POMONA VALLEY HOSPITAL MEDICAL CENTER: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- POMONA VALLEY HOSPITAL MEDICAL CENTER (EIN 95-1115230)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2021-10-21
- IRS object ID
- 202102949349300740
- Schema version
- 2019v5.2
- 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 | 2021-10-21T12:46:48-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
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 AVE STE 1700 | AddressLine1Txt |
| City | IRVINE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92612 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | 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) |
|---|---|---|
| In Care Of | % JULI HESTER | InCareOfNm |
| Business Name Control | POMO | BusinessNameControlTxt |
| Phone | 9098659500 | 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 |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JULI HESTER | PersonNm |
| Person Title | TREASURER/CFO | PersonTitleTxt |
| Phone | 9098659881 | PhoneNum |
| Signature | 2021-10-20 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KARA ADAMS | PreparerPersonNm |
| PTIN | P00023315 | PTIN |
| Phone | 9497942300 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | Yes (X) | AmendedReturnInd |
| Principal Officer | RICHARD E YOCHUM | PrincipalOfficerNm |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $677,859,997 | 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 | SEE SCHEDULE O | ActivityOrMissionDesc |
| Voting Members Governing Body | 26 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 24 | VotingMembersIndependentCnt |
| Total Employee | 3552 | TotalEmployeeCnt |
| Total Volunteers | 999 | TotalVolunteersCnt |
| Total Gross UBI | $384,322 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $200,900 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $989,449 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,039,778 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $651,454,908 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $668,165,084 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,904,154 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,986,890 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,857,843 | PYOtherRevenueAmt |
| CY Other Revenue | $6,464,406 | CYOtherRevenueAmt |
| PY Total Revenue | $659,206,354 | PYTotalRevenueAmt |
| CY Total Revenue | $677,656,158 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,351,789 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $663,419 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $338,759,980 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $349,955,493 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $291,629,041 | PYOtherExpensesAmt |
| CY Other Expenses | $305,497,329 | CYOtherExpensesAmt |
| PY Total Expenses | $631,740,810 | PYTotalExpensesAmt |
| CY Total Expenses | $656,116,241 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $27,465,544 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $21,539,917 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $633,174,020 | TotalAssetsBOYAmt |
| Total Assets EOY | $712,754,800 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $144,944,985 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $204,375,067 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $488,229,035 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $508,379,733 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| 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. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $603,692,451 | ExpenseAmt |
| Grant | $663,419 | GrantAmt |
| Revenue | $674,462,002 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Total Program Service Expenses | $603,692,451 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| 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 | false | 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 | 512 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 3552 | 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 | 24 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JULI HESTER | PersonNm |
| 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 (35 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 | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| RICHARD YOCHUM | ||||||||||
| PRESIDENT/CEO | 36.0 | 4.0 | Yes (X) | Yes (X) | $1,311,615 | $0 | $222,192 | |||
| MICHAEL NELSON | ||||||||||
| ASST. TREASURER/SECRETARY | 38.0 | 2.0 | Yes (X) | $718,838 | $0 | $364,413 | ||||
| DARLENE SCAFIDDI | ||||||||||
| VICE PRESIDENT OF NURSING | 40.0 | 0.0 | $465,772 | $0 | $48,046 | Yes (X) | ||||
| JULI HESTER | ||||||||||
| TREASURER/CFO | 39.0 | 1.0 | Yes (X) | $424,268 | $0 | $46,846 | ||||
| KENT HOYOS | ||||||||||
| CIO | 40.0 | 0.0 | $411,722 | $0 | $47,799 | Yes (X) | ||||
| KENNETH K NAKAMOTO | ||||||||||
| VP MED STAFF AFF | 40.0 | 0.0 | $401,211 | $0 | $34,714 | Yes (X) | ||||
| RAY INGE | ||||||||||
| VP HUMAN RESOURCES & PAYROLL | 40.0 | 0.0 | $364,491 | $0 | $38,217 | Yes (X) | ||||
| MICHAEL VESTINO | ||||||||||
| VP, SUPPORT SERVICES | 40.0 | 0.0 | $286,666 | $0 | $45,680 | Yes (X) | ||||
| JONATHAN BERENDS | ||||||||||
| VP, AMBULATORY SERVICES | 40.0 | 0.0 | $280,838 | $0 | $28,380 | Yes (X) | ||||
| CHRIS ALDWORTH | ||||||||||
| FORMER OFFICER | 0.0 | 0.0 | $174,623 | $0 | $8,572 | Yes (X) | ||||
| ELMER PINEDA MD | ||||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $59,106 | $0 | $0 | ||||
| HEATHER DAVIS-KINGSTON MD | ||||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $3,996 | $0 | $0 | ||||
| RICHARD FASS | ||||||||||
| CHAIRMAN | 2.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| ROSANNE BADER | ||||||||||
| VICE CHAIRMAN | 2.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM MCCOLLUM | ||||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| M HELLEN RODRIGUEZ MD | ||||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| KEVIN MCCARTHY | ||||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| JANE GOODFELLOW | ||||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| RICHARD P CREAN | ||||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN TODD | ||||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| RONALD T VERA | ||||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| STEPHEN MORGAN | ||||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| CURTIS MORRIS | ||||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN LANDHERR | ||||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| TONY SPANO | ||||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| CID PINEDO | ||||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| REGINALD WEBB | ||||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| ROGER GINSBURG | ||||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| GEORGE SAPP | ||||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| KENNETH BROWN MD | ||||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| STIG LANESSKOG | ||||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| WESLEY CURRY MD | ||||||||||
| VICE CHAIRMAN | 2.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| GORDON DESCOMBES | ||||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| SRI GORTY MD | ||||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| LARRY STATLER | ||||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,903,146 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $884,859 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 969 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | 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 N ORANGE GROVE AVENUE | POMONA | CA | 91767 | MEDICAL SERVICES | $13,563,709 |
| CERNER CORPORATION | |||||
| 2800 ROCKCREEK PARKWAY | NORTH KANSAS CITY | MO | 64117 | INFO. TECHNOLOGY | $6,587,808 |
| INSTITUTE OF TRAUMA ACUTE CARE IN | |||||
| 3680 E IMPERIAL HWY SUITE 502 | LYNWOOD | CA | 90262 | MEDICAL SERVICES | $4,677,400 |
| CHAPARRAL MEDICAL GROUP | |||||
| 790 E BONITA AVENUE FL 2 | POMONA | CA | 91767 | MEDICAL SERVICES | $3,618,387 |
| PREMIER ORTHOPEDIC TRAUMA | |||||
| 1798 GAREY AVENUE | POMONA | CA | 91767 | MEDICAL SERVICES | $1,947,377 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 161 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $244,760 | RelatedOrganizationsAmt |
| Government Grants | $426,374 | GovernmentGrantsAmt |
| All Other Contributions | $368,644 | AllOtherContributionsAmt |
| Total Contributions | $1,039,778 | 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 | $666,520,666 | $666,520,666 | $0 | $0 |
| 340b Pharmacy Program | 900099 | $1,106,284 | $1,106,284 | $0 | $0 |
| Physician Office Rental | 621111 | $153,812 | $153,812 | $0 | $0 |
| Non-Patient Lab Revenue | 621511 | $384,322 | $0 | $384,322 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $668,165,084 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,953,368 | TotalRevenueColumnAmt |
| Exclusion | $1,953,368 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $33,522 | TotalRevenueColumnAmt |
| Exclusion | $33,522 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $371,327 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $203,839 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $167,488 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $167,488 | TotalRevenueColumnAmt |
| Exclusion | $167,488 | ExclusionAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| 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 |
| 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 |
| 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 |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| REBATES & REFUNDS | 622110 | $2,509,953 | $2,509,953 | $0 | $0 |
| FOOD SALES | 722212 | $1,278,217 | $1,278,217 | $0 | $0 |
| HEALTH EDUCATION | 923110 | $47,607 | $47,607 | $0 | $0 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,461,141 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,461,141 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $6,296,918 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $677,656,158 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $674,077,680 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $384,322 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,154,378 | 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 | $663,419 | TotalAmt |
