POMONA VALLEY HOSPITAL MEDICAL CENTER: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: POMONA VALLEY HOSPITAL MEDICAL CENTER (EIN 95-1115230)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-14
IRS object ID: 202433199349318523
Schema version: 2023v5.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-14T19:35:35+00:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	18101 VON KARMAN AVENUE	AddressLine1Txt
City	IRVINE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92612	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	951115230	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Pomona Valley Hospital Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	POMO	BusinessNameControlTxt
Phone	9098659500	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1798 N GAREY AVENUE	AddressLine1Txt
City	POMONA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	91767	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	RICHARD E YOCHUM	PersonNm
Person Title	PRESIDENT/CEO	PersonTitleTxt
Signature	2024-11-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kara Adams	PreparerPersonNm
PTIN	P00023315	PTIN
Phone	9497942300	PhoneNum
Preparation	2024-11-15	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RICHARD E YOCHUM	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1798 N GAREY AVENUE	AddressLine1Txt
City	POMONA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	91767	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$846,790,341	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTPS://WWW.PVHMC.ORG/	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1903	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	POMONA VALLEY HOSPITAL MEDICAL CENTER IS A NOT-FOR-PROFIT, REGIONAL MEDICAL CENTER DEDICATED TO PROVIDING HIGH QUALITY, COST EFFECTIVE HEALTH CARE SERVICES TO RESIDENTS OF THE GREATER POMONA VALLEY.	ActivityOrMissionDesc
Voting Members Governing Body	26	VotingMembersGoverningBodyCnt
Voting Members Independent	22	VotingMembersIndependentCnt
Total Employee	4420	TotalEmployeeCnt
Total Volunteers	663	TotalVolunteersCnt
Total Gross UBI	$537,071	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$324,995	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$9,638,839	PYContributionsGrantsAmt
CY Contributions Grants	$43,896,679	CYContributionsGrantsAmt
PY Program Service Revenue	$770,195,261	PYProgramServiceRevenueAmt
CY Program Service Revenue	$796,556,247	CYProgramServiceRevenueAmt
PY Investment Income	$1,960,137	PYInvestmentIncomeAmt
CY Investment Income	$2,483,476	CYInvestmentIncomeAmt
PY Other Revenue	$2,854,240	PYOtherRevenueAmt
CY Other Revenue	$3,549,184	CYOtherRevenueAmt
PY Total Revenue	$784,648,477	PYTotalRevenueAmt
CY Total Revenue	$846,485,586	CYTotalRevenueAmt
PY Grants And Similar Paid	$395,629	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$862,959	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$417,277,131	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$438,949,490	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$365,237,221	PYOtherExpensesAmt
CY Other Expenses	$380,123,175	CYOtherExpensesAmt
PY Total Expenses	$782,909,981	PYTotalExpensesAmt
CY Total Expenses	$819,935,624	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,738,496	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$26,549,962	CYRevenuesLessExpensesAmt
Total Assets BOY	$767,071,243	TotalAssetsBOYAmt
Total Assets EOY	$802,630,938	TotalAssetsEOYAmt
Total Liabilities BOY	$204,238,694	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$213,805,755	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$562,832,549	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$588,825,183	NetAssetsOrFundBalancesEOYAmt
Mission	OUR MISSION - PVHMC IS A NOT-FOR-PROFIT REGIONAL MEDICAL CENTER DEDICATED TO PROVIDING HIGH QUALITY, COST EFFECTIVE HEALTH CARE SERVICES TO RESIDENTS OF THE GREATER POMONA VALLEY. THE MEDICAL CENTER OFFERS A FULL RANGE OF SERVICES FROM LOCAL PRIMARY ACUTE CARE TO HIGHLY SPECIALIZED REGIONAL SERVICE. SELECTION OF ALL SERVICES IS BASED ON COMMUNITY NEED, AVAILABILITY OF FINANCING AND THE ORGANIZATION'S TECHNICAL ABILITY TO PROVIDE HIGH QUALITY RESULTS. BASIC TO OUR MISSION IS OUR COMMITMENT TO STRIVE CONTINUOUSLY TO IMPROVE THE STATUS OF HEALTH BY REACHING OUT AND SERVING THE NEEDS OF OUR DIVERSE ETHNIC, RELIGIOUS AND CULTURAL COMMUNITY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$770,380,852	ExpenseAmt
Grant	$862,959	GrantAmt
Revenue	$799,988,740	RevenueAmt
Desc	See Schedule O	Desc
Total Program Service Expenses	$770,380,852	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	3704	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4420	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	26	GoverningBodyVotingMembersCnt
Independent Voting Member	22	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JULI HESTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9098659881	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1798 N GAREY AVE	AddressLine1Txt
City	POMONA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	91767	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JULI HESTER
TREASURER/CFO	38.0	4.0	Yes (X)	Yes (X)	$449,082	$0	$44,321
MICHAEL NELSON
ASST. TREASURER/SECRETARY	38.0	4.0	Yes (X)	Yes (X)	$884,779	$0	$62,606
RICHARD YOCHUM
PRESIDENT/CEO	36.0	4.0	Yes (X)	Yes (X)	$1,405,548	$0	-$60,933
ROSANNE BADER
DIRECTOR	2.0	0	Yes (X)	Yes (X)	$0	$0	$0
WILLIAM MCCOLLUM
CHAIRMAN	2.0	0	Yes (X)	Yes (X)	$0	$0	$0
CURTIS MORRIS
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
GEORGE SAPP
DIRECTOR	2.0	0	Yes (X)		$0	$0	$0
GORDON B DESCOMBES
DIRECTOR	2.0	0	Yes (X)		$0	$0	$0
JAN BROWN
DIRECTOR	2.0	0	Yes (X)		$0	$0	$0
JENNIFER KIM MD
DIRECTOR	2.0	0	Yes (X)		$0	$0	$0
JOHN LANDHERR
DIRECTOR	2.0	0	Yes (X)		$0	$0	$0
JOHN TODD
DIRECTOR	2.0	0	Yes (X)		$0	$0	$0
KENNETH BROWN MD
DIRECTOR	2.0	0	Yes (X)		$0	$0	$0
KEVIN MCCARTHY
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
M HELLEN RODRIGUEZ MD
CHAIRMAN	2.0	2.0	Yes (X)		$0	$0	$0
MARY KASEM MD
DIRECTOR	2.0	0	Yes (X)		$0	$0	$0
RAKESH SINHA MD
DIRECTOR	2.0	0	Yes (X)		$0	$0	$0
REGINALD WEBB
DIRECTOR	2.0	0	Yes (X)		$0	$0	$0
RICHARD CREAN
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
RICHARD FASS
DIRECTOR	2.0	0	Yes (X)		$0	$0	$0
RONALD T VERA
DIRECTOR	2.0	0	Yes (X)		$0	$0	$0
Rose M Erickson
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
STEVE MORGAN
DIRECTOR	2.0	0	Yes (X)		$0	$0	$0
STIG LANESSKOG
DIRECTOR	2.0	0	Yes (X)		$0	$0	$0
TONY SANTORUFO
DIRECTOR	2.0	0	Yes (X)		$0	$0	$0
WESLEY CURRY MD
VICE CHAIRMAN	2.0	0	Yes (X)		$0	$0	$0
DARLENE SCAFIDDI
VICE PRESIDENT OF NURSING	40.0	0			$524,129	$0	$53,334	Yes (X)
JOSEPH BAUMGAERTNER
VICE PRESIDENT, SUPPORT SERVICES	40.0	0			$349,532	$0	$40,971		Yes (X)
KENT HOYOS
CIO	40.0	0			$412,487	$0	$44,164		Yes (X)
MICHAEL VESTINO
VP, AMBULATORY SERVICES	40.0	0			$319,834	$0	$50,699		Yes (X)
RAY INGE
VP HUMAN RESOURCES & PAYROLL	40.0	0			$373,267	$0	$45,278		Yes (X)
SCOTT NICHOLS
VP MED STAFF AFF	40.0	0			$407,205	$0	$14,471		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,125,864	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$294,911	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1241	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
PREMIER FAMILY MEDICINE ASSOCIATION
1770 North Orange Grove Ave	Pomona	CA	91767	Medical Services	$18,945,626
CERNER CORPORATION
2800 Rockcreek Parkway	North Kansas City	MO	64117	Information Technology	$6,302,422
INSTITUTE OF TRAUMA & ACUTE CARE INC
3680 E Imperial Hwy	Lynwood	CA	90262	Medical Services	$5,569,976
CHAPARRAL MEDICAL GROUP
840 Towne Center Drive	Pomona	CA	91767	Medical Services	$3,133,613
HOSPITALIST CORP OF THE INLAND EMPIRE
1880 N Orange Grove Ave	Pomona	CA	91767	Medical Services	$2,663,363

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	146	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$5,613,025	RelatedOrganizationsAmt
Government Grants	$37,924,312	GovernmentGrantsAmt
All Other Contributions	$359,342	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$43,896,679	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PATIENT CARE REVENUE	622110	$794,886,736	$794,886,736	$0	$0
340B PHARMACY PROGRAM	900099	$960,017	$960,017	$0	$0
PHYSICIAN OFFICE RENTAL	621111	$172,423	$172,423	$0	$0
NON-PATIENT LAB REVENUE	621511	$537,071	$0	$537,071	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$796,556,247	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,482,176	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$2,482,176	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$421,446	RealAmt
Personal	$0	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$304,755	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$116,691	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$116,691	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$116,691	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$1,300	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$1,300	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,300	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,300	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
REBATES & REFUNDS	622110	$2,104,689	$2,104,689	$0	$0
FOOD SALES	722212	$1,302,083	$1,302,083	$0	$0
DISCOUNTS	622110	$19,061	$19,061	$0	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,660	TotalRevenueColumnAmt
Related Or Exempt Func Income	$6,660	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,432,493	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$846,485,586	TotalRevenueColumnAmt
Related Or Exempt Func Income	$799,451,669	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$537,071	UnrelatedBusinessRevenueAmt
Exclusion	$2,600,167	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$862,959	TotalAmt
Program Services	$862,959	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,712,235	TotalAmt
Program Services	$226,965	ProgramServicesAmt
Management And General	$3,485,270	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$153,206	TotalAmt
Program Services	$153,206	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$347,038,963	TotalAmt
Program Services	$335,094,146	ProgramServicesAmt
Management And General	$11,944,817	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$14,868,891	TotalAmt
Program Services	$14,125,446	ProgramServicesAmt
Management And General	$743,445	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$47,381,872	TotalAmt
Program Services	$46,029,907	ProgramServicesAmt
Management And General	$1,351,965	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$25,794,323	TotalAmt
Program Services	$24,891,994	ProgramServicesAmt
Management And General	$902,329	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,618,336	TotalAmt
Program Services	$1,094,475	ProgramServicesAmt
Management And General	$1,523,861	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$398,717	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$398,717	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$50,768	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$50,768	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$117,568,146	TotalAmt
Program Services	$117,568,146	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$928,762	TotalAmt
Program Services	$842,205	ProgramServicesAmt
Management And General	$86,557	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$17,784,029	TotalAmt
Program Services	$15,312,049	ProgramServicesAmt
Management And General	$2,471,980	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$10,196,265	TotalAmt
Program Services	$8,778,984	ProgramServicesAmt
Management And General	$1,417,281	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$18,636,175	TotalAmt
