POMONA VALLEY HOSPITAL MEDICAL CENTER: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: POMONA VALLEY HOSPITAL MEDICAL CENTER (EIN 95-1115230)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-15
IRS object ID: 201923199349321687
Schema version: 2018v3.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-15T20:56:19-06:00	ReturnTs
Tax Period End	2018-12-31	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	2018-01-01	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	2019-11-14	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

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	164.57.159.253	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	33577420193195000111	FederalOriginalSubmissionId
Federal Original Submission Id	2019-11-15	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	337686BC7CC6EC2662FF9B863E3DABD55E8368B5	AtSubmissionCreationDeviceId
At Submission Filing Device Id	B624E8CB9ADA9901BBF432C0B9948499803DA55C	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
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	$659,459,481	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	22	VotingMembersGoverningBodyCnt
Voting Members Independent	19	VotingMembersIndependentCnt
Total Employee	3467	TotalEmployeeCnt
Total Volunteers	980	TotalVolunteersCnt
Total Gross UBI	$247,736	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$225,084	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,198,980	PYContributionsGrantsAmt
CY Contributions Grants	$989,449	CYContributionsGrantsAmt
PY Program Service Revenue	$673,116,365	PYProgramServiceRevenueAmt
CY Program Service Revenue	$651,454,908	CYProgramServiceRevenueAmt
PY Investment Income	$1,269,438	PYInvestmentIncomeAmt
CY Investment Income	$1,904,154	CYInvestmentIncomeAmt
PY Other Revenue	$2,350,346	PYOtherRevenueAmt
CY Other Revenue	$4,857,843	CYOtherRevenueAmt
PY Total Revenue	$678,935,129	PYTotalRevenueAmt
CY Total Revenue	$659,206,354	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,345,635	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,351,789	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$324,777,995	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$338,759,980	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$278,791,927	PYOtherExpensesAmt
CY Other Expenses	$291,629,041	CYOtherExpensesAmt
PY Total Expenses	$604,915,557	PYTotalExpensesAmt
CY Total Expenses	$631,740,810	CYTotalExpensesAmt
PY Revenues Less Expenses	$74,019,572	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$27,465,544	CYRevenuesLessExpensesAmt
Total Assets BOY	$631,286,011	TotalAssetsBOYAmt
Total Assets EOY	$633,174,020	TotalAssetsEOYAmt
Total Liabilities BOY	$170,104,156	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$144,944,985	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$461,181,855	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$488,229,035	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	$582,866,413	ExpenseAmt
Grant	$1,351,789	GrantAmt
Revenue	$656,207,208	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$582,866,413	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
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
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 With Officer Ent	false	BusinessRlnWithOfficerEntInd
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	538	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3467	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	22	GoverningBodyVotingMembersCnt
Independent Voting Member	19	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 (37 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)	$1,401,716	$0	$299,870
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
BILL MCCOLLUM
VICE CHAIRMAN	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
HEATHER DAVIS-KINGSTON MD
DIRECTOR	2.0	2.0	Yes (X)		$8,527	$0	$0
DWARAKNATH P REDDY
DIRECTOR (PART YEAR)	2.0	0.0	Yes (X)		$46,000	$0	$0
ELMER PINEDA MD
DIRECTOR	2.0	2.0	Yes (X)		$91,381	$0	$0
LESTER HOLSTEIN MD
DIRECTOR	2.0	0.0	Yes (X)		$20,796	$0	$0
M HELLEN RODRIGUEZ MD
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
KEVIN MCCARTHY
DIRECTOR (PART YEAR)	2.0	2.0	Yes (X)		$0	$0	$0
PAT HOLT
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
JANE GOODFELLOW
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
RICHARD P CREAN
DIRECTOR (PART YEAR)	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 (PART YEAR)	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
JAN PAULSON
DIRECTOR (PART YEAR)	2.0	0.0	Yes (X)		$0	$0	$0
TONY SPANO
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
BILL STEAD
DIRECTOR (PART YEAR)	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
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
MICHAEL NELSON
ASST. TREASURER/SECRETARY	39.0	1.0		Yes (X)	$1,655,418	$0	$195,396
JULI HESTER
TREASURER/CFO	39.0	1.0		Yes (X)	$399,462	$0	$45,660
DARLENE SCAFFIDDI
VP OF NURSING	40.0	0.0			$412,662	$0	$46,510	Yes (X)
KENNETH K NAKAMOTO
VP MED STAFF AFF	40.0	0.0			$398,703	$0	$33,804		Yes (X)
