Health profile of Sidoarjo Regency shows that currently Sidoarjo only has one Regional General Hospital, namely RSUD Sidoarjo class B which is located on Jalan Mojopahit, Sub-District of Sidoarjo. Since the establishment of BPJS in 2014, the number of visitors in RSUD Sidoarjo has increased, which is about 1,200 to 1,300 patients each day. In 2015, there are 990,000 residents out of 2,129,463 inhabitants in Sidoarjo Regency who participated in BPJS, and the number will continue to grow. This condition will cause difficulty in RSUD Sidoarjo if there is no supported from RSUD class C or D, which can serve as a feeder and/ or screening in order to better pre-hospital/ pre-referral handling. On the other hand, for West Sidoarjo residents will take more time to reach RSUD Sidoarjo which located in the easter of West Sidoarjo.