SAN ANTONIO REGIONAL HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: SAN ANTONIO REGIONAL HOSPITAL (EIN 95-1183919)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-14
IRS object ID: 201103189349308120
Schema version: 2010v3.4
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-14T19:09:25-07:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	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	Roger Parsons	Name
Title	Sr. Vice President Finance	Title
Phone	9099204711	Phone
Date Signed	2011-11-14	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	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	696546262	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	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	2163	TotalNbrEmployees
Total Nbr Volunteers	282	TotalNbrVolunteers
Total Gross UBI	907516	TotalGrossUBI
Net Unrelated Business Txbl Income	480127	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1276794	ContributionsGrantsPriorYear
Contributions Grants Current Year	1596162	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	281020924	ProgramServiceRevenuePriorYear
Program Service Revenue CY	292127584	ProgramServiceRevenueCY
Investment Income Prior Year	9747244	InvestmentIncomePriorYear
Investment Income Current Year	12335342	InvestmentIncomeCurrentYear
Other Revenue Prior Year	906873	OtherRevenuePriorYear
Other Revenue Current Year	924251	OtherRevenueCurrentYear
Total Revenue Prior Year	292951835	TotalRevenuePriorYear
Total Revenue Current Year	306983339	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	94000	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	146679726	SalariesEtcPriorYear
Salaries Etc Current Year	141396674	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	132479108	OtherExpensePriorYear
Other Expenses Current Year	139723439	OtherExpensesCurrentYear
Total Expenses Prior Year	279158834	TotalExpensesPriorYear
Total Expenses Current Year	281214113	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	13793001	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	25769226	RevenuesLessExpensesCY
Total Assets BOY	380987723	TotalAssetsBOY
Total Assets EOY	409421008	TotalAssetsEOY
Total Liabilities BOY	112259340	TotalLiabilitiesBOY
Total Liabilities EOY	105120113	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	268728383	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	304300895	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	266902606	Expense
Grants	94000	Grants
Revenue	291098641	Revenue
Description	See Schedule O for detailed description	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	0	Expense
Grants	0	Grants
Revenue	0	Revenue
Description	See Schedule O for detailed description	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	0	Expense
Grants	0	Grants
Revenue	0	Revenue
Description	See Schedule O for detailed description	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	0	Expense
Grants	0	Grants
Revenue	0	Revenue
Description	See Schedule O for detailed description	Description

Field	Value	IRS element (for citing)
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	266902606	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	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	0	TaxExemptBonds
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	0	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	384	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2163	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	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	1	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	1	CompensationProcessCEO
Compensation Process Other	1	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	Roger Parsons	NamePerson
Telephone Number	9099204711	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	2370	0	0
Dora Barilla
Trustee	4	X	0	0	0
Mark Bertone
Trustee/Vice Chairman	4	X	0	0	0	X
Victor Ching MD
Trustee	4	X	18000	0	0
Thomas Easter MD
Trustee	4	X	32725	0	0
Richard Gilbert
Trustee	4	X	0	0	0
J Michael Gunn
Trustee	4	X	0	0	0
Stanley Kim MD
Trustee	4	X	2225	0	0
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
Carl Schultz MD
Trustee	4	X	0	0	0
Steven Spears
Trustee	4	X	0	0	0
Steve Moreau
President	40	X	527199	0	78883	X
Roger Parsons
Sr Vice President	40		308367	0	152264	X
Vincent Leist
Vice President	40		326639	0	36006		X
Liz Aragon
Vice President	40		229150	0	68313		X
Jaynie Boren
Vice President	40		222604	0	38334		X
Lynn Kelly
Vice President	40		219443	0	72221		X
Kenneth Saltgaver
Director Pharmacy	40		153411	0	68830		X
Debbie Blankenship
Director Case Management	40		158024	0	38072			X
Stanley Kwan
Pharmacist	40		156610	0	60787			X
Khoa Phan
Pharmacist	40		147997	0	5568			X
Mike Segura
Cardiac Cath Manager	40		146103	0	41095			X
Carmen Azmy
Pharmacist	40		144870	0	16683			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2795737	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	677056	TotalOtherCompensation
Number Individuals GT100 K	146	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
Cerner Corporation
2800 Rockcreek Pkwy	Kansas City	MO	64117	Computer Remote Hosting	1058700
Softscript
2444 Wilshire Blvd Ste 280	SAnta Monica	CA	90403	Transcription	838214
Specialty Laboratories
PO Box 54920	Los Angeles	CA	90054	Outside Lab Services	786680
Crothall Laundry Services
5410 East Frances Street	Ontario	CA	91761	Laundry Services	712016
American Materiel Management Alliance
42500 Winchester Rd	Temecula	CA	92590	Inventory Supplier	633501

