$109,237	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,538,391	NetCommunityBenefitExpnsAmt
Total Expense	0.0057	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	52	ActivitiesOrProgramsCnt
Persons Served	207130	PersonsServedCnt
Total Community Benefit Expns	$27,811,413	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,081,453	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,729,960	NetCommunityBenefitExpnsAmt
Total Expense	0.0174	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$16,085	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,085	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$728	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$728	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$16,813	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,813	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$40,433,582	BadDebtExpenseAmt
Bad Debt Expense Attributable	$4,000,000	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$57,722,529	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$57,231,367	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$491,162	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	BusinessNameLine1

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 Community Hospital	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	999 San Bernardino Road	AddressLine1
City	Upland	City
State	CA	State
ZIP Code	91786	ZIPCode

Field	Value	IRS element (for citing)
Website Address	sach.org	WebsiteAddressTxt
State License	240000196	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	San Antonio Community Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
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	13	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.sach.org	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	0	AllNeedsAddressedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (1)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	300	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (1)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	350	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
State Regulation	Yes (X)	StateRegulationInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
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	Yes (1)	NondisEmergencyCarePolicyInd
Medicare Rates	Yes (X)	MedicareRatesInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3-San Antonio Community 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. SACH'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 SACH'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.
Schedule H, Part V, Section B, Line 7-San Antonio Community Hospital	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, SACH 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 14-San Antonio Community Hospital	THE HOSPITAL POSTS SIGNS AND NOTICES REGARDING THE CHARITY CARE POLICY IN THE EMERGENCY DEPARTMENT, ADMITTING AREAS, AND IN THE BUSINESS OFFICE. THESE POSTINGS CONTAIN CONTACT INFORMATION FOR THE FINANCIAL COUNSELING REPRESENTATIVES WHO WILL ASSIST PATIENTS IN DETERMINING WHAT TYPES OF FINANCIAL ASSISTANCE ARE AVAILABLE.

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
SACH 685 Building Diagnostic Center
685 N 13th Ave	Upland	CA	91786	Lab and Radiology services in a freestanding medical office building
SACH 901 Building Diagnostic Center
999 San Bernardino Road	Upland	CA	91786	Radiology services in a freestanding medical office building
SACH RSA Building Diagnostic Center
7777 Milliken Ave	Rancho Cucamonga	CA	91730	Lab and Radiology services in a freestanding medical office building
SACH Sierra San Antonio diagnostic Center
16465 Sierra Lakes Pkwy	Fontana	CA	92336	Lab and Radiology 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 6a	SAN ANTONIO COMMUNITY 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.SACH.ORG.
Schedule H, Part I, Line 6b	MEMBERS OF THE PUBLIC MAY REQUEST A COPY OF THE COMMUNITY BENEFIT REPORT BY CONTACTING THE HOSPITAL'S COMMUNITY HEALTH SPECIALIST AT 909 920.6153.
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 SACH'S GENERAL LEDGER.
Schedule H, Part I, Line 7b	THE CALIFORNIA HOSPITAL FEE PROGRAM RESULTED IN A NET LOSS TO SACH OF $1,196,140.
Schedule H, Part I, Line 7g	NONE OF THE COSTS ON THIS LINE WERE ATTRIBUTABLE TO A PHYSICIAN CLINIC.
Schedule H, Part II	SAN ANTONIO COMMUNITY HOSPITAL PROVIDED SUPPORT TO NINE 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 AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY, ASSISTANCE LEAGUE OF THE FOOTHILL COMMUNITIES, THE CITY OF EASTVALE, FREEDOM 5000, FRIENDS OF THE PACIFIC ELECTRIC TRAIL, ONTARIO HISTORIC HOME PRESERVATION, AND REACH OUT. THESE ENTITIES PROVIDE THE COMMUNITY WITH OPPORTUNITIES TO PARTICIPATE IN HEALTH-RELATED ACTIVITIES OR PROGRAMS, AND PROMOTE HEALTHY EATING AND ACTIVE LIVING. THE COALITION BUILDING ACTIVITY REPRESENTS TIME SPENT BY THE SACH COMMUNITY HEALTH SPECIALIST WHO WORKS DIRECTLY WITH COMMUNITY GROUPS TO PROVIDE HEALTH EDUCATION AND TECHNICAL ASSISTANCE TO SUPPORT EFFORTS THAT COMPLIMENT THE OBJECTIVES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THROUGH THESE PARTNERSHIPS, SAN ANTONIO IS ABLE TO WORK COLLABORATIVELY TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES THEY SERVE. IN 2013, THE HOSPITAL EXPANDED ITS HEALTHY EATING LIFESTYLE PROGRAM HELP INTO A NEIGHBORHOOD IDENTIFIED AS A HIGH AREA OF NEED THROUGH THE COMMUNITY NEEDS ASSESSMENT. THE PROGRAM HAS BEEN WELL RECEIVED AND CONTINUES TO GAIN MOMENTUM IN EXPANDING INTO OTHER POTENTIAL COMMUNITIES. PLEASE ALSO SEE PART VI, LINE 5 FOR INFORMATION RELATED TO COALITION BUILDING.
Schedule H, Part III, Section A, Line 3	MANAGEMENT ESTIMATES THAT APPROXIMATELY 10% OF PATIENT DEBTS WOULD HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE IF APPROPRIATE INFORMATION HAD BEEN MADE AVAILABLE BY APPLICABLE PATIENTS. FROM A DIFFERENT PERSPECTIVE, SACH ESTIMATES THAT APPROXIMATELY 80% OF ALL PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WERE IDENTIFIED. THE MAJORITY OF SACH'S BAD DEBTS RESULT FROM MEDICALLY INDIGENT PATIENTS IN THE EMERGENCY DEPARTMENT. SACH PROVIDES THIS EMERGENCY CARE AND RELATED INPATIENT CARE WITHOUT COMPENSATION IMPROVING THE OVERALL HEALTH AND WELL BEING OF THE COMMUNITY.
