2017-11-10T17:23:42-07:00 2016-12-31 346565596 Ernst & Young US LLP 18101 Von Karman Avenue Suite 1700 Irvine CA 92612 990 2016-01-01 951183919 SAN ANTONIO REGIONAL HOSPITAL SANA 9099852811 999 San Bernardino Road Upland CA 917864920 Wah-chung Hsu Vice President & CFO 9099852811 2017-11-15 1 Kara Adams P00023315 9497942300 2017-11-10 198.134.51.41 2016 2017-02-10 21:41:12Z Harris Koenig 999 San Bernardino Road Upland CA 917864920 475380632 0 X sarh.org X 1920 CA THE MISSION OF SAN ANTONIO REGIONAL HOSPITAL IS TO IMPROVE THE OVERALL HEALTH OF OUR REGIONAL COMMUNITY BY OFFERING SERVICES THAT BOTH COMFORT AND CURE IN SETTINGS THAT INSPIRE CONFIDENCE AND IN A MANNER THAT EARNS THE TRUST OF OUR PATIENTS, OUR PHYSICIANS AND OUR EMPLOYEES. 16 12 2443 311 2281816 432182 0 10000000 292896524 320264354 7680297 8319640 5599848 4566816 306176669 343150810 90093 189973 0 0 158102194 170799808 0 0 0 137666859 154210472 295859146 325200253 10317523 17950557 596025077 606939388 219499131 221669343 376525946 385270045 X THE MISSION OF SAN ANTONIO REGIONAL HOSPITAL IS TO IMPROVE THE OVERALL HEALTH OF OUR REGIONAL COMMUNITY BY OFFERING SERVICES THAT BOTH COMFORT AND CURE IN SETTINGS THAT INSPIRE CONFIDENCE AND IN A MANNER THAT EARNS THE TRUST OF OUR PATIENTS, OUR PHYSICIANS AND OUR EMPLOYEES. 0 0 285514016 189973 321710053 SEE SCHEDULE O. 0 0 0 285514016 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 1 464 0 1 2443 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 16 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 1 1 1 CA X Wah-chung Hsu 9099852811 999 San Bernardino Road Upland CA 917864920 Donald Alpiner DO Trustee/Treasurer 4 0 X X 0 0 0 Dora Barilla Trustee/Secretary 4 0 X X 0 0 0 Howard Borenstein Trustee 4 0 X 0 0 0 Vincent Carollo MD Trustee 4 0 X 0 0 0 Andrea Dutton Trustee 4 0 X 0 0 0 Woody Fox Trustee 4 0 X 0 0 0 Ron King Trustee 4 0 X 0 0 0 Harris Koenig President/CEO 40 3 X X 730330 0 104025 Thomas Ritchie Trustee/Chairman 4 0 X X 0 0 0 Carl Schultz MD Trustee/Vice Chairman 4 0 X X 0 0 0 Jay Shah MD Trustee 4 0 X 10000 0 0 Steven Spears Trustee 4 0 X 0 0 0 Carlos Vigil MD Trustee/Medical Staff President 4 0 X 53350 0 0 Sohan Bassi MD Trustee 4 0 X 22626 0 0 Deborah Freund Trustee 4 0 X 0 0 0 Rohinder Sandhu MD Trustee 4 0 X 0 0 0 Wah-Chung Hsu Vice President & CFO 40 5 X 483640 0 76709 Peter Aprato Sr. VP Admin Serv & Compliance 40 0 X 337667 0 64788 Laura Escobar Kato Vice President Human Resources 40 0 X 233924 0 56190 Gudrun Moll VP & Chief Nursing Officer 40 0 X 304510 0 63524 David Batista VP Strategic Development 40 0 X 287017 0 62253 Kenneth Saltgaver Director Pharmacy 40 0 X 204681 0 82124 Kamal Pandya Director Information Technology 40 0 X 214394 0 44247 Lynn Hill Administrative Director of Cardiac Services 40 0 X 193440 0 8588 Mike Tracey President-Foundation 40 0 X 255600 0 62433 Saurabh Ashier Manager of Cardiovascular Services 40 0 X 218232 0 14347 3549411 0 639228 345 0 1 0 Hamilton Construction 202 Mercury Circle Pomona CA 91768 Building Construction 13614667 Cerner Corporation 2800 Rockcreek Parkway Kansas City MO 64117 Integrated Clinical Information 7391035 Shiftwise Inc 1800 SW 1st Avenue Suite 510 Portland OR 97201 Nursing Registry 4274151 DVA Renal Healthcare PO Box 8500-1607 Philadelphia PA 191781607 Dialysis 1743138 MKH Testing & Inspection Inc 4195 Chino Hills Pkwy 169 Chino Hills CA 91709 Testing & Inspection Service 1731910 57 0 0 0 10000000 0 0 0 10000000 Net Patient Service Revenue 622110 314644045 314644045 0 0 Rental Income - MOB 531120 2265441 2265441 0 0 Capitation Revenue 622110 1357050 1357050 0 0 Urgent Care 621500 1182440 1182440 0 0 Meaningful Use of E-Health Records 622110 664251 664251 0 0 151127 0 151127 0 320264354 6501223 0 424319 6076904 0 0 0 0 0 0 0 0 0 0 133950441 0 132132024 0 1818417 0 1818417 0 0 1818417 0 155916 97798 58118 0 0 58118 Cafeteria 722310 1356629 0 0 1356629 Other Revenue 622110 1290033 1290033 0 0 Pharmacy at Casa Colina 622110 1706370 0 1706370 0 155666 155666 0 0 4508698 343150810 321558926 2281816 9310068 189973 189973 0 0 2890553 960411 1930142 0 129011751 113972413 15039338 0 8844172 7813177 1030995 0 20633778 18228428 2405350 0 9419554 8321485 1098069 0 6496747 0 6496747 0 264175 0 264175 0 31695 0 31695 0 0 0 564371 0 564371 0 25312230 25312230 0 0 1849077 1849077 0 7674528 6935494 739034 0 7453118 6584283 868835 0 13280855 12001948 1278907 0 0 0 0 0 0 0 0 0 696522 615326 81196 0 999830 999830 0 0 0 0 0 0 12903735 11661144 1242591 0 3890755 0 3890755 0 Medical Supplies 41519446 41519446 0 0 Medi-Cal Fee Program 16860657 16860657 0 0 Drugs 12545039 12545039 0 0 Taxes and Licenses 743963 0 743963 0 1123729 992732 130997 0 325200253 285514016 39686237 0 8321 9843 4336105 6211081 0 0 42906107 45462348 0 0 0 4342042 4272517 5613573 8066544 358071526 80989293 248527897 277082233 218242958 200645021 0 4893296 4880421 0 67154778 60309380 596025077 606939388 55047119 51887126 0 0 0 0 115191773 112000209 0 0 0 0 0 0 0 0 49260239 57782008 219499131 221669343 X 355180771 375611218 17302984 5606636 4042191 4052191 376525946 385270045 596025077 606939388 X 17950557 3154387 0 0 28810 -12389655 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 1 31695 0 31695 0 Schedule C, Part II-B, Line 1 SARH IS A MEMBER OF THE CALIFORNIA ASSOCIATION OF THE AMERICAN HOSPITAL ASSOCIATION AND THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA, WHICH CONDUCT LOBBYING ACTIVITIES IN SUPPORT OF MEMBER HOSPITALS AND GENERAL HEALTHCARE ISSUES. BOTH ASSOCIATIONS PROVIDE THE PERCENTAGE OF DUES THAT RELATE TO LOBBYING ACTIVITIES. 4042191 10000 239897 0 217182 22715 4052191 4037191 5000 186859 0 166327 20532 4042191 4037191 0 129048 0 119260 9788 4037191 4027191 10000 233694 0 189295 44399 4037191 4027191 0 787050 0 746597 40453 4027191 0 1 0 0 1 1 0 14867100 14867100 0 70099117 31130979 38968138 0 4208444 1472557 2735887 0 72926046 48385757 24540289 0 195970819 0 195970819 277082233 Due from Affiliates 4556925 Amounts received under Third Party Reimbursement 12072792 Beneficial Interest in San Antonio Hospital Foundation 35376255 Deferred Compensation Plan Assets 471418 Physician Recruitment Receivable 1322557 Malpractice Claims Receivable 5997750 Urgent Care Purchase 361970 Purchase Option 100000 Capital Lease 49713 60309380 Pension Plan Liability 39066826 Insurance Claims 13633047 Physician Guarantee Liability 1082135 Other LT Liabilities 4000000 57782008 X Schedule D, Part V, Line 4 PROCEEDS FROM THE ENDOWMENT FUNDS ARE RESTRICTED FOR THE PURCHASE OF PROPERTY AND EQUIPMENT FOR THE BENEFIT OF SAN ANTONIO REGIONAL HOSPITAL. Schedule D, Part X, Line 2 THE PRINCIPAL OPERATIONS OF THE HOSPITAL ARE EXEMPT FROM TAXATION PURSUANT TO INTERNAL REVENUE CODE SECTION 501(C)(3) AND THE RELATED STATE PROVISIONS. ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. ASC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE, AND TRANSITION. THE GUIDANCE IS APPLICABLE TO PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. NO SIGNIFICANT TAX LIABILITY FOR TAX BENEFITS, INTEREST, OR PENALTIES WAS ACCRUED AT DECEMBER 31, 2016 OR 2015. THE HOSPITAL CURRENTLY FILES FORM 990 (INFORMATIONAL RETURN OF ORGANIZATIONS EXEMPT FROM INCOME TAXES) AND FORM 990-T (BUSINESS INCOME TAX RETURN FOR AN EXEMPT ORGANIZATION) IN THE U.S. FEDERAL JURISDICTION AND THE STATE OF CALIFORNIA FOR EACH TAX-EXEMPT ORGANIZATION AS APPROPRIATE. THE STATUTE OF LIMITATIONS FOR THE YEARS 2013 THROUGH 2015 REMAINS OPEN TO EXAMINATION BY THE MAJOR U.S. TAXING JURISDICTIONS TO WHICH THE HOSPITAL IS SUBJECT. 