SAN ANTONIO REGIONAL HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: SAN ANTONIO REGIONAL HOSPITAL (EIN 95-1183919)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-13
IRS object ID: 201223199349306262
Schema version: 2011v1.2
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)
Timestamp	2012-11-13T17:05:09-07:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	951183919	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SAN ANTONIO COMMUNITY HOSPITAL INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	SANA	NameControl
Phone	9099204711	Phone

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

Officer Officer

Field	Value	IRS element (for citing)
Name	Wah-chung Hsu	Name
Title	Sr. Vice President -Finance	Title
Phone	9099206103	Phone
Date Signed	2012-11-13	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Harris Koenig	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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)
Gross Receipts	555265586	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	sach.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1920	YearFormation
State Legal Domicile	CA	StateLegalDomicile
Activity Or Mission Description	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.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	2183	TotalNbrEmployees
Total Nbr Volunteers	300	TotalNbrVolunteers
Total Gross UBI	1506688	TotalGrossUBI
Net Unrelated Business Txbl Income	807829	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1596162	ContributionsGrantsPriorYear
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	292127584	ProgramServiceRevenuePriorYear
Program Service Revenue CY	265809104	ProgramServiceRevenueCY
Investment Income Prior Year	12335342	InvestmentIncomePriorYear
Investment Income Current Year	9240346	InvestmentIncomeCurrentYear
Other Revenue Prior Year	924251	OtherRevenuePriorYear
Other Revenue Current Year	4368214	OtherRevenueCurrentYear
Total Revenue Prior Year	306983339	TotalRevenuePriorYear
Total Revenue Current Year	279417664	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	94000	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	126470	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	141396674	SalariesEtcPriorYear
Salaries Etc Current Year	144665971	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	139723439	OtherExpensePriorYear
Other Expenses Current Year	113032068	OtherExpensesCurrentYear
Total Expenses Prior Year	281214113	TotalExpensesPriorYear
Total Expenses Current Year	257824509	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	25769226	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	21593155	RevenuesLessExpensesCY
Total Assets BOY	409421008	TotalAssetsBOY
Total Assets EOY	551683168	TotalAssetsEOY
Total Liabilities BOY	105120113	TotalLiabilitiesBOY
Total Liabilities EOY	237789264	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	304300895	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	313893904	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	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.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	240546491	Expense
Grants	126470	Grants
Revenue	268461952	Revenue
Description	See Schedule O for detailed description	Description
Total Of Other Program Service Exp	0	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	0	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	0	TotalOfOtherProgramServiceRev
Total Program Service Expense	240546491	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	0	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	1	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	394	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2183	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	1	LocalChapters
Policies Reference Chapters	1	PoliciesReferenceChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	0	CompensationProcessCEO
Compensation Process Other	0	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	CA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Wah-chung Hsu	NamePerson
Telephone Number	9099206103	TelephoneNumber

Address US AddressUS

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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
Donald Alpiner DO
Trustee	4	X	2210	0	0
Dora Barilla
Trustee	4	X	0	0	0
Mark Bertone
Trustee/Vice Chairman	4	X	0	0	0	X
Dann Bowman
Trustee	4	X	0	0	0
Andrea Dutton
Trustee	4	X	0	0	0
Thomas Easter MD
Trustee	4	X	7517	0	0
Richard Gilbert
Trustee	4	X	0	0	0
Stanley Kim MD
Trustee	4	X	42000	0	0
Harris Koenig
President/CEO	40	X	304597	0	9036	X
James Milhiser
Trustee Chairman	4	X	0	0	0	X
Thomas Ritchie
Trustee	4	X	0	0	0
Al Ronco
Trustee/Treasurer	4	X	0	0	0	X
Tejinder Singh MD
Trustee	4	X	1594	0	0
Carl Schultz MD
Trustee	4	X	0	0	0
Steven Spears
Trustee	4	X	0	0	0
Roger Parsons
Sr Vice Pres/CFO/Secretary	40		344222	0	232907	X
Vincent Leist
Vice President	40		268730	0	26692		X
Liz Aragon
Vice President	40		251768	0	140196		X
Jaynie Boren
Vice President	40		248102	0	36200		X
Lynn Kelly
Vice President	40		243769	0	92333		X
Kenneth Saltgaver
Director Pharmacy	40		165605	0	115583			X
Carola Drascich
Registered Nurse	40		155824	0	45935			X
Khoa Phan
Pharmacist	40		160976	0	9136			X
Stanley Kwan
Pharmacist	40		160114	0	85413			X
Dylan Dang
Registered Nurse	40		154891	0	4410			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2511919	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	797841	TotalOtherCompensation
Number Individuals GT100 K	175	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Comforce
17682 Mitchell No Ste 100	Irvine	CA	92614	Temporary Labor	1311648
Cerner Corporation
2800 Rockcreek Pkwy	Kansas City	MO	64117	Computer Remote Hosting	1240805
Softscript
2444 Wilshire Blvd Ste 280	Santa Monica	CA	90403	Transcription	825304
Synergy Cardiothoracic Surgery Medical
901 San Bernardino Rd	Upland	CA	91786	Cardiology prof services	761021
Crothall Laundry Services
5410 East Frances Street	Ontario	CA	91761	Laundry Services	504239

