2025-11-14T23:14:27+00:00 2024-12-31 346565596 ERNST & YOUNG US LLP 18101 VON KARMAN AVENUE IRVINE CA 92612 990 2024-01-01 951183919 SAN ANTONIO REGIONAL HOSPITAL SANA 9099852811 999 SAN BERNARDINO ROAD UPLAND CA 917864920 WAH-CHUNG HSU VICE PRESIDENT/CFO 9099206103 2025-11-15 true true Kara Adams P00023315 9497942300 2025-11-14 2024 2025-03-06 01:10:19Z JOHN CHAPMAN 999 SAN BERNARDINO ROAD UPLAND CA 917864920 561587443 false X SARH.ORG X 1920 CA OUR MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE WE SERVE. 14 11 2855 293 5019159 227250 319434 604436 437106440 486045293 8568139 8389642 13768969 11023723 459762982 506063094 95618 116652 0 227494788 240449817 0 0 213960824 239705229 441551230 480271698 18211752 25791396 785690411 811440801 274683003 268075120 511007408 543365681 OUR MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE WE SERVE. false false 437839266 116652 492219871 See Schedule O. 437839266 true true false true false false false false false true true false false true true true false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false true true true true true false true 367 0 true 2855 true true true false false false false false false false false false false false X 14 11 false false false false false false false true true false false false true true true true true true true true true true CA X WAH-CHUNG HSU 9099852811 999 SAN BERNARDINO ROAD UPLAND CA 91786 Dora Barilla Trustee/Secretary 4.0 0.0 X X 0 0 0 John Chapman President & CEO 40.0 3.0 X X 990441 0 120526 Sohan Bassi MD Trustee/Vice Chairman 4.0 1.0 X X 21500 0 0 Victor Ching MD Trustee/Treasurer 4.0 0.0 X X 0 0 0 Wes Fifield Trustee/Chairman 4.0 1.0 X X 0 0 0 Al Arguello Trustee 4.0 0.0 X 0 0 0 Ali Heidari DO Trustee 4.0 0.0 X 0 0 0 Basim Abdelkarim MD Trustee/Medical Staff President 4.0 0.0 X 136548 0 0 Deborah Freund Trustee 4.0 0.0 X 0 0 0 Devorah Lieberman Trustee 4.0 0.0 X 0 0 0 Mary Lopez Trustee 4.0 0.0 X 0 0 0 Robert Mendez Trustee 4.0 0.0 X 0 0 0 Steven Barag DO Trustee 4.0 0.0 X 0 0 0 Susan Leonis-Jensen Trustee 4.0 0.0 X 0 0 0 Wah-chung Hsu Vice President & CFO 40.0 5.0 X 694267 0 132641 Gurjeet Dhillon Chief Operating Officer 40.0 0.0 X 425195 0 76542 Leanne Logan Vice President & Chief Nursing Officer 40.0 0.0 X 367854 0 68947 Sandra Wier Chief Human Resources Officer 40.0 0.0 X 311195 0 27181 Terry Jaqua Chief Human Resources Officer Beg 6/1/24 40.0 0.0 X 340163 0 41315 Heather Raymond VP Business Development & Community Outreach 40.0 0.0 X 349123 0 68146 Kamal Pandya VP Chief Information Officer 40.0 0.0 X 491778 0 92310 LuWanda Paggett Director Maternal Child 40.0 0.0 X 260331 0 22199 Mario Lopez-Luna Director Quality Management 40.0 0.0 X 265320 0 12385 Ronald Nowosad Director Program Development 40.0 0.0 X 264461 0 25629 4918176 0 687821 780 false true false SHIFTWISE INC 1800 SW 1ST AVE SUITE 510 PORTLAND OR 97201 NURSING REGISTRY 9309900 DVA Renal Healthcare PO BOX 781607 PHILADELPHIA PA 191781607 DIALYSIS SERVICES 3780086 ALLIED ANESTHESIA MEDICAL GROUP INC 400 N TUSTIN AVE SANTA ANA CA 92705 MEDICAL SERVICES 2533600 San Antonio Radiological Medical Group 2527 Cranberry Hwy Wareham MA 025741046 Radiology Services 2057135 Synergy CT Surgery Partnership 901 San Bernardino Road Suite 102 Upland CA 91786 Medical Services 1817508 103 0 0 0 604436 0 0 0 604436 NET PATIENT SERVICE REVENUE 622110 422870197 422870197 0 0 PROVIDER FEE REVENUE 622110 58599996 58599996 0 0 RENTAL INCOME MOB 531120 3688603 3688603 0 0 CAPITATION REVENUE 622110 785649 785649 0 0 OUTSIDE LAB REVENUE 621500 100848 0 100848 0 0 0 0 0 486045293 9054224 0 0 9054224 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54594229 31403 55223863 66351 -629634 -34948 -664582 0 0 -664582 0 0 0 0 0 0 0 0 0 0 0 64121 234135 -170014 0 0 -170014 PHARMACY AT CASA COLINA 446110 4731633 4731633 INSURANCE INCENTIVE PAYMENT 622110 2311703 2311703 Surgery & Cafeteria 622110 2207704 2207704 1942697 1756019 186678 0 11193737 506063094 492219871 5019159 8219628 116652 116652 0 0 0 0 0 0 3754316 1113460 2640856 0 0 0 0 0 197787247 177058698 20728549 0 5471168 4897777 573391 0 19039321 17043957 1995364 0 14397765 12888847 1508918 0 0 0 0 0 1021574 0 1021574 0 617832 0 617832 0 63772 0 63772 0 0 0 510964 0 510964 0 46055675 46055675 0 0 995342 0 995342 0 5312232 4800680 511552 0 12443817 11139677 1304140 0 0 0 0 0 21267773 19219750 2048023 0 0 0 0 0 0 0 0 0 63703 57027 6676 0 4956282 4956282 0 0 0 0 0 0 20880583 18869845 2010738 0 5641801 0 5641801 0 MEDICAL SUPPLIES 60845958 60845958 PROVIDER FEE 36600000 36600000 DRUGS 18902134 18902134 OTHER 1112288 1112288 2413499 2160559 252940 0 480271698 437839266 42432432 0 0 0 0 0 77330 71399 8684707 14940057 0 0 62951716 61242570 0 0 0 0 0 0 6700409 7239364 10659160 10533254 524775858 225111470 296266655 299664388 244823403 241192937 0 6310662 6527500 0 0 149216369 170029332 785690411 811440801 102228543 104820995 0 0 0 0 135028673 131345755 0 0 0 0 0 0 0 0 37425787 31908370 274683003 268075120 X 500741665 531939976 10265743 11425705 0 0 0 0 0 0 511007408 543365681 785690411 811440801 X 25791396 -2539479 0 0 0 9106356 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 63772 63772 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY SARH IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA, WHICH CONDUCT LOBBYING ACTIVITIES IN SUPPORT OF MEMBER HOSPITALS AND GENERAL HEALTHCARE ISSUES. BOTH ASSOCIATIONS PROVIDE THE PERCENTAGE OF DUES THAT RELATE TO LOBBYING ACTIVITIES. 5212516 0 1295418 0 1203357 92061 5212516 5193941 18575 1437847 0 1362452 75395 5212516 4945691 253250 410648 0 385936 29712 5193941 4945691 0 634274 0 605765 28509 4945691 4898286 25000 388504 0 339657 26442 4945691 0.0 1.0 0.0 false true true 0 21066880 21066880 0 329222833 99332165 229890668 0 9572832 6883289 2689543 0 156009619 118896016 37113603 0 8903694 0 8903694 299664388 Receivable - Provider Fee Program 87374008 Beneficial Interest in SAHF 60328949 Malpractice Claims Receivable 7833750 Capital Lease 7753497 Due from Related Entities 5308635 Deferred revenue 1116258 Physician Guarantee Asset 314235 Purchase Option 0 170029332 Federal Income Taxes Insurance Claims 14215580 Pension Liability 11113251 Right of Use Liability 6312161 Physician Guarantee Liability 267378 31908370 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part V, Line 4 Intended uses of endowment funds PROCEEDS FROM THE ENDOWMENT FUNDS ARE RESTRICTED FOR THE PURCHASE OF PROPERTY AND EQUIPMENT FOR THE BENEFIT OF SAN ANTONIO REGIONAL HOSPITAL. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE PRINCIPAL OPERATIONS OF THE HOSPITAL ARE EXEMPT FROM TAXATION PURSUANT TO INTERNAL REVENUE CODE SECTION 501(C)(3) AND THE PROVISIONS OF THE STATE IN WHICH THE HOSPITAL OPERATES. ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. ASC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE, AND TRANSITION. THE GUIDANCE IS APPLICABLE TO PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. NO SIGNIFICANT TAX EXPENSE OR LIABILITY FOR TAX BENEFITS, INTEREST, OR PENALTIES WAS ACCRUED AT OR FOR THE YEARS ENDED DECEMBER 31, 2024 OR 2023. THE HOSPITAL CURRENTLY FILES FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, AND FORM 990-T, EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN, IN THE U.S. FEDERAL JURISDICTION AND THE STATE OF CALIFORNIA FOR EACH TAX-EXEMPT ORGANIZATION, AS APPROPRIATE. THE STATUTE OF LIMITATIONS FOR THE YEARS 2021 THROUGH 2023 REMAINS OPEN TO EXAMINATION BY THE MAJOR U.S. TAXING JURISDICTIONS TO WHICH THE HOSPITAL IS SUBJECT. true true X true X 300 true X 4959919 4959919 0.01033 137531507 114609934 22921573 0.04773 0 0.0 0 0 142491426 114609934 27881492 0.05805 13 8018 1544008 68442 1475566 0.00307 2 131426 131426 0.00027 1 176976 176976 0.00037 0 0.0 2 76 154603 37951 116652 0.00024 18 8094 2007013 106393 1900620 0.00396 18 8094 144498439 114716327 29782112 0.06201 0 0.0 0 0.0 50 4360 104449 104449 0.00022 0 0.0 0 0.0 0 0.0 0 0.0 3 447 114601 114601 0.00024 0 0.0 53 4807 219050 0 219050 0.00046 false 73138942 65787390 7351552 X true true SA AMBULATORY SURG OUTPATIENT SURGICAL CENTER 0.2272 0.0326 0.7401 1 1 SAN ANTONIO REGIONAL HOSPITAL 999 SAN BERNARDINO ROAD UPLAND CA 91786 SARH.ORG 240000196 X X X SAN ANTONIO REGIONAL HOSPITAL 1 false false true X X X X X X X X X 22 true true true true X https://www.sarh.org/programs/community-connection/community-benefit X true 23 true https://www.sarh.org/programs/community-connection/community-benefit false true X 300.0 400.0 X X true true X X X true X