2014-11-17T17:04:27-07:00 2013-12-31 Ernst & Young U S LLP 18111 Von Karman Avenue Suite 1000 Irvine CA 92612 990 2013-01-01 951183919 SAN ANTONIO COMMUNITY HOSPITAL INC SANA 9099206103 999 San Bernardino Road Upland CA 917864920 Wah-chung Hsu CFO/Secretary 9099206103 2014-11-17 0 Kara Adams P00023315 9494370205 2014-11-17 2013 2015-11-30 17:44:51Z Harris Koenig Same as C above Upland CA 917864920 386033736 0 X sach.org X 1920 CA The mission of San Antonio Community Hospital is to improve the overall health of our regional community by offering services that both comfort and cure in settings that inspire confidence and in a manner that earns the trust of our patients, our physicians and our employees. 15 11 2177 307 1254319 628555 0 3484 272784272 254248139 13411227 7741237 3162374 4373792 289357873 266366652 119452 132814 0 0 151514743 139620258 0 0 0 124299371 129993479 275933566 269746551 13424307 -3379899 573640761 565860115 222506049 193641936 351134712 372218179 X The mission of San Antonio Community Hospital is to improve the overall health of our regional community by offering healthcare services that both comfort and cure in settings that inspire confidence and in a manner that earns the trust of our patients, our physicians, and our employees. 0 0 234277620 120943 256832040 See Schedule O. 0 0 0 234277620 1 0 0 1 0 0 0 0 0 1 1 0 0 1 1 0 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 1 0 0 0 0 0 1 1 1 1 0 1 387 0 1 2177 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 11 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 CA X Wah-chung Hsu 9099206103 999 San Bernardino Road Upland CA 917864920 Donald Alpiner DO Trustee 4 0 X 2765 0 0 Dora Barilla Trustee 4 0 X 0 0 0 Mark Bertone Trustee/Chairman 4 1 X X 0 0 0 Dann Bowman Trustee/Treasurer 4 0 X X 0 0 0 Vincent Carollo MD Trustee 4 0 X 0 0 0 Harvey Cohen MD Trustee/Medical Staff President 4 0 X 70035 0 0 Andrea Dutton Trustee 4 0 X 0 0 0 Richard Gilbert Trustee 4 0 X 0 0 0 Ronald King Trustee 4 0 X 0 0 0 Harris Koenig President/CEO 40 3 X X 459151 0 52284 Thomas Ritchie Trustee/Vice Chairman 4 0 X X 0 0 0 Carl Schultz MD Trustee 4 0 X 0 0 0 Jay Shah MD Trustee 4 0 X 15950 0 0 Tejinder Singh MD Trustee 4 0 X 12003 0 0 Steven Spears Trustee 4 0 X 0 0 0 Wah-Chung Hsu CFO/Secretary 40 5 X 436436 0 28773 Peter Aprato Vice President 40 0 X 239160 0 45309 Liz Aragon Vice President 40 0 X 247163 0 -10978 Lynn Kelly Vice President 40 0 X 230306 0 30057 Kenneth Saltgaver Director Pharmacy 40 0 X 182204 0 -5737 Ron Nowosad Director Clinic Services 40 0 X 171298 0 26951 Kamal Pandya Director Information Technology 40 0 X 168305 0 -30856 Sharon Simmons Director Finance 40 0 X 162910 0 -42722 Bettina Celifie Director Surgery 40 0 X 161350 0 9362 2559036 0 102443 197 0 1 0 HBE Corporation 11330 Olive Blvd St Louis MO 63141 Design Build Firm 18080477 Hamilton Construction 202 Mercury Circle Pomona CA 91768 Construction Contractor 5781606 Cerner Corporation 2800 Rockcreek Parkway Kansas City MO 64117 Integrated Clinical Information System 3931349 MKH Testing and Inspection Inc 4195 Chino Hills Pkwy 169 Chino Hills CA 91709 Testing and inspection services 1596701 Mayo Medical Laboratories PO Box 9146 Minneapolois MN 55480 Purchased lab services 925015 119 0 0 0 3484 0 0 0 3484 Net Patient Revenue 622000 250019144 250019144 0 0 Rental Income MOB 531120 1989202 1989202 0 0 Lab Path Pharm Revenue UBI 621500 577219 0 577219 0 Capitation Revenue 622000 730134 730134 0 0 Electronic Health Record Meaningful Use 900099 932440 932440 0 0 0 0 0 0 254248139 6828442 0 0 6828442 0 0 0 0 0 0 0 0 0 0 120418753 45450 119518935 32473 899818 12977 912795 0 0 912795 0 188008 115676 72332 0 0 72332 Def Revenue - Construction for Other 622000 622666 622666 0 0 Cafeteria Revenue 722100 1040459 0 0 1040459 Surgery Center UBI 621990 677100 0 677100 0 1961235 1961235 0 0 4301460 266366652 256254821 1254319 8854028 X 132814 132814 0 0 0 0 1712969 554924 1158045 0 110987721 108350354 2637367 6068492 5871028 197464 12696746 12283603 413143 8154330 7888994 265336 151160 142009 9151 639359 639359 215847 2795 213052 50879 50879 592967 4752 588215 20429005 14184250 6244755 1382100 1382100 8017584 7279268 738316 10516845 10214085 302760 5464122 4562275 901847 338943 202005 136938 74795 40910 33885 881412 828055 53357 12197227 11459452 737775 3606789 3606789 Medical Supplies 50324232 50324232 0 0 Medi-Cal Fee Program 14279887 0 14279887 0 Dues & Subscriptions 466398 187700 278698 Taxes & licenses 513708 0 513708 0 -149780 -235885 86105 0 269746551 234277620 35468931 0 167269 312048 11789297 11738130 0 70303009 42228997 0 0 0 4436150 4477296 4750684 7152331 441407584 225035229 183854844 216372355 256427550 233828326 0 4691366 4765225 37220592 44985407 573640761 565860115 46529173 44393506 120720830 117069536 55256046 32178894 222506049 193641936 X 334769165 353292564 12338356 14888424 4027191 4037191 351134712 372218179 573640761 565860115 X -3379899 -1179689 0 0 0 25643055 X 0 1 X 1 0 X 0 0 0 0 0 0 0 1 50879 0 50879 0 Schedule C, Part II-B, Line 1 SAN ANTONIO COMMUNITY HOSPITAL IS A MEMBER OF THE CALIFORNIA ASSOCIATION OF THE AMERICAN HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION WHICH CONDUCTS LOBBYING ACTIVITIES IN SUPPORT OF MEMBER HOSPITALS AND GENERAL HEALTHCARE ISSUES. BOTH ASSOCIATIONS PROVIDE THE PERCENTAGE OF DUES THAT RELATE TO LOBBYING ACTIVITIES. 4027191 10000 233694 0 189295 44399 4037191 4027191 0 787050 0 746597 40453 4027191 4017691 9500 32936 0 -5194 38130 4027191 4017691 0 764343 0 743754 20589 4017691 4017691 0 614286 0 601219 13067 4017691 0 1 0 0 1 1 0 14864343 14864343 0 133842827 105729452 28113375 0 2297861 1290221 1007640 0 149130950 118015556 31115394 0 141271603 0 141271603 216372355 Beneficial Interest in SAHF 36666998 Malpractice LT Claims Rec 6120750 Def Financing Costs 2011 Bond 1471278 Def Comp Plan 421694 Physician Recruitment Rec 202251 Due From Affiliates 102436 44985407 Pension Plan liability 19636418 Long Term Insurance Claims 11804810 Def Gain Constr for Other - Current 622666 Physician Guarantee Liabilty 115000 32178894 Schedule D, Part V, Line 4 SAN ANTONIO COMMUNITY HOSPITAL IS THE SOLE CORPORATE MEMBER OF SAN ANTONIO HOSPITAL FOUNDATION INC., SAHF, AND IS REQUIRED TO CONSOLIDATE SAHF ASSETS AND LIABILITIES ONTO ITS BALANCE SHEET. PROCEEDS FROM THE ENDOWMENT FUNDS ARE INTENDED FOR THE PURCHASE OF PROPERTY AND EQUIPMENT FOR THE BENEFIT OF SAN ANTONIO COMMUNITY HOSPITAL. 1 1 X 1 X 3 1 X 1 1 0 1 1 414710 0 414710 0.0015 25749075 22972216 2776859 0.0102 0 0 26163785 22972216 3191569 0.0117 43 199043 791076 81957 709119 0.0026 4 215546 5785 209761 0.0008 2 165 589398 589398 0.0022 1 315 305 305 0.0 2 7607 51303 21495 29808 0.0001 52 207130 1647628 109237 1538391 0.0057 52 207130 27811413 23081453 4729960 0.0174 1 16085 16085 0.0001 8 728 728 0 9 0 16813 0 16813 0.0001 0 40433582 4000000 57722529 57231367 491162 X 1 1 San Antonio Ambulatory Surgery Center Outpatient surgical center 0.29 0 0.67 1 1 San Antonio Community Hospital 999 San Bernardino Road Upland CA 91786 sach.org 240000196 X X X San Antonio Community Hospital 1 1 X X X X X X X X X 13 1 0 1 X www.sach.org X X X X X 0 0 1 1 300 1 350 1 X X X 1 1 X 1 0 X X X X 1 X 0 0 Schedule H, Part V, Section B, Line 3-San Antonio Community Hospital THE HOSPITAL CONDUCTED ITS COMMUNITY HEALTH NEEDS ASSESSMENT AND WELCOMED THE PARTICIPATION OF AND INPUT FROM OUR COMMUNITY MEMBERS. TO SUCCESSFULLY GATHER ROBUST PRIMARY DATA, NUMEROUS DEMOGRAPHIC GROUPS WERE PROVIDED AN ONLINE SURVEY AND DIVERSE SETS OF FOCUS GROUPS AND KEY INFORMANT INTERVIEWS WERE CONDUCTED. THE COMMUNITY GROUPS SELECTED INCLUDED SENIORS, FAMILY PROGRAMS FOR PARENTS AND CHILDREN IN AT RISK AREAS, FORMER PATIENTS, PUBLIC HEALTH PROFESSIONALS, AND CIVIC LEADERS. SACH'S TEAM ENDEAVORED TO GAIN A BETTER UNDERSTANDING OF THE CURRENT CONCERNS AND INTERESTS AMONG HIGHER NEED SEGMENTS OF THE HOSPITAL'S PRIMARY SERVICE AREA. FOCUS GROUPS WERE CONDUCTED WITH A RANGE OF GROUPS INCLUDING CONSUMERS OF LOW COST AND FREE SERVICES, MONOLINGUAL NON-ENGLISH SPEAKING, AND ENGLISH SPEAKING, PARENTS, ELDERLY, AND PROFESSIONALS LEADING COMMUNITY WIDE HEALTH INITIATIVES IN SACH'S SERVICE AREA. GENERAL HEALTH ISSUES FOR EACH GROUP OF PARTICIPANTS WERE USED TO CREATE A QUESTION