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	36	NumberOfContractorsGT100K
Federated Campaigns	0	FederatedCampaigns
Membership Dues	0	MembershipDues
Fundraising Events	0	FundraisingEvents
Related Organizations	1495890	RelatedOrganizations
Government Grants	100272	GovernmentGrants
All Other Contributions	0	AllOtherContributions
Noncash Contributions	0	NoncashContributions
Total Contributions	1596162	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
Net Patient Revenue	622000	288111618	288111618	0	$0
Rental Income MOB	531120	3148875	3148875	0	$0
Lab Revenue UBI	621500	492041	0	492041	$0
Cardiac Rehab - UBI revenue	621990	7388	0	7388	$0
Capitation Revenue	622000	367662	367662	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	292127584	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	6601020	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$6,601,020	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	393607184	Securities
Other	1540526	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	387884054	Securities
Other	1529334	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	5723130	Securities
Other	11192	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	5734322	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$5,734,322	ExclusionAmount

Field	Value	IRS element (for citing)
Cntrbtns Rprtd Fundraising Events	0	CntrbtnsRprtdFundraisingEvents
Gross Sales Of Inventory	213878	GrossSalesOfInventory
Cost Of Goods Sold	149535	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	64343	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$64,343	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	981335	0	0	$981,335
Surgery Center UBI Revenue	621990	408087	0	408087	$0
Ensemble/Sierra SA Med Plaza Loss	900099	-1152872	-1152872	0	$0

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	623358	TotalRevenueColumn
Related Or Exempt Function Income	623358	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	859908	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	306983339	TotalRevenueColumn
Related Or Exempt Function Income	291098641	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	907516	UnrelatedBusinessRevenue
Exclusion	$13,381,020	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	94000	Total
Program Services	94000	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	2556984	Total
Program Services	457963	ProgramServices
Management And General	2099021	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	102955985	Total
Program Services	98428794	ProgramServices
Management And General	4527191	ManagementAndGeneral
Fundraising	0	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	11834298	Total
Program Services	11313919	ProgramServices
Management And General	520379	ManagementAndGeneral
Fundraising	0	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	16385500	Total
Program Services	15664995	ProgramServices
Management And General	720505	ManagementAndGeneral
Fundraising	0	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	7663907	Total
Program Services	7326909	ProgramServices
Management And General	336998	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	243771	Total
Program Services	0	ProgramServices
Management And General	243771	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	505760	Total
Program Services	0	ProgramServices
Management And General	505760	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	239743	Total
Program Services	0	ProgramServices
Management And General	239743	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	31218	Total
Program Services	31218	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	379407	Total
Program Services	0	ProgramServices
Management And General	379407	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	16432660	Total
Program Services	15489911	ProgramServices
Management And General	942749	ManagementAndGeneral
Fundraising	0	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1435154	Total
Program Services	1372047	ProgramServices
Management And General	63107	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	51907672	Total
Program Services	49621039	ProgramServices
Management And General	2286633	ManagementAndGeneral
Fundraising	0	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	7283576	Total
Program Services	6963302	ProgramServices
Management And General	320274	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	4240284	Total
Program Services	4053830	ProgramServices
Management And General	186454	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	156143	Total
Program Services	149277	ProgramServices
Management And General	6866	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	138655	Total
Program Services	132558	ProgramServices
Management And General	6097	ManagementAndGeneral
Fundraising	0	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	1103899	Total
Program Services	1043545	ProgramServices
Management And General	60354	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	10669738	Total
Program Services	10086390	ProgramServices
Management And General	583348	ManagementAndGeneral
Fundraising	0	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	4063118	Total
Program Services	3884454	ProgramServices
Management And General	178664	ManagementAndGeneral
Fundraising	0	Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Bad Debts	27698571	27698571	0
Medi-Cal Fee Program	10824720	10824720	0
Recruitment	624081	596639	27442
Taxes & Lic	607520	580806	26714
Collection Expense	551045	526814	24231