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	38	NumberOfContractorsGT100K
Total Contributions	0	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
Net Patient Revenue	622000	261410253	261410253	0	$0
Rental Income MOB	531120	2984190	2984190	0	$0
Lab Revenue UBI	621500	854540	0	854540	$0
Capitation Revenue	622000	560121	560121	0	$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	265809104	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	8312872	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$8,312,872	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	0	Real
Personal	0	Personal

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	275471905	Securities
Other	1173678	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	273832787	Securities
Other	1885322	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	1639118	Securities
Other	-711644	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	927474	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$927,474	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	199960	GrossSalesOfInventory
Cost Of Goods Sold	129813	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	70147	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$70,147	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
Cafeteria Revenue	722100	993070	0	0	$993,070
Surgery Center UBI Revenue	621990	652148	0	652148	$0
Electronic Health Record Meaningful Use Revenue	622000	2036346	2036346	0	$0

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	616503	TotalRevenueColumn
Related Or Exempt Function Income	616503	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	4298067	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	279417664	TotalRevenueColumn
Related Or Exempt Function Income	267607413	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1506688	UnrelatedBusinessRevenue
Exclusion	$10,303,563	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	126470	Total
Program Services	126470	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2533061	Total
Program Services	215870	ProgramServices
Management And General	2317191	ManagementAndGeneral
Fundraising	0	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	106924796	Total
Program Services	101341623	ProgramServices
Management And General	5583173	ManagementAndGeneral
Fundraising	0	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	10104406	Total
Program Services	9580341	ProgramServices
Management And General	524065	ManagementAndGeneral
Fundraising	0	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	17171269	Total
Program Services	16280681	ProgramServices
Management And General	890588	ManagementAndGeneral
Fundraising	0	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	7932439	Total
Program Services	7521023	ProgramServices
Management And General	411416	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	322091	Total
Program Services	0	ProgramServices
Management And General	322091	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	771865	Total
Program Services	0	ProgramServices
Management And General	771865	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	192913	Total
Program Services	0	ProgramServices
Management And General	192913	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	49539	Total
Program Services	49539	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total
Fundraising	0	Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	575094	Total
Program Services	0	ProgramServices
Management And General	575094	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	18661912	Total
Program Services	17693686	ProgramServices
Management And General	968226	ManagementAndGeneral
Fundraising	0	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1962017	Total
Program Services	1860256	ProgramServices
Management And General	101761	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	10181314	Total
Program Services	9650046	ProgramServices
Management And General	531268	ManagementAndGeneral
Fundraising	0	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	8986136	Total
Program Services	8520070	ProgramServices
Management And General	466066	ManagementAndGeneral
Fundraising	0	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	5427604	Total
Program Services	5146101	ProgramServices
Management And General	281503	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	209900	Total
Program Services	199014	ProgramServices
Management And General	10886	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	354787	Total
Program Services	336386	ProgramServices
Management And General	18401	ManagementAndGeneral
Fundraising	0	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	1498342	Total
Program Services	1407638	ProgramServices
Management And General	90704	ManagementAndGeneral
Fundraising	0	Fundraising

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	11482967	Total
Program Services	10787834	ProgramServices
Management And General	695133	ManagementAndGeneral
Fundraising	0	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3288789	Total
Program Services	3118216	ProgramServices
Management And General	170573	ManagementAndGeneral
Fundraising	0	Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Medical Supplies	43635415	41372265	2263150
Medi-Cal Fee Program	3658486	3658486	0
Collection Expense	527240	499895	27345
Amort Def Financing Costs	475839	451160	24679