Schedule H, Part III, Section A, Line 4	THE FOOTNOTE FOR ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS APPEARS IN THE AUDITED FINANCIAL STATEMENTS ON PAGES 12-13. PATIENT SERVICE REVENUE IS REDUCED BY THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS AND ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THESE AMOUNTS ARE BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS FOR EACH MAJOR PAYOR SOURCE, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE HOSPITAL'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE HOSPITAL RECORDS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD SERVICES ARE PROVIDED TO SELF-PAY PATIENTS, INCLUDING BOTH UNINSURED PATIENTS AND PATIENTS WITH DEDUCTIBLE AND CO-PAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR A PORTION OF THEIR BALANCE. FOR RECEIVABLES ASSOCIATED WITH PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED, IN ACCORDANCE WITH THE HOSPITAL'S POLICIES.
Schedule H, Part III, Section B, Line 8	SACH HAS NOT REPORTED ITS MEDICARE SHORTFALL AS A COMMUNITY BENEFIT. THE COST AND REIMBURSEMENT DATA WERE TAKEN DIRECTLY FROM SACH'S DECEMBER 31, 2013 MEDICARE COST REPORT. THE MEDICARE COST REPORT USES A STEPDOWN 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 PROCEDURES 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 COMMUNITY HOSPITAL (SACH) 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 HOSPITAL HAS ENGAGED INDEPENDENT CONSULTING FIRMS AND UNIVERSITY RESEARCH CENTERS TO CONDUCT THE PRIMARY RESEARCH. 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 SACH'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	SACH 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 SACH'S PLANNING EFFORTS. SACH'S PRIMARY SERVICE AREA IS COMPROMISED OF THE CITIES OF CHINO, CLAREMONT, EASTVALE, FONTANA, MONTCLAIR, ONTARIO, RANCHO CUCAMONGA, AND UPLAND WITH A TOTAL ESTIMATED POPULATION OF 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 MEDICAL MEDICAID. THE SECONDARY SERVICE AREA, WHICH REPRESENTS APPROXIMATELY 10% OF SACH'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 MEDICAL. OVERALL, 10.8% OF THE HOSPITAL'S PATIENTS ARE UNINSURED AND 18.2% ARE MEDICAL BENEFICIARIES. IN ADDITION TO SAN ANTONIO COMMUNITY HOSPITAL, THERE ARE THREE HOSPITALS, CHINO VALLEY HOSPITAL, KAISER PERMANENTE ONTARIO, AND KAISER PERMANENTE FONTANA, PRESENT WITHIN THE PRIMARY SERVICE AREA. SAN ANTONIO COMMUNITY HOSPITAL IS NOT LOCATED IN A FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREA.
Schedule H, Part VI, Line 5	SACH HAS A COMMUNITY BOARD AND OPEN MEDICAL STAFF PRIVILEGES. AS IN MOST COMMUNITIES, HEALTH AND SERVICE NEEDS ARE GREAT, BUT THE RESOURCES LIMITED. SACH 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. SACH 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. SACH HAS PROVIDED LEADERSHIP AND PROFESSIONAL EXPERTISE TO SUPPORT THE HEALTHY CITIES IN ITS SERVICE AREA INCLUDING HEALTHY CHINO, HEALTHY FONTANA, MONTCLAIR COMMUNITY COLLABORATIVE, HEALTHY ONTARIO, HEALTHY RANCHO CUCAMONGA, AND UPLAND PARTNERSHIP. SACH 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. SACH 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, SACH 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, SACH 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, AND THE SAN ANTONIO COMMUNITY 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 COMMUNITY 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/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt
Meals on Wheels
4792 Falconview Court	Fontana	CA	92336	952799275	501c3	$41,679	Cost of Goods	Meals	Donate Meals
San Antonio Hospital Foundation
999 San Bernardino Road	Upland	CA	91786	330042666	501c3				Support SACH Program	$73,250

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 COMMUNITY HOSPITAL RAISE FUNDS TO SUPPORT THE HOSPITAL. THOSE FUNDS ARE DONATED ANNUALLY TO SAN ANTONIO HOSPITAL FOUNDATION, A RELATED 501(C)(3) ORGANIZATION. THE HOSPITAL'S CFO IS ALSO CFO FOR THE FOUNDATION. THE HOSPITAL CFO IS RESPONSIBLE FOR MONITORING ALL FOUNDATION DISBURSEMENTS, INCLUDING DISBURSEMENTS RELATED TO GRANT FUNDING.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
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 (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Harris Koenig
President/CEO	$348,969	$0	$0	$0	$110,182	$0	$30,250	$0	$22,034	$0	$511,435	$0	$0	$0
Wah-Chung Hsu
CFO/Secretary	$291,139	$0	$0	$0	$145,297	$0	$6,739	$0	$22,034	$0	$465,209	$0	$0	$0
Peter Aprato
Vice President	$216,378	$0	$0	$0	$22,782	$0	$29,231	$0	$16,078	$0	$284,469	$0	$0	$0
Lynn Kelly
Vice President	$222,438	$0	$0	$0	$7,868	$0	$20,268	$0	$9,789	$0	$260,363	$0	$4,564	$0
Liz Aragon
Vice President	$239,140	$0	$0	$0	$8,023	$0	-$29,576	$0	$18,598	$0	$236,185	$0	$6,491	$0
Ron Nowosad
Director Clinic Services	$170,634	$0	$0	$0	$664	$0	$6,707	$0	$20,244	$0	$198,249	$0	$0	$0
Kenneth Saltgaver
Director Pharmacy	$181,137	$0	$0	$0	$1,067	$0	-$20,043	$0	$14,306	$0	$176,467	$0	$0	$0
Bettina Celifie
Director Surgery	$161,038	$0	$0	$0	$312	$0	$1,413	$0	$7,949	$0	$170,712	$0	$0	$0
Kamal Pandya
Director Information Technology	$158,736	$0	$0	$0	$9,569	$0	-$31,787	$0	$931	$0	$137,449	$0	$0	$0
Sharon Simmons
Director Finance	$161,365	$0	$0	$0	$1,545	$0	-$50,973	$0	$8,251	$0	$120,188	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a	THE HOSPITAL 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, THE HOSPITAL PROVIDES REIMBURSEMENT FOR SPOUSAL TRAVEL. THE HOSPITAL ALSO GROSSES UP THE SPOUSAL TRAVEL REIMBURSEMENT AND REPORTS THE GROSSED UP AMOUNT ON A 1099 GIVEN TO THE BOARD MEMBER. IN 2013, THE HOSPITAL'S CFO, WAH-CHUNG HSU, RECEIVED REIMBURSEMENT FOR RELOCATION COSTS WHICH INCLUDED HOUSING COSTS AND GROSS-UP AMOUNTS.