OUTLINE SPECIFIC TO EACH GROUP. A THOROUGH EVALUATION AND SYNTHESIS OF THE RESULTS REVEALED A NUMBER OF MAJOR CONCERNS, WHICH FELL INTO FOUR PRIORITY AREAS: ACCESS TO HEALTHCARE, HEALTH LITERACY, HEALTH MANAGEMENT, AND A HEALTHY ENVIRONMENT. Schedule H, Part V, Section B, Line 7-San Antonio Community Hospital IN THE 2013 TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT, TRANSPORTATION WAS MENTIONED AS A NEED WITHIN THE COMMUNITY, SPECIFICALLY WITHIN THE SENIOR POPULATION. THE EXPRESSED NEED WAS FOR IMPROVED ACCESS TO HOSPITALS AND PRIMARY CARE CENTERS. THE HOSPITAL DOES NOT HAVE THE CAPACITY TO ADDRESS TRANSPORTATION WITHIN THIS REGION; HOWEVER, SACH DOES PROVIDE VOUCHERS FOR TAXI AND PUBLIC TRANSPORTATION. THE HOSPITAL CONTINUES TO PARTICIPATE IN LOCAL COALITIONS TO RAISE AWARENESS FOR ENHANCED TRANSPORTATION WITHIN THE SERVICE AREA. Schedule H, Part V, Section B, Line 14-San Antonio Community Hospital THE HOSPITAL POSTS SIGNS AND NOTICES REGARDING THE CHARITY CARE POLICY IN THE EMERGENCY DEPARTMENT, ADMITTING AREAS, AND IN THE BUSINESS OFFICE. THESE POSTINGS CONTAIN CONTACT INFORMATION FOR THE FINANCIAL COUNSELING REPRESENTATIVES WHO WILL ASSIST PATIENTS IN DETERMINING WHAT TYPES OF FINANCIAL ASSISTANCE ARE AVAILABLE. 5 SACH 685 Building Diagnostic Center 685 N 13th Ave Upland CA 91786 Lab and Radiology services in a freestanding medical office building SACH 901 Building Diagnostic Center 999 San Bernardino Road Upland CA 91786 Radiology services in a freestanding medical office building SACH RSA Building Diagnostic Center 7777 Milliken Ave Rancho Cucamonga CA 91730 Lab and Radiology services in a freestanding medical office building SACH Sierra San Antonio diagnostic Center 16465 Sierra Lakes Pkwy Fontana CA 92336 Lab and Radiology services in a freestanding medical office building San Antonio Ambulatory Surgery Center 901 San Bernardino Road Upland CA 91786 Outpatient Surgery Center Schedule H, Part I, Line 6a SAN ANTONIO COMMUNITY HOSPITAL PREPARED A COMMUNITY BENEFIT REPORT AS REQUIRED BY THE STATE OF CALIFORNIA. THE REPORT WAS PUBLISHED AND MADE AVAILABLE TO THE PUBLIC ONLINE AT WWW.SACH.ORG. Schedule H, Part I, Line 6b MEMBERS OF THE PUBLIC MAY REQUEST A COPY OF THE COMMUNITY BENEFIT REPORT BY CONTACTING THE HOSPITAL'S COMMUNITY HEALTH SPECIALIST AT 909 920.6153. Schedule H, Part I, Line 7 THE COSTING METHODOLOGY USED ON 7A: CALCULATED USING WORKSHEETS 1&2 IN THE INSTRUCTIONS; THE COST TO CHARGE OPTION. THE COSTING METHODOLOGY USED ON 7B: CALCULATED USING WORKSHEET 3 IN THE INSTRUCTIONS; THE COST TO CHARGE OPTION. THE COSTING METHODOLOGY USED ON 7E TO 7I: CALCULATED USING ACTUAL COSTS FROM SACH'S GENERAL LEDGER. Schedule H, Part I, Line 7b THE CALIFORNIA HOSPITAL FEE PROGRAM RESULTED IN A NET LOSS TO SACH OF $1,196,140. Schedule H, Part I, Line 7g NONE OF THE COSTS ON THIS LINE WERE ATTRIBUTABLE TO A PHYSICIAN CLINIC. Schedule H, Part II SAN ANTONIO COMMUNITY HOSPITAL PROVIDED SUPPORT TO NINE LOCAL COMMUNITY ORGANIZATIONS THAT SERVE THE COMMUNITIES SURROUNDING THE HOSPITAL. THESE ORGANIZATIONS WERE RECIPIENTS OF FINANCIAL CONTRIBUTIONS THAT WERE USED TO ENHANCE THE HEALTH OF THE COMMUNITY. THESE ORGANIZATIONS INCLUDED AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY, ASSISTANCE LEAGUE OF THE FOOTHILL COMMUNITIES, THE CITY OF EASTVALE, FREEDOM 5000, FRIENDS OF THE PACIFIC ELECTRIC TRAIL, ONTARIO HISTORIC HOME PRESERVATION, AND REACH OUT. THESE ENTITIES PROVIDE THE COMMUNITY WITH OPPORTUNITIES TO PARTICIPATE IN HEALTH-RELATED ACTIVITIES OR PROGRAMS, AND PROMOTE HEALTHY EATING AND ACTIVE LIVING. THE COALITION BUILDING ACTIVITY REPRESENTS TIME SPENT BY THE SACH COMMUNITY HEALTH SPECIALIST WHO WORKS DIRECTLY WITH COMMUNITY GROUPS TO PROVIDE HEALTH EDUCATION AND TECHNICAL ASSISTANCE TO SUPPORT EFFORTS THAT COMPLIMENT THE OBJECTIVES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THROUGH THESE PARTNERSHIPS, SAN ANTONIO IS ABLE TO WORK COLLABORATIVELY TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES THEY SERVE. IN 2013, THE HOSPITAL EXPANDED ITS HEALTHY EATING LIFESTYLE PROGRAM HELP INTO A NEIGHBORHOOD IDENTIFIED AS A HIGH AREA OF NEED THROUGH THE COMMUNITY NEEDS ASSESSMENT. THE PROGRAM HAS BEEN WELL RECEIVED AND CONTINUES TO GAIN MOMENTUM IN EXPANDING INTO OTHER POTENTIAL COMMUNITIES. PLEASE ALSO SEE PART VI, LINE 5 FOR INFORMATION RELATED TO COALITION BUILDING. Schedule H, Part III, Section A, Line 3 MANAGEMENT ESTIMATES THAT APPROXIMATELY 10% OF PATIENT DEBTS WOULD HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE IF APPROPRIATE INFORMATION HAD BEEN MADE AVAILABLE BY APPLICABLE PATIENTS. FROM A DIFFERENT PERSPECTIVE, SACH ESTIMATES THAT APPROXIMATELY 80% OF ALL PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WERE IDENTIFIED. THE MAJORITY OF SACH'S BAD DEBTS RESULT FROM MEDICALLY INDIGENT PATIENTS IN THE EMERGENCY DEPARTMENT. SACH PROVIDES THIS EMERGENCY CARE AND RELATED INPATIENT CARE WITHOUT COMPENSATION IMPROVING THE OVERALL HEALTH AND WELL BEING OF THE COMMUNITY. Schedule H, Part III, Section A, Line 4 THE FOOTNOTE FOR ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS APPEARS IN THE AUDITED FINANCIAL STATEMENTS ON PAGES 12-13. PATIENT SERVICE REVENUE IS REDUCED BY THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS AND ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THESE AMOUNTS ARE BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS FOR EACH MAJOR PAYOR SOURCE, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE HOSPITAL'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE HOSPITAL RECORDS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD SERVICES ARE PROVIDED TO SELF-PAY PATIENTS, INCLUDING BOTH UNINSURED PATIENTS AND PATIENTS WITH DEDUCTIBLE AND CO-PAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR A PORTION OF THEIR BALANCE. FOR RECEIVABLES ASSOCIATED WITH PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED, IN ACCORDANCE WITH THE HOSPITAL'S POLICIES. Schedule H, Part III, Section B, Line 8 SACH HAS NOT REPORTED ITS MEDICARE SHORTFALL AS A COMMUNITY BENEFIT. THE COST AND REIMBURSEMENT DATA WERE TAKEN DIRECTLY FROM SACH'S DECEMBER 31, 2013 MEDICARE COST REPORT. THE MEDICARE COST REPORT USES A STEPDOWN COST ALLOCATION PROCESS AND THEN APPORTIONS CLINICAL DEPARTMENT COSTS ON A CHARGE TO CHARGE BASIS Schedule H, Part III, Section C, Line 9b WHEN A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, INCLUDING BUT NOT LIMITED TO CHARITY CARE, THE HOSPITAL MAY WAIVE SOME OR ALL OF ITS COLLECTION EFFORTS. FOR A PATIENT THAT QUALIFIES FOR CHARITY CARE, THE ENTIRE BILL IS WRITTEN OFF TO CHARITY ALLOWANCE AND THE HOSPITAL MAKES NO COLLECTION EFFORTS. THE HOSPITAL FOLLOWS DEBT COLLECTION POLICY AND PROCEDURES FOR ANY PORTION OF THE BILL NOT ELIGIBLE FOR WRITE-OFF. Schedule H, Part VI, Line 2 ALTHOUGH CALIFORNIA'S COMMUNITY BENEFIT LEGISLATION (SB697) ONLY REQUIRES A TRIENNIAL COMMUNITY ASSESSMENT, SAN ANTONIO COMMUNITY HOSPITAL (SACH) REVIEWS AND UPDATES THE SECONDARY DATA EACH YEAR AND CONDUCTS PRIMARY RESEARCH NO LESS THAN EVERY THREE YEARS. IN ADDITION TO THE ANNUAL ASSESSMENT OF SECONDARY DATA DETAILED BELOW, THE TRIENNIAL ASSESSMENT INCLUDES PRIMARY RESEARCH THAT INCLUDES WRITTEN SURVEYS, KEY INFORMANT INTERVIEWS, AND FOCUS GROUPS. THE HOSPITAL HAS ENGAGED INDEPENDENT CONSULTING FIRMS AND UNIVERSITY RESEARCH CENTERS TO CONDUCT THE PRIMARY RESEARCH. THE ANNUAL ASSESSMENT LOOKS AT THE HOSPITAL'S COMMUNITY FROM A WIDE PERSPECTIVE IN TERMS OF POPULATION, DEMOGRAPHICS, AND KEY HEALTH INDICATORS. MOST OF THE DATA IS FOCUSED ON THE HOSPITAL'S PRIMARY SERVICE AREA, SINCE THIS IS WHERE OVER 80% OF THE HOSPITAL'S PATIENTS RESIDE, AND IS ALSO THE AREA MOST OFTEN TARGETED FOR ITS COMMUNITY OUTREACH EFFORTS. DURING THE ASSESSMENT, PRIMARY SERVICE AREA POPULATION AND DEMOGRAPHICS ARE EVALUATED BASED ON THE FOLLOWING STATISTICS: CURRENT YEAR POPULATION'S ESTIMATES, FIVE-YEAR POPULATION SEGMENTS (CHILDREN, SENIORS, WOMEN OF CHILD BEARING AGE), MEDIAN AGE, MARITAL STATUS, HOUSEHOLD/FAMILIES, ETHNICITY, LANGUAGE, EDUCATION, EMPLOYMENT, INCOME, AND HOSPITALIZATION RATES. ALTHOUGH THE ASSESSMENT FOCUSES ON DEMOGRAPHIC AND HEALTH INFORMATION FOR SACH'S SERVICE AREA, THERE ARE BENEFITS IN EXAMINING COUNTY DATA, SINCE MANY HEALTH INDICATORS ARE ONLY AVAILABLE AT THE