Program Services	$16,045,747	ProgramServicesAmt
Management And General	$2,590,428	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$143,281	TotalAmt
Program Services	$117,730	ProgramServicesAmt
Management And General	$25,551	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$266,049	TotalAmt
Program Services	$243,313	ProgramServicesAmt
Management And General	$22,736	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$22,269	TotalAmt
Program Services	$19,174	ProgramServicesAmt
Management And General	$3,095	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$38,236,745	TotalAmt
Program Services	$32,921,837	ProgramServicesAmt
Management And General	$5,314,908	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,966,339	TotalAmt
Program Services	$5,998,018	ProgramServicesAmt
Management And General	$968,321	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$99,572,182	$85,731,649	$13,840,533	$0
CALIFORNIA HOSPITAL FEE	$30,960,959	$30,960,959	$0	$0
OTHER	$17,230,072	$14,817,862	$2,412,210	$0
CAPITATION EXPENSE	$16,536,171	$16,536,171	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,007,910	TotalAmt
Program Services	$2,007,910	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$819,935,624	TotalAmt
Program Services	$770,380,852	ProgramServicesAmt
Management And General	$49,554,772	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$46,731,722	BOYAmt
EOY	$46,279,768	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$133,961,546	BOYAmt
EOY	$139,118,701	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$3,210,514	BOYAmt
EOY	$2,245,018	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$15,407,087	BOYAmt
EOY	$14,430,751	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$20,825,880	BOYAmt
EOY	$34,544,628	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,040,031,614	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$707,064,993	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$341,920,369	BOYAmt
EOY	$332,966,621	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$27,246,990	BOYAmt
EOY	$26,651,067	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	-$7,992,291	BOYAmt
EOY	-$8,762,425	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$185,759,426	BOYAmt
EOY	$215,156,809	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$767,071,243	BOYAmt
EOY	$802,630,938	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$146,311,813	BOYAmt
EOY	$140,959,437	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$12,954,039	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$20,048,390	BOYAmt
EOY	$24,111,190	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$37,878,491	BOYAmt
EOY	$35,781,089	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$204,238,694	BOYAmt
EOY	$213,805,755	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$534,463,641	BOYAmt
EOY	$560,980,581	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$28,368,908	BOYAmt
EOY	$27,844,602	EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$562,832,549	BOYAmt
EOY	$588,825,183	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$767,071,243	BOYAmt
EOY	$802,630,938	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$26,549,962	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$93,000	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$650,328	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$50,768	OtherActivitiesAmt
Total Lobbying Expenditures	$50,768	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	LOBBYING EXPENSE IS INCLUDED IN THE ANNUAL DUES FOR THE HOSPITAL ASSOCIATION OF CALIFORNIA AND CHA/CAHHS.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,447,000	BeginningYearBalanceAmt
Contributions	$187,254	ContributionsAmt
Investment Earnings Or Losses	-$93,968	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,137,000	OtherExpendituresAmt
End Year Balance	$8,403,286	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,654,260	BeginningYearBalanceAmt
Contributions	$12,767	ContributionsAmt
Investment Earnings Or Losses	-$220,027	InvestmentEarningsOrLossesAmt
End Year Balance	$11,447,000	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,578,548	BeginningYearBalanceAmt
Contributions	$11,497	ContributionsAmt
Investment Earnings Or Losses	$64,215	InvestmentEarningsOrLossesAmt
End Year Balance	$11,654,260	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,508,133	BeginningYearBalanceAmt
Contributions	$868,679	ContributionsAmt
Investment Earnings Or Losses	$1,201,736	InvestmentEarningsOrLossesAmt
End Year Balance	$11,578,548	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,290,305	BeginningYearBalanceAmt
Contributions	-$87,046	ContributionsAmt
Investment Earnings Or Losses	$1,304,874	InvestmentEarningsOrLossesAmt
End Year Balance	$9,508,133	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$6,120,396	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$16,399,914	OtherCostOrOtherBasisAmt
Book Value	$22,520,310	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$280,855,872	OtherCostOrOtherBasisAmt
Depreciation	$161,206,857	DepreciationAmt
Book Value	$119,649,015	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$32,675,368	OtherCostOrOtherBasisAmt
Depreciation	$27,598,480	DepreciationAmt
Book Value	$5,076,888	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$647,482,973	OtherCostOrOtherBasisAmt
Depreciation	$518,259,656	DepreciationAmt
Book Value	$129,223,317	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$56,497,091	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$56,497,091	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$332,966,621	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
Malpractice Receivable	$6,774,930
Workers Comp Receivable	$163,029
Interest receivable	$12,012,391
Right-of-use Assets	$15,115,522
Hospital Fee Receivable	$179,407,297
Government Settlements	$1,683,640

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$215,156,809	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
SELF INSURANCE LIABILITIES	$19,501,929
DEFERRED COMPENSATION	$1,163,638
LEASE LIABILITIES	$15,115,522
MEDICARE ADVANCES

Field	Value	IRS element (for citing)
Total Liability	$35,781,089	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part V, Line 4 Intended uses of endowment funds	FormAndLineReferenceDesc
Explanation	POMONA VALLEY HOSPITAL MEDICAL CENTER HAS A PERMANENTLY RESTRICTED ENDOWMENT FROM A RESTRICTED DONATION RECEIVED THROUGH A UNITRUST. THE INCOME FROM THIS IS USED TO SUPPORT THE HOSPITAL'S OPERATIONS. IN ADDITION, POMONA VALLEY HOSPITAL MEDICAL CENTER FOUNDATION HAS ENDOWMENTS THAT CONSIST OF FUNDS RAISED FOR VARIOUS PROJECTS AS DESIGNATED BY THE HOSPITAL BOARD, INCLUDING THE ROBERT AND BEVERLY LEWIS FAMILY CANCER CENTER ENDOWMENT FUND, WHICH IS DISTRIBUTED TO THE HOSPITAL FOR PROJECTS INVOLVING EDUCATION, SCREENINGS AND SUPPORT GROUPS. THE ENDOWMENTS HELD BY THE FOUNDATION ARE INCLUDED IN THE AMOUNTS REPORTED ON PART V OF SCHEDULE D. A $3.1M DISTRIBUTION WAS APPROVED IN 2023 TO SUPPORT CURRENT ACTIVITIES THE MEDICAL CENTER HAS SUPPORTED SINCE THE PANDEMIC SINCE 2020. AS OF 12/31/2023, ONLY PERMANENT ENDOWMENTS REMAIN IN POSSESSESION AT MEDICAL CENTER.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	400	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$2,967,176	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,967,176	NetCommunityBenefitExpnsAmt
Total Expense	0.0038	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$335,373,314	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$274,006,885	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$61,366,429	NetCommunityBenefitExpnsAmt
Total Expense	0.0777	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$338,340,490	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$274,006,885	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$64,333,605	NetCommunityBenefitExpnsAmt
Total Expense	0.0815	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	46	ActivitiesOrProgramsCnt
Persons Served	867352	PersonsServedCnt
Total Community Benefit Expns	$4,606,541	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,388,895	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,217,646	NetCommunityBenefitExpnsAmt
Total Expense	0.0028	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	16	ActivitiesOrProgramsCnt
Persons Served	2784	PersonsServedCnt
Total Community Benefit Expns	$5,355,640	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,968,104	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,387,536	NetCommunityBenefitExpnsAmt
Total Expense	0.0018	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	18	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$6,654,852	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,654,852	NetCommunityBenefitExpnsAmt
Total Expense	0.0084	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	16	PersonsServedCnt
Total Community Benefit Expns	$103,600	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$103,600	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	2146	PersonsServedCnt
Total Community Benefit Expns	$416,680	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$416,680	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	89	ActivitiesOrProgramsCnt
Persons Served	872298	PersonsServedCnt
Total Community Benefit Expns	$17,137,313	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,356,999	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,780,314	NetCommunityBenefitExpnsAmt
Total Expense	0.0136	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	89	ActivitiesOrProgramsCnt
Persons Served	872298	PersonsServedCnt
Total Community Benefit Expns	$355,477,803	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$280,363,884	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$75,113,919	NetCommunityBenefitExpnsAmt
Total Expense	0.0951	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	100	PersonsServedCnt
Total Community Benefit Expns	$2,625	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,625	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	500	PersonsServedCnt
Total Community Benefit Expns	$3,048	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,048	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	300	PersonsServedCnt
Total Community Benefit Expns	$1,575	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,575	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	648	PersonsServedCnt
Total Community Benefit Expns	$2,800	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,800	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	1548	PersonsServedCnt
Total Community Benefit Expns	$10,048	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,048	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Reimbursed By Medicare	$186,202,529	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$251,050,016	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$64,847,487	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	POMONA VALLEY HOSPITAL MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1798 N GAREY AVENUE	AddressLine1Txt
City	POMONA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	91767	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.PVHMC.ORG	WebsiteAddressTxt