KENT HOYOS
CIO	40.0	0.0			$414,860	$0	$46,563		Yes (X)
RAY INGE
VP HUMAN RESOURCES & PAYROLL	40.0	0.0			$359,098	$0	$40,931		Yes (X)
MICHAEL VESTINO
VP, SUPPORT SERVICES	40.0	0.0			$291,338	$0	$43,603		Yes (X)
JOSEPH BAUMGARTNER
DIRECTOR OF PHYSICAL THERAPY	40.0	0.0			$258,350	$0	$72,881		Yes (X)
CHRIS ALDWORTH
FORMER OFFICER	0.0	0.0			$360,025	$0	$7,649			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,118,336	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$832,867	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	908	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 Ave	Pomona	CA	91767	Medical Services	$6,058,456
Institute of Trauma Acute Care In
3680 E Imperial Hwy Suite 502	Lynwood	CA	90262	Medical Services	$2,338,700
Chaparral Medical Group
840 TOWNE CENTER DRIVE	Pomona	CA	91767	Medical Services	$1,821,038
Hospitalist Corp of the Inland Empi
840 Towne Center Drive	Pomona	CA	91767	Medical Services	$1,303,268
Inland Valley Anesthesia Medical Gr
1798 Garey Ave	Pomona	CA	91767	Medical Services	$983,346

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	24	CntrctRcvdGreaterThan100KCnt
Related Organizations	$426,060	RelatedOrganizationsAmt
Government Grants	$251,973	GovernmentGrantsAmt
All Other Contributions	$311,416	AllOtherContributionsAmt
Total Contributions	$989,449	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	$650,043,907	$650,043,907	$0	$0
340b Pharmacy Program	900099	$998,802	$998,802	$0	$0
Physician Office Rental	621111	$164,463	$164,463	$0	$0
Non-Patient Lab Revenue	621511	$247,736	$0	$247,736	$0

Field	Value	IRS element (for citing)
Total Program Service Revenue	$651,454,908	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,886,347	TotalRevenueColumnAmt
Exclusion	$1,886,347	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$19,807	TotalRevenueColumnAmt
Exclusion	$19,807	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	$356,670	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$251,127	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$105,543	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$105,543	TotalRevenueColumnAmt
Exclusion	$105,543	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$2,000	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$2,000	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,000	TotalRevenueColumnAmt
Exclusion	-$2,000	ExclusionAmt

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

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	$1,855,343	$1,855,343	$0	$0
Food Sales	722212	$1,230,214	$1,230,214	$0	$0
HEALTH EDUCATION	923110	$76,003	$76,003	$0	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,590,740	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,590,740	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,752,300	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$659,206,354	TotalRevenueColumnAmt
Related Or Exempt Func Income	$655,959,472	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$247,736	UnrelatedBusinessRevenueAmt
Exclusion	$2,009,697	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	$1,351,789	TotalAmt
Program Services	$1,351,789	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	$4,206,970	TotalAmt
Program Services	$166,704	ProgramServicesAmt
Management And General	$4,040,266	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$512,509	TotalAmt
Program Services	$512,509	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$260,708,596	TotalAmt
Program Services	$252,909,813	ProgramServicesAmt
Management And General	$7,798,783	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$12,765,648	TotalAmt
Program Services	$12,127,366	ProgramServicesAmt
Management And General	$638,282	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$41,097,781	TotalAmt
Program Services	$39,961,502	ProgramServicesAmt
Management And General	$1,136,279	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$19,468,476	TotalAmt
Program Services	$18,758,947	ProgramServicesAmt
Management And General	$709,529	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,228,891	TotalAmt
Program Services	$144,199	ProgramServicesAmt
Management And General	$2,084,692	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$100,861	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$100,861	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$185,378	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$185,378	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	$73,676,319	TotalAmt
Program Services	$63,435,311	ProgramServicesAmt
Management And General	$10,241,008	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,495,050	TotalAmt
Program Services	$1,225,435	ProgramServicesAmt
Management And General	$269,615	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,738,096	TotalAmt
Program Services	$13,550,501	ProgramServicesAmt
Management And General	$2,187,595	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$9,636,069	TotalAmt
Program Services	$8,296,655	ProgramServicesAmt