COUNTY LEVEL. IN ADDITION, GIVEN THE TRANSIENT NATURE OF THE POPULATION IN SAN BERNARDINO COUNTY, IT MAKES SENSE FOR HOSPITALS TO WORK TOGETHER AND WITH OTHER HEALTHCARE AGENCIES TO ADDRESS ISSUES THAT AFFECT ALL COUNTY RESIDENTS. WITH THIS IN MIND, POPULATION AND DEMOGRAPHIC DATA ARE UPDATED AND REVIEWED FOR SAN BERNARDINO COUNTY, AND GENERAL HEALTH INDICATORS ARE COMPARED TO OTHER CALIFORNIA COUNTIES, STATE AVERAGES, AND NATIONAL GOALS. Schedule H, Part VI, Line 3 PATIENTS WHO MAY QUALIFY FOR CHARITY CARE UNDER THE HOSPITAL'S CHARITY CARE POLICY ARE PROVIDED WITH INFORMATION AND AN APPLICATION FORM FOR CHARITY CARE DURING THE ADMITTING OR OUTPATIENT PROCESS. THE HOSPITAL'S CHARITY CARE POLICY IS POSTED IN PATIENT REGISTRATION AREAS. THE HOSPITAL'S CHARITY CARE POLICY PROVIDES RELIEF TO FAMILIES WHO HAVE NO MEANS FOR MAKING PAYMENT. Schedule H, Part VI, Line 4 SACH DEFINES ITS COMMUNITY TERMS OF ITS SERVICE AREA, WHICH IS THE GEOGRAPHIC AREA FROM WHICH IT RECEIVES THE MAJORITY OF ITS HOSPITAL ADMISSIONS. FOR PURPOSES OF ANALYSIS, THE SERVICE AREA IS DIVIDED INTO PRIMARY AND SECONDARY AREAS, WITH THE PRIMARY SERVICE AREA ACCOUNTING FOR APPROXIMATELY 80% OF THE ADMISSIONS AND THE MAJORITY OF SACH'S PLANNING EFFORTS. SACH'S PRIMARY SERVICE AREA IS COMPROMISED OF THE CITIES OF CHINO, CLAREMONT, EASTVALE, FONTANA, MONTCLAIR, ONTARIO, RANCHO CUCAMONGA, AND UPLAND WITH A TOTAL ESTIMATED POPULATION OF 906,701, A MEDIAN AGE OF 33, A MEDIAN HOUSEHOLD INCOME OF $63,908, AND 2.8% HAVE INCOMES BELOW THE POVERTY GUIDELINE. IN THE POPULATION 25 YEARS OF AGE AND OLDER, 10.3% HAVE NOT GRADUATED HIGH SCHOOL, 24.2% HAVE A HIGH SCHOOL DIPLOMA, 24.8% HAVE SOME EDUCATION BEYOND HIGH SCHOOL, AND 22.1% HAVE A BACHELOR'S DEGREE OR HIGHER. THE POPULATION IS PREDOMINATELY HISPANIC AT 55.5%, FOLLOWED BY CAUCASIANS AT 25.3%, ASIAN AMERICANS AT 9.5%, AFRICAN AMERICANS AT 6.9%, AND ALL OTHERS AT 2.8%. FURTHERMORE, 10.3% OF RESIDENTS WITHIN THE PRIMARY SERVICE AREA DO NOT HAVE HEALTH INSURANCE AND 17.3% RECEIVE THEIR HEALTHCARE BENEFITS THROUGH MEDICAL MEDICAID. THE SECONDARY SERVICE AREA, WHICH REPRESENTS APPROXIMATELY 10% OF SACH'S ADMISSIONS, INCLUDES POMONA ON THE WEST, RIALTO TO THE EAST, AND NORCO TO THE SOUTHEAST WITH AN ESTIMATED TOTAL POPULATION OF 362,587, A MEDIAN AGE OF 33, A MEDIAN HOUSEHOLD INCOME OF $61,351, AND 7.3% HAVE INCOMES BELOW THE POVERTY GUIDELINE. IN THE POPULATION 25 YEARS OF AGE AND OLDER, 12.8% HAVE NOT GRADUATED HIGH SCHOOL, 24.7% HAVE A HIGH SCHOOL DIPLOMA, 21.2% HAVE SOME EDUCATION BEYOND HIGH SCHOOL, AND 20.4% HAVE A BACHELOR'S DEGREE OR HIGHER. THE POPULATION IS PREDOMINATELY HISPANIC AT 59.9%, FOLLOWED BY CAUCASIANS AT 18.6%, ASIAN AMERICANS AT 11.3%, AFRICAN AMERICANS AT 7.7%, AND ALL OTHERS AT 2.5%. WITHIN THE SECONDARY SERVICE AREA, 12.1% OF RESIDENTS LACK HEALTH INSURANCE AND 20.2% ARE COVERED BY MEDICAL. OVERALL, 10.8% OF THE HOSPITAL'S PATIENTS ARE UNINSURED AND 18.2% ARE MEDICAL BENEFICIARIES. IN ADDITION TO SAN ANTONIO COMMUNITY HOSPITAL, THERE ARE THREE HOSPITALS, CHINO VALLEY HOSPITAL, KAISER PERMANENTE ONTARIO, AND KAISER PERMANENTE FONTANA, PRESENT WITHIN THE PRIMARY SERVICE AREA. SAN ANTONIO COMMUNITY HOSPITAL IS NOT LOCATED IN A FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREA. Schedule H, Part VI, Line 5 SACH HAS A COMMUNITY BOARD AND OPEN MEDICAL STAFF PRIVILEGES. AS IN MOST COMMUNITIES, HEALTH AND SERVICE NEEDS ARE GREAT, BUT THE RESOURCES LIMITED. SACH UNDERSTANDS THE POWER OF COLLABORATION AND SEEKS ALLIANCES WITH OTHER HEALTH AND SOCIAL SERVICES PROVIDERS TO DEVELOP COMMUNITY BASED PROGRAMS WITH DEFINED GOALS AND MEASURABLE OUTCOMES. THESE PARTNERSHIPS HELP TO LEVERAGE THE COMMUNITY'S SCARCE RESOURCES AND ACHIEVE THE MAXIMUM BENEFIT FOR ITS RESIDENTS, WHICH RESULTS IN DEMONSTRATED IMPROVEMENT IN THEIR HEALTH. THE HOSPITAL HAS BEEN PROACTIVE IN RESPONDING TO THE SPECIFIC HEALTH NEEDS OF SPECIAL POPULATIONS WITHIN OUR COMMUNITY THIS INCLUDES NON-ENGLISH SPEAKERS, PERSONS WHO LIVE IN POVERTY, HAVE MENTAL OR PHYSICAL DISABILITIES, OR IN OTHER WAYS ARE DISENFRANCHISED. SACH IS AN INTEGRAL PART OF SAN BERNARDINO COUNTY'S HEALTHY COMMUNITIES INITIATIVE WHICH PROMOTES PHYSICAL, SOCIAL, AND ECONOMIC ENVIRONMENTS THAT SUPPORT THE WELLBEING OF ITS MEMBERS AND EMBRACES THE BELIEF THAT HEALTH IS MORE THAN MERELY THE ABSENCE OF DISEASE. HEALTHY COMMUNITIES CONTAIN ELEMENTS THAT ENABLE PEOPLE TO MAINTAIN A HIGH QUALITY OF LIFE AND PRODUCTIVITY. FINALLY, HEALTHY COMMUNITIES OFFER ACCESS TO HEALTHCARE SERVICES THAT FOCUS ON BOTH TREATMENT PREVENTION AND TREATMENT OF DISEASE FOR ALL MEMBERS OF THE COMMUNITY. SACH HAS PROVIDED LEADERSHIP AND PROFESSIONAL EXPERTISE TO SUPPORT THE HEALTHY CITIES IN ITS SERVICE AREA INCLUDING HEALTHY CHINO, HEALTHY FONTANA, MONTCLAIR COMMUNITY COLLABORATIVE, HEALTHY ONTARIO, HEALTHY RANCHO CUCAMONGA, AND UPLAND PARTNERSHIP. SACH STAFF SERVE ON EXECUTIVE COMMITTEES, PLANNING COMMITTEES, AND VARIOUS WORKGROUPS WITHIN THESE HEALTHY CITIES PROGRAMS, PROVIDING INSIGHT AND ADVICE TO SUPPORT STRATEGIC PLANNING, IMPLEMENTATION AND EVALUATION OF HEALTH AND WELLNESS INITIATIVES. SACH HAS SERVED ON PLANNING AND TASK FORCES, SUCH AS ONTARIO'S PLANNING, HEALTH ACCESS, AND PREVENTION AND WELLNESS INITIATIVES, MONTCLAIR'S WE CARE (WEST END CHILDREN'S ACTIVITY RESOURCE COALITION) COMMITTEE, AND RANCHO CUCAMONGA EXECUTIVE, STEERING, SUB-COMMITTEES. THESE EFFORTS HAVE REAPED SUBSTANTIAL REWARDS, NOT ONLY IN COMMUNITY BUILDING, BUT ALSO IN IMPROVED HEALTH AND WELLNESS. FOR EXAMPLE, SACH HAS BEEN IN DISCUSSION WITH THE CITY OF UPLAND AS THEY UPDATE THEIR GENERAL PLAN. THE HOSPITAL IS AN INTEGRAL PART OF THE COMMUNITY FOR RESIDENTS AND OTHERS BEYOND THE CITY LIMITS. THE VALUE OF THE COALITION BUILDING ACTIVITIES ARE REPORTED IN PART II LINE 6. IN ADDITION TO THESE COLLABORATIVE EFFORTS, SACH CONTINUES TO PROVIDE MONETARY AND IN-KIND SUPPORT TO HEALTH-RELATED NONPROFIT COMMUNITY ORGANIZATIONS SUCH AS THE AMERICAN CANCER SOCIETY, WHICH PROVIDES EDUCATIONAL OUTREACH AND SUPPORT PROGRAMS FOR CANCER PATIENTS AND THEIR FAMILIES, AND THE SAN ANTONIO COMMUNITY HOSPITAL DENTAL CENTER WHICH PROVIDES CHILD DENTAL HEALTH FOR AT RISK CHILDREN WHO ARE UNABLE TO RECEIVE SERVICES OTHERWISE. Schedule H, Part VI, Line 6 NOT APPLICABLE. Schedule H, Part VI, Line 7 SAN ANTONIO COMMUNITY HOSPITAL FILES A COMMUNITY BENEFIT REPORT WITH THE STATE OF CALIFORNIA. 1 Meals on Wheels 4792 Falconview Court Fontana CA 92336 952799275 501c3 41679 Cost of Goods Meals Donate Meals San Antonio Hospital Foundation 999 San Bernardino Road Upland CA 91786 330042666 501c3 73250 Support SACH Program 2 0 Schedule I, Part I, Line 2 THE VOLUNTEERS AND MEDICAL STAFF OF SAN ANTONIO COMMUNITY HOSPITAL RAISE FUNDS TO SUPPORT THE HOSPITAL. THOSE FUNDS ARE DONATED ANNUALLY TO SAN ANTONIO HOSPITAL FOUNDATION, A RELATED 501(C)(3) ORGANIZATION. THE HOSPITAL'S CFO IS ALSO CFO FOR THE FOUNDATION. THE HOSPITAL CFO IS RESPONSIBLE FOR MONITORING ALL FOUNDATION DISBURSEMENTS, INCLUDING DISBURSEMENTS RELATED TO GRANT FUNDING. X X X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 Harris Koenig President/CEO 348969 0 0 0 110182 0 30250 0 22034 0 511435 0 0 0 Wah-Chung Hsu CFO/Secretary 291139 0 0 0 145297 0 6739 0 22034 0 465209 0 0 0 Peter Aprato Vice President 216378 0 0 0 22782 0 29231 0 16078 0 284469 0 0 0 Lynn Kelly Vice President 222438 0 0 0 7868 0 20268 0 9789 0 260363 0 4564 0 Liz Aragon Vice President 239140 0 0 0 8023 0 -29576 0 18598 0 236185 0 6491 0 Ron Nowosad Director Clinic Services 170634 0 0 0 664 0 6707 0 20244 0 198249 0 0 0 Kenneth Saltgaver Director Pharmacy 181137 0 0 0 1067 0 -20043 0 14306 0 176467 0 0 0 Bettina Celifie Director Surgery 161038 0 0 0 312 0 1413 0 7949 0 170712 0 0 0 Kamal Pandya Director Information Technology 158736 0 0 0 9569 0 -31787 0 931 0 137449 0 0 0 Sharon Simmons Director Finance 161365 0 0 0 1545 0 -50973 0 8251 0 120188 0 0 0 Schedule J, Part I, Line 1a THE HOSPITAL REQUESTS BOARD MEMBERS TO ATTEND VARIOUS EDUCATIONAL SESSIONS DURING THEIR TERM. IN RECOGNITION THAT BOARD MEMBERS SERVE WITHOUT COMPENSATION AND THAT ATTENDING EDUCATIONAL SESSIONS TAKES MOST BOARD MEMBERS AWAY FROM THEIR JOBS OR BUSINESSES, THE HOSPITAL PROVIDES REIMBURSEMENT FOR SPOUSAL TRAVEL. THE HOSPITAL ALSO GROSSES UP THE SPOUSAL TRAVEL