Schedule J, Part I, Line 4	SAN ANTONIO COMMUNITY HOSPITAL PROVIDES A 457(F) SUPPLEMENTAL NON-QUALIFIED PLAN FOR SEVEN MEMBERS OF ITS EXECUTIVE MANAGEMENT TEAM. THE PLAN PROVIDES AN ACCRUED (BUT NOT PAID) BENEFIT UP TO A MAXIMUM OF 10% OF EACH OF THE EXECUTIVE'S BASE PAY. THE PLAN ACCRUES EARNINGS AT THE 10-YEAR TREASURY NOTE RATE ON THE LAST BANKING DAY OF EACH YEAR. THE PLAN PARTICIPANTS ARE NOT ELIGIBLE TO RECEIVE THE FUNDS IN THIS PLAN UNTIL RETIREMENT OR TERMINATION. IN 2013, TWO MEMBERS OF THE EXECUTIVE MANAGEMENT GROUP RECEIVED PAYMENTS. LIZ ARAGON, VP NURSING RECEIVED $6,492 AND LYNN KELLY, VP HUMAN RESOURCES RECEIVED $4,564.
Schedule J, Part II	ESTIMATED DEFINED BENEFIT PLAN AMOUNT IS CALCULATED BASED ON INTEREST RATES IN EFFECT FOR 2013. DUE TO THE DECREASE IN INTEREST RATES, A NEGATIVE AMOUNT FOR DEFERRED COMPENSATION WAS REPORTED FOR THOSE EMPLOYEES ENROLLED IN THE DEFINED BENEFIT PLAN. INCLUDED IN OTHER REPORTABLE COMPENSATION OF THE CFO, WAH-CHUNG HSU, ARE GROSSED UP TAXABLE REIMBURSEMENT OF RELOCATION AND TEMPORARY HOUSING COSTS IN ACCORDANCE WITH HIS EMPLOYMENT AGREEMENT. MR. HSU'S EMPLOYMENT AGREEMENT WAS NEGOTIATED WITH ASSISTANCE FROM A NATIONAL HEALTHCARE RECRUITING FIRM WHICH WAS BASED ON CURRENT MARKET PRACTICES.

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	BusinessNameLine1

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	$126,537,058	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	$0	CapitalExpendituresAmt
Other Spent Proceeds	$110,004,997	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
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 (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I, Column a-01/27/2011 122,414,361 City of Upland	THE CERTIFICATES OF PARTICIPATION WERE ISSUED BY THE CITY OF UPLAND, CALIFORNIA EVIDENCING INDIVIDUAL OWNERSHIP INTERESTS OF THE HOLDERS THERE OF IN INSTALLMENT PAYMENTS TO BE MADE BY THE CITY OF UPLAND FROM PURCHASE PAYMENTS TO BE RECEIVED FROM SAN ANTONIO COMMUNITY HOSPITAL.
Schedule K, Part I, Column c-01/27/2011 122,414,361 City of Upland	SCHEDULE K, PART I, COLUMN C CUSIP NUMBERS ARE 915346EW6, 915346EX4, 915346EY2, 915346EY2, 915346EZ9, 915346FA3, 915346FB1, 915346FC9, 915346FD7, 915346FE5, 915346FF2, 915346FG0, 915346FJ4 AND 915346FH8
Schedule K, Part I, Column f-01/27/2011 122,414,361 City of Upland	BORROWING PROCEEDS TO BE USED FOR THE CONSTRUCTION OF A FOUR STORY PATIENT CARE TOWER, AN ENERGY PLANT, AND RELATED SITE UTILITIES FOR $110,004,997 AND TO REFUND EXISTING LONG TERM DEBT DATED SEPTEMBER 1, 1993 OF $14,667,046.