Management And General	$1,339,414	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	$12,335,254	TotalAmt
Program Services	$10,620,654	ProgramServicesAmt
Management And General	$1,714,600	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$309,881	TotalAmt
Program Services	$266,643	ProgramServicesAmt
Management And General	$43,238	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	$621,246	TotalAmt
Program Services	$437,493	ProgramServicesAmt
Management And General	$183,753	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$18,327	TotalAmt
Program Services	$15,780	ProgramServicesAmt
Management And General	$2,547	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	$31,930,961	TotalAmt
Program Services	$27,492,557	ProgramServicesAmt
Management And General	$4,438,404	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,431,356	TotalAmt
Program Services	$3,815,398	ProgramServicesAmt
Management And General	$615,958	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical Supplies	$78,403,157	$67,505,118	$10,898,039	$0
CALIFORNIA HOSPITAL FEE	$35,791,797	$35,791,797	$0	$0
Capitation Expense	$18,246,508	$18,246,508	$0	$0
Dues & Subscriptions	$1,421,632	$1,421,632	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,058,258	TotalAmt
Program Services	$4,812,102	ProgramServicesAmt
Management And General	$246,156	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$631,740,810	TotalAmt
Program Services	$582,866,413	ProgramServicesAmt
Management And General	$48,874,397	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	$790,993	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$47,516,977	BOYAmt
EOY	$54,395,139	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	$82,856,446	BOYAmt
EOY	$88,380,614	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	$2,506,742	BOYAmt
EOY	$3,624,605	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,233,370	BOYAmt
EOY	$3,981,378	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$8,528,572	BOYAmt
EOY	$7,177,083	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$851,022,680	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$512,854,969	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$319,274,910	BOYAmt
EOY	$338,167,711	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$2,565,866	BOYAmt
EOY	$2,541,114	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	-$5,557,717	BOYAmt
EOY	-$4,816,143	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	$168,569,852	BOYAmt
EOY	$139,722,519	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$631,286,011	BOYAmt
EOY	$633,174,020	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$114,293,811	BOYAmt
EOY	$99,107,701	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	$9,360,000	BOYAmt
EOY	$4,765,000	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	$25,031,624	BOYAmt
EOY	$21,702,973	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	$21,418,721	BOYAmt
EOY	$19,369,311	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$170,104,156	BOYAmt
EOY	$144,944,985	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$459,992,909	BOYAmt
EOY	$487,055,577	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$482,896	BOYAmt
EOY	$467,405	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$706,050	BOYAmt
EOY	$706,053	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$461,181,855	BOYAmt
EOY	$488,229,035	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$631,286,011	BOYAmt
EOY	$633,174,020	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$27,465,544	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$157,207	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$575,571	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
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$185,378	OtherActivitiesAmt
Total Lobbying Expenditures	$185,378	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	$8,678,048	BeginningYearBalanceAmt
Contributions	$33,880	ContributionsAmt
Investment Earnings Or Losses	-$421,631	InvestmentEarningsOrLossesAmt
End Year Balance	$8,290,297	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,702,737	BeginningYearBalanceAmt
Contributions	$245,470	ContributionsAmt
Investment Earnings Or Losses	$361,425	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,598,553	OtherExpendituresAmt
End Year Balance	$7,711,079	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.02270	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.92570	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.05160	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	$5,186,695	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$16,399,914	OtherCostOrOtherBasisAmt
Book Value	$21,586,609	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$246,648,154	OtherCostOrOtherBasisAmt
Depreciation	$115,459,590	DepreciationAmt
Book Value	$131,188,564	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$29,770,965	OtherCostOrOtherBasisAmt
Depreciation	$12,561,236	DepreciationAmt
Book Value	$17,209,729	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$500,769,405	OtherCostOrOtherBasisAmt