| Program Services | $663,419 | 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 | $3,377,125 | TotalAmt |
| Program Services | $647,556 | ProgramServicesAmt |
| Management And General | $2,729,569 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $304,861 | TotalAmt |
| Program Services | $132,939 | ProgramServicesAmt |
| Management And General | $171,922 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $276,968,225 | TotalAmt |
| Program Services | $267,533,703 | ProgramServicesAmt |
| Management And General | $9,434,522 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,873,459 | TotalAmt |
| Program Services | $13,179,786 | ProgramServicesAmt |
| Management And General | $693,673 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,026,358 | TotalAmt |
| Program Services | $33,859,719 | ProgramServicesAmt |
| Management And General | $1,166,639 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,405,465 | TotalAmt |
| Program Services | $19,751,469 | ProgramServicesAmt |
| Management And General | $653,996 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,205,146 | TotalAmt |
| Program Services | $103,341 | ProgramServicesAmt |
| Management And General | $3,101,805 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $329,981 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $329,981 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,000 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $39,000 | 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 | $79,197,664 | TotalAmt |
| Program Services | $68,189,189 | ProgramServicesAmt |
| Management And General | $11,008,475 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,553,740 | TotalAmt |
| Program Services | $1,139,197 | ProgramServicesAmt |
| Management And General | $414,543 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,244,487 | TotalAmt |
| Program Services | $13,125,503 | ProgramServicesAmt |
| Management And General | $2,118,984 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,839,529 | TotalAmt |
| Program Services | $9,332,834 | ProgramServicesAmt |
| Management And General | $1,506,695 | 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 | $13,680,864 | TotalAmt |
| Program Services | $11,779,224 | ProgramServicesAmt |
| Management And General | $1,901,640 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $410,877 | TotalAmt |
| Program Services | $352,368 | ProgramServicesAmt |
| Management And General | $58,509 | 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 | $606,440 | TotalAmt |
| Program Services | $332,219 | ProgramServicesAmt |
| Management And General | $274,221 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,993 | TotalAmt |
| Program Services | $140,337 | ProgramServicesAmt |
| Management And General | $22,656 | 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 | $36,825,606 | TotalAmt |
| Program Services | $31,706,847 | ProgramServicesAmt |
| Management And General | $5,118,759 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,829,216 | TotalAmt |
| Program Services | $5,018,955 | ProgramServicesAmt |
| Management And General | $810,261 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $77,511,725 | $66,737,595 | $10,774,130 | $0 |
| CALIFORNIA HOSPITAL FEE | $39,328,063 | $39,328,063 | $0 | $0 |
| CAPITATION EXPENSE | $18,364,079 | $18,364,079 | $0 | $0 |
| DUES & SUBSCRIPTIONS | $1,697,850 | $1,697,850 | $0 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $670,069 | TotalAmt |
| Program Services | $576,259 | ProgramServicesAmt |
| Management And General | $93,810 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $656,116,241 | TotalAmt |
| Program Services | $603,692,451 | ProgramServicesAmt |
| Management And General | $52,423,790 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Joint Costs TotalJointCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $1,374,950 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,395,139 | BOYAmt |
| EOY | $63,548,228 | 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 | $88,380,614 | BOYAmt |
| EOY | $110,835,076 | 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 | $3,624,605 | BOYAmt |
| EOY | $4,835,539 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,981,378 | BOYAmt |
| EOY | $4,800,207 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,177,083 | BOYAmt |
| EOY | $8,686,920 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $936,778,334 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $552,260,919 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $338,167,711 | BOYAmt |
| EOY | $384,517,415 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,541,114 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$4,816,143 | BOYAmt |
| EOY | -$5,583,205 | 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 | $139,722,519 | BOYAmt |
| EOY | $139,739,670 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $633,174,020 | BOYAmt |
| EOY | $712,754,800 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,107,701 | BOYAmt |
| EOY | $109,629,446 | 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 | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,765,000 | 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 | $21,702,973 | BOYAmt |
| EOY | $75,463,475 | 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 | $19,369,311 | BOYAmt |
| EOY | $19,282,146 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,944,985 | BOYAmt |
| EOY | $204,375,067 | 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 | $487,055,577 | BOYAmt |
| EOY | $507,282,332 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,173,458 | BOYAmt |
| EOY | $1,097,401 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $488,229,035 | BOYAmt |
| EOY | $508,379,733 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $633,174,020 | BOYAmt |
| EOY | $712,754,800 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $21,539,917 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$624,177 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$765,042 | 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) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Media Advertisements | $0 | MediaAdvertisementsAmt |
| Mailings Members | false | MailingsMembersInd |
| Mailings Members | $0 | MailingsMembersAmt |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Publications Or Broadcast | $0 | PublicationsOrBroadcastAmt |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Direct Contact Legislators | $0 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Rallies Demonstrations | $0 | RalliesDemonstrationsAmt |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $39,000 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $39,000 | 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 1I | FormAndLineReferenceDesc |
| Explanation | LOBBY EXPENSE LOBBYING EXPENSE IS INCLUDED IN THE ANNUAL DUES FOR THE HOSPITAL ASSOCIATION OF CALIFORNIA AND CHA/CAHHS. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,290,297 | BeginningYearBalanceAmt |
| Contributions | -$87,046 | ContributionsAmt |
| Investment Earnings Or Losses | $1,304,874 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $9,508,125 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,678,048 | BeginningYearBalanceAmt |
| Contributions | $33,880 | ContributionsAmt |
| Investment Earnings Or Losses | -$421,631 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $8,290,297 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,659,098 | BeginningYearBalanceAmt |
| Contributions | $108,531 | ContributionsAmt |
| Investment Earnings Or Losses | $910,419 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $8,678,048 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,991,692 | BeginningYearBalanceAmt |
| Contributions | $923,136 | ContributionsAmt |
| Investment Earnings Or Losses | $375,083 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $630,813 | OtherExpendituresAmt |
| End Year Balance | $7,659,098 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,711,079 | BeginningYearBalanceAmt |
| Contributions | $340,670 | ContributionsAmt |
| Investment Earnings Or Losses | -$34,511 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,025,546 | OtherExpendituresAmt |
| End Year Balance | $6,991,692 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.18980 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.76870 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.04150 | 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 | $5,659,782 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $16,399,914 | OtherCostOrOtherBasisAmt |
| Book Value | $22,059,696 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $249,160,882 | OtherCostOrOtherBasisAmt |
| Depreciation | $124,279,554 | DepreciationAmt |
| Book Value | $124,881,328 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $32,657,164 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,706,325 | DepreciationAmt |
| Book Value | $16,950,839 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $600,148,009 | OtherCostOrOtherBasisAmt |
| Depreciation | $409,694,696 | DepreciationAmt |
| Book Value | $190,453,313 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $32,752,583 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,580,344 | DepreciationAmt |
| Book Value | $30,172,239 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $384,517,415 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Malpractice Receivable | $5,809,039 |
| Workers Comp Receivable | $921,567 |
| Interest receivable | $10,121,767 |
| Hospital Fee Receivable | $122,887,297 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $139,739,670 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| SELF INSURANCE LIABILITIES | $17,074,524 |
| Deferred compensation | $2,207,622 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $19,282,146 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PART V, LINE 4 | 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. | 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 | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| 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) |