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	586704	Total
Program Services	560905	ProgramServices
Management And General	25799	ManagementAndGeneral
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	281214113	Total
Program Services	266902606	ProgramServices
Management And General	14311507	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	23100281	BOY
EOY	26914450	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	48397813	BOY
EOY	43973060	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	428321	BOY
EOY	423903	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3825158	BOY
EOY	3194558	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	4316864	BOY
EOY	5228419	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	294746143	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	197357906	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	95431735	BOY
EOY	97388237	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	173460890	BOY
EOY	197621889	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	4132892	BOY
EOY	4202134	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	27884344	BOY
EOY	30464933	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	380987723	BOY
EOY	409421008	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	25584865	BOY
EOY	30178917	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	23805000	BOY
EOY	19320000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	62869475	BOY
EOY	55621196	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	112259340	BOY
EOY	105120113	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	253959143	BOY
EOY	288466441	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	10751549	BOY
EOY	11816763	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

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

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	268728383	BOY
EOY	304300895	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	380987723	BOY
EOY	409421008	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	25769226	ReconcilationRevenueExpenses
Reconcilation Other Changes	9803286	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
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	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

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	$31,218	OtherActivitiesAmount
Total Lobbying Expenditures IIB	31218	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	Line 1i - 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	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 Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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	128977302	OtherCostOrOtherBasis
Depreciation	95313267	Depreciation
Book Value	33664035	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	2212670	OtherCostOrOtherBasis
Depreciation	942970	Depreciation
Book Value	1269700	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	128098593	OtherCostOrOtherBasis
Depreciation	97202869	Depreciation
Book Value	30895724	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	24770050	OtherCostOrOtherBasis
Depreciation	3898800	Depreciation
Book Value	20871250	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	97388237	TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescription	Book ValueBookValue
Beneficial Interest in SAHF	28888336
Def Financing Costs	727045
Def Comp plan	475991
Physician Recruitment Receivable	230129
Due from Affiliates	82555
CVMG Line of Credit	60877

Field	Value	IRS element (for citing)
Total Book Value Other Assets	30464933	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
Pension Plan Liability	$42,566,172
Construction Liability	$7,308,374
Self Insurance Liabilities	$5,737,650
Physician Guarantee Liability	$9,000

Field	Value	IRS element (for citing)
Total Of Amounts	55621196	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)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	2516243	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	2516243	NetCommunityBenefitExpense
Percent Of Total Expense	0.0097	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	22643011	TotalCommunityBenefitExpense
Direct Offsetting Revenue	16186009	DirectOffsettingRevenue
Net Community Benefit Expense	6457002	NetCommunityBenefitExpense
Percent Of Total Expense	0.0249	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0	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	25159254	TotalCommunityBenefitExpense
Direct Offsetting Revenue	16186009	DirectOffsettingRevenue
Net Community Benefit Expense	8973245	NetCommunityBenefitExpense
Percent Of Total Expense	0.0346	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	37	NumberOfActivitiesOrPrograms
Persons Served	53221	PersonsServed
Total Community Benefit Expense	801036	TotalCommunityBenefitExpense
Direct Offsetting Revenue	174803	DirectOffsettingRevenue
Net Community Benefit Expense	626233	NetCommunityBenefitExpense
Percent Of Total Expense	0.0024	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	35	PersonsServed
Total Community Benefit Expense	200570	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2850	DirectOffsettingRevenue
Net Community Benefit Expense	197720	NetCommunityBenefitExpense
Percent Of Total Expense	0.0008	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	480925	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	480925	NetCommunityBenefitExpense
Percent Of Total Expense	0.0019	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	6634	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	6634	NetCommunityBenefitExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	27813	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	27813	NetCommunityBenefitExpense
Percent Of Total Expense	0.0001	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	43	NumberOfActivitiesOrPrograms
Persons Served	53256	PersonsServed
Total Community Benefit Expense	1516978	TotalCommunityBenefitExpense
Direct Offsetting Revenue	177653	DirectOffsettingRevenue
Net Community Benefit Expense	1339325	NetCommunityBenefitExpense
Percent Of Total Expense	0.0052	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	43	NumberOfActivitiesOrPrograms
Persons Served	53256	PersonsServed
Total Community Benefit Expense	26676232	TotalCommunityBenefitExpense
Direct Offsetting Revenue	16363662	DirectOffsettingRevenue
Net Community Benefit Expense	10312570	NetCommunityBenefitExpense
Percent Of Total Expense	0.0398	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	1000	TotalCommunityBuildingExpense
Net Community Building Expense	1000	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Total Community Building Expense	2821	TotalCommunityBuildingExpense
Net Community Building Expense	2821	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	3821	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	3821	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$6,016,129	BadDebtExpenseAmount
Amount Attributable To	1500000	AmountAttributableTo
Amount Reimbursed By Medicare	47585477	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	49859666	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-2274189	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	0.02	OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership	0.64	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