Depreciation	$384,834,143	DepreciationAmt
Book Value	$115,935,262	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$52,247,547	OtherCostOrOtherBasisAmt
Book Value	$52,247,547	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$338,167,711	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
MALPRACTICE RECEIVABLE	$5,809,039
WORKERS COMP RECEIVABLE	$921,567
RETIREMENT PLAN ASSETS	$598,360
INTEREST RECEIVABLE	$9,657,545
HOSPITAL FEE RECEIVABLE	$122,736,008

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$139,722,519	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
SELF INSURANCE LIABILITIES	$17,427,750
DEFERRED COMPENSATION	$1,941,561

Field	Value	IRS element (for citing)
Total Liability	$19,369,311	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)
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$4,320,134	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,320,134	NetCommunityBenefitExpnsAmt
Total Expense	0.00680	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$303,421,583	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$236,476,299	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$66,945,284	NetCommunityBenefitExpnsAmt
Total Expense	0.10600	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$307,741,717	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$236,476,299	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$71,265,418	NetCommunityBenefitExpnsAmt
Total Expense	0.11280	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	79	ActivitiesOrProgramsCnt
Persons Served	48759	PersonsServedCnt
Total Community Benefit Expns	$5,978,499	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,200,521	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,777,978	NetCommunityBenefitExpnsAmt
Total Expense	0.00440	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	24	ActivitiesOrProgramsCnt
Persons Served	4201	PersonsServedCnt
Total Community Benefit Expns	$5,947,901	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$892,540	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,055,361	NetCommunityBenefitExpnsAmt
Total Expense	0.00800	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	22	ActivitiesOrProgramsCnt
Persons Served	22	PersonsServedCnt
Total Community Benefit Expns	$6,778,385	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,778,385	NetCommunityBenefitExpnsAmt
Total Expense	0.01070	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	25	PersonsServedCnt
Total Community Benefit Expns	$103,168	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$103,168	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	14	ActivitiesOrProgramsCnt
Persons Served	16152	PersonsServedCnt
Total Community Benefit Expns	$1,355,173	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,390	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,351,783	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	141	ActivitiesOrProgramsCnt
Persons Served	69159	PersonsServedCnt
Total Community Benefit Expns	$20,163,126	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,096,451	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,066,675	NetCommunityBenefitExpnsAmt
Total Expense	0.02540	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	141	ActivitiesOrProgramsCnt
Persons Served	69159	PersonsServedCnt
Total Community Benefit Expns	$327,904,843	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$240,572,750	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$87,332,093	NetCommunityBenefitExpnsAmt
Total Expense	0.13820	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$6,140	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,140	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	1490	PersonsServedCnt
Total Community Benefit Expns	$24,044	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,044	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	400	PersonsServedCnt
Total Community Benefit Expns	$299,332	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$299,332	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	10	ActivitiesOrProgramsCnt
Persons Served	1890	PersonsServedCnt
Total Community Benefit Expns	$329,516	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$329,516	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$20,364,586	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$73,512,221	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$75,674,975	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,162,754	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 (8 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 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 CALIFORNIA STATE UNIVERSITY SAN BERNARDINO'S INSTITUTE OF APPLIED RESEARCH.
SCHEDULE H, PART V, SECTION B, LINE 7A	CHNA URL https://www.pvhmc.org/About-Us/Community-Services.aspx
SCHEDULE H, PART V, SECTION B, LINE 10A	IMPLEMENTATION STRATEGY URL HTTPS://WWW.PVHMC.ORG/ABOUT-US/COMMUNITY-SERVICES.ASPX