|---|---|---|
| Total Community Benefit Expns | $3,159,703 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,159,703 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00480 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $269,067,597 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $245,637,613 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,429,984 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03570 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $272,227,300 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $245,637,613 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $26,589,687 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04050 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 82 | ActivitiesOrProgramsCnt |
| Persons Served | 370939 | PersonsServedCnt |
| Total Community Benefit Expns | $3,804,037 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,664,767 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,139,270 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00330 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 23 | ActivitiesOrProgramsCnt |
| Persons Served | 6782 | PersonsServedCnt |
| Total Community Benefit Expns | $6,478,073 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $999,273 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,478,800 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00840 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 21 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $6,870,309 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,870,309 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01050 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 702 | PersonsServedCnt |
| Total Community Benefit Expns | $139,250 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,750 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $134,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 17 | ActivitiesOrProgramsCnt |
| Persons Served | 17638 | PersonsServedCnt |
| Total Community Benefit Expns | $849,696 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,390 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $845,306 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 145 | ActivitiesOrProgramsCnt |
| Persons Served | 396061 | PersonsServedCnt |
| Total Community Benefit Expns | $18,141,365 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,673,180 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,468,185 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02360 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 145 | ActivitiesOrProgramsCnt |
| Persons Served | 396061 | PersonsServedCnt |
| Total Community Benefit Expns | $290,368,665 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $248,310,793 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $42,057,872 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06410 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $8,640 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,640 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 10 | ActivitiesOrProgramsCnt |
| Persons Served | 300 | PersonsServedCnt |
| Total Community Benefit Expns | $35,360 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $35,360 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 12 | PersonsServedCnt |
| Total Community Benefit Expns | $165 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $165 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 215 | PersonsServedCnt |
| Total Community Benefit Expns | $995,151 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $995,151 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 16 | ActivitiesOrProgramsCnt |
| Persons Served | 527 | PersonsServedCnt |
| Total Community Benefit Expns | $1,039,316 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,039,316 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $19,592,928 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $75,661,115 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $83,291,145 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$7,630,030 | 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 | 18 | 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 | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | 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. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 0. | FPGFamilyIncmLmtDscntCarePct |
| 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 | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | 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 (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 5 | COMMUNITY NEEDS ASSESSMENT PRIMARY DATA WAS COLLECTED VIA TELEPHONE SURVEY AND CONSISTED OF INPUT FROM 319 RESIDENTS FROM THE ELEVEN CITIES WITHIN PVHMCS SERVICE AREA. THE SURVEYS WERE CONDUCTED BETWEEN MARCH 2 AND MARCH 12, 2018. SURVEYS WERE CONDUCTED ON A VARIETY OF DAYS AND TIMES. THE PRINCIPAL INVESTIGATOR WAS BARBARA SIROTNIK, PHD AND THE PROJECT COORDINATOR WAS LORI ALDANA, MBA. ADDITIONAL PRIMARY DATA WERE COLLECTED THROUGH TWO FOCUS GROUP MEETINGS WITH 12 COMMUNITY-BASED ORGANIZATIONS WITHIN PVHMCS 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, PVHMCS 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. PVHMCS FY 2018 COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDES INTERVIEWS OF PUBLIC HEALTH OFFICIALS IN BOTH LOS ANGELES AND SAN BERNARDINO COUNTIES. INSTITUTE OF APPLIED RESEARCH (IAR) CONDUCTED AN IN-DEPTH TELEPHONE INTERVIEW WITH MS. CHRISTIN MONDY (LOS ANGELES COUNTY SPA3 AND SPA4 PUBLIC HEALTH OFFICER) ON APRIL 13, 2018, AND WITH DR. MAXWELL OHIKHUARE, SAN BERNARDINO COUNTY PUBLIC HEALTH DEPT. HEALTH OFFICER, ON APRIL 18, 2018. THE INTERVIEWS CONSISTED OF QUESTIONS REGARDING THE HEALTH NEEDS OF THE COMMUNITY IN THE AREAS OF SUPPORT FOR PATIENTS AND FAMILIES (EDUCATION, SUPPORT GROUPS, ETC.); PRIMARY CARE AND PREVENTATIVE HEALTH SERVICES; CHRONIC DISEASE MANAGEMENT, AND WELLNESS (NUTRITION, PHYSICAL ACTIVITY, SMOKING, ETC.). RESPONDENTS WERE ASKED TO IDENTIFY UNMET NEEDS IN THE COMMUNITY RELATIVE TO THOSE HEALTH NEED CATEGORIES, AND ALSO INDICATE WHICH POPULATIONS ARE MOST AFFECTED. IN ADDITION, THEY WERE ASKED TO PROVIDE SUGGESTIONS FOR MEETING THE NEEDS OF THE COMMUNITY. OVERALL, THE EXECUTIVE INTERVIEWS FOCUSED HEAVILY ON THE SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY. IN SHORT, IF PEOPLE LIVE IN POOR CONDITIONS, THEY HAVE LIMITED ACCESS TO HEALTH CARE. RESPONDENTS WERE CLEAR THAT THE LACK OF ACCESS TO EDUCATION, GOOD HEALTH CARE, HOUSING, AND OPPORTUNITIES TO IMPROVE ECONOMIC STANDING HAD FAR-REACHING EFFECTS ON THE HEALTH OF THE COMMUNITY. HOWEVER, THESE ARE ISSUES WHICH CAN ONLY BE SOLVED BY FOSTERING COLLABORATION/ PARTNERSHIPS BETWEEN HOSPITALS, COMMUNITY-BASED ORGANIZATIONS, AND GOVERNMENT ORGANIZATIONS, EDUCATION, AND PROVIDING DIABETES EDUCATION AND MANAGEMENT RESOURCES. |
| SCHEDULE H, PART V, SECTION B, LINE 6B | 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 7A | CHNA URL HTTPS://WWW.PVHMC.ORG/DOCUMENTS/COMMUNITY/PVHMC-CHNA-2018.PDF |
| SCHEDULE H, PART V, SECTION B, LINE 10A | IMPLEMENTATION STRATEGY URL HTTPS://WWW.PVHMC.ORG/DOCUMENTS/COMMUNITY/PVHMC-2018-COMMUNITY-BENEFIT-PLA N_FINAL.PDF |
| SCHEDULE H, PART V, SECTION B, LINE 11 | SIGNIFICANT HEALTH NEEDS IDENTIFIED PVHMCS COMMUNITY BENEFIT COMMITTEE REVIEWED THE 2018 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 PVHMCS PRIMARY SERVICE ARE: MENTAL HEALTH; CARE COORDINATION SERVICES/PATIENT NAVIGATORS; RESOURCES/SUPPORT/OUTREACH FOR HOMELESS; CHRONIC DISEASE (DIABETES, HIGH BLOOD PRESSURE/CARDIOVASCULAR DISEASE AND MENTAL HEALTH); DISEASE PREVENTION & EDUCATION RESOURCES; OBESITY & WEIGHT MANAGEMENT; NUTRITION EDUCATION AND SUPPORT GROUPS; PHYSICAL ACTIVITY PROGRAMS; ACCESS TO AFFORDABLE PREVENTATIVE AND SPECIALTY HEALTHCARE SERVICES/ACCESS TO NO-COST SCREENINGS; PRIMARY CARE, PSYCHIATRY, AND GERONTOLOGY PROVIDERS; AND, 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; AND, LANGUAGE AND CULTURAL BARRIERS AS INFLUENCERS OF TRUST. THE IDENTIFIED NEEDS ABOVE WERE PRIORITIZED AND GROUPED INTO THE THREE OVERARCHING AREAS: 1) CHRONIC DISEASE; 2) OBESITY; AND 3) ACCESS TO CARE HEALTH NEEDS IDENTIFIED IN OUR 2018 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 CENTERS MISSION, VISION, AND STRATEGIC PLAN. IN SUPPORT OF PVHMCS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), AND ONGOING COMMUNITY BENEFIT PLAN INITIATIVES, POMONA VALLEY HOSPITAL MEDICAL CENTERS 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 COMMUNITYS HEALTH NEEDS AND WILL SERVE AS A TOOL AROUND WHICH OUR COMMUNITY BENEFIT PROGRAMS WILL BE TAILORED. THROUGH PVHMCS 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 1: CHRONIC DISEASE MANAGEMENT (IDENTIFIED COMMUNITY NEED: HIGH BLOOD PRESSURE, DIABETES, MENTAL HEALTH.) PVHMCS STRATEGIES TO ADDRESS THIS NEED: PROVIDE GLUCOSE SCREENINGS AT HEALTH FAIRS AND EVENTS (LOCAL AND ON-CAMPUS); PROVIDE FREE OR LOW COST DIABETES, WEIGHT MANAGEMENT AND NUTRITION EDUCATION CLASSES AND RESOURCES; PROVIDE EDUCATION TO PROMOTE CARDIOVASCULAR HEALTH AND RISK REDUCTION; OFFER BLOOD PRESSURE SCREENINGS AT HEALTH FAIRS AND EVENTS (IN-COMMUNITY AND ON-CAMPUS); PUBLISH INFORMATION ON STROKE, CARDIOVASCULAR HEALTH, DIABETES, CANCER TREATMENT, AND AVAILABLE RESOURCES TO ADDRESS THESE CONDITIONS; PROVIDE CARE COORDINATION SERVICES THAT SEEK TO ASSURE PATIENTS ARE POSITIONED FOR A SAFE DISCHARGE HOME, WITH POSITIVE HEALTH OUTCOMES AND INCREASED AWARENESS AND UNDERSTANDING OF THEIR HEALTHCARE NEEDS AFTER DISCHARGE; PROVIDE CANCER CARE PATIENT COORDINATORS (NAVIGATORS) AND SOCIAL SERVICES TO GUIDE PATIENTS WITH MAKING APPOINTMENTS, RECEIVING FINANCIAL ASSISTANCE, AND ENROLLING IN SUPPORT GROUPS. THE FOLLOWING PROGRAMS AND SERVICES ARE PROVIDED BY PVHMC, SPECIFICALLY DESIGNATED TO ADDRESS PRIORITY NEED 1, CHRONIC DISEASE MANAGEMENT: STEAD HEART AND VASCULAR CENTER LECTURES AND CLASSES FOR CARDIOVASCULAR HEALTH; SAVING STROKES EVENT; COMMUNITY BLOOD PRESSURE SCREENINGS; COMMUNITY-BASED DIABETES PROGRAM STOPPING DIABETES