1 1 X 1 X 3 1 X 1 1 0 1 0 2742247 0 2742247 0.0096 65742014 51183834 14588180 0.0511 0 0 68484261 51183834 17330427 0.0607 36 250868 1723005 74993 1648012 0.0058 2 7 163500 0 163500 0.0006 1 0 188899 0 188899 0.0007 6 210 97880 0 97880 0.0003 45 251085 2173284 74993 2098291 0.0074 45 251085 70657545 51258827 19428718 0.0681 4 14000 14000 4 1197 1197 8 0 15197 0 15197 0 1 13486939 1200000 57996102 54851167 3144935 X 1 1 San Antonio Ambulatory Surgery Center Outpatient surgical center 0.285 0 0.715 1 1 SAN ANTONIO REGIONAL HOSPITAL 999 SAN BERNARDINO ROAD UPLAND CA 91786 SARH.ORG STATE LIC# 240000196 X X X SAN ANTONIO REGIONAL HOSPITAL 1 0 0 1 X X X X X X X X X X 16 1 0 0 1 X SEE PART V, SECTION C X 1 16 0 1 0 1 X 300 300 X X 1 1 X X X 1 X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X X 0 X 0 X X X X 1 X 0 0 Schedule H, Part V, Section B, Line 3-SAN ANTONIO REGIONAL HOSPITAL DURING 2016, SARH JOINED OTHER HOSPITALS IN SOUTHERN CALIFORNIA'S INLAND EMPIRE TO CONDUCT A REGIONAL CHNA. THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA SERVED AS A CATALYST IN COORDINATING THE EFFORT AMONG THE 11 HOSPITALS PARTICIPATING IN THE PROJECT. SARH SERVED AN ACTIVE ROLE ON THE CHNA COMMITTEE TO DESIGN THE OVERALL STRATEGY, AS WELL AS THE COORDINATION OF PRIMARY AND SECONDARY DATA COLLECTION IN COLLABORATION WITH THE DEPARTMENTS OF PUBLIC HEALTH IN SAN BERNARDINO AND RIVERSIDE COUNTIES. THE CHNA VIEWS HEALTH WITH A COLLECTIVE LENS INCLUDING HEALTH OUTCOMES AND CLINICAL CARE COMPONENTS, BUT ALSO SOCIAL DETERMINANTS AND HEALTH INDICATORS FROM THE BUILT ENVIRONMENT. THE CHNA INCORPORATED THREE DISTINCT DATA METHODOLOGIES THAT, WHEN INTERPRETED TOGETHER, PROVIDED A DEEPLY RICH PICTURE OF THE HEALTH LANDSCAPE OF THE HOSPITALS' INDIVIDUAL COMMUNITIES, AS WELL AS THE REGION, AS A WHOLE. THE ASSESSMENT INCLUDED A PLETHORA OF HEALTH INDICATORS FROM MULTIPLE PRIMARY AND SECONDARY SOURCES, ALONG WITH A ROBUST QUALITY OF LIFE SURVEY AND TARGETED FOCUS GROUPS. THE DATA FROM THESE THREE SOURCES WERE AGGREGATED AND STRATIFIED ACROSS CATEGORIES AND SERVICE AREAS TO ALLOW TARGETED IDENTIFICATION OF UNIQUE CHALLENGES AND OPPORTUNITIES SURROUNDING HEALTH STATUS, QUALITY OF LIFE, AND RISK FACTORS. THE 2016 CHNA INCLUDED A LARGE GROUP OF GEOGRAPHICALLY DIVERSE HOSPITALS IN THE INLAND EMPIRE. THE COLLABORATION ACHIEVED THROUGH THIS PROCESS IS PROVIDING A SOLID BASIS FOR MORE UNIFIED AND STRATEGIC THINKING TO ADDRESS POPULATION HEALTH NEEDS ACROSS THE REGION. THE PARTICIPATING HOSPITALS, ALONG WITH ADDITIONAL HOSPITALS INTERESTED IN REGIONAL PLANNING EFFORTS, INTEND TO USE THE CHNA AS A TOOL TO BEGIN COLLECTIVELY ADDRESSING THE IDENTIFIED HEALTH NEEDS OF THE REGION. Schedule H, Part V, Section B, Line 5-SAN ANTONIO REGIONAL HOSPITAL THE HOSPITAL CONDUCTED ITS COMMUNITY HEALTH NEEDS ASSESSMENT USING A REGIONAL APPROACH, WHICH WELCOMED THE PARTICIPATION OF AND INPUT FROM A DIVERSE GROUP OF COMMUNITY MEMBERS. THE REGIONAL CHNA WAS BUILT ON THE COMMUNITY HEALTH IMPROVEMENT PROCESS INITIATED BY THE SAN BERNARDINO COUNTY DEPARTMENT OF PUBLIC HEALTH, COMMUNITY VITAL SIGNS. AS HEALTH CARE CONTINUES TO EVOLVE AND SYSTEMS OF CARE BECOME MORE COMPLEX, THE CHNA PROCESS IS INCREASINGLY BECOMING A KEY COMPONENT TO THE COLLECTIVE EFFORTS OF COMMUNITIES IN ADDRESSING THEIR MOST PRESSING HEALTH NEEDS. THE REPORT VIEWS HEALTH WITH A COLLECTIVE LENS AND INCLUDES NOT ONLY HEALTH OUTCOMES AND CLINICAL CARE COMPONENTS BUT SOCIAL DETERMINANTS AND HEALTH INDICATORS FROM THE BUILT ENVIRONMENT. TO SUCCESSFULLY GATHER ROBUST PRIMARY DATA, NUMEROUS DEMOGRAPHIC GROUPS WERE PROVIDED AN ONLINE SURVEY AND DIVERSE SETS OF FOCUS GROUPS AND KEY INFORMANT INTERVIEWS WERE CONDUCTED. FOCUS GROUPS TOOK PLACE FROM FEBRUARY 8, 2016 TO FEBRUARY 11, 2016. QUALITATIVE DATA WAS GARNERED THROUGH THE USE OF EIGHT COMMUNITY MEMBERS, HEALTH EXPERTS, AND KEY STAKEHOLDER FOCUS GROUPS. THE FOCUS GROUPS WERE CONDUCTED IN BOTH ENGLISH AND SPANISH TO REVEAL THOUGHTS AND PERCEPTIONS, AND TO AUGMENT THE QUANTITATIVE DATA COLLECTED IN THE ASSESSMENT PROCESS. THE FOCUS GROUPS ALLOWED A DEEP UNDERSTANDING OF THE ISSUES RESPONDENTS BELIEVE ARE IMPORTANT. THE ASSESSMENT DISPLAYS DATA AT THE COUNTY LEVEL AND WHEN AVAILABLE SEVERAL HEALTH INDICATORS ARE PROVIDED FOR EACH HOSPITAL'S SERVICE AREA. IN ADDITION, QUALITY OF LIFE SURVEYS WERE CONDUCTED FROM FEBRUARY 7, 2016 TO MARCH 12, 2016. THE COMMUNITY HEALTH QUALITY OF LIFE SURVEY WAS ADMINISTERED TO OBTAIN COMMUNITY INPUT REGARDING THE STRENGTHS AND AREAS OF OPPORTUNITY THAT EXIST IN EACH COMMUNITY. THE SURVEY WAS AVAILABLE IN ENGLISH AND SPANISH AND WAS DISSEMINATED THROUGH A VARIETY OF CHANNELS ACROSS HOSPITAL SERVICE AREAS. A TOTAL OF 541 INDIVIDUALS COMPLETED THE QOL SURVEY. OF THOSE WHO COMPLETED THE SURVEY, 50% WERE BETWEEN THE AGES OF 40-65, 12.6% WERE SENIORS WHO WERE 65 YEARS OR OLDER, 30% HAD AN ANNUAL HOUSEHOLD INCOME OF $25,000 OR LESS, AND 60% WERE HISPANIC. THE COMMUNITY GROUPS SELECTED INCLUDED SENIORS, FAMILY PROGRAMS FOR PARENTS AND CHILDREN IN AT-RISK AREAS, FORMER PATIENTS, PUBLIC HEALTH PROFESSIONALS, AND CIVIC LEADERS. SARH'S TEAM ENDEAVORED TO GAIN A BETTER UNDERSTANDING OF THE CURRENT CONCERNS AND INTERESTS AMONG HIGHER NEED SEGMENTS OF THE HOSPITAL'S PRIMARY SERVICE AREA. FOCUS GROUPS WERE CONDUCTED WITH A RANGE OF GROUPS INCLUDING: CONSUMERS OF LOW-COST AND FREE SERVICES (MONOLINGUAL NON-ENGLISH-SPEAKING AND ENGLISH-SPEAKING), PARENTS, ELDERLY, AND PROFESSIONALS LEADING COMMUNITY-WIDE HEALTH INITIATIVES IN SARH'S SERVICE AREA. GENERAL HEALTH ISSUES FOR EACH GROUP OF PARTICIPANTS WERE USED TO CREATE A QUESTION OUTLINE SPECIFIC TO EACH GROUP. A THOROUGH EVALUATION AND SYNTHESIS OF THE RESULTS REVEALED SEVERAL MAJOR CONCERNS, WHICH FELL INTO FOUR PRIORITY AREAS: ACCESS TO HEALTHCARE, HEALTH LITERACY, HEALTH MANAGEMENT, AND A HEALTHY ENVIRONMENT. Schedule H, Part V, Section B, Line 7a-SAN ANTONIO REGIONAL HOSPITAL WWW.SARH.ORG/ABOUT_US/COMMUNITY_OUTREACH/COMMUNITY_OUTREACH_PUBLICATIONS/ Schedule H, Part V, Section B, Line 11-SAN ANTONIO REGIONAL HOSPITAL THE MOST SIGNIFICANT NEEDS HAVE BEEN ADDRESSED THROUGH COMMUNITY INITIATIVES, SUCH AS THE KYN INTERVENTION. THIS INTERVENTION FOCUSES ON REDUCING OBESITY WITHIN ONE OF THE HIGHEST NEED COMMUNITIES IN SARH'S IMMEDIATE SERVICE AREA. WHILE OBESITY REDUCTION WAS A PRIMARY FOCUS, OTHER ISSUES ADDRESSED INCLUDED DIABETES, CARDIOVASCULAR DISEASE AND ACCESS TO HEALTHCARE SERVICES. ALTHOUGH SARH STRIVES TO MEET AS MANY NEEDS AS POSSIBLE, SOME SOLUTIONS REMAIN IN THE EARLY STAGES OF PROGRESS. THE 2013 TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT, MENTIONED TRANSPORTATION AS A NEED WITHIN THE COMMUNITY, SPECIFICALLY WITHIN THE SENIOR POPULATION. THIS WAS A STATED NEED IN 2015 AND CONTINUES TO BE A NEED IN 2016. THE SPECIFIC RECOMMENDATION WAS FOR IMPROVED ACCESS TO HOSPITALS AND PRIMARY CARE CENTERS. IN 2016, THE HOSPITAL DOES NOT YET HAVE THE CAPACITY TO ADDRESS TRANSPORTATION WITHIN THIS REGION; HOWEVER, SARH DOES PROVIDE VOUCHERS FOR TAXI AND PUBLIC TRANSPORTATION. THE HOSPITAL WILL CONTINUE TO PARTICIPATE IN LOCAL COALITIONS TO RAISE AWARENESS FOR ENHANCED TRANSPORTATION WITHIN THE SERVICE AREA. Schedule H, Part V, Section B, Line 13h-SAN ANTONIO REGIONAL HOSPITAL SAN ANTONIO REGIONAL HOSPITAL - THERE ARE INSTANCES WHEN A PATIENT MAY APPEAR ELIGIBLE FOR CHARITY CARE DISCOUNTS, BUT THERE IS NO FINANCIAL ASSISTANCE FORM ON FILE DUE TO A LACK OF SUPPORTING DOCUMENTATION. OFTEN THERE IS ADEQUATE INFORMATION PROVIDED BY THE PATIENT OR THROUGH OTHER SOURCES, WHICH COULD PROVIDE SUFFICIENT EVIDENCE TO PROVIDE THE PATIENT WITH CHARITY CARE ASSISTANCE. IN THE EVENT THERE IS NO EVIDENCE TO SUPPORT A PATIENT'S ELIGIBILITY FOR CHARITY CARE, SARH COULD USE OUTSIDE AGENCIES IN DETERMINING ESTIMATED INCOME AMOUNTS FOR THE BASIS OF DETERMINING CHARITY CARE ELIGIBILITY AND POTENTIAL DISCOUNT AMOUNTS. ONCE DETERMINED, DUE TO THE INHERENT NATURE OF THE PRESUMPTIVE CIRCUMSTANCES, THE ONLY DISCOUNT THAT CAN BE GRANTED IS A 100% WRITE-OFF OF THE ACCOUNT BALANCE. PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: 1. STATE-FUNDED PRESCRIPTION PROGRAMS; 2. HOMELESS OR RECEIVED CARE FROM A HOMELESS CLINIC; 3. PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC); 4. FOOD STAMP ELIGIBILITY; 5. SUBSIDIZED SCHOOL LUNCH PROGRAM ELIGIBILITY; 6. ELIGIBLITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED (E.G., MEDICAID SPEND-DOWN); 7. LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; AND 8. PATIENT IS DECEASED WITH NO KNOWN ESTATE. Schedule H, Part V, Section B, Line 16a-SAN ANTONIO REGIONAL HOSPITAL WWW.SARH.ORG/ABOUT_US/COMMUNITY_OUTREACH/COMMUNITY_OUTREACH_PUBLICATIONS Schedule H, Part V, Section B, Line 16b-SAN ANTONIO REGIONAL HOSPITAL SAN ANTONIO REGIONAL HOSPITAL - WWW.SARH.ORG/ABOUT_US/COMMUNITY_OUTREACH/COMMUNITY-OUTREACH_PUBLICATIONS Schedule H, Part V, Section B, Line 16c-SAN ANTONIO REGIONAL HOSPITAL SAN ANTONIO REGIONAL HOSPITAL - WWW.SARH.ORG/ABOUT_US/COMMUNITY_OUTREACH/COMMUNITY-OUTREACH_PUBLICATIONS 6 SARH 685 BUILDING DIAGNOSTIC CENTER 685 N 13TH AVE UPLAND CA 91786 LAB AND RADIOLOGY SERVICES IN A FREESTANDING MEDICAL OFFICE BUILDING SARH 901 BUILDING DIAGNOSTIC CENTER 999 SAN BERNARDINO ROAD UPLAND CA 91786 RADIOLOGY SERVICES IN A FREESTANDING MEDICAL OFFICE BUILDING SARH RSA BUILDING DIAGNOSTIC CENTER 7777 MILLIKEN AVE RANCHO CUCAMONGA CA 91730 LAB, RADIOLOGY, PHYSICAL THERAPY AND URGENT CARE SERVICES IN A FREESTANDING MEDICAL OFFICE BUILDING SARH SIERRA SAN ANTONIO DIAGNOSTIC CENTER 16465 SIERRA LAKES PKWY FONTANA CA 92336 LAB, RADIOLOGY, PHYSICAL THERAPY AND URGENT CARE SERVICES IN A FREESTANDING MEDICAL OFFICE BUILDING EASTVALE SAN ANTONIO MEDICAL PLAZA 12442 LIMONITE AVE EASTVALE CA 91752 LAB, RADIOLOGY AND URGENT CARE SERVICES IN A FREESTANDING MEDICAL OFFICE BUILDING SAN ANTONIO AMBULATORY SURGERY CENTER 901 SAN BERNARDINO ROAD UPLAND CA 91786 OUTPATIENT SURGERY CENTER Schedule H, Part I, Line 3c THERE ARE INSTANCES WHEN A PATIENT MAY APPEAR ELIGIBLE FOR CHARITY CARE DISCOUNTS, BUT