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	769818	Total
Program Services	729891	ProgramServices
Management And General	39927	ManagementAndGeneral
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	257824509	Total
Program Services	240546491	ProgramServices
Management And General	17278018	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	9425	BOY
EOY	9425	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	26914450	BOY
EOY	7638883	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	43973060	BOY
EOY	51672022	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	423903	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3194558	BOY
EOY	4255401	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	5228419	BOY
EOY	5917207	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	328299701	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	203454196	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	97388237	BOY
EOY	124845505	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	197621889	BOY
EOY	315894241	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	4202134	BOY
EOY	4647890	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	30464933	BOY
EOY	36802594	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	409421008	BOY
EOY	551683168	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	30178917	BOY
EOY	43650135	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	19320000	BOY
EOY	122369162	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	55621196	BOY
EOY	71769967	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	105120113	BOY
EOY	237789264	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	288466441	BOY
EOY	297475145	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	11816763	BOY
EOY	12391568	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	4017691	BOY
EOY	4027191	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	304300895	BOY
EOY	313893904	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	409421008	BOY
EOY	551683168	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	21593155	ReconcilationRevenueExpenses
Reconcilation Other Changes	-12000146	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$49,539	OtherActivitiesAmount
Total Lobbying Expenditures IIB	49539	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	SchC_P2B_S00_L01	Identifier
Return Reference	Schedule C, Part II-B, Line 1	ReturnReference
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.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	4017691	BeginningOfYearBalance
Contributions	9500	Contributions
Investment Earnings Or Losses	32936	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	-5194	OtherExpenditures
Administrative Expenses	38130	AdministrativeExpenses
End Of Year Balance	4027191	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	4017691	BeginningOfYearBalance
Contributions	0	Contributions
Investment Earnings Or Losses	764343	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	743754	OtherExpenditures
Administrative Expenses	20589	AdministrativeExpenses
End Of Year Balance	4017691	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	4017691	BeginningOfYearBalance
Contributions	0	Contributions
Investment Earnings Or Losses	614286	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	601219	OtherExpenditures
Administrative Expenses	13067	AdministrativeExpenses
End Of Year Balance	4017691	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	4002691	BeginningOfYearBalance
Contributions	15000	Contributions
Investment Earnings Or Losses	-766842	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	-780189	OtherExpenditures
Administrative Expenses	13347	AdministrativeExpenses
End Of Year Balance	4017691	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	1	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	10687528	OtherCostOrOtherBasis
Book Value	10687528	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	131198375	OtherCostOrOtherBasis
Depreciation	98978984	Depreciation
Book Value	32219391	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	2257115	OtherCostOrOtherBasis
Depreciation	1081371	Depreciation
Book Value	1175744	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	135503425	OtherCostOrOtherBasis
Depreciation	103393841	Depreciation
Book Value	32109584	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	48653258	OtherCostOrOtherBasis
Depreciation	0	Depreciation
Book Value	48653258	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	124845505	TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescription	Book ValueBookValue
Beneficial Interest in SAHF	29293794
Malpractice LT Claims Receivable	4980745
Def Financing Costs	1753521
Def Comp Plan	440886
Due from Affiliates	215457
Physician Recruitment Receivable	118191

Field	Value	IRS element (for citing)
Total Book Value Other Assets	36802594	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
Pension Plan Liability	$58,534,722
Self Insurance Liabilities	$10,303,160
Def Gain Constr for other	$2,023,663
Construction Contract Retention	$878,422
Physician Guarantee Liability	$30,000