State License	930000128	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	POMONA VALLEY HOSPITAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.pvhmc.org/documents/community/2021_PVHMC-Community-Health-Needs-Assessment.pdf	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.pvhmc.org/documents/community/Community-Benefit-Report-FY-2022-FINAL.pdf	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	400.0	FPGFamilyIncmLmtFreeCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.pvhmc.org/Patients-Visitors/Financial-Questions/Financial-Assistance-Program.aspx	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.pvhmc.org/Patients-Visitors/Financial-Questions/Financial-Assistance-Program.aspx	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.pvhmc.org/Patients-Visitors/Financial-Questions/Financial-Assistance-Program.aspx	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - POMONA VALLEY HOSPITAL MEDICAL CENTER. COMMUNITY NEEDS ASSESSMENT GROUNDED IN A LONGSTANDING COMMITMENT TO ADDRESS THE HEALTH NEEDS OF OUR COMMUNITY, POMONA VALLEY HOSPITAL MEDICAL CENTER (PVHMC) PARTNERED WITH CALIFORNIA STATE UNIVERSITY SAN BERNARDINO'S INSTITUTE OF APPLIED RESEARCH (IAR) TO CONDUCT A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE COMPLETE 2021 CHNA PROCESS CONSISTED OF PRIMARY AND SECONDARY DATA COLLECTION, INCLUDING VALUABLE COMMUNITY, STAKEHOLDER, AND PUBLIC HEALTH INPUT, THAT WAS EXAMINED TO PRIORITIZE THE MOST CRITICAL HEALTH NEEDS OF OUR COMMUNITY AND SERVE AS THE BASIS FOR OUR COMMUNITY BENEFIT PLAN AND IMPLEMENTATION STRATEGY. METHODOLOGY PRIMARY DATA WAS COLLECTED VIA AN ONLINE SURVEY WHICH CONSISTED OF INPUT OF 819 FROM THE ELEVEN CITIES WITHIN PVHMC'S SERVICE AREA, RESULTING IN A 95 PERCENT LEVEL OF CONFIDENCE AND AN ACCURACY OF +/- 3.4%. A TOTAL OF 18 OUT OF 819 OF THE SURVEYS (2.2% RESPONSE) WERE CONDUCTED IN SPANISH. IN ADDITION, 337 ONLINE SURVEYS WERE RECEIVED THROUGH IAR'S VIEWPOINT PANEL RESULTING IN A 95 PERCENT LEVEL OF CONFIDENCE AND AN ACCURACY OF +/- 5.38%. IN TOTAL PVHMC RECEIVED 1,156 COMPLETED SURVEYS. THE SURVEYS WERE CONDUCTED BETWEEN JUNE 21, 2021 AND AUGUST 1, 2021. PRIMARY DATA WAS OBTAINED THROUGH IAR'S EXECUTIVE INTERVIEWS WITH LOS ANGELES PUBLIC HEALTH OFFICIAL, ON JULY 22, 2021. THEY SUBMITTED THEIR INPUT BY EMAIL. IN ADDITION, IAR CONDUCTED A VIRTUAL INTERVIEW WITH FOUR REPRESENTATIVES OF THE SAN BERNARDINO COUNTY DEPARTMENT OF PUBLIC HEALTH ON AUGUST 2, 2021. PARTICIPANTS INCLUDED THE CHIEF OF CLINICAL HEALTH AND PREVENTION SERVICES, THE CHIEF OF COMMUNITY AND FAMILY HEALTH, AND TWO CLINIC SUPERVISORS/NURSES. ADDITIONAL PRIMARY DATA WERE COLLECTED THROUGH TWO VIRTUAL FOCUS GROUP MEETINGS WITH 15 COMMUNITY-BASED ORGANIZATIONS WITHIN PVHMC'S PRIMARY AND SECONDARY SERVICE AREAS WHOSE ORGANIZATIONS SERVE AND REPRESENT MINORITY, LOW-INCOME AND MEDICALLY UNDERSERVED INDIVIDUALS. SECONDARY SUPPORTING DATA HIGHLIGHTING HEALTH STATUS INDICATORS AND MAJOR HEALTH INFLUENCERS WAS COLLECTED FROM SEVERAL SOURCES, AND WHEN APPROPRIATE, COMPARED TO HEALTHY PEOPLE 2020 GOALS. EVERY ATTEMPT WAS MADE TO SOLICIT PRIMARY, SECONDARY, AND HEALTH-RELATED INFORMATION RELATIVE TO THE COMMUNITIES WE SERVE. IN SOME INSTANCES, PVHMC'S ABILITY TO ASSESS THE HEALTH NEEDS WAS LIMITED BY LACK OF EXISTING DATA AT THE CITY AND COUNTY LEVEL. ADDITIONALLY, IN SOME INSTANCES, COMPARABLE HEALTH-RELATED DATA WAS LIMITED ACROSS BOTH COUNTIES IN WHICH OUR PRIMARY SERVICE AREA ENCOMPASSES. OBJECTIVES THE OBJECTIVES OF THE 2021 CHNA WERE CONSISTENT WITH THOSE OF PREVIOUS CHNA'S, IN THAT PVHMC DESIRED TO: 1) OBJECTIVELY LOOK AT DEMOGRAPHIC AND SOCIOECONOMIC ASPECTS OF THE COMMUNITY, HEALTH STATUS, AND BARRIERS TO RECEIVING CARE, 2) IDENTIFY OPPORTUNITIES FOR COLLABORATION WITH OTHER COMMUNITY BASED ORGANIZATIONS, 3) IDENTIFY COMMUNITIES AND GROUPS THAT ARE EXPERIENCING HEALTH DISPARITIES, AND 4) TO ASSIST PVHMC WITH THE DEVELOPMENT OF RESOURCES AND PROGRAMS THAT WILL IMPROVE AND ENHANCE THE WELL-BEING OF THE RESIDENTS OF THE COMMUNITIES WE SERVE. IN THE FIRST PHASE OF PVHMC'S ASSESSMENT PROCESS, PRIMARY DATA WAS COLLECTED VIA AN ONLINE SURVEY FROM RESIDENTS WITHIN PVHMC'S SERVICE AREA TO DETERMINE THEIR PERCEPTIONS AND NEEDS REGARDING VARIOUS HEALTH ISSUES, AND TO SEE IF THERE HAVE BEEN ANY CHANGES SINCE THE PREVIOUS STUDIES. SPECIFIC ISSUES AND QUESTIONS INCLUDED: - DEMOGRAPHIC PROFILE OF SURVEY RESPONDENTS: CITY OF RESIDENCE, GENDER, MARITAL STATUS, EDUCATION, INCOME, ETHNICITY, AGE, YEARS LIVING IN THE COMMUNITY, NUMBER OF PEOPLE AND NUMBER OF CHILDREN IN THE HOUSEHOLD; - HEALTH STATUS INDICATORS: SELF-REPORTED HEALTH EVALUATION, IMPACT OF THE PANDEMIC ON OVERALL HEALTH, CHRONIC ILLNESSES, OTHER HEALTH ISSUES, CHILDREN'S HEALTH CONDITIONS, AND ADVANCED DIRECTIVES; - MAJOR HEALTH INFLUENCERS: HEALTHY EATING, USE OF TOBACCO AND VAPING (AND FOLLOW- UP HEALTH SCREENING), HEALTH INSURANCE COVERAGE (AND REASONS FOR NO COVERAGE), BARRIERS TO RECEIVING NEEDED HEALTH SERVICES, UTILIZATION OF HEALTH CARE SERVICES FOR ROUTINE PRIMARY/PREVENTATIVE CARE, SAFETY (ACCIDENTS, INJURIES, AND OTHER CONCERNS), COVID-19 PANDEMIC, EXPERIENCE WITH AND EVALUATION OF PVHMC; AND - "OTHER" ISSUES: ISSUES OF DEI (DIVERSITY, EQUITY, AND INCLUSION), BIGGEST HEALTH- RELATED ISSUE OR SERVICE NEEDED, AND BEST WAYS OF DISSEMINATING INFORMATION ABOUT CLASSES/SUPPORT GROUPS/EVENTS. SECONDARY DATA WAS COLLECTED FROM A VARIETY OF SOURCES REGARDING HEALTH STATUS INDICATORS AND MAJOR HEALTH INFLUENCERS FOR PVHMC'S SERVICE AREA: - HEALTH STATUS INDICATORS: CARDIOVASCULAR DISEASE, DIABETES, CANCER, HIGH BLOOD PRESSURE, OBESITY, AND OTHER LEADING CAUSES OF DEATH. THESE INDICATORS WERE COMPARED TO HEALTHY PEOPLE 2020 GOALS AT THE SPA (SERVICE PLANNING AREA) 3 LEVEL, LOS ANGELES COUNTY LEVEL, AND SAN BERNARDINO COUNTY LEVEL. - MAJOR HEALTH INFLUENCERS: SMOKING/TOBACCO USE, PHYSICAL ACTIVITY LEVELS, HEALTH INSURANCE COVERAGE. THESE INDICATORS WERE COMPARED TO HEALTHY PEOPLE 2020 GOALS AT THE SPA 3 LEVEL, LOS ANGELES COUNTY LEVEL, AND SAN BERNARDINO COUNTY LEVEL., THIRD, IAR CONDUCTED EXECUTIVE INTERVIEWS WITH OFFICIALS OF BOTH THE LOS ANGELES COUNTY AND SAN BERNARDINO COUNTY PUBLIC HEALTH OFFICES TO GAIN THEIR PERSPECTIVE OF: - UNMET NEEDS IN THE COMMUNITY RELATIVE TO SUPPORT FOR PATIENTS AND FAMILIES (E.G., SUPPORT GROUPS, CLASSES, CAREGIVER SERVICES); - UNMET NEEDS IN THE COMMUNITY RELATIVE TO CHRONIC DISEASE MANAGEMENT; - HEALTH NEEDS PRIORITIES OF THE COMMUNITY; - BARRIERS TO RECEIVING ROUTINE AND URGENT HEALTH CARE; - WAYS IN WHICH PVHMC CAN HELP IMPROVE THE HEALTH AND WELLNESS OF THE GENERAL COMMUNITY AS WELL AS THE SUBGROUPS OF LOW-INCOME, MINORITY, AND MEDICALLY UNDER-SERVED POPULATIONS. FINALLY, PVHMC CONDUCTED VIRTUAL FOCUS GROUPS WITH INDIVIDUALS REPRESENTING VARIOUS COMMUNITY-BASED ORGANIZATIONS IN PVHMC'S SERVICE AREA, INCLUDING ORGANIZATIONS SERVING LOW INCOME, MINORITY AND MEDICALLY UNDER-SERVED POPULATIONS. FINDINGS PVHMC REVIEWED THE 2021 COMMUNITY NEEDS ASSESSMENT AND THROUGH ANALYSIS OF PRIMARY, SECONDARY, FOCUS GROUP AND PUBLIC HEALTH INPUT RECEIVED, THE FOLLOWING WERE IDENTIFIED AS SIGNIFICANT HEALTH NEEDS IN PVHMC'S PRIMARY SERVICE AREA: - MENTAL HEALTH SERVICES/RESOURCES - CARE COORDINATION SERVICES/PATIENT NAVIGATOR RESOURCES/SUPPORT/OUTREACH FOR HOMELESS - CHRONIC DISEASE - DIABETES - HYPERTENSION; CARDIOVASCULAR DISEASE - MENTAL HEALTH - DISEASE PREVENTION & EDUCATION - OBESITY & WEIGHT MANAGEMENT - NUTRITION EDUCATION AND SUPPORT GROUPS-PHYSICAL ACTIVITY PROGRAMS - ACCESS TO AFFORDABLE PRIMARY CARE/PREVENTION SERVICES AND SCREENINGS - AWARENESS OF AVAILABLE RESOURCES IN THE COMMUNITY MAJOR INFLUENCERS OF HEALTH IDENTIFIED (SOCIAL-DETERMINANTS OF HEALTH) - HEALTH INSURANCE STATUS (CITY-SPECIFIC)) - COST OF HEALTHY FOOD/ACCESS TO HEALTHY FOOD (CITY-SPECIFIC)) - POVERTY/ECONOMIC STANDING - EDUCATION LEVEL/HEALTH LITERACY LANGUAGE AND CULTURAL BARRIERS AS INFLUENCERS OF TRUST.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - POMONA VALLEY HOSPITAL MEDICAL CENTER. POMONA VALLEY HOSPITAL MEDICAL CENTER CONDUCTED ITS CHNA WITH HELP FROM CALIFORNIA STATE UNIVERSITY SAN BERNARDINO'S INSTITUTE OF APPLIED RESEARCH.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - POMONA VALLEY HOSPITAL MEDICAL CENTER. SIGNIFICANT HEALTH NEEDS IDENTIFIED IN RESPONSE TO THE ASSESSMENT'S FINDINGS, AN IMPLEMENTATION STRATEGY WAS DEVELOPED TO OPERATIONALIZE PVHMC'S COMMUNITY BENEFIT GOALS. THESE GOALS INCLUDE: IMPROVING ACCESS TO PRIMARY AND SPECIALTY CARE, ESPECIALLY FOR OUR MOST VULNERABLE RESIDENTS, THROUGH HOSPITAL AND COMMUNITYBASED MEDICAL SERVICES AND FINANCIAL ASSISTANCE THAT DIRECTLY MEETS THEIR NEEDS; IMPROVING HEALTH OUTCOMES FOR PATIENTS SUFFERING FROM STROKE, CARDIOVASCULAR DISEASE, CANCER, AND DIABETES THROUGH LOW COST OR NOCOST HEALTH SCREENINGS, PATIENT NAVIGATION SERVICES, SUPPORT GROUPS, AND COMMUNITY COLLABORATION; INCREASING AWARENESS ABOUT RISK FACTORS FOR DISEASE AND PREVENTION THROUGH COMMUNITY EDUCATION AND OUTREACH; AND, TO IMPROVE THE OVERALL HEALTH AND WELLBEING OF OUR COMMUNITY THROUGH SOCIAL, EMOTIONAL AND MENTAL HEALTH SUPPORT SERVICES. IN SUPPORT OF PVHMC'S 2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), AND ONGOING COMMUNITY BENEFIT PLAN INITIATIVES, POMONA VALLEY HOSPITAL MEDICAL CENTER'S FY2021 - FY2023 IMPLEMENTATION STRATEGY DOCUMENTS THE PRIORITY HEALTH NEEDS FOR WHICH PVHMC WILL ADDRESS IN THE COMMUNITY AND TRANSLATES OUR CHNA DATA AND RESEARCH INTO ACTUAL STRATEGIES AND OBJECTIVES THAT CAN BE CARRIED OUT TO IMPROVE HEALTH OUTCOMES. PVHMC DETERMINED A BROAD, FLEXIBLE APPROACH WAS BEST AS STRATEGIES AND PROGRAMS FOR COMMUNITY BENEFIT ARE BUDGETED ANNUALLY AND MAY BE ADJUSTED AS NEW PROGRAMS ARE DEVELOPED. ACCORDINGLY, THE IMPLEMENTATION STRATEGY WILL BE CONTINUOUSLY MONITORED FOR PROGRESS IN ADDRESSING OUR COMMUNITY'S HEALTH NEEDS AND WILL SERVE AS A TOOL AROUND WHICH OUR COMMUNITY BENEFIT PROGRAMS WILL BE TAILORED. HEALTH NEEDS IDENTIFIED IN OUR 2021 COMMUNITY NEEDS ASSESSMENT WERE DETERMINED TO BE A PRIORITY THROUGH EVALUATION OF PRIMARY AND SECONDARY DATA, WHEREBY THOSE IDENTIFIED HEALTH NEEDS WERE PRIORITIZED BASED UPON:(1) COMMUNITY RESPONDENTS AND KEY INFORMANTS IDENTIFIED THE NEED TO BE SIGNIFICANT, OR LARGELY REQUESTED SPECIFIC SERVICES THAT THEY WOULD LIKE TO SEE POMONA VALLEY HOSPITAL MEDICAL CENTER PROVIDE IN THE COMMUNITY (2) FEASIBILITY OF PROVIDING INTERVENTIONS FOR THE UNMET NEED IDENTIFIED IN THE COMMUNITY, IN SUCH THAT POMONA VALLEY HOSPITAL MEDICAL CENTER CURRENTLY HAS, OR HAS THE CURRENT MEANS OF DEVELOPING THE RESOURCES TO MEET THE NEED WITHIN THE NEXT TRIENNIAL CHNA CYCLE, AND (3) ALIGNMENT BETWEEN THE IDENTIFIED HEALTH NEED AND POMONA VALLEY HOSPITAL MEDICAL CENTER'S MISSION, VISION, AND STRATEGIC PLAN. IN SUPPORT OF PVHMC'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), AND ONGOING COMMUNITY BENEFIT PLAN INITIATIVES, POMONA VALLEY HOSPITAL MEDICAL CENTER'S SUPPORTING IMPLEMENTATION STRATEGY DOCUMENTS THE PRIORITY HEALTH NEEDS FOR WHICH PVHMC WILL ADDRESS IN THE COMMUNITY AND TRANSLATES OUR CHNA DATA AND RESEARCH INTO ACTUAL STRATEGIES AND OBJECTIVES THAT CAN BE CARRIED OUT TO IMPROVE HEALTH OUTCOMES. PVHMC DETERMINED A BROAD, FLEXIBLE APPROACH WAS BEST AS STRATEGIES AND PROGRAMS FOR COMMUNITY BENEFIT ARE BUDGETED ANNUALLY AND MAY BE ADJUSTED DURING THIS 12-MONTH PERIOD OF TIME. ACCORDINGLY, THE IMPLEMENTATION STRATEGY WILL BE CONTINUOUSLY MONITORED FOR PROGRESS IN ADDRESSING OUR COMMUNITY'S HEALTH NEEDS AND WILL SERVE AS A TOOL AROUND WHICH OUR COMMUNITY BENEFIT PROGRAMS WILL BE TAILORED. THROUGH PVHMC'S EFFORTS AND STRATEGY TO MEET THE GROWING HEALTH NEEDS OF OUR COMMUNITY, WE HAVE PREVIOUSLY ANTICIPATED, AND CONTINUE TO ANTICIPATE THROUGH CURRENT ACTIONS, THE FOLLOWING IMPACT ON THE HEALTH OF THE COMMUNITY: REDUCED PREVALENCE RATE OF TARGETED CHRONIC DISEASES, INCREASED AWARENESS OF RISK FACTORS ASSOCIATED WITH TARGETED CHRONIC DISEASES, INCREASED AWARENESS OF EARLY INTERVENTION AND PREVENTION STRATEGIES, INCREASED ACCESS TO EMERGENCY, SPECIALTY, AND PRIMARY CARE, AND INCREASED