THERE IS NO FINANCIAL ASSISTANCE FORM ON FILE DUE TO A LACK OF SUPPORTING DOCUMENTATION. OFTEN THERE IS ADEQUATE INFORMATION PROVIDED BY THE PATIENT OR THROUGH OTHER SOURCES, WHICH COULD PROVIDE SUFFICIENT EVIDENCE TO PROVIDE THE PATIENT WITH CHARITY CARE ASSISTANCE. IN THE EVENT THERE IS NO EVIDENCE TO SUPPORT A PATIENT'S ELIGIBILITY FOR CHARITY CARE, SARH COULD USE OUTSIDE AGENCIES IN DETERMINING ESTIMATED INCOME AMOUNTS FOR THE BASIS OF DETERMINING CHARITY CARE ELIGIBILITY AND POTENTIAL DISCOUNT AMOUNTS. ONCE DETERMINED, DUE TO THE INHERENT NATURE OF THE PRESUMPTIVE CIRCUMSTANCES, THE ONLY DISCOUNT THAT CAN BE GRANTED IS A 100% WRITE-OFF OF THE ACCOUNT BALANCE. PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: 1. STATE-FUNDED PRESCRIPTION PROGRAMS; 2. HOMELESS OR RECEIVED CARE FROM A HOMELESS CLINIC; 3. PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC); 4. FOOD STAMP ELIGIBILITY; 5. SUBSIDIZED SCHOOL LUNCH PROGRAM ELIGIBILITY; 6. ELIGIBLITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED (E.G., MEDICAID SPEND-DOWN); 7. LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; AND 8. PATIENT IS DECEASED WITH NO KNOWN ESTATE. Schedule H, Part I, Line 6a SAN ANTONIO REGIONAL HOSPITAL PREPARED A COMMUNITY BENEFIT REPORT AS REQUIRED BY THE STATE OF CALIFORNIA. Schedule H, Part I, Line 7 THE COSTING METHODOLOGY USED ON 7A: CALCULATED USING WORKSHEETS 1&2 IN THE INSTRUCTIONS; THE COST TO CHARGE OPTION. THE COSTING METHODOLOGY USED ON 7B: CALCULATED USING WORKSHEET 3 IN THE INSTRUCTIONS; THE COST TO CHARGE OPTION. THE COSTING METHODOLOGY USED ON 7E TO 7I: CALCULATED USING ACTUAL COSTS FROM SARH'S GENERAL LEDGER. Schedule H, Part I, Line 7b THE CALIFORNIA HOSPITAL FEE PROGRAM RESULTED IN A NET BENEFIT TO SARH OF APPROXIMATELY $2,800,000 THAT REDUCED SARH'S MEDICAL SHORTFALL. Schedule H, Part I, Line 7g NONE OF THE COSTS ON THIS LINE WAS ATTRIBUTABLE TO A PHYSICIAN CLINIC. Schedule H, Part II SAN ANTONIO REGIONAL HOSPITAL PROVIDED SUPPORT TO TWO LOCAL COMMUNITY ORGANIZATIONS THAT SERVE THE COMMUNITIES SURROUNDING THE HOSPITAL. THESE ORGANIZATIONS WERE RECIPIENTS OF FINANCIAL CONTRIBUTIONS THAT WERE USED TO ENHANCE THE HEALTH OF THE COMMUNITY. THESE ORGANIZATIONS INCLUDED THE UPLAND YMCA AND THE BOY SCOUTS OF AMERICA-CALIFORNIA. BOTH OF THESE ORGANIZATIONS' SUPPORT A MISSION THAT PROVIDES THE COMMUNITY WITH OPPORTUNITIES TO PARTICIPATE IN HEALTH-RELATED ACTIVITIES AND PROGRAMS, AND TO PROMOTE HEALTHY EATING AND ACTIVE LIVING. THE COALITION BUILDING ACTIVITY REPRESENTS THE TIME SPENT BY THE HOSPITAL'S COMMUNITY HEALTH SPECIALIST WORKING DIRECTLY WITH COMMUNITY GROUPS TO PROVIDE HEALTH EDUCATION AND TECHNICAL ASSISTANCE TO SUPPORT EFFORTS THAT COMPLEMENT OBJECTIVES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THROUGH THESE PARTNERSHIPS, SARH IS ABLE TO WORK COLLABORATIVELY TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY THEY SERVE. Schedule H, Part III, Section A, Line 2 BAD DEBT AMOUNTS ARE BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS FOR EACH MAJOR PAYOR SOURCE, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE HOSPITAL'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE HOSPITAL RECORDS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD SERVICES ARE PROVIDED TO SELF-PAY PATIENTS, INCLUDING BOTH UNINSURED PATIENTS AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR A PORTION OF THEIR BALANCE. FOR RECEIVABLES ASSOCIATED WITH PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED, IN ACCORDANCE WITH THE HOSPITAL'S POLICIES. Schedule H, Part III, Section A, Line 3 MANAGEMENT ESTIMATES THAT APPROXIMATELY 10% OF PATIENT DEBTS WOULD HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE IF APPROPRIATE INFORMATION HAD BEEN MADE AVAILABLE BY APPLICABLE PATIENTS. FROM A DIFFERENT PERSPECTIVE, SARH ESTIMATES THAT APPROXIMATELY 80% OF ALL PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WERE IDENTIFIED. THE MAJORITY OF SARH'S BAD DEBTS RESULT FROM MEDICALLY INDIGENT PATIENTS IN THE EMERGENCY DEPARTMENT. SARH PROVIDES THIS EMERGENCY CARE AND RELATED INPATIENT CARE WITHOUT COMPENSATION IMPROVING THE OVERALL HEALTH AND WELL BEING OF THE COMMUNITY. Schedule H, Part III, Section A, Line 4 THE FOOTNOTE FOR ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS APPEARS IN THE AUDITED FINANCIAL STATEMENTS ON PAGES 11-12. Schedule H, Part III, Section B, Line 8 SARH HAS NOT EXPERIENCED A MEDICARE SHORTFALL IN 2016. THE COST AND REIMBURSEMENT DATA WERE TAKEN DIRECTLY FROM SARH'S DECEMBER 31, 2016 MEDICARE COST REPORT. THE MEDICARE COST REPORT USES A STEP-DOWN COST ALLOCATION PROCESS AND THEN APPORTIONS CLINICAL DEPARTMENT COSTS ON A COST TO CHARGE BASIS. Schedule H, Part III, Section C, Line 9b WHEN A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, INCLUDING, BUT NOT LIMITED TO CHARITY CARE, THE HOSPITAL MAY WAIVE SOME OR ALL OF ITS COLLECTION EFFORTS. FOR A PATIENT THAT QUALIFIES FOR CHARITY CARE, THE ENTIRE BILL IS WRITTEN OFF TO CHARITY ALLOWANCE AND THE HOSPITAL MAKES NO COLLECTION EFFORTS. THE HOSPITAL FOLLOWS DEBT COLLECTION POLICY AND PROCEDURE FOR ANY PORTION OF THE BILL NOT ELIGIBLE FOR WRITE-OFF. Schedule H, Part VI, Line 2 ALTHOUGH CALIFORNIA'S COMMUNITY BENEFIT LEGISLATION (SB697) ONLY REQUIRES A TRIENNIAL COMMUNITY ASSESSMENT, HOWEVER, SAN ANTONIO REGIONAL HOSPITAL (SARH) REVIEWS AND UPDATES THE SECONDARY DATA EACH YEAR AND CONDUCTS PRIMARY RESEARCH NO LESS THAN EVERY THREE YEARS. IN ADDITION TO THE ANNUAL ASSESSMENT OF SECONDARY DATA DETAILED BELOW, THE TRIENNIAL ASSESSMENT INCLUDES PRIMARY RESEARCH THAT INCLUDES WRITTEN SURVEYS, KEY INFORMANT INTERVIEWS, AND FOCUS GROUPS. THE ANNUAL ASSESSMENT LOOKS AT THE HOSPITAL'S COMMUNITY FROM A WIDE PERSPECTIVE IN TERMS OF POPULATION, DEMOGRAPHICS, AND KEY HEALTH INDICATORS. MOST OF THE DATA IS FOCUSED ON THE HOSPITAL'S PRIMARY SERVICE AREA, SINCE THIS IS WHERE OVER 80% OF THE HOSPITAL'S PATIENTS RESIDE, AND IS ALSO THE AREA MOST OFTEN TARGETED FOR ITS COMMUNITY OUTREACH EFFORTS. DURING THE ASSESSMENT, PRIMARY SERVICE AREA POPULATION AND DEMOGRAPHICS ARE EVALUATED BASED ON THE FOLLOWING STATISTICS: CURRENT YEAR POPULATION'S ESTIMATES, FIVE-YEAR POPULATION SEGMENTS (CHILDREN, SENIORS, WOMEN OF CHILD BEARING AGE), MEDIAN AGE, MARITAL STATUS, HOUSEHOLD/FAMILIES, ETHNICITY, LANGUAGE, EDUCATION, EMPLOYMENT, INCOME, AND HOSPITALIZATION RATES. ALTHOUGH THE ASSESSMENT FOCUSES ON DEMOGRAPHIC AND HEALTH INFORMATION FOR SARH'S SERVICE AREA, THERE ARE BENEFITS IN EXAMINING COUNTY DATA, SINCE MANY HEALTH INDICATORS ARE ONLY AVAILABLE AT THE COUNTY LEVEL. IN ADDITION, GIVEN THE TRANSIENT NATURE OF THE POPULATION IN SAN BERNARDINO COUNTY, IT MAKES SENSE FOR HOSPITALS TO WORK TOGETHER AND WITH OTHER HEALTHCARE AGENCIES TO ADDRESS ISSUES THAT AFFECT ALL COUNTY RESIDENTS. WITH THIS IN MIND, POPULATION AND DEMOGRAPHIC DATA ARE UPDATED AND REVIEWED FOR SAN BERNARDINO COUNTY, AND GENERAL HEALTH INDICATORS ARE COMPARED TO OTHER CALIFORNIA COUNTIES, STATE AVERAGES, AND NATIONAL GOALS. Schedule H, Part VI, Line 3 PATIENTS WHO MAY QUALIFY FOR CHARITY CARE UNDER THE HOSPITAL'S CHARITY CARE POLICY ARE PROVIDED WITH INFORMATION AND AN APPLICATION FORM FOR CHARITY CARE DURING THE ADMITTING OR OUTPATIENT PROCESS. THE HOSPITAL'S CHARITY CARE POLICY IS POSTED IN PATIENT REGISTRATION AREAS. THE HOSPITAL'S CHARITY CARE POLICY PROVIDES RELIEF TO FAMILIES WHO HAVE NO MEANS FOR MAKING PAYMENT. Schedule H, Part VI, Line 4 SARH DEFINES ITS COMMUNITY TERMS OF ITS "SERVICE AREA", WHICH IS THE GEOGRAPHIC AREA FROM WHICH IT RECEIVES THE MAJORITY OF ITS HOSPITAL ADMISSIONS. FOR PURPOSES OF ANALYSIS, THE SERVICE AREA IS DIVIDED INTO "PRIMARY" AND "SECONDARY" AREAS, WITH THE PRIMARY SERVICE AREA ACCOUNTING FOR APPROXIMATELY 80% OF THE ADMISSIONS AND THE MAJORITY OF SARH'S PLANNING EFFORTS. SARH'S PRIMARY SERVICE AREA IS COMPRISED OF THE CITIES OF CHINO, CLAREMONT, EASTVALE, FONTANA, MONTCLAIR, ONTARIO, RANCHO CUCAMONGA, AND UPLAND WITH A TOTAL ESTIMATED POPULATION OF 906,701, A MEDIAN AGE OF 33, A MEDIAN HOUSEHOLD INCOME OF $63,908, AND 2.8% HAVE INCOMES BELOW THE POVERTY GUIDELINE. IN THE POPULATION 25 YEARS OF AGE AND OLDER, 10.3% HAVE NOT GRADUATED HIGH SCHOOL, 24.2% HAVE A HIGH SCHOOL DIPLOMA, 24.8% HAVE SOME EDUCATION BEYOND HIGH SCHOOL, AND 22.1% HAVE A BACHELOR'S DEGREE OR HIGHER. THE POPULATION IS PREDOMINANTLY HISPANIC AT 55.5%, FOLLOWED BY CAUCASIANS AT 25.3%, ASIAN-AMERICANS AT 9.5%, AFRICAN-AMERICANS AT 6.9%, AND ALL OTHERS AT 2.8%. FURTHERMORE, 10.3% OF RESIDENTS WITHIN THE PRIMARY SERVICE AREA DO NOT HAVE HEALTH INSURANCE AND 17.3% RECEIVE THEIR HEALTHCARE BENEFITS THROUGH MEDI-CAL (MEDICAID). THE SECONDARY SERVICE AREA, WHICH REPRESENTS APPROXIMATELY 10% OF SARH'S ADMISSIONS, INCLUDES POMONA ON THE WEST, RIALTO TO THE EAST, AND NORCO TO THE SOUTHEAST WITH