Field	Value	IRS element (for citing)
Total Of Amounts	71769967	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	SchD_P05_S00_L04	Identifier
Return Reference	Schedule D, Part V, Line 4	ReturnReference
Explanation	San Antonio Community Hospital is the sole corporate owner 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.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	3	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent350	X	Pcent350
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2799029	TotalCommunityBenefitExpense
Net Community Benefit Expense	2799029	NetCommunityBenefitExpense
Percent Of Total Expense	0.0108	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	17439482	TotalCommunityBenefitExpense
Direct Offsetting Revenue	15488765	DirectOffsettingRevenue
Net Community Benefit Expense	1950717	NetCommunityBenefitExpense
Percent Of Total Expense	0.0075	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	20238511	TotalCommunityBenefitExpense
Direct Offsetting Revenue	15488765	DirectOffsettingRevenue
Net Community Benefit Expense	4749746	NetCommunityBenefitExpense
Percent Of Total Expense	0.0183	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	41	NumberOfActivitiesOrPrograms
Persons Served	72228	PersonsServed
Total Community Benefit Expense	739045	TotalCommunityBenefitExpense
Direct Offsetting Revenue	91954	DirectOffsettingRevenue
Net Community Benefit Expense	647091	NetCommunityBenefitExpense
Percent Of Total Expense	0.0025	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	5	PersonsServed
Total Community Benefit Expense	220046	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8415	DirectOffsettingRevenue
Net Community Benefit Expense	211631	NetCommunityBenefitExpense
Percent Of Total Expense	0.0008	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	494964	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	494964	NetCommunityBenefitExpense
Percent Of Total Expense	0.0019	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	9843	PersonsServed
Total Community Benefit Expense	61967	TotalCommunityBenefitExpense
Direct Offsetting Revenue	26615	DirectOffsettingRevenue
Net Community Benefit Expense	35352	NetCommunityBenefitExpense
Percent Of Total Expense	0.0001	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	49	NumberOfActivitiesOrPrograms
Persons Served	82076	PersonsServed
Total Community Benefit Expense	1516022	TotalCommunityBenefitExpense
Direct Offsetting Revenue	126984	DirectOffsettingRevenue
Net Community Benefit Expense	1389038	NetCommunityBenefitExpense
Percent Of Total Expense	0.0053	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	49	NumberOfActivitiesOrPrograms
Persons Served	82076	PersonsServed
Total Community Benefit Expense	21754533	TotalCommunityBenefitExpense
Direct Offsetting Revenue	15615749	DirectOffsettingRevenue
Net Community Benefit Expense	6138784	NetCommunityBenefitExpense
Percent Of Total Expense	0.0236	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	6250	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	6250	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	3638	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	3638	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	9888	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	9888	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$27,661,032	BadDebtExpenseAmount
Amount Attributable To	2760000	AmountAttributableTo
Amount Reimbursed By Medicare	52213710	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	52945913	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-732203	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	San Antonio Ambulatory Surgery Center	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	Outpatient surgical center	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.29	OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership	0	OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership	0.67	PhysicansProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

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

Address Address

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)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	300	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	350	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Uninsured Discount	X	UninsuredDiscount
State Regulation	X	StateRegulation
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Medicare Rate	X	MedicareRate
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	4	NumberOfOtherFacilities

Other Facilities OtherFacilities (4 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
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