REIMBURSEMENT AND REPORTS THE GROSSED UP AMOUNT ON A 1099 GIVEN TO THE BOARD MEMBER. IN 2013, THE HOSPITAL'S CFO, WAH-CHUNG HSU, RECEIVED REIMBURSEMENT FOR RELOCATION COSTS WHICH INCLUDED HOUSING COSTS AND GROSS-UP AMOUNTS. Schedule J, Part I, Line 4 SAN ANTONIO COMMUNITY HOSPITAL PROVIDES A 457(F) SUPPLEMENTAL NON-QUALIFIED PLAN FOR SEVEN MEMBERS OF ITS EXECUTIVE MANAGEMENT TEAM. THE PLAN PROVIDES AN ACCRUED (BUT NOT PAID) BENEFIT UP TO A MAXIMUM OF 10% OF EACH OF THE EXECUTIVE'S BASE PAY. THE PLAN ACCRUES EARNINGS AT THE 10-YEAR TREASURY NOTE RATE ON THE LAST BANKING DAY OF EACH YEAR. THE PLAN PARTICIPANTS ARE NOT ELIGIBLE TO RECEIVE THE FUNDS IN THIS PLAN UNTIL RETIREMENT OR TERMINATION. IN 2013, TWO MEMBERS OF THE EXECUTIVE MANAGEMENT GROUP RECEIVED PAYMENTS. LIZ ARAGON, VP NURSING RECEIVED $6,492 AND LYNN KELLY, VP HUMAN RESOURCES RECEIVED $4,564. Schedule J, Part II ESTIMATED DEFINED BENEFIT PLAN AMOUNT IS CALCULATED BASED ON INTEREST RATES IN EFFECT FOR 2013. DUE TO THE DECREASE IN INTEREST RATES, A NEGATIVE AMOUNT FOR DEFERRED COMPENSATION WAS REPORTED FOR THOSE EMPLOYEES ENROLLED IN THE DEFINED BENEFIT PLAN. INCLUDED IN OTHER REPORTABLE COMPENSATION OF THE CFO, WAH-CHUNG HSU, ARE GROSSED UP TAXABLE REIMBURSEMENT OF RELOCATION AND TEMPORARY HOUSING COSTS IN ACCORDANCE WITH HIS EMPLOYMENT AGREEMENT. MR. HSU'S EMPLOYMENT AGREEMENT WAS NEGOTIATED WITH ASSISTANCE FROM A NATIONAL HEALTHCARE RECRUITING FIRM WHICH WAS BASED ON CURRENT MARKET PRACTICES. A City of Upland 956000805 915346FH8 2011-01-27 122414361 See attached statement 0 0 0 A 0 0 126537058 0 0 14667046 1865015 0 0 0 110004997 0 1 0 0 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, Column a-01/27/2011 122,414,361 City of Upland THE CERTIFICATES OF PARTICIPATION WERE ISSUED BY THE CITY OF UPLAND, CALIFORNIA EVIDENCING INDIVIDUAL OWNERSHIP INTERESTS OF THE HOLDERS THERE OF IN INSTALLMENT PAYMENTS TO BE MADE BY THE CITY OF UPLAND FROM PURCHASE PAYMENTS TO BE RECEIVED FROM SAN ANTONIO COMMUNITY HOSPITAL. Schedule K, Part I, Column c-01/27/2011 122,414,361 City of Upland SCHEDULE K, PART I, COLUMN C CUSIP NUMBERS ARE 915346EW6, 915346EX4, 915346EY2, 915346EY2, 915346EZ9, 915346FA3, 915346FB1, 915346FC9, 915346FD7, 915346FE5, 915346FF2, 915346FG0, 915346FJ4 AND 915346FH8 Schedule K, Part I, Column f-01/27/2011 122,414,361 City of Upland BORROWING PROCEEDS TO BE USED FOR THE CONSTRUCTION OF A FOUR STORY PATIENT CARE TOWER, AN ENERGY PLANT, AND RELATED SITE UTILITIES FOR $110,004,997 AND TO REFUND EXISTING LONG TERM DEBT DATED SEPTEMBER 1, 1993 OF $14,667,046. Schedule K, Part V-01/27/2011 122,414,361 City of Upland SAN ANTONIO COMMUNITY HOSPITAL IS IN THE PROCESS OF DEVELOPING POST-ISSUANCE PROCEDURES TO BE IN PLACE PRIOR TO DEBT FINANCED ADDITION BEING PLACED INTO SERVICE. San Antonio Radiological Group Trustee, Carl L. Schultz 336863 COMPENSATION FOR SERVICES 0 Form 990, Part III "OVERVIEW" -SAN ANTONIO COMMUNITY HOSPITAL (SACH) WAS FOUNDED BY DR. WILLIAM HOWARD CRAIG IN 1907, JUST A YEAR AFTER THE CITY OF UPLAND WAS INCORPORATED. AS THE COMMUNITY SURROUNDING THE HOSPITAL GREW, IT BECAME APPARENT THAT LARGER, MORE MODERN FACILITIES WERE NEEDED. FRANCES MARY PAUL, THE WIDOW OF A LOCAL BANKER, SPEARHEADED THE EFFORT TO RAISE FUNDS TO BUILD A NEW HOSPITAL BY PERSONALLY DONATING $75,000. THE COMMUNITY RALLIED AND SUFFICIENT FUNDS WERE RAISED. THE HOSPITAL MOVED ON JULY 30, 1924, FROM ITS ORIGINAL LOCATION ON THE CORNER OF SAN ANTONIO AVENUE AND ARROW HIGHWAY, TO ITS PRESENT LOCATION ON SAN BERNARDINO ROAD. SACH HAS GROWN FROM ITS MODEST BEGINNING AS AN EIGHTEEN-BED HOSPITAL WITH FIVE PHYSICIANS AND LIMITED STAFF TO A 271-BED REGIONAL MEDICAL FACILITY WITH 1,605 FULL TIME EQUIVALENT EMPLOYEES AND A MEDICAL STAFF OF NEARLY 500 PHYSICIANS. IN 2013, THE HOSPITAL HAD 76,690 EMERGENCY ROOM VISITS. SACH IS CURRENTLY CONSTRUCTING THE LARGEST EXPANSION IN ITS 100-YEAR HISTORY TO REPLACE ITS EMERGENCY DEPARTMENT AND ADD A PATIENT TOWER TO MEET THE NEEDS OF THE GROWING POPULATION IN THE WEST END OF CALIFORNIA'S INLAND EMPIRE. Form 990, Part III (Cont. 1) "LEADERSHIP"-SACH IS GOVERNED BY A 15-MEMBER BOARD OF TRUSTEES. THE HOSPITAL'S PRESIDENT AND CHIEF EXECUTIVE OFFICER, AND THE MEDICAL STAFF'S PRESIDENT-ELECT, PRESIDENT, AND IMMEDIATE PAST PRESIDENT ARE MEMBERS OF THE BOARD BY VIRTUE OF THEIR OFFICES. TWO ADDITIONAL PHYSICIANS ARE ELECTED FROM THE MEDICAL STAFF, AND THE REMAINING MEMBERS ARE ELECTED FROM THE COMMUNITY AT-LARGE. THE BOARD OF TRUSTEES, WITH PHYSICIAN LEADERS COMPRISING 33 PERCENT OF ITS MEMBERSHIP, SETS THE DIRECTION FOR THE HOSPITAL AND ITS COMMUNITY BENEFITS PROGRAM. THE EXECUTIVE MANAGEMENT GROUP DIRECTS THE HOSPITAL'S STRATEGIC PLANNING PROCESS AND ALLOCATES RESOURCES FOR COMMUNITY BENEFIT ACTIVITIES. THE EXECUTIVE MANAGEMENT GROUP IS COMPRISED OF THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, CHIEF NURSING OFFICER, VICE PRESIDENT OF HUMAN RESOURCES, VICE PRESIDENT OF ADMINISTRATIVE SERVICES, DIRECTOR OF BUSINESS DEVELOPMENT AND COMMUNITY OUTREACH AND PRESIDENT OF THE HOSPITAL FOUNDATION. DEPARTMENT DIRECTORS ARE RESPONSIBLE FOR THE OPERATION AND MANAGEMENT OF THE INDIVIDUAL DEPARTMENTS. THE DIRECTORS ENCOURAGE EMPLOYEE PARTICIPATION IN COMMUNITY BENEFIT ACTIVITIES, AND IT IS THIS SUPPORT THAT ENSURES THE ULTIMATE SUCCESS OF THE SACH'S COMMUNITY OUTREACH PROGRAM. "OUR COMMITMENT" -THE LEADERSHIP AT SACH HAS AN UNWAVERING COMMITMENT TO THE HOSPITAL'S MISSION, VISION, VALUES, AND STRATEGIC PLAN, WHICH FOCUS ON IMPROVING THE REGION'S OVERALL HEALTH BY PROVIDING QUALITY PATIENT CARE IN A COMPASSIONATE AND CARING ENVIRONMENT. OUR MISSION IS TO IMPROVE THE OVERALL HEALTH OF OUR REGIONAL COMMUNITY BY OFFERING HEALTHCARE SERVICES THAT BOTH COMFORT AND CURE, IN SETTINGS THAT INSPIRE CONFIDENCE, AND IN A MANNER THAT EARNS THE TRUST OF OUR PATIENTS, OUR PHYSICIANS, AND OUR EMPLOYEES. OUR VISION IS TO USE OUR STRENGTHS TO ENHANCE OUR REPUTATION FOR EXCELLENCE IN QUALITY CARE, PATIENT EXPERIENCE, AND AN EXCEPTIONAL WORKING AND PRACTICE ENVIRONMENT. OUR VALUES ARTICULATE THE PRINCIPLES THAT HELP US TO FULFILL OUR MISSION AND VISION, AND OUR STRATEGIC PLAN SPECIFICALLY ADDRESSES THE DEVELOPMENT OF PROGRAMS AND SERVICES IN RESPONSE TO REGIONAL COMMUNITY NEEDS. SACH'S COMMITMENT TO PROVIDING QUALITY CARE FOR ALL MEMBERS OF OUR COMMUNITY HAS RECEIVED NATIONAL RECOGNITION. IN ITS 2009 NATIONAL BENCHMARKS STUDY, THOMSON REUTERS RECOGNIZED SACH AS A "TOP 100 HOSPITAL" IN THE UNITED STATES. SACH WAS THE ONLY LARGE COMMUNITY HOSPITAL IN CALIFORNIA AND THE FIRST CALIFORNIA HOSPITAL IN FOUR YEARS TO RECEIVE AN AWARD. THIS RECOGNITION IS BASED ON PERFORMANCE ACHIEVEMENTS IN NINE AREAS: MORTALITY, MEDICAL COMPLICATIONS, PATIENT SAFETY, AVERAGE LENGTH OF STAY, EXPENSES, PROFITABILITY, CASH-TO-DEBT RATIO, PATIENT SATISFACTION, AND ADHERENCE TO CLINICAL STANDARDS OF CARE. IN ADDITION TO THE TOP 100 HOSPITAL AWARD, THOMAS REUTERS SELECTED SACH AS ONE OF 23 HOSPITALS NATIONALLY TO RECEIVE ITS INAUGURAL "EVEREST" AWARD FOR SUSTAINED OPERATIONAL PERFORMANCE AND RAPID INCREASE IN PERFORMANCE IMPROVEMENT RATES OVER THE PREVIOUS FIVE YEARS. IN ADDITION, HEALTHGRADES HAS RECOGNIZED SACH FOR QUALITY EXCELLENCE IN EMERGENCY MEDICINE, STROKE CARE, AND MATERNITY CARE. IN 2008, SACH BECAME THE 65TH HOSPITAL IN THE UNITED STATES TO RECEIVE THE BABY FRIENDLY DESIGNATION WHICH MEASURES INFANT HEALTH, BREAST FEEDING, AND INFANT-PARENT ATTACHMENT BASED ON GLOBAL CRITERIA DEVELOPED BY THE WORLD HEALTH ORGANIZATION AND UNICEF. SACH HAS ALSO BEEN HONORED BY THE CALIFORNIA HOSPITAL ASSESSMENT REPORTING TASK FORCE (CHART) FOR EXCELLENCE IN CLINICAL AND SAFETY MEASURES. Form 990, Part III (Cont. 2) "CARING FOR OUR COMMUNITY" - COMMUNITY BENEFITS ARE MORE THAN JUST NUMBERS. THEY REPRESENT PEOPLE-MOMS AND DADS, CHILDREN AND GRANDPARENTS, AND THE VULNERABLE. SAN ANTONIO COMMUNITY HOSPITAL GOES ABOVE AND BEYOND THE DELIVERY OF ESSENTIAL PATIENT CARE SERVICES TO ENSURE HEALTHIER CHILDREN, EARLY DETECTION OF DISEASE, AND ENHANCED ACCESS TO BASIC HEALTHCARE SERVICES. IT CAPTURES THE ESSENCE OF OUR PURPOSE: TO IMPROVE HEALTH AND MAKE THE COMMUNITY A BETTER PLACE TO WORK, GROW, AND PLAY. AS A REGIONAL HEALTHCARE PROVIDER, SACH IS COMMITTED TO MAINTAINING THE HIGHEST QUALITY OF CARE FOR THOSE WE SERVE. AS A NONPROFIT