AWARENESS OF RESOURCES AVAILABLE IN THE COMMUNITY TO MEET HEALTH NEEDS. PRIORITY AREA ONE: ACCESS TO CARE IDENTIFIED COMMUNITY NEED: ACCESS TO CARE (EXAMPLES: PRIMARY AND SPECIALTY CARE, ACCESS TO MENTAL HEALTH SERVICES, CARE COORDINATION/PATIENT NAVIGATION) SUMMARY: THE COVID19 PANDEMIC HAS GREATLY IMPACTED ACCESS TO CARE FOR COMMUNITY MEMBERS, PARTICULARLY THOSE WHO ARE UNINSURED OR UNDERINSURED. PVHMC'S FREE SCREENINGS AND CLINICS CONTINUE TO PROVIDE VALUABLE RESOURCES AND TOUCH POINTS FOR THE COMMUNITY MEMBERS. THE PARTNERSHIPS WITH LOCAL COMMUNITY CLINICS SUCH AS PARK TREE AND EAST VALLEY COMMUNITY HEALTH CENTER PROVIDE IMPORTANT RESOURCES FOR THE UNDERINSURED AND UNINSURED POPULATIONS AND CONTINUED PARTNERSHIP IS NEEDED TO ADDRESS COMMUNITY NEEDS. TRANSPORTATION NEEDS FOR PATIENTS BEING DISCHARGED TO HOME HAS INCREASED WITH THE PANDEMIC, THEREFORE, IT IS WORTH EXPLORING AVENUES TO SUPPORT PATIENT TRANSPORTATION SO THEY CAN RECEIVE FOLLOW UP CARE IN A CLINIC OR PRIMARY CARE SETTING. WITH BEHAVIORAL AND MENTAL HEALTH NEEDS INCREASING IN THE COMMUNITY, IT IS IMPORTANT PVHMC CONTINUES SUPPORTING THESE NEEDS AS WELL AS EXPLORING ADDITIONAL AVENUES OF SUPPORT TO ENSURE PATIENTS' ACCESS TO CARE. STRATEGIES TO ADDRESS THE NEED: - CONTINUE TO PROVIDE FREE OR REDUCED COST SCREENINGS AND IMMUNIZATIONS AT LOCAL HEALTH FAIRS - CONTINUE TO PROVIDE FREE, LOWCOST OR REDUCEDCOST HEALTH SERVICES, MEDICATIONS, AND MEDICAL DEVICES - CONTINUE COLLABORATING WITH PRIMARY CARE PROVIDERS AND CLINICS (PARK TREE AND EAST VALLEY COMMUNITY HEALTH CENTER AS EXAMPLES) TO IMPROVE ACCESS TO PREVENTATIVE AND SPECIALTY CARE - PROMOTE COMMUNITY AWARENESS ABOUT HEALTH SERVICES OFFERED THROUGH; WELLNESS CLASSES, SUPPORT GROUPS IN BOTH ENGLISH AND SPANISH AND EDUCATIONAL RESOURCES - CONTINUE TO INCREASE PVHMC'S CAPACITY TO CARE FOR PATIENTS NEEDING EMERGENCY TREATMENT, TRAUMA SERVICES, SURGERY, PRIMARY CARE, BEHAVIORAL AND MENTAL HEALTH SERVICES - PROVIDE DISCHARGE TRANSPORTATION FOR VULNERABLE PATIENTS WHO ARE OTHERWISE UNABLE TO GET HOME AND EXPLORE TRANSPORTATION OPPORTUNITIES FOR FOLLOW UP CARE AT PRIMARY CARE OFFICES AND CLINICS. - PROVIDE ENROLLMENT ASSISTANCE FOR APPROPRIATE HEALTH INSURANCE PLANS BOTH IN PERSON AND ONLINE AND PARTICIPATION IN THE HOSPITAL PRESUMPTIVE ELIGIBILITY PROGRAM - PEDIATRIC TERTIARY CARE PROVIDED WITHIN THE COMMUNITY - CONTINUE SUPPORT OF PVHMC'S FAMILY MEDICINE RESIDENCY PROGRAM TO INCREASE THE NUMBER OF PRIMARY CARE PHYSICIANS IN THE REGION. ANTICIPATED IMPACT: THROUGH THE ABOVE STRATEGIES, PVHMC ANTICIPATES THE FOLLOWING IMPROVEMENTS IN COMMUNITY HEALTH: - INCREASED AWARENESS OF ESTABLISHED RESOURCES AVAILABLE IN THE COMMUNITY TO MEET HEALTH NEEDS - INCREASED ACCESS TO EMERGENCY, URGENT, SPECIALTY, AND PRIMARY CARE - INCREASED PARTICIPATION IN PVHMC PROGRAMS, SUPPORT GROUPS AND EDUCATION CLASSES - INCREASED INSURANCE COVERAGE. METRICS AND/OR METHODS OF EVALUATION: - NUMBER OF IMMUNIZATIONS AND SCREENINGS PROVIDED IN THE COMMUNITY - NUMBER OF PATIENT ENCOUNTERS AMONG GENERAL, SPECIALTY, AND COMMUNITY OUTREACH SERVICES - AMOUNT OF TRANSPORTATION SERVICES PROVIDED - AMOUNT OF MEDICAL DEVICE AND MEDICATION ASSISTANCE PROVIDED PRIORITY AREA TWO: CARE COORDINATION (CHRONIC DISEASE POPULATION) IDENTIFIED COMMUNITY NEED: HIGH BLOOD PRESSURE, DIABETES, OBESITY SUMMARY: WHILE THERE HAS BEEN A DECLINE IN INPERSON EVENTS AND OPPORTUNITIES DUE TO COVID19, PVHMC WILL CONTINUE TO BE PRESENT AT AND PARTICIPATE IN AS MANY EVENTS AS POSSIBLE TO REACH THE HIGHEST NUMBER OF COMMUNITY MEMBERS. PARTICIPATING IN PARTNER EVENTS CONTINUES TO BE THE BEST OPPORTUNITY TO REACH THE COMMUNITY, BUILD RELATIONSHIPS AND PROVIDE AWARENESS, PREVENTION, SCREENING, EDUCATION AND SUPPORT FOR CHRONIC CONDITIONS SUCH AS HIGH BLOOD PRESSURE AND DIABETES. WHILE PVHMC HAS MANY RESOURCES FOR THE COMMUNITY, THERE CONTINUES TO BE A HIGH NEED FOR EDUCATION MATERIALS IN SPANISH AND MULTILINGUAL CAREGIVERS OR TEAM MEMBERS WHO CAN ADDRESS QUESTIONS AND FOLLOW UP WITH PATIENTS AFTER INITIAL COMMUNITY ENGAGEMENT. STRATEGIES TO ADDRESS THIS NEED: - CONTINUE PARTICIPATING IN PARTNER EVENTS, HEALTH FAIRS AND COMMUNITY EVENTS TO PROVIDE: - BLOOD PRESSURE SCREENINGS AT COMMUNITY EVENTS - GLUCOSE SCREENINGS - PROMOTE CARDIOVASCULAR HEALTH AND RISK REDUCTION - PROVIDE FREE OR LOWCOST DIABETES AND NUTRITION EDUCATION CLASSES AND RESOURCES - PROVIDE RESOURCES IN SPANISH AND ENGLISH IN ORDER TO ASSIST PATIENTS WITH THE FOLLOWING: - RESOURCES AND GUIDANCE FOR CARDIOVASCULAR HEALTH, HIGH BLOOD PRESSURE, DIABETES - PROVIDE CARE COORDINATION SERVICES IN SPANISH AND ENGLISH TO ENSURE PATIENTS: - DISCHARGE HOME SAFELY WITH POSITIVE HEALTH OUTCOMES AND INCREASED AWARENESS AND UNDERSTANDING OF THEIR HEALTHCARE NEEDS AND FOLLOW UP CARE NEEDED. - HAVE RESOURCES AVAILABLE TO MAKE FOLLOW UP APPOINTMENTS, APPLY FOR FINANCIAL ASSISTANCE, AND ENROLL IN SUPPORT GROUPS.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - CONTINUED. - UNDERSTAND THEIR ACCESS TO ADDITIONAL TREATMENT AND RESOURCE OPTIONS FOR BEHAVIORAL AND MENTAL HEALTH NEEDS - UNDERSTAND THAT PVHMC'S EMERGENCY DEPARTMENT WILL IDENTIFY, APPROPRIATELY TREAT, REFER TO TREATMENT, AND PROVIDE FOLLOW UP FOR PATIENTS EXPERIENCING BEHAVIORAL HEALTH OR SUBSTANCE USE DISORDERS. - UTILIZE EXISTING PATIENT DOCUMENTS WHILE ADDING FIELDS FOR "APPROVAL TO SEND PVHMC MATERIALS REQUEST EMAIL AND PHONE NUMBER. ANTICIPATED/EXPECTED IMPACT: THROUGH THE ABOVE STRATEGIES, PVHMC ANTICIPATES THE FOLLOWING IMPROVEMENTS IN COMMUNITY HEALTH OVER TIME: 1. INCREASED AWARENESS ABOUT SELFMANAGEMENT TOOLS AND FOLLOW UP CARE NEEDED, 2. INCREASED AWARENESS OF RISK FACTORS ASSOCIATED WITH TARGETED CHRONIC DISEASES, 3. IMPROVED COMMUNITYWIDE PROGRAM COLLABORATION TO ADDRESS HEALTH NEEDS COLLECTIVELY 4. REDUCED PREVALENCE RATE OF TARGETED CHRONIC DISEASES. METRICS/METHODS OF EVALUATION: ALTHOUGH THE COVID19 PANDEMIC HAS IMPACTED THE ABILITY TO BE PRESENT AT AND HOST AS MANY COMMUNITY EVENTS IN YEARS PAST, COMMUNITY OUTREACH CONTINUES TO BE A PRIMARY FOCUS IN REACHING OUR COMMUNITY MEMBERS. THEREFORE, WE WILL CONTINUE TO MEASURE: - ATTENDANCE AND PARTICIPATION NUMBERS FOR SCREENINGS AT HEALTH FAIRS AND EVENTS - QUANTITY OF PUBLICATIONS AND MATERIALS DISTRIBUTED TO COMMUNITY MEMBERS - NUMBER OR SOURCES AND AVENUES IN WHICH PVHMC PROMOTES WHAT IS OFFERED TO THE COMMUNITY - NUMBER OF PARTICIPANTS IN CLASSES FOR CARDIOVASCULAR AND HEART HEALTH, DIABETES, SUPPORT GROUPS, AND LECTURES PROVIDED BY PVHMC OF THE HEALTH NEEDS IDENTIFIED THROUGH OUR NEEDS ASSESSMENT, PVHMC DOES NOT HAVE A LICENSED PSYCHIATRIC FACILITY, OR THE CURRENT CAPACITY, TO PROVIDE INPATIENT AND OUTPATIENT MENTAL HEALTH TREATMENT SERVICES. WHILE PVHMC HAS SOME SERVICES IN PLACE TO ASSIST WITH MENTAL HEALTH AND SUBSTANCE ABUSE, SUCH AS EMERGENT PSYCHIATRIC CONSULTATIONS, MENTAL HEALTH REFERRALS, AND SMOKING CESSATION EDUCATION, IT WAS DETERMINED THAT THIS CRITICAL NEED IS BEST SERVED BY OTHERS. PVHMC DOES SEEK TO CONTINUE TO ADDRESS THIS NEED INDIRECTLY THROUGH OUR SOCIAL SERVICES AND CARE COORDINATION EFFORTS WITH LOCAL COMMUNITY-BASED ORGANIZATIONS. PVHMC WILL CONTINUE TO SUPPORT TRI-CITY MENTAL HEALTH, PROTOTYPES, THE DEPARTMENT OF MENTAL HEALTH, THE YWCA OF THE SAN GABRIEL AND INLAND COMMUNITIES, COMMUNITY SENIOR SERVICES, AND OTHER COMMUNITY BASED ORGANIZATIONS THAT DIRECTLY PROVIDE THESE SERVICES TO ADDRESS THESE NEEDS. WE ARE STRONGLY COMMITTED TO OUR RELATIONSHIPS WITH THESE ORGANIZATIONS AND CONTINUOUSLY SEEK PARTNERSHIPS AND OPPORTUNITIES TO DIRECTLY ADDRESS THESE NEEDS IN THE FUTURE. OUR SERVICES SHOW HOW THE COMMUNITY'S NEEDS DRIVE THE CONCEPTION AND ESTABLISHMENT OF THE SERVICES WE PROVIDE AND CONTRIBUTE TO ITS GROWTH AND IMPROVEMENT. EVERY ACTIVITY AND PROGRAM IS BUDGETED TO MANAGE THE USE OF AVAILABLE RESOURCES. OUR COMMITMENT TO THESE VITAL SERVICES IS DEMONSTRATED THROUGH THE CONCERTED EFFORTS OF EACH DEPARTMENT TO ENSURE THAT ESSENTIAL SERVICES CONTINUE TO BE PROVIDED TO THE COMMUNITY. PVHMC DEMONSTRATES ITS PROFOUND COMMITMENT TO ITS LOCAL COMMUNITY, BOTH HISTORICALLY AND ON A CONTINUING BASIS. PVHMC HAS WELCOMED THIS OCCASION TO FORMALIZE, ENHANCE AND DOCUMENT THE MULTITUDE OF COMMUNITY BENEFIT INITIATIVES AND PROGRAMS IN WHICH THE HOSPITAL IS IMMERSED. OUR COMMUNITY IS CENTRAL TO US, AND IT IS REPRESENTED IN ALL OF THE WORK WE DO. PVHMC HAS SERVED THE POMONA VALLEY FOR OVER 120 YEARS, AND WE VALUE MAINTAINING THE HEALTH OF OUR COMMUNITY BY PROVIDING ACCESSIBLE, HIGH QUALITY MEDICAL CARE.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - POMONA VALLEY HOSPITAL MEDICAL CENTER. CALIFORNIA STATE REGULATIONS
Schedule H, Part V, Section B, Line 15 Facility , 1	Facility , 1 - POMONA VALLEY HOSPITAL MEDICAL CENTER. THE HOSPITAL WILL PROVIDE GUIDANCE AND/OR DIRECT ASSISTANCE TO PATIENTS OR THEIR FAMILY REPRESENTATIVE AS NECESSARY TO FACILITATE COMPLETION OF FAP APPLICATIONS. FINANCIAL COUNSELORS, ELIGIBILITY SERVICES LIAISONS AND/OR PATIENT ACCOUNT REPRESENTATIVES ARE AVAILABLE TO PROVIDE GUIDANCE OVER THE PHONE OR MEET IN PERSON.

Field	Value	IRS element (for citing)
Facility	24	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (24 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
PVHMC RADIATION THERAPY
1910 ROYALTY DRIVE	POMONO	CA	91767	RADIATION THERAPY
PVHMC IMAGING CLAREMONT
1601 MONTE VISTA AVENUE	POMONO	CA	91711	DIAGNOSTIC CENTER
PVHMC PHYSICAL THERAPY CLAREMONT
1601 MONTE VISTA AVENUE	POMONO	CA	91711	REHABILITATION CENTER
PVHMC SLEEP CENTER
1601 MONTE VISTA AVENUE	POMONO	CA	91711	DIAGNOSTIC CENTER
PVHMC WOMEN'S IMAGING
1910 ROYALTY DRIVE	POMONO	CA	91767	DIAGNOSTIC CENTER
PVHMC CANCER CENTER OP
1910 ROYALTY DRIVE	POMONO	CA	91767	MEDICAL ONCOLOGY
PVHMC IMAGING LA VERNE
2333 FOOTHILL BLVD SUITE C	LA VERNE	CA	91750	DIAGNOSTIC CENTER
PVHMC PHYSICAL THERAPY LA VERNE
2333 FOOTHILL BLVD SUITE C	LA VERNE	CA	91750	REHABILITATION CENTER
POMONA VALLEY HEALTH CENTER
1770 N ORANGE GROVE	POMONO	CA	91767	OUTPATIENT PHYSICIAN CLINIC
PVHMC IMAGING CROSSROADS
3110 CHINO AVENUE SUITE 150	CHINO HILLS	CA	91709	DIAGNOSTIC CENTER
PVHC CHINO HILLS
2140 GRAND AVENUE SUITE 125	CHINO HILLS	CA	91709	OUTPATIENT PHYSICIAN CLINIC
PVHMC CLAREMONT URGENT CARE
1601 MONTE VISTA AVENUE	POMONO	CA	91711	OUTPATIENT PHYSICIAN CLINIC
PVHMC LA VERNE URGENT CARE
2333 FOOTHILL BLVD SUITE C	LA VERNE	CA	91750	OUTPATIENT PHYSICIAN CLINIC
PVHC CLAREMONT PRIMARY CARE
1601 MONTE VISTA AVENUE	POMONO	CA	91711	OUTPATIENT PHYSICIAN CLINIC
PVHC LA VERNE PRIMARY CARE
2333 FOOTHILL BLVD SUITE C	LA VERNE	CA	91750	OUTPATIENT PHYSICIAN CLINIC
PVHC CROSSROADS PRIMARY CARE
3110 CHINO AVENUE SUITE 150	CHINO HILLS	CA	91709	OUTPATIENT PHYSICIAN CLINIC
POMONA VALLEY IMAGING CENTER GRANDVIEW
13768 ROSWELL AVENUE SUITE 103	CHINO HILLS	CA	91709	DIAGNOSTIC CENTER
CHILDREN'S OUTPATIENT CLINIC
1770 N ORANGE GROVE	POMONO	CA	91767	DIAGNOSTIC CENTER
PVHMC CLAREMONT AQUATIC THERAPY POOL
481 S INDIAN HILL BLVD	CLAREMONT	CA	91711	REHABILITATION CENTER
PVHMC IMAGING WESTERN UNIVERSITY
309 POMONA MALL	POMONO	CA	91767	DIAGNOSTIC CENTER
PVHMC COVINA OP PHYSICAL THERAPY CLINIC
420 W ROWLAND STREET	COVINA	CA	91723	REHABILITATION CENTER
PVHMC PHYSICAL THERAPY CHINO HILLS
2140 GRAND AVENUE SUITE 125	CHINO HILLS	CA	91709	REHABILITATION CENTER
PVHMC IMAGING CHINO HILLS
2140 GRAND AVENUE SUITE 125	CHINO HILLS	CA	91709	DIAGNOSTIC CENTER
PVHMC CROSSROADS URGENT CARE
3110 CHINO AVENUE SUITE 150	CHINO HILLS	CA	91709	OUTPATIENT PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7a SCHEDULE H, PART I, LINES 7A-7I	LINES 7A-7B USED COST-TO CHARGE METHODOLOGY USING WORKSHEET 2, RATIO OF PATIENT CARE COST-TO CHARGES. LINES 7E-7I USED ACTUAL AMOUNTS PER THE GENERAL LEDGER.