IN ITS TRACKS (SDIT); NUTRITION EDUCATION; THE ROBERT AND BEVERLY LEWIS FAMILY CANCER CARE CENTER EDUCATION, WELLNESS CLASSES, WORKSHOPS, FORUMS, AND EVENTS; CANCER PROGRAM ANNUAL PUBLICATION; STEAD HEART AND VASCULAR CENTER PUBLICATIONS; PALLIATIVE CARE SERVICES. PRIORITY AREA 2: OBESITY (IDENTIFIED COMMUNITY NEED: EDUCATION, CLASSES AND SUPPORT GROUPS TARGETING NUTRITION, WEIGHT LOSS/MANAGEMENT AND PHYSICAL ACTIVITY). STRATEGIES TO ADDRESS THIS NEED: COLLABORATE WITH COMMUNITY PARTNERS AND PARTICIPATE IN COMMUNITY-WIDE INITIATIVES CENTERED AROUND OBESITY, DIABETES, AND FOOD/NUTRITION; DEVELOP FREE OR LOW-COST EDUCATION, RESOURCES, AND/OR CLASSES THAT PROMOTES HEALTHY EATING, DISEASE PREVENTION, AND WEIGHT LOSS/MANAGEMENT THROUGH THE FOLLOWING STRATEGIES: PROVIDING FREE OR LOW-COST HEALTH EDUCATION CLASSES, WELLNESS SUPPORT GROUPS, AND OTHER HEALTH IMPROVEMENT SERVICES BOTH AT PVHMC AND OUT IN A COMMUNITY SETTING; COLLABORATING WITH COMMUNITY PARTNERS AND PARTICIPATE IN COMMUNITY-WIDE INITIATIVES TO IMPROVE THE HEALTH OF THE COMMUNITY; INCREASING AWARENESS OF AVAILABLE CLASSES OFFERED AT PVHMC THROUGH REACHING OUT DIRECTLY TO THE COMMUNITY AND OTHER ORGANIZATIONS THROUGH WRITTEN AND VERBAL COMMUNICATION AND PUBLICATIONS; DEVELOPING EDUCATION, RESOURCES, AND/OR CLASSES THAT PROMOTES HEALTHY EATING, DISEASE PREVENTION, AND WEIGHT MANAGEMENT; PARTICIPATING AND HOSTING SPEAKING ENGAGEMENTS TO COMMUNICATE TO THE COMMUNITY ABOUT HEALTH AND SERVICES IN THE COMMUNITY; PROVIDING COMPREHENSIVE, CULTURALLY SENSITIVE HEALTH FORUMS, SUPPORT GROUPS, AND WORKSHOPS THAT PROVIDE HANDS-ON HEALTHY LIFESTYLE SUPPORT TO THE COMMUNITY. THE FOLLOWING PROGRAMS AND SERVICES PROVIDED BY PVHMC ARE SPECIFICALLY DESIGNATED TO ADDRESS PRIORITY NEED 2 OBESITY: PVHMC'S STOPPING DIABETES IN ITS TRACKS COMMUNITY-BASED DIABETES PROGRAM; HEALTH FAIRS/COMMUNITY EVENTS PROVIDING NUTRITION EDUCATION AND SCREENINGS; SUMMER WELLNESS MARKET OFFERING FRESH FRUIT AND VEGETABLES; NUTRITION PRESENTATIONS GIVEN BY REGISTERED DIETITIANS AT VARIOUS CLASSES/GROUPS OPEN TO THE COMMUNITY. PRIORITY AREA 3: ACCESS TO CARE (IDENTIFIED COMMUNITY NEED: ACCESS TO PRIMARY AND SPECIALTY CARE, ACCESS TO MENTAL HEALTH SERVICES, CARE COORDINATION/PATIENT NAVIGATION) STRATEGIES TO ADDRESS THIS NEED: PROVIDE ON-SITE ENROLLMENT ASSISTANCE AND FOR APPROPRIATE HEALTH INSURANCE PLANS; PARTICIPATION IN THE HOSPITAL PRESUMPTIVE ELIGIBILITY PROGRAM; PROMOTE COMMUNITY AWARENESS ABOUT HEALTH SERVICES OFFERED, WELLNESS CLASSES, AND SUPPORT GROUPS; PROVIDE DISCHARGE TRANSPORTATION FOR VULNERABLE PATIENTS WHO ARE OTHERWISE UNABLE TO GET HOME; PROVIDE FREE, LOW-COST OR REDUCED-COST HEALTH SERVICES, MEDICATIONS, AND MEDICAL DEVICES; PROVIDE FREE OR REDUCED COST SCREENINGS AND IMMUNIZATIONS AT LOCAL HEALTH FAIRS; COLLABORATE WITH PRIMARY CARE PROVIDERS AND CLINICS TO IMPROVE ACCESS TO PREVENTATIVE AND SPECIALTY CARE; CONTINUE WORKING WITH PVHMCS FAMILY MEDICINE RESIDENCY PROGRAM THROUGH UCLA TO INCREASE THE NUMBER OF PRIMARY CARE PHYSICIANS IN THE REGION; CONTINUE TO INCREASE PVHMCS CAPACITY TO CARE FOR PATIENTS NEEDING EMERGENCY TREATMENT, TRAUMA SERVICES, SURGERY, AND PRIMARY CARE; CONTINUE PROVIDING ENROLLMENT ASSISTANCE IN APPROPRIATE HEALTH PLANS FOR OUR COMMUNITYS VULNERABLE POPULATIONS. PROGRAMS AND SERVICES PROVIDED BY PVHMC, SPECIFICALLY DESIGNATED TO ADDRESS PRIORITY NEED 3 ACCESS TO CARE ARE: PVHMC FAMILY MEDICINE RESIDENCY PROGRAM; TRAUMA CENTER; SPORTS INJURY EVENING CLINIC PROVIDING FREE AND LOW COST SPORTS INJURY EXAMINATIONS AND X-RAYS; ENROLLMENT ASSISTANCE IN APPROPRIATE HEALTH PLANS FOR OUR PATIENTS WHO ARE ADMITTED WITHOUT INSURANCE; DISCHARGE TRANSPORTATION SERVICES FOR OUR VULNERABLE PATIENTS; AMBULANCE TRANSPORTS; FREE AND LOW COST MEDICATION ASSISTANCE; FREE AND LOW COST IMMUNIZATIONS PROVIDED IN THE COMMUNITY. 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 REFE |
| SCHEDULE H, PART V, SECTION B, LINE 13H | CALIFORNIA STATE REGULATIONS |
| SCHEDULE H, PART V, SECTION B, LINE 15E | 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. |
| SCHEDULE H, PART V, SECTION B, LINE 16A | FINANCIAL ASSISTANCE POLICY URL https://www.pvhmc.org/Patients-Visitors/Financial-Questions/Financial-Assi stance-Program.aspx |
| SCHEDULE H, PART V, SECTION B, LINE 16B | FINANCIAL ASSISTANCE POLICY APPLICATION URL https://www.pvhmc.org/Patients-Visitors/Financial-Questions/Financial-Assi stance-Program.aspx |
| SCHEDULE H, PART V, SECTION B, LINE 16C | FINANCIAL ASSISTANCE POLICY PLAIN LANGUAGE SUMMARY URL https://www.pvhmc.org/Patients-Visitors/Financial-Questions/Financial-Assi stance-Program.aspx |
| 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 | POMONA | CA | 91767 | RADIATION THERAPY |
| PVHMC IMAGING CLAREMONT | ||||
| 1601 MONTE VISTA AVENUE | CLAREMONT | CA | 91711 | DIAGNOSTIC CENTER |
| PVHMC PHYSICAL THERAPY CLAREMONT | ||||
| 1601 MONTE VISTA AVENUE | CLAREMONT | CA | 91711 | REHABILITATION CENTER |
| PVHMC SLEEP CENTER | ||||
| 1601 MONTE VISTA AVENUE | CLAREMONT | CA | 91711 | DIAGNOSTIC CENTER |
| PVHMC WOMEN'S IMAGING | ||||
| 1910 ROYALTY DRIVE | POMONA | CA | 91767 | DIAGNOSTIC CENTER |
| PVHMC CANCER CENTER OP | ||||
| 1910 ROYALTY DRIVE | POMONA | 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 | POMONA | 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 | CLAREMONT | 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 | CLAREMONT | 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 | POMONA | 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 | POMONA | 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 (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 $39,328,063 IN 2019 AND $ 35,791,797 IN 2018 INCLUDED ON SCHEDULE H, PART I, LINE 7B, COLUMN C. THE MEDICAL CENTER ALSO RECORDED PLEDGE PAYMENTS OF $561,794 IN 2019 AND $1,036,918 IN 2018 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 $115,507,000 IN 2019 INCLUDED ON SCHEDULE H, PART I, LINE 7B, COLUMN D, WHICH PERTAINS TO THE PERIOD JANUARY 1, 2019 TO DECEMBER 31, 2019, 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 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 20 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 NOT-FOR-PROFIT ORGANIZATIONS TO PARTICIPATE IN CREATING A SPONSORSHIP AD FOR THEIR ORGANIZATION IN OUR HOSPITAL'S PROGRAM BOOKS 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. POMONA VALLEY HOSPITAL MEDICAL CENTER IS ONE OF 13 DESIGNATED DISASTER RESOURCE CENTERS (DRC) IN LOS ANGELES COUNTY AS PART OF THE NATIONAL BIOTERRORISM HOSPITAL PREPAREDNESS PROGRAM. AS THE DRC FOR THE REGION, POMONA VALLEY HOSPITAL MEDICAL CENTER IS RESPONSIBLE FOR 12 UMBRELLA FACILITIES IN THE AREA AND COORDINATES DRILLS, TRAINING, AND SHARING OF PLANS TO BRING TOGETHER THE COMMUNITY AND OUR RESOURCES FOR DISASTER PREPAREDNESS. |
| SCHEDULE H, PART III, LINE 2 | THE BAD DEBT EXPENSE IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS FOR EACH MAJOR PAYOR SOURCE, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE MEDICAL CENTER'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE MEDICAL CENTER RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD SERVICES ARE PROVIDED RELATED TO SELF-PAY PATIENTS, INCLUDING BOTH UNINSURED PATIENTS AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR A PORTION OF THEIR BALANCE. FOR RECEIVABLES ASSOCIATED WITH PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE MEDICAL CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE MEDICAL CENTER'S POLICIES. |
| SCHEDULE H, PART III, LINE 8 | THE COSTING METHODOLOGY USED IS COST TO CHARGE RATIO. THE SOURCE OF INFORMATION IS THE MEDICARE COST REPORT. |
| SCHEDULE H, PART III, LINE 9B | 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 ACCOUNANTORS. 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 VI, LINE 2 | COMMUNITY NEEDS ASSESSMENT IN 2018, 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 2018 CHNA WERE CONSISTENT WITH THOSE OF PREVIOUS CHNAS, 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 | 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 AND THAT 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 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 ORGANIZATIONS 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. 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 840,789 ACCORDING TO THE 2010 UNITED STATES CENSUS. ACCORDING TO THE OFFICE OF STATEWIDE HEALTH AND PLANNING 2012 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 2010 CENSUS, THE ETHNIC DIVERSITY OF POMONA IS SUCH THAT 48.0% ARE WHITE, 70.5% ARE HISPANIC OR LATINO, 7.3% ARE BLACK OR AFRICAN AMERICAN, 1.2% ARE AMERICAN INDIAN, 8.5% ARE ASIAN, 0.2% ARE HAWAIIAN OR PACIFIC ISLANDER, 30.3% IDENTIFY AS OTHER, AND 4.5% IDENTIFY AS TWO OR MORE RACES. AMONG THIS POPULATION, ACCORDING TO THE 2006-2010 AMERICAN COMMUNITY SURVEY 5 YEAR ESTIMATES, RETRIEVED FROM THE CALIFORNIA DEPARTMENT OF FINANCE, POMONAS MEDIAN HOUSEHOLD INCOME IS $50,497, WITH 17.2% OF FAMILIES LIVING BELOW THE FEDERAL POVERTY LEVEL. EDUCATIONAL ATTAINMENT DATA WAS ALSO RETRIEVED FROM THE 2006-2010 ACS SURVEY, SHOWING 21.1% OF POMONA RESIDENTS OVER THE AGE OF 25 HAVE LESS THAN A 9TH GRADE EDUCATION LEVEL, 15.7% HAVE COMPLETED LESS THAN 12TH GRADE, 26.0% HAVE A HIGH SCHOOL DIPLOMA, 6.1% HAVE AN ASSOCIATES DEGREE, 10.2% HAVE A BACHELORS DEGREE, AND 4.0% 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 COMMUNITY 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 CITRUS VALLEY HEALTH PARTNERS-QUEEN OF THE VALLEY CAMPUS. |
| SCHEDULE H, PART VI, LINE 5 | 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 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 OUR 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. A PART OF PVHMCS 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. |
| SCHEDULE H, PART VI, LINE 6 | POMONA VALLEY HOSPITAL MEDICAL CENTER IS A STAND ALONE HOSPITAL, NOT PART OF A HEALTH CARE SYSTEM. |
| SCHEDULE H, PART VI, LINE 7 | CALIFORNIA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| CALIFORNIA HEALTH FOUNDATION & TRUST | |||||||
| 1215 K ST STE 8000 | SACRAMENTO | CA | 95814 | 941498697 | 501(c)(3) | $561,794 | HOSPITAL FEE PROGRAM |
| YOUTH & FAMILY CLUB OF POMONA VALLEY | |||||||