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchH_P01_S00_L06a	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. 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.
SchH_P01_S00_L06b	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 Outreach Department.
SchH_P01_S00_L07	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.
SchH_P01_S00_L07b	Schedule H, Part I, Line 7b	The California Hospital fee program resulted in a net benefit to SACH of $791,997 that reduced SACH's medical shortfall.
SchH_P01_S00_L07g	Schedule H, Part I, Line 7g	None of the costs on this line were attributable to a physician clinic.
SchH_P02_S00_L00	Schedule H, Part II	San Antonio Community Hospital provided support to four local community organizations. The organizations serve the communities surrounding the hospital. The hospital aided these organizations through financial contributions to enhance the health of the community. These organizations included Fist of Gold Youth Center, Lefty's 5K Run, Reach Out West End Community Health Fair, and the Friends of the Pacific Electric Trail Cucamonga Challenge. These organizations provided the community with the opportunity to participate in a health-related event or activity and promoted healthy eating and active living. The Coalition Building activity represents time spent by the SACH Community Health Specialist who worked directly with community groups to provide health education and technical assistance to support efforts that compliment the objectives identified in the community health needs assessment. Through these partnerships, San Antonio is able to work collaboratively to improve the health status of the communities they serve. In 2011, the hospital worked with one of its partners and the City of Upland to craft a city ordinance that would increase access to healthy food by expanding zoning for community gardens and certified farmers markets.
SchH_P03_S0A_L04	Schedule H, Part III, Section A, Line 4	Management estimates that approximately 10% of patient bad 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. The following note appears in the audited financial statements: Allowances for Uncollectible Accounts In July 2011, the FASB issued ASU No. 2011-07, "Health Care Entities" (Topic 954): Presentation and Disclosure of Patient Service Revenue, Provision for Bad Debts, and the Allowance for Doubtful Accounts for Certain Health Care Entities (ASU 2011-07). ASU 2011- 07 is effective for fiscal years and interim periods beginning after December 31, 2011, with early adoption permitted. Changes to the presentation of the provision for bad debts related to patient service revenue in the accompanying consolidated statements of operations should be applied retrospectively to all prior periods presented. ASU 2011-07 states that a health care entity that recognizes significant amounts of patient service revenue at the time the services are rendered even though it does not assess the patient's ability to pay must present the allowance for doubtful accounts as reduction of net patient revenue and not include it as a separate item in operating expenses. The Hospital early adopted this guidance effective January 1, 2011, and applied this presentation retrospectively to the Hospital's 2010 Statement of Operations. The change in presentation and additional disclosures, as required by ASU 2011-07, are reflected in the Hospital's consolidated financial statements. 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 healthcare 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 significant provision for uncollectible accounts in the period services are provided to self-pay patients, including both uninsured patients and patients with deductible and copayment balances due for which third-party coverage exists for a portion of their balance. For receivables associated with patients who have third-party coverage, the Hospital analyzes contractually due amounts and provides an allowance for uncollectible accounts and a provision for uncollectible accounts, if necessary. The Hospital increased its uninsured patient discount effective January 1, 2011, to 45% of billed charges from the 35% in place during 2010. Accounts receivable are written off after collection efforts have been followed in accordance with the Hospital's policies. A summary of the Hospital's allowance for uncollectible accounts activity is as follows: December 31 2011 2010 Allowance for uncollectible accounts - beginning balance $ 12,350,000 $ 11,550,000 Provision for uncollectible accounts 27,661,032 27,698,571 Bad debt write-offs, net of recoveries (25,361,032) (26,898,571) Allowance for uncollectible accounts - ending balance $ 14,650,000 $ 12,350,000 The Hospital serves certain patients whose medical care costs are not paid at established rates. These patients include those sponsored under government programs such as Medicare and Medi-Cal, those sponsored under private contractual agreements, charity patients, and other uninsured patients who have limited ability to pay. Patient service revenue is reported at estimated net realizable amounts for services rendered. The Hospital recognizes patient service revenue associated with