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. 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 REFERRALS, AND SMOKING CESSATI
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 Imaging Chino Hills
2140 Grand Avenue Suite 125	Chino Hills	CA	91709	DIAGNOSTIC CENTER
PVHMC Physical Therapy Claremont
1601 Monte Vista Av	Claremont	CA	91711	DIAGNOSTIC CENTER
PVHMC Sleep Center
2140 Grand Avenue Suite 125	Chino Hills	CA	91709	DIAGNOSTIC CENTER
PVHMC Women's Imaging
1910 Royalty Drive	Pomona	CA	91767	DIAGNOSTIC CENTER
PVHMC Cancer Center OP
1910 Royalty Drive	pomona	CA	91767	REHABILITATION 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
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 Crossroads URgent Care
3110 Chino Avenue Suite 150	Chino Hills	CA	91709	OUTPATIENT PHYSICIAN CLINIC
PVHC Claremont Primary Care
1601 Monte Vista Avenue	Claremont	CA	91711	OUTPATIENT PHYSICIAN CLINIC
PVHMC 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
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 IMAGING LA VERNE
2333 FOOTHILL BLVD STE C	LA VERNE	CA	91750	DIAGNOSTIC CENTER
PVHMC PHYSICAL THERAPY LA VERNE
2333 FOOTHILL BLVD STE C	LA VERNE	CA	91750	REHABILITATION CENTER
PVHMC LA VERNE URGENT CARE
2333 FOOTHILL BLVD STE C	LA VERNE	CA	91750	OUTPATIENT PHYSICIAN CLINIC
PVHC LA VERNE PRIMARY CARE
2333 FOOTHILL BLVD STE C	LA VERNE	CA	91750	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 $ 35,791,797 IN 2018 AND $50,914,715 IN 2017 INCLUDED ON SCHEDULE H, PART I, LINE 7B, COLUMN C. THE MEDICAL CENTER ALSO RECORDED PLEDGE PAYMENTS OF $1,036,918 IN 2018 AND $1,104,375 IN 2017 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 $116,796,056 IN 2018 INCLUDED ON SCHEDULE H, PART I, LINE 7B, COLUMN D, WHICH PERTAINS TO THE PERIOD JANUARY 1, 2018 TO DECEMBER 31, 2018, 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 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 HTTP://WWW.PVHMC.ORG/COMMUNITY-OUTREACH.ASP
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 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	false	GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
CASA COLINA CTR FOR REHAB FOUNDATION
255 E BONITA AVENUE	POMONA	CA	91769	953655255	501(c)(3)	$9,500	PROGRAM SUPPORT
KECK GRADUATE INSTITUTE
535 WATSON DRIVE	CLAREMONT	CA	91711	954625327	501(c)(3)	$10,000	PROGRAM SUPPORT
PILGRIM PLACE
721 W HARRISON AVENUE	CLAREMONT	CA	91711	951691301	501(c)(3)	$7,500	PROGRAM SUPPORT
CALIFORNIA HEALTH FOUNDATION & TRUST
1215 K ST STE 8000	SACRAMENTO	CA	95814	941498697	501(c)(3)	$1,036,918	HOSPITAL FEE PROGRAM PROGRAM
POMONA COMMUNITY FOUNDATION
101 W MISSION BLVD STE 110 201	POMONA	CA	917661799	392073462	501(C)(3)	$8,000	PROGRAM SUPPORT

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	THE CALIFORNIA HOSPITAL FEE PROGRAM (THE PROGRAM) WAS SIGNED INTO LAW BY THE GONERNOR OF CALIFORNIA AND BECAME EFFECTIVE ON JANUARY 1, 2010. THE HOSPITAL MADE PLEDGE PAYMENTS (GRANT) TO THE CALIFORNIA HEALTH FOUNDATION & TRUST TOTALING $ 1,036,918 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	$728,215	$0	$188,496	$0	$485,005	$0	$282,421	$0	$17,449	$0	$1,701,586	$0	$370,203	$0
MICHAEL NELSON
ASST. TREASURER/SECRETARY	$519,466	$0	$125,675	$0	$1,010,277	$0	$178,007	$0	$17,389	$0	$1,850,814	$0	$841,015	$0
JULI HESTER
TREASURER/CFO	$316,489	$0	$80,000	$0	$2,973	$0	$22,000	$0	$23,660	$0	$445,122	$0	$0	$0
DARLENE SCAFFIDDI
VP OF NURSING	$305,125	$0	$81,375	$0	$26,162	$0	$22,000	$0	$24,510	$0	$459,172	$0	$0	$0
KENNETH K NAKAMOTO
VP MED STAFF AFF	$353,732	$0	$35,920	$0	$9,051	$0	$16,500	$0	$17,304	$0	$432,507	$0	$0	$0
KENT HOYOS
CIO	$334,914	$0	$69,000	$0	$10,946	$0	$22,000	$0	$24,563	$0	$461,423	$0	$0	$0
RAY INGE
VP HUMAN RESOURCES & PAYROLL	$290,080	$0	$59,480	$0	$9,538	$0	$16,500	$0	$24,431	$0	$400,029	$0	$0	$0
MICHAEL VESTINO
VP, SUPPORT SERVICES	$230,965	$0	$49,220	$0	$11,153	$0	$19,690	$0	$23,913	$0	$334,941	$0	$0	$0
JOSEPH BAUMGARTNER
DIRECTOR OF PHYSICAL THERAPY	$215,596	$0	$35,860	$0	$6,894	$0	$56,562	$0	$16,319	$0	$331,231	$0	$0	$0
CHRIS ALDWORTH
FORMER OFFICER	$295,371	$0	$62,600	$0	$2,054	$0	$0	$0	$7,649	$0	$367,674	$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 42 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 $260,421 FOR MR. YOCHUM AND $156,007 FOR MR. NELSON. RICHARD YOCHUM RECEIVED A DEFERRED COMPENSATION PAYOUT OF $463,193 IN 2018 OF WHICH $370,203 WAS REPORTED ON PRIOR YEAR'S FORM 990. MICHAEL NELSON RECEIVED A DEFERRED COMPENSATION PAYOUT OF $1,004,050 IN 2018 OF WHICH $841,015 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	$144,835	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 (15 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 115 YEARS, AND WE VALUE MAINTAINING THE HEALTH OF OUR COMMUNITY. PVHMCS 2019 REPORT AND FOCUS STUDY (FOR FY 2018) 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 2018 THAT PVHMC HAS CHOSEN TO HIGHLIGHT ARE: - TRAUMA SERVICES PRIORITY HEALTH NEED AREA 3 (ACCESS TO CARE) - STROKE PROGRAM PRIORITY HEALTH NEED AREAS 1, 2 & 3 (CHRONIC DISEASE, HEALTH EDUCATION & ACCESS TO