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 Miliken 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 (15 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.
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_L072f	Schedule H, Part I, Line 7, Column f	Amount of bad debt expense that was excluded from total expense in the computation on Line 7 was $27,698,571.
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	SACH provided support to two local community groups. The first was to help a community effort to improve education for children with autism. The second was to help a community group that works to provide help and education related to drug abuse. The costs related to community support are reported in Part II, Line 3. The coalition building activity represents time spent by a SACH community benefits manager working directly with community groups to provide health education and support direct care provided to the poor and uninsured at local community health clinic events. The costs related to coalition building are reported in Part II, Line 6.
SchH_P03_S0A_L04	Schedule H, Part III, Section A, Line 4	The hospital does not have a footnote in the audited financial statements that describes bad debt expense. Bad debt expense (at cost) is calculated using the ratio of total hospital operating expenses to total billed charges multiplied by total bad debts. Bad Debts reflect care that has been provided to those who could not afford to pay for health care services. Patients with no insurance coverage (government or private) receive an automatic 35% reduction in billed charges. The amount of this write-off plus any patient payments are subtracted from gross billed charges before calculating bad debts. To the extent an account or portion thereof is determined to be uncollectable, the remaining net amount is written off to bad debts and recorded as a bad debt expense on the hospital's income statement. SACH believes bad debts should be included as a community benefit because the majority of bad debts are related to patients seeking emergency care. SACH's emergency department provides 24 hour 7 days a week care without regard to a patient's ability to pay. By providing care to the uninsured and underinsured who are unable to pay for all or a portion of their care helps improve the overall health in SACH's service area.
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, 2010 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_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 using tools such as 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	Like many hospitals, SACH defines its community in 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 comprised of the cities of Chino, Claremont, Fontana, Montclair, Ontario, Rancho Cucamonga and Upland with a total estimated population of 815,998, a median age of 32.1, and a median household income of $69,801. In the population 25 years of age and older, 24.2% have not graduated high school, 24.8% have a high school diploma, 31.5% have some education beyond high school, and 19.5% have a Bachelor's degree or higher. The population is predominantly Hispanic at 56.3%, followed by Caucasians at 27.1%, African-Americans at 7.5%, Asian-Americans at 6.1%, and all others at 3.0%. The secondary service area, which represents approximately 10% of SACH's admissions, includes Pomona on the west, Rialto to the east, and Mira Loma, Norco, and portions of Corona to the southeast with an estimated population of 446,567, a median age of 30.5, and a median household income of $70,778. In the population 25 years of age and older, 28.2% have not graduated high school, 24.6% have a high school diploma, 28.3% have some education beyond high school, and 18.9% have a Bachelor's degree or higher. The population is predominantly Hispanic at 57.3%, followed by Caucasians at 22.5%, Asians at 8.8%, African-Americans at 8.6%, and all others at 2.8%.
SchH_P06_S00_L05	Schedule H, Part VI, Line 5	As in most communities, the needs are great and the resources limited. SACH understands the power of collaboration and seeks alliances with other health and social service providers to develop community based programs with defined goals and measurable outcomes. These partnerships help to leverage the community's scarce resources and achieve the maximum benefit for its residents, which results in demonstrated improvements in their health. 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 productivities. Finally, healthy communities offer access to health care services that focus on both treatment and prevention 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, and Healthy Rancho. In addition, SACH has been involved in the Montclair Community Collaborative and is currently part of an effort to achieve the Healthy City designation in Upland. SACH serves on executive committees, planning committees, and various workgroups in each of the Healthy Cities, providing insight and advice to support strategic planning, implementation and evaluation of health and wellness initiatives. In Chino and Montclair SACH has served on planning and task forces, such as Ontario's Planning, Health Access, and Prevention and Wellness committees, Fontana's Steps Along the Way committee, and Rancho Cucamonga's Executive, Steering, Farmers Market, and Community Garden committee. These efforts have repeated substantial rewards, not only in community building, but also in improved health and wellness. For example Healthy RC Kids is addressing a growing concern over 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 6c. 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's educational outreach and support programs for cancer patients and their families and the Children's Fund program, 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. The value of SACH's Community support is reported in Part II Line 3c. In addition, SACH's Board of Trustees includes members from the community that take a strong interest in improving overall community health. One member of the hospital's Board of Trustees is a professor of public health policy at a local university and brings a wealth of community health knowledge to Board discussions. Furthermore, the hospital extends medical staff privileges to all qualified community physicians that seek privileges. Hospital profits are reinvested in new services, technologies and community education to help improve the overall health of community residents.
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 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	Purpose Of GrantPurposeOfGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation
San Antonio Hospital Foundation
999 San Bernardino Road	Upland	CA	91786	330042666	501(c)(3)	68000	To support San Antonio Community Hospital, a related organization.
California Health Foundation & Trust
1215 K Street suite 800	Sacramento	CA	95814	941498697	501(c)(3)	26000	To support charitable activities at various hospital/health systems in California.	0	Market Value