| 1420 S GAREY AVENUE | POMONA | CA | 91766 | 952557452 | 501(c)(3) | $25,000 | PROGRAM SUPPORT |
| SHOES THAT FIT | |||||||
| 1420 N CLAREMONT BLVD SUITE 204A | CLAREMONT | CA | 91711 | 954425565 | 501(c)(3) | $15,000 | PROGRAM SUPPORT |
| CASA COLINA CTR FOR REHAB FOUNDATION | |||||||
| 255 E BONITA AVE | POMONA | CA | 91767 | 953655255 | 501(c)(3) | $10,000 | PROGRAM SUPPORT |
| BRIGHT PROSPECT | |||||||
| 1460 EAST HOLT AVENUE SUITE 74 | POMONA | CA | 91767 | 522363234 | 501(c)(3) | $10,000 | PROGRAM SUPPORT |
| PILGRIM PLACE | |||||||
| 625 MAYFLOWER ROAD | CLAREMONT | CA | 91711 | 951691301 | 501(c)(3) | $7,500 | PROGRAM SUPPORT |
| POMONA COMMUNITY FOUNDATION | |||||||
| 101 W MISSION BLVD STE 110-201 | Pomona | CA | 91766 | 392073462 | 501(c)(3) | $7,500 | PROGRAM SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 7 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE I, PART I, LINE 2 | 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 $ 561,794 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 (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RICHARD YOCHUM | ||||||||||||||
| PRESIDENT/CEO | $776,078 | $0 | $194,150 | $0 | $341,387 | $0 | $204,275 | $0 | $17,917 | $0 | $1,533,807 | $0 | $260,421 | $0 |
| MICHAEL NELSON | ||||||||||||||
| ASST. TREASURER/SECRETARY | $572,095 | $0 | $140,750 | $0 | $5,993 | $0 | $346,468 | $0 | $17,945 | $0 | $1,083,251 | $0 | $0 | $0 |
| DARLENE SCAFIDDI | ||||||||||||||
| VICE PRESIDENT OF NURSING | $365,104 | $0 | $97,500 | $0 | $3,168 | $0 | $22,400 | $0 | $25,646 | $0 | $513,818 | $0 | $0 | $0 |
| JULI HESTER | ||||||||||||||
| TREASURER/CFO | $332,274 | $0 | $88,000 | $0 | $3,994 | $0 | $22,400 | $0 | $24,446 | $0 | $471,114 | $0 | $0 | $0 |
| KENT HOYOS | ||||||||||||||
| CIO | $338,588 | $0 | $71,070 | $0 | $2,064 | $0 | $22,400 | $0 | $25,399 | $0 | $459,521 | $0 | $0 | $0 |
| KENNETH K NAKAMOTO | ||||||||||||||
| VP MED STAFF AFF | $327,215 | $0 | $67,900 | $0 | $6,096 | $0 | $16,800 | $0 | $17,914 | $0 | $435,925 | $0 | $0 | $0 |
| RAY INGE | ||||||||||||||
| VP HUMAN RESOURCES & PAYROLL | $297,118 | $0 | $61,277 | $0 | $6,096 | $0 | $16,800 | $0 | $21,417 | $0 | $402,708 | $0 | $0 | $0 |
| MICHAEL VESTINO | ||||||||||||||
| VP, SUPPORT SERVICES | $233,899 | $0 | $50,703 | $0 | $2,064 | $0 | $20,281 | $0 | $25,399 | $0 | $332,346 | $0 | $0 | $0 |
| JONATHAN BERENDS | ||||||||||||||
| VP, AMBULATORY SERVICES | $241,583 | $0 | $38,775 | $0 | $480 | $0 | $6,463 | $0 | $21,917 | $0 | $309,218 | $0 | $0 | $0 |
| CHRIS ALDWORTH | ||||||||||||||
| FORMER OFFICER | $174,623 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $8,572 | $0 | $183,195 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL HAS EMPLOYMENT CONTRACTS WITH MR. YOCHUM AND MR. NELSON. THE CONTRACTS PROVIDE FOR A PAYMENT OF 6.31 FOR MR. NELSON AND 6.46 FOR MR. YOCHUM TIMES ANNUAL CASH COMPENSATION IF THE EXECUTIVE REMAINS EMPLOYED UNTIL THE END OF THE CONTRACT. EMPLOYMENT REQUIREMENTS ARE 42 YEARS FOR MR. YOCHUM AND 41 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 $181,875 FOR MR. YOCHUM AND $324,068 FOR MR. NELSON. RICHARD YOCHUM RECEIVED A DEFERRED COMPENSATION PAYOUT OF $323,347 IN 2019 OF WHICH $260,421 WAS REPORTED ON PRIOR YEAR'S FORM 990. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GREGORY DALY | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SEE PART V | RelationshipDescriptionTxt |
| Transaction | $132,939 | TransactionAmt |
| Transaction | COMPENSATION FOR SERVICES | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART IV | FormAndLineReferenceDesc |
| Explanation | BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS LINE (1) - GREGORY DALY IS THE BROTHER OF DARLENE SCAFFIDDI, KEY EMPLOYEE OF THE ORGANIZATION. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 1 | 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. |
| FORM 990, PART III, LINE 1 | 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 ORGANIZATIONS 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. OUR VISION - PVHMCS VISION IS TO BE THE REGIONS MOST RESPECTED AND RECOGNIZED MEDICAL CENTER AND MARKET LEADER IN THE DELIVERY OF QUALITY HEALTH CARE SERVICES; BE THE MEDICAL CENTER OF CHOICE FOR PATIENTS AND FAMILIES BECAUSE THEY KNOW THEY WILL RECEIVE THE HIGHEST QUALITY CARE AND SERVICES AVAILABLE ANYWHERE; BE THE MEDICAL CENTER WHERE PHYSICIANS PREFER TO PRACTICE BECAUSE THEY ARE VALUED CUSTOMERS AND TEAM MEMBERS SUPPORTED BY EXPERT HEALTH CARE PROFESSIONALS, THE MOST ADVANCED SYSTEMS AND STATE-OF-THE-ART TECHNOLOGY; BE THE MEDICAL CENTER WHERE HEALTH CARE WORKERS CHOOSE TO WORK BECAUSE PVHMC IS RECOGNIZED FOR EXCELLENCE, INITIATIVE IS REWARDED, SELF-DEVELOPMENT IS ENCOURAGED, AND PRIDE AND ENTHUSIASM IN SERVING CUSTOMERS ABOUNDS; BE THE MEDICAL CENTER BUYERS DEMAND (EMPLOYERS, PAYORS, ETC.) FOR THEIR HEALTH CARE SERVICES BECAUSE THEY KNOW WE ARE THE PROVIDER OF CHOICE FOR THEIR BENEFICIARIES AND THEY WILL RECEIVE THE HIGHEST VALUE FOR THE BENEFIT DOLLAR; AND, BE THE MEDICAL CENTER THAT COMMUNITY LEADERS, VOLUNTEERS AND BENEFACTORS CHOOSE TO SUPPORT BECAUSE THEY GAIN SATISFACTION FROM PROMOTING AN INSTITUTION THAT CONTINUOUSLY STRIVES TO MEET THE HEALTH NEEDS OF OUR COMMUNITIES, NOW AND IN THE FUTURE. OUR COMMUNITY PVHMC IS LOCATED IN LOS ANGELES COUNTY SERVICE PLANNING AREA 3 (SPA3) AND IS DEDICATED TO MEETING THE HEALTH CARE DEMANDS OF THE GROWING POPULATIONS OF BOTH 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 840,789. OUR SECONDARY SERVICE AREA INCLUDES ADDITIONAL SURROUNDING CITIES IN SAN GABRIEL VALLEY AND WESTERN SAN BERNARDINO COUNTY. IN 2010 AS DERIVED FROM THE STATISTICS REPORTED BY THE U.S. CENSUS BUREAU, THE ETHNIC DIVERSITY REPRESENTED BY THE DEMOGRAPHICS OF THE CITY OF POMONA WAS SUCH THAT 33.6% IS HISPANIC OR LATINO, 14.4% IS WHITE, 7.3% IS BLACK/AFRICAN-AMERICAN, 8.5% IS ASIAN, 1.2% IS AMERICAN INDIAN, 0.2% HAWAIIAN/PACIFIC ISLANDER, 30.3% IS OTHER, AND 4.5% IS TWO OR MORE RACES. |
| FORM 990, PART III, LINE 4A | EXECUTIVE SUMMARY - POMONA VALLEY HOSPITAL MEDICAL CENTER (PVHMC) IS A 412-BED, FULLY ACCREDITED, ACUTE CARE HOSPITAL SERVING EASTERN LOS ANGELES AND WESTERN SAN BERNARDINO COUNTIES. FOR OVER A CENTURY, PVHMC HAS BEEN COMMITTED TO SERVING OUR COMMUNITY AND PLAYS AN ESSENTIAL ROLE AS A SAFETY-NET PROVIDER AND TERTIARY REFERRAL FACILITY FOR THE REGION. A NATIONALLY RECOGNIZED, NOT-FOR-PROFIT FACILITY, THE HOSPITALS SERVICES INCLUDE CENTERS OF EXCELLENCE IN CANCER CARE, CARDIAC AND VASCULAR CARE, WOMENS AND CHILDRENS SERVICES, AND TRAUMA CARE. SPECIALIZED SERVICES INCLUDE CENTERS FOR BREAST HEALTH, SLEEP DISORDERS, A NEONATAL ICU, A PERINATAL CENTER, PHYSICAL THERAPY/SPORTS MEDICINE, A LEVEL II TRAUMA CENTER AND EMERGENCY DEPARTMENT WHICH INCLUDES OUR LOS ANGELES COUNTY AND SAN BERNARDINO COUNTY STEMI RECEIVING CENTER DESIGNATION, ROBOTIC SURGERY, AND THE FAMILY MEDICINE RESIDENCY PROGRAM AFFILIATED WITH UCLA. SATELLITE CENTERS IN CHINO HILLS, CLAREMONT, COVINA, LA VERNE AND POMONA PROVIDE A WIDE RANGE OF OUTPATIENT SERVICES INCLUDING PHYSICAL THERAPY, URGENT CARE, PRIMARY CARE, RADIOLOGY AND OCCUPATIONAL HEALTH. ALONG WITH BEING NAMED ONE OF HEALTHGRADES 100 BEST HOSPITALS FOR CARDIAC CARE, 2014-2018 (ONLY ONE OF THREE IN CALIFORNIA TO RECEIVE ALL 3 TOP 100 RECOGNITIONS IN 2014-2015) AND RECEIVING HEALTHGRADES 2017 PATIENT SAFETY AWARD, THE JOINT COMMISSION HAS GIVEN PVHMC CERFICATION FOR ORTHOPEDIC JOINT REPLACEMENT, PALLIATIVE CARE, DIABETES, AND 2018 CERTIFICATION AS A COMPREHENSIVE STROKE CENTER FOR LOS ANGELES COUNTY, DEMONSTRATING WHAT WE HAVE BEEN DOING ALL ALONG - PROVIDING QUALITY CARE AND SERVICES IN THE HEART OF OUR COMMUNITY. AS A COMMUNITY HOSPITAL, WE CONTINUOUSLY REFLECT UPON OUR RESPONSIBILITY TO PROVIDE HIGH-QUALITY HEALTHCARE SERVICES, ESPECIALLY TO OUR MOST VULNERABLE POPULATIONS IN NEED, AND TO RENEW OUR COMMITMENT WHILE FINDING NEW WAYS TO FULFILL OUR CHARITABLE PURPOSE. PART OF THAT COMMITMENT IS SUPPORTING ADVANCED LEVELS OF TECHNOLOGY AND PROVIDING APPROPRIATE STAFFING, TRAINING, EQUIPMENT, AND FACILITIES. PVHMC WORKS VIGOROUSLY TO MEET OUR ROLE IN MAINTAINING A HEALTHY COMMUNITY BY IDENTIFYING HEALTH-RELATED PROBLEMS AND DEVELOPING WAYS TO ADDRESS THEM. IN 2018, IN COMPLIANCE WITH SECTION 501(R)(3) OF THE INTERNAL REVENUE CODE, CREATED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (2010), A COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED. THIS ASSESSMENT IS INTENDED TO BE A RESOURCE FOR PVHMC IN THE DEVELOPMENT OF ACTIVITIES AND PROGRAMS THAT CAN HELP IMPROVE AND ENHANCE THE HEALTH AND WELL-BEING OF THE RESIDENTS OF POMONA VALLEY. IN RESPONSE TO THE ASSESSMENTS FINDINGS, FY 2018-2021 COMMUNITY BENEFIT PLAN AND IMPLEMENTATION STRATEGY WAS DEVELOPED TO OPERATIONALIZE THE INTENT OF PVHMCS COMMUNITY BENEFIT PLAN INITIATIVES THROUGH DOCUMENTED GOALS, PERFORMANCE MEASURES, AND STRATEGIES. PVHMC DEMONSTRATES ITS PROFOUND COMMITMENT TO ITS LOCAL COMMUNITY AND HAS WELCOMED THIS OCCASION TO FORMALIZE OUR COMMUNITY BENEFIT PLAN AND IMPLEMENTATION STRATEGY. OUR COMMUNITY IS CENTRAL TO US AND IT IS REPRESENTED IN ALL OF THE WORK WE DO. PVHMC HAS SERVED THE POMONA VALLEY FOR 116 YEARS, AND WE VALUE MAINTAINING THE HEALTH OF OUR COMMUNITY. PVHMCS 2020 REPORT AND FOCUS STUDY (FOR FY 2019) UPDATE HIGHLIGHTS SOME OF OUR MANY EFFORTS TO PROMOTE AN IMPROVED QUALITY OF LIFE AND EVALUATES OUR CURRENT STRATEGIES AND THE ANTICIPATED IMPACT THOSE STRATEGIES AND PROGRAMS HAVE IN ADDRESSING PRIORITY HEALTH NEEDS IDENTIFIED IN OUR NEEDS ASSESSMENT. ACTIONS AND UPDATES FROM FISCAL YEAR 2019 THAT PVHMC HAS CHOSEN TO HIGHLIGHT ARE: - TRAUMA SERVICES - DIABETES CARE - STROKE CARE - PALLIATIVE CARE - CARE HARBOR MEDICAL OUTREACH DIABETES CARE COMMUNITY-BASED PROGRAM TYPE 2 DIABETES (T2D) IS A GROWING PROBLEM. IT HAS TRIPLED OVER THE LAST DECADE AND IT IS ANTICIPATED TO TRIPLE OVER THE NEXT SEVERAL DECADES (CDC, 2015). APPROXIMATELY 9.3% OF AMERICANS HAVE DIABETES; 90-95% OF WHICH IS T2D. THIS EQUATES TO 21 MILLION INDIVIDUALS DIAGNOSED WITH DIABETES (CDC 2014 REPORT CARD ON DM). MORE SO, IT IS ESTIMATED THAT 8.1 MILLION INDIVIDUALS ARE UNDIAGNOSED (CDC 2014 REPORT CARD ON DM). THIS IS A STAGGERING NUMBER, AND PREDIABETES DIAGNOSES ARE ALSO ON THE RAPID RISE. FURTHERMORE, IN