Schedule H, Part I, Line 7f HEALTH PROFESSION EDUCATION	POMONA VALLEY HOSPITAL MEDICAL CENTER IS COMMITTED TO CREATING A HEALTHY COMMUNITY IN THE POMONA VALLEY REGION, AND IN REALIZING THIS COMMITMENT, ASSISTS LOCAL SCHOOLS (E.G. CHAFFEY COLLEGE, WESTERN UNIVERSITY OF HEALTH SCIENCES, MOUNT SAN ANTONIO COLLEGE, CITRUS COLLEGE) IN MEETING REQUIREMENTS FOR THEIR NURSING PROGRAMS AND TO PROVIDE HEALTH PROFESSION EXTERNSHIPS, PRECEPTORSHIP, AND CLINICAL EXPERIENCE FOR RESPIRATORY, RADIOLOGY, SOCIAL SERVICES AND DIETETIC STUDENTS ALIKE. POMONA VALLEY HOSPITAL MEDICAL CENTER WORKS WITH LOCAL AREA MIDDLE AND HIGH SCHOOLS TO INTRODUCE CAREERS IN HEALTH CARE BY INVITING THEM TO TOUR OUR HOSPITAL AND BY VISITING THEM ON THEIR CAMPUS. OUR FAMILY MEDICINE RESIDENCY PROGRAM TRAINS 23 PHYSICIANS EACH YEAR TO DEVELOP OUTSTANDING CLINICAL SKILLS, COMPASSION, AND EXCELLENT COMMUNICATION AND LEADERSHIP ABILITIES. THE RESIDENCY IS AFFILIATED WITH THE DAVID GEFFEN SCHOOL OF MEDICINE AT UCLA.
Schedule H, Part I, Line 7g SUBSIDIZED HEALTH SERVICES	NONE OF THE MONEY IDENTIFIED UNDER THE SUBSIDIZED HEALTH SERVICES CATEGORY PERTAINS TO A PHYSICIAN CLINIC IN OUR COMMUNITY BENEFIT REPORT.
Schedule H, Part II COMMUNITY BUILDING ACTIVITIES	POMONA VALLEY HOSPITAL MEDICAL CENTER PARTICIPATES ON THE STEERING COMMITTEE FOR THE LOS ANGELES COUNTY SERVICE PLANNING AREA (SPA 3'S) HEALTH PLANNING GROUP (SAN GABRIEL VALLEY HEALTH CONSORTIUM). WE PARTICIPATE TO LOOK AT ACCESS TO CARE, PROMOTION OF HEALTH AND ACCESS AND AVAILABILITY OF SPECIALTY CARE, AND HOW THIS NEED PARTICULARLY AFFECTS OUR MOST VULNERABLE AND MEDICALLY UNDERSERVED POPULATIONS. PVHMC ALSO PARTICIPATES IN THE POMONA'S PROMISE COALITION AND HOSTS THE VIOLENCE PREVENTION GROUPS, LOOKING AT VIOLENCE IN THE COMMUNITY AS A SOCIAL DETERMINANT OF HEALTH. POMONA VALLEY HOSPITAL MEDICAL CENTER ASSISTS LOCAL SCHOOLS (E.G. CHAFFEY COLLEGE, WESTERN UNIVERSITY OF HEALTH SCIENCES, MOUNT SAN ANTONIO COLLEGE, CITRUS COLLEGE) IN MEETING REQUIREMENTS FOR THEIR NURSING PROGRAMS, OUR EDUCATION DEPARTMENT SERVES ON THE ADVISORY BOARDS TO THESE SCHOOLS. THE COSTS AND PERSONS SERVED ASSOCIATED ARE REFLECTED ON LINES 3 & 8 OF PART II AS COMMUNITY SUPPORT AND WORKFORCE DEVELOPMENT. POMONA VALLEY HOSPITAL MEDICAL CENTER SUPPORTS THE ECONOMIC DEVELOPMENT OF THE COMMUNITY BY ALLOWING LOCAL ORGANIZATIONS TO PARTICIPATE IN CREATING A SPONSORSHIP AD FOR THEIR ORGANIZATION IN OUR HOSPITAL'S PATIENT GUIDEBOOKS FOR COMMUNITY EVENTS. THE COSTS AND PERSONS SERVED ASSOCIATED WITH CONDUCTING OUR NEEDS ASSESSMENT ARE REFLECTED ON LINE 2 OF PART II AS ECONOMIC DEVELOPMENT. PVHMC IS RECOGNIZED AS A DISASTER RESOURCE CENTER (DRC): AS A PARTICIPANT IN THE NATIONAL BIOTERRORISM HOSPITAL PREPAREDNESS PROGRAM (NBHPP), POMONA VALLEY HOSPITAL MEDICAL CENTER IS ONE OF 13 DESIGNATED DRC'S IN LOS ANGELES COUNTY, AND ONE OF 8 DRC HOSPITAL TRAUMA CENTERS DESIGNATED TO BE A RESOURCE TO OUR COMMUNITY IN THE EVENT OF A DECLARED DISASTER. AS THE DRC FOR THE EAST SAN GABRIEL VALLEY REGION 9, PVHMC IS RESPONSIBLE FOR TWELVE "UMBRELLA HOSPITALS ANNUALLY COORDINATES DRILLS, TRAINING, AND SHARING OF PLANS TO BRING TOGETHER THE COMMUNITY AND OUR RESOURCES FOR DISASTER PREPAREDNESS.
Schedule H, Part I LINES 7B & 7I	THE MEDICAL CENTER EXPENSED PAYMENTS TO DEPARTMENT OF HEALTH CARE SERVICES IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS FOR THE QA FEE IN THE AMOUNT OF $47,131,000 IN 2023 AND $ 37,793,000 IN 2022 INCLUDED ON SCHEDULE H, PART I, LINE 7B, COLUMN C. THE MEDICAL CENTER ALSO RECORDED PLEDGE PAYMENTS OF $778,529 IN 2023 AND $300,029 IN 2022. IN CONJUNCTION WITH THE PROGRAM, WHICH IS REPORTED ON SCHEDULE H, PART I, LINE 7I, COLUMN C. THE QA FEE AND PLEDGE PAYMENTS ARE RECORDED IN CALIFORNIA HOSPITAL FEE QUALITY ASSURANCE FEE AND PLEDGE PAYMENTS WITHIN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS. THE MEDICAL CENTER RECOGNIZED SUPPLEMENTAL PAYMENTS OF $136,637,753 IN 2023 INCLUDED ON SCHEDULE H, PART I, LINE 7B, COLUMN D, WHICH PERTAINS TO THE PERIOD JANUARY 1, 2023 TO DECEMBER 31, 2023.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE MEDICAL CENTER EXPENSED PAYMENTS TO DEPARTMENT OF HEALTH CARE SERVICES IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS FOR THE QA FEE IN THE AMOUNT OF $37,737,939 IN 2021 AND $ 37,792,901 IN 2022 INCLUDED ON SCHEDULE H, PART I, LINE 7B, COLUMN C. THE MEDICAL CENTER ALSO RECORDED PLEDGE PAYMENTS OF $104,962 IN 2021 AND $300,029 IN 2022 IN CONJUNCTION WITH THE PROGRAM, WHICH IS REPORTED ON SCHEDULE H, PART I, LINE 7I, COLUMN C. THE QA FEE AND PLEDGE PAYMENTS ARE RECORDED IN CALIFORNIA HOSPITAL FEE QUALITY ASSURANCE FEE AND PLEDGE PAYMENTS WITHIN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS. THE MEDICAL CENTER RECOGNIZED SUPPLEMENTAL PAYMENTS OF $119,831,656 IN 2022 INCLUDED ON SCHEDULE H, PART I, LINE 7B, COLUMN D, WHICH PERTAINS TO THE PERIOD JANUARY 1, 2021 TO DECEMBER 31, 2021, FOR THE FEE-FOR-SERVICE PORTION, AND JANUARY 1, 2014 TO JUNE 30, 2016, FOR THE MANAGED CARE NON-MEDICAID EXPANSION PORTION. THE INCLUSION OF THESE AMOUNTS ON LINE 7B OF PART I IN THE CURRENT YEAR DECREASES THE PERCENTAGE OF THE TOTAL EXPENSE, AS COMPARED TO 2009 (THE LAST YEAR BEFORE THE PROGRAM WAS IN EFFECT).
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE COSTING METHODOLOGY USED IS COST TO CHARGE RATIO. THE SOURCE OF INFORMATION IS THE MEDICARE COST REPORT. MEDICARE SERVICES ARE ALWAYS PROVIDED TO MEMBERS AND CAN SOMETIMES LEAD TO LOSSES DEPENDING ON MANY FACTORS. ANY SHORTFALLS NOTED ARE INDEED CONSIDERED A COMMUNITY BENEFIT OF THE MEDICAL CENTER.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	THE HOSPITAL'S CREDIT AND COLLECTION POLICY APPLIES TO ALL PATIENTS WHO RECEIVE SERVICES AT POMONA VALLEY HOSPITAL MEDICAL CENTER WHO HAVE A FINANCIAL OBLIGATION TO THE HOSPITAL. THIS POLICY DEFINES THE REQUIREMENTS AND PROCESSES USED BY THE HOSPITAL BUSINESS OFFICE WHEN MAKING PAYMENT ARRANGEMENTS WITH INDIVIDUAL PATIENTS OR THEIR ACCOUNTANTS. THE CREDIT AND COLLECTION POLICY SPECIFIES THE STANDARDS AND PRACTICES USED BY THE HOSPITAL FOR THE COLLECTION OF DEBTS ARISING FROM THE PROVISION OF SERVICES TO PATIENTS AT PVHMC. THESE PRACTICES ARE APPLIED CONSISTENTLY TO PATIENTS WHOSE BALANCE RESULTS FROM AN UNPAID DEDUCTIBLE, COINSURANCE AND/OR COPAY, PATIENTS WHO HAVE BEEN APPROVED FOR FINANCIAL ASSISTANCE IN WHICH THEIR BALANCE IS DISCOUNTED ACCORDING TO THE FINANCIAL ASSISTANCE POLICY, PATIENTS WHO HAVE AGREED TO THE TERMS OF A PROMPT PAYMENT DISCOUNT AS WELL AS PATIENTS WHO HAVE NOT AGREED TO THE TERMS OF A DISCOUNT PROGRAM. IN THE EVENT THAT A PATIENT OR PATIENT'S GUARANTOR HAS MADE A DEPOSIT PAYMENT, OR OTHER PARTIAL PAYMENT FOR SERVICES AND SUBSEQUENTLY IS DETERMINED TO QUALIFY FOR FULL CHARITY CARE OR DISCOUNT PARTIAL CHARITY CARE, ALL AMOUNTS PAID WHICH EXCEED THE PAYMENT OBLIGATION, IF ANY, AS DETERMINED THROUGH THE FINANCIAL ASSISTANCE PROGRAM PROCESS, SHALL BE REFUNDED TO THE PATIENT WITH INTEREST. HOWEVER, SINCE THE APPLICATION PROCESS FOR PARTIAL CHARITY CARE MAY BE APPLIED TO ALL PRE-EXISTING ACCOUNT BALANCES OUTSTANDING AT THE TIME OF CHARITY QUALIFICATION, A PATIENT OVERPAYMENT ON ONE ACCOUNT MAY REDUCE THE PATIENT'S OUTSTANDING OBLIGATION ON ANOTHER ACCOUNT AFTER A PARTIAL CHARITY DISCOUNT HAS BEEN APPLIED. THE HOSPITAL WILL REVIEW ALL OF THE PATIENT'S ACCOUNTS AND COMPLETE A RECONCILIATION OF DISCOUNTED AMOUNTS DUE LESS TOTAL AMOUNTS PAID TO DETERMINE IF THE PATIENT OVERPAID. INTEREST SHALL BEGIN TO ACCRUE ON THE FIRST DAY THAT PAYMENT BY THE PATIENT IS RECEIVED BY THE HOSPITAL. INTEREST AMOUNTS SHALL BE ACCRUED AT THE INTEREST RATE SET FORTH IN SECTION 685.010 OF THE CODE OF CIVIL PROCEDURE. IN THE EVENT THAT THE AMOUNT OF INTEREST AND/OR THE AMOUNT OWED TO THE PATIENT IS IN THE SMALL BALANCE RANGE AS DEFINED BY THE HOSPITAL'S SMALL BALANCE POLICY, THE BALANCE WILL BE PROCESSED IN ACCORDANCE WITH THE SMALL BALANCE POLICY. OTHER OVERPAYMENTS FROM PATIENTS WILL BE PROCESSED IN ACCORDANCE WITH THE REFUND REQUEST POLICY.