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.	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
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 (12 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
Steve Moreau
398423	0	100075	0	28701	0	65787	0	13096	0	606082	0	0	0
Roger Parsons
263918	0	42643	0	1806	0	143692	0	8572	0	460631	0	0	0
Vincent Leist
279305	0	45528	0	1806	0	22910	0	13096	0	362645	0	0	0
Liz Aragon
201052	0	27138	0	960	0	55217	0	13096	0	297463	0	0	0
Lynn Kelly
193454	0	24218	0	1771	0	59320	0	12901	0	291664	0	0	0
Jaynie Boren
196888	0	24758	0	958	0	21353	0	16981	0	260938	0	0	0
Kenneth Saltgaver
152861	0	0	0	550	0	57798	0	11032	0	222241	0	0	0
Debbie Blankenship
135981	0	0	0	22043	0	27266	0	10806	0	196096	0	0	0
Stanley Kwan
151552	0	4326	0	732	0	54331	0	6456	0	217397	0	0	0
Khoa Phan
147892	0	0	0	105	0	5067	0	501	0	153565	0	0	0
Mike Segura
138157	0	7802	0	144	0	26379	0	14716	0	187198	0	0	0
Carmen Azmy
141140	0	3619	0	111	0	3000	0	13683	0	161553	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 its CEO, Steven Moreau. The plan provides an accrued (but not paid) benefit equal to 10% of the CEO's base pay. This amount is included each year in the CEO's reported W-2 earnings. The plan accrues earnings at the 10-year treasury note rate on the last banking day of each year. The CEO is not eligible to receive the funds in this plan until retirement or termination. Steven left the organization in December 2010 and received a final disbursement of $44,711 from the plan in 2011.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 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 1,555 full time equivalent employees and a medical staff of nearly 500 physicians. In 2010, the Hospital had approximately 15,500 inpatient admissions, 140,000 outpatient visits, and 70,500 emergency room visits. SACH will soon embark on the largest expansion in its 100-year history to build a significantly larger emergency department and 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 Operations Officer, Chief Financial Officer, Chief Nursing Officer, Vice President of Administrative Services, Vice President of Human Resources, Vice President of Strategic Planning and Business Development, 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, Thomson 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, breastfeeding, 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 2010, $2,516,243 (at cost) in charity care was provided for patients entering the hospital emergency department that were either treated and released or required an inpatient stay. 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, and 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 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 a key driver of the planned expansion. The hospital's 29-bed Emergency Department, which was built in 1975, was designed to accommodate 30,000 patient visits per year. In fiscal year 2010, the SACH's Emergency Department had 70,500 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 is 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 services, 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 includes 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. This 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 to assure that the patient's experience is as positive as their medical outcome. "Maternal Child Services" coordinates care with obstetricians and pediatricians to provide comprehensive prenatal, delivery, and postpartum care. The Maternal Child Department includes 32 maternity beds, four labor, delivery and recovery rooms, 10 labor, delivery, recovery and postpartum rooms, a cesarean section surgical suite and recovery room, and a 20-bed NICU. A postpartum follow-up center is located near the main hospital to provide screening and support services for infants and their parents. The services provided at the center are offered to all families regardless of where they delivered their baby, and the nominal fee is waived for any family that cannot afford to pay the services provided by SACH's Internationally Board Certified Lactation Consultant. SACH is designated a Baby Friendly hospital by the World Health Organization. This designation is an important part of SACH's Healthy Beginnings program, which reinforces the benefits of breastfeeding. "Surgical Services". - The Surgery Department operates nine surgical suites and two additional surgical suites dedicated to cardiovascular surgeries. The Surgery Department performs approximately 350 inpatient and 360 outpatient surgeries per month, including general surgery and surgeries in the specialties of orthopedics, cardiology, gynecology, urology, otolaryngology, and ophthalmology. "Imaging and Radiation Oncology Services" -The Radiology Department provides imaging services to support SACH's Emergency, Surgery, and other departments. The imaging services offered to both inpatients and outpatients include diagnostic radiology and fluoroscopy, 64-slice CT scan, 3-T magnetic resonance imaging (MRI), interventional radiology, ultrasound, mammography, and special procedures. The Radiation Oncology Department provides external beam radiation for the treatment of various cancer conditions and brachytherapy for the treatment of prostate cancer. "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 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 developmental 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. Most recently, 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. The hospital estimates that the message reached over 150,000 young people prior to the school-wide launch. 