patients who have third-party payor coverage on the basis of contractual rates for the services rendered. For uninsured patients that do not qualify for charity care, net revenue is recognized based on a range between the Hospital's uninsured patient discount rate and total charges further reduced by the Hospital's estimated bad debt and charity provision. Patient service revenues, net of contractual allowances and discounts and before the provision for uncollectible accounts, recognized from major payor sources are as follows: December 31 2011 % 2010 % Medicare $ 55,984,886 21.3% $ 57,349,527 22.0% Medi-Cal 19,878,611 7.6% 12,244,727 4.7% Managed care 177,987,640 67.9% 179,798,303 68.9% Self-pay and other 36,074,687 13.8% 39,208,664 15.0% Patient service revenues before Provision for uncollectible accounts 289,925,824 288,601,221 Provision for uncollectible accounts (27,661,032) (10.6%) (27,698,571) (10.6%) Net patient service revenues $ 262,264,792 100.0% $ 260,902,650 100.0%
SchH_P03_S0B_L08	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, 2011 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.
SchH_P03_S0C_L09b	Schedule H, Part III, Section C, Line 9b	If a patient qualifies for charity care, or other financial assistance, the hospital does not make collection efforts.
SchH_P05_S0B_L13	Schedule H, Part V, Section B, Line 13	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 patients who have no means for making payment. Additionally, a letter is sent to uninsured patients to further promote our policy.
SchH_P06_S00_L02	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 incorporates written surveys, telephone 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 estimates, five-year population segments (children, seniors, women of childbearing age), median age, marital status, households/families, ethnicity, language, education, employment, income, hospitalization rates and number of primary/specialty physicians. 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, while general health indicators are compared to other California counties, state averages and national goals.
SchH_P06_S00_L03	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.
SchH_P06_S00_L04	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, Fontana, Montclair, Ontario, Rancho Cucamonga, and Upland with a total estimated population of 802,730, a median age of 31.8, and a median household income of $65,281. In the population 25 years of age and older, 24.4% have not graduated high school, 23.4% have a high school diploma, 23.4% have some education beyond high school, and 13.3% have a bachelor's degree or higher. The population is predominately Hispanic at 56.7%, followed by Caucasians at 26.6%, African-Americans at 7.6%, Asian-Americans at 6.2%, and all others at 2.9%. The secondary service area, which represents approximately 10% of SACH's admissions, includes Pomona on the west, Rialto to the east, Norco, and Eastvale to the southeast with an estimated total population of 442,905, a median age of 31.5, and a median household income of $58,555. In the population 25 years of age and older, 13% have not graduated high school, 24.2% have a high school diploma, 21.6% have some education beyond high school, and 13.9% have a bachelor's degree or higher. The population is predominately Hispanic at 57.7%, followed by Caucasians at 22.1%, Asian-Americans at 8.9%, African-Americans at 8.5%, and all others at 2.8%.
SchH_P06_S00_L05	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, Healthy Ontario, Healthy Rancho Cucamonga, and Healthy Upland. In addition, SACH has been involved in the Montclair Community Collaborative and is participating in the General Plan update for the City of Upland. SACH serves on executive committees, planning committees, and various workgroups in these Healthy cities, 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, Fontana's Steps Along the Way committee, and Rancho Cucamonga Executive, Steering, Farmers Market, Community Garden, and Nutrition Standards committees. These efforts have reaped substantial rewards, not only in community building, but also in improved health and wellness. For example Healthy RC Kids is addressing a growing concern regarding childhood obesity in our region, and Healthy Ontario is ensuring that low income, uninsured children are not falling through the growing gaps in the local healthcare safety net. The value of the aforementioned 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 Children's Fund which helps to prevent child abuse in our community and to ensure that at risk children who are abused, neglected, or abandoned receive adequate food, clothing, shelter, medical care, and education.
SchH_P06_S00_L06	Schedule H, Part VI, Line 6	Not applicable.
SchH_P06_S00_L07	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)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance	Purpose Of GrantPurposeOfGrant
San Antonio Hospital Foundation
999 San Bernardino Road	Upland	CA	91786	330042666	501(c)(3)	55007	0
Meals on Wheels
4792 Falconview Court	Fontana	CA	92336	952799275	501(c)(3)	0	61967	Cost of goods	Meals are provided	Donate meals to Meals on Wheels to deliver to seniors