CARE) - DIABETES PROGRAM PRIORITY HEALTH NEED AREA 1 & 2 (CHRONIC DISEASE MANAGEMENT AND HEALTH EDUCATION) 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 2018 DIABETES UPDATE AND PROGRAM ACTIVITIES STOPPING DIABETES IN ITS TRACKS (SDIT) WHAT FOLLOWS IN THIS 2018 SUMMARY IS AN UPDATE OF THE PROGRESS MADE INCLUDING PROGRESS TOWARDS ACHIEVING GOALS, OBJECTIVES, AND OUTCOMES OF THE PROJECT. THE SUMMARY ALSO BRIEFLY HIGHLIGHTS SOME OF THE CHALLENGES ENCOUNTERED AND HOW THEY WERE RESOLVED, ANY CHANGES MADE DURING THE COURSE OF THE PROJECT, AND THE EXPECTED AND UNANTICIPATED OUTCOMES. THE SDIT CONSORTIUM BEGAN ITS FIRST YEAR BY ACKNOWLEDGING THAT IT IS IMPERATIVE TO TREAT POMONA RESIDENTS WITH UTMOST RESPECT BY PROVIDING CLINICAL SERVICES AND BY RIGOROUSLY FOLLOWING RESEARCH PROTOCOL, INCLUDING PROTECTION OF THE PARTICIPANTS RIGHTS, WELFARE, AND WELLBEING. THE CONSORTIUM HAS ADOPTED A SYSTEMS-ENGINEERING APPROACH WHICH HAS CREATED SIX SUBSYSTEMS REPRESENTING SIX OF THE PROJECT ELEMENTS GUIDED BY A ROADMAP AND A SET IF CRITICAL PATHWAYS. EACH SUBSYSTEM IS ASSIGNED A TASKFORCE MADE UP OF MEMBERS FROM ACROSS THE SDIT PARTNER INSTITUTIONS AND FROM A VARIETY OF ACADEMIC AND CLINICAL DISCIPLINES, AND MEMBERSHIP OVERLAPS ACROSS THE TEAMS. TASK FORCES WORK IN PARALLEL AND COLLABORATE WITH ONE ANOTHER TO CONTRIBUTE TO THE ACHIEVEMENT OF PROJECT OBJECTIVES. EACH TASK FORCE MEETS WEEKLY OR BI-WEEKLY AND REPORTS TO THE LEADERSHIP TEAM ON ITS ACTIVITIES, PROGRESS, AND QUESTIONS. THE SIX SUBSYSTEMS CREATED ARE: THE RESEARCH AND DEVELOPMENT SUBSYSTEM MANAGED AND STAFFED BY THE MEASUREMENT, EVALUATION AND INTERVENTION TASK FORCE THE CLINICAL SUBSYSTEM MANAGED AND STAFFED BY THE CLINICAL TASK FORCE THE COMMUNITY SUBSYSTEM MANAGED AND STAFFED BY THE COMMUNITY TASK FORCE THE NAVIGATION SUBSYSTEM MANAGED AND STAFFED BY THE NAVIGATION TASK FORCE THE DATA SUBSYSTEM MANAGED AND STAFFED BY THE ELECTRONIC TRACKING SYSTEM TASK FORCE THE HUMAN SUBJECTS PROTECTION SUBSYSTEM MANAGED AND STAFFED BY THE IRB TASK FORCE. THE SDIT LEADERSHIP TEAM CARRIES OUT THE OVERSIGHT OF THE ENTIRE SDIT SYSTEM AND INTEGRATION OF THE SUBSYSTEMS. PROGRESS TOWARDS ACHIEVING GOALS, OBJECTIVES, AND OUTCOMES OF THE SDIT PROJECT FY 2018 TWO LEADERSHIP TEAMS WERE CREATED A SYSTEMS-ENGINEERING PLAN AND PERSONALIZED ECOLOGICAL CONCEPTUAL FRAMEWORK WAS CREATED TO GUIDE THE PROGRAM DEVELOPMENT. SIX OPERATIONAL TASK FORCES WERE CREATED TO ADDRESS THE REQUIREMENTS OF THE SUBSYSTEMS ESSENTIAL TO SUCCESSFUL REALIZATION OF THE SDIT MISSION ADDITIONAL COLLABORATING INSTITUTIONS: WESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF GRADUATE NURSING AND SCRIPPS COLLEGE POST-BACCALAUREATE PREMEDICAL (PBPM) PROGRAM WERE INTEGRATED WITH THE USC SCHOOL OF SOCIAL WORK AND KECK GRADUATE INSTITUTES PBPM PROGRAM IN NAVIGATION AND COMMUNITY SCREENING. DEVELOPMENT, PILOT TESTING, AND OPERATIONALIZATION OF MEASUREMENT SYSTEMS AND ELECTRONIC TRACKING SYSTEM NAVIGATION SYSTEM WAS CREATED PILOT TESTING OF THE DSME PROGRAM INITIATION OF SCREENINGS AND IDENTIFICATION OF SUFFICIENT NUMBERS OF ELIGIBLE PERSONS FORM COMMUNITY, CLINICS, AND HOSPITAL TO INITIATE DIABETES PREVENTION PROGRAM (DPP) AND DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT PROGRAM (DSME) INTERVENTIONS IN EARLY 2019. OTHER ACTIVITIES AND COMMUNITY EVENTS BEGINNING IN OCTOBER 2018, PVHMC BEGAN HOSTING A FREE DIABETES 101 CLASS WITH THE CLINICAL DIABETES SPECIALIST FROM THE DIABETES CLINICAL RESOURCE TEAM. THE CLASS IS HELD EVERY 2ND TUESDAY OF THE MONTH WITH TWO CLASSES DELIVERED AT 4PM FOR OUR SPANISH COMMUNITY MEMBERS AND ANOTHER AT 6PM FOR CLASS DELIVERED IN ENGLISH. ON AVERAGE, THE CLASSES HAVE HOSTED A RANGE OF 5-12 PARTICIPANTS. THE CLASSES ARE 1.5 HOURS IN WHICH COMMUNITY MEMBERS ARE INVITED TO LEARN ABOUT THE BEST STEPS TO TAKE IN LIVING AND MANAGING THEIR DIABETES SUCCESSFULLY. EXAMPLES OF TOPICS INCLUDE: GENERAL DIABETES INFORMATION WHAT GLUCOSE LEVELS MEAN HOW EPISODES OF HIGH AND LOW SUGAR ARE TREATED HOW TO CHECK BLOOD SUGAR DIABETES MEDICATIONS AND THEIR SIDE EFFECTS HOW TO PREVENT COMPLICATIONS AND LIFESTYLE MODIFICATIONS LIKE DIET AND EXERCISE AND HOW IT CAN POSITIVELY AFFECT HEALTH. THE CLASS IS INTENDED FOR THOSE WITH BOTH TYPE 1 AND TYPE 2 DIABETES. THE CLASSES ARE HELD IN THE COMMUNITY ROOM OF THE ROBERT AND BEVERLY LEWIS FAMILY CANCER CARE CENTER. IN NOVEMBER, THE DIABETES CLINICAL RESOURCES TEAM AT PVHMC CELEBRATED NATIONAL DIABETES AWARENESS MONTH WITH A NUMBER OF EVENTS TO SPREAD AWARENESS TO PREVENT DIABETES AND HELP THOSE WITH THE DISEASE BETTER MANAGE THEIR SYMPTOMS AND LIFESTYLES. NOVEMBER 7, 2018: A DIABETES HEALTH FAIR WAS HELD IN FRONT OF THE ROBERT AND BEVERLY LEWIS OUTPATIENT PAVILION WHERE THE COMMUNITY COULD COME BY FOR A QUICK AND FREE BLOOD GLUCOSE SCREENING FROM OUR DIABETES CLINICAL RESOURCE TEAM. CLINICAL DIABETES SPECIALISTS WERE AVAILABLE TO PROVIDE FREE EDUCATION ON RISK FACTORS, SYMPTOMS MANAGEMENT AND MORE. NOVEMBER 11, 2018: COMMUNITY MEMBERS WERE INVITED TO JOIN THE DIABETES CLINICAL