Schedule K, Part V-01/27/2011 122,414,361 City of Upland	SAN ANTONIO COMMUNITY HOSPITAL IS IN THE PROCESS OF DEVELOPING POST-ISSUANCE PROCEDURES TO BE IN PLACE PRIOR TO DEBT FINANCED ADDITION BEING PLACED INTO SERVICE.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	San Antonio Radiological Group	BusinessNameLine1

Field	Value	IRS element (for citing)
Relationship Description	Trustee, Carl L. Schultz	RelationshipDescriptionTxt
Transaction	$336,863	TransactionAmt
Transaction	COMPENSATION FOR SERVICES	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III	"OVERVIEW" -SAN ANTONIO COMMUNITY HOSPITAL (SACH) 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. SACH 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 1,605 FULL TIME EQUIVALENT EMPLOYEES AND A MEDICAL STAFF OF NEARLY 500 PHYSICIANS. IN 2013, THE HOSPITAL HAD 76,690 EMERGENCY ROOM VISITS. SACH 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.
Form 990, Part III (Cont. 1)	"LEADERSHIP"-SACH IS GOVERNED BY A 15-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, DIRECTOR 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 SACH'S COMMUNITY OUTREACH PROGRAM. "OUR COMMITMENT" -THE LEADERSHIP AT SACH 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. SACH'S COMMITMENT TO PROVIDING QUALITY CARE FOR ALL MEMBERS OF OUR COMMUNITY HAS RECEIVED NATIONAL RECOGNITION. IN ITS 2009 NATIONAL BENCHMARKS STUDY, THOMSON REUTERS RECOGNIZED SACH AS A "TOP 100 HOSPITAL" IN THE UNITED STATES. SACH WAS THE ONLY LARGE COMMUNITY HOSPITAL IN CALIFORNIA AND THE FIRST CALIFORNIA HOSPITAL IN FOUR YEARS TO RECEIVE AN AWARD. THIS RECOGNITION IS BASED ON PERFORMANCE ACHIEVEMENTS IN NINE AREAS: MORTALITY, MEDICAL COMPLICATIONS, PATIENT SAFETY, AVERAGE LENGTH OF STAY, EXPENSES, PROFITABILITY, CASH-TO-DEBT RATIO, PATIENT SATISFACTION, AND ADHERENCE TO CLINICAL STANDARDS OF CARE. IN ADDITION TO THE TOP 100 HOSPITAL AWARD, THOMAS REUTERS SELECTED SACH AS ONE OF 23 HOSPITALS NATIONALLY TO RECEIVE ITS INAUGURAL "EVEREST" AWARD FOR SUSTAINED OPERATIONAL PERFORMANCE AND RAPID INCREASE IN PERFORMANCE IMPROVEMENT RATES OVER THE PREVIOUS FIVE YEARS. IN ADDITION, HEALTHGRADES HAS RECOGNIZED SACH FOR QUALITY EXCELLENCE IN EMERGENCY MEDICINE, STROKE CARE, AND MATERNITY CARE. IN 2008, SACH BECAME THE 65TH HOSPITAL IN THE UNITED STATES TO RECEIVE THE BABY FRIENDLY DESIGNATION WHICH MEASURES INFANT HEALTH, BREAST FEEDING, AND INFANT-PARENT ATTACHMENT BASED ON GLOBAL CRITERIA DEVELOPED BY THE WORLD HEALTH ORGANIZATION AND UNICEF. SACH HAS ALSO BEEN HONORED BY THE CALIFORNIA HOSPITAL ASSESSMENT REPORTING TASK FORCE (CHART) FOR EXCELLENCE IN CLINICAL AND SAFETY MEASURES.
Form 990, Part III (Cont. 2)	"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 COMMUNITY 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, SACH 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 2013, $414,710 (AT COST) IN CHARITY CARE WAS PROVIDED FOR QUALIFYING PATIENTS. IN ADDITION TO THIS DIRECT MEDICAL CARE, SACH REACHES OUT TO ITS COMMUNITY IN A VARIETY OF WAYS THAT GO WELL BEYOND THE TRADITIONAL CARE PROVIDED BY AN ACUTE CARE HOSPITAL. "PLANNING"-SACH CONDUCTS A FORMAL STRATEGIC PLANNING PROCESS INVOLVING SENIOR MANAGEMENT, THE BOARD, THE MEDICAL STAFF LEADERSHIP EVERY THREE YEARS WITH ANNUAL REVIEWS AND UPDATES. IN 2011, THE EXECUTIVE MANAGEMENT TEAM WORKED CLOSELY WITH SACH'S BOARD OF TRUSTEES AND MEDICAL STAFF TO DEVELOP A THREE-YEAR STRATEGIC PLAN FOR 2012 TO 2014, 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. "FACILITY EXPANSION" - THE EXPANSION, EXPECTED TO OPEN IN LATE 2015, WILL INCLUDE NEW MEDICAL/SURGICAL AND INTENSIVE CARE INPATIENT BEDS AND A NEW EMERGENCY DEPARTMENT, WHICH ARE ESSENTIAL TO ACCOMMODATE THE GROWING NEEDS OF SACH'S SERVICE AREA AND TO OFFSET THE EXPECTED REDUCTION IN THE NUMBER OF MEDICAL/SURGICAL BEDS AS A RESULT OF CURRENT STATE SEISMIC COMPLIANCE REQUIREMENTS. THE TREMENDOUS GROWTH EXPERIENCED IN SACH'S EMERGENCY DEPARTMENT SERVICES IS 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 2013, SACH'S EMERGENCY DEPARTMENT HAD 76,690 VISITS. WITH THE HIGH UNEMPLOYMENT IN THE HOSPITAL'S SERVICE AREA, THE NUMBER OF UNINSURED PATIENTS TREATED IN THE EMERGENCY DEPARTMENT CONTINUES TO RISE, ADDING ADDITIONAL STRESS TO THE ALREADY OVERBURDENED EXISTING FACILITIES. "FOUR-STORY PATIENT TOWER" - THE PRIMARY STRUCTURE IN THE PLANNED ADDITION TO SACH'S FACILITIES WILL BE A FOUR-STORY PATIENT CARE TOWER TO BE CONSTRUCTED ON THE EAST SIDE OF THE HOSPITAL CAMPUS IMMEDIATELY ADJACENT TO THE EXISTING PATIENT TOWER AND ANCILLARY SERVICE DEPARTMENTS. THE FOUR-STORY TOWER DESIGNED TO INCLUDE 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.