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	2	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	SchI_P01_S00_L02	Identifier
Return Reference	Schedule I, Part I, Line 2	ReturnReference
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 resposible for monitoring all Foundation disbursements, including disbursements related to grant funding.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	X	TravelForCompanions
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Harris Koenig
302845	0	0	0	1752	0	0	0	9036	0	313633	0	0	0
Roger Parsons
264512	0	66699	0	13011	0	224061	0	8846	0	577129	0	0	0
Vincent Leist
167910	0	69299	0	31521	0	19902	0	6790	0	295422	0	0	0
Liz Aragon
208361	0	37296	0	6111	0	126616	0	13580	0	391964	0	0	0
Jaynie Boren
149781	0	39091	0	59230	0	21794	0	14406	0	284302	0	0	0
Lynn Kelly
198963	0	38994	0	5812	0	81579	0	10754	0	336102	0	0	0
Kenneth Saltgaver
164995	0	0	0	610	0	104057	0	11526	0	281188	0	0	0
Khoa Phan
158865	0	2000	0	111	0	8635	0	501	0	170112	0	0	0
Stanley Kwan
155294	0	2870	0	1950	0	78683	0	6730	0	245527	0	0	0
Carola Drascich
142894	0	12232	0	698	0	34649	0	11286	0	201759	0	0	0
Dylan Dang
139835	0	0	0	15056	0	0	0	4410	0	159301	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchJ_P01_S00_L01a	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.
SchJ_P01_S00_L04	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.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	City of Upland	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	956000805	IssuerEIN
CUSIP Number	915346FH8	CUSIPNumber
Date Issued	2011-01-27	DateIssued
Issue Price	122414361	IssuePrice
Description Of Purpose	See attached statement	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer
Pool Financing	0	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Amount Retired	0	AmountRetired
Amount Bond Defeased	0	AmountBondDefeased
Total Proceeds	126537058	TotalProceeds
Amount In Reserve Fund	0	AmountInReserveFund
Capitalized Interest	0	CapitalizedInterest
Refunding Escrow	14667046	RefundingEscrow
Issuance Costs From Proceeds	1865015	IssuanceCostsFromProceeds
Credit Enhancement	0	CreditEnhancement
Working Capital Expenditures	0	WorkingCapitalExpenditures
Capital Expenditures	0	CapitalExpenditures
Other Spent Proceeds	0	OtherSpentProceeds
Amount Unspent	110004997	AmountUnspent
Current Refunding	1	CurrentRefunding
Advance Refunding	0	AdvanceRefunding
Final Allocation Made	0	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	0	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	0	MngmentCntrctBondFinancdPrprty
Any Research Agreements	0	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	0	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	1	Form8038TFiled
Variable Rate Issue	0	VariableRateIssue
Hedge Identified In Books And Recds	0	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGIC
Gross Proceeds Invested	0	GrossProceedsInvested
Exception To Rebate	0	ExceptionToRebate