AN ESTIMATED TOTAL POPULATION OF 362,587, A MEDIAN AGE OF 33, A MEDIAN HOUSEHOLD INCOME OF $61,351, AND 7.3% HAVE INCOMES BELOW THE POVERTY GUIDELINE. IN THE POPULATION 25 YEARS OF AGE AND OLDER, 12.8% HAVE NOT GRADUATED HIGH SCHOOL, 24.7% HAVE A HIGH SCHOOL DIPLOMA, 21.2% HAVE SOME EDUCATION BEYOND HIGH SCHOOL, AND 20.4% HAVE A BACHELOR'S DEGREE OR HIGHER. THE POPULATION IS PREDOMINATELY HISPANIC AT 59.9%, FOLLOWED BY CAUCASIANS AT 18.6%, ASIAN-AMERICANS AT 11.3%, AFRICAN-AMERICANS AT 7.7%, AND ALL OTHERS AT 2.5%. WITHIN THE SECONDARY SERVICE AREA, 12.1% OF RESIDENTS LACK HEALTH INSURANCE AND 20.2% ARE COVERED BY MEDI-CAL. OVERALL, 10.8% OF THE HOSPITAL'S PATIENTS ARE UNINSURED AND 18.2% ARE MEDI-CAL BENEFICIARIES. IN ADDITION TO SAN ANTONIO REGIONAL HOSPITAL, THERE ARE THREE HOSPITALS, CHINO VALLEY HOSPITAL, KAISER PERMANENTE ONTARIO, AND KAISER PERMANENTE FONTANA, PRESENT WITHIN THE PRIMARY SERVICE AREA. SAN ANTONIO REGIONAL HOSPITAL IS NOT LOCATED IN A FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREA. Schedule H, Part VI, Line 5 SARH HAS A COMMUNITY BOARD AND OPEN MEDICAL STAFF PRIVILEGES. AS IN MOST COMMUNITIES, HEALTH AND SERVICE NEEDS ARE GREAT, BUT THE RESOURCES LIMITED. SARH UNDERSTANDS THE POWER OF COLLABORATION AND SEEKS ALLIANCES WITH OTHER HEALTH AND SOCIAL SERVICES PROVIDERS TO DEVELOP COMMUNITY BASED PROGRAMS WITH DEFINED GOALS AND MEASURABLE OUTCOMES. THESE PARTNERSHIPS HELP TO LEVERAGE THE COMMUNITY'S SCARCE RESOURCES AND ACHIEVE THE MAXIMUM BENEFIT FOR ITS RESIDENTS, WHICH RESULTS IN DEMONSTRATED IMPROVEMENT IN THEIR HEALTH. THE HOSPITAL HAS BEEN PROACTIVE IN RESPONDING TO THE SPECIFIC HEALTH NEEDS OF SPECIAL POPULATIONS WITHIN OUR COMMUNITY THIS INCLUDES NON-ENGLISH SPEAKERS, PERSONS WHO LIVE IN POVERTY, HAVE MENTAL OR PHYSICAL DISABILITIES, OR IN OTHER WAYS ARE DISENFRANCHISED. SARH IS AN INTEGRAL PART OF SAN BERNARDINO COUNTY'S HEALTHY COMMUNITIES INITIATIVE WHICH PROMOTES PHYSICAL, SOCIAL, AND ECONOMIC ENVIRONMENTS THAT SUPPORT THE WELLBEING OF ITS MEMBERS AND EMBRACES THE BELIEF THAT HEALTH IS MORE THAN MERELY THE ABSENCE OF DISEASE. HEALTHY COMMUNITIES CONTAIN ELEMENTS THAT ENABLE PEOPLE TO MAINTAIN A HIGH QUALITY OF LIFE AND PRODUCTIVITY. FINALLY, HEALTHY COMMUNITIES OFFER ACCESS TO HEALTHCARE SERVICES THAT FOCUS ON BOTH TREATMENT PREVENTION AND TREATMENT OF DISEASE FOR ALL MEMBERS OF THE COMMUNITY. SARH HAS PROVIDED LEADERSHIP AND PROFESSIONAL EXPERTISE TO SUPPORT THE HEALTHY CITIES PROGRAMS IN ITS SERVICE AREA INCLUDING HEALTHY CHINO, HEALTHY FONTANA, MONTCLAIR COMMUNITY COLLABORATIVE, HEALTHY ONTARIO, HEALTHY RANCHO CUCAMONGA, AND UPLAND PARTNERSHIP. SARH STAFF SERVE ON EXECUTIVE COMMITTEES, PLANNING COMMITTEES, AND VARIOUS WORKGROUPS WITHIN THESE HEALTHY CITIES PROGRAMS, PROVIDING INSIGHT AND ADVICE TO SUPPORT STRATEGIC PLANNING, IMPLEMENTATION AND EVALUATION OF HEALTH AND WELLNESS INITIATIVES. SARH HAS SERVED ON PLANNING AND TASK FORCES, SUCH AS ONTARIO'S PLANNING, HEALTH ACCESS, AND PREVENTION AND WELLNESS INITIATIVES, MONTCLAIR'S WE CARE (WEST END CHILDREN'S ACTIVITY RESOURCE COALITION) COMMITTEE, AND RANCHO CUCAMONGA EXECUTIVE, STEERING, SUB-COMMITTEES. THESE EFFORTS HAVE REAPED SUBSTANTIAL REWARDS, NOT ONLY IN COMMUNITY BUILDING, BUT ALSO IN IMPROVED HEALTH AND WELLNESS. FOR EXAMPLE, SARH HAS BEEN IN DISCUSSION WITH THE CITY OF UPLAND AS THEY UPDATE THEIR GENERAL PLAN. THE HOSPITAL IS AN INTEGRAL PART OF THE COMMUNITY FOR RESIDENTS AND OTHERS BEYOND THE CITY LIMITS. THE VALUE OF THE COALITION BUILDING ACTIVITIES ARE REPORTED IN PART II LINE 6. IN ADDITION TO THESE COLLABORATIVE EFFORTS, SARH CONTINUES TO PROVIDE MONETARY AND IN-KIND SUPPORT TO HEALTH-RELATED NONPROFIT COMMUNITY ORGANIZATIONS SUCH AS THE AMERICAN CANCER SOCIETY, WHICH PROVIDES EDUCATIONAL OUTREACH AND SUPPORT PROGRAMS FOR CANCER PATIENTS AND THEIR FAMILIES, THE KIDS COME FIRST COMMUNITY HEALTH CENTER WHICH PROVIDES MEDICAL CARE TO DISADVANTAGED CHILDREN, AND THE SAN ANTONIO REGIONAL HOSPITAL DENTAL CENTER WHICH PROVIDES CHILD DENTAL HEALTH FOR AT RISK CHILDREN WHO ARE UNABLE TO RECEIVE SERVICES OTHERWISE. Schedule H, Part VI, Line 6 NOT APPLICABLE. Schedule H, Part VI, Line 7 SAN ANTONIO REGIONAL HOSPITAL FILES A COMMUNITY BENEFIT REPORT WITH THE STATE OF CALIFORNIA. 1 San Antonio Hospital Foundation 999 San Bernardino Road Upland CA 91786 330042666 501c3 92093 0 Cash Support San Antonio Regional Hospital Programs American Cancer Society 6355 Riverside Avenue Riverside CA 92506 941170350 501c3 10000 0 Cash Support programs of the American Cancer Society American Heart Association PO Box 50085 Prescott AZ 86304 135613797 501c3 10125 0 Cash Support programs of the American Heart Association National Health Foundation 515 S Figueroa Street Suite 1300 Los Angeles CA 90071 237314808 501c3 35000 0 Cash Support programs of the National Health Foundation 4 0 Schedule I, Part I, Line 2 THE VOLUNTEERS AND MEDICAL STAFF OF SAN ANTONIO REGIONAL HOSPITAL (SARH) RAISE FUNDS TO SUPPORT THE HOSPITAL. THOSE FUNDS ARE DONATED ANNUALLY TO THE SAN ANTONIO HOSPITAL FOUNDATION (SAHF), A RELATED 501(C)(3) ORGANIZATION. SARH'S CFO IS ALSO CFO FOR SAHF; HE IS RESPONSIBLE FOR MONITORING ALL SAHF DISBURSEMENTS. THE ORGANIZATIONS CHOSEN TO RECEIVE CASH DONATIONS WERE CHOSEN DUE TO THE COMMITMENT EACH OFFERS TO FURTHURING POPULATION HEALTH. ALL ORGANIZATIONS CHOSEN HAVE DEMONSTRATED CONTINUOUS DEDICATION TO SERVING RESIDENTS IN SARH'S SERVICE AREA, WITH SPECIFIC FOCUSES ON THE PREVENTION OF CHRONIC DISEASE, THE PREVENTION OF TERMINAL DISEASE, AND UPSTREAM APPROACHES TO HEALTH IMPROVEMENT. FURTHERMORE, SARH HAS MAINTAINED ONGOING, SUPPORTIVE RELATIONSHIPS WITH EACH ORGANIZATION. X X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 Harris Koenig President/CEO 546624 0 133534 0 50172 0 69628 0 34396 0 834354 0 44838 0 Wah-Chung Hsu Vice President & CFO 374153 0 47787 0 61700 0 42312 0 34396 0 560348 0 59394 0 Peter Aprato Sr. VP Admin Serv & Compliance 285777 0 36269 0 15621 0 34735 0 30052 0 402454 0 10287 0 David Batista VP Strategic Development 285952 0 0 0 1065 0 27453 0 34800 0 349270 0 0 0 Laura Escobar Kato Vice President Human Resources 201622 0 29390 0 2913 0 25292 0 30898 0 290115 0 0 0 Gudrun Moll VP & Chief Nursing Officer 268893 0 32705 0 2913 0 33472 0 30052 0 368035 0 0 0 Mike Tracey President-Foundation 228646 0 19377 0 7576 0 28204 0 34229 0 318032 0 4729 0 Saurabh Ashier Manager of Cardiovascular Services 215512 0 2500 0 220 0 4768 0 9579 0 232579 0 0 0 Kamal Pandya Director Information Technology 209771 0 3860 0 762 0 37449 0 6798 0 258640 0 0 0 Kenneth Saltgaver Director Pharmacy 199505 0 3990 0 1186 0 70263 0 11860 0 286804 0 0 0 Lynn Hill Administrative Director of Cardiac Services 185155 0 6550 0 1735 0 2051 0 6537 0 202028 0 0 0 Schedule J, Part I, Line 1a SARH REQUESTS BOARD MEMBERS TO ATTEND VARIOUS EDUCATIONAL SESSIONS DURING THEIR TERM. IN RECOGNITION THAT BOARD MEMBERS SERVE WITHOUT COMPENSATION AND THAT ATTENDING EDUCATIONAL SESSIONS TAKES MOST BOARD MEMBERS AWAY FROM THEIR JOBS OR BUSINESSES, SARH PROVIDES REIMBURSEMENT FOR SPOUSAL TRAVEL. SARH ALSO GROSSES UP THE SPOUSAL TRAVEL REIMBURSEMENT AND REPORTS THE GROSSED UP AMOUNT ON A 1099 GIVEN TO THE BOARD MEMBER. Schedule J, Part I, Line 4 SARH PROVIDES A 457(F) SUPPLEMENTAL NON-QUALIFIED PLAN FOR ITS EXECUTIVE MANAGEMENT TEAM. IN CONJUNCTION WITH THE 457(B) PLAN, EACH EXECUTIVE ACCRUES 10% OF THEIR BASE PAY ANNUALLY. THE CEO ACCRUED 15% OF HIS BASE PAY. HOSPITAL CONTRIBUTIONS ARE NOT VESTED UNTIL DECEMBER 31 OF THE EXECUTIVE'S THIRD CALENDAR YEAR OF EMPLOYMENT. AFTER INITIAL ELIGIBILITY, EACH YEAR'S CONTRIBUTION WILL VEST ON DECEMBER 31 OF EACH CALENDAR YEAR. FOUR MEMBERS OF THE EXECUTIVE MANAGEMENT GROUP RECEIVED PAYMENTS AND THESE AMOUNTS ARE SHOWN ON SCH J, PART II, COL F. Schedule J, Part II EMPLOYEES HIRED PRIOR TO DECEMBER 31, 2005 ARE PARTICIPANTS IN THE HOSPITAL'S DEFINED BENEFIT PENSION PLAN. THE AMOUNT IN COLUMN C INCLUDES THE ESTIMATED INCREASE IN ACTUARIAL VALUE FOR THOSE EMPLOYEES WHO ARE PLAN PARTICIPANTS. A City of Upland 956000805 915346FH8 2011-01-27 122414361 See attached statement 0 0 0 A 0 0 126545064 0 0 14667046 1865015 0 0 110004997 0 0 2015 1 0 1 1 A 0 0 0 0 0 0 0 0 0 0 A 1 0 0 0 0 0 A 0 Schedule K, Part I-01/27/2011 122,414,361 City of Upland THE BOND PROCEEDS ARE TO BE USED FOR THE CONSTRUCTION OF A 4-STORY PATIENT CARE TOWER, AN ENERGY PLANT, AND RELATED SITE UTILITIES AND TO REFUND EXISTING LONG-TERM DEBT - TAX EXEMPT BONDS ISSUED SEPTEMBER 1, 1993. Schedule K, Part V-01/27/2011 122,414,361 City of Upland SAN ANTONIO REGIONAL HOSPITAL IS IN THE PROCESS OF DEVELOPING POST-ISSUANCE PROCEDURES TO BE IN PLACE PRIOR TO DEBT-FINANCED ADDITION BEING PLACED INTO SERVICE. Form 990, Part I, Line 1 THE MISSION OF SAN ANTONIO REGIONAL HOSPITAL