HOSPITAL, ALL OF OUR RESOURCES ARE DEVOTED TO PROVIDING HEALTHCARE SERVICES. ANY SURPLUSES GENERATED FROM HOSPITAL OPERATIONS ARE USED TO PURCHASE NEW OR UPGRADED EQUIPMENT, EXPAND SERVICES, AND PROVIDE CARE FOR VULNERABLE POPULATIONS. WHILE THE INLAND EMPIRE IS A MATURING ECONOMIC MARKET, AS A WHOLE, MANY INDIVIDUALS AND FAMILIES ARE AT SIGNIFICANT RISK DURING A MEDICAL CRISIS DUE TO THEIR INABILITY TO ACCESS HEALTH INSURANCE OR AS THE RESULT OF INADEQUATE INSURANCE COVERAGE. THE HOSPITAL'S CHARITY CARE POLICY PROVIDES RELIEF TO THESE FAMILIES WHO WOULD OTHERWISE FACE MEDICAL BANKRUPTCY. DURING 2013, $414,710 (AT COST) IN CHARITY CARE WAS PROVIDED FOR QUALIFYING PATIENTS. IN ADDITION TO THIS DIRECT MEDICAL CARE, SACH REACHES OUT TO ITS COMMUNITY IN A VARIETY OF WAYS THAT GO WELL BEYOND THE TRADITIONAL CARE PROVIDED BY AN ACUTE CARE HOSPITAL. "PLANNING"-SACH CONDUCTS A FORMAL STRATEGIC PLANNING PROCESS INVOLVING SENIOR MANAGEMENT, THE BOARD, THE MEDICAL STAFF LEADERSHIP EVERY THREE YEARS WITH ANNUAL REVIEWS AND UPDATES. IN 2011, THE EXECUTIVE MANAGEMENT TEAM WORKED CLOSELY WITH SACH'S BOARD OF TRUSTEES AND MEDICAL STAFF TO DEVELOP A THREE-YEAR STRATEGIC PLAN FOR 2012 TO 2014, WHICH INCLUDES DETAILS OF STRATEGIC, OPERATIONAL, QUALITY AND COMMUNITY BENEFIT INITIATIVES. IN ADDITION TO PROGRAMMATIC AND SERVICE ENHANCEMENT PROJECTS, THE STRATEGIC PLAN INCLUDES A FACILITIES MASTER PLAN, WHICH CALLS FOR THE RENOVATION AND EXPANSION OF THE HOSPITAL'S MAIN CAMPUS. "FACILITY EXPANSION" - THE EXPANSION, EXPECTED TO OPEN IN LATE 2015, WILL INCLUDE NEW MEDICAL/SURGICAL AND INTENSIVE CARE INPATIENT BEDS AND A NEW EMERGENCY DEPARTMENT, WHICH ARE ESSENTIAL TO ACCOMMODATE THE GROWING NEEDS OF SACH'S SERVICE AREA AND TO OFFSET THE EXPECTED REDUCTION IN THE NUMBER OF MEDICAL/SURGICAL BEDS AS A RESULT OF CURRENT STATE SEISMIC COMPLIANCE REQUIREMENTS. THE TREMENDOUS GROWTH EXPERIENCED IN SACH'S EMERGENCY DEPARTMENT SERVICES IS KEY DRIVER OF THE PLANNED EXPANSION. THE HOSPITAL'S 29-BED EMERGENCY DEPARTMENT, WHICH WAS BUILT IN 1975, WAS DESIGNED TO ACCOMMODATE 30,000 PATIENT VISITS PER YEAR. IN FISCAL YEAR 2013, SACH'S EMERGENCY DEPARTMENT HAD 76,690 VISITS. WITH THE HIGH UNEMPLOYMENT IN THE HOSPITAL'S SERVICE AREA, THE NUMBER OF UNINSURED PATIENTS TREATED IN THE EMERGENCY DEPARTMENT CONTINUES TO RISE, ADDING ADDITIONAL STRESS TO THE ALREADY OVERBURDENED EXISTING FACILITIES. "FOUR-STORY PATIENT TOWER" - THE PRIMARY STRUCTURE IN THE PLANNED ADDITION TO SACH'S FACILITIES WILL BE A FOUR-STORY PATIENT CARE TOWER TO BE CONSTRUCTED ON THE EAST SIDE OF THE HOSPITAL CAMPUS IMMEDIATELY ADJACENT TO THE EXISTING PATIENT TOWER AND ANCILLARY SERVICE DEPARTMENTS. THE FOUR-STORY TOWER DESIGNED TO INCLUDE A 52-BED REPLACEMENT EMERGENCY DEPARTMENT, INCLUDING COMPUTERIZED TOMOGRAPHY ("CT") SCANNING AND OTHER RADIOLOGY CAPABILITIES, 80 MEDICAL/SURGICAL AND TELEMETRY ROOMS, 12 INTENSIVE CARE ROOMS, A NEW MAIN LOBBY, 33,470 SQUARE FEET OF SHELLED SPACE ON THE FIRST FLOOR, AND SITE IMPROVEMENTS INCLUDING PARKING AND LANDSCAPING. Form 990, Part III (Cont. 3) "FACILITY EXPANSION" - THE EXPANSION, EXPECTED TO OPEN IN LATE 2015, WILL INCLUDE NEW MEDICAL/SURGICAL AND INTENSIVE CARE INPATIENT BEDS AND A NEW EMERGENCY DEPARTMENT, WHICH ARE ESSENTIAL TO ACCOMMODATE THE GROWING NEEDS OF SACH'S SERVICE AREA AND TO OFFSET THE EXPECTED REDUCTION IN THE NUMBER OF MEDICAL/SURGICAL BEDS AS A RESULT OF CURRENT STATE SEISMIC COMPLIANCE REQUIREMENTS. THE TREMENDOUS GROWTH EXPERIENCED IN SACH'S EMERGENCY DEPARTMENT SERVICES IS KEY DRIVER OF THE PLANNED EXPANSION. THE HOSPITAL'S 29-BED EMERGENCY DEPARTMENT, WHICH WAS BUILT IN 1975, WAS DESIGNED TO ACCOMMODATE 30,000 PATIENT VISITS PER YEAR. IN FISCAL YEAR 2013, SACH'S EMERGENCY DEPARTMENT HAD 76,690 VISITS. WITH THE HIGH UNEMPLOYMENT IN THE HOSPITAL'S SERVICE AREA, THE NUMBER OF UNINSURED PATIENTS TREATED IN THE EMERGENCY DEPARTMENT CONTINUES TO RISE, ADDING ADDITIONAL STRESS TO THE ALREADY OVERBURDENED EXISTING FACILITIES. "FOUR-STORY PATIENT TOWER" - THE PRIMARY STRUCTURE IN THE PLANNED ADDITION TO SACH'S FACILITIES WILL BE A FOUR-STORY PATIENT CARE TOWER TO BE CONSTRUCTED ON THE EAST SIDE OF THE HOSPITAL CAMPUS IMMEDIATELY ADJACENT TO THE EXISTING PATIENT TOWER AND ANCILLARY SERVICE DEPARTMENTS. THE FOUR-STORY TOWER DESIGNED TO INCLUDE A 52-BED REPLACEMENT EMERGENCY DEPARTMENT, INCLUDING COMPUTERIZED TOMOGRAPHY ("CT") SCANNING AND OTHER RADIOLOGY CAPABILITIES, 80 MEDICAL/SURGICAL AND TELEMETRY ROOMS, 12 INTENSIVE CARE ROOMS, A NEW MAIN LOBBY, 33,470 SQUARE FEET OF SHELLED SPACE ON THE FIRST FLOOR, AND SITE IMPROVEMENTS INCLUDING PARKING AND LANDSCAPING. "ENERGY PLANT AND SITE UTILITIES" - THE ADDITION OF THE NEW FOUR-STORY PATIENT CARE TOWER REQUIRED CONSTRUCTION OF A CONVENTIONAL ENERGY PLANT TO SUPPLEMENT EXISTING CO-GENERATION CAPACITY. THE NEW ENERGY PLANT IS NEAR THE EXISTING ENERGY PLANT IN A LOCATION CONSISTENT WITH APPROPRIATE ENVIRONMENTAL STANDARDS. THE SITE UTILITIES PROJECT WILL CONNECT THE NEW ENERGY PLANT WITH THE NEW FOUR-STORY PATIENT CARE TOWER. "HOSPITAL SERVICES" - SACH PROVIDES A FULL SPECTRUM OF PREVENTIVE ACUTE, PRIMARY, AND SPECIALTY CARE TO THE COMMUNITIES IT SERVICES. THESE SERVICES INCLUDE INPATIENT MEDICAL AND SURGICAL SERVICE, EMERGENCY AND INTENSIVE CARE SERVICES, PALLIATIVE CARE AND A COMMUNITY WELLNESS AND HEALTH PROMOTION PROGRAM. AREAS OF SPECIAL EXPERTISE INCLUDE CARDIOVASCULAR SERVICES PROVIDED AT SACH'S HEART CENTER, SPECIALIZED INFANT CARE PROVIDED AT THE LEVEL II NEONATAL INTENSIVE CARE UNIT (NICU), AND THE DIAGNOSTIC AND TREATMENT SERVICES AVAILABLE AT ITS CANCER CENTER AND GAMMA KNIFE CENTER, Form 990, Part III (Cont. 4) "THE HEART CENTER" - SACH'S HEART PROGRAM COORDINATES THE COMPREHENSIVE CARDIAC SERVICE LINE, INCLUDING NON-INVASIVE CARDIOLOGY, DIAGNOSTIC AND INTERVENTIONAL CARDIAC CATHETERIZATION, CARDIAC NUCLEAR SCANNING, CARDIOVASCULAR SURGERY, AND CARDIAC REHABILITATION. SACH HAS BEEN DESIGNATED AS "STEMI" (ST-ELEVATION MYOCARDIAL INFARCTION)-RECEIVING HOSPITAL BY SAN BERNARDINO, LOS ANGELES AND RIVERSIDE COUNTIES, MEANING THAT THE HOSPITAL HAS THE EQUIPMENT, EXPERTISE AND FACILITIES TO ADMINISTER PERCUTANEOUS CORONARY INTERVENTION, THE PREFERRED METHOD OF TREATING SEVERE HEART ATTACK PATIENTS. SACH IS THE ONLY HOSPITAL IN THE INLAND EMPIRE WITH A THREE-COUNTY DESIGNATION. "CANCER CENTER" - SACH'S CANCER PROGRAM HAS BEEN FULLY ACCREDITED BY THE AMERICAN COLLEGE OF SURGEON'S COMMISSION ON CANCER SINCE 1980. THE HOSPITAL TREATS MORE THAN 800 NEW CANCER CASES PER YEAR. THE CANCER PROGRAM TREATMENT MODALITIES INCLUDE SURGERY, CHEMOTHERAPY, HORMONE THERAPY, AND IMMUNOTHERAPY. OUTPATIENT RADIATION ONCOLOGY SERVICES INCLUDE 3D CONFORMAL, EXTERNAL BEAM, ELECTRON BEAM AND INTENSITY MODULATED THERAPY ("IMRT"). THE CANCER RESOURCE CENTER PROVIDES EDUCATION AND SUPPORT SERVICES FOR CANCER PATIENTS AND THEIR FAMILIES. NURSE NAVIGATORS ARE PART OF THE CANCER TEAM AND MEET WITH EVERY HOSPITALIZED PATIENT WITH CANCER. THE NAVIGATORS ALSO WORK CLOSELY WITH THE PHYSICIANS ON AN OUTPATIENT BASIS TO ENSURE THAT PATIENTS HAVE A POSITIVE EXPERIENCE AS THEY MOVE BETWEEN THE INPATIENT AND OUTPATIENT STATUS DURING DIFFERENT STAGES OF THEIR TREATMENT. "GAMMA KNIFE CENTER" - SACH OFFERS THE ONLY GAMMA KNIFE RADIOSURGERY SYSTEM IN ITS PRIMARY SERVICE AREA. THE GAMMA KNIFE ENABLES THE HOSPITAL'S RADIATION ONCOLOGY AND NEUROSURGERY DEPARTMENT TO CONDUCT NONINVASIVE, OUTPATIENT BRAIN SURGERY, USING LOW-DOSE RADIATION BEAMS TO TARGET TUMORS AND ABNORMAL CELLS WITH PRECISION. THE LESS INVASIVE METHOD IS PERFORMED ON AN OUTPATIENT BASIS, ALLOWING PATIENTS TO RECEIVE TREATMENT AND RETURN HOME THE SAME DAY. "WOMEN'S BREAST AND IMAGING CENTER" - THE WOMEN'S BREAST AND IMAGING CENTER IS LOCATED IMMEDIATELY ADJACENT TO THE MAIN HOSPITAL FACILITY AND OFFERS PATIENTS THE LATEST ADVANCEMENTS IN SCREENING AND DIAGNOSTIC PROCEDURES FOR EARLY DETECTION OF BREAST CANCER. THE CENTER'S TECHNOLOGY INCLUDES DIGITAL MAMMOGRAPHY, ULTRASOUND AND STEREOTACTIC BREAST BIOPSY PROCEDURES. THE NURSE NAVIGATOR COORDINATES THE BREAST CANCER PATIENT'S CARE THROUGHOUT DIAGNOSIS, TREATMENT, AND RECOVERY. ADDITIONAL SCREENING SERVICES FOR WOMEN'S HEALTH OFFERED AT THE CENTER INCLUDE GENERAL ULTRASOUND FOR DIAGNOSING GYNECOLOGICAL DISORDERS AND OSTEOPOROSIS