Form 990, Part III (Cont. 3)	"FACILITY EXPANSION" - THE EXPANSION, EXPECTED TO OPEN IN LATE 2015, WILL INCLUDE NEW MEDICAL/SURGICAL AND INTENSIVE CARE INPATIENT BEDS AND A NEW EMERGENCY DEPARTMENT, WHICH ARE ESSENTIAL TO ACCOMMODATE THE GROWING NEEDS OF SACH'S SERVICE AREA AND TO OFFSET THE EXPECTED REDUCTION IN THE NUMBER OF MEDICAL/SURGICAL BEDS AS A RESULT OF CURRENT STATE SEISMIC COMPLIANCE REQUIREMENTS. THE TREMENDOUS GROWTH EXPERIENCED IN SACH'S EMERGENCY DEPARTMENT SERVICES IS 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 2013, SACH'S EMERGENCY DEPARTMENT HAD 76,690 VISITS. WITH THE HIGH UNEMPLOYMENT IN THE HOSPITAL'S SERVICE AREA, THE NUMBER OF UNINSURED PATIENTS TREATED IN THE EMERGENCY DEPARTMENT CONTINUES TO RISE, ADDING ADDITIONAL STRESS TO THE ALREADY OVERBURDENED EXISTING FACILITIES. "FOUR-STORY PATIENT TOWER" - THE PRIMARY STRUCTURE IN THE PLANNED ADDITION TO SACH'S FACILITIES WILL BE A FOUR-STORY PATIENT CARE TOWER TO BE CONSTRUCTED ON THE EAST SIDE OF THE HOSPITAL CAMPUS IMMEDIATELY ADJACENT TO THE EXISTING PATIENT TOWER AND ANCILLARY SERVICE DEPARTMENTS. THE FOUR-STORY TOWER DESIGNED TO INCLUDE 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 WILL CONNECT THE NEW ENERGY PLANT WITH THE NEW FOUR-STORY PATIENT CARE TOWER. "HOSPITAL SERVICES" - SACH PROVIDES A FULL SPECTRUM OF PREVENTIVE ACUTE, PRIMARY, AND SPECIALTY CARE TO THE COMMUNITIES IT SERVICES. THESE SERVICES INCLUDE INPATIENT MEDICAL AND SURGICAL SERVICE, EMERGENCY AND INTENSIVE CARE SERVICES, PALLIATIVE CARE AND A COMMUNITY WELLNESS AND HEALTH PROMOTION PROGRAM. AREAS OF SPECIAL EXPERTISE INCLUDE CARDIOVASCULAR SERVICES PROVIDED AT SACH'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,
Form 990, Part III (Cont. 4)	"THE HEART CENTER" - SACH'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. SACH HAS BEEN DESIGNATED AS "STEMI" (ST-ELEVATION MYOCARDIAL INFARCTION)-RECEIVING HOSPITAL BY SAN BERNARDINO, LOS ANGELES 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. SACH IS THE ONLY HOSPITAL IN THE INLAND EMPIRE WITH A THREE-COUNTY DESIGNATION. "CANCER CENTER" - SACH'S CANCER PROGRAM HAS BEEN FULLY ACCREDITED BY THE AMERICAN COLLEGE OF SURGEON'S COMMISSION ON CANCER SINCE 1980. THE HOSPITAL TREATS MORE THAN 800 NEW CANCER CASES PER YEAR. 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 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" - SACH 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 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 SACH'S INTERNATIONALLY BOARD CERTIFIED LACTATION CONSULTANT. SACH IS DESIGNATED A BABY FRIENDLY HOSPITAL BY THE WORLD HEALTH ORGANIZATION. THIS DESIGNATION IS AN IMPORTANT PART OF SACH'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 350 INPATIENT AND 350 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 SACH'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 III (Cont. 5)	"COMMUNITY EDUCATION"- SACH OFFERS A BROAD ARRAY OF EDUCATION CLASSES, SUPPORT GROUPS, AND COMMUNITY LECTURES TO MEET THE HEALTH NEEDS OF ITS COMMUNITY. MANY PROGRAMS ARE OFFERED ON-SITE, HOWEVER THERE ARE SOME PROGRAMS 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, SACH CONDUCTS AN ONGOING ASSESSMENT PROCESS TO IDENTIFY COMMUNITY HEALTH NEEDS. 