IS TO IMPROVE THE OVERALL HEALTH OF OUR REGIONAL COMMUNITY BY OFFERING SERVICES THAT BOTH COMFORT AND CURE IN SETTINGS THAT INSPIRE CONFIDENCE AND IN A MANNER THAT EARNS THE TRUST OF OUR PATIENTS, OUR PHYSICIANS AND OUR EMPLOYEES. Form 990, Part III SAN ANTONIO REGIONAL HOSPITAL (SARH) WAS FOUNDED BY DR. WILLIAM HOWARD CRAIG IN 1907, JUST A YEAR AFTER THE CITY OF UPLAND WAS INCORPORATED. AS THE COMMUNITY SURROUNDING THE HOSPITAL GREW, IT BECAME APPARENT THAT LARGER, MORE MODERN FACILITIES WERE NEEDED. FRANCES MARY PAUL, THE WIDOW OF A LOCAL BANKER, SPEARHEADED THE EFFORT TO RAISE FUNDS TO BUILD A NEW HOSPITAL BY PERSONALLY DONATING $75,000. THE COMMUNITY RALLIED AND SUFFICIENT FUNDS WERE RAISED. THE HOSPITAL MOVED ON JULY 30, 1924, FROM ITS ORIGINAL LOCATION ON THE CORNER OF SAN ANTONIO AVENUE AND ARROW HIGHWAY, TO ITS PRESENT LOCATION ON SAN BERNARDINO ROAD. SARH HAS GROWN FROM ITS MODEST BEGINNING AS AN EIGHTEEN-BED HOSPITAL WITH FIVE PHYSICIANS AND LIMITED STAFF TO A REGIONAL MEDICAL FACILITY WITH 1,711 FULL TIME EQUIVALENT EMPLOYEES AND A MEDICAL STAFF OF OVER 500 PHYSICIANS. IN 2016 SARH FINISHED CONSTRUCTION OF THE LARGEST EXPANSION IN ITS 100-YEAR HISTORY, BRINGING THE TOTAL BED CAPACITY TO 363. IN ADDITION TO 92 PRIVATE ROOMS IN A NEW PATIENT TOWER, THE PROJECT REPLACED THE EMERGENCY DEPARTMENT AND EXPANDED CAPACITY FROM 34 TO 52 PRIVATE TREATMENT FOOMS, INCLUDING 3 MAJOR TREATMENT ROOMS WITH THE CAPABILITY OF HANDLING HIGHLY COMPLEX TRAUMA PATIENTS. THE NEW VINEYARD TOWER WILL ENABLE THE HOSPITAL TO MEET THE NEEDS OF THE GROWING POPULATION IN THE WEST END OF CALIFORNIA'S INLAND EMPIRE FOR MANY YEARS TO COME. LEADERSHIP - SARH IS GOVERNED BY A BOARD OF TRUSTEES, COMPRISED OF 16 MEMBERS OF THE COMMUNITY. THE HOSPITAL'S PRESIDENT AND CHIEF EXECUTIVE OFFICER, THE MEDICAL STAFF'S PRESIDENT-ELECT, PRESIDENT, AND IMMEDIATE PAST PRESIDENT ARE MEMBERS OF THE BOARD BY VIRTUE OF THEIR OFFICES. TWO ADDITIONAL PHYSICIANS ARE ELECTED FROM THE MEDICAL STAFF AND THE REMAINING MEMBERS ARE ELECTED FROM THE COMMUNITY AT-LARGE. THE BOARD OF TRUSTEES, WITH PHYSICIAN LEADERS COMPRISING 33 PERCENT OF ITS MEMBERSHIP, SETS THE DIRECTION FOR THE HOSPITAL AND ITS COMMUNITY BENEFITS PROGRAM. THE EXECUTIVE MANAGEMENT GROUP DIRECTS THE HOSPITAL'S STRATEGIC PLANNING PROCESS AND ALLOCATES RESOURCES FOR COMMUNITY BENEFIT ACTIVITIES. THE EXECUTIVE MANAGEMENT GROUP IS COMPRISED OF THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, CHIEF NURSING OFFICER, VICE PRESIDENT OF ADMINSTRATIVE SERVICES AND COMPLIANCE, VICE PRESIDENT OF HUMAN RESOURCES, VICE PRESIDENT OF STRATEGIC DEVELOPMENT, VICE PRESIDENT OF BUSINESS DEVELOPMENT AND COMMUNITY OUTREACH, AND PRESIDENT OF THE HOSPITAL FOUNDATION. DEPARTMENT DIRECTORS ARE RESPONSIBLE FOR THE OPERATION AND MANAGEMENT OF THE INDIVIDUAL DEPARTMENTS. THE DIRECTORS ENCOURAGE EMPLOYEE PARTICIPATION IN COMMUNITY BENEFIT ACTIVITIES, AND IT IS THIS SUPPORT THAT ENSURES THE ULTIMATE SUCCESS OF THE SARH'S COMMUNITY OUTREACH PROGRAM. Form 990, Part III (Cont. 1) OUR COMMITMENT - THE LEADERSHIP AT SARH HAS AN UNWAVERING COMMITMENT TO THE HOSPITAL'S MISSION, VISION, VALUES, AND STRATEGIC PLAN, WHICH FOCUS ON IMPROVING THE REGION'S OVERALL HEALTH BY PROVIDING QUALITY PATIENT CARE IN A COMPASSIONATE AND CARING ENVIRONMENT. OUR MISSION IS TO IMPROVE THE OVERALL HEALTH OF OUR REGIONAL COMMUNITY BY OFFERING HEALTHCARE SERVICES THAT BOTH COMFORT AND CURE, IN SETTINGS THAT INSPIRE CONFIDENCE, AND IN A MANNER THAT EARNS THE TRUST OF OUR PATIENTS, OUR PHYSICIANS, AND OUR EMPLOYEES. OUR VISION IS TO USE OUR STRENGTHS TO ENHANCE OUR REPUTATION FOR EXCELLENCE IN QUALITY CARE, PATIENT EXPERIENCE, AND AN EXCEPTIONAL WORKING AND PRACTICE ENVIRONMENT. OUR VALUES ARTICULATE THE PRINCIPLES THAT HELP US TO FULFILL OUR MISSION AND VISION, AND OUR STRATEGIC PLAN SPECIFICALLY ADDRESSES THE DEVELOPMENT OF PROGRAMS AND SERVICES IN RESPONSE TO REGIONAL COMMUNITY NEEDS. CARING FOR OUR COMMUNITY - COMMUNITY BENEFITS ARE MORE THAN JUST NUMBERS. THEY REPRESENT PEOPLE - PARENTS, CHILDREN, GRANDPARENTS AND WHO MAY BE BOTH DISADVANTAGED AND DISENFRANCHISED. SAN ANTONIO REGIONAL HOSPITAL GOES ABOVE AND BEYOND THE DELIVERY OF ESSENTIAL PATIENT CARE SERVICES TO ENSURE HEALTHIER CHILDREN, EARLY DETECTION OF DISEASE, AND ENHANCED ACCESS TO BASIC HEALTHCARE SERVICES. IT CAPTURES THE ESSENCE OF OUR PURPOSE: TO IMPROVE HEALTH AND MAKE THE COMMUNITY A BETTER PLACE TO WORK, GROW, AND PLAY. AS A REGIONAL HEALTHCARE PROVIDER, SARH IS COMMITTED TO MAINTAINING THE HIGHEST QUALITY OF CARE FOR THOSE WE SERVE. AS A NONPROFIT HOSPITAL, ALL OF OUR RESOURCES ARE DEVOTED TO PROVIDING HEALTHCARE SERVICES. ANY SURPLUSES GENERATED FROM HOSPITAL OPERATIONS ARE USED TO PURCHASE NEW OR UPGRADED EQUIPMENT, EXPAND SERVICES, AND PROVIDE CARE FOR VULNERABLE POPULATIONS. WHILE THE INLAND EMPIRE IS A MATURING ECONOMIC MARKET, AS A WHOLE, MANY INDIVIDUALS AND FAMILIES ARE AT SIGNIFICANT RISK DURING A MEDICAL CRISIS. OFTEN THIS IS DUE TO AN INABILITY TO ACCESS HEALTH INSURANCE OR AS A RESULT OF INADEQUATE INSURANCE COVERAGE. THE HOSPITAL'S CHARITY CARE POLICY PROVIDES RELIEF TO THESE FAMILIES WHO WOULD OTHERWISE FACE MEDICAL BANKRUPTCY. DURING 2016, $2,742,247 (AT COST) IN CHARITY CARE WAS PROVIDED FOR PATIENTS ENTERING THE HOSPITAL'S EMERGENCY DEPARTMENT, WHO WERE EITHER TREATED AND RELEASED OR REQUIRED AN INPATIENT STAY. THE HOSPITAL ABSORBED $14,558,180 IN UNREIMBURSED COSTS INCURRED IN PROVIDING CARE AND TREATMENT FOR MEDI-CAL PATIENTS, WHILE OTHER UNCOMPENSATED COSTS (BAD DEBTS) TOTALED $4,012,838 IN ACTUAL COSTS INCURRED FOR TREATING OTHER PATIENTS. IN ADDITION TO THIS DIRECT MEDICAL CARE, SARH REACHES OUT TO ITS COMMUNITY IN A VARIETY OF WAYS THAT GO WELL BEYOND THE TRADITIONAL CARE PROVIDED BY AN ACUTE CARE HOSPITAL. PLANNING - SARH CONDUCTS A FORMAL STRATEGIC PLANNING PROCESS INVOLVING SENIOR MANAGEMENT, THE BOARD, AND THE MEDICAL STAFF LEADERSHIP EVERY THREE YEARS WITH ANNUAL REVIEWS AND UPDATES. IN 2014, THE EXECUTIVE MANAGEMENT TEAM WORKED CLOSELY WITH SARH'S BOARD OF TRUSTEES AND MEDICAL STAFF TO DEVELOP A THREE-YEAR STRATEGIC PLAN FOR 2015 TO 2017, WHICH INCLUDES DETAILS OF STRATEGIC, OPERATIONAL, QUALITY AND SAFETY AND COMMUNITY BENEFIT INITIATIVES. IN ADDITION TO PROGRAMMATIC AND SERVICE ENHANCEMENT PROJECTS, THE STRATEGIC PLAN INCLUDES A FACILITIES MASTER PLAN, WHICH CALLS FOR THE RENOVATION AND EXPANSION OF THE HOSPITAL'S MAIN CAMPUS. Form 990, Part III (Cont. 2) COMMUNITY EDUCATION- SARH OFFERS A BROAD ARRAY OF EDUCATION CLASSES, SUPPORT GROUPS, AND COMMUNITY LECTURES TO MEET THE HEALTH NEEDS OF ITS COMMUNITY. MANY PROGRAMS ARE OFFERED ON-SITE, HOWEVER THERE ARE SOME PROGRAMS ARE PROVIDED AT LOCATIONS THROUGHOUT THE COMMUNITY TO REACH THOSE WHO MAY HAVE SPECIAL NEEDS OR LACK TRANSPORTATION AND WOULD OTHERWISE FAIL TO ACCESS THESE IMPORTANT SERVICES. IN ADDITION TO GAINING KNOWLEDGE ABOUT IMPORTANT HEALTH TOPICS, PARTICIPANTS MAY PARTICIPATE IN FREE SCREENINGS TO IDENTIFY POTENTIAL HEALTH CONCERNS SUCH AS HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, HIGH GLUCOSE, AND SKIN CANCER. COMMUNITY BENEFIT INITIATIVES - AS PART OF ITS MISSION TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES, SARH CONDUCTS AN ONGOING ASSESSMENT PROCESS TO IDENTIFY COMMUNITY HEALTH NEEDS, WHICH INCLUDES, BUT IS NOT LIMITED TO, THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT IS CONDUCTED EVERY THREE YEARS . THE HOSPITAL'S COMMUNITY OUTREACH DEPARTMENT SUPPORTS A VARIETY OF SERVICES DESIGNED TO MEET THESE NEEDS, INCLUDING SUPPORT GROUPS, EDUCATIONAL SEMINARS, AND COMMUNITY HEALTH FAIRS, AS WELL AS SEVERAL TARGETED HEALTH INITIATIVES. A FEW OF THESE PROGRAMS ARE HIGHLIGHTED HERE. Form 990, Part III (Cont. 3) HEALTHY BEGINNINGS - SARH'S MATERNAL/CHILD SERVICES, COLLECTIVELY KNOWN AS HEALTHY BEGINNINGS, IS COMMITTED TO PROVIDING EXCELLENT SERVICE AND CARE, WHICH RESULT IN THE BEST POSSIBLE OUTCOME FOR THE NEWEST MEMBERS OF ITS COMMUNITY AND THEIR FAMILIES. IN SUPPORT OF THIS GOAL, THE HOSPITAL ENGAGED IN AN EXTENSIVE PROCESS TO BECOME A "BABY FRIENDLY HOSPITAL," WHICH IS AN INTERNATIONAL DESIGNATION RECOGNIZING THE INSTITUTION'S COMPREHENSIVE PROGRAM SUPPORTING BREASTFEEDING AND INFANT/PARENT BONDING. AS PART OF THIS PROGRAM, PARENTS ARE ENCOURAGED TO TAKE ADVANTAGE OF THE MANY EDUCATIONAL OPPORTUNITIES AND SUPPORT SERVICES OFFERED BEFORE, DURING, AND AFTER DELIVERY. EXPECTANT PARENTS ATTENDING THE BREASTFEEDING CLASS RECEIVE ENCOURAGEMENT AND INSTRUCTION TO PROMOTE A SUCCESSFUL BREASTFEEDING EXPERIENCE. INTERNATIONALLY BOARD CERTIFIED LACTATION CONSULTANTS, SUPPORTED BY LACTATION EDUCATORS, ARE AVAILABLE TO PROVIDE SUPPORT DURING THE FAMILY'S HOSPITAL STAY AND EVERY FAMILY IS ENCOURAGED TO VISIT THE HEALTHY BEGINNINGS NEWBORN FEEDING CENTER AFTER THEY LEAVE THE