SCREENING FOR ASSESSING BONE HEALTH. A FOCUS OF THE WOMEN'S CENTER IS TO ASSURE THAT THE PATIENT'S EXPERIENCE IS AS POSITIVE AS THEIR MEDICAL OUTCOME. "MATERNAL CHILD SERVICES" - COORDINATES CARE WITH OBSTETRICIANS AND PEDIATRICIANS TO PROVIDE COMPREHENSIVE PRENATAL, DELIVERY AND POSTPARTUM CARE. THE MATERNAL CHILD DEPARTMENT INCLUDES 32 MATERNITY BEDS, FOUR LABOR, DELIVERY AND RECOVERY ROOMS, 10 LABOR, DELIVERY, RECOVERY AND POSTPARTUM ROOMS, A CESAREAN SECTION SURGICAL SUITE AND RECOVERY ROOM, AND A 20-BED NICU. A POSTPARTUM FOLLOW-UP CENTER IS LOCATED NEAR THE MAIN HOSPITAL TO PROVIDE SCREENING AND SUPPORT SERVICES FOR INFANTS AND THEIR PARENTS. THE SERVICES PROVIDED AT THE CENTER ARE OFFERED TO ALL FAMILIES REGARDLESS OF WHERE THEY DELIVERED THEIR BABY, AND THE NOMINAL FEE IS WAIVED FOR ANY FAMILY THAT CANNOT AFFORD TO PAY THE SERVICES PROVIDED BY SACH'S INTERNATIONALLY BOARD CERTIFIED LACTATION CONSULTANT. SACH IS DESIGNATED A BABY FRIENDLY HOSPITAL BY THE WORLD HEALTH ORGANIZATION. THIS DESIGNATION IS AN IMPORTANT PART OF SACH'S HEALTHY BEGINNINGS PROGRAM, WHICH REINFORCES THE BENEFITS OF BREASTFEEDING. "SURGICAL SERVICES" - THE SURGERY DEPARTMENT OPERATES NINE SURGICAL SUITES AND TWO ADDITIONAL SURGICAL SUITES DEDICATED TO CARDIOVASCULAR SURGERIES. THE SURGERY DEPARTMENT PERFORMS APPROXIMATELY 350 INPATIENT AND 350 OUTPATIENT SURGERIES PER MONTH, INCLUDING GENERAL SURGERY AND SURGERIES IN THE SPECIALTIES OF ORTHOPEDICS, CARDIOLOGY, GYNECOLOGY, UROLOGY, OTOLARYNGOLOGY, AND OPHTHALMOLOGY. "IMAGING AND RADIATION ONCOLOGY SERVICES" -THE RADIOLOGY DEPARTMENT PROVIDES IMAGING SERVICES TO SUPPORT SACH'S EMERGENCY, SURGERY, AND OTHER DEPARTMENTS. THE IMAGING SERVICES OFFERED TO BOTH INPATIENTS AND OUTPATIENTS INCLUDE DIAGNOSTIC RADIOLOGY AND FLUOROSCOPY, 64-SLICE CT SCAN, 3-T MAGNETIC RESONANCE IMAGING (MRI), INTERVENTIONAL RADIOLOGY, ULTRASOUND, MAMMOGRAPHY, AND SPECIAL PROCEDURES. THE RADIATION ONCOLOGY DEPARTMENT PROVIDES EXTERNAL BEAM RADIATION FOR THE TREATMENT OF VARIOUS CANCER CONDITIONS AND BRACHYTHERAPY FOR THE TREATMENT OF PROSTATE CANCER. Form 990, Part III (Cont. 5) "COMMUNITY EDUCATION"- SACH OFFERS A BROAD ARRAY OF EDUCATION CLASSES, SUPPORT GROUPS, AND COMMUNITY LECTURES TO MEET THE HEALTH NEEDS OF ITS COMMUNITY. MANY PROGRAMS ARE OFFERED ON-SITE, HOWEVER THERE ARE SOME PROGRAMS PROVIDED AT LOCATIONS THROUGHOUT THE COMMUNITY TO REACH THOSE WHO MAY HAVE SPECIAL NEEDS OR LACK TRANSPORTATION AND WOULD OTHERWISE FAIL TO ACCESS THESE IMPORTANT SERVICES. IN ADDITION TO GAINING KNOWLEDGE ABOUT IMPORTANT HEALTH TOPICS, PARTICIPANTS MAY PARTICIPATE IN FREE SCREENINGS TO IDENTIFY POTENTIAL HEALTH CONCERNS SUCH AS HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, HIGH GLUCOSE, AND SKIN CANCER. "COMMUNITY BENEFIT INITIATIVES" - AS PART OF ITS MISSION TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES, SACH CONDUCTS AN ONGOING ASSESSMENT PROCESS TO IDENTIFY COMMUNITY HEALTH NEEDS. THE HOSPITAL'S COMMUNITY OUTREACH DEPARTMENT SUPPORTS A VARIETY OF SERVICES DESIGNED TO MEET THESE NEEDS, INCLUDING SUPPORT GROUPS, EDUCATIONAL SEMINARS, AND COMMUNITY HEALTH FAIRS, AS WELL AS SEVERAL TARGETED HEALTH INITIATIVES. A FEW OF THESE PROGRAMS ARE HIGHLIGHTED HERE. "HEALTHY BEGINNINGS" - SACH'S MATERNAL/CHILD SERVICES, COLLECTIVELY KNOWN AS HEALTHY BEGINNINGS, IS COMMITTED TO PROVIDING EXCELLENT SERVICE AND CARE, WHICH RESULT IN THE BEST POSSIBLE OUTCOME FOR THE NEWEST MEMBERS OF ITS COMMUNITY AND THEIR FAMILIES. IN SUPPORT OF THIS GOAL, THE HOSPITAL ENGAGED IN AN EXTENSIVE PROCESS TO BECOME A "BABY FRIENDLY HOSPITAL," WHICH IS AN INTERNATIONAL DESIGNATION RECOGNIZING THE INSTITUTION'S COMPREHENSIVE PROGRAM SUPPORTING BREASTFEEDING AND INFANT/PARENT BONDING. AS PART OF THIS PROGRAM, PARENTS ARE ENCOURAGED TO TAKE ADVANTAGE OF THE MANY EDUCATIONAL OPPORTUNITIES AND SUPPORT SERVICES OFFERED BEFORE, DURING, AND AFTER DELIVERY. EXPECTANT PARENTS ATTENDING THE BREASTFEEDING CLASS RECEIVE ENCOURAGEMENT AND INSTRUCTION TO PROMOTE A SUCCESSFUL BREASTFEEDING EXPERIENCE. INTERNATIONALLY BOARD CERTIFIED LACTATION CONSULTANTS, SUPPORTED BY LACTATION EDUCATORS, ARE AVAILABLE TO PROVIDE SUPPORT DURING THE FAMILY'S HOSPITAL STAY, AND EVERY FAMILY IS ENCOURAGED TO VISIT THE HEALTHY BEGINNINGS NEWBORN FEEDING CENTER AFTER THEY LEAVE THE HOSPITAL. IN ADDITION TO PROVIDING BREASTFEEDING EVALUATION AND SUPPORT, THE NEWBORN FEEDING CENTER ASSESSES MOTHER AND NEWBORN, PROVIDING REFERRALS TO COMMUNITY RESOURCES WHEN NEEDED. THIS THOROUGH EVALUATION PROCESS HAS YIELDED SIGNIFICANT OUTCOMES INCLUDING A REDUCTION IN NEWBORN READMISSION RATES, INCREASED BREASTFEEDING RATES, EARLY INTERVENTION FOR DEVELOPMENT DELAYS AND IDENTIFICATION AND TREATMENT OF POSTNATAL ILLNESS, FROM BABY BLUES TO POSTPARTUM PSYCHOSIS. WHILE SOME FAMILIES JUST NEED REASSURANCE THAT THEIR BABY IS THRIVING, OTHERS MAY REQUIRE FURTHER EDUCATION OR SUPPORT, AND A FEW REQUIRE INTERVENTION OR TREATMENT. THE CENTER OFFERS SUPPORT TO ALL NEW FAMILIES IN THE COMMUNITY, REGARDLESS OF WHERE THEIR BABIES ARE BORN. IN FACT, MANY LOCAL PEDIATRICIANS INCLUDE A VISIT TO THE CENTER AS PART OF THE DISCHARGE INSTRUCTIONS FOR THEIR PATIENTS. "DENTAL CENTER" - THE SAN ANTONIO COMMUNITY HOSPITAL DENTAL CENTER HAS BEEN OPERATING FOR OVER 75 YEARS WITH THE MISSION TO PROVIDE DENTAL CARE TO LOW-INCOME, UNINSURED CHILDREN IN WESTERN SAN BERNARDINO COUNTY. ONCE LOCATED ON THE HOSPITAL'S CAMPUS, THE DENTAL CENTER IS NOW HOUSED IN A DEDICATED BUILDING IN RANCHO CUCAMONGA OWNED AND OPERATED BY THE ASSISTANCE LEAGUE OF THE FOOTHILL COMMUNITIES. SACH CONTINUES TO PROVIDE FINANCIAL ASSISTANCE AND OTHER SERVICES TO SUPPORT THE PROGRAM. THE DENTAL CENTER OPERATES DURING THE SCHOOL YEAR, WITH CLINICS HELD FROM OCTOBER THROUGH MAY. THE DENTAL CENTER'S GOAL IS TO EDUCATE CHILDREN ABOUT THE IMPORTANCE OF DENTAL HYGIENE AND TO PROVIDE PROPHYLACTIC AND THERAPEUTIC DENTAL AND ORTHODONTIC SERVICES. SOME OF THE CHILDREN TREATED HAVE BEEN UNABLE TO EAT PROPERLY OR TO FUNCTION IN SCHOOL DUE TO THE PAIN BEING EXPERIENCED. THE DENTAL CENTER IS A PRIME EXAMPLE OF THE BENEFITS THAT CAN BE PROVIDED TO FAMILIES IN NEED THROUGH COLLABORATIVE EFFORTS. SACH, THE ASSISTANCE LEAGUE OF THE FOOTHILL COMMUNITIES, VOLUNTEER DENTISTS, HYGIENISTS AND OTHER HEALTH AND DENTAL PROFESSIONALS, ALONG WITH A VARIETY OF FUNDING AGENCIES ARE DEVOTED TO IMPROVING THE HEALTH AND WELL-BEING OF ELEMENTARY AND JUNIOR HIGH SCHOOL CHILDREN THROUGHOUT THE COMMUNITY. "SAFE SURRENDER" -SACH'S SAFE SURRENDER PROGRAM AND DVD ENTITLED "SAFE SURRENDER. NO SHAME. NO BLAME. NO NAMES." IS A WONDERFUL EXAMPLE OF HOW THE HOSPITAL AND ITS EMPLOYEES RECOGNIZE AND TAKE OWNERSHIP IN COMMUNITY HEALTH ISSUES WHERE THEY CAN MAKE A DIFFERENCE. OFFICIALLY CALLED THE "SAFE HAVEN" LAW, THE SAFE SURRENDER PROGRAM ENSURES THAT A BABY CAN BE SURRENDERED ANONYMOUSLY TO ANY HOSPITAL, FIRE DEPARTMENT, OR POLICE DEPARTMENT WITHOUT CRIMINAL REPERCUSSIONS. WHILE MANY HEALTHCARE WORKERS WERE AWARE OF THE LAW, FEW JUNIOR HIGH, HIGH SCHOOL AND COLLEGE STUDENTS KNEW ABOUT THIS SAFE AND SECURE OPTION FOR BOTH INFANT AND PARENTS. PRODUCED IN PARTNERSHIP WITH COLLEGE FILM STUDENTS, SAFE SURRENDER. NO SHAME. NO BLAME. NO NAMES. CONTAINS POWERFUL IMAGERY AND INTERVIEWS WITH TEENAGE GIRLS WHO RELATE TO YOUNG WOMEN AT THEIR OWN LEVEL. THE DVD IS AVAILABLE FREE OF CHARGE TO ANYONE WILLING TO HELP RAISE AWARENESS OF THE SAFE SURRENDER ALTERNATIVE TO INFANT ABANDONMENT. TO DATE MORE THAN 2,300 COPIES OF THE DVD HAVE BEEN DISTRIBUTED TO OVER 750 DIFFERENT COMMUNITY ORGANIZATIONS, SCHOOL DISTRICTS, NURSE EDUCATORS AND TEACHERS. THE SAN BERNARDINO COUNTY SUPERINTENDENT OF SCHOOLS, THROUGH ITS SCHOOL LINKED HEALTH PROGRAMS AND PARTNERSHIPS, HAS INCORPORATED THE HOSPITAL'S SAFE SURRENDER DVD INTO ITS POSITIVE PREVENTION PLUS SEX EDUCATION CURRICULUM. SAN BERNARDINO COUNTY HAS ROLLED THE PROGRAM OUT TO ALL 34 OF ITS SCHOOL DISTRICTS, EDUCATING NURSES AND TEACHERS AND TARGETING THOUSANDS OF MIDDLE SCHOOL AND HIGH SCHOOL STUDENTS. BECAUSE OF THE POSITIVE IMPACT, SAN BERNARDINO COUNTY PRINTS THE CURRICULUM FOR DISTRIBUTION TO SCHOOL DISTRICTS THROUGHOUT CALIFORNIA WHO REQUEST IT. IT IS ALSO AVAILABLE THROUGH THE DEPARTMENT OF EDUCATION'S HEALTHY KIDS RESOURCE CENTER. WITH THE ADDITIONAL EXPOSURE THROUGH THE SCHOOL