Schedule H, Part V, Section B, Line 16a FAP website	- POMONA VALLEY HOSPITAL MEDICAL CENTER: Line 16a URL: https://www.pvhmc.org/Patients-Visitors/Financial-Questions/Financial-Assistance-Program.aspx;
Schedule H, Part V, Section B, Line 16b FAP Application website	- POMONA VALLEY HOSPITAL MEDICAL CENTER: Line 16b URL: https://www.pvhmc.org/Patients-Visitors/Financial-Questions/Financial-Assistance-Program.aspx;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- POMONA VALLEY HOSPITAL MEDICAL CENTER: Line 16c URL: https://www.pvhmc.org/Patients-Visitors/Financial-Questions/Financial-Assistance-Program.aspx;
Schedule H, Part VI, Line 2 Needs assessment	IN 2021, A COMMUNITY NEEDS ASSESSMENT WAS COMPLETED. THE COMMUNITY NEEDS ASSESSMENT IS THE PRIMARY MEANS OF ASSESSING THE NEEDS OF OUR COMMUNITY. THE ASSESSMENT IS INTENDED TO BE A RESOURCE FOR PVHMC TO BECOME INVOLVED WITH DEVELOPING AND MAINTAINING ACTIVITIES AND PROGRAMS THAT CAN HELP IMPROVE THE HEALTH AND WELL-BEING OF THE RESIDENTS OF POMONA VALLEY. THE COMMUNITY NEEDS ASSESSMENT PROCESS INCLUDED PRIMARY AND SECONDARY DATA COLLECTION, INCLUDING VALUABLE COMMUNITY, STAKEHOLDER, AND PUBLIC HEALTH INPUT THAT WAS EXAMINED TO PRIORITIZE THE MOST CRITICAL NEEDS OF OUR COMMUNITY AND SERVE AS THE BASIS FOR OUR COMMUNITY BENEFIT PLAN INITIATIVES AND IMPLEMENTATION STRATEGY. THE RESEARCH OBJECTIVES OF THE 2021 CHNA WERE CONSISTENT WITH THOSE OF PREVIOUS CHNA'S, IN THAT PVHMC DESIRED TO: 1) OBJECTIVELY LOOK AT DEMOGRAPHIC AND SOCIOECONOMIC ASPECTS OF THE COMMUNITY, HEALTH STATUS, AND BARRIERS TO RECEIVING CARE, 2) IDENTIFY OPPORTUNITIES FOR COLLABORATION WITH OTHER COMMUNITY BASED ORGANIZATIONS 3) IDENTIFY COMMUNITIES AND GROUPS THAT ARE EXPERIENCING HEALTH DISPARITIES, AND 4) TO ASSIST PVHMC WITH THE DEVELOPMENT OF RESOURCES AND PROGRAMS THAT WILL IMPROVE AND ENHANCE THE WELL-BEING OF THE RESIDENTS OF POMONA VALLEY AS WELL AS IDENTIFY AREAS FOR POTENTIAL COLLABORATION WITH OTHER COMMUNITY-BASED ORGANIZATIONS. THE COMMUNITY NEEDS ASSESSMENT HAS BEEN MADE WIDELY AVAILABLE TO THE PUBLIC AT HTTPS://WWW.PVHMC.ORG/ABOUT-US/COMMUNITY-SERVICES/
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	THE HOSPITAL MAKES EVERY EFFORT TO INFORM ITS PATIENTS OF THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. SPECIFICALLY: - EVERY REGISTERED PATIENT RECEIVES A WRITTEN NOTICE OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY WRITTEN IN PLAIN LANGUAGE PER IRC 501(R); - UPON REQUEST, PAPER COPIES OF THE FINANCIAL ASSISTANCE POLICY, THE FINANCIAL ASSISTANCE APPLICATION FORM AND THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY ARE MADE AVAILABLE FREE OF CHARGE. THESE DOCUMENTS ARE ALSO AVAILABLE ON THE HOSPITAL'S WEBSITE; - WHENEVER POSSIBLE, DURING THE REGISTRATION PROCESS, UNINSURED PATIENTS ARE SCREENED FOR ELIGIBILITY WITH GOVERNMENT. - SPONSORED PROGRAMS INCLUDING MEDI-CAL HOSPITAL PRESUMPTIVE ELIGIBILITY AND/OR THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. - PUBLIC NOTICES ARE POSTED THROUGHOUT THE HOSPITAL NOTIFYING THE PUBLIC OF FINANCIAL ASSISTANCE FOR THOSE WHO QUALIFY SUCH NOTICES ARE POSTED IN HIGH VOLUME INPATIENT, AREAS AND IN OUTPATIENT SERVICE AREAS OF THE HOSPITAL, INCLUDING BUT NOT LIMITED TO THE EMERGENCY DEPARTMENT, INPATIENT ADMISSION AND OUTPATIENT REGISTRATION AREAS, OR OTHER COMMON PATIENT WAITING AREAS OF THE HOSPITAL. NOTICES ARE ALSO POSTED AT ALL LOCATIONS WHERE A PATIENT MAY PAY THEIR BILL. NOTICES INCLUDE CONTACT INFORMATION ON HOW A PATIENT MAY OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR SUCH ASSISTANCE. THESE NOTICES ARE WRITTEN IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT ARE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. - GUARANTOR BILLING STATEMENTS CONTAIN INFORMATION TO ASSIST PATIENTS IN OBTAINING GOVERNMENT SPONSORED COVERAGE AND/OR FINANCIAL ASSISTANCE PROVIDED BY THE HOSPITAL. CONSISTENT WITH CALIFORNIA HEALTH AND SAFETY CODE SECTION 127420, THE HOSPITAL WILL INCLUDE THE FOLLOWING CLEAR AND CONSPICUOUS INFORMATION ON A PATIENT'S BILL: (1) A STATEMENT OF CHARGES FOR SERVICES RENDERED BY THE HOSPITAL (2) A REQUEST THAT THE PATIENT INFORM THE HOSPITAL IF THE PATIENT HAS HEALTH INSURANCE COVERAGE, MEDICARE, MEDI-CAL, OR OTHER COVERAGE (3) A STATEMENT THAT IF THE CONSUMER DOES NOT HAVE HEALTH INSURANCE COVERAGE, THE CONSUMER MAY BE ELIGIBLE FOR COVERAGE OFFERED THROUGH THE CALIFORNIA HEALTH BENEFIT EXCHANGE (COVERED CA), MEDICARE, MEDI-CAL, CALIFORNIA CHILDREN'S SERVICES PROGRAM, OR CHARITY CARE (4) A STATEMENT INDICATING HOW PATIENTS MAY OBTAIN AN APPLICATION FOR THE MEDI-CAL PROGRAM, COVERAGE OFFERED THROUGH THE CALIFORNIA HEALTH BENEFIT EXCHANGE, OR OTHER STATE- OR COUNTY-FUNDED HEALTH COVERAGE PROGRAMS ANDTHAT THE HOSPITAL WILL PROVIDE THESE APPLICATIONS. IF THE PATIENT DOES NOT INDICATE COVERAGE BY A THIRD-PARTY PAYER OR REQUESTS A DISCOUNTED PRICE OR CHARITY CARE, THEN THE HOSPITAL SHALL PROVIDE AN APPLICATION FOR THE MEDI-CAL PROGRAM, OR OTHER STATE- OR COUNTY-FUNDED PROGRAMS TO THE PATIENT. THIS APPLICATION SHALL BE PROVIDED PRIOR TO DISCHARGE IF THE PATIENT HAS BEEN ADMITTED OR TO PATIENTS RECEIVING EMERGENCY OR OUTPATIENT CARE. THE HOSPITAL SHALL ALSO PROVIDE PATIENTS WITH A REFERRAL TO A LOCAL CONSUMER ASSISTANCE CENTER HOUSED AT LEGAL SERVICES OFFICES. (5) INFORMATION REGARDING THE FINANCIALLY QUALIFIED PATIENT AND CHARITY CARE APPLICATION, INCLUDING THE FOLLOWING: (A) A STATEMENT THAT INDICATES THAT IF THE PATIENT LACKS, OR HAS INADEQUATE INSURANCE, AND MEETS CERTAIN LOW- AND MODERATE-INCOME REQUIREMENTS, THE PATIENT MAY QUALIFY FOR DISCOUNTED PAYMENT OR CHARITY CARE. (B) THE NAME AND TELEPHONE NUMBER OF A HOSPITAL EMPLOYEE OR OFFICE FROM WHOM THE PATIENT MAY OBTAIN INFORMATION ABOUT THE HOSPITAL'S DISCOUNT PAYMENT AND CHARITY CARE POLICIES, AND HOW TO APPLY FOR THAT ASSISTANCE. (C) IF A PATIENT APPLIES, OR HAS A PENDING APPLICATION, FOR ANOTHER HEALTH COVERAGE PROGRAM AT THE SAME TIME THAT HE OR SHE APPLIES FOR A HOSPITAL CHARITY CARE OR DISCOUNT PAYMENT PROGRAM, NEITHER APPLICATION SHALL PRECLUDE ELIGIBILITY FOR THE OTHER PROGRAM. THE HOSPITAL WILL PROVIDE PATIENTS WITH A REFERRAL TO A LOCAL CONSUMER ASSISTANCE CENTER HOUSED IN A LEGAL SERVICES OFFICE.
Schedule H, Part VI, Line 4 Community information	COMMUNITY INFORMATION OUR COMMUNITY - PVHMC IS DEDICATED TO MEETING THE HEALTH CARE DEMANDS OF THE GROWING POPULATIONS OF LOS ANGELES AND SAN BERNARDINO COUNTIES. OUR PRIMARY SERVICE AREA IS DEFINED AS THE CITIES OF POMONA, CLAREMONT, CHINO, CHINO HILLS, LA VERNE, MONTCLAIR, ONTARIO, RANCHO CUCAMONGA, ALTA LOMA, UPLAND AND SAN DIMAS AND MAKE UP A POPULATION OF 886,768 ACCORDING TO THE 2020 UNITED STATES CENSUS. ACCORDING TO THE OFFICE OF STATEWIDE HEALTH AND PLANNING 2019 DATA, POMONA EAST AND SOUTH ARE DESIGNATED AS A MEDICALLY UNDERSERVED AREA, SPECIFICALLY AS AN AREA WITH A PRIMARY CARE SHORTAGE. AS A PRIVATE COMMUNITY SAFETY NET HOSPITAL, ALSO WITH THE DESIGNATION AS A DISPROPORTIONATE SHARE HOSPITAL (DSH), WE CARE FOR A GREATER POPULATION OF LOW-INCOME, MEDICALLY VULNERABLE PATIENTS. THEY OFTEN REQUIRE AN INCREASED NEED OF ACCESSIBLE, HIGH QUALITY, AND COST-EFFECTIVE HEALTH CARE SERVICES. WE DELIVER CARE TO ALL PATIENTS IN OUR ED, WITH OR WITHOUT INSURANCE. BASED ON THE 2020 CENSUS, THE ETHNIC DIVERSITY OF POMONA IS SUCH THAT 12.5% ARE WHITE, 70.5% ARE HISPANIC OR LATINO, 6.7% ARE BLACK OR AFRICAN AMERICAN, 0.2% ARE AMERICAN INDIAN, 8.3% ARE ASIAN, 0.2% ARE HAWAIIAN OR PACIFIC ISLANDER, 0.2% IDENTIFY AS OTHER, AND 1.4% IDENTIFY AS TWO OR MORE RACES. AMONG THIS POPULATION, ACCORDING TO THE 2021AMERICAN COMMUNITY SURVEY 1-YEAR ESTIMATES, RETRIEVED FROM THE CALIFORNIA DEPARTMENT OF FINANCE, POMONA'S MEDIAN HOUSEHOLD INCOME IS $70,494, WITH 12% OF FAMILIES LIVING BELOW THE FEDERAL POVERTY LEVEL. EDUCATIONAL ATTAINMENT DATA WAS ALSO RETRIEVED FROM THE 2021 ACS SURVEY, SHOWING 19.4% OF POMONA RESIDENT'S OVER THE AGE OF 25 HAVE LESS THAN A 9TH GRADE EDUCATION LEVEL, 11% HAVE COMPLETED LESS THAN 12TH GRADE, 23.1% HAVE A HIGH SCHOOL DIPLOMA, 6.7% HAVE AN ASSOCIATE DEGREE, 12.9% HAVE A BACHELOR'S DEGREE, AND 7.2% HAVE EARNED A GRADUATE OR PROFESSIONAL DEGREE. MARKET SHARE - SEVERAL OTHER HOSPITALS SERVE OUR COMMUNITY. THESE HOSPITALS ARE KAISER FOUNDATION HOSPITAL OF FONTANA, SAN ANTONIO REGIONAL HOSPITAL, CHINO VALLEY MEDICAL CENTER, ARROWHEAD REGIONAL MEDICAL CENTER, MONTCLAIR HOSPITAL MEDICAL CENTER, LOMA LINDA UNIVERSITY MEDICAL CENTER, CANYON RIDGE HOSPITAL, KAISER FOUNDATION HOSPITAL OF BALDWIN PARK, COMMUNITY HOSPITAL OF SAN BERNARDINO, SAN DIMAS COMMUNITY HOSPITAL, AND EMANATE -QUEEN OF THE VALLEY CAMPUS.
Schedule H, Part VI, Line 5 Promotion of community health	OTHER INFORMATION ON PROMOTING COMMUNITY HEALTH IMPROVEMENTS POMONA VALLEY HOSPITAL MEDICAL CENTER IS GOVERNED BY A BOARD OF DIRECTORS WHOSE MEMBERS ARE REPRESENTATIVE OF THE COMMUNITY, HOSPITAL AND MEDICAL STAFF LEADERSHIP. CONSISTENT WITH THE IRS COMMUNITY BENEFIT STANDARD A MAJORITY OF THE BOARD OF DIRECTORS ARE NEITHER EMPLOYEES, CONTRACTORS NOR FAMILY MEMBERS OF THE ORGANIZATION. POMONA VALLEY HOSPITAL MEDICAL CENTER IS A COMMUNITY BASED DISPROPORTIONATE SHARE HOSPITAL. IN ADDITION, WE PARTICIPATE IN MEDICARE, MEDICAL, CHAMPUS, TRICARE. POMONA VALLEY HOSPITAL MEDICAL CENTER IS AN OPEN MEDICAL STAFF, EXTENDING STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS FOR ALL AREAS AND DEPARTMENTS OF OUR FACILITY. POMONA VALLEY MEDICAL HOSPITAL MEDICAL CENTER EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES. A PART OF PVHMC'S MISSION IS OUR DEDICATION TO CONTINUOUSLY STRIVE TO IMPROVE THE STATUS OF HEALTH BY REACHING OUT AND SERVING THE NEEDS OF OUR DIVERSE ETHNIC, RELIGIOUS AND CULTURAL COMMUNITY. TO SUPPORT CONTINUOUS IMPROVEMENTS THE ORGANIZATION ALLOCATED $40M FOR CAPITAL EXPENDURES AND IMPROVEMENTS. THIS HELPS SUPPORT THE COMMUNITY. FOR EXAMPLE, POMONA VALLEY HOSPITAL MEDICAL CENTER IS HOME TO THE ONLY 24-HOURS-A-DAY, FULL-SERVICE EMERGENCY DEPARTMENT (ED) AND LEVEL II TRAUMA CENTER IN POMONA. OUR ED TREATS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY; POMONA VALLEY HOSPITAL MEDICAL CENTER PROVIDES EMERGENCY SERVICES TO ALL PATIENTS WITH OR WITHOUT INSURANCE. THE EMERGENCY DEPARTMENT'S DEDICATED STAFF IS EXPERIENCED IN PROVIDING PROMPT, ACCURATE DIAGNOSIS AND SKILLFUL MEDICAL TREATMENT. THIS EXPERT TEAM INCLUDES BOARD-CERTIFIED EMERGENCY PHYSICIANS, PHYSICIAN ASSISTANTS, BOARD-CERTIFIED NURSES, EMERGENCY MEDICAL TECHNICIANS, RESPIRATORY THERAPISTS AND OTHER HIGHLY TRAINED EMERGENCY CARE PROFESSIONALS. ALL ARE DEDICATED TO PROVIDING TECHNOLOGICALLY ADVANCED, LIFESAVING MEDICAL SERVICES WITH COMPASSIONATE, CULTURALLY APPROPRIATE CARE.
Schedule H, Part VI, Line 6 Affiliated health care system	POMONA VALLEY HOSPITAL MEDICAL CENTER IS A STAND ALONE HOSPITAL, NOT PART OF A HEALTH CARE SYSTEM.