HOSPITAL. IN ADDITION TO PROVIDING BREASTFEEDING EVALUATION AND SUPPORT, THE NEWBORN FEEDING CENTER ASSESSES MOTHER AND NEWBORN, PROVIDING REFERRALS TO COMMUNITY RESOURCES WHEN NEEDED. THIS EVALUATION PROCESS HAS YIELDED SIGNIFICANT OUTCOMES INCLUDING A REDUCTION IN NEWBORN READMISSION RATES, INCREASED BREASTFEEDING RATES, EARLY INTERVENTION FOR DEVELOPMENT DELAYS AND IDENTIFICATION AND TREATMENT OF POSTNATAL ILLNESS, FROM BABY BLUES TO POSTPARTUM PSYCHOSIS. WHILE SOME FAMILIES JUST NEED REASSURANCE THAT THEIR BABY IS THRIVING, OTHERS MAY REQUIRE FURTHER EDUCATION OR SUPPORT, AND A FEW REQUIRE INTERVENTION OR TREATMENT. THE CENTER OFFERS SUPPORT TO ALL NEW FAMILIES IN THE COMMUNITY, REGARDLESS OF WHERE THEIR BABIES ARE BORN. IN FACT, MANY LOCAL PEDIATRICIANS INCLUDE A VISIT TO THE CENTER AS PART OF THE DISCHARGE INSTRUCTIONS FOR THEIR PATIENTS. Form 990, Part III (Cont. 4) COMMUNITY HEALTH IMPROVEMENT PROGRAM (CHIP) - THE ESCALATING NUMBER OF PATIENTS WITH CHRONIC CONDITIONS AND THE IMPLEMENTATION OF THE AFFORDABLE CARE ACT ARE TWO PRINCIPAL REASONS SAN ANTONIO DEVELOPED AND IMPLEMENTED THE COMMUNITY HEALTH IMPROVEMENT PROGRAM (CHIP). THE CENTERS FOR DISEASE CONTROL HAS REPORTED THAT AS A NATION, 86% OF OUR HEALTH CARE DOLLARS GOES TO TREATMENT OF CHRONIC DISEASES. TO ADDRESS THESE PERSISTENT CONDITIONS AND THE ASSOCIATED BURGEONING HEALTHCARE COSTS, THE AFFORDABLE CARE ACT, AMONG OTHER THINGS, ENCOURAGES THE DEVELOPMENT OF NEW APPROACHES, SUCH AS THE FORMATION OF "MEDICAL HOMES" AND "ACCOUNTABLE CARE ORGANIZATIONS" (ACOS), IN THE BELIEF THAT THEY WILL IMPROVE HEALTHCARE QUALITY AND SLOW THE GROWTH OF HEALTHCARE SPENDING IN AMERICA. THE COMMUNITY HEALTH IMPROVEMENT PROGRAM IS ONE OF THE INITIATIVES SAN ANTONIO REGIONAL HOSPITAL DEVELOPED TO: 1) DIMINISH HEALTHCARE GAPS, 2) PROMOTE THE DELIVERY OF EVIDENCE-BASED CARE, AND 3) REDUCE UNNECESSARY EMERGENCY ROOM VISITS AND HOSPITALIZATIONS. COORDINATED BY A DEDICATED INTERDISCIPLINARY HEALTHCARE TEAM EMPLOYING A SERIES OF INDIVIDUALIZED CONTINUOUS CARE ALGORITHMS, THIS PROGRAM FOCUSES ON APPROPRIATE PATIENT IDENTIFICATION, PREVENTION, EVIDENCE-BASED DISEASE MANAGEMENT AND EXEMPLARY TREATMENT OF INDIVIDUALS WITH CHRONIC CONDITIONS. EACH PARTICIPATING CHIP MEMBER IS CLOSELY MONITORED IN ACCORDANCE WITH AN INDIVIDUALIZED COMPREHENSIVE HEALTH PROFILE (CHIP), QUALITY CARE PLAN (QCP), AND LONGITUDINAL PATIENT SCORECARD. A NOVEL STRATIFICATION SCALE THAT ASSESSES SOCIOECONOMIC STATUS, EDUCATION/ASSIMILATION CAPACITY, MENTAL HEALTH HISTORY, ADHERENCE POTENTIAL, PSYCHOLOGICAL STRESS FACTORS, AND SUPPORT IS UTILIZED ALONG WITH DATA MINING AND STANDARDIZED CLINICAL ASSESSMENTS TO INDIVIDUALIZE EVIDENCE-BASED CLINICAL STRATEGIES BASED UPON EACH PERSON'S RESPECTIVE NEEDS AND CAPABILITIES. A UNIQUE ASPECT OF CHIP IS THE TRAINING AND UTILIZATION OF STUDENT HEALTH COACHES. IN ADDITION TO THE CHIP INTERDISCIPLINARY CLINICAL TEAM, MEMBERS ARE MONITORED BY HEALTH COACHES TRAINED THROUGH AN INNOVATIVE CREDIT BASED COLLABORATIVE EDUCATIONAL SEMINAR AND INTERNSHIP PROGRAM WITH CALIFORNIA STATE UNIVERSITY SAN BERNARDINO (SCHOOLS OF PUBLIC HEALTH, NURSING, BIOLOGY, AND KINESIOLOGY) AND WESTERN UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF GRADUATE NURSING. AFTER APPROPRIATE SCREENING, SELECTED STUDENTS PARTICIPATE IN A SEMINAR TAUGHT BY OUR INTERDISCIPLINARY TEAM OF HEALTHCARE PROFESSIONALS INCLUDING PHYSICIANS, NURSES, NUTRITIONISTS, SOCIAL WORKERS AND HOSPITAL ADMINISTRATORS. LICENSED PROFESSIONALS (RN AND MD) OVERSEE THE WORK OF THE STUDENT HEALTH COACHES; THE STUDENTS' SCOPE OF ACTIVITIES IS CONSISTENT WITH THEIR COMPETENCE, TRAINING AND DEMONSTRATED SKILLS PROVIDED THROUGH THE PROGRAM. ONCE TRAINED, STUDENT HEALTH COACHES ARE ASSIGNED TO PROVIDE IN-HOME VISITS AND PHONE INTERACTIONS. STUDENTS ENGAGE IN THE PROCESS OF EDUCATING AND MOTIVATING AT-RISK MEMBERS TO TAKE AN ACTIVE AND MEANINGFUL ROLE IN THEIR HEALTH AND WELL-BEING. THE PRIMARY OBJECTIVES OF THE HEALTH COACH ARE TO FOSTER MEANINGFUL INTERACTIONS FOR BOOSTING COOPERATION AND ADHERENCE, WHILE HELPING TO RESOLVE NON-MEDICAL ISSUES THAT IMPEDE EFFECTIVE RISK FACTOR MANAGEMENT AND PATIENT CARE. IN 2016, CHIP SUCCESSFULLY RECRUITED 51 STUDENT HEALTH COACHES, TOTALING 82 TO DATE. IN ADDITION THESE STUDENT HEALTH COACHES CARED FOR 110 PATIENTS, WHICH REPRESENTED A SIGNIFICANT INCREASE FROM 44 PATIENTS IN 2015. HEALTH AND HOT RODS - SARH'S ANNUAL MEN'S HEALTH EVENT AND CAR SHOW AIMS TO HEIGHTEN AWARENESS OF PREVENTABLE HEALTH PROBLEMS AND TO ENCOURAGE EARLY DETECTION AND TREATMENT OF DISEASE AMONG MEN. WITH THE OVERWHELMING RESPONSE AND SUPPORT FROM THE COMMUNITY, HEALTH AND HOT RODS HAS BECOME AN INCREASINLY POPULAR EVENT AMONG BOTH MEN AND WOMEN. WHILE THE CLASSIC CAR AND HOT ROD SHOW IS A BIG DRAW, ALL GUESTS ARE ENCOURAGED TO PARTICIPATE IN A BIOMETRIC SCREENING AND TO HEAR PHYSICIAN SPEAKERS SHARING IMPORTANT HEALTH AND DISEASE PREVENTATION INFORMATION. THE SCREENING INCLUDES HEIGHT, WEIGHT, WAIST, BMI, BLOOD PRESSURE, GLUCOSE AND CHOLESTEROL READINGS. AT THE COMPLETION OF THE SCREENING, GUESTS CAN SIT WITH A HEALTH COACH TO DISCUSS THEIR RESULTS AND CREATE A PLAN FOR NEXT STEPS, WHICH MAY INCLUDE FOLLOWING UP WITH A PHYSICIAN, CREATING A PLAN TO INCREASE PHYSICAL ACTIVITY AND MONITORING BLOOD PRESSURE. IN 2016, THE TOPICS INCLUDED THE IMPORTANCE OF REGULAR PHYSICIAN VISITS AND SCREENINGS, KEY HEART METRICS AND MARKERS FOR HEART DISEASE AND CANCERS IN MEN. SARH IS COMMITTED TO ENGAGING ALL PERSONS IN BEING CHAMPIONS FOR THEIR OWN HEALTH. WOMEN CARING FOR WOMEN - THERE ARE MANY WOMEN IN THE WEST END WHO FAIL TO ACCESS THE SERVICES THEY NEED MOST OFTEN DUE TO CIRCUMSTANCES BEYOND THEIR CONTROL. THE WOMEN CARING FOR WOMEN (WCW) PROGRAM PROVIDES A LIFELINE TO WOMEN IN NEED. THE GREATEST IMPEDIMENT TO OBTAINING APPROPRIATE BREAST CANCER TREATMENT IS THE LACK OF ADEQUATE HEALTH INSURANCE, AND IN TODAY'S CHALLENGING ECONOMIC ENVIRONMENT, THE NUMBER OF UNINSURED AND UNDER INSURED WHO LACK THE ABILITY TO PAY THEIR SHARE OF THE COST FOR BREAST CANCER SCREENING AND DIAGNOSTIC SERVICES IS GROWING AT AN ALARMING RATE. FUNDED THROUGH A PARTNERSHIP WITH SUSAN G. KOMEN INLAND EMPIRE, THIS PROGRAM IS RESPONDING TO A SIGNIFICANT COMMUNITY NEED IN THE HOSPITAL'S SERVICE AREA. WOMEN, PARTICULARLY WOMEN WHO MAY BE UNABLE TO QUALIFY FOR COUNTY FUNDED PROGRAMS, CAN NOW TURN TO WOMEN CARING FOR WOMEN TO RECEIVE CRITICAL DIAGNOSTIC SERVICES THAT WILL EITHER RULE OUT CANCER OR PROVIDE THE DIAGNOSIS NEEDED TO ACCESS SAFETY NET PROGRAMS THROUGH THE COUNTY. BREAST CANCER DOES NOT DISCRIMINATE AGAINST AGE, RACE, OR GENDER. IN ADDITION TO SERVICES PROVIDED THROUGH THE WOMEN'S CENTER, SARH'S CANCER EDUCATION AND RESOURCE CENTER OFFERS A WIDE VARIETY OF CANCER SURVIVORSHIP, SUPPORT GROUPS, AND RESOURCES FOR CANCER PATIENTS AND THEIR FAMILIES. CLASSES AND SUPPORT GROUPS INCLUDE NUTRITIONAL CARE, EXERCISE, PILATES, CAREGIVER SUPPORT AND PATIENT SUPPORT. AN ON SITE SALON PROVIDES FREE WIGS AND HOSTS THE AMERICAN CANCER SOCIETY'S LOOK GOOD FEEL BETTER PROGRAM. THE SAN ANTONIO HOSPITAL FOUNDATION HAS COLLABORATED WITH A NUMBER OF LOCAL COMMUNITY PARTNERS TO PROVIDE FREE MAMMOGRAM SCREENING FOR VULNERABLE, AT RISK WOMEN WHO ARE UNINSURED, UNDER INSURED AND LACK THE FINANCIAL RESOURCES TO ACCESS THIS CRITICALLY IMPORTANT PREVENTIVE HEALTH SERVICE. SARH IS COMMITTED TO MEETING THE NEEDS OF WOMEN FACING BREAST CANCER SO THEY CAN RECEIVE THE CARE AND TREATMENT THEY NEED IN AN ENVIRONMENT THAT SUPPORTS THEIR UNIQUE NEEDS THROUGH DIAGNOSIS, TREATMENT AND RECOVERY. Form 990, Part III (Cont. 5) GENERATIONS AHEAD - OLDER ADULTS WHO REMAIN PHYSICALLY ACTIVE AND PURSUE HEALTHY LIFESTYLES ARE FINDING THAT VITALITY, RATHER THAN DISABILITY, IS DEFINING THEIR CONCEPT OF FUTURE HEALTH STATUS. THE GROWING NEEDS OF SENIORS SPURRED THE DEVELOPMENT OF A MEMBERSHIP PROGRAM CREATED TO AUGMENT TRADITIONAL GERIATRIC SERVICES. GENERATIONS AHEAD HAS BEEN DESIGNED TO MEET THE SPECIAL HEALTH AND EDUCATIONAL NEEDS OF SENIORS THROUGH TARGETED SERVICES AND PROGRAMS. THE HOSPITAL HAS COLLABORATED WITH PHYSICIANS TO PROVIDE PRESENTATIONS THAT ADDRESS SENIOR HEALTH ISSUES, WHICH INCLUDE OSTEOPOROSIS, DIABETES, STROKE PREVENTION AND MORE. IN ADDITION TO PHYSICIAN PARTNERSHIPS, OTHER ORGANIZATIONS IN THE COMMUNITY SUCH AS SENIOR CENTERS AND LOCAL NON PROFITS HAVE SHOWN THEIR SUPPORT BY ENCOURAGING THEIR SENIOR POPULATION TO BE PARTICIPANTS IN GENERATIONS AHEAD. THE PROGRAM HAS OVER 500 MEMBERS AND CONTINUES TO GROW. SERVICES PROVIDED THROUGH GENERATIONS AHEAD INCLUDE FREE SCREENINGS, DISCOUNTS IN THE CAFÉ AND GIFT SHOP AT THE HOSPITAL AND MORE. GENERATIONS AHEAD IS DIRECTED BY A THREE MEMBER TEAM THAT PLANS AND COORDINATES THE MONTHLY LECTURES. DOLORES SIMMONS, AUXILIARY BOARD MEMBER AND SOCIAL COORDINATOR