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. "HEALTHY BEGINNINGS" - SACH'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 THOROUGH 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 COMMUNITY 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 OWNED AND OPERATED BY THE ASSISTANCE LEAGUE OF THE FOOTHILL COMMUNITIES. SACH 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. SACH, 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. "SAFE SURRENDER" -SACH'S SAFE SURRENDER PROGRAM AND DVD ENTITLED "SAFE SURRENDER. NO SHAME. NO BLAME. NO NAMES." IS A WONDERFUL EXAMPLE OF HOW THE HOSPITAL AND ITS EMPLOYEES RECOGNIZE AND TAKE OWNERSHIP IN COMMUNITY HEALTH ISSUES WHERE THEY CAN MAKE A DIFFERENCE. OFFICIALLY CALLED THE "SAFE HAVEN" LAW, THE SAFE SURRENDER PROGRAM ENSURES THAT A BABY CAN BE SURRENDERED ANONYMOUSLY TO ANY HOSPITAL, FIRE DEPARTMENT, OR POLICE DEPARTMENT WITHOUT CRIMINAL REPERCUSSIONS. WHILE MANY HEALTHCARE WORKERS WERE AWARE OF THE LAW, FEW JUNIOR HIGH, HIGH SCHOOL AND COLLEGE STUDENTS KNEW ABOUT THIS SAFE AND SECURE OPTION FOR BOTH INFANT AND PARENTS. PRODUCED IN PARTNERSHIP WITH COLLEGE FILM STUDENTS, SAFE SURRENDER. NO SHAME. NO BLAME. NO NAMES. CONTAINS POWERFUL IMAGERY AND INTERVIEWS WITH TEENAGE GIRLS WHO RELATE TO YOUNG WOMEN AT THEIR OWN LEVEL. THE DVD IS AVAILABLE FREE OF CHARGE TO ANYONE WILLING TO HELP RAISE AWARENESS OF THE SAFE SURRENDER ALTERNATIVE TO INFANT ABANDONMENT. TO DATE MORE THAN 2,300 COPIES OF THE DVD HAVE BEEN DISTRIBUTED TO OVER 750 DIFFERENT COMMUNITY ORGANIZATIONS, SCHOOL DISTRICTS, NURSE EDUCATORS AND TEACHERS. THE SAN BERNARDINO COUNTY SUPERINTENDENT OF SCHOOLS, THROUGH ITS SCHOOL LINKED HEALTH PROGRAMS AND PARTNERSHIPS, HAS INCORPORATED THE HOSPITAL'S SAFE SURRENDER DVD INTO ITS POSITIVE PREVENTION PLUS SEX EDUCATION CURRICULUM. SAN BERNARDINO COUNTY HAS ROLLED THE PROGRAM OUT TO ALL 34 OF ITS SCHOOL DISTRICTS, EDUCATING NURSES AND TEACHERS AND TARGETING THOUSANDS OF MIDDLE SCHOOL AND HIGH SCHOOL STUDENTS. BECAUSE OF THE POSITIVE IMPACT, SAN BERNARDINO COUNTY PRINTS THE CURRICULUM FOR DISTRIBUTION TO SCHOOL DISTRICTS THROUGHOUT CALIFORNIA WHO REQUEST IT. IT IS ALSO AVAILABLE THROUGH THE DEPARTMENT OF EDUCATION'S HEALTHY KIDS RESOURCE CENTER. WITH THE ADDITIONAL EXPOSURE THROUGH THE SCHOOL CURRICULUM, THE NUMBER OF YOUNG PEOPLE TOUCHED BY THE DVD'S MESSAGE WILL CONTINUE TO GROW. "HEALTH AND HOT RODS" SAN ANTONIO COMMUNITY HOSPITAL'S 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. IN LINE WITH THIS PURPOSE, A 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. IN OUR FIRST ANNUAL EVENT WE WERE OVERWHELMED BY THE RESPONSE AND SUPPORT FROM THE COMMUNITY. THE EVENT CONSISTS OF A CLASSIC CAR AND HOT RODS SHOW. 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, TO NAME A FEW. AT THIS EVENT GUESTS ALSO HAVE THE OPPORTUNITY TO LISTEN TO PHYSICIANS ADDRESS IMPORTANT HEALTH TOPICS AFFECTING MEN. IN 2013 THE TOPICS INCLUDED HEART DISEASE, PROSTATE CANCER, AND TARGETED HEALTH SCREENINGS FOR 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." THE HOSPITAL WILL CONTINUE TO ENGAGE ALL PERSONS IN BEING CHAMPIONS FOR THEIR OWN HEALTH.