CURRICULUM, THE NUMBER OF YOUNG PEOPLE TOUCHED BY THE DVD'S MESSAGE WILL CONTINUE TO GROW. "HEALTH AND HOT RODS" SAN ANTONIO COMMUNITY HOSPITAL'S MISSION IS TO IMPROVE THE OVERALL HEALTH OF OUR REGIONAL COMMUNITY BY OFFERING HEALTHCARE SERVICES THAT BOTH COMFORT AND CURE, IN SETTINGS THAT INSPIRE CONFIDENCE, AND IN A MANNER THAT EARNS THE TRUST OF OUR PATIENTS, OUR PHYSICIANS, AND OUR EMPLOYEES. IN LINE WITH THIS PURPOSE, A MEN'S HEALTH EVENT AND CAR SHOW WAS DESIGNED TO HEIGHTEN AWARENESS OF PREVENTABLE HEALTH PROBLEMS AND TO ENCOURAGE EARLY DETECTION AND TREATMENT OF DISEASE AMONG MEN. IN OUR FIRST ANNUAL EVENT WE WERE OVERWHELMED BY THE RESPONSE AND SUPPORT FROM THE COMMUNITY. THE EVENT CONSISTS OF A CLASSIC CAR AND HOT RODS SHOW. MORE IMPORTANTLY ALL GUESTS ARE ENCOURAGED TO PARTICIPATE IN A BIOMETRIC SCREENING AND TO LISTEN TO PHYSICIAN SPEAKERS. THE SCREENING INCLUDES HEIGHT, WEIGHT, WAIST, BMI, BLOOD PRESSURE, GLUCOSE, AND CHOLESTEROL READINGS. AT THE COMPLETION OF THE SCREENING, GUESTS CAN SIT WITH A HEALTH COACH TO DISCUSS THEIR RESULTS AND CREATE A PLAN FOR NEXT STEPS, WHICH MAY INCLUDE FOLLOWING UP WITH A PHYSICIAN, CREATING A PLAN TO INCREASE PHYSICAL ACTIVITY, AND MONITORING BLOOD PRESSURE, TO NAME A FEW. AT THIS EVENT GUESTS ALSO HAVE THE OPPORTUNITY TO LISTEN TO PHYSICIANS ADDRESS IMPORTANT HEALTH TOPICS AFFECTING MEN. IN 2013 THE TOPICS INCLUDED HEART DISEASE, PROSTATE CANCER, AND TARGETED HEALTH SCREENINGS FOR MEN. WE ANTICIPATE THAT THIS PROGRAM WILL CONTINUE TO GROW AND DRAW INTEREST REGION WIDE. ONE PARTICIPANT SHARED THAT THE MOST UNIQUE ASPECT ABOUT THIS EVENT WAS HOW WE WERE ABLE TO INTEGRATE HEALTH INTO THE CAR SHOW. HE SAID, "I SAW MY FRIENDS LISTENING TO A CARDIOLOGIST TALK ABOUT TAKING CARE OF YOUR HEART AND EATING HEALTHY AND EXERCISING. I NEVER COULD HAVE IMAGINED SEEING THESE MEN IN A VENUE LIKE THAT BEFORE. WE NEED MORE THINGS LIKE THIS." THE HOSPITAL WILL CONTINUE TO ENGAGE ALL PERSONS IN BEING CHAMPIONS FOR THEIR OWN HEALTH. Form 990, Part III (Cont. 6) "WOMEN CARING FOR WOMEN" THERE ARE MANY WOMEN IN THE WEST END WHO FAIL TO ACCESS THE SERVICES THEY NEED, MOST OFTEN DUE TO CIRCUMSTANCES BEYOND THEIR CONTROL. THE WOMEN CARING FOR WOMEN (WCW) PROGRAM PROVIDES A LIFELINE TO WOMEN IN NEED. THE GREATEST IMPEDIMENT TO OBTAINING APPROPRIATE BREAST CANCER TREATMENT IS THE LACK OF ADEQUATE HEALTH INSURANCE, AND IN TODAY'S TENUOUS ECONOMIC ENVIRONMENT, THE NUMBER OF UNINSURED AND UNDER INSURED WHO LACK THE ABILITY TO PAY THEIR SHARE OF THE COST FOR BREAST CANCER SCREENING AND DIAGNOSTIC SERVICES IS GROWING AT AN ALARMING RATE. FUNDED THROUGH A PARTNERSHIP WITH SUSAN G. KOMEN INLAND EMPIRE, THIS PROGRAM IS RESPONDING TO A SIGNIFICANT COMMUNITY NEED IN THE HOSPITAL'S SERVICE AREA. WOMEN, PARTICULARLY YOUNG WOMEN UNDER 40 WHO CANNOT QUALIFY FOR COUNTY FUNDED PROGRAMS UNTIL AFTER A DIAGNOSIS IS MADE, CAN NOW TURN TO WOMEN CARING FOR WOMEN TO RECEIVE CRITICAL DIAGNOSTIC SERVICES THAT WILL EITHER RULE OUT CANCER OR PROVIDE THE DIAGNOSIS NEEDED TO ACCESS SAFETY NET PROGRAMS THROUGH THE COUNTY. BREAST CANCER DOES NOT DISCRIMINATE AGAINST AGE, RACE, OR GENDER. THIS WAS THE CASE WITH A 45 YEAR-OLD MOTHER DIAGNOSED WITH STAGE 3 BREAST CANCER. THIS MOTHER, LIKE MANY OTHER WOMEN WITHOUT HEALTH COVERAGE, FOUND HER RESOURCES TO BE VERY LIMITED. DISCOURAGED AND IN DENIAL ABOUT WHAT SHE FELT, SHE WENT UNDIAGNOSED FOR ONE YEAR UNTIL SHE FOUND SUPPORTIVE SERVICES IN HER AREA. THE STORY WAS ALL TOO FAMILIAR WHEN FOUR YEARS LATER HER 21 YEAR-OLD DAUGHTER DISCOVERED A LUMP IN HER BREAST. AFTER DISCUSSING THE FINDING WITH HER MOTHER, HER MOTHER IMMEDIATELY CALLED THE NURSE NAVIGATOR AT THE WOMEN'S BREAST AND IMAGING CENTER. SHE RECALLED THE TIME SPENT AT THE CENTER FOR SUPPORT GROUPS AND IT WAS ALSO WHERE SHE LEARNED ABOUT THE WCW PROGRAM. FORTUNATELY, THE DIAGNOSIS WAS A CYST. IN ADDITION TO SERVICES PROVIDED THROUGH THE WOMEN'S CENTER, THE HOSPITAL HAS LOCATED ITS CANCER EDUCATION CENTER ACROSS THE HALL AND OFFERS A WIDE VARIETY OF CANCER SURVIVORSHIP, SUPPORT GROUPS, AND RESOURCES FOR CANCER PATIENTS AND THEIR FAMILIES. CLASSES AND SUPPORT GROUPS INCLUDE NUTRITIONAL CARE, EXERCISE, PILATES, CAREGIVER SUPPORT, AND PATIENT SUPPORT. AN ON SITE SALON PROVIDES FREE WIGS AND HOSTS THE AMERICAN CANCER SOCIETY'S LOOK GOOD FEEL BETTER PROGRAM.THE SAN ANTONIO HOSPITAL FOUNDATION HAS COLLABORATED WITH A NUMBER OF LOCAL COMMUNITY PARTNERS TO PROVIDE FREE MAMMOGRAM SCREENING FOR VULNERABLE, AT RISK WOMEN WHO ARE UNINSURED, UNDER INSURED, AND LACK THE FINANCIAL RESOURCES TO ACCESS THIS CRITICALLY IMPORTANT PREVENTIVE HEALTH SERVICE. SAN ANTONIO COMMUNITY HOSPITAL IS COMMITTED TO MEETING THE NEEDS OF WOMEN FACING BREAST CANCER SO THEY CAN RECEIVE THE CARE AND TREATMENT THEY NEED IN AN ENVIRONMENT THAT SUPPORTS THEIR UNIQUE NEEDS THROUGH DIAGNOSIS, TREATMENT, AND RECOVERY. "GENERATIONS AHEAD" OLDER ADULTS WHO REMAIN PHYSICALLY ACTIVE AND PURSUE HEALTHY LIFESTYLES ARE FINDING THAT VITALITY, RATHER THAN DISABILITY, IS DEFINING THEIR CONCEPT OF FUTURE HEALTH STATUS. THE GROWING NEEDS OF SENIORS SPURRED THE DEVELOPMENT OF A MEMBERSHIP PROGRAM CREATED TO AUGMENT TRADITIONAL GERIATRIC SERVICES. GENERATIONS AHEAD HAS BEEN DESIGNED TO MEET THE SPECIAL HEALTH AND EDUCATIONAL NEEDS OF SENIORS THROUGH TARGETED SERVICES AND PROGRAMS. THE HOSPITAL HAS PARTNERED WITH PHYSICIANS TO PROVIDE PRESENTATIONS THAT ADDRESS SENIOR HEALTH ISSUES, WHICH INCLUDE OSTEOPOROSIS, DIABETES, STROKE PREVENTION, AND MORE. IN ADDITION TO PHYSICIAN PARTNERSHIPS, OTHER ORGANIZATIONS IN THE COMMUNITY SUCH AS SENIOR CENTERS AND LOCAL NON PROFITS HAVE SHOWN THEIR SUPPORT BY ENCOURAGING THEIR SENIOR POPULATION TO BE PARTICIPANTS IN GENERATIONS AHEAD. THE PROGRAM HAS OVER 500 MEMBERS AND CONTINUES TO GROW. SERVICES PROVIDED THROUGH GENERATIONS AHEAD INCLUDE FREE SCREENINGS, DISCOUNTS IN THE CAFE AND GIFT SHOP AT THE HOSPITAL, AND MORE. GENERATIONS AHEAD IS DIRECTED BY A THREE MEMBER TEAM THAT PLANS AND COORDINATES THE MONTHLY LECTURES. DOLORES SIMMONS, PRESIDENT OF THE AUXILIARY BOARD AND SOCIAL COORDINATOR FOR GENERATIONS AHEAD, SAID "THIS PROGRAM HAS BEEN WELL RECEIVED BECAUSE IT AFFIRMS THE HOSPITAL'S DEDICATION TO PROVIDING SERVICES FOR OLDER ADULTS AND PROVIDES THEM WITH AN OUTLET TO GAIN NEW KNOWLEDGE AND RESOURCES. THE TOPICS HAVE ALL BEEN VERY INTERESTING AND TIMELY, ESPECIALLY THE MEDICARE SERIES. SENIORS VALUED THE OPPORTUNITY TO LEARN MORE AND TO GAIN AN UNDERSTANDING ABOUT WHERE THEY CAN TURN FOR ASSISTANCE." THE HOSPITAL BELIEVES IN PROMOTING THE INDEPENDENCE SENIORS DESIRE, WHILE OFFERING THE ASSISTANCE THEY NEED. GENERATIONS AHEAD OFFERS A SEAMLESS ARRAY OF PROGRAMS FOR THIS POPULATION AND CONTINUES TO EXPAND TO MEET THE DIVERSE NEEDS OF THE POPULATION BEING SERVED. "HAPPY CHILDREN'S HEALTH INITIATIVE" - SACH IS AN ACTIVE PARTICIPANT IN HEALTHY ONTARIO'S PREVENTION AND WELLNESS AND HEALTHCARE ACCESS WORKGROUPS. THESE INITIATIVES ARE CLOSELY ALIGNED WITH THE HOSPITAL'S GOAL TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES WE SERVE AND PROVIDE A TANGIBLE MEANS FOR THE HOSPITAL TO RESPOND TO IDENTIFIED COMMUNITY NEEDS. HEALTHCARE ACCESS WITHIN SAN BERNARDINO COUNTY IS PARTICULARLY CHALLENGING GIVEN THAT 13.8% OF THE 0-17 POPULATION IS UNINSURED AND 6.8% DO NOT HAVE A REGULAR MEDICAL HOME. AS A RESULT, ACCESS FOR THIS PARTICULAR POPULATION IS PRIMARILY THROUGH THE 911 SYSTEM AND HOSPITAL EMERGENCY DEPARTMENTS. ONE OF THE KEY OBJECTIVES ESTABLISHED BY THE HEALTHCARE ACCESS WORKGROUP WAS TO ENCOURAGE APPROPRIATE UTILIZATION OF HIGH-COST SERVICES AND SYSTEMS, AND TO PROPERLY CHANNEL RESOURCES TO INCREASE ACCESS TO PREVENTIVE AND PRIMARY CARE. IT IS OUT OF THIS OBJECTIVE THAT HAPPY (HEALTH ACCESS PARTNERSHIP PROJECT FOR YOUTH) WAS BORN. HAPPY'S GOALS ARE TO INCREASE HEALTH PLAN ENROLLMENT FOR QUALIFIED CHILDREN, CONDUCT HEALTH SCREENINGS FOR CHILDREN WITHOUT ACCESS TO HEALTHCARE THROUGH COLLABORATION AND COORDINATION OF CARE AMONG PUBLIC AND PRIVATE ENTITIES, AND TO DEMONSTRATE COST SAVINGS THROUGH NEW MODELS OF HEALTH CARE FOR CHILDREN WITHIN TARGETED GROUPS. CHILDREN ARE ENROLLED IN THE HAPPY CLUB THROUGH KIDS COME FIRST COMMUNITY CLINIC AND ARE GIVEN AN IDENTIFICATION CARD. ALL SERVICES PROVIDED THROUGH THE PROGRAM ARE MONITORED AND EVALUATED TO MEASURE HEALTH