FOR GENERATIONS AHEAD, SAID "THIS PROGRAM HAS BEEN WELL RECEIVED BECAUSE IT AFFIRMS THE HOSPITAL'S DEDICATION TO PROVIDING SERVICES FOR OLDER ADULTS AND PROVIDES THEM WITH AN OUTLET TO GAIN NEW KNOWLEDGE AND RESOURCES. THE TOPICS HAVE ALL BEEN VERY INTERESTING AND TIMELY, ESPECIALLY THE MEDICARE SERIES. SENIORS VALUED THE OPPORTUNITY TO LEARN MORE AND TO GAIN AN UNDERSTAING ABOUT WHERE THEY CAN TURN FOR ASISTANCE." THE HOSPITAL BELIEVES IN PROMOTING THE INDEPENDENCE SENIORS DESIRE, WHILE OFFERING THE ASSISTANCE THEY NEED. GENERATIONS AHEAD OFFERS A SEAMLESS ARRAY OF PROGRAMS FOR THIS POPULATION AND CONTINUES TO EXPAND TO MEET THE DIVERSE NEEDS OF THE POLUATION BEING SERVED. KNOW YOUR NUMBERS PROGRAM (KYN) - IN FEBRUARY 2015, SARH IN COLLABORATION WITH LOMA LINDA UNIVERSITY MASTERS OF PUBLIC HEALTH STUDENTS, INITIATED THE KNOW YOUR NUMBERS PROGRAM IN ONTARIO, CALIFORNIA. THE GOAL OF THE PROGRAM IS TO REDUCE CHRONIC DISEASE INCIDENCE IN IMPOVERISHED, UNINSURED AND UNDERINSURED POPULATIONS THROUGH SCREENING AND EDUCATION. KYN IS A FREE PROGRAM WHICH PROVIDES BLOOD PRESSURE, BODY MASS INDEX, BLOOD GLUCOSE AND BLOOD CHOLESTERAL SCREENING AMONG THE LOW-INCOME POPULATION LIVING IN SURROUNDING COMMUNITIES. THE KYN PROGRAM IS A SELF-MANAGEMENT AND HEALTH EDUCATION PROGRAM DESIGNED AROUND THE HEALTH BELIEF MODEL THAT ASSUMES HEALTH-RELATED ACTIONS DEPEND ON A PARTICIPANT'S BELIEF HE/SHE IS SUSCECEPTIBLE TO SIGNIFICANT HEALTH ISSUES WHICH IMPROVE UPON A PRESCRIBED HEALTH RECOMMENDATION. PARTICIPANTS CONSULT WITH A REGISTERED NURSE (RN) FOLLOWING THE SCREENING TO LEARN ABOUT THEIR OWN NUMBERS AND THE IMPACTS THESE NUMBERS HAVE ON HEALTH. FOLLOWING CONSULTATION, PARTICIPANTS ARE PAIRED WITH A CLINICAL COMMUNITY HEALTH WORKER (CCHW) AND ARE CONNECTED TO ADDITIONAL RESOURCES THROUGH REFERRALS, EDUCATIONAL MATERIALS AND COMMUNITY PROGRAMS WHICH AID IN IMPROVING HEALTH. THE INITIAL SCREENING PROGRAM INCLUDED 50 PARTICIPANTS, OF WHICH 72% WERE HISPANIC, 22% WERE UNINSURED, 48% DID NOT HAVE A PRIMARY CARE PHYSICIAN, AND 36% HAD NEVER VISITED A HOSPITAL. THIRTY FOUR PERCENT OF THE PARTICIPANTS HAD HIGH BLOOD PRESSURE AND 20% DISPLAYED NUMBERS INDICATIVE OF A HYPERTENSIVE CRISIS. FIFTY PERCENT OF THE PARTICIPANTS WERE CLINICALLY OBESE AND 34% WERE OVERWEIGHT AS INDICATED BY THEIR BMI METRICS. DUE TO THE SUCCESS OF THE INITIAL PILOT PROGRAM, KYN WAS EXPANDED TO INCLUDE SEVERAL SCREENING LOCATIONS RESIDING IN AND AROUND THE HEALTHY EATING AND ACTIVE LIVING (HEAL) ZONE OF ONTARIO. IN 2016 KYN WAS INCORPORATED INTO THE HEALTHY ONTARIO INITIATIVE (HOI), AN INNOVATIVE MULTI-SECTORIAL COLLABORATIVE PARTNERSHIP IN THE CITY OF ONTARIO FUNDED IN PART BY A BUILD HEALTH CHALLENGE GRANT PROVIDED BY: 1) THE ADVISORY BOARD COMPANY, 2) DE BEAUMONT FOUNDATION, 3) THE COLORADO HEALTH FOUNDATION, 4) THE KRESGE FOUNDATION, AND 5) ROBERT WOOD JOHNSON FOUNDATION. THE GOAL OF THE BUILD FUNDING PARTNERS IS TO FOSTER AND EXPAND MEANINGFUL PARTNERSHIPS AMONG HOSPITALS, COMMUNITY-BASED ORGANIZATIONS AND LOCAL PUBLIC HEALTH DEPARTMENTS TO CREATE BOLD, UPSTREAM, INNOVATIVE, LOCAL AND DATA-DRIVEN SOLUTIONS TO ADDRESS THE COMPLEX PROBLEMS THAT INFLUENCE THE HEALTH OF LOCAL RESIDENTS. HOI'S GOAL IS TO REDUCE OBESITY AND ITS ASSOCIATED HEALTH IMPACT ON VULNERABLE POPULATIONS. SARH'S KYN PROGRAM SERVED A KEY ROLE IN ENGAGING THE COMMUNITY IN UNDERSTANDING HEALTH ISSUES AND HEALTHCARE ACCESS AND IN EMPOWERING PARTICIPANTS TO TAKE AN ACTIVE ROLE IN IMPROVING HEALTH STATUS INDIVIDUALLY AND ACROSS THE COMMUNITY. THROUGH THE EXPANSION UNDER BUILD, KYN HAS INCREASED THE NUMBER OF PARTICIPANTS FROM 50 TO 345. THE RETENTION RATE FOR THIS PROGRAM IN 2016 WAS 38.5% WITH 133 PARTICIPANTS WHO RETURNED FOR TWO OR MORE SCREENINGS WITHIN THE LAST 180 DAYS. OF THE 2016 PARTICIPANT POPULATION, THE FOLLOWING HEALTH INDICATORS WERE IMPROVED UPON: BODY MASS INDEX (BMI): 21% IMPROVEMENT RATE AMONG TOTAL POPULATION; TOTAL CHOLESTEROL (TC): 17.4% IMPROVEMENT AMONG TOTAL POPULATION; HIGH DENSITY LIPOPROTEIN (HDL): 27.2% IMPROVEMENT AMONG TOTAL POPULATION; TRIGLYCERIDES (TRG): 20.6% IMPROVEMENT AMONG TOTAL POPULATION; LOW DENSITY LIPOPROTEINS (LDL): 15.6% IMPROVEMENT AMONG TOTAL POPULATION; SYSTOLIC BLOOD PRESSURE (SYS): 24.1% IMPROVEMENT AMONG TOTAL POPULATION; DIASTOLIC BLOOD PRESSURE (DIA): 14.2% IMPROVEMENT AMONG TOTAL POPULATION; WAIST CIRCUMFERENCE: 39.1% IMPROVEMENT IN TOTAL CASE MANAGEMENT POPULATION; STEPS TAKEN: 20.3% INCREASE IN REPORTING ANY NUMBER OF STEPS TAKEN AMONG RETURNING PARTICIPANTS; READINESS TO CHANGE: 73.1% OF RESPONDENTS INDICATED A SIGNIFICANT (SCORE OF 4 OR GREATER) WILLINGNESS TO MAKE LIFESTYLE IMPROVEMENTS. Form 990, Part III (Cont. 6) FACILITY EXPANSION - THE EXPANSION COMPLETED IN THE FALL OF 2016 (OPENED IN JANUARY 2017) INCLUDES NEW MEDICAL/SURGICAL, TELEMETRY, AND INTENSIVE CARE BEDS AND A NEW EMERGENCY DEPARTMENT WITH 52 PRIVATE TREATMENT ROOMS. THESE ADDITIONS WERE ESSENTIAL TO ACCOMMODATE THE GROWING NEEDS OF SARH'S SERVICE AREA; HOWEVER, THE TREMENDOUS GROWTH EXPERIENCED IN SARH'S EMERGENCY DEPARTMENT SERVICES WAS A KEY DRIVER OF THE EXPANSION. WHEN THE FORMER EMERGENCY DEPARTMENT WAS BUILT IN 1975, IT WAS CONSTRUCTED TO ACCOMMODATE APPROXIMATELY 30,000 PATIENT VISITS PER YEAR. IN FISCAL YEAR 2016, SARH'S EMERGENCY DEPARTMENT HAD 75,278 VISITS. IN ADDITION TO POPULATION GROWTH IN SARH'S SERVICE AREA, THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS TREATED IN THE EMERGENCY DEPARTMENT HAS CONTINUED TO RISE, CREATING ADDITIONAL STRESS ON THE ALREADY OVERBURDENED EXISTING FACILITIES. THE PRIMARY STRUCTURE IN THE ADDITION TO SARH'S FACILITIES IS A FOUR-STORY PATIENT CARE TOWER ON THE EAST SIDE OF THE HOSPITAL CAMPUS IMMEDIATELY ADJACENT TO THE EXISTING PATIENT TOWER AND ANCILLARY SERVICE DEPARTMENTS. THE FOUR-STORY TOWER INCLUDES THE 52-BED REPLACEMENT EMERGENCY DEPARTMENT, INCLUDING COMPUTERIZED TOMOGRAPHY ("CT") SCANNING AND OTHER RADIOLOGY CAPABILITIES, 80 PRIVATE MEDICAL/SURGICAL AND TELEMETRY ROOMS, 12 INTENSIVE CARE ROOMS, A NEW MAIN LOBBY, 33,470 SQUARE FEET OF SHELLED SPACE ON THE FIRST FLOOR, AND SITE IMPROVEMENTS INCLUDING PARKING AND LANDSCAPING. ENERGY PLANT AND SITE UTILITIES - THE ADDITION OF THE NEW FOUR-STORY PATIENT CARE TOWER REQUIRED CONSTRUCTION OF A CONVENTIONAL ENERGY PLANT TO SUPPLEMENT EXISTING CO-GENERATION CAPACITY. THE NEW ENERGY PLANT IS NEAR THE EXISTING ENERGY PLANT IN A LOCATION CONSISTENT WITH APPROPRIATE ENVIRONMENTAL STANDARDS. THE SITE UTILITIES PROJECT CONNECTS THE NEW ENERGY PLANT WITH THE NEW FOUR-STORY PATIENT CARE TOWER. Form 990, Part III, Line 4a HOSPITAL SERVICES - SARH PROVIDES A FULL SPECTRUM OF PREVENTIVE ACUTE, PRIMARY, AND SPECIALTY CARE TO THE COMMUNITIES IT SERVES. THESE SERVICES INCLUDE INPATIENT MEDICAL AND SURGICAL SERVICES, EMERGENCY AND INTENSIVE CARE SERVICES, PALLIATIVE CARE, AND A COMMUNITY WELLNESS AND HEALTH PROMOTION PROGRAM. A FULL RANGE OF OUTPATIENT SERVICES ARE ALSO PROVIDED, INCLUDING URGENT CARE, DIAGNOSTIC SERVICES SUCH AS LABORATORY, IMAGING, AND CARDIOLOGY AS WELL AS OUTPATIENT SURGERY, REHABILITATION, AND THERAPEUTIC MODALITIES INCLUDING RADIATION ONCOLOGY AND CHEMOTHERAPY. AREAS OF SPECIAL EXPERTISE INCLUDE CARDIOVASCULAR SERVICES PROVIDED AT SARH'S HEART CENTER, SPECIALIZED INFANT CARE PROVIDED AT THE LEVEL II NEONATAL INTENSIVE CARE UNIT (NICU), AND THE DIAGNOSTIC AND TREATMENT SERVICES AVAILABLE AT ITS CANCER CENTER AND GAMMA KNIFE CENTER. THE HEART CENTER - SARH'S HEART PROGRAM COORDINATES THE COMPREHENSIVE CARDIAC SERVICE LINE, INCLUDING NON-INVASIVE CARDIOLOGY, DIAGNOSTIC AND INTERVENTIONAL CARDIAC CATHETERIZATION, CARDIAC NUCLEAR SCANNING, CARDIOVASCULAR SURGERY, AND CARDIAC REHABILITATION. SARH HAS BEEN DESIGNATED AS "STEMI" (ST-ELEVATION MYOCARDIAL INFARCTION)-RECEIVING HOSPITAL BY SAN BERNARDINO AND RIVERSIDE COUNTIES, MEANING THAT THE HOSPITAL HAS THE EQUIPMENT, EXPERTISE, AND FACILITIES TO ADMINISTER PERCUTANEOUS CORONARY INTERVENTION, THE PREFERRED METHOD OF TREATING SEVERE HEART ATTACK PATIENTS. CANCER CENTER - SARH'S CANCER PROGRAM HAS BEEN FULLY ACCREDITED BY THE AMERICAN COLLEGE OF SURGEON'S COMMISSION ON CANCER SINCE 1980. THE CANCER PROGRAM TREATMENT MODALITIES INCLUDE SURGERY, CHEMOTHERAPY, HORMONE THERAPY, AND IMMUNOTHERAPY. OUTPATIENT RADIATION ONCOLOGY SERVICES INCLUDE 3D CONFORMAL, EXTERNAL BEAM, ELECTRON BEAM, AND INTENSITY MODULATED THERAPY ("IMRT"). THE WOMEN'S BREAST AND IMAGING CENTER, AS WELL AS THE HOSPITAL'S SATELLITE LOCATIONS IN RANCHO CUCAMONGA AND EASTVALE, HAVE THE LATEST GENERATION 3-D DIGITAL MAMMOGRAPHY EQUIPMENT. THE CANCER RESOURCE CENTER PROVIDES EDUCATION AND SUPPORT SERVICES FOR CANCER PATIENTS AND THEIR FAMILIES. NURSE NAVIGATORS ARE PART OF THE CANCER TEAM AND MEET WITH EVERY HOSPITALIZED PATIENT WITH CANCER. THE NAVIGATORS ALSO WORK