https://www.sarh.org/patients-and-visitors/help-paying-your-bill X https://www.sarh.org/patients-and-visitors/help-paying-your-bill X https://www.sarh.org/patients-and-visitors/help-paying-your-bill X X X X X X false X false X X X X true X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY, IDENTIFIED AND PRIORITIZED THROUGH THE CHNA INCLUDE: MATERNAL AND CHILD HEALTH - KEY INFORMANTS REVEALED HIGH INFANT DEATH RATE, HIGH RATES OF PRE-TERM BIRTHS, HIGH TOBACCO USE DURING PREGNANCY. EARLY PRENATAL CARE IS BELOW BENCHMARK, PARTICULARLY IN POPULATIONS IDENTIFYING AS BLACK/AFRICAN AMERICAN. OVER THE NEXT THREE YEARS, THE HOSPITAL AIMS TO INCREASE SUPPORT TO PARENTS AND CAREGIVERS, SOCIALLY AND EMOTIONALLY, WITH FAMILY-FOCUSED ACTIVITIES, EDUCATION AND SERVICES. MENTAL AND BEHAVIORAL HEALTH - THE CHNA REVEALED THAT COMMUNITY MEMBERS STRUGGLE TO IDENTIFY AND ACCESS PREVENTATIVE CARE AND MENTAL HEALTH SERVICES. IN ORDER TO ADDRESS THIS NEED, SAN ANTONIO WILL STRIVE TO INCREASE ACCESS TO PREVENTATIVE CARE, AS WELL AS INCREASE AWARENESS OF MENTAL HEALTH CARE RESOURCES, SERVICES AND EDUCATION. CARDIOVASCULAR DISEASE & DIABETES - PRIMARY DATA COLLECTION REVEALED THAT COMMUNITY MEMBERS FEEL HEALTH MANAGEMENT IS THE MOST PRESSING ISSUE, AS IT ENABLES ONE TO STAY HEALTHY AND INCREASE LONGEVITY. CHRONIC ILLNESSES ASSOCIATED WITH CARDIOVASCULAR DISEASE AND DIABETES CONTINUE TO BE AN INCREASING HEALTH RISK ACROSS THE NATION AND IN OUR COMMUNITY, FOR BOTH ADULTS AND CHILDREN. SAN ANTONIO WILL REDUCE THE IMPACT OF CARDIOVASCULAR DISEASE AND DIABETES, WHILE INCREASING THE FOCUS ON THEIR PREVENTION AND TREATMENT EDUCATION. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - San Antonio Regional Hospital. THE HOSPITAL CONDUCTED ITS COMMUNITY HEALTH NEEDS ASSESSMENT IN 2022 FOR THE CALENDAR YEARS OF 2023, 2024, AND 2025. THE 2022 INLAND EMPIRE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS THE WORK OF A DIVERSE GROUP OF STAKEHOLDERS THAT SET OUT TO IDENTIFY THE TOP HEALTH AND WELL-BEING NEED OF INLAND EMPIRE RESIDENTS. TO ENSURE BROAD COMMUNITY INPUT, SAN ANTONIO REGIONAL HOSPITAL COLLABORATED WITH THESE STAKEHOLDERS TO IDENTIFY THE TOP HEALTH AND WELL-BEING NEEDS OF INLAND EMPIRE RESIDENTS. KEY STAKEHOLDERS INCLUDED REPRESENTATION NOT ONLY FROM THE HOSPITAL, PUBLIC HEALTH AND THE BROAD COMMUNITY, BUT FROM LOW-INCOME, MINORITY AND OTHER UNDERSERVED POPULATIONS. THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDES BURDEN OF DISEASE DATA, VITAL CONDITIONS DATA AND HOSPITAL UTILIZATION DATA, ALONG WITH INFORMATION GATHERED THROUGH KEY INFORMANT INTERVIEWS AND FACILITATED LISTENING SESSIONS WITH COMMUNITY RESIDENTS. TO AID SAN ANTONIO REGIONAL HOSPITAL IN UNDERSTANDING THE DATA COLLECTED, AN ONLINE PLATFORM, CALLED IP3 | ASSESS, WAS LAUNCHED TO SUPPORT AND ENGAGE HOSPITAL STAFF AND COMMUNITY MEMBERS TOWARDS COLLECTIVE ACTION. SAN ANTONIO REGIONAL HOSPITAL COLLABORATED WITH THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA, INLAND EMPIRE HEALTH PLAN, SAN BERNARDINO COUNTY DEPARTMENT OF PUBLIC HEALTH AND RIVERSIDE COUNTY DEPARTMENT OF PUBLIC HEALTH TO PLAN AND EXECUTE THE 2022 INLAND EMPIRE REGIONAL CHNA. TOGETHER ALONGSIDE THREE OTHER HOSPITALS (MONTCLAIR HOSPITAL MEDICAL CENTER, REDLANDS COMMUNITY HOSPITAL, AND SAN GORGONIO MEMORIAL HOSPITAL), SAN ANTONIO REGIONAL HOSPITAL CONTINUED TO SHARE RESOURCES, COLLABORATE FOR COLLECTIVE IMPACT, AND BUILD UPON THE EXISTING BODY OF WORK THROUGH EXPANDED DATA COLLECTION FROM IMPORTANT VOICES IN OUR COMMUNITY. PRIMARY AND SECONDARY DATA SOURCES WERE INCLUDED IN THE CHNA. PRIMARY DATA WAS COLLECTED FOR THE INLAND EMPIRE REGIONAL CHNA FROM TWO SOURCES: KEY INFORMANT INTERVIEWS AND COMMUNITY LISTENING SESSIONS. HOSPITAL SECONDARY DATA IN THIS NEEDS ASSESSMENT FOCUS ON HOSPITAL INPATIENT AND EMERGENCY DEPARTMENT (ED) UTILIZATION DATA, THE TOP CAUSES OF DEATH, MORBIDITIES (HEALTH CONDITIONS), CHRONIC CONDITIONS AND THE SOCIAL DETERMINANTS AFFECTING HOSPITAL USE. THE MAIN OBJECTIVE IN ENGAGING THE COMMUNITY WAS TO UNDERSTAND THE GREATEST AREAS OF NEED AND TO DISCOVER STRATEGIES IN WHICH PARTICIPATING HOSPITALS COULD COLLABORATE TO BETTER SERVE COMMUNITIES AND ELEVATE THE HEALTH STATUS OF OUR REGION. PRIMARY DATA - THE CHNA STAKEHOLDERS IDENTIFIED NINE KEY INFORMANTS WHO WERE INTERVIEWED INDIVIDUALLY IN PERSON OR BY TELEPHONE IN MARCH, APRIL AND MAY 2022. THE INFORMANTS REPRESENTED COMMUNITY, CIVIC AND GOVERNMENT LEADERS IN THE INLAND EMPIRE. QUESTIONS FOCUSED ON KEY HEALTH NEEDS, SOCIAL FACTORS AND COMMUNITY CONDITIONS THAT AFFECT HEALTH AS WELL AS COMMUNITY ASSETS THAT COULD BE USED TO ADDRESS THESE ISSUES. KEY THEMES THAT EMERGED FROM THESE INTERVIEWS INCLUDED MENTAL HEALTH, SUBSTANCE USE DISORDER, EDUCATION, FINANCIAL STRAIN, AS WELL AS UNEMPLOYMENT AND LACK OF APPROPRIATE JOB SKILLS TRAINING. LISTENING SESSIONS - A TOTAL OF EIGHT LISTENING SESSIONS WERE CONDUCTED AT MULTIPLE LOCATIONS, IN ENGLISH AND SPANISH, THROUGHOUT THE INLAND EMPIRE TO GAIN INSIGHTS FROM DIVERSE COMMUNITIES ON REGIONAL HEALTH PRIORITIES. EFFORTS WERE TAKEN TO INCLUDE PARTICIPANTS IDENTIFYING WITH POPULATIONS WHOSE VOICES CHNA STAKEHOLDERS WANTED TO ELEVATE IN THE PRIORITIZATION OF REGIONAL HEALTH ISSUES: IMMIGRANTS, YOUTH, WORKING-CLASS COMMUNITY MEMBERS AND INDIVIDUALS WHO IDENTIFIED AS BIPOC (BLACK, INDIGENOUS AND PEOPLE OF COLOR). EFFORTS TO RECRUIT PARTICIPANTS INCLUDED PHONE CALLS, EMAILS, SOCIAL MEDIA POSTS AND DIRECT OUTREACH IN COMMUNITY LOCATIONS. THE MOST COMMON HEALTH THEMES THAT EMERGED IN THE LISTENING SESSIONS WERE MENTAL HEALTH (DEPRESSION, ANXIETY, AND SUBSTANCE USE), CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), DIABETES, HYPERTENSION, HEART DISEASE, CANCER, AND OBESITY. ENVIRONMENTAL AND OTHER COMMUNITY THEMES WERE ALSO DISCUSSED. THE MOST COMMON THEMES OF THIS CATEGORY INCLUDED AIR QUALITY, AFFORDABLE HOUSING, MORE GREEN SPACES, CRIME AND VIOLENCE, AS WELL AS LACK OF COMMUNITY ACTIVITIES AND CELEBRATIONS. SECONDARY DATA - HOSPITAL SECONDARY DATA IN THIS NEEDS ASSESSMENT FOCUS ON HOSPITAL INPATIENT AND EMERGENCY DEPARTMENT (ED) UTILIZATION DATA, THE TOP CAUSES OF DEATH, MORBIDITIES (HEALTH CONDITIONS), CHRONIC CONDITIONS AND THE SOCIAL DETERMINANTS AFFECTING HOSPITAL USE. THE 2016-2020 HOSPITAL DATA WERE DERIVED FROM CALIFORNIA'S DEPARTMENT OF HEALTH CARE ACCESS AND INFORMATION (HCAI) AND INTEGRATED WITH DATA FROM THE FEDERAL AGENCY FOR HEALTHCARE RESEARCH AND QUALITY (AHRQ), CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS), THE AMERICAN MEDICAL ASSOCIATION (AMA) AND THE U.S. CENSUS BUREAU. THE HOSPITAL DATA WERE STRATIFIED BY THE INLAND EMPIRE AS A WHOLE AND BY SAN BERNARDINO AND RIVERSIDE COUNTIES. IN ADDITION, DATA SPECIFIC TO EACH HOSPITAL'S SERVICE AREA. THE CALIFORNIA HOSPITAL DATA FOR INPATIENT ADMISSIONS - FLAGGED FOR PREVENTION QUALITY INDICATORS (PQIS) AND "Z" TYPE DIAGNOSIS ARE IMPORTANT BECAUSE THEY HIGHLIGHT THE MOST COMMON CHRONIC CONDITIONS AND SOCIAL DRIVERS OF HEALTH IN THE DESIGNATED REGIONS. ADDITIONAL SECONDARY DATA FOR THIS ASSESSMENT WERE DERIVED FROM THE IP3 ASSESS PLATFORM DEVELOPED BY THE INSTITUTE FOR PEOPLE, PLACE, AND POSSIBILITY (IP3). IP3 ASSESS USES TWO FRAMEWORKS: BURDEN OF DISEASE AND VITAL CONDITIONS FOR WELL-BEING. THE DOMAINS IN THE BURDEN OF DISEASE FRAMEWORK CONSIST OF COMMON HEALTH CONDITIONS, AND THE DOMAINS IN THE VITAL CONDITIONS FRAMEWORK COMPRISE SEVEN COMMUNITY CONDITIONS THAT AFFECT HEALTH AND WELL-BEING. THE IP3 ASSESS DATA WERE REVIEWED SYSTEMATICALLY BY REGIONAL CHNA STAKEHOLDERS IN PRIORITIZING KEY HEALTH AND ENVIRONMENTAL ISSUES TO SUPPORT HEALTH IN THE INLAND EMPIRE. FOLLOWING THE COMPLETION OF THE REGIONAL CHNA, SAN ANTONIO FINALIZED ITS 2022 CHNA AND EMBARKED ON A METHODICAL PRIORITIZATION PROCESS TO IDENTIFY THE MOST SIGNIFICANT HEALTH NEEDS TO BE ADDRESSED OVER NEXT THREE YEARS. THE RESULTS WERE SIMILAR TO THE REGIONAL PRIORITIZATION, WITH THE FOLLOWING AREAS OF NEED IDENTIFIED: MENTAL AND BEHAVIORAL HEALTH, INFANT AND MATERNAL HEALTH, AS WELL AS CARDIOVASCULAR DISEASE AND DIABETES. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - San Antonio Regional Hospital. OTHER HOSPITALS INCLUDED IN THE DEVELOPMENT OF THE HOSPITAL'S CHNA WERE MONTCLAIR HOSPITAL MEDICAL CENTER, REDLANDS COMMUNITY HOSPITAL, AND SAN GORGONIO MEMORIAL HOSPITAL. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - San Antonio Regional Hospital. OTHER ORGANIZATIONS INCLUDED IN THE DEVELOPMENT OF THE HOSPITAL'S CHNA WERE THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA, INLAND EMPIRE HEALTH PLAN, THE PUBLIC HEALTH DEPARTMENT OF SAN BERNARDINO COUNTY AND THE PUBLIC HEALTH DEPARTMENT OF RIVERSIDE COUNTY. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - San Antonio Regional Hospital. COMMUNITY HEALTH NEEDS ARE COMPLEX, OFTEN DIFFICULT TO DEFINE, AND MAY AFFECT DIVERSE POPULATIONS. EQUALLY CHALLENGING IS THE TASK OF CREATING INTERVENTIONS TO ADDRESS THESE NEEDS IN MEANINGFUL WAYS THAT ARE IMPACTFUL AND MEASURABLE. WITH THE COMPLETION OF THE CHNA AND THE PRIORITIZATION PROCESS, THE NEXT STEP WAS TO DEVELOP AND/OR EXPAND COMMUNITY BENEFIT PROGRAMS DESIGNED TO IMPROVE COMMUNITY HEALTH STATUS. THE RESULTS OF THE CHNA GUIDED THE CREATION OF SAN ANTONIO'S COMMUNITY BENEFIT IMPLEMENTATION STRATEGY BY PROVIDING THE FRAMEWORK FOR DETERMINING HOW WE CAN IMPROVE THE HEALTH OF OUR COMMUNITY, AND PARTICULARLY, THE MOST VULNERABLE AMONG US. DURING THE STRATEGIC PLANNING PROCESS, THE COMMUNITY BENEFIT TEAM DEVELOPED INITIATIVES WITHIN EACH OF THE IDENTIFIED PRIORITY AREAS WITH DEFINED GOALS, OBJECTIVES, AND EVALUATION METRICS. EACH INITIATIVE IN SAN ANTONIO REGIONAL HOSPITAL'S IMPLEMENTATION STRATEGY RELATES TO ONE OR MORE OF THE THREE AREAS OF NEED IDENTIFIED IN THE 2022 CHNA AND IS CENTRALLY FOCUSED ON IMPROVING ACCESS TO PRIMARY CARE OR IMPROVING ACCESS TO PREVENTATIVE CARE. MATERNAL AND CHILD HEALTH - IN ORDER TO INCREASE EMOTIONALLY SUPPORT PARENTS AND CAREGIVERS, SARH AIMS TO PROVIDE FAMILY-FOCUSED ACTIVITIES, EDUCATION AND SERVICES. STRATEGIES TO ACCOMPLISH THIS GOAL INCLUDE INCREASING AWARENESS OF THE HOSPITAL'S CONTRACTED LABORIST PROGRAM, PROMOTE THE UPCOMING WOMEN'S HEALTH & BIRTHING CENTER, AND DEVELOP PARTNERSHIPS WITH LOCAL GOVERNMENT AND COMMUNITY-BASED ORGANIZATIONS. ADDITIONALLY, SARH HAS SET OUT TO EXPAND EDUCATIONAL AWARENESS OPPORTUNITIES WITH THE HEALTHY BEGINNINGS PROGRAM - ONE OF THE HOSPITAL'S LONGSTANDING MATERNAL AND INFANT HEALTH INITIATIVES. HEALTHY BEGINNINGS PROVIDES WEIGHT AND JAUNDICE CHECKS AND PEDIATRIC REFERRALS FOR NEWBORNS AND GENERAL WELLNESS AND POSTPARTUM SCREENINGS FOR MOTHER'S POST-DISCHARGE. IN 2024, HEALTHY BEGINNINGS SERVED 3,128 PATIENTS THROUGH THE NEONATAL INTENSIVE CARE UNIT FOLLOW-UP CLINIC, AND CLASSES ON BREASTFEEDING, INFANT CARE, SAFE SITTER EDUCATION, INFANT/CHILD CPR AND PREPARED CHILDBIRTH CLASSES. MENTAL AND BEHAVIORAL HEALTH - SARH AIMS TO INCREASE ACCESS TO PREVENTATIVE CARE AS WELL AS INCREASE AWARENESS OF MENTAL HEALTH CARE RESOURCES, SERVICES AND EDUCATION. STRATEGIES TO ADDRESS THIS NEED INCLUDE PARTICIPATING IN A REGIONAL COLLABORATIVE ON BEHAVIORAL HEALTH THROUGH THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA, DEVELOPING A TELEPSYCH PROGRAM FOR PATIENTS IN THE EMERGENCY DEPARTMENT, AND CREATING RELATIONSHIPS WITH ACUTE BEHAVIORAL HEALTH PROVIDERS. SARH PRIORITIZES ADOLESCENT MENTAL HEALTH BY PARTICIPATING IN MENTAL HEALTH FAIR THROUGHOUT CHAFFEY JOINT UNION HIGH SCHOOL DISTRICT EVERY SEMESTER. TO ADDRESS THE OPIOID EPIDEMIC IN THE INLAND EMPIRE, SARH SAN ANTONIO REGIONAL HOSPITAL PARTICIPATES IN NDP BY DISTRIBUTING NARCAN FOR FREE AND PROVIDING ESSENTIAL TRAINING ON HOW TO USE NARCAN TO REVERSE AN OVERDOSE CAUSED BY AN OPIOID. THROUGH COMMUNITY OUTREACH, SAN ANTONIO REGIONAL HOSPITAL HAS DISTRIBUTED 1,005 BOXES OF NARCAN THROUGHOUT THE INLAND EMPIRE. AS THE NEED FOR GERIATRIC SERVICES IN THE INLAND EMPIRE INCREASES, SARH IS COMMITTED TO PROMOTING HEALTHY AGING BY EMPOWERING AND SUPPORTING OUR COMMUNITY. THE GENERATIONS AHEAD PROGRAM IS DESIGNED TO ENRICH THE LIVES OF ADULTS BY FOSTERING CONNECTIONS, CELEBRATING THE WISDOM THAT COMES WITH AGING, AND ENHANCING OVERALL WELL-BEING. THIS PROGRAM MEETS MONTHLY TO ENCOURAGE COMMUNITY, INCREASE HEALTH EDUCATION AND PROVIDE ADULTS WITH HEALTHCARE RESOURCES THEY NEED. CARDIOVASCULAR DISEASE & DIABETES - SAN ANTONIO WILL REDUCE THE IMPACT OF CARDIOVASCULAR DISEASE AND DIABETES AND INCREASE THE FOCUS ON CARDIOVASCULAR DISEASE AND DIABETES PREVENTION AND TREATMENT EDUCATION. SARH HAS CREATED A NEW CARDIAC OBSERVATION UNIT AND AIMS TO INCREASE AWARENESS OF THIS NEW UNIT ALONG WITH OTHER HOSPITAL SERVICES INCLUDING THE HEART INSTITUTE, DIABETES EDUCATION PROGRAM, COMMUNITY CARDIOVASCULAR WORKSHOP SERIES, AND THE ELECTROPHYSIOLOGY PROGRAM. ADDITIONALLY, THE HOSPITAL IS EXPLORING HOW TO EXPAND THE COMMUNITY HEALTH IMPROVEMENT PROGRAM WHICH SUPPORTS PATIENTS WITH COMPLEX, CHRONIC HEALTH CONDITIONS, AS WELL AS INCREASING EDUCATION AND SCREENING PROGRAMS AVAILABLE TO THE COMMUNITY. TAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, SAN ANTONIO REGIONAL HOSPITAL WILL NOT DIRECTLY ADDRESS THE REMAINING HEALTH NEEDS IDENTIFIED IN THE CHNA INCLUDING: BASIC NEEDS FOR HEATLH AND SAFETY, HUMANE HOUSING, AND MEANINGFUL WORK AND WEALTH. THE HOSPITAL CANNOT ADDRESS ALL THE HEALTH NEEDS PRESENT IN THE COMMUNITY; THEREFORE, IT WILL CONCENTRATE ON THOSE HEALTH NEEDS THAT CAN MOST EFFECTIVELY BE ADDRESSED GIVEN THE ORGANIZATION'S AREAS OF FOCUS AND EXPERTISE. SAN ANTONIO REGIONAL HOSPITAL WILL LOOK FOR PARTNERSHIP OPPORTUNITIES THAT ADDRESS NEEDS NOT SELECTED WHERE IT CAN APPROPRIATELY CONTRIBUTE TO ADDRESSING THOSE NEEDS, OR WHERE THOSE NEEDS ALIGN WITH CURRENT STRATEGIES AND PRIORITIES. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - SAN ANTONIO REGIONAL HOSPITAL. SARH UNDERSTANDS THAT CERTAIN PATIENTS MAY BE NON-RESPONSIVE TO THE FINANCIAL ASSISTANCE APPLICATION PROCESS. UNDER THESE CIRCUMSTANCES, SARH MAY UTILIZE OTHER SOURCES OF INFORMATION TO MAKE AN INDIVIDUAL ASSESSMENT OF FINANCIAL NEED. THE INFORMATION WILL ENABLE SARH TO MAKE AN INFORMED DECISION ON THE FINANCIAL NEED OF NON-RESPONSIVE PATIENTS UTILIZING THE BEST ESTIMATES AVAILABLE IN THE ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT. SARH MAY UTILIZE A STATE APPROVED THIRD-PARTY TO CONDUCT AN ELECTRONIC REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY RECOGNIZED MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THIS PREDICTIVE MODEL IS DESIGNED TO ASSESS EACH PATIENT TO THE SAME STANDARDS AND THE TRADITIONAL APPLICATION PROCESS. THE ELECTRONIC TECHNOLOGY WILL BE DEPLOYED PRIOR TO BAD DEBT ASSIGNMENT AFTER IN-HOUSE COLLECTION EFFORTS AND ALL OTHER ELIGIBILITY AND PAYMENT SOURCES HAVE BEEN EXHAUSTED. THIS PROCESS ALLOWS SARH TO SCREEN ALL PATIENTS FOR FINANCIAL ASSISTANCE PRIOR TO EXPLORING ANY EXTRAORDINARY COLLECTION ACTIONS. THE DATA RETURNED FROM THIS ELECTRONIC ELIGIBILITY REVIEW WILL CONSTITUTE ADEQUATE DOCUMENTATION OF FINANCIAL NEED UNDER THIS POLICY. A COMPLETED FINANCIAL ASSISTANCE APPLICATION MAY NOT BE REQUIRED IN CERTAIN CIRCUMSTANCES. THESE CIRCUMSTANCES ARE LIMITED TO SITUATION WHEN SARH DETERMINES IT HAS SUFFICIENT PATIENT FINANCIAL INFORMATION FROM WHICH TO MAKE A FINANCIAL ASSISTANCE ELIGIBILITY AND QUALIFICATION DECISION. EXAMPLES OF CIRCUMSTANCES NOT REQUIRING A FINANCIAL ASSISTANCE APPLICATION INCLUDE, BUT ARE NOT LIMITED TO: 1. PATIENT IS HOMELESS; 2. PATIENT IS A RESIDENT AT A SHELTER INCLUDING BUT NOT LIMITED TO PROTOTYPES AND THE AMERICAN RECOVERY CENTER; 3. PATIENT'S ADDRESS IS THE ADDRESS FOR THE DEPARTMENT OF PUBLIC SOCIAL SERVICES; 4. PATIENT IS UNKNOWN; 5. PATIENT IS RECEIVING GENERAL RELIEF, CAL WORKS OR CAL FRESH (DOCUMENTATION REQUIRED); 6. PATIENT QUALIFIED FOR MEDI-CAL WITHOUT A SHARE OF COST (SOC) DURING A PORTION OF THE CONFINEMENT OR SUBSEQUENT TO THEIR DISCHARGE/VISIT (PROOF OF ELIGIBILITY REQUIRED); 7. NON-COVERED AND /OR DENIED SERVICES PROVIDED TO MEDI-CAL ELIGIBLE PATIENTS. 