PVHMCS 2018 COMMUNITY HEALTH NEEDS ASSESSMENT, MORE THAN 40% OF RESPONDENTS REPORTED HAVING DIABETES, A JUMP FROM THE APPROXIMATELY 25.9% SAID THAT THEY OR A FAMILY MEMBER WERE LIVING WITH A DIAGNOSIS OF EITHER TYPE 1 OR TYPE II DIABETES IN OUR 2015 CHNA. WE KNOW, HOWEVER, THAT 2015 CHNA FINDINGS WERE LIKELY AN UNDERESTIMATE GIVEN THAT UNTIL NOW THERE HAS BEEN NO ROUTINE SCREENING FOR DIABETES ACROSS HOSPITAL SERVICES. MOST OF KNOWN T2D CASES ALSO SUFFER FROM COMORBIDITIES, INCLUDING ESPECIALLY CARDIOVASCULAR DISEASE. THE INCIDENCE OF HIGH BLOOD PRESSURE (42%), OBESITY (21%, LIKELY A LOW ESTIMATE), AND ARTERIOSCLEROSIS (32%), WERE ALSO SIGNIFICANT IN OUR COMMUNITY RESPONSES. SUCH DATA PAINTS A POOR PROGNOSIS FOR THE RESIDENTS OF POMONA AND THE SURROUNDING COMMUNITIES. IT IS FOR THE REASONS ABOVE THAT PVHMC IDENTIFIED DIABETES AS A PRIORITY AREA TO ADDRESS IN THE COMMUNITY. SPECIFIC HEALTH-RELATED NEEDS BEING MET BY THIS PROJECT INCLUDE: A. IDENTIFICATION OF ADULTS (OVER AGE 21) WHO ARE PRE-DIABETIC BY A1C (5.7-6.4%) CRITERIA AND INTRODUCTION OF PREVENTION INTERVENTIONS TO FORESTALL THE DEVELOPMENT OF T2D. B. IDENTIFICATION OF CHILDREN AND ADOLESCENTS (AGES 5-21) WHO EXHIBIT HIGH LEVELS OF KNOWN RISK FACTORS FOR T2D, INCLUDING TWO OR MORE OF OBESITY, A1C=5.3-5.8, AND AT LEAST ONE PARENT WHO IS KNOWN TO BE DIABETIC OR PREDIABETIC. C. IDENTIFICATION OF PREVIOUSLY UNKNOWN CASES OF T2D (ADULT A1C>6.4, CHILD A1C>5.8). D. IDENTIFICATION OF INDIVIDUALS WITH POORLY CONTROLLED T2D (A1C > 9.0) E. REDUCTION OF CARDIAC AND NEUROLOGICAL RISKS THROUGH IMPROVED GLYCEMIC CONTROL, WEIGHT LOSS AND LIPID REDUCTION. F. RECRUITMENT OF IDENTIFIED PREDIABETICS AND DIABETICS INTO AN EVIDENCE BASED PROGRAM FOR DIABETES PREVENTION AND CONTROL. G. REDUCTION IN THE USE AND COST OF SERVICES INCLUDING FEWER INPATIENT HOSPITALIZATIONS, FEWER EMERGENCY ROOM VISITS. H. REDUCTION AND/OR BETTER CONTROL OF COMORBIDITIES. I. IMPROVED ADHERENCE TO MEDICATION MANAGEMENT AND LIFESTYLE CHANGES. BENEFITS INCLUDE: REDUCED RISK OF HEART ATTACK AND STROKE, THE DEVELOPMENT OF CARDIOVASCULAR AND KIDNEY DISEASE AND THE DEVELOPMENT OF AUTONOMIC NEUROPATHY DISORDERS. TYPE-2 DIABETES IS PREVENTABLE, PRIMARILY BY CONTROL OF BODY WEIGHT AS EVIDENCED BY TRIALS IN THE U.S., FINLAND, AND CHINA. THERE IS EVIDENCE THAT THE RISK OF T2D CAN BE REDUCED AS WELL BY EFFECTIVE BLOOD PRESSURE AND LIPID CONTROL, AND BY REDUCTION OF EXPOSURE TO ENVIRONMENTAL POLLUTANTS, ESPECIALLY TOBACCO SMOKE. IN ADDITION TO OUR EFFORTS TO ADDRESS DIABESTES, AS DESCRIBED ABOVE, WE WILL ADAPT THE BEST EVIDENCE BASED STRATEGIES FOR OBESITY CONTROL FOR ALL, AND FOR BP, LIPID, AND TOBACCO SMOKE EXPOSURE WHERE APPROPRIATE. OUR SCREENINGS WILL ADD THE IMPORTANT COMPONENT OF IDENTIFYING THE IMPACT THAT THE ABOVE HAVE ON ADULTS AS WELL AS CHILDREN AND ADOLESCENTS AND ADDRESS THE OTHER CHRONIC DIESEASE RISK FACTORS AND CAUSES THAT GIVE DIABETES A FOOTHOLD. |
| FORM 990, PART III, LINE 4A (CONTINUED) | FY 2019 DIABETES UPDATE AND PROGRAM ACTIVITIES STOPPING DIABETES IN ITS TRACKS (SDIT) STOPPING DIABETES IN ITS TRACKS (SDIT) SCREENING DATA COLLECTED UP TO JANUARY 20, 2020 FOUND THE PREVALENCE RATES FOR PRE-DIABETES (A1C BETWEEN 5.7-6.4%) AND DIABETES (A1C OVER 6.4%) TO BE 23.3% AND 16.2%, RESPECTIVELY, AMONG ADULTS 18 YEARS + IN POMONA COMMUNITIES. THESE ESTIMATES ARE HIGHER THAN WHAT WE FOUND IN THE EARLIER 2017 PLANNING GRANT PERIOD, 20% AND 15% FOR PRE-DIABETES AND DIABETES, RESPECTIVELY. THIS COULD INDICATE INCREASING LEVELS OF DIABETES AND DIABETES RISK FOR THE CITYS POPULATION OR COULD BE THE RESULT OF SAMPLING ERROR. EITHER WAY, THE RATE FOR DIABETES IN POMONA IS MUCH HIGHER COMPARED TO THE RATE REPORTED BY CDHS FOR DIABETES IN LOS ANGELES COUNTY (9%) AS A WHOLE. ALTHOUGH, OUR COMMUNITY SCREENINGS WERE NOT DESIGNED TO BE A POPULATION REPRESENTATIVE, OUR FINDINGS SUGGEST (CONFIRMED BY POPULATION REPRESENTATIVE NHANES PROJECTIONS) THAT THE DIABETES EPIDEMIC IN OUR REGION IS MUCH WORSE THAN THOUGHT. DIABETES SELF-MANAGEMENT EDUCATION (DSME) IS A FIVE-CLASS SERIES, WHICH IS FREE TO THOSE WHO QUALIFY. DSME IS A CRITICAL ELEMENT OF CARE FOR PEOPLE WITH DIABETES AND THOSE AT RISK FOR DEVELOPING THE CONDITION. DSME IS THE ONGOING PROCESS OF FACILITATION THE KNOWLEDGE, SKILLS, AND ABILITY NECESSARY FOR PRE-DIABETES AND DIABETES SELF-CARE, AS WELL AS ACTIVITIES THAT ASSIST A PERSON IN IMPLEMENTING AND SUSTAINING THE BEHAVIORS NEEDED TO MANAGE THEIR CONDITION ON AN ONGOING BASIS. RECENT PROGRAM RESULTS INCLUDE AN AVERAGE A1C DECREASE OF 3% FOR DSME PARTICIPANTS. ON AVERAGE, PARTICIPANTS HAD A STARTING A1C OF 10.9% AND 7.9% AT THE END OF THE PROGRAM. A REVIEW OF THE META-ANALYSIS ON DSME PROGRAMS INDICATES THAT MOST DSME PROGRAMS FACILITATE A 1% DECREASE IN A1C. THE DIABETES PREVENTION PROGRAM (DPP) AND DSME ARE THE TWO INTACT EVIDENCE-BASED PROGRAMS IMPLEMENTED IN SDIT. DSME HAS SEEN THE FOLLOWING SUCCESS: - THE TARGET IS TO ENROLL 100 DSME PARTICIPANTS. BY THE END OF 2019, 50 PERSONS WITH DIABETES HAD SUCCESSFULLY GRADUATED FROM THE HOSPITAL-BASED DSME PROGRAM AND ANOTHER 22 WERE ENROLLED IN CLASSES. COMPLETION RATE IS HIGH WITH ONLY 11 PERSONS HAVING WITHDRAWN AFTER STARTING THE PROGRAM - 57% OF DSME PARTICIPANTS WERE MALE AND PREDOMINANTLY HISPANIC. THIS STANDS IN CONTRAST TO OTHER PROGRAMS WHERE CONSIDERABLY MORE FEMALES THAN MALES PARTICIPATED - AVERAGE HGA1C VALUES DROPPED FROM 10.9 % AT PROGRAM STARTUP TO 7.9% AT PROGRAM END, TWICE THE EFFECT TYPICALLY FOUND IN DSME - CLASSES ARE UNDER WAY FOR MULTIPLE DPP COHORTS IN THE COMMUNITY, BOTH IN ENGLISH AND SPANISH. IT WILL BE SOME TIME BEFORE THE FIRST OF THESE YEARLONG CLASSES IS COMPLETED. - DPP CLASSES WILL BEGIN IN HOSPITAL IN 2020 - IT IS LIKELY THAT WE WILL ASK FOR A NO-COST EXTENSION OF THE GRANT TO MAXIMIZE THE NUMBER OF PERSONS PARTICIPATING IN THE YEAR-LONG DPP SO THAT WE CAN ASSESS IMPACT ON BODY WEIGHT AND A1C AND RISK FACTORS THAT DRIVE THEM - AT THE COMMUNITY LEVEL, CHALLENGES TO SCREENING AND DPP ADMINISTRATION HAVE INCLUDED THE AMOUNT OF PERSONNEL TIME IT HAS TAKEN TO IDENTIFY AND NETWORK WITH POTENTIAL COMMUNITY SITES TO ACCESS THEIR RESOURCES - SCREENING IN COMMUNITY SETTINGS HAS PROVED TO BE RESOURCE INTENSIVE REQUIRING AT LEAST 5-6 PEOPLE ON-SITE FOR EACH DATA COLLECTION SESSION. COLLEGES IN AND AROUND POMONA AND THEIR HEALTH PROFESSION TRAINING PROGRAMS HAVE PROVIDED THE NECESSARY VOLUNTEER PERSONNEL - CDC ENDORSEMENT ONCE ACQUIRED CAN FACILITATE SUSTAINABILITY OF A COMMUNITY-BASED DPP SYSTEM THROUGH INSURANCE COVERAGE FOR ELIGIBLE PARTICIPANTS - HOSPITAL AND CLINIC-BASED DPP AND DSME IS PROBABLY EASIER TO INITIATE AND SUSTAIN WHERE THOSE ORGANIZATIONS HAVE AND ARE WILLING TO ALLOCATE SPACE AND PERSONNEL FOR CLASSES AT TIMES CONVENIENT TO PARTICIPANTS AND WHERE THEY ARE WILLING TO PROVIDE UP-FRONT FINANCIAL RESOURCES FOR THE PERIOD NECESSARY TO GET PROGRAM APPROVAL FOR BILLING PURPOSES. FEASIBILITY INCREASES GREATLY WHEN THESE PROGRAMS MEET CRITERIA FOR RECOGNITION BY PROVIDING THE OPTION FOR BILLING 3RD PARTY PAYERS FOR SERVICES PARTICIPANTS ARE SUPPORTED BY A NAVIGATION TEAM CONSISTING OF A SOCIAL WORKER AND SOCIAL WORK STUDENTS, WHO PROVIDE PARTICIPANTS ACCESS TO COMMUNITY RESOURCES THEY NEED DURING PARTICIPATION. PARTICIPANTS PROGRESS AND OUTCOMES ARE TRACKED WITH REAL-TIME DATA AND BY A TEAM OF SCIENTISTS AND HEALTHCARE PROFESSIONALS. ALL OF THIS SIGNIFICANTLY CONTRIBUTES TO THE PROGRAMS EXCELLENT GRADUATION RATE OF 82% FOR DSME. INTRODUCTION AND ASSESSMENT OF THE FEASIBILITY OF INNOVATIONS ARISING FROM SDIT INCLUDE: - THE NAVIGATION (AND COUNSELING, AS IT TURNS OUT) FUNCTIONS OF NAVIGATORS WOULD APPEAR TO HAVE SUSTAINABILITY POTENTIAL AND CAN BE MODIFIED TO A VARIETY OF PURPOSES AND APPLICATIONS. THE MODEL TESTED IS RELYING ON GRADUATE SOCIAL WORK AND NURSING STUDENT INTERNS WOULD REQUIRE PROXIMITY TO SCHOOLS OFFERING SIMILAR PROGRAMS. - INNOVATIONS IN ECOLOGICAL ASSESSMENT HAVE PROVED TO BE USEFUL AND ARE LIKELY REPLICABLE AND SUSTAINABLE. THESE INCLUDE A COMBINATION OF GIS AND REAL TIME OBSERVATIONS TO IDENTIFY AND CLASSIFY ENVIRONMENTAL RESOURCES AND OBSTACLES TO RISK REDUCTION AT THE INDIVIDUAL LEVEL. AMONG THESE ARE METHODS FOR IDENTIFYING AND GAINING ACCESS TO OPTIMAL NUTRITIONAL AND RECREATIONAL RESOURCES IN THE COMMUNITY CONSISTENT WITH DIETARY, ACTIVITY, AND WEIGHT MANAGEMENT OBJECTIVES. PVHMC BELIEVES OUR UNIQUE SUCCESS IS A RESULT OF THE COLLABORATION WITH OUR COMMUNITY PARTNERS, AND THE BILINGUAL AND CULTURALLY SENSITIVE COMPETENCE OF OUR PROGRAM INSTRUCTORS, WHO ARE ABLE TO COMMUNICATE WELL WITH THE PROGRAMS TARGET POPULATION THE PREDOMINANTLY HISPANIC COMMUNITY IN THE FAR EASTERN PORTION OF LOS ANGELES COUNTY. ADDITIONALLY, PVHMCS PROGRAM HAS SEEN IMPRESSIVE ENGAGEMENT AND RETENTION AMONG HISPANIC MALES, A GROUP THAT IS LESS LIKELY THAN THE GENERAL POPULATION TO SEEK CARE AND INTERACT WITH THE HEALTH CARE SYSTEM. PVHMC HAS RESPONDED QUICKLY, GROWING ITS DIABETES PROGRAM OVER THE LAST THREE YEARS BY ENGAGING ITS HEALTHCARE PROVIDERS, EXPANDING COMMUNITY EDUCATION AND FREE SCREENINGS, AND COLLABORATING WITH FIVE OTHER INSTITUTIONS AND AN EXTENDED NETWORK OF COMMUNITY PARTNERS IN A TRANSLATIONAL RESEARCH PROGRAM TO PREVENT AND CONTROL TYPE 2 DIABETES IN THE POMONA COMMUNITY. SWEET SUCCESS PROGRAM THE SWEET SUCCESS PROGRAM IS A CALIFORNIA STATE DIABETES AND PREGNANCY EDUCATION PROGRAM AFFILIATE AT PVHMC THAT THAT BEGAN IN 1993. OFFERED ALONG WITH OTHER WOMENS AND CHILDRENS SERVICES AT PVHMC, THE PROGRAM HELPS PREGNANT WOMEN WITH DIABETES OR GESTATIONAL DIABETES DELIVER HEALTHY BABIES. THE PROGRAM CONSISTS OF DIETARY COUNSELING, EDUCATION AND BLOOD GLUCOSE MONITORING FOR THE DURATION OF A WOMANS PREGNANCY AND SIX WEEKS AFTER DELIVERY. TRAUMA SERVICES (ACCESS TO CARE) COMMUNITY PROGRAM UPDATES - FY 2019 RESPONDING TO THE NEEDS OF OUR COMMUNITY FOR MORE THAN TWO DECADES, THE EASTERN LOS ANGELES COUNTY REGION HAS LACKED A TRAUMA CENTER - AT ITS PEAK IN 1985, THE COUNTY'S TRAUMA CENTER NETWORK INCLUDED 22 HOSPITALS SPREAD STRATEGICALLY THROUGHOUT THE COUNTY. BUT MANY HOSPITALS SHUT DOWN THEIR CENTERS BECAUSE OF FUNDING PROBLEMS, LEAVING ONLY 14 TO TREAT MORE THAN 25,000 PATIENTS A YEAR. A STATE AUDIT FOUND THAT THE CLOSURE OF TRAUMA CENTERS IN THE 1980S LEFT