RESOURCE TEAM WITH FAMILY AND FRIENDS ON A BRISK 2.5 MILE WALK/HIKE ON THE EUCALYPTUS LOOP TRAIL IN CHINO HILLS. INFORMATION WAS SHARED ABOUT DIABETES/PREDIABETES AND WHY WALKING IS GOOD FOR HEALTH. NOVEMBER 13, 2018: THE DIABETES CLINICAL RESOURCE TEAM HOSTED A DIABETES 101 CLASS IN THE COMMUNITY ROOM OF THE ROBERT AND BEVERLY LEWIS FAMILY CANCER CARE CENTER. IT IS A FREE CLASS FOR COMMUNITY MEMBERS WITH BOTH TYPE 1 AND TYPE 2 DIABETES. THE CLASS HELPED PARTICIPANTS GAIN A BETTER UNDERSTANDING OF LIVING WELL WITH DIABETES, INCLUDING WHAT DIABETES IS, HOW TO CHECK SUGARS, LIFESTYLE MODIFICATIONS AND MORE. TWO CLASSES WERE HELD, ONE IN SPANISH FOLLOWED BY ANOTHER CLASS IN ENGLISH. NOVEMBER 14, 2018: THE DIABETES CLINICAL RESOURCE TEAM HOSTED A WORLD DIABETES DAY EVENT IN THE CAFETERIA WHERE THE COMMUNITY COULD TAKE A FREE RISK ASSESSMENT TEST AND LEARN ABOUT DIABETES. 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 2018 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 HAM PROGRAM: THIS IS A DRIVER UNDER THE INFLUENCE (DUI) COURT-ORDERED PROGRAM THAT IS IN COLLABORATION WITH PVHMC AND THE CORONERS OFFICE TO REDUCE RECIDIVISM IN DUI CONVICTIONS. CLASSES ARE OFFERED MONTHLY AT PVHMC. CLASSES ARE TWO 8 HOUR DAYS; ONE SPENT IN CLASS AT PVHMC AND THE OTHER IS A TRIP TO THE LA COUNTY CORONERS OFFICE. BETWEEN AUGUST 2017 AND DECEMBER 2018, A TOTAL OF 217 INDIVIDUALS PARTICIPATED IN THIS PROGRAM. EVERY 15 MINUTES: IN AN ADDITIONAL EFFORT TO FURTHER REDUCE MOTOR VEHICLE ACCIDENTS AND DUIS PVHMC FACILITATES AND HOSTS THIS DRINKING AND DRIVING DEMONSTRATION FOR LOCAL HIGH SCHOOLS TO EDUCATE STUDENTS ON THE DANGEROUS EFFECTS AND CONSEQUENCES OF DRIVING WHILE UNDER THE INFLUENCE AND PROMOTE SAFE DRIVING PRACTICES. THIS DEMONSTRATION BEGINS WHEN AN AUTO-ACCIDENT IS STAGED OFFSITE, THEN STUDENTS ARE THEN TRANSPORTED TO THE HOSPITAL FOR EDUCATION AND DISCUSSION, AND THE PROGRAM CONCLUDES WITH A VISIT TO THE HOSPITAL MORGUE. STOP THE BLEED PROGRAM: IN COLLABORATION WITH LOCAL SCHOOLS AND POLICE, THE STOP THE BLEED PROGRAM IS DESIGNED TO TRAIN COMMUNITY MEMBERS ON HOW TO USE TOURNIQUETS (BANDS THAT HELP CONTROL BLEEDING) TO PREVENT DEATHS FROM LIFE-THREATENING BLEEDING WOUNDS. INITIATED AFTER SANDY HOOK IN 2012, AND THE HARTFORD CONSENSUS, THIS PROGRAM PREPARES COMMUNITY MEMBERS TO RESPOND, AND HELPS THOSE WOUNDED, IN THE EVENT OF AN ACTIVE SHOOTER OR EMERGENCY EVENT. SINCE THE START OF THE PROGRAM IN 2018 A TOTAL OF 220 INDIVIDUALS HAVE BEEN TRAINED BY THE TRAUMA SERVICE. FUTURE: UPCOMING PROGRAMS INCLUDE THE MATTER OF BALANCE PROGRAM FOR FALL PREVENTION FOR THE ELDERLY, VIOLENCE OUTREACH AND PREVENTION, AND PEDESTRIAN SAFETY AND DISTRACTED DRIVING, FOR EXAMPLE. IMPROVING SAFETY THROUGHOUT THE COMMUNITY IS A VERY IMPORTANT PART OF OUR TRAUMA CENTERS ROLE. 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. FY 2018 STROKE PROGRAM PROGRESS UPDATE REPORT POMONA VALLEY HOSPITAL MEDICAL CENTERS STEAD HEART AND VASCULAR CENTER INCLUDES THE RECENT ADDITION OF A NEUROINVENTIONALIST WHICH LAUNCHES PVHMC INTO COMPREHENSIVE STROKE CARE MODEL, AND UPON RECEIVING THIS DESIGNATION, PVHMC WILL BE ABLE TO PROVIDE OUR COMMUNITY WITH THE OPTION OF STAYING LOCALLY TO RECEIVE ALL STROKE-RELATED CARE, PRE AND POST DISCHARGE; THEREFORE, AVOIDING COSTLY TRANSFERS AND INVASIVE SURGERY. IN ADDITION TO NEURO-INTERVENTIONAL SERVICES, THE HOSPITAL PROVIDES 24-HOUR, 7-DAY A WEEK, 365-DAY A YEAR COORDINATED STROKE SERVICES THAT INCLUDES EMERGENT AND ACUTE NEUROLOGY AND NEUROSURGICAL CARE. WE OFFER STROKE REHABILITATION, STROKE EDUCATION AND A REGIONALLY RECOGNIZED STROKE SUPPORT GROUP. PVHMC IS THE FIRST HOSPITAL IN OUR REGION TO BE DESIGNATED AS A COMPREHENSIVE STROKE CENTER BY LA COUNTY AND JUST ONE OF 169 HOSPITALS OUT OF THE 5,500 HOSPITALS ACROSS THE NATION. EMERGENCY MEDICAL SYSTEMS COLLABORATION PVHMC WORKS WITH THE SAN BERNARDINO COUNTY FIRE DEPARTMENT, LOS ANGELES COUNTY FIRE DEPARTMENT, AND OTHER LOCAL FIRE DEPARTMENTS AS A SYNCHRONIZED TEAM TO SAVE LIVES. AS A SPECIALTY RECEIVING CENTER FOR STROKE AND HEART ATTACK PATIENTS, PARAMEDICS WILL CALL PVHMC AND TALK TO A SPECIALTY NURSE IN THE EMERGENCY DEPARTMENT WHO IS DESIGNATED TO TAKE THEIR CALLS. THE PARAMEDICS DESCRIBE THE INJURIES AND THE NURSE PROVIDES TREATMENT INSTRUCTIONS AND ACTIVATES THE STROKE ALERT TEAM AT THE PVHMC. ONCE TREATMENT IS RENDERED, PATIENTS ARE CARED FOR IN A STROKE DESIGNATED UNITED WITH SPECIALIZED TRAINING NURSING STAFF TO FUTURE PROVIDE CARE TO THIS UNIQUE POPULATION. THE ROLE AND COLLABORATION WITH THE EMERGENCY MEDICAL SYSTEM (EMS) RESPONDERS AND THE PVHMC EMERGENCY DEPARTMENT (ED) IS A CRUCIAL ELEMENT OF THE PVHMCS STROKE PROGRAM. EMS AND ED PROVIDERS HAVE REPRESENTATIVE MEMBERSHIP ON PVHMCS NEUROSCIENCE COMMITTEE AND PVHMC ALSO HAS A DESIGNATED PRE-HOSPITAL COORDINATOR REGISTERED NURSE TO PROVIDE EMS/PARAMEDIC EDUCATION. EDUCATION AND COLLABORATIVE OUTREACH INCLUDES: - BASE STATION MEETINGS - PARAMEDIC TRAINING - FIREHOUSE VISITS/IN-SERVICES - ANNUAL EMS BREAKFAST; SHARING