8 SCHEU FAMILY OP SERVICES 1100 SAN BERNARDINO ROAD UPLAND CA 91786 LAB AND RADIOLOGY SERVICES IN A FREESTANDING MEDICAL OFFICE BUILDING 901 BUILDING 901 SAN BERNARDINO ROAD UPLAND CA 91786 PHYSICAL THERAPY SERVICES IN A FREESTANDING MEDICAL OFFICE BUILDING RANCHO SAN ANTONIO MEDICAL PLAZA 7777 MILLIKEN AVE RANCHO CUCAMONGA CA 91730 LAB, X-RAY, PHYSICAL THERAPY & URGENT CARE IN A FREESTANDING MEDICAL OFFICE BUILDING SIERRA SAN ANTONIO MEDICAL PLAZA 16465 SIERRA LAKES PARKWAY FONTANA CA 92336 LAB, X-RAY, PHYSICAL THERAPY & URGENT CARE IN A FREESTANDING MEDICAL OFFICE BUILDING EASTVALE SAN ANTONIO MEDICAL PLAZA 12442 LIMONITE AVE EASTVALE CA 91752 LAB, X-RAY & URGENT CARE IN A FREESTANDING MEDICAL OFFICE BUILDING 685 BUILDING 685 N 13TH AVENUE UPLAND CA 91786 CARDIAC REHAB SERVICES IN A FREESTANDING MEDICAL OFFICE BUILDING SAN ANTONIO AMBULATORY SURGERY CENTER 901 SAN BERNARDINO ROAD UPLAND CA 91786 OUTPATIENT SURGERY CENTER SAN ANTONIO URGENT CARE ONTARIO 970 NORTH MOUNTAIN AVE ONTARIO CA 91762 URGENT CARE IN A FREESTANDING BUILDING Schedule H, Part I, Line 3c SARH UNDERSTANDS THAT CERTAIN PATIENTS MAY BE NON-RESPONSIVE TO THE FINANCIAL ASSISTANCE APPLICATION PROCESS. UNDER THESE CIRCUMSTANCES, SARH MAY UTILIZE OTHER SOURCES OF INFORMATION TO MAKE AN INDIVIDUAL ASSESSMENT OF FINANCIAL NEED. THE INFORMATION WILL ENABLE SARH TO MAKE AN INFORMED DECISION ON THE FINANCIAL NEED OF NON-RESPONSIVE PATIENTS UTILIZING THE BEST ESTIMATES AVAILABLE IN THE ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT. SARH MAY UTILIZE A STATE APPROVED THIRD-PARTY TO CONDUCT AN ELECTRONIC REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY RECOGNIZED MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THIS PREDICTIVE MODEL IS DESIGNED TO ASSESS EACH PATIENT TO THE SAME STANDARDS AND THE TRADITIONAL APPLICATION PROCESS. THE ELECTRONIC TECHNOLOGY WILL BE DEPLOYED PRIOR TO BAD DEBT ASSIGNMENT AFTER IN-HOUSE COLLECTION EFFORTS AND ALL OTHER ELIGIBILITY AND PAYMENT SOURCES HAVE BEEN EXHAUSTED. THIS PROCESS ALLOWS SARH TO SCREEN ALL PATIENTS FOR FINANCIAL ASSISTANCE PRIOR TO EXPLORING ANY EXTRAORDINARY COLLECTION ACTIONS. THE DATA RETURNED FROM THIS ELECTRONIC ELIGIBILITY REVIEW WILL CONSTITUTE ADEQUATE DOCUMENTATION OF FINANCIAL NEED UNDER THIS POLICY. A COMPLETED FINANCIAL ASSISTANCE APPLICATION MAY NOT BE REQUIRED IN CERTAIN CIRCUMSTANCES. THESE CIRCUMSTANCES ARE LIMITED TO SITUATION WHEN SARH DETERMINES IT HAS SUFFICIENT PATIENT FINANCIAL INFORMATION FROM WHICH TO MAKE A FINANCIAL ASSISTANCE ELIGIBILITY AND QUALIFICATION DECISION. EXAMPLES OF CIRCUMSTANCES NOT REQUIRING A FINANCIAL ASSISTANCE APPLICATION INCLUDE, BUT ARE NOT LIMITED TO: 1. PATIENT IS HOMELESS; 2. PATIENT IS A RESIDENT AT A SHELTER INCLUDING BUT NOT LIMITED TO PROTOTYPES AND THE AMERICAN RECOVERY CENTER; 3. PATIENT'S ADDRESS IS THE ADDRESS FOR THE DEPARTMENT OF PUBLIC SOCIAL SERVICES; 4. PATIENT IS UNKNOWN; 5. PATIENT IS RECEIVING GENERAL RELIEF, CAL WORKS OR CAL FRESH (DOCUMENTATION REQUIRED); 6. PATIENT QUALIFIED FOR MEDI-CAL WITHOUT A SHARE OF COST (SOC) DURING A PORTION OF THE CONFINEMENT OR SUBSEQUENT TO THEIR DISCHARGE/VISIT (PROOF OF ELIGIBILITY REQUIRED); 7. NON-COVERED AND /OR DENIED SERVICES PROVIDED TO MEDI-CAL ELIGIBLE PATIENTS. Schedule H, Part I, Line 6a SAN ANTONIO REGIONAL HOSPITAL PREPARED A COMMUNITY BENEFIT REPORT AS REQUIRED BY THE STATE OF CALIFORNIA. THE REPORT WAS PUBLISHED AND MADE AVAILABLE TO THE PUBLIC ONLINE AT https://www.sarh.org/programs/community-connection/community-benefit/ . Schedule H, Part II Community Building Activities THE LEWIS-SAN ANTONIO HEALTHY COMMUNITIES INSTITUTE (HCI) WAS ESTABLISHED IN APRIL 2016 BY RANDALL LEWIS (A LOCAL COMMUNITY VISIONARY, INNOVATOR AND PHILANTHROPIST) IN COLLABORATION WITH SAN ANTONIO REGIONAL HOSPITAL TO POSITIVELY IMPACT THE HEALTH OF THEN INLAND EMPIRE REGION. HCI AIMS TO FORM SOLUTIONS IN RESPONSE TO THE HIGH NUMBERS OF CHRONIC DISEASES AND LOW NUMBERS OF HEALTHCARE PROFESSIONALS IN THE REGION. THE INSTITUTE IS DESIGNED TO SERVE AS A VEHICLE TO HELP CREATE INNOVATIVE SOLUTIONS AND TO SUPPORT THE EFFORTS OF LOCAL CITIES AND HEALTHCARE ENTITIES BY PROVIDING STRUCTURE, PROGRAMS, AND SPECIFIC TRAINING. IN 2024, HCI'S ACTIVE PROGRAMS INCLUDED SUPER SCIENCE DAYS, WELLNESS STARTS WITH YOU, CLINICAL SHADOWING PROGRAM AND YOUNG HEALTHCARE PROFESSIONALS. THE LEWIS-SAN ANTONIO HEALTHY COMMUNITIES INSTITUTE PARTNERED WITH SEVERAL SCHOOL DISTRICTS AND THE SAN BERNARDINO COUNTY SUPERINTENDENT OF SCHOOLS TO PROVIDE MORE STUDENTS WITH HEALTH EDUCATION, EXPERIENCE AND SKILLS TO BECOME HEALTHCARE PROFESSIONALS. SUPER SCIENCE DAYS ENGAGES AND EXCITES ELEMENTARY SCHOOL STUDENTS IN STEM AND HEALTHCARE CAREERS. STUDENTS ARE ENCOURAGED TO PARTICIPATE IN INTERACTIVE EXPERIMENTS AND INTERDISCIPLINARY STEM ACTIVITIES SUCH AS "SOLVE THE OUTBREAK," THAT TEACHES FOOD SAFETY AND EXPOSES STUDENTS TO THE FIELD OF EPIDEMIOLOGY. IN 2024, 25 STUDENTS AT LEHIGH ELEMENTARY SCHOOL IN ONTARIO PARTICIPATED IN THIS PROGRAM. SCHOOL ADMINISTRATORS EXPRESSED APPRECIATION FOR THE PROGRAM AS THEY SAW IT IGNITE EXCITEMENT IN THE STUDENTS, NOT JUST FOR PARTICIPATING IN THE ACTIVITIES BUT ALSO FOR ATTENDING SCHOOL OVERALL. WELLNESS STARTS WITH YOU (WSWY), A HEALTH EDUCATION CURRICULUM, WAS FACILITATED FOR JUNIORS AT UPLAND HIGH SCHOOL. HCI STAFF AND INTERNS PREPARED THE CURRICULUM AND FACILITATED THE PROGRAM TO INCREASE KNOWLEDGE OF THE FOLLOWING 4 PILLARS OF HEALTH: PHYSICAL ACTIVITY, NUTRITION, MENTAL RESILIENCE AND SLEEP. HCI COLLEGE INTERNS PROVIDED HEALTH EDUCATION TO OVER 140 UPLAND HIGH SCHOOL STUDENTS. THE CLINICAL SHADOWING PROGRAM WAS LAUNCHED AS AN INITIATIVE TO BRIDGE THE GAP BETWEEN CLASSROOM LEARNING, EARLY CAREER EXPLORATION, AND REAL-WORLD MEDICAL PRACTICE. IN 2024, SARH WELCOMED THE LARGEST CLINICAL SHADOWING PROGRAM TO DATE WITH 55 STUDENTS COMPLETING THE PROGRAM. STUDENTS FROM HIGH SCHOOL THROUGHOUT THE INLAND EMPIRE WERE GIVEN THE OPPORTUNITY TO OBSERVE AND LEARN DIRECTLY FROM HEALTHCARE EXPERTS. A RECORD NUMBER OF SARH DEPARTMENTS ACCEPTED STUDENTS INCLUDING THE EMERGENCY DEPARTMENT, URGENT CARES, IN SURGERY, CARDIOLOGY, LABORATORY, PHARMACY AND TELEMETRY DEPARTMENTS. FROM RECEIVING MENTORSHIP ON THE FLOOR FROM MEDICAL PROFESSIONALS TO OBSERVING SURGERIES AND PROCEDURES, PARTICIPANTS GAINED A FIRSTHAND UNDERSTANDING OF THE CHALLENGES AND REWARDS OF A MEDICAL CAREER. THE PROGRAM'S CURRICULUM WAS CAREFULLY CURATED TO ENSURE A COMPREHENSIVE EXPERIENCE. PARTICIPATING STUDENTS ENGAGED IN INTERACTIVE LEADERSHIP SEMINARS, WORKSHOPS AND DISCUSSIONS LED BY HEALTHCARE PROFESSIONALS IN BOTH CLINICAL AND NON-CLINICAL FIELDS. THESE LEADERSHIP TRAININGS ALLOWED STUDENTS THE OPPORTUNITY TO ENHANCE THEIR CRITICAL THINKING, PROBLEM-SOLVING, AND EFFECTIVE COMMUNICATION SKILLS - ALL CRUCIAL ASPECTS OF A SUCCESSFUL HEALTHCARE CAREER. THE YOUNG HEALTHCARE PROFESSIONALS PROGRAM PROVIDED STUDENTS THROUGHOUT SAN BERNARDINO COUNTY WITH THE OPPORTUNITY TO HEAR FROM SARH HEALTHCARE PROFESSIONALS, BECOME CERTIFIED IN VARIOUS MEDICAL TRAININGS, AND BECAME MORE EQUIPPED FOR A CAREER IN HEALTHCARE. STAFF FROM SAN ANTONIO REGIONAL HEALTH ANSWERED STUDENT QUESTIONS ABOUT A CAREER IN HEALTHCARE. STUDENTS FROM COLTON, VICTOR VALLEY, SAN BERNARDINO CITY, AND CHAFFEY JOINT BECAME TRAINED IN HANDS-ONLY CPR, STOP THE BLEED, AND NARCAN IMPLEMENTATION. IN 2024, THIS PROGRAM EXPANDED INTO THE HIGH DESERT FOR THE FIRST TIME. THE POPULATION HEALTH DEPARTMENT OVERSEES SARH'S COMMUNITY-BASED, NON-CLINICAL INTERNSHIP PROGRAM. UNDERGRADUATE, GRADUATE AND DOCTORAL STUDENTS FROM LOCAL UNIVERSITIES IN VARIOUS HEALTH DISCIPLINES, SUCH AS PUBLIC HEALTH, SOCIAL WORK, HEALTHCARE ADMINISTRATION, NUTRITION, AND BUSINESS ADMINISTRATION ARE BROUGHT TOGETHER TO COMPLETE THEIR FIELD EXPERIENCES ON-SITE AND IN THE COMMUNITY. STUDENTS ARE CONNECTED TO VARIOUS HEALTH PROFESSIONALS IN AND OUT OF THE HOSPITAL, EXPOSED TO THE NEED FOR HEALTH PROFESSIONALS IN THE LOCAL AREA, AND ARE ENCOURAGED TO REMAIN IN THE REGION WHILE FULFILLING THEIR PROFESSIONAL ASPIRATIONS. INTERNS HAVE OPPORTUNITIES TO PARTICIPATE IN PROGRAM DEVELOPMENT, EVALUATION, HEALTH EDUCATION, MARKETING AND BUSINESS DEVELOPMENT RELATED TO THE HOSPITAL'S CHNA. CURRENTLY, HCI HAS MEMORANDUMS OF UNDERSTANDING WITH 9 UNIVERSITIES ACROSS THE SOUTHERN CALIFORNIA REGION, INCLUDING CALIFORNIA STATE UNIVERSITIES SAN BERNARDINO, FULLERTON, LOMA LINDA UNIVERSITY, CLAREMONT GRADUATE UNIVERSITY, AND KECK GRADUATE INSTITUTE. ALL NON-CLINICAL INTERNS COMPLETED THEIR HOURS IN 2024. AS A RESULT, SARH HAD 17 INTERNS AT THE UNDERGRADUATE, GRADUATE, AND DOCTORAL LEVELS WHO COLLECTIVELY SERVED 1,064 HOURS FOR THE YEAR. Schedule H, Part I, Line 7g Subsidized Health Services SAN ANTONIO REGIONAL HOSPITAL PROVIDES SUBSIDIZED HEALTH SERVICES BY PROVIDING REIMBURSEMENT FOR ON-CALL PHYSICIAN SERVICES PROVIDED TO UNINSURED, INDIGENT PATIENTS WHO PRESENT THROUGH THE EMERGENCY ROOM. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COSTING METHODOLOGY USED ON 7A: CALCULATED USING WORKSHEETS 1 AND 2 IN THE INSTRUCTIONS, THE COST TO CHARGE OPTION. THE COSTING METHODOLOGY USED ON 7B: CALCULATED USING WORKSHEET 3 IN THE INSTRUCTIONS, THE COST TO CHARGE OPTION. THE COSTING METHODOLOGY USED ON 7E TO 7I: CALCULATED USING ACTUAL COSTS FROM SARH'S GENERAL LEDGER. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs SARH EXPERIENCED A MEDICARE SURPLUS IN 2024 OF $7,351,552. THE COST AND REIMBURSEMENT DATA WERE TAKEN DIRECTLY FROM SARH'S DECEMBER 31, 2024 MEDICARE COST REPORT. THE MEDICARE COST REPORT USES A STEP-DOWN COST ALLOCATION PROCESS AND THEN APPORTIONS CLINICAL DEPARTMENT COSTS ON A CHARGE TO CHARGE BASIS. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance WHEN A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, INCLUDING, BUT NOT LIMITED TO CHARITY CARE, THE HOSPITAL MAY WAIVE SOME OR ALL OF ITS COLLECTION EFFORTS. FOR A PATIENT THAT QUALIFIES FOR CHARITY CARE, THE ENTIRE BILL IS WRITTEN OFF TO CHARITY ALLOWANCE AND THE HOSPITAL MAKES NO COLLECTION EFFORTS. THE HOSPITAL FOLLOWS DEBT COLLECTION POLICY AND PROCEDURE FOR ANY PORTION OF THE BILL NOT ELIGIBLE FOR WRITE-OFF. Schedule H, Part V, Section B, Line 16a FAP website - SAN ANTONIO REGIONAL HOSPITAL: Line 16a URL: https://www.sarh.org/patients-and-visitors/help-paying-your-bill; Schedule H, Part V, Section B, Line 16b FAP Application website - SAN ANTONIO REGIONAL HOSPITAL: Line 16b URL: https://www.sarh.org/patients-and-visitors/help-paying-your-bill; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - SAN ANTONIO REGIONAL HOSPITAL: Line 16c URL: https://www.sarh.org/patients-and-visitors/help-paying-your-bill; Schedule H, Part VI, Line 2 Needs assessment ALTHOUGH CALIFORNIA'S COMMUNITY BENEFIT LEGISLATION (SB 697) ONLY REQUIRES A TRIENNIAL COMMUNITY ASSESSMENT, SAN ANTONIO REGIONAL HOSPITAL (SARH) REVIEWS AND UPDATES THE SECONDARY DATA EACH YEAR AND CONDUCTS PRIMARY RESEARCH NO LESS THAN EVERY THREE YEARS. IN ADDITION TO THE ANNUAL ASSESSMENT OF SECONDARY DATA, THE TRIENNIAL ASSESSMENT INCLUDES PRIMARY RESEARCH THAT INCLUDES WRITTEN SURVEYS, KEY INFORMANT INTERVIEWS, AND FOCUS GROUPS. THE ANNUAL ASSESSMENT LOOKS AT THE HOSPITAL'S COMMUNITY FROM A WIDE PERSPECTIVE IN TERMS OF POPULATION, DEMOGRAPHICS, AND KEY HEALTH INDICATORS. MOST OF THE DATA IS FOCUSED ON THE HOSPITAL'S PRIMARY SERVICE AREA, SINCE THIS IS WHERE OVER 80% OF THE HOSPITAL'S PATIENTS RESIDE. DURING THE ASSESSMENT, PRIMARY SERVICE AREA POPULATION AND DEMOGRAPHICS ARE EVALUATED BASED ON THE FOLLOWING STATISTICS: CURRENT YEAR POPULATION'S ESTIMATES, FIVE-YEAR POPULATION SEGMENTS (CHILDREN, SENIORS, WOMEN OF CHILD BEARING AGE), AND MEDIAN AGE, ETHNICITY, EDUCATION, INCOME, AND HOSPITALIZATION RATES. ALTHOUGH THE ASSESSMENT FOCUSES ON DEMOGRAPHIC AND HEALTH INFORMATION FOR SARH'S SERVICE AREA, THERE ARE BENEFITS IN EXAMINING COUNTY DATA, SINCE MANY HEALTH INDICATORS ARE ONLY AVAILABLE AT THE COUNTY LEVEL. IN ADDITION, GIVEN THE TRANSIENT NATURE OF THE POPULATION IN SAN BERNARDINO COUNTY, IT MAKES SENSE FOR HOSPITALS TO WORK TOGETHER AND WITH OTHER HEALTHCARE AGENCIES TO ADDRESS ISSUES THAT AFFECT ALL COUNTY RESIDENTS. POPULATION AND DEMOGRAPHIC DATA ARE UPDATED AND REVIEWED FOR SAN BERNARDINO COUNTY, AND GENERAL HEALTH INDICATORS ARE COMPARED TO OTHER CALIFORNIA COUNTIES, STATE AVERAGES, AND NATIONAL GOALS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THE FINANCIAL ASSISTANCE POLICY SUMMARY IS INCLUDED IN ALL ADMISSION PACKETS. THERE ARE NOTICES OF CHARITY AND DISCOUNT CARE OFFERED IN EACH OF THE ADMITTING AREAS AND EMERGENCY LOBBY. THE SUMMARY PROVIDES THE WEBSITE LINK TO THE FULL POLICY AND STATES SARH WILL PROVIDE A PRINTED COPY OF THE FINANCIAL ASSISTANCE POLICY AND APPLICATION UPON REQUEST. Schedule H, Part VI, Line 4 Community information SARH DEFINES ITS COMMUNITY IN TERMS OF ITS "SERVICE AREA", WHICH IS THE GEOGRAPHIC AREA FROM WHICH IT RECEIVES MOST OF ITS HOSPITAL ADMISSIONS. FOR PURPOSES OF ANALYSIS, THE SERVICE AREA IS DIVIDED INTO "PRIMARY "SECONDARY" AREAS, WITH THE PRIMARY SERVICE AREA ACCOUNTING FOR APPROXIMATELY 80% OF THE ADMISSIONS AND MOST SARH'S PLANNING EFFORTS. SARH'S PRIMARY SERVICE AREA IS COMPROMISED OF THE CITIES OF CHINO, CLAREMONT, EAST VALE, FONTANA, MONTCLAIR, ONTARIO, RANCHO CUCAMONGA, AND UPLAND WITH A TOTAL ESTIMATED POPULATION OF 1,982,996. A MEDIAN AGE OF 33.6, A MEDIAN HOUSEHOLD INCOME OF $83,503, AN AVERAGE HOUSEHOLD SIZE OF 3.45, AND A MEDIAN HOME VALUE OF $519,573. 18% HAVE NO HIGH SCHOOL DIPLOMA, 24% HAVE A HIGH SCHOOL DIPLOMA, 18% HAVE A BACHELOR'S DEGREE, AND 9% HAVE A GRADUATE/PROFESSIONAL DEGREE. THE POPULATION (BASED ON DATA PROVIDED BY ESRI, AMERICAN COMMUNITY SURVEY (ACS), 2021) IS PREDOMINATELY HISPANIC OR LATINO AT 56% AND NOT HISPANIC OR LATINO AT 44%; OF THOSE NOT HISPANIC OR LATINO ARE AS FOLLOWS: CAUCASIANS AT 54%, ASIAN-AMERICANS AT 23%, AFRICAN-AMERICANS AT 15%, AMERICAN INDIAN AND ALASKA NATIVE 1%, TWO OR MORE RACES 6% THE SECONDARY SERVICE AREA, WHICH REPRESENTS APPROXIMATELY 10% OF SARH'S ADMISSIONS, INCLUDES POMONA ON THE WEST, RIALTO TO THE EAST, AND NORCO TO THE SOUTHEAST WITH AN ESTIMATED TOTAL POPULATION OF 373,597, A MEDIAN AGE OF 33.0, A MEDIAN HOUSEHOLD INCOME OF $77,891, AN AVERAGE HOUSEHOLD SIZE 3.65, AND A MEDIAN HOME VALUE $523,616. 22% HAVE NO HIGH SCHOOL DIPLOMA, 25% HAVE A HIGH SCHOOL DIPLOMA, 17% HAVE A BACHELOR'S DEGREE, 8% HAVE A GRADUATE/PROFESSIONAL DEGREE. THE POPULATION (BASED ON DATA PROVIDED BY ESRI, AMERICAN COMMUNITY SURVEY (ACS), 2019) IS PREDOMINATELY HISPANIC OR LATINO AT 60% AND NOT HISPANIC OR LATINO AT 40%; OF THOSE NOT HISPANIC OR LATINO ARE AS FOLLOWS: CAUCASIANS AT 45%, ASIAN-AMERICANS AT 32%, AFRICAN-AMERICANS AT 17%, AMERICAN INDIAN AND ALASKA NATIVE 1%, TWO OR MORE RACES 4% IN ADDITION TO SAN ANTONIO REGIONAL HOSPITAL, THERE ARE THREE HOSPITALS, CHINO VALLEY HOSPITAL, KAISER PERMANENTE ONTARIO, AND KAISER PERMANENTE FONTANA, PRESENT WITHIN THE PRIMARY SERVICE AREA. SAN ANTONIO REGIONAL HOSPITAL IS NOT LOCATED IN A FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREA. Schedule H, Part VI, Line 5 Promotion of community health SARH HAS A COMMUNITY BOARD AND OPEN MEDICAL STAFF PRIVILEGES. AS IN MOST COMMUNITIES, HEALTH AND SERVICE NEEDS ARE GREAT, BUT THE RESOURCES ARE LIMITED. SARH UNDERSTANDS THE POWER OF COLLABORATION AND SEEKS ALLIANCES WITH OTHER HEALTH AND SOCIAL SERVICES PROVIDERS TO DEVELOP COMMUNITY-BASED PROGRAMS WITH DEFINED GOALS AND MEASURABLE OUTCOMES. THESE PARTNERSHIPS HELP TO LEVERAGE THE COMMUNITY'S SCARCE RESOURCES AND ACHIEVE THE MAXIMUM BENEFIT FOR ITS RESIDENTS, WHICH RESULTS IN DEMONSTRATED IMPROVEMENT IN THEIR HEALTH. THE HOSPITAL HAS BEEN PROACTIVE IN RESPONDING TO THE SPECIFIC HEALTH NEEDS OF SPECIAL POPULATIONS WITHIN OUR COMMUNITY. THIS INCLUDES NON-ENGLISH SPEAKERS, PERSONS WHO LIVE IN POVERTY, HAVE MENTAL OR PHYSICAL DISABILITIES, OR IN OTHER WAYS ARE DISENFRANCHISED. SARH STAFF SERVE ON EXECUTIVE COMMITTEES, PLANNING COMMITTEES, AND VARIOUS WORKGROUPS THROUGHOUT THE COMMUNITY, PROVIDING INSIGHT AND ADVICE TO SUPPORT STRATEGIC PLANNING, IMPLEMENTATION, AND EVALUATION OF HEALTH AND WELLNESS INITIATIVES. SARH HAS SERVED ON PLANNING AND TASK FORCES, SUCH AS ONTARIO'S PLANNING, YMCA, UPLAND UNIFIED MEDI-CAL PLANNING, HEALTH ACCESS, AND PREVENTION AND WELLNESS INITIATIVES, RANCHO CUCAMONGA'S HEALTHY RC STEERING AND OTHER SUB-COMMITTEES. THESE EFFORTS HAVE REAPED SUBSTANTIAL REWARDS, NOT ONLY IN COMMUNITY BUILDING, BUT ALSO IN IMPROVED HEALTH AND WELLNESS. IN ADDITION TO THESE COLLABORATIVE EFFORTS, SARH CONTINUES TO PROVIDE MONETARY AND IN-KIND SUPPORT TO HEALTH-RELATED NONPROFIT COMMUNITY ORGANIZATIONS, SUCH AS THE AMERICAN CANCER SOCIETY, WHICH PROVIDES EDUCATIONAL OUTREACH AND SUPPORT PROGRAMS FOR CANCER PATIENTS AND THEIR FAMILIES. Schedule H, Part VI, Line 7 State filing of community benefit report CA true Meals on Wheels Inland Valley Inc 4845 Brockton Ave Riverside CA 92506 952799275 501(c)3 0 114732 Cost Meals Provided Program Support 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds ORGANIZATIONS ARE SELECTED TO RECEIVE CASH AND IN-KIND DONATIONS DUE TO THEIR COMMITMENT EACH OFFERS TO FURTHERING POPULATION HEALTH. THESE ORGANIZATIONS HAVE DEMONSTRATED CONTINUOUS DEDICATION TO SERVING RESIDENTS IN SARH'S SERVICE AREA, WITH SPECIFIC FOCUS ON THE PREVENTION OF CHRONIC DISEASE, PREVENTION OF TERMINAL DISEASE AND UPSTREAM APPROACHES TO HEALTH IMPROVEMENT. SARH HAS MAINTAINED ONGOING, SUPPORTIVE RELATIONSHIPS WITH EACH ORGANIZATION. X true true X X X X X true true false false false false false false false John Chapman President & CEO 581023 0 362696 0 46722 0 80631 0 39895 0 1110967 0 37915 0 Wah-chung Hsu Vice President & CFO 513245 0 153368 0 27654 0 94274 0 38367 0 826908 0 24760 0 Gurjeet Dhillon Chief Operating Officer 318305 0 98108 0 8782 0 38552 0 37990 0 501737 0 0 0 Leanne Logan Vice President & Chief Nursing Officer 289857 0 76990 0 1007 0 29494 0 39453 0 436801 0 0 0 Terry Jaqua Chief Human Resources Officer Beg 6/1/24 288815 0 26395 0 24953 0 24229 0 17086 0 381478 0 0 0 Sandra Wier Chief Human Resources Officer 99717 0 109400 0 102078 0 16683 0 10498 0 338376 0 51115 0 Kamal Pandya VP Chief Information Officer 363938 0 111853 0 15987 0 66300 0 26010 0 584088 0 11731 0 Heather Raymond VP Business Development & Community Outreach 263170 0 85303 0 650 0 36097 0 32049 0 417269 0 0 0 Mario Lopez-Luna Director Quality Management 192246 0 26871 0 46203 0 3912 0 8473 0 277705 0 0 0 Ronald Nowosad Director Program Development 231398 0 30777 0 2286 0 5545 0 20084 0 290090 0 0 0 LuWanda Paggett Director Maternal Child 216440 0 43117 0 774 0 5852 0 16347 0 282530 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments SARH REQUESTS BOARD MEMBERS TO ATTEND VARIOUS EDUCATIONAL SESSIONA DURING THEIR TERM. IN RECOGNITION THE BOARD MEMEBERS SERVE WITHOUT COMPENSATIONAND THAT ATTENDING EDUCATIONAL SESSIONS TAKES MOST BOARD MEMBERS AWAY FROM THEIR JOBS OR BUSINESSES, SARH PROVIDES REIMBURSEMENT FOR SPOUSAL TRAVEL. SARH ALSO GROSSES UP THE SPOUSAL TRAVEL REIMBURSEMENT AND REPORTS THE GROSSED UP AMOUNT ON A 1099 GIVEN TO THE BOARD MEMBERS. Schedule J, Part I, Line 4a Severance or change-of-control payment In 2024, Mario Lopez-Luna, listed as a highly compensated employee in Part VII, Line 9, received a severance payment of $5,000 in recognition of his years of service. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan SARH PROVIDES A 457(F) SUPPLEMENTAL NON-QUALIFIED PLAN FOR ITS EXECUTIVE MANAGEMENT TEAM. IN CONJUNCTION WITH THE 457(B) PLAN, EACH EXECUTIVE ACCRUES 10% OF THEIR BASE PAY ANNUALLY. HOSPITAL CONTRIBUTIONS ARE NOT VESTED UNTIL DECEMBER 31 OF THE EXECUTIVE'S THIRD CALENDAR YEAR OF EMPLOYMENT. AFTER INITIAL ELIGIBILITY, EACH YEAR'S CONTRIBUTION WILL VEST ON DECEMBER 31 OF EACH CALENDAR YEAR. THREE MEMBERS OF THE EXECUTIVE MANAGEMENT GROUP RECEIVED PAYMENTS AND THESE AMOUNTS ARE SHOWN ON SCH J, PART II. Schedule J, Part II EMPLOYEES HIRED PRIOR TO DECEMBER 31, 2005 ARE PARTICIPANTS IN THE HOSPITAL'S DEFINED BENEFIT PENSION PLAN. THE AMOUNT IN COLUMN C INCLUDES THE ESTIMATED INCREASE IN ACTUARIAL VALUE FOR THOSE EMPLOYEES WHO ARE PLAN PARTICIPANTS. Schedule J, Part II, Column (F) 457f Plan Payouts Payouts from the 457f Plan were made to the following individuals in 2024: John Chapman $37,915, Wah-chung Hsu $24,760, Sandra Weir $51,115, and Kamal Pandya $11,731. A CITY OF UPLAND 956000805 915346GBO 2017-12-21 147137583 false false false A 147137583 120410119 1727464 0 0 0 12347370 12652630 false true false true A false false false false false false 0 0 0.0 false false 0 false false A false false false true false false 0 false false false 0 false false false A false Schedule K, Part I CITY OF UPLAND 12/21/2017 $147,137,583 - THE PROCEEDS OF THE 2017 CERTIFICATES WILL BE APPLIED TO (A) REFINANCE A PORTION OF THE SERIES 2011 CERTIFICATES ISSUED 1/27/2011, (B) FINANCE, REFINANCE OR REIMBURSE A PORTION OF THE COSTS ASSOCIATED WITH THE SITE PREPARATION, CONSTRUCTION, FIT OUT, FURNISHING & EQUIPPING OF THE PROPOSED CITY OF HOPE BUILDING, (C) FINANCE, REFINANCING OR REIMBURSE A PORTION OF THE COSTS ASSOCIATED WITH THE CONSTRUCTION, RENOVATION, IMPROVEMENT, EQUIPPING AND FURNISHING OF OTHER OF THE HEALTH FACILITIES AS CONTEMPLATED IN THE FACILITIES MASTER PLAN, (D) FINANCE, REFINANCE OR REIMBURSE CERTAIN ROUTINE CAPITAL EXPENDITURES OF SARH AND (E) TO FINANCE THE COSTS OF DELIVERY ASSOCIATED WITH THE CERTIFICATES. Schedule K, Part V SAN ANTONIO REGIONAL HOSPITAL IS IN THE PROCESS OF DEVELOPING POST-ISSUANCE PROCEDURES. Schedule K, Part IV, Line 2c COLUMN A Issuer name: CITY OF UPLAND The calculation for computing no rebate due was performed on 12/31/2024 Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM IS PREPARED BY THE FINANCE DEPARTMENT AND REVIEWED BY THE CFO AND EXTERNAL TAX ACCOUNTANTS. FOLLOWING THE EXTERNAL REVIEW, THE CFO REVIEWS THE FORM WITH THE CEO. THE FORM IS PROVIDED AND PRESENTED TO THE AUDIT COMMITTEE FOR REVIEW AND APPROVAL. ONCE THE AUDIT COMMITTEE APPROVES THE FORM, A DRAFT IS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING. Form 990, Part VI, Line 12c Conflict of interest policy SARH HAS A COMPLIANCE OFFICER WHO REVIEWS THE ORGANIZATION'S COMPLIANCE POLICIES, INCLUDING ITS CONFLICT OF INTEREST STATEMENTS, AT LEAST ANNUALLY. EACH JANUARY, A CONFLICT OF INTEREST STATEMENT IS COMPLETED AND SIGNED BY EACH MEMBER OF THE BOARD OF DIRECTORS, OFFICERS, AND KEY EMPLOYEES. THE COMPLIANCE OFFICER AND CFO, WHO ATTEND ALL BOARD MEETINGS, REVIEW THE CONFLICT OF INTEREST STATEMENTS. IF A NEW POTENTIAL CONFLICT ARISES DURING THE YEAR, A NEW CONFLICT OF INTEREST STATEMENT IS SIGNED. IF A POTENTIAL CONFLICT OF INTEREST EXISTS DURING A BOARD DISCUSSION, THE BOARD MEMBER IS REQUIRED TO STATE THE CONFLICT AND ABSTAIN FROM ANY RELATED BOARD VOTE. BOARD MINUTES REFLECT THESE ABSTENTIONS. AT LEAST SEMI-ANNUALLY, SARH'S COMPLIANCE OFFICER PROVIDES A VERBAL COMPLIANCE UPDATE AT A BOARD MEETING AND REMINDS BOARD MEMBERS OF THEIR DUTY TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST. Form 990, Part VI, Line 15a Process to establish compensation of top management official SARH'S EXECUTIVE COMPENSATION PROGRAM IS DIRECTED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. SARH HAS DEVELOPED AND APPROVED A FORMAL EXECUTIVE COMPENSATION POLICY THAT CURRENTLY COVERS EIGHT SENIOR MANAGEMENT EMPLOYEES, INCLUDING THE CEO AND CFO. A COMPREHENSIVE BASE PAY AND TOTAL EXECUTIVE COMPENSATION ANALYSIS IS PERFORMED BY AN OUTSIDE COMPENSATION CONSULTING FIRM EVERY TWO YEARS. IN THE INTERVENING YEARS, AN ANALYSIS OF SARH'S EXECUTIVE COMPENSATION IS REVIEWED AGAINST THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA'S COMPENSATION SURVEY. THE CONSULTANT PRESENTS THE SURVEY DATA AND ANALYSIS TO THE COMPENSATION COMMITTEE. THE EXTERNAL COMPENSATION STUDY INCLUDES AN EVALUATION FOR EXCESS BENEFIT TRANSACTIONS UNDER THE INTERMEDIATE SANCTIONS FOR TAX-EXEMPT ORGANIZATIONS AND AN ANALYSIS OF BOTH BASE AND TOTAL COMPENSATION OF ALL MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM AND THEIR SALARY POSITION IN RELATION TO THE FIFTIETH AND SIXTY-FIFTH PERCENTILE OF THE MARKET. HOWEVER, THE CONSULTANT IS NOT EITHER TAX OR LEGAL COUNSEL AND THEREFORE CANNOT ASSURE COMPLIANCE WITH IRC 4958, BUT RATHER ASSURES THAT SARH'S EXECUTIVE COMPENSATION PRACTICES FALL BETWEEN THE FIFTIETH AND SIXTY-FIFTH PERCENTILE OF THE MARKET PLACE AND DO NOT EXCEED THE SEVENTY-FIFTH PERCENTILE. THE LATEST SURVEY AND ANALYSIS WERE CONDUCTED IN APRIL 2023. THE CONSULTANT USED SURVEY DATA FROM FOUR DIFFERENT PUBLISHED SURVEYS THAT INCLUDE CALIFORNIA HOSPITALS WITH COMPARABLE REVENUES, EMPLOYEES AND COMPLEXITY. THE COMPENSATION COMMITTEE REVIEWS THE CONSULTANT'S FINDINGS IN ACCORDANCE WITH THE COMPENSATION POLICY AND THEIR CHARTER AND PROVIDES DIRECTION FOR ANY NEEDED COMPENSATION POLICY OR PAY RANGE CHANGES FOR THE CEO AND APPROVES ANY SUCH RECOMMENDATIONS THAT MAY BE MADE BY THE CEO FOR OTHER EXECUTIVES. THE PROCEDURES DESCRIBED HERE ARE DOCUMENTED IN THE BOARD MINUTES. Form 990, Part VI, Line 15b Process to establish compensation of other employees OTHER KEY EMPLOYEE COMPENSATION, VICE PRESIDENTS AND DEPARTMENT DIRECTORS ARE EVALUATED BASED ON MARKET-BASED COMPENSATION SURVEY DATA PROVIDED BY THE HOSPITAL COUNCIL OF SOUTHERN CALIFORNIA, TAKING INTO CONSIDERATION PAY RATES FOR SIMILAR MANAGEMENT POSITIONS. THE LATEST SURVEY AND ANALYSIS WERE CONDUCTED IN APRIL 2023. THE PROCEDURES DESCRIBED HERE ARE DOCUMENTED IN THE BOARD MINUTES. Form 990, Part VI, Line 19 Required documents available to the public SARH HAS NOT MADE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. THE FINANCIAL STATEMENTS ARE PART OF THE ANNUAL REPORT FILED WITH THE CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) AND ARE AVAILABLE ON THE OSHPD WEBSITE. THE FINANCIAL STATEMENTS ARE INCLUDED AS PART OF ITS ANNUAL MEDICARE AND MEDICAID COST REPORT FILINGS, WHICH ARE PUBLICLY AVAILABLE ON THE CMS (MEDICARE) WEBSITE. THE FINANCIAL STATEMENTS ARE ALSO PROVIDED TO ANYONE UPON A VERBAL OR WRITTEN REQUEST. THE AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THE FORM 990 IN ACCORDANCE WITH IRS INSTRUCTIONS. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Other - Total Revenue: 1942697, Related or Exempt Function Revenue: 1756019, Unrelated Business Revenue: 186678, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN BENEFICIAL INTEREST IN SAN ANTONIO HOSPITAL FOUNDATION - 5525986; OTHER CHANGES IN NET ASSETS INCLUDES THE CHANGE IN THE ADDITIONAL MINIMUM PENSION LIABILITY - 2420408; CHANGE IN NET ASSETS WITH DONOR RESTRICTIONS - 1159962; Total - 9106356; Form 990, Part III, Line 4a Accomplishments SAN ANTONIO REGIONAL HOSPITAL WAS FOUNDED BY DR. WILLIAM HOWARD CRAIG IN 1907 TO MEET THE HEALTHCARE NEEDS OF LOCAL RESIDENTS. AS THE COMMUNITY SURROUNDING THE HOSPITAL GREW, IT BECAME APPARENT THAT LARGER, MORE MODERN FACILITIES WERE NEEDED. COMMUNITY LEADERS RALLIED TO RAISE THE NEEDED CAPITAL AND THE HOSPITAL MOVED TO ITS CURRENT LOCATION ON SAN BERNARDINO ROAD IN 1924. THROUGH COMMUNITY SUPPORT, THE HOSPITAL GREW - FROM ITS MODEST BEGINNING WITH 18 BEDS, 5 PHYSICIANS, AND LIMITED STAFF - TO A 363-BED REGIONAL MEDICAL FACILITY WITH 2,200 EMPLOYEES, OVER 400 VOLUNTEERS, AND A MEDICAL STAFF OF NEARLY 600 PHYSICIANS REPRESENTING A WIDE SPECTRUM OF MEDICAL AND SURGICAL SPECIALTIES. ON JANUARY 6, 2017, THE HOSPITAL'S MAIN CAMPUS IN UPLAND OPENED THE LARGEST EXPANSION IN ITS HISTORY. THE 179,000 SQUARE FOOT ADDITION, WHICH INCLUDES A NEW 52-BED EMERGENCY DEPARTMENT AND 92-BED PATIENT TOWER, INCORPORATED THE LATEST HEALTHCARE ARCHITECTURAL DESIGN AND ADVANCED TECHNOLOGICAL FEATURES TO MEET THE NEEDS OF THE GROWING POPULATION IN THE WEST END OF CALIFORNIA'S INLAND EMPIRE. IN ADDITION TO THE MAIN CAMPUS, THE HOSPITAL HAS SATELLITE LOCATIONS IN RANCHO CUCAMONGA, FONTANA, AND EASTVALE, AND ONTARIO. THESE FACILITIES PROVIDE OUTPATIENT CARE IN A CLOSE, CONVENIENT SETTING FOR THE REGION'S GROWING POPULATION. ADDITIONALLY, SAN ANTONIO HAS A 60,000-SQUARE-FOOT TWO-STORY AMBULATORY CARE FACILITY DIRECTLY ACROSS THE STREET FROM THE MAIN CAMPUS. THE SCHEU BUILDING HOUSES CITY OF HOPE'S COMPREHENSIVE CANCER CENTER ON THE FIRST FLOOR AND THE HOSPITAL'S OUTPATIENT SERVICES AND PROGRAMS ON THE SECOND FLOOR. THE WOMEN'S BREAST AND IMAGING CENTER, PRE-OPERATIVE AND PRE-PROCEDURE SERVICES, AND TARGETED PROGRAMS TO COMPLEMENT CITY OF HOPE'S CANCER CENTER ARE AMONG THE HOSPITAL'S OFFERINGS IN THIS LOCATION. LEADERSHIP - SAN ANTONIO REGIONAL HOSPITAL IS GOVERNED BY A 13-MEMBER BOARD OF TRUSTEES. THE HOSPITAL'S MEDICAL STAFF PRESIDENT-ELECT, PRESIDENT, AND IMMEDIATE PAST PRESIDENT ARE MEMBERS OF THE BOARD BY VIRTUE OF THEIR OFFICES. AT LEAST 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 A SIGNIFICANT PORTION OF ITS MEMBERSHIP, SETS THE DIRECTION FOR THE HOSPITAL'S 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 INCLUDES THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, CHIEF OPERATING OFFICER, CHIEF NURSING OFFICER, CHIEF STRATEGY OFFICER, CHIEF HUMAN RESOURCE OFFICER, CHIEF INFORMATION OFFICER, AND PRESIDENT OF THE HOSPITAL FOUNDATION. DEPARTMENT DIRECTORS ARE RESPONSIBLE FOR THE OPERATION AND MANAGEMENT OF THE INDIVIDUAL DEPARTMENTS. OUR COMMITMENT- THE LEADERSHIP AT SAN ANTONIO REGIONAL HOSPITAL 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 HEALTH AND WELL-BEING OF THE PEOPLE WE SERVE. OUR VISION IS TO BE A LEADER IN CREATING HEALTHY FUTURES THROUGH EXCELLENCE AND COMPASSION. 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 THE REGIONAL COMMUNITY NEEDS. SAN ANTONIO'S COMMITMENT TO PROVIDING QUALITY CARE FOR ALL MEMBERS OF OUR COMMUNITY HAS RECEIVED NATIONAL RECOGNITION. SAN ANTONIO REGIONAL HOSPITAL HAS BEEN NAMED BY U.S. NEWS & WORLD REPORT TO ITS 2024-2025 BEST HOSPITALS AS A HIGH PERFORMING HOSPITAL FOR STROKE CARE, HEART FAILURE, KIDNEY FAILURE, AND PNEUMONIA. THIS IS THE HIGHEST DISTINCTION A HOSPITAL CAN EARN FOR U.S. NEWS' BEST HOSPITALS PROCEDURES & CONDITIONS RATINGS. THE HOSPITAL IS PROUD TO BE RECOGNIZED BY BLUE SHIELD CALIFORNIA WITH A BLUE DISTINCTION CENTERS+ (BDC+) FOR MATERNITY CARE DESIGNATION, AS PART OF THE BLUE DISTINCTION SPECIALTY CARE PROGRAM. FOR THE THIRD CONSECUTIVE REVIEW CYCLE, SARH HAS EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR ADVANCED TOTAL HIP AND KNEE REPLACEMENT CERTIFICATION BY DEMONSTRATING CONTINUOUS COMPLIANCE WITH ITS PERFORMANCE STANDARDS. THE HOSPITAL HAS ACHIEVED THE HIGHLY PRESTIGIOUS INTERNATIONAL BABY-FRIENDLY REDESIGNATION AFTER A RIGOROUS REVIEW PROCESS CONDUCTED BY BABY-FRIENDLY USA, THE ORGANIZATION RESPONSIBLE FOR BESTOWING THIS CERTIFICATION IN THE UNITED STATES. THE SAN ANTONIO HOSPITAL FOUNDATION AND GOCAL (GREATER ONTARIO CALIFORNIA) RECEIVED THE 2024 "NON-PROFIPROFIT OF THE YEAR" AWARD FROM THE INLAND EMPIRE ECONOMIC PARTNERSHIP (IEEP). THE HOSPITAL HAS BEEN NAMED AS ONE OF AMERICA'S BEST HOSPITALS BY THE WOMEN'S CHOICE AWARD, EARNING RECOGNITION FOR SEVEN CLINICAL AREAS: HEART CARE, ORTHOPEDICS, STROKE CARE, MAMMOGRAM IMAGING, CANCER CARE, EMERGENCY CARE AND PATIENT SAFETY. THE HOSPITAL IS CONTINUOUSLY RECOGNIZED FOR ITS STROKE CARE, EARNING RECOGNITION FROM THE AMERICAN HEART ASSOCIATION AND U.S. NEWS & WORLD REPORT. CARING FOR OUR COMMUNITY - SAN ANTONIO REGIONAL HOSPITAL IS COMMITTED TO IMPROVING THE HEALTH AND WELLNESS OF THE RESIDENTS THAT IT SERVES. AS SUCH, WE DO OUR BEST TO BUILD PARTNERSHIPS WITH OTHER ORGANIZATIONS THAT SHARE OUR VALUES AND MISSION. SAN ANTONIO REGIONAL HOSPITAL UNDERSTANDS THAT EACH COMMUNITY IT SERVES ALSO HAS ITS DISTINCTIVE CHALLENGES, BUT ALSO OPPORTUNITIES BY DELIVERING ESSENTIAL PATIENT CARE SERVICES TO PROMOTE HEALTHIER LIFESTYLES, EARLY DETECTION OF DISEASE, AND ENHANCED ACCESS TO BASIC HEALTHCARE SERVICES. AS A REGIONAL HEALTHCARE PROVIDER, SAN ANTONIO REGIONAL HOSPITAL 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. WE STRIVE TO PROVIDE OUR COMMUNITY WITH THE BEST OF CARE BY ALLOCATING A PERCENTAGE OF HOSPITAL OPERATIONS BY PURCHASING NEW OR UPGRADED EQUIPMENT, EXPANDING SERVICES, AND PROVIDING CARE FOR THE VULNERABLE POPULATION WITH FREE OR LOW-COST SCREENINGS, SERVICES, AND HEALTH EDUCATION TO PREVENT CHRONIC DISEASES AND IMPROVE HEALTH OUTCOMES. WHILE THE INLAND EMPIRE IS A MATURING ECONOMIC MARKET, MANY INDIVIDUALS AND FAMILIES ARE AT SIGNIFICANT RISK DURING A MEDICAL CRISIS. OFTEN THIS IS DUE TO AN INABILITY TO ACCESS HEALTH INSURANCE OR THE RESULT OF INADEQUATE INSURANCE COVERAGE. THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY PROVIDES RELIEF TO THE FAMILIES WHO WOULD OTHERWISE FACE MEDICAL BANKRUPTCY. IN 2024, $4,959,919 IN FINANCIAL ASSISTANCE WAS PROVIDED FOR PATIENTS ENTERING THE HOSPITAL'S EMERGENCY DEPARTMENT WHO WERE EITHER TREATED AND RELEASED OR REQUIRED AN INPATIENT STAY. THE HOSPITAL ABSORBED $46,933,528 IN UNREIMBURSED COSTS INCURRED IN PROVIDING CARE AND TREATMENT FOR MEDI-CAL PATIENTS, WHILE OTHER UNCOMPENSATED CARE (BAD DEBTS) TOTALED $13,456,941 IN ACTUAL COSTS INCURRED BY THE HOSPITAL TO TREAT THESE PATIENTS. IN ADDITION TO DIRECT MEDICAL CARE, SAN ANTONIO REGIONAL HOSPITAL REACHES OUT TO ITS COMMUNITY IN A VARIETY OF WAYS THAT GO WELL BEYOND THE TRADITIONAL CARE PROVIDED BY AN ACUTE CARE HOSPITAL. PLANNING - SARH CONDUCTS A FORMAL STRATEGIC PLANNING PROCESS INVOLVING SENIOR MANAGEMENT, THE BOARD, THE MEDICAL STAFF LEADERSHIP EVERY THREE YEARS WITH ANNUAL REVIEWS AND UPDATES. THE EXECUTIVE MANAGEMENT TEAM WORKED CLOSELY WITH SARH'S BOARD OF TRUSTEES AND MEDICAL STAFF TO DEVELOP A THREE-YEAR STRATEGIC PLAN, WHICH INCLUDES DETAILS OF STRATEGIC, OPERATIONAL, QUALITY AND COMMUNITY BENEFIT INITIATIVES. IN ADDITION TO PROGRAMMATIC AND SERVICE ENHANCEMENT PROJECTS, THE STRATEGIC PLAN INCLUDING THE EXPANSION OF COMMUNITY HEALTH IMPROVEMENT PROGRAMS. HOSPITAL SERVICES - SARH PROVIDES A FULL SPECTRUM OF PREVENTATIVE 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 SARH'S HEART CENTER, SPECIALIZED INFANT CARE PROVIDED AT THE LEVEL II NEONATAL INTENSIVE CARE UNIT (NICU), AND THE DIAGNOSTIC AND TREATMENT SERVICES AVAILABLE AT ITS CANCER CENTER. AT SAN ANTONIO REGIONAL HOSPITAL, WE ARE DEDICATED TO PROVIDING THE BEST URGENT CARE FACILITIES AND WALK-IN CLINICS IN EASTVALE, FONTANA, RANCHO CUCAMONGA, AND ONTARIO - WITH THE EXPERTS AND TECHNOLOGY TO TREAT LIFE'S UNEXPECTED INTERRUPTIONS. Form 990, Part III, Line 4a continued 1 THE HEART CENTER - SARH'S HEART PROGRAM COORDINATES THE COMPREHENSIVE CARDIAC SERVICES WHICH INCLUDES NON-INVASIVE CARDIOLOGY, DIAGNOSTIC AND INTERVENTIONAL CARDIAC CATHETERIZATION, ELECTROPHYSIOLOGY STUDIES, CARDIAC NUCLEAR SCANNING, CARDIOVASCULAR SURGERY, AND CARDIAC REHABILITATION. THE HOSPITAL HOLDS A CHEST PAIN CENTER ACCREDITATION WITH PRIMARY PCI FROM THE AMERICAN COLLEGE OF CARDIOLOGY, WHICH WAS AWARDED AFTER A RIGOROUS ONSITE EVALUATION DETERMINED THE HOSPITAL'S EXCEPTIONAL COMPETENCY IN EVALUATING, DIAGNOSING, AND TREATING PATIENTS WHO MAY BE EXPERIENCING A HEART ATTACK. SAN ANTONIO IS ALSO DESIGNATED AS A STEMI RECEIVING CENTER BY THE INLAND COUNTY EMERGENCY MEDICAL AGENCY (ICEMA), BASED ON THE EXPERIENCE AND EXPERTISE OF OUR MEDICAL TEAM AND THE ADVANCED TECHNOLOGY AND PROCESSES IN PLACE TO RAPIDLY HANDLE HEART ATTACK PATIENTS. CANCER CENTER - SARH'S CANCER PROGRAM HAS BEEN FULLY ACCREDITED BY THE AMERICAN COLLEGE OF