CLOSELY WITH THE PHYSICIANS ON AN OUTPATIENT BASIS TO ENSURE THAT PATIENTS HAVE A POSITIVE EXPERIENCE AS THEY MOVE BETWEEN INPATIENT AND OUTPATIENT STATUS DURING DIFFERENT STAGES OF THEIR TREATMENT. GAMMA KNIFE CENTER - SARH OFFERS THE ONLY GAMMA KNIFE RADIOSURGERY SYSTEM IN ITS PRIMARY SERVICE AREA. THE GAMMA KNIFE ENABLES THE HOSPITAL'S RADIATION ONCOLOGY AND NEUROSURGERY DEPARTMENT TO CONDUCT NONINVASIVE, OUTPATIENT BRAIN SURGERY, USING LOW-DOSE RADIATION BEAMS TO TARGET TUMORS AND ABNORMAL CELLS WITH PRECISION. THE LESS INVASIVE METHOD IS PERFORMED ON AN OUTPATIENT BASIS, ALLOWING PATIENTS TO RECEIVE TREATMENT AND RETURN HOME THE SAME DAY. WOMEN'S BREAST AND IMAGING CENTER - THE WOMEN'S BREAST AND IMAGING CENTER IS LOCATED IMMEDIATELY ADJACENT TO THE MAIN HOSPITAL FACILITY AND OFFERS PATIENTS THE LATEST ADVANCEMENTS IN SCREENING AND DIAGNOSTIC PROCEDURES FOR EARLY DETECTION OF BREAST CANCER. THE CENTER'S TECHNOLOGY INCLUDES 3-D DIGITAL MAMMOGRAPHY, ULTRASOUND, AND STEREOTACTIC BREAST BIOPSY PROCEDURES. THE NURSE NAVIGATOR COORDINATES THE BREAST CANCER PATIENT'S CARE THROUGHOUT DIAGNOSIS, TREATMENT, AND RECOVERY. ADDITIONAL SCREENING SERVICES FOR WOMEN'S HEALTH OFFERED AT THE CENTER INCLUDE GENERAL ULTRASOUND FOR DIAGNOSING GYNECOLOGICAL DISORDERS AND OSTEOPOROSIS SCREENING FOR ASSESSING BONE HEALTH. A FOCUS OF THE WOMEN'S CENTER IS TO ASSURE THAT THE PATIENT'S EXPERIENCE IS AS POSITIVE AS THEIR MEDICAL OUTCOME. MATERNAL CHILD SERVICES - COORDINATES CARE WITH OBSTETRICIANS AND PEDIATRICIANS TO PROVIDE COMPREHENSIVE PRENATAL, DELIVERY AND POSTPARTUM CARE. THE MATERNAL CHILD DEPARTMENT INCLUDES 32 MATERNITY BEDS, FOUR LABOR, DELIVERY AND RECOVERY ROOMS, 10 LABOR, DELIVERY, RECOVERY AND POSTPARTUM ROOMS, A CESAREAN SECTION SURGICAL SUITE AND RECOVERY ROOM, AND A 20-BED NICU. A POSTPARTUM FOLLOW-UP CENTER IS LOCATED NEAR THE MAIN HOSPITAL TO PROVIDE SCREENING AND SUPPORT SERVICES FOR INFANTS AND THEIR PARENTS. THE SERVICES PROVIDED AT THE CENTER ARE OFFERED TO ALL FAMILIES REGARDLESS OF WHERE THEY DELIVERED THEIR BABY, AND THE NOMINAL FEE IS WAIVED FOR ANY FAMILY THAT CANNOT AFFORD TO PAY THE SERVICES PROVIDED BY SARH'S INTERNATIONALLY BOARD CERTIFIED LACTATION CONSULTANT. SARH IS DESIGNATED A BABY FRIENDLY HOSPITAL BY THE WORLD HEALTH ORGANIZATION. THIS DESIGNATION IS AN IMPORTANT PART OF SARH'S HEALTHY BEGINNINGS PROGRAM, WHICH REINFORCES THE BENEFITS OF BREASTFEEDING. SURGICAL SERVICES - THE SURGERY DEPARTMENT OPERATES NINE SURGICAL SUITES AND TWO ADDITIONAL SURGICAL SUITES DEDICATED TO CARDIOVASCULAR SURGERIES. THE SURGERY DEPARTMENT PERFORMS APPROXIMATELY 330 INPATIENT AND 270 OUTPATIENT SURGERIES PER MONTH, INCLUDING GENERAL SURGERY AND SURGERIES IN THE SPECIALTIES OF ORTHOPEDICS, CARDIOLOGY, GYNECOLOGY, UROLOGY, OTOLARYNGOLOGY, AND OPHTHALMOLOGY. IMAGING AND RADIATION ONCOLOGY SERVICES - THE RADIOLOGY DEPARTMENT PROVIDES IMAGING SERVICES TO SUPPORT SARH'S EMERGENCY, SURGERY, AND OTHER DEPARTMENTS. THE IMAGING SERVICES OFFERED TO BOTH INPATIENTS AND OUTPATIENTS INCLUDE DIAGNOSTIC RADIOLOGY AND FLUOROSCOPY, 64-SLICE CT SCAN, 3-T MAGNETIC RESONANCE IMAGING (MRI), INTERVENTIONAL RADIOLOGY, ULTRASOUND, MAMMOGRAPHY, AND SPECIAL PROCEDURES. THE RADIATION ONCOLOGY DEPARTMENT PROVIDES EXTERNAL BEAM RADIATION FOR THE TREATMENT OF VARIOUS CANCER CONDITIONS AND BRACHYTHERAPY FOR THE TREATMENT OF PROSTATE CANCER. Form 990, Part VI, Section B, Line 11b THE FORM IS PREPARED BY THE FINANCE DEPARTMENT AND REVIEWED BY THE CFO AND EXTERNAL TAX ACCOUNTANTS. FOLLOWING THE EXTERNAL REVIEW, THE CFO REVIEWS THE FORM WITH THE CEO. THE FORM IS PROVIDED AND PRESENTED TO THE AUDIT COMMITTEE FOR REVIEW AND APPROVAL. ONCE THE AUDIT COMMITTEE APPROVES THE FORM, A DRAFT IS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING. Form 990, Part VI, Section B, Line 12c SARH HAS A COMPLIANCE OFFICER WHO REVIEWS THE ORGANIZATION'S COMPLIANCE POLICIES, INCLUDING ITS CONFLICT OF INTEREST STATEMENTS, AT LEAST ANNUALLY. EACH JANUARY, A CONFLICT OF INTEREST STATEMENT IS COMPLETED AND SIGNED BY EACH MEMBER OF THE BOARD OF DIRECTORS, OFFICERS, AND KEY EMPLOYEES. THE COMPLIANCE OFFICER AND CFO, WHO ATTEND ALL BOARD MEETINGS, REVIEW THE CONFLICT OF INTEREST STATEMENTS. IF A NEW POTENTIAL CONFLICT ARISES DURING THE YEAR, A NEW CONFLICT OF INTEREST STATEMENT IS SIGNED. IF A POTENTIAL CONFLICT OF INTEREST EXISTS DURING A BOARD DISCUSSION, THE BOARD MEMBER IS REQUIRED TO STATE THE CONFLICT AND ABSTAIN FROM ANY RELATED BOARD VOTE. BOARD MINUTES REFLECT THESE ABSTENTIONS. AT LEAST SEMI-ANNUALLY, SARH'S COMPLIANCE OFFICER PROVIDES A VERBAL COMPLIANCE UPDATE AT A BOARD MEETING AND REMINDS BOARD MEMBERS OF THEIR DUTY TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST. Form 990, Part VI, Section B, Line 15 SARH'S EXECUTIVE COMPENSATION PROGRAM IS DIRECTED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. SARH HAS DEVELOPED AND APPROVED A FORMAL EXECUTIVE COMPENSATION POLICY THAT CURRENTLY COVERS SIX SENIOR MANAGEMENT EMPLOYEES, INCLUDING THE CEO AND CFO. A COMPREHENSIVE BASE PAY AND TOTAL EXECUTIVE COMPENSATION ANALYSIS IS PERFORMED BY AN OUTSIDE COMPENSATION CONSULTING FIRM EVERY TWO YEARS. IN THE INTERVENING YEARS, AN ANALYSIS OF SARH'S EXECUTIVE COMPENSATION IS REVIEWED AGAINST THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA'S COMPENSATION SURVEY. THE CONSULTANT PRESENTS THE SURVEY DATA AND ANALYSIS TO THE COMPENSATION COMMITTEE. THE EXTERNAL COMPENSATION STUDY INCLUDES AN EVALUATION FOR EXCESS BENEFIT TRANSACTIONS UNDER THE INTERMEDIATE SANCTIONS FOR TAX-EXEMPT ORGANIZATIONS AND AN ANALYSIS OF BOTH BASE AND TOTAL COMPENSATION OF ALL MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM AND THEIR SALARY POSITION IN RELATION TO THE FIFTIETH AND SIXTY-FIFTH PERCENTILE OF THE MARKET. HOWEVER, THE CONSULTANT IS NOT EITHER TAX OR LEGAL COUNSEL AND THEREFORE CANNOT ASSURE COMPLIANCE WITH IRC 4958, BUT RATHER ASSURES THAT SARH'S EXECUTIVE COMPENSATION PRACTICES FALL BETWEEN THE FIFTIETH AND SIXTY-FIFTH PERCENTILE OF THE MARKET PLACE AND DO NOT EXCEED THE SEVENTY-FIFTH PERCENTILE. THE LATEST SURVEY AND ANALYSIS WERE CONDUCTED IN MARCH 2017. THE CONSULTANT USED SURVEY DATA FROM FOUR DIFFERENT PUBLISHED SURVEYS THAT INCLUDE CALIFORNIA HOSPITALS WITH COMPARABLE REVENUES, EMPLOYEES AND COMPLEXITY. THE COMPENSATION COMMITTEE REVIEWS THE CONSULTANT'S FINDINGS IN ACCORDANCE WITH THE COMPENSATION POLICY AND THEIR CHARTER AND PROVIDES DIRECTION FOR ANY NEEDED COMPENSATION POLICY OR PAY RANGE CHANGES FOR THE CEO AND APPROVES ANY SUCH RECOMMENDATIONS THAT MAY BE MADE BY THE CEO FOR OTHER EXECUTIVES. OTHER KEY EMPLOYEE COMPENSATION, VICE PRESIDENTS AND DEPARTMENT DIRECTORS ARE EVALUATED BASED ON MARKET-BASED COMPENSATION SURVEY DATA PROVIDED BY THE HOSPITAL COUNCIL OF SOUTHERN CALIFORNIA, TAKING INTO CONSIDERATION PAY RATES FOR SIMILAR MANAGEMENT POSITIONS. THE PROCEDURES DESCRIBED HERE ARE DOCUMENTED IN THE BOARD MINUTES. Form 990, Part VI, Section C, Line 19 Form 990, Part VI, Section C, Line 19 - SARH HAS NOT MADE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. THE FINANCIAL STATEMENTS ARE PART OF THE ANNUAL REPORT FILED WITH THE CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) AND ARE AVAILABLE ON THE OSHPD WEBSITE. THE FINANCIAL STATEMENTS ARE INCLUDED AS PART OF ITS ANNUAL MEDICARE AND MEDICAID COST REPORT FILINGS, WHICH ARE PUBLICLY AVAILABLE ON THE CMS (MEDICARE) WEBSITE. THE FINANCIAL STATEMENTS ARE ALSO PROVIDED TO ANYONE UPON A VERBAL OR WRITTEN REQUEST. THE AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THE FORM 990 IN ACCORDANCE WITH IRS INSTRUCTIONS. Form 990, Part XI, Line 9 OTHER CHANGES IN NET ASSETS INCLUDES THE CHANGE IN THE ADDITIONAL MINIMUM PENSION LIABILITY OF ($4,983,968), CHANGE IN TEMPORARILY RESTRICTED AND PERMANENTLY RESTRICTED NET ASSETS OF ($11,686,347) AND CHANGE IN BENEFICIAL INTEREST IN SAN ANTONIO REGIONAL FOUNDATION OF $4,280,660. Eastvale San Antonio Land Company LLC 999 San Bernardino Road Upland CA 91786 460783265 LESSOR OF LAND CA 75523 4348709 SAN ANTONIO REGIONAL HOSPITAL San Antonio Hospital Foundation Inc 999 San Bernardino Road Upland CA 91786 330042666 Support SARH CA 501c(3) 7 SARH 1 San Antonio Community Hospital Health Care Plan 999 San Bernardino Road Upland CA 91786 237391094 Health Plan services CA 501c(9) SARH 1 Cucamonga Health Services 999 San Bernardino Road Upland CA 91786 330010073 Holding company CA SARH C 850467 11254766 1 1 FMP Holding Inc San Bernardino Road Upland CA 91786 815066476 Holding company CA SARH C -13767 320000 1 1 0 1 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 1 0 San Antonio Hospital Foundation Inc b 92093 Cash San Antonio Hospital Foundation Inc c 10000000 Cash San Antonio Community Hospital Health Care Plan r 15840515 Cash Cucamonga Health Services j 103016 Cash