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchK_P01_S00_L00a	Schedule K, Part I, Column a	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
SchK_P01_S00_L00c	Schedule K, Part I, Column c	CUSIP numbers are 915346EW6, 915346EX4, 915346EY2, 915346EZ9, 915346FA3, 915346FB1, 915346FC9, 915346FD7, 915346FE5, 915346FF2, 915346FG0, 915346FJ4 and 915346FH8.
SchK_P01_S00_L00f	Schedule K, Part I, Column f	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.
SchK_P03_S00_L07	Schedule K, Part III, Line 7	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

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Relationship	Trustee, Carl L Schultz	Relationship
Amount Of Transaction	313276	AmountOfTransaction
Description Of Transaction	Compensation for services	DescriptionOfTransaction
Sharing Of Revenues	0	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
F990_P03_S00_L04a	Form 990, Part III, Line 4a	"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 279-bed regional medical facility with 1,641 full time equivalent employees and a medical staff of nearly 500 physicians. In 2011, the Hospital had approximately 15,375 inpatient admissions, 137,000 outpatient visits, and 73,600 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. "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. "Caring for our Community" - Community benefits are more than just numbers. They represent people-moms and dads, children and grandparents, and the homeless, helpless, and hopeless. 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 2011, $2,799,029 (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 2008, the executive management team worked closely with SACH's Board of Trustees and Medical Staff to develop a three-year strategic plan for 2009 to 2011, 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 2013, 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 2011, the SACH's Emergency Department had 73,600 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.
F990_P03_S00_L04b	Form 990, Part III, Line 4b	Continuation of explanation on line 4A: "Energy Plant and Site Utilities" - The addition of the new four-story patient care tower will require construction of a conventional energy plant to supplement existing co-generation capacity. The new energy plant will be built 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, "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. A dedicated 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 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 the 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. "Community Education"- SACH offers a broad array of education classes, support groups and community lectures to meet the health needs of its community. Some of the programs are offered on-site, but many are provided at locations throughout the community to reach those who may have special needs or lack transportation and would otherwise fail to access these important services. In addition to gaining knowledge about important health topics, participants may participate in free screenings to identify potential health concerns such as high blood pressure, high cholesterol, high glucose, skin cancer, and prostate 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 if 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 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.
F990_P03_S00_L04c	Form 990, Part III, Line 4c	Continuation of explanation provided on line 4A. "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. The Dental Center operates during the school year, with clinics held from October through May. In addition to direct patient care, the Dental Center provides in-school screening to identify children in need of dental care. 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 to this vulnerable population. Some of the children treated have been unable to eat properly or to function in school due to the pain being experienced. 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 paid the remodeling cost for the Dental Center building in 1985 and continues to provide financial assistance and other services to support the program. 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 regional 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. From the moment of its release, there has been an overwhelming response that has garnered statewide attention due to its poignant and highly effective portrayal of the unfortunate consequences of infant abandonment, as well as offering life-saving alternatives. 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. After serving as a pilot project and seeing the program's impact on its students, San Bernardino County is printing 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. "Sports Injury Clinic" - SACH launched the Sports Injury Screening Clinic at its Rancho San Antonio satellite facility in late 2009. The program was introduced to provide free screenings for community members who have sustained sports-related injuries. Through discussions with various school health advisory councils, SACH soon realized that in addition to the program for the general community, there was strong support for a free sports screening program targeted to local school districts, city community centers, youth league programs, senior citizen programs and adult intramural leagues. Using this targeted approach has enabled the clinic to help several uninsured high school athletes who were screened and educated about their injuries. The students not only learned how to manage their current injury to speed recovery, but also learned methods to avoid additional injuries in the future. These free services have allowed the students to get back to a healthy lifestyle and to return to their sport. One young athlete who suffered a head injury while playing soccer arrived at the clinic with an undiagnosed brain injury. The family had heard about the screenings and brought their athlete in to undergo a special test designed to diagnose patients with head injuries. When the serious nature of the injury was identified through the screening, the young woman was referred for an MRI and follow-up consultation with a neurologist. If this young athlete had failed to access treatment, this injury could have been debilitating, if not life-threatening, particularly if she were to sustain further injury. Through this program, SACH has been able to diagnose, educate, and immediately activate treatment plans for these athletes, and at no cost to the families. In these fragile economic times when many families have lost health insurance coverage, this community service takes on even greater importance. The walk-in screening clinic takes place every Monday from 4 pm to 6 pm at the Rancho San Antonio Rehabilitation Center in the City of Rancho Cucamonga. Each patient that comes into the clinic with a sports injury receives a free medical screening by a board-certified physician in addition to a free assessment by a physical therapist and/or athletic trainer. Plans for the program include increasing community awareness via local newspapers, school districts, and adult and youth sports leagues. Given the enthusiastic response of the people who have been served by the clinic, it is anticipated that demand will continue to grow which could lead to further expansion of the program.
F990_P03_S00_L04d	Form 990, Part III, Line 4d	Continuation of explanation provided on line 4A. "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 in the City of Ontario is particularly challenging given that 22% of the population is uninsured and 16% 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. Since the program is currently designed as a pilot project, it is limited to children who reside in the City of Ontario and are not currently covered in the health system. The HAPPY project is designed to increase access to children's preventative health services such as regular medical check-ups, preventative & 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. During its first year, the HAPPY Club enrolled 530 children, which put the program well on its way to achieving its goal to enroll 1,500 children over an 18-month period. Given its rapid growth in membership, it is likely that HAPPY will reach its enrollment goal during the 2011-2012 school year. 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 pilot project will become a model that other cities can replicate to mirror the HAPPY Club's success in their own communities.
F990_P06_S0B_L10a	Form 990, Part VI, Section B, Line 10a	The hospital has a Medical Staff organization whose activities are separate from the hospital's but the hospital's governing board has ultimate authority over certain medical staff actions.
F990_P06_S0B_L11b	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.
F990_P06_S0B_L12c	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.
F990_P06_S0C_L19	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.
F990_P07_S0A_L01a	Form 990, Part VII, Section A, Line 1a	The average weekly hours worked by the officers of the hospital for related organizations are as follows: CEO, Foundation 2 hours and Health plan 1 hour and CFO, Foundation 2 hours and Health plan 3 hours and Chairman, Health Plan 1 hour and Trustee, Dann Bowman, Foundation 1 hour.
F990_P11_S00_L05	Form 990, Part XI, Line 5	Unrealized gain on investments 3,811,288, Unfunded Pension liability ($16,893,091), increase of interest in subsidiary SAHF-temp restricted earnings of $574,805, interest in subsidiary SAHF - unrestricted earnings $431,143, interest in subsidiary SAHF - perm restricted earnings $9,500, book-tax difference in ASC income of $66,209.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
San Antonio Hospital Foundation Inc
999 San Bernardino Road	Upland	CA	91786	330042666	support SACH	CA	501c(3)	7	SACH	1
San Antonio Community Health Care Plan
999 San Bernardino Road	Upland	CA	91786	237391094	Health Plan services	CA	501c(9)		SACH	1

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Cucamonga Health Services	BusinessNameLine1

Address US AddressUS

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 Activity	holding company	PrimaryActivity
Legal Domicile State	CA	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SACH	BusinessNameLine1

Field	Value	IRS element (for citing)
Type Of Entity	C	TypeOfEntity
Share Of Total Income	148	ShareOfTotalIncome
Share Of EOY Assets	345909	ShareOfEOYAssets
Percentage Ownership	1	PercentageOwnership

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
San Antonio Hospital Foundation Inc
p	721685	Market Value
San Antonio Community Health Care Plan
q	11357579	Market Value
San Antonio Hospital Foundation Inc
b	55007	Market Value