SURGEON'S COMMISSION ON CANCER SINCE 1980, AND RECENTLY RECEIVED COMMENDATIONS IN SEVERAL AREAS FROM THE COMMISSION ON CANCER, A CONSORTIUM OF PROFESSIONAL ORGANIZATIONS DEDICATED TO IMPROVING SURVIVAL AND QUALITY OF LIFE FOR CANCER PATIENTS. THE CANCER PROGRAM TREATMENT MODALITIES INCLUDE SURGERY, CHEMOTHERAPY, IMMUNOTHERAPY, RADIOACTIVE SEED IMPLANTATION, SENTINEL NODE/LYMPHATIC MAPPING, STEREOTACTIC CORE BIOPSY, PHYSICAL REHABILITATION, SUPPORT GROUPS AND CLASSES, AND NUTRITIONAL CONSULTS. OTHER MODALITIES/SERVICES, DAVINCI ROBOTIC SURGICAL SYSTEM, A NON-INVASIVE NEUROSURGICAL TOOL, ENDOSCOPIC ULTRASOUND FOR GI CANCERS AS A DIAGNOSTIC TOOL, AND PALLIATIVE CARE TEAM. THE CANCER CENTER PROVIDES EDUCATION AND SUPPORT SERVICES FOR CANCER PATIENTS AND THEIR FAMILIES. NURSE NAVIGATORS ARE PART 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. WITH CANCER TREATMENTS BECOMING INCREASINGLY COMPLEX AND NEW PROTOCOLS EVOLVING RAPIDLY, SAN ANTONIO REGIONAL HOSPITAL AND THE CITY OF HOPE HAVE DEVELOPED A SPECIAL PARTNERSHIP TO GIVE LOCAL PATIENTS ACCESS TO LEADING-EDGE ONCOLOGY TREATMENT, INNOVATIVE RESEARCH, AND CLINICAL TRIALS HERE IN THE INLAND EMPIRE. THE PARTNERSHIP COMBINES CITY OF HOPE'S WORLD-CLASS CANCER CARE AND RESEARCH WITH SAN ANTONIO REGIONAL HOSPITAL'S 100-PLUS-YEAR-TRADITION OF PROVIDING HIGH-QUALITY PATIENT CARE. THE COLLABORATION IS FOCUSED ON CREATING A SEAMLESS CARE SYSTEM FOR ONCOLOGY PATIENTS WHO CAN ACCESS A FULL SPECTRUM OF MEDICAL AND SURGICAL CANCER SERVICES IN THEIR LOCAL COMMUNITY. SAN ANTONIO PROVIDES COMPLEMENTARY SERVICES FOR CANCER PATIENTS IN THE SCHEU BUILDING SO THAT OUTPATIENT CARE CAN BE ACCESSED IN ONE CONVENIENT LOCATION. THESE SERVICES INCLUDE IMAGING SERVICES (PET CT SCANNER, ULTRASOUND, AND OTHER DIAGNOSTIC RADIOLOGY SERVICES), A LABORATORY DRAW STATION, AND COMPREHENSIVE PRE-PROCEDURE AND PRE-SURGICAL SERVICES. WHEN CANCER SURGERY REQUIRES HOSPITALIZATION, SAN ANTONIO REGIONAL HOSPITAL HAS A DEDICATED ONCOLOGY UNIT WITH PRIVATE ROOMS LOCATED IN OUR VINEYARD TOWER. THIS UNIT FEATURES CERTIFIED ONCOLOGY NURSES SPECIALLY TRAINED IN COMPASSIONATE CANCER CARE. THESE HEALTHCARE SPECIALISTS ARE DEDICATED TO PROVIDING EXCEPTIONAL, EVIDENCE-BASED CARE FOR ALL OUR CANCER PATIENTS. WOMEN'S BREAST AND IMAGING CENTER - OUR STATE-OF-THE-ART WOMEN'S BREAST AND IMAGING CENTER OFFERS ADVANCED DIAGNOSTIC IMAGING SERVICES SUCH AS DIGITAL MAMMOGRAMS, 3D MAMMOGRAMS, ULTRASOUNDS, BREAST MRI, AND BONE DENSITY SCANS. WE ALSO PROVIDE MINIMALLY INVASIVE DIAGNOSTIC PROCEDURES SUCH AS STEREOTACTIC AND ULTRASOUND CORE BREAST BIOPSIES. OUR UNIQUE APPROACH TO SUPPORTING BREAST HEALTH ALSO INCLUDES BREAST HEALTH EDUCATION AND PATIENT NAVIGATION SERVICES. THE NURSE NAVIGATOR COORDINATES THE BREAST CANCER PATIENT'S CARE THROUGHOUT DIAGNOSIS, TREATMENT, AND RECOVERY. MATERNAL CHILD SERVICES - COORDINATES CARE WITH OBSTETRICIANS AND PEDIATRICIANS TO PROVIDE COMPREHENSIVE PRENATAL, DELIVERY, AND POSTPARTUM CARE. THE MATERNAL CHILD DEPARTMENT INCLUDES 20 MATERNITY BEDS, 4 LABOR, DELIVERY, AND RECOVERY ROOMS, 6 LABOR ROOMS, 10 LABOR, DELIVERY, RECOVERY AND POSTPARTUM ROOMS, 1 DELIVERY ROOM, 1 CESAREAN SECTION SURGICAL SUITE AND 1 (2-BED) PACU/RECOVERY ROOM. IT ALSO FEATURES 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. SARH'S MATERNAL CHILD SERVICES, COLLECTIVELY KNOWN AS HEALTHY BEGINNINGS, IS COMMITTED TO PROVIDING EXCELLENT SERVICE AND CARE, WHICH RESULT IN THE BEST POSSIBLE OUTCOME FOR THE NEWEST MEMBERS OF ITS COMMUNITY AND THEIR FAMILIES. IN SUPPORT OF THIS GOAL, THE HOSPITAL ENGAGED IN AN EXTENSIVE PROCESS TO BECOME A "BABY FRIENDLY HOSPITAL," WHICH IS AN INTERNATIONAL DESIGNATION RECOGNIZING THE INSTITUTION'S COMPREHENSIVE PROGRAM SUPPORTING BREASTFEEDING AND INFANT/PARENT BONDING. AS PART OF THIS PROGRAM, PARENTS ARE ENCOURAGED TO TAKE ADVANTAGE OF THE MANY EDUCATIONAL OPPORTUNITIES AND SUPPORT SERVICES OFFERED BEFORE, DURING, AND AFTER DELIVERY. INTERNATIONALLY BOARD-CERTIFIED LACTATION CONSULTANTS, SUPPORTED BY LACTATION EDUCATORS, ARE AVAILABLE TO PROVIDE SUPPORT DURING THE FAMILY'S HOSPITAL STAY. THE NEWBORN FEEDING CENTER ASSESSES BOTH MOTHER AND NEWBORN, PROVIDING REFERRALS TO COMMUNITY RESOURCES WHEN NEEDED. THIS EVALUATION PROCESS HAS YIELDED SIGNIFICANT OUTCOMES INCLUDING A REDUCTION IN NEWBORN READMISSION RATES, INCREASED BREASTFEEDING RATES, EARLY INTERVENTION FOR DEVELOPMENT DELAYS, AND IDENTIFICATION AND TREATMENT OF POSTNATAL ILLNESS, FROM BABY BLUES TO POSTPARTUM PSYCHOSIS. WHILE SOME FAMILIES JUST NEED REASSURANCE THAT THEIR BABY IS THRIVING, OTHERS MAY REQUIRE FURTHER EDUCATION OR SUPPORT, AND A FEW REQUIRE INTERVENTION OR TREATMENT. THE CENTER OFFERS SUPPORT TO ALL NEW FAMILIES IN THE COMMUNITY, REGARDLESS OF WHERE THEIR BABIES ARE BORN. IN FACT, MANY LOCAL PEDIATRICIANS INCLUDE A VISIT TO THE CENTER AS PART OF THE DISCHARGE INSTRUCTIONS FOR THEIR PATIENTS. Form 990, Part III, Line 4a continued 2 COMMUNITY HEALTH IMPROVEMENT (CHIP) - THIS PROGRAM ADDRESSES CHRONIC DISEASE MANAGEMENT SKILLS, MINIMIZING CHRONIC DISEASE MORBIDITIES, AND IMPROVING THE QUALITY OF LIFE AMONG COMMUNITY MEMBERS WITH CHRONIC DISEASES. UNIVERSITY STUDENTS ARE RECRUITED AND SPECIALLY TRAINED AS HEALTH COACHES TO PROVIDE COMPREHENSIVE CARE MANAGEMENT THROUGH A COMBINATION OF FOLLOW-UP CLINIC SERVICES AND AN IN-HOME VISITATION PROGRAM. STUDENTS ENGAGE IN EDUCATING AND MOTIVATING AT-RISK MEMBERS TO TAKE AN ACTIVE AND MEANINGFUL ROLE IN THEIR HEALTH AND WELL-BEING. THE PRIMARY OBJECTIVES OF THE HEALTH COACH ARE TO FOSTER MEANINGFUL INTERACTIONS FOR BOOSTING COOPERATION AND ADHERENCE, WHILE HELPING TO RESOLVE NON-MEDICAL ISSUES (SOCIAL DETERMINANTS OF HEALTH) THAT IMPEDE EFFECTIVE RISK FACTOR MANAGEMENT AND PATIENT CARE. POPULATION HEALTH - AS PART OF ITS MISSION TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES, SARH CONDUCTS AN ONGOING ASSESSMENT PROCESS TO IDENTIFY COMMUNITY HEALTH NEEDS. THE HOSPITAL'S POPULATION HEALTH DEPARTMENT SUPPORTS A VARIETY OF SERVICES DESIGNED TO MEET THESE NEEDS, INCLUDING HEALTH EDUCATION WORKSHOPS AND COMMUNITY HEALTH FAIRS, AS WELL AS SEVERAL TARGETED HEALTH INITIATIVES. SOME OF THE PROGRAMS ARE OFFERED VIRTUALLY OR ARE PROVIDED AT LOCATIONS THROUGHOUT THE COMMUNITY TO REACH THOSE WHO MAY HAVE SPECIAL NEEDS, EXPERIENCING FOOD OR HOUNSING INSECURITY OR LACK TRANSPORTATION AND WOULD OTHERWISE FAIL TO ACCESS THESE IMPORTANT SERVICES. IN ADDITION TO GAINING KNOWLEDGE ABOUT IMPORTANT HEALTH TOPICS, PARTICIPANTS CAN ACCESS FREE SCREENINGS TO IDENTIFY POTENTIAL HEALTH CONCERNS SUCH AS HIGH BLOOD PRESSURE, SUBSTANCE USE, STROKE, AND DIABETES. LEWIS-SAN ANTONIO HEALTHY COMMUNITIES INSTITUTE - THE LEWIS-SAN ANTONIO HEALTHY COMMUNITIES INSTITUTE (HCI) WAS ESTABLISHED IN APRIL 2016 BY RANDALL LEWIS (A LOCAL COMMUNITY VISIONARY, INNOVATOR AND PHILANTHROPIST) IN COLLABORATION WITH SAN ANTONIO REGIONAL HOSPITAL TO POSITIVELY IMPACT THE HEALTH OF THE INLAND EMPIRE REGION. HCI AIMS TO DEVELOP SOLUTIONS IN RESPONSE TO THE HIGH INCIDENCE OF CHRONIC DISEASES AND THE SHORTAGE OF HEALTHCARE PROFESSIONALS IN THE REGION. THE INSTITUTE IS DESIGNED TO SERVE AS A VEHICLE TO HELP CREATE INNOVATIVE SOLUTIONS AND TO SUPPORT THE EFFORTS OF LOCAL CITIES AND HEALTHCARE ENTITIES BY PROVIDING STRUCTURE, PROGRAMS, AND SPECIFIC TRAINING. DUE TO THE REMARKABLE SUCCESS OF THE WORKFORCE DEVELOPMENT AND CAREER READINESS PROGRAMS THROUGH THE LEWIS-SAN ANTONIO HEALTHY COMMUNITIES INSTITUTE (HCI), SAN BERNARDINO COUNTY SUPERINTENDENT OF SCHOOLS AWARDED HCI FUNDING ALLOWED TO CONTINUE COMMUNITY OUTREACH, HEALTH EDUCATION, AND WORKFORCE PREPARATION IN UNDERSERVED AREAS, SUCH AS THE HIGH DESERT. IN 2024, HCI'S ACTIVE PROGRAMS INCLUDED WELLNESS STARTS WITH YOU, SUPER SCIENCE DAYS, YOUNG HEALTHCARE PROFESSIONALS, AND THE CLINICAL SHADOWING PROGRAM. THE CLINICAL SHADOWING PROGRAM WAS LAUNCHED AS AN INITIATIVE TO BRIDGE THE GAP BETWEEN CLASSROOM LEARNING, EARLY CAREER EXPLORATION, AND REAL-WORLD MEDICAL PRACTICE. THE 2024 CLINICAL SHADOWING PROGRAM EXPANDED TO 55 HIGH SCHOOL STUDENTS FROM SCHOOLS THROUGHOUT THE INLAND EMPIRE. THESE STUDENTS WERE GIVEN THE OPPORTUNITY TO OBSERVE AND LEARN DIRECTLY FROM HEALTHCARE EXPERTS IN THE SURGERY, CARDIOLOGY, LABORATORY, PHARMACY, TELEMETRY, EMERGENCY DEPARTMENT, URGENT CARE AND MORE DEPARTMENTS OF THE HOSPITAL. FROM RECEIVING MENTORSHIP ON THE FLOOR FROM MEDICAL PROFESSIONALS TO OBSERVING SURGERIES AND PROCEDURES, PARTICIPANTS GAIN A FIRSTHAND UNDERSTANDING OF THE CHALLENGES AND REWARDS OF A MEDICAL CAREER. 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