PARTS OF THE COUNTY, INCLUDING MALIBU, THE EASTERN SAN GABRIEL VALLEY, AND LARGE PORTIONS OF THE ANTELOPE VALLEY WITHOUT NEARBY TRAUMA CENTERS. THE AUDIT SPECIFICALLY RECOMMENDED THAT LOS ANGELES COUNTY (LAC) INCREASE EFFORTS TO OPEN A TRAUMA CENTER IN THE EASTERN SAN GABRIEL VALLEY. WITH A CLEAR LACK OF COVERAGE IN THE GEOGRAPHIC REGION AND THE POLITICAL WILL IN RESPONSE TO THE STATE AUDIT, THE COUNTY ISSUED A REQUEST-FOR-PROPOSAL WITH A COMPETITIVE BIDDING PROCESS. PVHMC, AS A NATIONALLY RECOGNIZED HOSPITAL, CONFIDENT IN OUR ABILITY TO PROVIDE A STRONG SERVICE AND COMMITTED TO OUR MISSION TO MEET THE NEEDS OF THE COMMUNITIES WE SERVE, SUBMITTED A BID. AFTER A THOROUGH EVALUATION, PVHMCS APPLICATION WAS SELECTED AND THE HOSPITAL WAS INVITED TO JOIN LAC TRAUMA NETWORK. LOS ANGELES COUNTY TRAUMA NETWORK, PRIOR TO PVHMCS DESIGNATION: - 14 TRAUMA CENTERS IN LAC (PVHMC IS NOW THE 15TH) - PREDOMINATELY PLACED IN THE WEST SIDE OF LAC - SAN GABRIEL VALLEY WAS UNCOVERED: 30 MILES WEST TO LAC USC 30 MILES SOUTH TO UCI 30 MILES EAST TO ARROWHEAD WITH POMONA VALLEY HOSPITAL MEDICAL CENTERS DESIGNATION AS A TRAUMA CENTER, WE CAN NOW DELIVER APPROPRIATE AND IMMEDIATE TREATMENT TO TRAUMA VICTIMS CLOSE TO HOME. RESIDENTS OF OUR COMMUNITIES NO LONGER NEED TO BE RUSHED BY AMBULANCE OR HELICOPTER TO LOS ANGELES, COLTON OR IRVINE WHEN EVERY MOMENT IS CRITICAL TO THEIR SURVIVAL. THE SECOND YOU SUSTAIN A TRAUMATIC INJURY, THE CLOCK STARTS TICKING. WHEN SECONDS MATTER AND SOMEONES LIFE IS IN JEOPARDY, THE COMMUNITY CAN COUNT ON AN EXPERT TRAUMA TEAM AT PVHMC READY AT EVERY MOMENT TO TREAT THEM AND THEIR LOVED ONES. |
| FORM 990, PART III, LINE 4A (CONTINUED) | COMMUNITY PROGRAMS AND SERVICES - TRAUMA PVHMC HAS EXPANDED ITS INJURY PREVENTION PROGRAM TO DECREASE THE INCIDENCE OF TRAUMA IN OUR COMMUNITY BY HIRING A FULL TIME INJURY PREVENTION COORDINATOR IN 2019. PVHMC ACTIVELY PARTICIPATES IN HOSPITAL AND MORGUE (H.A.M); A PROGRAM TO REDUCE DRUNK DRIVING IN THE TEENAGE POPULATION, STOP THE BLEED PROGRAM, A PROGRAM IN COLLABORATION WITH LOCAL SCHOOLS AND POLICE DESIGNED TO TRAIN COMMUNITY MEMBERS ON HOW TO USE TOURNIQUETS (BANDS THAT HELP CONTROL BLEEDING) TO PREVENT DEATHS FROM LIFE-THREATENING BLEEDING WOUNDS, AS WELL AS PROVIDING CAR SEAT SAFETY INFORMATION TO NEW MOTHERS AND FAMILIES. PROGRAMS THAT ARE CURRENTLY IN DEVELOPMENT INCLUDE FALL PREVENTION FOR THE ELDERLY (MATTER OF BALANCE), VIOLENCE OUTREACH AND PREVENTION, PEDESTRIAN SAFETY AND DISTRACTED DRIVING. ADDITIONALLY, PVHMC HAS EXPANDED OUR CURRENT MCI (MULTI CASUALTY INCIDENT) SYSTEM IN PREPARATION TO PROVIDE LARGE SCALE CARE FOR OUR COMMUNITY. OUR TRAUMA TEAM COMPLETES EXTENSIVE EDUCATION AND YEARLY COMPETENCIES RELATED TO HELIPAD SAFETY, NEW EQUIPMENT ORIENTATION, AND REVIEW OF RESEARCH STUDIES AND PVHMCS TRAUMA NURSES ARE TRAUMA NURSING CORE COURSE (TNCC) CERTIFIED TO PROVIDE THE OPTIMAL CARE FOR OUR PATIENTS. IMPROVING SAFETY THROUGHOUT THE COMMUNITY IS A VERY IMPORTANT PART OF OUR TRAUMA CENTERS ROLE TO INCREASE THE HEALTH OF OUR COMMUNITY IN ALIGNMENT WITH OUR MISSION AT PVHMC. STROKE CARE (CARDIOVASCULAR HEALTH) PRIORITY HEALTH NEED CHRONIC DISEASE RECOGNIZING THAT STROKE IS THE 4TH LEADING CAUSE OF DEATH IN THE UNITED STATES AND THE 2ND LEADING CAUSE OF DEATH IN THE SAN GABRIEL VALLEY, IT IS CLEAR WHY CARDIOVASCULAR HEALTH APPEARED AS A PRIORITY HEALTH NEED IN 2015 AND AGAIN IN PVHMCS 2018 COMMUNITY HEALTH NEEDS ASSESSMENT. IN RESPONSE TO THESE FINDINGS, POMONA VALLEY HOSPITAL MEDICAL CENTERS STEAD HEART AND VASCULAR CENTER EMBARKED ON A PROJECT TO ADDRESS THIS CRITICAL NEED AND MADE A COMMITMENT TO PROACTIVELY FIGHT STROKE WITH EDUCATION, COORDINATED CARE, AND RAPID-RESPONSE TREATMENT. BEGINNING IN 2009, THE LOS ANGELES COUNTY EMS AGENCY ESTABLISHED A "PRIMARY STROKE CENTER" APPROACH TO TRANSPORTING PATIENTS, DIRECTING EMS PROVIDERS TO BYPASS LOCAL COMMUNITY HOSPITALS AND TAKE STROKE VICTIMS TO PRIMARY STROKE CENTERS. THIS MEANT THAT THE RESIDENTS OF POMONA VALLEY EXPERIENCING A STROKE WOULD BE TRANSPORTED MORE THAN THIRTY MILES WEST OF THE POMONA VALLEY, WITH TRANSPORT TIMES DURING PEAK COMMUTE TRAFFIC OF MORE THAN 60 MINUTES. THE COORDINATION OF CARE FOR SAN BERNARDINO COUNTY STROKE VICTIMS WAS EVEN MORE DISMAL WITH VERY LIMITED SERVICES SPREAD ACROSS THE LARGEST COUNTY IN AMERICA. UNDERSTANDING THAT THE CATCHMENT AREA BETWEEN PRIMARY STROKE CENTERS INCLUDES A POPULATION OF APPROXIMATELY 1.8 MILLION PEOPLE, PVHMC RECOGNIZED THAT THE RESIDENTS OF THE POMONA VALLEY WERE SIGNIFICANTLY UNDERSERVED AND BURDENED BY THE THREAT OF TRAVELING SUCH DISTANCE TO RECEIVE TREATMENT. SEEKING TO REDUCE THE PREVALENCE OF STROKE IN OUR COMMUNITY, AND RECOGNIZING THE VALUE OF ACCOUNTABILITY TO OUR PATIENTS, PVHMC DEVELOPED NUMEROUS QUALITY IMPROVEMENTS IN REGARD TO STROKE CARE, AND IN 2018, RECEIVED THE GOLD SEAL OF APPROVAL AND CERTIFICATION BY THE JOINT COMMISSION AS A COMPREHENSIVE STROKE CENTER. COMPREHENSIVE STROKE CENTER CERTIFICATION REFLECTS PVHMCS COMMITMENT TO MEETING THE HEALTH NEEDS OF OUR COMMUNITY, AND MEANS OUR PATIENTS CAN RELY ON US TO PROVIDE THEM WITH HIGH-QUALITY STROKE CARE, COORDINATED FROM THE FIRST POINT OF CONTACT. ACHIEVING COMPREHENSIVE REGIONAL STROKE CERTIFICATION INCLUDED EFFORTS BY PVHMC TO EXPEDITE STROKE TREATMENT, IMPROVE PROCESSES IN CARE, ENHANCE EDUCATION, AND PROVIDE OUTREACH SERVICES TO THE COMMUNITY. PVHMCS STROKE PROGRAM DEVELOPED ALGORITHMS TO PROVIDE THE BEST COORDINATED CARE PATHWAY FOR OUR PATIENTS, FROM THE MOMENT OF ARRIVAL TO THE MOMENT OF DISCHARGE. STROKE SERVICES (ACCESS TO CARE) COMMUNITY PROGRAM UPDATES - FY 2019 IN 2019, POMONA VALLEY HOSPITAL MEDICAL CENTER (PVHMC) CONTINUED TO PROVIDE EXCEPTIONAL STROKE CARE TO THE SOUTHERN CALIFORNIA REGION WHILE MAINTAINING ITS STATUS AS A PREMIERE COMPREHENSIVE STROKE CENTER (CSC) AND EARNING THE AMERICAN HEART ASSOCIATION GOLD PLUS ACHIEVEMENT AWARDS AND GET WITH THE GUIDELINES TARGET STROKE HONOR ROLL ELITE PLUS. TO UPHOLD ITS CONTINUOUS DEDICATION TO STROKE CARE, PVHMC SHOWED ITS LEADERSHIP THROUGH COUNTLESS RESPONSIBLE ACTS IN PROMOTING STROKE CARE THROUGHOUT 2019. SOME OF ITS OFFERINGS TO THE COMMUNITY AND OTHER HOSPITALS INCLUDED PROVIDING STROKE EDUCATION, UTILIZING NEW RESEARCH INTO PRACTICE, USING STATE-OF-THE-ART TECHNOLOGY TO YIELD BETTER HEALTH RESULTS, AND PROVIDING PREVENTION SCREENINGS AND EDUCATION FOR THE COMMUNITY. TO MAINTAIN OUR STATUS AS A COMPREHENSIVE STROKE CENTER AND TO CONTINUE IMPROVING THE HEALTH OUTCOMES IN OUR COMMUNITY, PVHMC PRIDES ITSELF IN PROVIDING AN EXTENSIVE ANNUAL STROKE CARE TRAINING PROGRAM FOR ASSOCIATES AND PROVIDING OUTREACH, EDUCATION, AND TRAINING FOR OUR LOCAL AND REGIONAL COMMUNITY PARTNERS. PVHMC STROKE TEAM MEMBERS GO OUT INTO THE COMMUNITY AND PROVIDE EDUCATION ON STROKE TO LOCAL OUTPATIENT CLINICS, NURSING HOMES, OTHER HOSPITALS, AND THE EMERGENCY MEDICAL SYSTEMS TEAMS (EMS) WITHIN THE LOCAL COUNTIES. IN 2019 PVHMC PROVIDED 236 HOURS OF COMMUNITY EDUCATION WHICH INCLUDED STROKE SIMS EDUCATION TO COMMUNITY HEALTHCARE AND EMS PROVIDERS. IN ADDITION, THESE ACTIVITIES INCLUDED PVHMCS STROKE SUPPORT GROUP, PROVIDED 96 HOURS OF POST DISCHARGE SUPPORT TO STROKE SURVIVORS AND CAREGIVERS, WHICH MEETS EVERY 2ND AND 4TH THURSDAY OF THE MONTH. THE STROKE PROGRAM ALSO PROVIDED MORE THAN 400 HOURS OF TELEPHONIC SUPPORT AND FOLLOW-UP CARE TO POST DISCHARGE STROKE SURVIVORS AND CAREGIVERS. PVHMC ALSO HOSTED THE ANNUAL STROKE AWARENESS DAY, WITH MORE THAN 50 DEDICATED CLINICAL AND NON-CLINICAL ASSOCIATES WHO VOLUNTEERED THEIR TIME IN PROVIDING VALUABLE EDUCATION TO THE COMMUNITY ON STROKE AND CARDIOVASCULAR DISEASE RISK FACTORS, PROVIDE BLOOD PRESSURE SCREENINGS, AND SHARE FREE TOOLS TO ASSIST IN THE COMMUNITY IN RECOGNIZING THE SIGNS OF STROKE AND HOW TO QUICKLY RESPOND. MOREOVER, PVHMC DEDICATED 1800 HOURS TO TRAIN AND EDUCATE 225, OF OUR OWN ASSOCIATES, INCLUDING STROKE UNIT STAFF IN THE TELEMETRY UNIT, ICU AND EMERGENCY DEPARTMENT. FIFTEEN EMERGENCY DEPARTMENT EMT ASSOCIATES ALSO RECEIVED FOUR HOURS OF EDUCATION, FOR A TOTAL OF 60 HOURS OF DEDICATED EDUCATION SPECIFIC TO STROKE AND STROKE MANAGEMENT. THIS EDUCATION INCLUDED SIMULATION LABS, ONLINE TRAINING, AND DIDACTIC LECTURES. PVHMC ALSO HOSTED THE ANNUAL STROKE SYMPOSIUM PROVIDING DIDACTIC LECTURES FROM NATIONALLY RECOGNIZED STROKE EXPERTS ADDRESSING A WIDE VARIETY OF HEALTH CARE PROFESSIONALS, WITH RECORD NUMBER OF ATTENDEES FROM OUR HEALTHCARE COMMUNITY, EXCEEDING 150 IN 2019. ALONG WITH TRAININGS, THE PVHMC STROKE TEAM ENGAGED IN INTER-DISCIPLINARY NEUROSCIENCE CASE REVIEWS TO ENHANCE OUR KNOWLEDGE ABOUT STROKE CARE AND IMPLEMENTED NEW BEST PRACTICE AND TECHNOLOGY TO ALLOW FOR EVEN FASTER TREATMENT DURING A STROKE. ONE EXAMPLE OF THIS ADVANCEMENT IS THE ADDITION OF CLINICAL PHARMACISTS DIRECTLY IN PVHMCS EMERGENCY ROOM, TO PARTICIPATE AS STROKE ALERT RESPONDING TEAM MEMBER. PLACING PHARMACISTS DIRECTLY ON OUR STROKE RESPONSE TEAM HAS ELIMINATED THE STEPS AND TIME TO RECEIVE STROKE MEDICATIONS FROM THE PHARMACY AND PLACED THAT CAPABILITY AT THE SITE OF THE EMERGENCY. ADDITIONALLY, PVHMCS RECENT IMPLEMENTATION AND DEDICATED RESOURCE TO PURCHASE OF IRAPID SOFTWARE, AN ATOMIZED CT SCANNER THAT INTERPRETS A CT SCAN AND REPORTS BACK TO THE PROVIDER AND STROKE TEAM WITHIN MINUTES. THE IRAPID SOFTWARE PROVIDES IMPROVED RADIOLOGICAL IMAGING PROCESS TIME AND REPORTING TIME. AS KAREN TSE-CHANG, RN, PVHMCS STROKE COORDINATOR, "TIME IS BRAIN,THE IRAPID HAS SINGLE HANDEDLY HELPED SAVE NUMEROUS LIVES BY PROVIDING ACCURATE CT SCAN REPORTS FASTER THAN BEFORE ENABLING OUR PHYSICIANS TO HAVE MORE TIME TO CARE FOR THE PATIENTS IN NEED. |