Schedule H, Part VI, Line 7 State filing of community benefit report	CA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Purpose Of GrantPurposeOfGrantTxt
CALIFORNIA HEALTH FOUNDATION & TRUST
1215 K ST	SACRAMENTO	CA	95814	941498697	501(C)(3)	$300,029	CASH	HOSPITAL FEE PROGRAM
AGING NEXT
141 Spring Street	Claremont	CA	91711	953100466	501(C)(3)	$35,000	CASH	GENERAL SUPPORT
YOUTH & FAMILY CLUB OF POMONA VALLEY
1420 S Garey Ave	Pomona	CA	91766	953655255	501(C)(3)	$25,000	CASH	GENERAL SUPPORT
NAPIER INITIATIVE
625 Mayflower Road	Claremont	CA	91711	951691301	501(C)(3)	$10,000	CASH	GENERAL SUPPORT
BOYS REPUBLIC
1907 Boys Republic Dr	Chino Hills	CA	91709	951647813	501(C)(3)	$7,930	CASH	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	5	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	THE CALIFORNIA HOSPITAL FEE PROGRAM (THE PROGRAM) WAS SIGNED INTO LAW BY THE GOVERNOR OF CALIFORNIA AND BECAME EFFECTIVE ON JANUARY 1, 2010. THE HOSPITAL MADE PLEDGE PAYMENTS (GRANT) TO THE CALIFORNIA HEALTH FOUNDATION & TRUST TOTALING $300,029 IN CONJUNCTION WITH THIS PROGRAM, NO MONITORING IS COMPLETED AFTER THE GRANT IS MADE. POMONA VALLEY HOSPITAL MEDICAL CENTER CONFIRMED THAT THE ORGANIZATIONS RECEIVING GRANTS ARE 501(C)(3) ORGANIZATIONS AND IS CONFIDENT THAT THE GRANTS ARE BEING USED FOR PROPER PURPOSES AND TO FURTHER THE CHARITABLE PURPOSE OF THOSE ORGANIZATIONS ALTHOUGH NO FORMAL MONITORING IS DONE.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JULI HESTER
TREASURER/CFO	$447,019	$0	$0	$0	$2,064	$0	$26,400	$0	$17,921	$0	$493,403	$0	$0	$0
MICHAEL NELSON
ASST. TREASURER/SECRETARY	$634,596	$0	$0	$0	$250,183	$0	$42,705	$0	$19,901	$0	$947,385	$0	$137,839	$0
RICHARD YOCHUM
PRESIDENT/CEO	$876,261	$0	$0	$0	$529,287	$0	-$80,780	$0	$19,847	$0	$1,344,615	$0	$416,417	$0
DARLENE SCAFIDDI
VICE PRESIDENT OF NURSING	$493,584	$0	$0	$0	$30,545	$0	$26,400	$0	$26,934	$0	$577,463	$0	$0	$0
JOSEPH BAUMGAERTNER
VICE PRESIDENT, SUPPORT SERVICES	$281,323	$0	$0	$0	$68,209	$0	$21,850	$0	$19,121	$0	$390,503	$0	$0	$0
KENT HOYOS
CIO	$411,938	$0	$0	$0	$549	$0	$26,400	$0	$17,764	$0	$456,651	$0	$0	$0
RAY INGE
VP HUMAN RESOURCES & PAYROLL	$355,186	$0	$0	$0	$18,081	$0	$26,400	$0	$18,878	$0	$418,546	$0	$0	$0
SCOTT NICHOLS
VP MED STAFF AFF	$406,101	$0	$0	$0	$1,104	$0	$0	$0	$14,471	$0	$421,676	$0	$0	$0
MICHAEL VESTINO
VP, AMBULATORY SERVICES	$310,500	$0	$0	$0	$9,333	$0	$24,000	$0	$26,699	$0	$370,533	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	FormAndLineReferenceDesc
Explanation	THE HOSPITAL HAS EMPLOYMENT CONTRACTS WITH MR. YOCHUM AND MR. NELSON. THE CONTRACTS PROVIDE FOR A PAYMENT OF 6.92 FOR MR. NELSON AND 7.08 FOR MR. YOCHUM TIMES ANNUAL CASH COMPENSATION IF THE EXECUTIVE REMAINS EMPLOYED UNTIL THE END OF THE CONTRACT. EMPLOYMENT REQUIREMENTS ARE 46 YEARS FOR MR. YOCHUM AND 45 YEARS FOR MR. NELSON. IN THE EVENT OF VOLUNTARY TERMINATION OR TERMINATION FOR CAUSE, ALL BENEFITS UNDER THE CONTRACT ARE FORFEITED. IN THE EVENT OF EARLY TERMINATION BECAUSE OF DEATH OR DISABILITY, A PRORATED BENEFIT WOULD BE PAID. THE CONTRACT AFFIRMS THE BOARD OF DIRECTORS HAS THE RIGHT TO TERMINATE THE CONTRACT, WITH OR WITHOUT CAUSE, AT ITS DISCRETION, AND PROVIDES A FORMULA FOR CALCULATING THE SEVERANCE PAYMENT IN THE EVENT OF INVOLUNTARY TERMINATION. ONCE THE EMPLOYEE HAS MET ALL VESTING REQUIREMENTS, AND THE AMOUNT IS NOT SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE, THE AMOUNT IS INCLUDED IN OTHER REPORTABLE COMPENSATION (SCHEDULE J, PART II, B(III)). SCHEDULE J, PART II, COLUMN C INCLUDES DEFERRED COMPENSATION OF -$110,780 FOR MR. YOCHUM AND $12,705 FOR MR. NELSON. RICHARD YOCHUM RECEIVED A DEFERRED COMPENSATION PAYOUT OF $515,483 IN 2023 OF WHICH $416,417 WAS REPORTED ON PRIOR YEAR'S FORM 990. MICHAEL NELSON RECEIVED A DEFERRED COMPENSATION PAYOUT OF $243,163 IN 2023 OF WHICH $137,839 WAS REPORTED ON PRIOR YEAR'S FORM 990.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Gregory Daly
BROTHER TO KEY EMPLOYEE DARLENE SCAFFIDDI	$153,206	SALARIES AND BENEFITS	false
Rakesh Sinha MD Inc
Director	$212,769	COMPENSATION	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part IV LINE 1- BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	FormAndLineReferenceDesc
Explanation	GREGORY DALY IS THE BROTHER OF DARLENE SCAFFIDDI, KEY EMPLOYEE OF THE ORGANIZATION.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4 Program Service Accomplishments (1 of 2)	IN 2023, POMONA VALLEY HOSPITAL MEDICAL CENTER (PVHMC) SPONSORED OVER 80 BENEFIT PROGRAMS, WHICH TOUCHED OVER 800,000 PERSONS IN OUR COMMUNITY. THE PROGRAMS WITH THE GREATEST TOTAL EXPENSE WERE UNDER SUBSIDIZED HEALTH SERVICES, COMMUNITY HEALTH IMPROVEMENT SERVICES/COMMUNITY BENEFIT OPERATIONS, AND HEALTH PROFESSIONS EDUCATION CATEGORIES. THE FOLLOWING SUMMARY DESCRIBES KEY PROGRAM ACTIVITIES AND ACCOMPLISHMENTS ASSOCIATED WITH THESE PROGRAMS. 1. SUBSIDIZED HEALTH SERVICES - PHYSICIAN ASSISTANCE PROGRAM: POMONA IS A DESIGNATED MEDICALLY UNDERSERVED AREA (MUA) AND PVHMC RECRUITS PHYSICIANS TO FILL THE SHORTAGE AND ACTIVELY ADDRESS THE NEEDED MEDICAL CARE TO MANY OF OUR MEDICAL AND INDIGENT PATIENTS. A STRONG MEDICAL COMMUNITY IS CRITICAL TO THE SURVIVAL OF PVHMC TO MEET PATIENT NEEDS AS A NONPROFIT, CHARITABLE INSTITUTION. THIS PROGRAM PROVIDES LOANS TO NEW PHYSICIANS TO ASSIST THEM WITH STARTING THEIR PRACTICES IN OUR COMMUNITY TO ENSURE THAT OUR COMMUNITY HAS ACCESS TO NEEDED SPECIALTIES. IN 2023, PVHMC RECRUITED 13 COMMUNITY-BASED PROVIDERS UNDER THIS PROGRAM: 1 MATERNAL FETAL MEDICINE AND 12 ANESTHESIOLOGISTS. THESE PROVIDERS IMPROVE THE AVAILABILITY OF THESE RESOURCES TO THE COMMUNITY'S MEDICALLY UNDERSERVED POPULATIONS SERVED BY PVHMC'S TRAUMA, EMERGENCY AND WOMEN'S CENTER PROGRAMS. 2. COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS - THE POMONA VALLEY HEALTH CENTER AT POMONA (AKA FAMILY HEALTH CENTER - FHC) IS THE PRIMARY PRACTICE SITE FOR THE FAMILY MEDICINE RESIDENCY PROGRAM. THE CLINIC IS STAFFED BY FACULTY AND RESIDENT PHYSICIANS WHO PROVIDE COMPREHENSIVE CARE THROUGHOUT THE CONTINUUM OF LIFE INCLUDING MATERNITY, SPECIALTY GYNECOLOGIC, DERMATOLOGIC, AND MUSCULOSKELETAL FOCUSED CARE. IN 2023, THE FAMILY MEDICINE RESIDENTS COMPLETED OVER 10,000 OUTPATIENT VISITS IN THE FHC. THE PHYSICIANS PROVIDED CARE FOR THE DISABLED AND ELDERLY, CONDUCTING 275 HOME, HOSPICE AND SKILLED NURSING FACILITY VISITS. IN ADDITION, RESIDENTS COMPLETED: - OVER 700 STREET MEDICINE CLINIC VISITS, DECREASING INAPPROPRIATE USE OF THE ER WHICH HELPS CONSERVE RESOURCES. - 213 DELIVERIES - 800 ADMISSIONS - 61 RAPID RESPONSES - 7 TNC RESIDENT GRAND ROUNDS PRESENTATIONS FOR PVHMC PHYSICIANS - 4 HIGH SCHOOL AND COLLEGE PIPELINE WORKSHOPS AT BRIGHT PROSPECT, PROMOTING CAREERS IN HEALTHCARE - 8 HEALTH TALKS GIVEN AT LOCAL SCHOOLS - 165 PATIENTS SERVED FOR FREE AT SPORTS MEDICINE CLINIC AT OPP - 100-150 FREE PRE-PARTICIPATION PHYSICALS AT 5 LOCAL HIGH SCHOOLS (BONITA, CHARTER OAK, DAMIEN, CLAREMONT, SAN DIMAS) - 19 FM CLERKSHIP, ELECTIVE AND SUB-INTERNSHIP ROTATIONS - THE CANCER CARE CENTER (CCC) PROGRAM AT POMONA VALLEY HOSPITAL MEDICAL CENTER (PVHMC) REMAINS STEADFAST IN ITS MISSION TO DELIVER COMPREHENSIVE CANCER CARE IN OUR COMMUNITY. THE PROGRAM HAS DEDICATED TEAMS IN MEDICAL ONCOLOGY, RADIATION ONCOLOGY, GYNECOLOGICAL ONCOLOGY, AND BREAST CANCER IMAGING (BREAST HEALTH CENTER) COLLABORATED SEAMLESSLY WITHIN THE ROBERT & BEVERLY LEWIS FAMILY CANCER CARE CENTER, ENSURING WELL COORDINATED CARE. - CCC GENETIC COUNSELING IS MADE AVAILABLE TO PATIENTS WITH A CANCER DIAGNOSIS AND/OR CLIENTS WITH A FAMILY HISTORY OF CANCER. IN 2023, 179 INDIVIDUALS ACCESSED GENETIC COUNSELING SERVICES WHICH INCLUDE: - IDENTIFYING INDIVIDUALS AT RISK FOR HEREDITARY CANCER THROUGH DETAILED FAMILY HISTORY INTAKE AND ASSESSMENT. - PROVIDING EDUCATION AND COUNSELING ABOUT SPECIFIC GENETIC SYNDROMES IF RELEVANT. - FACILITATING DECISION-MAKING PROCESS ON GENETIC TESTING OPTIONS OF CANCER GENES OR OTHER CONDITIONS WHEN INDICATED BY THE NATIONAL COMPREHENSIVE CANCER NETWORK GUIDELINES OR PER PATIENT REQUEST. - ORDER GENETIC TESTING VIA THIRD PARTY GENETIC TESTING LABORATORIES. - HELPING INDIVIDUALS DERIVE MEANING FROM THEIR TESTING RESULT AND COUNSELING, AS WELL AS EMPOWERING THEM TO MAKE EDUCATED, INFORMED DECISIONS ABOUT CANCER SCREENINGS AND PREVENTION, INCLUDING MEDICAL AND/OR SURGICAL PROPHYLAXIS. - OFFER RESOURCES FOR PATIENTS WHO ARE INTERESTED IN PATIENT ASSISTANCE PROGRAMS, ADVOCACY/SUPPORT GROUPS, AND RESEARCH OPPORTUNITIES RELATED TO GENETIC STATUS OR CANCER PREVENTION/MANAGEMENT. - CCC OTHER CONTRIBUTIONS: THE CANCER CARE CENTER MADE AVAILABLE SUPPORT, HEALTH, AND EDUCATION PROGRAMS TO PATIENTS AND THE COMMUNITY. KEY ACTIVITIES AND PROGRAMS WERE: - WOMEN WITH CANCER: THIS AND OTHER SUPPORT GROUPS SUPPORTED 125 INDIVIDUALS WITH ALL TYPES OF CANCER MEETS TO ADDRESS THEIR NEEDS. - LIVING WELL AFTER CANCER AND PALATES FOR THE CANCER PATIENT: ARE PROGRAMS DESIGNED FOR CANCER SURVIVORS TO HELP THEM REGAIN THEIR ACTIVITY AND FITNESS LEVELS AFTER CANCER TREATMENT. - NUTRITIONAL SERVICES DURING CANCER: PVHMC'S REGISTERED DIETICIAN PROVIDES INDIVIDUALIZED NUTRITIONAL EVALUATIONS AND RECOMMENDATIONS TO OUR CANCER PATIENTS. TWENTY-NINE (29) INDIVIDUALS ACTIVITY PARTICIPATED IN THE PROGRAM. -PATIENT AND COMMUNITY EDUCATION AND SUPPORT SERVICES: - PATIENT AND COMMUNITY CANCER EDUCATION LIBRARY: BOOKS AND PAMPHLETS ON CANCERRELATED TOPICS ARE AVAILABLE TO PATIENTS AND FAMILY MEMBERS AT THIS LIBRARY, AS WELL AS INTERNET ACCESS. APPROXIMATELY 500 PEOPLE VISIT ANNUALLY AND IS OPEN TO PATIENTS AND VISITORS. - PUBLICATIONS: THE CANCER PROGRAM ANNUAL REPORT PROVIDES UPDATES ON DIAGNOSIS AND TREATMENTS AND INCLUDES STATISTICS AND SURVIVAL DATA COMPARING PVHMC TO THE NATIONAL CANCER DATABASE. ANNUALLY, 200 COPIES ARE PUBLISHED AND DISTRIBUTED TO OUR COMMUNITY, MORE AVAILABLE UPON REQUEST. - PSYCHOSOCIAL SUPPORT: A DEDICATED LICENSED CLINICAL SOCIAL WORKER WHO IS ONCOLOGY CERTIFIED IS ONSTAFF HELPED GUIDE 304 PATIENTS THROUGH THEIR CANCER