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 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, HAPPY exceeded its enrollment goal with 1,600 children enrolled by the end of the 2010-2011 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. To date, the hospital has provided free diagnostic procedures for over 250 children at a cost in excess of $30,000. 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 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_S0A_L04	Form 990, Part VI, Section A, Line 4	Bylaws now allow for a minimum of 13 and a maximum of 15 board members rather than a prior requirement of 15.
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_L11a	Form 990, Part VI, Section B, Line 11a	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 prior to filing. 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 once each year, 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_S0B_L15	Form 990, Part VI, Section B, Line 15	The organization's executive compensation program is directed by the Compensation Committee of the Board. The organization has developed and approved a formal executive compensation policy that currently covers six senior management employees, including the CEO and the CFO. A comprehensive base pay and total executive compensation analysis is performed by an outside compensation consulting firm every two years. The consultant presents the survey data and analysis to the Board Compensation Committee. The external compensation study includes an evaluation for excess benefit transactions under the Intermediate Sanctions for Tax-Exempt Organizations as described in Section 4958 of the Internal Revenue Code. The latest survey was conducted in 2009. A request for proposal process was conducted prior to the selection of the compensation consultant. The consultant used survey data from all of California, with subsets of data from Southern California, and a further subset of data from the organization's local market area. The Compensation Committee reviews the external consultant's findings and provides direction for any needed compensation policy or pay range changes. The organization's Board Audit Committee also conducts an annual review of the reasonableness of the CEO's and CFO's total compensation. Other key employee compensation, Vice Presidents and Department Directors, is evaluated based on market based compensation survey data provided by the Hospital Council of Southern California taking into consideration pay rates for similar management positions at SACH. The procedures described here are documented in the board minutes.
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.
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: Steve Moreau, Foundation 2 hours and Health plan 1 hour and Roger Parsons Foundation 2 hours and Health plan 1 hour.
F990_P11_S00_L05	Form 990, Part XI, Line 5	Unrealized Loss on investments ($522,959) Unfunded Pension liability $7,382,214, increase of interest in subsidiary SAHF-temp restricted earnings of $889,055 and change in value of charitable remainder trusts of $176,162, interest in subsidiary SAHF -unrestricted earnings $1,815,159, book-tax difference in ASC income of $63,655.
F990_P12_S00_L02b	Form 990, Part XII, Line 2b	The financial statements of San Antonio Community Hospital and its affiliates were audited on a combined basis by Ernst & Young, LLP. The hospital has an audit committee that assumes oversight of the combined audit and selection of an independent accountant.

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	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg
San Antonio Hospital Foundation Inc
999 San Bernardino Road	Upland	CA	91786	330042666	support SACH	CA	501c(3)	7	N/A	1
San Antonio Community Health Care Plan
999 San Bernardino Road	Upland	CA	91786	237391094	Health Plan services	CA	501c(9)		N/A	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 NA	N/A	DirectControllingEntityNA
Type Of Entity	C	TypeOfEntity
Share Of Total Income	28	ShareOfTotalIncome
Share Of EOY Assets	23669	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	1	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 (4 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
San Antonio Hospital Foundation Inc
p	790592	Market value
San Antonio Community Health Care Plan
q	11681158	Market value
San Antonio Hospital Foundation Inc
c	1495890	Market Value
San Antonio Hospital Foundation Inc
q	68000	Market value