| FORM 990, PART III, LINE 4A (CONTINUED) | ALONG WITH PVHMCS ADVANCES IN TECHNOLOGY AND THE TRAINING AND SUPPORT WE PROVIDE TO OUR LOCAL COMMUNITY PARTNERS, PVHMCS STROKE PROGRAM PROVIDES OUR PATIENTS AND COMMUNITY RESIDENTS WITH DIRECT EDUCATION AND TOOLS TO PREVENT STROKE AND MANAGE RECOVERY POST STROKE PVHMCS 2019 STROKE PROGRAM ACTIVITY SUMMARY: INTERNAL EDUCATION ACTIVITIES: EIGHT HOURS STROKE EDUCATION TO STROKE UNITS (ICU AND TELEMETRY) NURSES - INCLUDING SIMULATION LABS, CE DIRECT ONLINE, DIDACTIC LECTURE FOUR HOURS STROKE EDUCATION TO ED NURSES INTER-DISCIPLINARY NEUROSCIENCE CASE REVIEWS TUESDAY NOON STROKE LECTURES/UPDATES QUARTERLY EXTERNAL HEALTH PROFESSIONS EDUCATION ACTIVITIES: 2019 NEURO-SYMPOSIUM EMS EDUCATION WEST COVINA FIRE LA VERNE FIRE AMR FLIGHT TEAMS LA COUNTY FIRE, POMONA LA COUNTY FIRE, SAN DIMAS SBC MONTCLAIR, CLAREMONT, CHINO VALLEY COMMUNITY PARTNERS - SNF/REHAB STROKE EDUCATION INLAND VALLEY REHAB PRESENTATION CLAREMONT CARE CENTER EDUCATION MT SAN ANTONIO GARDENS EDUCATION COMMUNITY HOSPITALS STROKE UPDATE AND IN-SERVICE SAN DIMAS HOSPITAL CHINO VALLEY HOSPITAL MONTCLAIR HOSPITAL COMMUNITY STROKE AWARENESS EDUCATION ACTIVITIES AND PRESENTATIONS: LOS ANGELES COUNTY FAIR STROKE AWARENESS DAY MAY 2019 STROKE SUPPORT GROUP - ON GOING - EVERY 2ND AND 4TH THURSDAY OF THE MONTH INLAND VALLEY HEALTH PLAN STROKE PRESENTATION LA VERNE ROTARY CLUB STROKE PRESENTATION NEW BEGINNINGS STROKE SUPPORT GROUP AND SUMMER PICNIC ANNUAL STROKE SYMPOSIUM POMONA VALLEY HOSPITAL MEDICAL CENTER REMAINS A LEADER IN THE PROVISION OF EXPERT STROKE CARE IN OUR REGION. WE HAVE ADOPTED THE LATEST RESEARCH AND MEDICAL EVIDENCE TO ASSURE OUR PATIENTS ARE RECEIVING TECHNICALLY ADVANCED CLINICAL CARE. THIS WAS BEST DEMONSTRATED THIS PAST YEAR IN THE ADAPTATION OF OUR EXPANDED STROKE ALERT ACTIVATION TIME WINDOW. BY EXTENDING THE TREATMENT WINDOW TO 24 HOURS FOR THROMBECTOMY (BLOOD CLOT REMOVAL WE INCREASED THE NUMBER OF STROKE ALERT ACTIVATIONS BY 50% RESULTING IN MORE STROKE PATIENTS BEING TREATED. PALLIATIVE CARE (ACCESS TO CARE AND MENTAL HEALTH SUPPORT SERVICES) - FY 2019 PALLIATIVE CARE IS AN INTERDISCIPLINARY SERVICE PROVIDED TO PATIENTS WHO HAVE A CHRONIC, LIFE-LIMITING ILLNESS LIKE CONGESTIVE HEART FAILURE, KIDNEY OR LIVER DISEASE, STROKE, DEMENTIA, CANCER, TRAUMA AND MANY OTHER CONDITIONS. WHILE PVHMC ONLY PROVIDES PALLIATIVE CARE WHILE PATIENTS ARE HOSPITALIZED, WE WORK WITH MANY EXTERNAL AGENCIES TO CONTINUE PALLIATIVE CARE TREATMENTS OUTSIDE OF THE HOSPITAL. PALLIATIVE CARE CAN BEGIN AT ANY STAGE OF ILLNESS AND PVHMCS PALLIATIVE CARE TEAM WORKS WITH THE PATIENTS OTHER TREATING PHYSICIANS TO MANAGE DISCOMFORT AND SYMPTOMS SUCH AS PAIN, ANXIETY, DEPRESSION, NAUSEA AND APPETITE. THE TEAM MADE UP OF A PHYSICIAN, NURSE, SOCIAL WORKER AND CHAPLAIN WORK TOGETHER TO OPTIMIZE THE QUALITY OF LIFE FOR ALL PATIENTS, WHILE ALLOWING THE PATIENT TO DEFINE THEIR COURSE OF TREATMENT. MANY TIMES THE TEAM BECOMES FAMILIAR WITH A PATIENT BECAUSE OF READMISSIONS TO THE HOSPITAL, SO THEIR PALLIATIVE CARE TREATMENTS BECOME AN ONGOING CONVERSATION, AND IF PATIENTS WISH TO CHANGE DIRECTIONS WITH THEIR TREATMENTS, THE TEAM WORKS TO SUPPORT THEIR DECISIONS. PALLIATIVE CARE SERVICES ARE NOT REIMBURSABLE BY INSURANCE, AND PVHMC SPONSORS OUR HALF-A-MILLION DOLLAR A YEAR PALLIATIVE CARE PROGRAM SO THAT IT IS AVAILABLE TO ALL PATIENTS, REGARDLESS OF ABILITY TO PAY. PVHMCS MISSION SUPPORTS THE PALLIATIVE CARE PROGRAM BECAUSE WE RECOGNIZE THE VALUE IT IS TO THE PHYSICAL, EMOTIONAL, PSYCHOLOGICAL AND SPIRITUAL HEALTH OF OUR PATIENTS AND COMMUNITY. PVHMCS PALLIATIVE CARE PROGRAM PROVIDED SERVICES TO 1,282 PATIENTS AND THEIR FAMILY MEMBERS IN 2019. ADDITIONAL COMMUNITY BENEFIT PROGRAMS AND ACTIVITY UPDATES FY 2019 CARE HARBOR CLINIC FY 2019 IN APRIL 2019 MORE THAN 100 PVHMC PHYSICIANS AND ASSOCIATES CAME TOGETHER TO VOLUNTEER FOR THE FIRST-EVER CARE HARBOR EVENT AT THE FAIRPLEX. THE MEGA-CLINIC OFFERED FREE MEDICAL, DENTAL AND VISION SERVICES TO MORE THAN 1,400 UNINSURED AND UNDERINSURED MEMBERS OF OUR COMMUNITY. MOST IMPORTANTLY, THE EVENT PROVIDED RESOURCES TO ENSURE THAT ALL PATIENTS WERE MATCHED WITH A LOCAL, LONG-TERM MEDICAL FACILITY FOR FOLLOW-UP PRIMARY AND SPECIALTY CARE. FROM TEACHING AND GUIDING STUDENT PHYSICIANS AND NURSES, TO PROVIDING BLOOD PRESSURE AND BLOOD GLUCOSE SCREENINGS IN TRIAGE, TO EDUCATING PATIENTS ON THEIR DIAGNOSES AND FOLLOW-UP CARE, OUR PVHMC TEAM WAS AT THE FOREFRONT OF THIS ENDEAVOR. IN ADDITION TO OUR COMMUNITY-BASED DIABETES PROGRAM AND PLANNING, PVHMC IS ADDRESSING THE NEEDS OF CHRONIC DISEASE MANAGEMENT THROUGH THE FOLLOWING STRATEGIES: PROVIDING GLUCOSE SCREENINGS AT HEALTH FAIRS AND EVENTS (LOCAL AND ON-CAMPUS); PROVIDING FREE EDUCATION CLASSES TO PROMOTE CARDIOVASCULAR HEALTH AND RISK REDUCTION; OFFERING FREE BLOOD GLUCOSE SCREENINGS AT HEALTH FAIRS AND EVENTS (LOCAL AND ON-CAMPUS); PUBLISHING AND DISTRIBUTING FREE INFORMATION ON CARDIOVASCULAR HEALTH, DIABETES, CANCER TREATMENT, AND AVAILABLE RESOURCES TO ADDRESS THESE CONDITIONS; PROVIDING CARE COORDINATION SERVICES THAT SEEK TO ASSURE PATIENTS ARE POSITIONED FOR A SAFE DISCHARGE HOME; PROVIDING CANCER CARE PATIENT COORDINATORS AND SOCIAL SERVICES TO GUIDE PATIENTS WITH MAKING APPOINTMENTS, RECEIVING FINANCIAL ASSISTANCE, AND ENROLLING IN SUPPORT GROUPS; PROVIDING FREE CANCER CARE SUPPORT GROUPS AND WELLNESS CLASSES WITH EMPHASIS ON THE SOCIAL, EMOTIONAL, NUTRITIONAL, AND PHYSICAL ASPECTS OF CHRONIC DISEASE. PVHMC IS CURRENTLY ADDRESSING THE COMMUNITY NEEDS FOR HEALTH EDUCATION AND SUPPORT SERVICES THROUGH THE FOLLOWING STRATEGIES: PROVIDING FREE OR LOW-COST HEALTH EDUCATION CLASSES, WELLNESS SUPPORT GROUPS, AND OTHER HEALTH IMPROVEMENT SERVICES BOTH AT PVHMC AND OUT IN A COMMUNITY SETTING; COLLABORATING WITH COMMUNITY PARTNERS AND PARTICIPATE IN COMMUNITY-WIDE INITIATIVES TO IMPROVE THE HEALTH OF THE COMMUNITY; INCREASING AWARENESS OF AVAILABLE CLASSES OFFERED AT PVHMC THROUGH REACHING OUT DIRECTLY TO THE COMMUNITY AND OTHER ORGANIZATIONS THROUGH WRITTEN AND VERBAL COMMUNICATION AND PUBLICATIONS; DEVELOPING EDUCATION, RESOURCES, AND/OR CLASSES THAT PROMOTES HEALTHY EATING, DISEASE PREVENTION, AND WEIGHT MANAGEMENT; PARTICIPATING AND HOSTING SPEAKING ENGAGEMENTS TO COMMUNICATE TO THE COMMUNITY ABOUT HEALTH AND SERVICES IN THE COMMUNITY; PROVIDING COMPREHENSIVE, CULTURALLY SENSITIVE HEALTH FORUMS, SUPPORT GROUPS, AND WORKSHOPS THAT PROVIDE HANDS-ON HEALTHY LIFESTYLE SUPPORT TO THE COMMUNITY. PVHMC IS CURRENTLY ADDRESSING THE COMMUNITY NEEDS FOR PRIORITY AREA 3, ACCESS TO CARE, THROUGH THE FOLLOWING STRATEGIES: PROVIDING ON-SITE ENROLLMENT ASSISTANCE AND FOR APPROPRIATE HEALTH INSURANCE PLANS; PARTICIPATION IN THE HOSPITAL PRESUMPTIVE ELIGIBILITY PROGRAM; INCREASING COMMUNITY AWARENESS ABOUT HEALTH SERVICES OFFERED, WELLNESS CLASSES, AND SUPPORT GROUPS; PROVIDING DISCHARGE TRANSPORTATION FOR VULNERABLE PATIENTS WHO ARE OTHERWISE UNABLE TO GET HOME; PROVIDING FREE, LOW-COST OR REDUCED-COST HEALTH SERVICES, MEDICATIONS, AND MEDICAL DEVICES; PROVIDING FREE OR REDUCED COST SCREENINGS AND IMMUNIZATIONS AT LOCAL HEALTH FAIRS; COLLABORATING WITH PRIMARY CARE PROVIDERS AND CLINICS TO IMPROVE ACCESS TO PREVENTATIVE AND SPECIALTY CARE; WORKING CLOSELY WITH PVHMCS FAMILY MEDICINE RESIDENCY PROGRAM THROUGH UCLA TO INCREASE THE NUMBER OF PRIMARY CARE PHYSICIANS IN THE REGION; EXPANDING THE EMERGENCY DEPARTMENT TO INCREASE PVHMCS CAPACITY TO CARE FOR PATIENTS NEEDING EMERGENCY TREATMENT, TRAUMA SERVICES, SURGERY, AND PRIMARY CARE. |
| FORM 990, PART VI, LINE 11B | DUE TO SOCIAL DISTANCING REQUIREMENTS FROM THE CDC COUPLED WITH THE FORMAL, IN-PERSON REVIEW OF THE FORM 990 BY EY, THE HOSPITALS EXTERNAL ACCOUNTING FIRM, WITH BOARD IN NOVEMBER 2019 AND THE ABSENCE OF SUBSTANTIVE CHANGES IN OPERATIONS AND TAX RETURN REPORTING REQUIREMENTS, A COPY OF THE FORM 990 IS DISTRIBUTED TO THE BOARD OF DIRECTORS ELECTRONICALLY PRIOR TO FILING. REPRESENTATIVES FROM EY ARE MADE AVAILABLE TO REVIEW WITH THE DIRECTORS AND ANSWER ANY QUESTIONS THEY MAY HAVE. THE INTERNAL REVIEW 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 | 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, LINES 15A & 15B | THE BOARD OF DIRECTORS HAS A COMPENSATION COMMITTEE WHICH ANNUALLY REVIEWS AND DETERMINES THE COMPENSATION FOR THE CEO. ITS DETERMINATION OF THE CEOS COMPENSATION IS BASED UPON A TRI-ANNUAL REVIEW AND REPORT OF THE CEOS AND OTHER SENIOR EXECUTIVES COMPENSATION COMPARED TO INDUSTRY PRACTICE. IN 2019 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 18 | 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 19 | 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 XI, LINE 9 | LOSS FROM SUBSIDIARIES $(765,062) NET UNREALIZED GAIN(LOSS) FROM INVESTMENTS $ (15,446) ------------ TOTAL $(780,508) |
| FORM 990, AMENDED RETURN, PART VIII | Lines 2a and 11d The patient care revenue has been corrected related to the 340B pharmacy program revenue. For financial statement reporting, the pharmacy program revenue is reported as other revenue. On the originally filed Form 990, the pharmacy program revenue was subtracted from the patient care revenue in error. The amended Form 990 correctly reflects the patient care revenue. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PURCHASED SERVICES TOTAL FEES:23812064 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:TEMPORARY HELP TOTAL FEES:10575738 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER FEES TOTAL FEES:44809862 |
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 N GAREY AVENUE | POMONA | CA | 91767 | 953403287 | SUPPORT PVHMC | CA | 501(c)(3) | 7 | NA | false |
| THE AUXILIARY OF PVHMC | ||||||||||
| 1798 N GAREY AVENUE | POMONA | CA | 91767 | 956053224 | SUPPORT PVHMC | CA | 501(c)(3) | 12c | PVHMC | Yes (true) |
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 N 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 | -$570,255 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $2,809,349 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| UBI Code V | $0 | UBICodeVAmt |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
| Ownership | 0.90000 | 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 CORP | EntityTypeTxt |
| Share Of Total Income | $39,196 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | -$210,893 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | 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 (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PVHMC FOUNDATION | ||
| C | $195,390 | Accrual |
| POMONA VALLEY MEDICAL PLAZA | ||
| I | $463,961 | Accrual |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART III | FormAndLineReferenceDesc |
| Explanation | IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP POMONA VALLEY MEDICAL PLAZA 1798 NORTH GAREY AVENUE POMONA, CA 91767 EIN: 95-4175295 | ExplanationTxt |