JOURNEY. OUR ONCOLOGY SOCIAL WORKER OFFERS EMOTIONAL SUPPORT, ADVANCE CARE PLANNING, REFERRALS TO COMMUNITY RESOURCES, AND ADVOCACY THROUGH THE VARIOUS SERVICE AREAS. THIS EXTENDED SUPPORT IS AVAILABLE TO ALL PATIENTS REGARDLESS OF INSURANCE STATUS OR THE ABILITY TO PAY. -PREVENTATIVE HEALTH SCREENINGS: - BREAST CANCER: POMONA VALLEY HOSPITAL MEDICAL CENTER PARTNERS WITH LOCAL COMMUNITY HEALTH CLINICS TO PROVIDE SCREENING AND DIAGNOSTIC MAMMOGRAPHY SERVICES FOR MEDICALLY UNDERSERVED PATIENTS. IN ADDITION, WE OFFER LOW-COST SCREENING MAMMOGRAMS, FOR $50, TWICE A YEAR. IN 2023, 192 MAMMOGRAMS WERE PERFORMED UNDER THIS PROGRAM. - LUNG CANCER: TO PROMOTE DIAGNOSING LUNG CANCER AT THE EARLIEST STAGES, PVHMC OFFERS THE PUBLIC LOW COST AND LOW DOSE CT CHEST SCREENING. IN 2023, 298 SCREENINGS WERE PERFORMED. WE ALSO PROVIDE SMOKING CESSATION LITERATURE AND SUPPORT. -IN-KIND CONTRIBUTIONS (CCC) - ACCESS TO DIGNICAP FOR CHEMOTHERAPYINDUCED HAIR LOSS TECHNOLOGY: REDUCES HAIR LOSS DURING CHEMOTHERAPY FOR BOTH MALE AND FEMALE CANCER PATIENTS WITH SOLID TUMORS, ACCORDING TO THE FDA. POMONA VALLEY HOSPITAL MEDICAL CENTER FOUNDATION HAS CREATED A FUND TO ASSIST OUR PATIENTS WHO OTHERWISE MIGHT NOT HAVE ACCESS TO THIS TECHNOLOGY. IN 2023, 280 TREATMENTS USING THIS TECHNOLOGY WERE PROVIDED. - WIG PROGRAM: MADE AVAILABLE WIGS, FREE OF CHARGE, FOR 26 WOMEN WHO LOST THEIR HAIR BECAUSE OF THEIR CANCER TREATMENT. -PVHMC DIGITAL AND SOCIAL MEDIA ACTIVITIES: PVHMC SPONSORS A WEBSITE DESIGNED TO INFORM THE PUBLIC OF SERVICES, PROGRAMS, CLASSES, AND SPECIAL EVENTS THAT TAKE PLACE AT PVHMC. THE SITE INCLUDES ORIGINAL BLOG CONTENT AND AN EXTENSIVE HEALTH AND WELLNESS LIBRARY THAT THE COMMUNITY CAN ACCESS 24/7. IN 2023, THE WEBSITE HAD MORE THAN 720,000 HITS. IN ADDITION, PVHMC DISTRIBUTED 100,000 HEALTH RELATED NEWSLETTERS AND PROMOTED DIABETES CONTENT ON FACEBOOK (11,000 FOLLOWERS) AND INSTAGRAM (4,200 FOLLOWERS) PLATFORMS. -CARDIAC AND STROKE PREVENTION PROGRAMS: TO UPHOLD OUR CONTINUOUS DEDICATION TO CARDIAC AND STROKE CARE, AND TO MAINTAIN OUR RESPECTED STATUS AS A COMPREHENSIVE STROKE CENTER (CSC) CERTIFIED BY THE JOINT COMMISSION, AND A CHEST PAIN CENTER CERTIFIED BY THE AMERICAN COLLEGE OF CARDIOLOGY, PVHMC SHOWED ITS LEADERSHIP THROUGH COUNTLESS RESPONSIBLE ACTS IN PROMOTING CARDIOVASCULAR HEALTH THROUGHOUT 2023. THE PROGRAM PROVIDED SERVICES AND EDUCATION TO OVER 4,000 INDIVIDUALSTHROUGH COMMUNITY EDUCATION AND CPR PROGRAMS.
Form 990, Part III, Line 4a Program Service Accomplishments (2 of 2)	3. HEALTH PROFESSIONS EDUCATION: PVHMC HAD 17 PROGRAMS IN THIS AREA AND IMPACTED OVER 2,700 INDIVIDUALS WITH ITS EDUCATION PROGRAMS. KEY PROGRAMS INCLUDE: -FAMILY MEDICINE RESIDENCY PROGRAM: THE RESIDENCY PROGRAM WORKS TO ATTRACT AND RETAIN PHYSICIANS IN THE COMMUNITY AFTER THEY COMPLETE THEIR RESIDENCY. THE FAMILY MEDICINE RESIDENTS PROVIDE CARE TO UNHOUSED AND UNDER-RESOURCED INDIVIDUALS AT OUR STREET MEDICINE CLINIC AND AT PARK TREE COMMUNITY HEALTH CENTER, A FEDERALLY QUALIFIED HEALTH CENTER. IN 2023, THE PROGRAM HAD 23 RESIDENTS. -RESPIRATORY SERVICES PROGRAM: PVHMC WAS A HOSPITAL-BASED TRAINING LOCATION FOR MOUNT SAN ANTONIO COLLEGE, AS WELL AS A CLINIC SITE FOR SAN JOAQUIN VALLEY COLLEGE RESPIRATORY STUDENTS. IN 2023, 36 RESPIRATORY STUDENTS WERE TRAINED. IN ADDITION, PVHMC OFFERS A NEONATAL INTENSIVE CARE UNIT (NICU) ROTATION WITH CLINICAL EDUCATION RELATING TO THE DIAGNOSIS, ASSESSMENT, AND TREATMENT OF RESPIRATORY DISEASES IN THE NEONATAL POPULATION; 36 STUDENTS PARTICIPATED IN THIS ROTATION. -CONTINUING MEDICAL EDUCATION (CME): POMONA VALLEY HOSPITAL MEDICAL CENTER IS ACCREDITED BY THE INSTITUTE FOR MEDICAL QUALITY, AND THE CALIFORNIA MEDICAL ASSOCIATION (IMQ/CMA) TO PROVIDE CONTINUING MEDICAL EDUCATION FOR PHYSICIANS. PHYSICIANS DO NOT HAVE TO BE ON STAFF WITH PVHMC TO PARTICIPATE. MOST OF OUR CME EVENTS, EXCEPT FOR FULL AND HALFDAY SEMINARS, ARE PROVIDED FREE OF CHARGE. IN 2023, PVHMC PROVIDED CME OPPORTUNITIES TO 450 INDIVIDUALS. -PVHMC ALSO SUPPORTED THE COMMUNITY BY PROVIDING TRAINING OPPORTUNITIES TO MORE THAN 1500 INDIVIDUALS IN THE FOLLOWING AREAS: DIETETIC INTERNSHIPS; FOOD AND NUTRITION REGIONAL OPPORTUNITY PROGRAM (ROP); CLINICAL EXPERIENCE FOR REHAB (PT, OT, SLP) STUDENTS; CLINICAL EXPERIENCE FOR HISTOLOGY STUDENTS; ULTRASOUND, NUCLEAR MEDICINE, CT, AND MRI TRAINING; RADIOLOGY TECHNOLOGIST INTERNSHIPS; NURSE PRACTITIONER TRAINING; AND CLINICAL NURSING EXPERIENCE; AND SOCIAL SERVICES INTERNSHIPS: PVHMC ALSO SERVES AS ADVISORS TO LOCAL SCHOOLS (E.G., CHAFFEY COLLEGE, WESTERN UNIVERSITY OF HEALTH SCIENCES, MOUNT SAN ANTONIO COLLEGE, CITRUS COLLEGE), TO ASSIST IN MEETING REQUIREMENTS FOR THEIR NURSING PROGRAMS. MORE INFORMATION ABOUT POMONA VALLEY HOSPITAL MEDICAL CENTER, AND ITS COMMUNITY OUTREACH PROGRAMS CAN BE FOUND AT HTTPS://WWW.PVHMC.ORG/ABOUT-US/COMMUNITY-SERVICES/
Form 990, Part VI, Line 18 SECTION 6104 REQUIREMENT	THE HOSPITAL IS NOT REQUIRED TO MAKE ITS FORM 1023 AVAILABLE AS IT FILED FOR TAX EXEMPT STATUS PRIOR TO JULY 15, 1987. THE HOSPITAL MAKES ITS 990 AND 990T AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part VI, Line 11b Review of form 990 by governing body	A COPY OF THE TAX RETURN PREPARED BY EY, THE HOSPITAL'S EXTERNAL ACCOUNTING FIRM, IS DISTRIBUTED TO THE BOARD OF DIRECTORS PRIOR TO FILING IN OCTOBER 2024. THE INTERNAL PROCESS INCLUDES (A) PREPARATION OF THE FINANCIAL DATA BY HOSPITAL PERSONNEL, AND (B) SURVEYS OF DIRECTORS, OFFICERS AND KEY EMPLOYEES REGARDING INFORMATION IN RESPONSE TO QUESTIONS IN PART VI. THIS INFORMATION IS DISCLOSED IN SCHEDULE L. THE COMPLETED 990 IS REVIEWED FOR OVERALL COMPLETENESS AND ACCURACY BY THE EXECUTIVE VP AND CFO.
Form 990, Part VI, Line 12c Conflict of interest policy	EACH YEAR OFFICERS, DIRECTORS, AND KEY EMPLOYEES SUBMIT CONFLICT OF INTEREST STATEMENTS PURSUANT TO HOSPITAL POLICY. THE STATEMENTS ARE THEN REVIEWED BY THE OFFICERS OF THE BOARD (THE CHAIRMAN AND THE TWO VICE CHAIRMEN) BEFORE PRESENTED TO THE FULL BOARD AT THE ANNUAL ORGANIZATIONAL MEETING OF THE BOARD. ANY CONFLICTS OF CONCERN ARE ADDRESSED BY THE OFFICERS AND DISCUSSED BY THE FULL BOARD AT THE ORGANIZATIONAL MEETING. THEREAFTER, IT IS THE RESPONSIBILITY OF EACH MEMBER TO RAISE AN ISSUE OF POTENTIAL CONFLICT TO THE BOARD AND/OR ITS OFFICERS FOR DISPOSITION. IF A CONFLICT IS DEEMED TO EXIST, THE MEMBER IS EXCUSED FROM THE MEETING AND/OR TOPIC WHERE THE CONFLICT EXISTS.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	THE BOARD OF DIRECTORS HAS A COMPENSATION COMMITTEE WHICH ANNUALLY REVIEWS AND DETERMINES THE COMPENSATION FOR THE CEO. ITS DETERMINATION OF THE CEO'S COMPENSATION IS BASED UPON A TRI-ANNUAL REVIEW AND REPORT OF THE CEO'S AND OTHER SENIOR EXECUTIVES COMPENSATION COMPARED TO INDUSTRY PRACTICE. IN 2023 THE COMPENSATION COMMITTEE RELIED ON THIS REPORT FOR THEIR ANNUAL REVIEW. THE COMPENSATION REVIEW PROCESS IS DOCUMENTED IN THE MINUTES OF THE COMPENSATION COMMITTEE.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	SEE ABOVE ANSWER FOR FORM 990, PART VI, LINE 15A
Form 990, Part VI, Line 19 Required documents available to the public	THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE AUDITED FINANCIAL STATEMENTS ARE ALSO ATTACHED TO THIS FORM 990, IN ACCORDANCE WITH THE IRS INSTRUCTIONS.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	- Total Revenue: 6660, Related or Exempt Function Revenue: 6660, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0;
Form 990, Part IX, Line 11g Other Fees	OTHER PROFESSIONAL FEES - Total Expense: 65563788, Program Service Expense: 65563788, Management and General Expenses: 0, Fundraising Expenses: 0; PURCHASED SERVICES - Total Expense: 31859556, Program Service Expense: 31859556, Management and General Expenses: 0, Fundraising Expenses: 0; TEMPORARY HELP - Total Expense: 20144802, Program Service Expense: 20144802, Management and General Expenses: 0, Fundraising Expenses: 0;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	CHANGE IN INTEREST OF FOUNDATION - -524305; OWNER'S DRAW FROM SUBSIDARY - 678673; LOSS FROM SUBSIDIARIES - -804696;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
POMONA VALLEY MEDICAL CENTER FOUNDATION
1798 NORTH GAREY AVENUE	POMONA	CA	91767	953403287	SUPPORT PVHMC	CA	501(c)(3)	7	NA	Yes (true)
THE AUXILIARY OF PVHMC
1798 NORTH GAREY AVENUE	POMONA	CA	91767	956053224	SUPPORT PVHMC	CA	501(c)(3)	Type III-FI	PVHMC	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	POMONA VALLEY MEDICAL PLAZA	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1798 NORTH GAREY AVENUE	AddressLine1Txt
City	POMONA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	91767	ZIPCd

Field	Value	IRS element (for citing)
EIN	954175295	EIN
Primary Activities	LEASING	PrimaryActivitiesTxt
Legal Domicile State	CA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	PVHMC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	Related	PredominantIncomeTypeTxt
Share Of Total Income	$23,243	ShareOfTotalIncomeAmt
Share Of EOY Assets	$3,221,727	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.9	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	POMONA VALLEY HEALTH FACILITIES	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1798 N GAREY AVENUE	AddressLine1Txt
City	POMONA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	91767	ZIPCd

Field	Value	IRS element (for citing)
EIN	954104554	EIN
Primary Activities	R.E. OPERATION	PrimaryActivitiesTxt
Legal Domicile State	CA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	PVHMC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C Corporation	EntityTypeTxt
Share Of Total Income	$36,442	ShareOfTotalIncomeAmt
Share Of EOY Assets	-$98,954	ShareOfEOYAssetsAmt
Ownership	1	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	Yes (true)	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	PVHMC FOUNDATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	C	TransactionTypeTxt
Involved	$5,588,025	InvolvedAmt
Method Of Amount Determination	ACCRUAL	MethodOfAmountDeterminationTxt