Form 990, Part III (Cont. 6)	"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 TENUOUS 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 SUPPORTIVE SERVICES IN HER AREA. 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 AND 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 COMMUNITY 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 CAFE 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, PRESIDENT 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 PROGRAMS FOR THIS POPULATION AND CONTINUES TO EXPAND TO MEET THE DIVERSE NEEDS OF THE POPULATION BEING SERVED. "HAPPY CHILDREN'S HEALTH INITIATIVE" - SACH IS AN ACTIVE PARTICIPANT IN HEALTHY ONTARIO'S PREVENTION AND WELLNESS AND HEALTHCARE ACCESS WORKGROUPS. THESE INITIATIVES ARE CLOSELY ALIGNED WITH THE HOSPITAL'S GOAL TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES WE SERVE AND PROVIDE A TANGIBLE MEANS FOR THE HOSPITAL TO RESPOND TO IDENTIFIED COMMUNITY NEEDS. HEALTHCARE ACCESS WITHIN SAN BERNARDINO COUNTY IS PARTICULARLY CHALLENGING GIVEN THAT 13.8% OF THE 0-17 POPULATION IS UNINSURED AND 6.8% DO NOT HAVE A REGULAR MEDICAL HOME. AS A RESULT, ACCESS FOR THIS PARTICULAR POPULATION IS PRIMARILY THROUGH THE 911 SYSTEM AND HOSPITAL EMERGENCY DEPARTMENTS. ONE OF THE KEY OBJECTIVES ESTABLISHED BY THE HEALTHCARE ACCESS WORKGROUP WAS TO ENCOURAGE APPROPRIATE UTILIZATION OF HIGH-COST SERVICES AND SYSTEMS, AND TO PROPERLY CHANNEL RESOURCES TO INCREASE ACCESS TO PREVENTIVE AND PRIMARY CARE. IT IS OUT OF THIS OBJECTIVE THAT HAPPY (HEALTH ACCESS PARTNERSHIP PROJECT FOR YOUTH) WAS BORN. HAPPY'S GOALS ARE TO INCREASE HEALTH PLAN ENROLLMENT FOR QUALIFIED CHILDREN, CONDUCT HEALTH SCREENINGS FOR CHILDREN WITHOUT ACCESS TO HEALTHCARE THROUGH COLLABORATION AND COORDINATION OF CARE AMONG PUBLIC AND PRIVATE ENTITIES, AND TO DEMONSTRATE COST SAVINGS THROUGH NEW MODELS OF HEALTH CARE FOR CHILDREN WITHIN TARGETED GROUPS. CHILDREN ARE ENROLLED IN THE HAPPY CLUB THROUGH KIDS COME FIRST COMMUNITY CLINIC AND ARE GIVEN AN IDENTIFICATION CARD. ALL SERVICES PROVIDED THROUGH THE PROGRAM ARE MONITORED AND EVALUATED TO MEASURE HEALTH OUTCOMES. THE HAPPY PROJECT IS DESIGNED TO INCREASE ACCESS TO CHILDREN'S PREVENTATIVE HEALTH SERVICES SUCH AS REGULAR MEDICAL CHECK-UPS, PREVENTATIVE AND WELLNESS CARE, SCREENING AND ASSESSMENT, IMMUNIZATIONS, HEALTH EDUCATION AND SPECIALTY CARE REFERRALS. THE PROGRAM BEGAN IN THE SUMMER OF 2009, BUT ENROLLMENT DID NOT BEGIN IN EARNEST UNTIL SCHOOL WAS IN SESSION. TODAY, THE HAPPY CLUB HAS ENROLLED WELL OVER 1,500 CHILDREN OVER. SINCE ITS INCEPTION, THE HAPPY CLUB HAS MADE A TREMENDOUS DIFFERENCE IN THE LIVES OF MANY CHILDREN AND THEIR FAMILIES BY FILLING THE GAP IN THE SAFETY NET. EACH CHILD ENROLLED IN THE HAPPY CLUB RECEIVES A MEDICAL SCREENING, AND IN MANY CASES THESE SCREENINGS LEAD TO EARLY INTERVENTION AND REFERRALS TO CRITICALLY NEEDED MEDICAL CARE. THIS IS WHERE SACH STEPS IN TO HELP BY FACILITATING REFERRALS TO PHYSICIANS WHO CAN PROVIDE THE SPECIALIZED MEDICAL CARE NEEDED. IN ADDITION TO ARRANGING FOR REFERRALS TO PEDIATRIC SPECIALISTS ON ITS MEDICAL STAFF, SACH PROVIDES LABORATORY, RADIOLOGY, CARDIOLOGY AND VARIOUS OTHER DIAGNOSTIC PROCEDURES FOR HAPPY CHILDREN WHO NEED FURTHER MEDICAL FOLLOW-UP. IN ADDITION TO THE EXPENSE INCURRED BY THE HOSPITAL, PHYSICIAN SPECIALISTS INCLUDING RADIOLOGISTS AND CARDIOLOGISTS DONATE THEIR TIME AND RESOURCES TO INTERPRET THE DIAGNOSTIC EXAMS AND REPORT THEIR FINDINGS TO THE MEDICAL DIRECTOR AT THE KIDS COME FIRST CLINIC. ACCESS TO DIAGNOSTIC TESTING HAS ENABLED THE MEDICAL PROVIDERS AT THE CLINIC TO IDENTIFY AND TREAT HEALTH PROBLEMS THAT HAD GONE UNDIAGNOSED DUE TO THE FAMILY'S INABILITY TO ACCESS MEDICAL CARE FOR THEIR CHILD. WITHOUT TREATMENT, MANY OF THESE CHILDREN ARE AT RISK FOR MORE SERIOUS HEALTH PROBLEMS THAT CAN DEVELOP INTO LIFELONG CHRONIC DISEASES SUCH AS DIABETES. HEALTHY ONTARIO'S EXPERIENCE HAS DEMONSTRATED THAT NEW WAYS OF THINKING ABOUT HEALTH CAN LEAD TO INNOVATIVE MODELS OF CARE LIKE THE HAPPY CLUB, WHICH IS EFFECTIVELY FILLING SOME OF THE HOLES IN THE HEALTHCARE SAFETY NET. THE HOPE FOR THE FUTURE IS THAT THE SUCCESS ACHIEVED BY HEALTHY ONTARIO'S HAPPY PROGRAM WILL BECOME A MODEL THAT OTHER CITIES CAN REPLICATE TO MIRROR THE HAPPY CLUB'S SUCCESS IN THEIR OWN COMMUNITIES.
Form 990, Part VI, Section B, Line 10a	THE HOSPITAL HAS A MEDICAL STAFF ACTIVITY WHOSE ACTIVITIES ARE SEPARATE FROM THE HOSPITAL'S BUT THE HOSPITAL'S GOVERNING BOARD HAS ULTIMATE AUTHORITY OVER CERTAIN MEDICAL STAFF ACTIONS
Form 990, Part VI, Section B, Line 11b	THE FORM IS PREPARED INTERNALLY BY THE ORGANIZATION'S ACCOUNTING DEPARTMENT AND REVIEWED BY THE ORGANIZATION'S CFO. THE FORM IS THEN REVIEWED BY THE ORGANIZATION'S EXTERNAL FINANCIAL AND TAX AUDIT FIRM. FOLLOWING THE EXTERNAL REVIEW, THE CFO REVIEWS THE FORM WITH THE ORGANIZATION'S CEO. THE FORM IS THEN SENT TO MEMBERS OF THE ORGANIZATION'S BOARD AUDIT COMMITTEE FOR REVIEW AND APPROVAL. THE FORM IS THEN SENT TO THE ENTIRE ORGANIZATION BOARD PRIOR TO FINAL SIGNATURES AND FILING.