OUTCOMES. THE HAPPY PROJECT IS DESIGNED TO INCREASE ACCESS TO CHILDREN'S PREVENTATIVE HEALTH SERVICES SUCH AS REGULAR MEDICAL CHECK-UPS, PREVENTATIVE AND WELLNESS CARE, SCREENING AND ASSESSMENT, IMMUNIZATIONS, HEALTH EDUCATION AND SPECIALTY CARE REFERRALS. THE PROGRAM BEGAN IN THE SUMMER OF 2009, BUT ENROLLMENT DID NOT BEGIN IN EARNEST UNTIL SCHOOL WAS IN SESSION. TODAY, THE HAPPY CLUB HAS ENROLLED WELL OVER 1,500 CHILDREN OVER. SINCE ITS INCEPTION, THE HAPPY CLUB HAS MADE A TREMENDOUS DIFFERENCE IN THE LIVES OF MANY CHILDREN AND THEIR FAMILIES BY FILLING THE GAP IN THE SAFETY NET. EACH CHILD ENROLLED IN THE HAPPY CLUB RECEIVES A MEDICAL SCREENING, AND IN MANY CASES THESE SCREENINGS LEAD TO EARLY INTERVENTION AND REFERRALS TO CRITICALLY NEEDED MEDICAL CARE. THIS IS WHERE SACH STEPS IN TO HELP BY FACILITATING REFERRALS TO PHYSICIANS WHO CAN PROVIDE THE SPECIALIZED MEDICAL CARE NEEDED. IN ADDITION TO ARRANGING FOR REFERRALS TO PEDIATRIC SPECIALISTS ON ITS MEDICAL STAFF, SACH PROVIDES LABORATORY, RADIOLOGY, CARDIOLOGY AND VARIOUS OTHER DIAGNOSTIC PROCEDURES FOR HAPPY CHILDREN WHO NEED FURTHER MEDICAL FOLLOW-UP. IN ADDITION TO THE EXPENSE INCURRED BY THE HOSPITAL, PHYSICIAN SPECIALISTS INCLUDING RADIOLOGISTS AND CARDIOLOGISTS DONATE THEIR TIME AND RESOURCES TO INTERPRET THE DIAGNOSTIC EXAMS AND REPORT THEIR FINDINGS TO THE MEDICAL DIRECTOR AT THE KIDS COME FIRST CLINIC. ACCESS TO DIAGNOSTIC TESTING HAS ENABLED THE MEDICAL PROVIDERS AT THE CLINIC TO IDENTIFY AND TREAT HEALTH PROBLEMS THAT HAD GONE UNDIAGNOSED DUE TO THE FAMILY'S INABILITY TO ACCESS MEDICAL CARE FOR THEIR CHILD. WITHOUT TREATMENT, MANY OF THESE CHILDREN ARE AT RISK FOR MORE SERIOUS HEALTH PROBLEMS THAT CAN DEVELOP INTO LIFELONG CHRONIC DISEASES SUCH AS DIABETES. HEALTHY ONTARIO'S EXPERIENCE HAS DEMONSTRATED THAT NEW WAYS OF THINKING ABOUT HEALTH CAN LEAD TO INNOVATIVE MODELS OF CARE LIKE THE HAPPY CLUB, WHICH IS EFFECTIVELY FILLING SOME OF THE HOLES IN THE HEALTHCARE SAFETY NET. THE HOPE FOR THE FUTURE IS THAT THE SUCCESS ACHIEVED BY HEALTHY ONTARIO'S HAPPY PROGRAM WILL BECOME A MODEL THAT OTHER CITIES CAN REPLICATE TO MIRROR THE HAPPY CLUB'S SUCCESS IN THEIR OWN COMMUNITIES. Form 990, Part VI, Section B, Line 10a THE HOSPITAL HAS A MEDICAL STAFF ACTIVITY WHOSE ACTIVITIES ARE SEPARATE FROM THE HOSPITAL'S BUT THE HOSPITAL'S GOVERNING BOARD HAS ULTIMATE AUTHORITY OVER CERTAIN MEDICAL STAFF ACTIONS Form 990, Part VI, Section B, Line 11b THE FORM IS PREPARED INTERNALLY BY THE ORGANIZATION'S ACCOUNTING DEPARTMENT AND REVIEWED BY THE ORGANIZATION'S CFO. THE FORM IS THEN REVIEWED BY THE ORGANIZATION'S EXTERNAL FINANCIAL AND TAX AUDIT FIRM. FOLLOWING THE EXTERNAL REVIEW, THE CFO REVIEWS THE FORM WITH THE ORGANIZATION'S CEO. THE FORM IS THEN SENT TO MEMBERS OF THE ORGANIZATION'S BOARD AUDIT COMMITTEE FOR REVIEW AND APPROVAL. THE FORM IS THEN SENT TO THE ENTIRE ORGANIZATION BOARD PRIOR TO FINAL SIGNATURES AND FILING. Form 990, Part VI, Section B, Line 12c THE ORGANIZATION HAS A COMPLIANCE OFFICER WHO REVIEWS THE ORGANIZATION'S COMPLIANCE POLICIES, INCLUDING ITS CONFLICT OF INTEREST STATEMENTS, AT LEAST ANNUALLY. THE ORGANIZATION'S BOARD HAS AN ORGANIZATION MEETING EVERY JANUARY. AT THE ANNUAL ORGANIZATION MEETING CONFLICT OF INTEREST STATEMENTS ARE DISTRIBUTED TO ALL BOARD MEMBERS AND OFFICERS AND SUBSEQUENTLY COLLECTED BY THE ORGANIZATION'S COMPLIANCE OFFICER. THE CFO, WHO ATTENDS ALL BOARD MEETINGS, ALSO REVIEWS THE BOARD CONFLICT OF INTEREST STATEMENTS. IF A NEW POTENTIAL CONFLICT OF INTEREST ARISES DURING THE YEAR, A NEW CONFLICT OF INTEREST STATEMENT IS SIGNED. IF A POTENTIAL CONFLICT OF INTEREST EXISTS DURING A BOARD DISCUSSION, THE BOARD MEMBER IS REQUIRED TO STATE THE CONFLICT AND ABSTAIN FROM ANY RELATED BOARD VOTES. BOARD MINUTES REFLECT THESE ABSTENTIONS. AT LEAST SEMI-ANNUALLY, THE ORGANIZATION'S COMPLIANCE OFFICER PROVIDES A VERBAL COMPLIANCE UPDATE AT A BOARD MEETING AND REMINDS BOARD MEMBERS OF THEIR DUTY TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST. THE ORGANIZATION FOLLOWS A SIMILAR ANNUAL PROCEDURE FOR MEMBERS OF ITS EXECUTIVE MANAGEMENT AND DEPARTMENT DIRECTORS, INCLUDING AT LEAST ANNUAL COMPLIANCE EDUCATION SESSIONS. Form 990, Part VI, Section B, Line 15 THE ORGANIZATION'S EXECUTIVE COMPENSATION PROGRAM IS DIRECTED BY THE COMPENSATION COMMITTEE OF THE BOARD. THE ORGANIZATION HAS DEVELOPED AND APPROVED A FORMAL EXECUTIVE COMPENSATION POLICY THAT CURRENTLY COVERS SIX SENIOR MANAGEMENT EMPLOYEES, INCLUDING THE CEO AND THE CFO. A COMPREHENSIVE BASE PAY AND TOTAL EXECUTIVE COMPENSATION ANALYSIS IS PERFORMED BY AN OUTSIDE COMPENSATION CONSULTING FIRM EVERY TWO YEARS. IN THE INTERVENING YEARS AN ANALYSIS OF SACH'S EXECUTIVE PAY IS REVIEWED AGAINST THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA'S EXECUTIVE COMPENSATION SURVEY. THE CONSULTANT PRESENTS THE SURVEY DATA AND ANALYSIS TO THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THE EXTERNAL COMPENSATION STUDY INCLUDES AN EVALUATION FOR EXCESS BENEFIT TRANSACTIONS UNDER THE INTERMEDIATE SANCTIONS FOR TAX EXEMPT ORGANIZATIONS AND AN ANALYSIS OF BOTH BASE AND TOTAL COMPENSATION OF ALL MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM AND THEIR SALARY POSITION IN RELATION TO THE FIFTIETH AND SIXTY FIFTH PERCENTILE OF THE MARKET. HOWEVER, THE CONSULTANT IS NOT EITHER TAX OR LEGAL COUNSEL AND THEREFORE CANNOT ASSURE COMPLIANCE WITH IRC 4958 BUT RATHER ASSURES THAT SACH'S EXECUTIVE COMPENSATION PRACTICES FALL BETWEEN THE FIFTIETH AND SIXTY FIFTH PERCENTILE OF THE MARKET PLACE AND DO NOT EXCEED THE SEVENTY FIFTH PERCENTILE. THE LATEST SURVEY AND ANALYSIS WERE CONDUCTED IN FEBRUARY OF 2014. THE CONSULTANT USED SURVEY DATA FROM FOUR DIFFERENT PUBLISHED SURVEYS THAT INCLUDE CA HOSPITALS WITH COMPARABLE REVENUES, EMPLOYEES AND COMPLEXITY. COMPENSATION COMMITTEE REVIEWS THE EXTERNAL CONSULTANT'S FINDINGS IN ACCORDANCE WITH THE COMPENSATION POLICY AND THEIR CHARTER AND PROVIDES DIRECTION FOR ANY NEEDED COMPENSATION POLICY OR PAY RANGE CHANGES FOR THE CEO AND APPROVES ANY SUCH RECOMMENDATIONS THAT MAY BE MADE BY THE CEO FOR OTHER EXECUTIVES. OTHER KEY EMPLOYEE COMPENSATION, VICE PRESIDENTS AND DEPARTMENT DIRECTORS, IS EVALUATED BASED ON MARKET BASED COMPENSATION SURVEY DATA PROVIDED BY THE HOSPITAL COUNCIL OF SOUTHERN CALIFORNIA TAKING INTO CONSIDERATION PAY RATES FOR SIMILAR MANAGEMENT POSITIONS AT SACH. THE PROCEDURES DESCRIBED HERE ARE DOCUMENTED IN THE BOARD MINUTES. Form 990, Part VI, Section C, Line 19 THE ORGANIZATION HAS NOT MADE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST STATEMENTS AVAILABLE TO THE PUBLIC. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE PART OF THE ORGANIZATION'S ANNUAL REPORT FILED WITH THE CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) AND ARE AVAILABLE ON THE OSHPD WEB SITE. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE ALSO INCLUDED AS PART OF ITS ANNUAL MEDICARE AND MEDICAID COST REPORT FILINGS WHICH ARE PUBLICALLY AVAILABLE ON THE CMS (MEDICARE) WEB SITE. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE ALSO PROVIDED TO ANYONE UPON A VERBAL OR WRITTEN REQUEST. THE AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THE FORM 990 IN ACCORDANCE WITH THE IRS INSTRUCTIONS. Form 990, Part IX, Line 24e OTHER EXPENSES INCLUDE RECRUITMENT OF $193,406, COLLECTION EXPENSE OF $427,488 AND INVENTORY WRITE OFFS OF -$770,674. Form 990, Part XI, Line 9 "OTHER CHANGES IN NET ASSETS" - CHANGE IN ADDITIONAL MINIMUM PENSION LIABILITY 23,083,038, PLUS INCREASE IN SAHF - TEMPORARILY RESTRICTED NET ASSETS FOR SAHF OF 2,550,067, INCREASE OF INTEREST OF SUBSIDIARY SAHF - EARNINGS OF $10,000 AND $(50) PRIOR PERIOD ADJUSTMENT FOR MEDICAL STAFF EXPENSE. San Antonio Hospital Foundation Inc 999 San Bernardino Road Upland CA 91786 330042666 Support SACH CA 501c(3) 7 SACH 1 San Antonio Community Hospital Health Care Plan 999 San Bernardino Road Upland CA 91786 237391094 Health Plan services CA 501c(9) SACH 1 Cucamonga Health Services 999 San Bernardino Road Upland CA 91786 330010073 Holding company CA SACH C 1381 324543 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 San Antonio Hospital Foundation Inc b 73250 MARKET VALUE San Antonio Hospital Foundation Inc r 721858 MARKET VALUE San Antonio Community Hospital Health Care Plan r 10065218 MARKET VALUE