Form 990, Part VI, Section B, Line 12c	THE ORGANIZATION HAS A COMPLIANCE OFFICER WHO REVIEWS THE ORGANIZATION'S COMPLIANCE POLICIES, INCLUDING ITS CONFLICT OF INTEREST STATEMENTS, AT LEAST ANNUALLY. THE ORGANIZATION'S BOARD HAS AN ORGANIZATION MEETING EVERY JANUARY. AT THE ANNUAL ORGANIZATION MEETING CONFLICT OF INTEREST STATEMENTS ARE DISTRIBUTED TO ALL BOARD MEMBERS AND OFFICERS AND SUBSEQUENTLY COLLECTED BY THE ORGANIZATION'S COMPLIANCE OFFICER. THE CFO, WHO ATTENDS ALL BOARD MEETINGS, ALSO REVIEWS THE BOARD CONFLICT OF INTEREST STATEMENTS. IF A NEW POTENTIAL CONFLICT OF INTEREST 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 VOTES. BOARD MINUTES REFLECT THESE ABSTENTIONS. AT LEAST SEMI-ANNUALLY, THE ORGANIZATION'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. THE ORGANIZATION FOLLOWS A SIMILAR ANNUAL PROCEDURE FOR MEMBERS OF ITS EXECUTIVE MANAGEMENT AND DEPARTMENT DIRECTORS, INCLUDING AT LEAST ANNUAL COMPLIANCE EDUCATION SESSIONS.
Form 990, Part VI, Section B, Line 15	THE ORGANIZATION'S EXECUTIVE COMPENSATION PROGRAM IS DIRECTED BY THE COMPENSATION COMMITTEE OF THE BOARD. THE ORGANIZATION HAS DEVELOPED AND APPROVED A FORMAL EXECUTIVE COMPENSATION POLICY THAT CURRENTLY COVERS SIX SENIOR MANAGEMENT EMPLOYEES, INCLUDING THE CEO AND THE 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 SACH'S EXECUTIVE PAY IS REVIEWED AGAINST THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA'S EXECUTIVE COMPENSATION SURVEY. THE CONSULTANT PRESENTS THE SURVEY DATA AND ANALYSIS TO THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. 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 SACH'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 OF 2014. THE CONSULTANT USED SURVEY DATA FROM FOUR DIFFERENT PUBLISHED SURVEYS THAT INCLUDE CA HOSPITALS WITH COMPARABLE REVENUES, EMPLOYEES AND COMPLEXITY. COMPENSATION COMMITTEE REVIEWS THE EXTERNAL 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, IS 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 AT SACH. THE PROCEDURES DESCRIBED HERE ARE DOCUMENTED IN THE BOARD MINUTES.
Form 990, Part VI, Section C, Line 19	THE ORGANIZATION HAS NOT MADE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST STATEMENTS AVAILABLE TO THE PUBLIC. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE PART OF THE ORGANIZATION'S ANNUAL REPORT FILED WITH THE CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) AND ARE AVAILABLE ON THE OSHPD WEB SITE. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE ALSO INCLUDED AS PART OF ITS ANNUAL MEDICARE AND MEDICAID COST REPORT FILINGS WHICH ARE PUBLICALLY AVAILABLE ON THE CMS (MEDICARE) WEB SITE. THE ORGANIZATION'S 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 THE IRS INSTRUCTIONS.
Form 990, Part IX, Line 24e	OTHER EXPENSES INCLUDE RECRUITMENT OF $193,406, COLLECTION EXPENSE OF $427,488 AND INVENTORY WRITE OFFS OF -$770,674.
Form 990, Part XI, Line 9	"OTHER CHANGES IN NET ASSETS" - CHANGE IN ADDITIONAL MINIMUM PENSION LIABILITY 23,083,038, PLUS INCREASE IN SAHF - TEMPORARILY RESTRICTED NET ASSETS FOR SAHF OF 2,550,067, INCREASE OF INTEREST OF SUBSIDIARY SAHF - EARNINGS OF $10,000 AND $(50) PRIOR PERIOD ADJUSTMENT FOR MEDICAL STAFF EXPENSE.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
San Antonio Hospital Foundation Inc
999 San Bernardino Road	Upland	CA	91786	330042666	Support SACH	CA	501c(3)	7	SACH	Yes (1)
San Antonio Community Hospital Health Care Plan
999 San Bernardino Road	Upland	CA	91786	237391094	Health Plan services	CA	501c(9)		SACH	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	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	999 San Bernardino Road	AddressLine1
City	Upland	City
State	CA	State
ZIP Code	91786	ZIPCode

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	SACH	BusinessNameLine1

Field	Value	IRS element (for citing)
Entity Type	C	EntityTypeTxt
Share Of Total Income	$1,381	ShareOfTotalIncomeAmt
Share Of EOY Assets	$324,543	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	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	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	$73,250	MARKET VALUE
San Antonio Hospital Foundation Inc
r	$721,858	MARKET VALUE
San Antonio Community Hospital Health Care Plan
r	$10,065,218	MARKET VALUE