OUTCOMES, CELEBRATING SUCCESS - COMMUNITY-BASED EVENTS - LOCAL HOSPITAL/EMS TRANSFER/TRANSPORT CONTRACTS PATIENT AND CAREGIVER EDUCATION EDUCATION AND RISK REDUCTION OUTREACH IS A PART OF OUR COMMITMENT TO PREVENTING FUTURE STROKES AND IMPROVING THE HEALTH OF THE COMMUNITY. EDUCATION INCLUDES MULTILINGUAL EDUCATION PUBLICATIONS, FREE MONTHLY EDUCATION SUPPORT GROUPS, AND HOSTING COMMUNITY EVENTS TO CONDUCT SCREENINGS AND RAISE STROKE AWARENESS. SPECIFIC PATIENT AND CAREGIVER EDUCATION IN 2018 INCLUDED: - STROKE DISCHARGE EDUCATION TOOL - STROKE PACKET AVAILABLE IN 4 DIFFERENT LANGUAGES - SUPPORT GROUPS - NEW BEGINNINGS: "LIFE AFTER STROKE" - SUPPORT FOR CARE PARTNERS AND STROKE SURVIVORS - MEETS TWICE A MONTH - BIANNUAL CELEBRATION OF HEALTH - HELD IN THE SUMMER AND WINTER - PRIMARY PREVENTION - RISK ASSESSMENT - SCREENING - STROKE SURVIVOR DAY: "MANY FACES OF STROKE" - NEW BEGINNINGS NEWSLETTER - PROMOTION OF STROKE AWARENESS MONTH EDUCATE OUR COMMUNITY THE PVHMC STROKE PROGRAM TEAM ALSO REACHES OUT TO THE LOCAL COMMUNITY AND PROVIDES IN-COMMUNITY EDUCATION ABOUT SIGNS AND SYMPTOMS OF STROKE EMERGENCIES, WHAT-TO-DO IN AN EMERGENCY, AND RISK REDUCTION. COMMUNITY OUTREACH INCLUDED: - GLENDORA AFTER STROKE PROGRAM - SAN GABRIEL VALLEY CHINESE CULTURAL CENTER - LA COUNTY FAIR - COMMUNITY NURSING HOMES - COMMUNITY SENIOR SERVICES - ENGAGED LOCAL SCHOOLS IN PRIMARY PREVENTION - COMMUNITY EVENTS - CARDIOVASCULAR REHAB AND FITNESS GYM WITH BALANCE TRAINING, OCCUPATIONAL THERAPY, SPEECH THERAPY, AND PHYSICAL THERAPY - PVHMCS EDUCATION CAMPAIGN THAT HELPS THE COMMUNITY SPOTS THE SIGNS OF STROKE "BE FAST"
FORM 990, PART III, LINE 4A (CONTINUED)	ADDITIONAL COMMUNITY BENEFIT PROGRAMS AND ACTIVITY UPDATES FY 2018 WE FURTHER DEMONSTRATE THE WAYS WE SERVE OUR COMMUNITY AS OUR COMMITMENT TO IMPROVING THEIR HEALTH STATUS BY PROVIDING SPECIFIC WAYS WE ARE ADDRESSING HEALTH NEEDS: HEALTHY IN POMONA (HIP) IS ONE OF FIVE INITIATIVES OF POMONAS PROMISE, WHICH IS AN OUTLINE FOR A COMMUNITY-BASED APPROACH TO LINKING SERVICES AND PROGRAMS, PROVIDING RESOURCES, AND IDENTIFYING GAPS TO SUPPORT YOUTH AND FAMILY SERVICES IN THE CITY OF POMONA. MEMBERS REPRESENT VARIOUS YOUTH AND FAMILY SERVING ENTITIES, INCLUDING EDUCATION, GOVERNMENT, FAITH BASED AND, NON-PROFIT AGENCIES ALONG WITH POMONA RESIDENTS. THE GROUP MEETS TO SHARE INFORMATION AND WORK TOWARDS A COMMON GOAL OF BETTER COORDINATION OF YOUTH AND FAMILY SERVICES IN THE CITY OF POMONA. THE COLLABORATIVE GROUP OF RESIDENTS AND ORGANIZATIONS THAT FORM HIP ARE DEDICATED TO IMPROVING THE HEALTH OF POMONA BY CHAMPIONING THE HEAL (HEALTHY EATING ACTIVE LIVING) RESOLUTIONS. HEALTHY IN POMONA BEGAN IN THE SPRING OF 2014 AND HAVE BEEN ACTIVE IN IMPLEMENTING THE COLLECTIVE IMPACT PROCESS. IN JANUARY 2015, A NINE-MONTH COMMUNITY-FOCUSED NEEDS ASSESSMENT WAS COMPLETED AND THE RESULTS DISSEMINATED IN THE SPRING OF 2015. THE PROCESS INCLUDED AN EXTENSIVE REVIEW OF AVAILABLE PUBLIC HEALTH DATA, A COMMUNITY NEEDS ASSESSMENT FROM PVHMC AND INPUT FROM POMONA RESIDENTS VIA TWO COMMUNITY FORUMS, COMMUNITY SURVEYS AND FOCUS GROUPS. A TOTAL OF TEN THEMES EMERGED AS HEALTH PRIORITIES FOR POMONA WHICH INCLUDES: PUBLIC SAFETY ECONOMIC SECURITY ACCESS TO HEALTHY FOOD EXERCISE ACCESS TO HEALTH CARE FAMILY ACTIVITIES HEALTHY ENVIRONMENT CARING FOR EACH OTHER IN 2018, QUARTERLY MEETINGS WERE HELD WITH PVHMC REPRESENTATION TO DISCUSS MULTIPLE AGENDA ITEMS. FOR EXAMPLE, THE HEALTHY EATING AND ACTIVE LIVING WORKGROUP HAVE IDENTIFIED THE NEED TO PRIORITIZE PARKS AND ACTIVATING OPEN SPACES AS MEANS FOR ADDRESSING OBESITY AND ITS RELATED DISEASES (E.G. DIABETES), AS WELL AS HAVING AN IMPACT ON DEVIANT BEHAVIOR IN THE COMMUNITY. 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	A COPY OF THE TAX RETURN ALONG WITH A PRESENTATION FROM EY, THE HOSPITAL'S EXTERNAL ACCOUNTING FIRM, IS DISTRIBUTED TO THE BOARD OF DIRECTORS PRIOR TO FILING IN NOVEMBER 2019. REPRESENTATIVES FROM EY REVIEW THE RETURN DIRECTLY WITH THE DIRECTORS AND ANSWER ANY QUESTIONS THEY MAY HAVE. THE INTERNAL PROCESS INCLUDES (A) PREPARATION OF THE FINANCIAL DATA BY HOSPITAL PERSONNEL, AND (B) SURVEYS OF DIRECTORS, OFFICERS AND KEY EMPLOYEES REGARDING INFORMATION IN RESPONSE TO QUESTIONS IN PART VI. THIS INFORMATION IS DISCLOSED IN SCHEDULE L. THE COMPLETED 990 IS REVIEWED FOR OVERALL COMPLETENESS AND ACCURACY BY THE EXECUTIVE VP AND CFO.
FORM 990, PART VI, LINE 12C	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 2018 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	EFFECT OF ADOPTION OF FASB STATEMENT 158 $ 24,996 LOSS FROM SUBSIDIARIES $(758,426) OTHER $ 157,859 ------------ TOTAL $ (575,571)
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:22877754
FORM 990 PART IX LINE 11G	DESCRIPTION:TEMPORARY HELP TOTAL FEES:8958809
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER FEES TOTAL FEES:41839756

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	Pomnona	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	-$490,683	ShareOfTotalIncomeAmt
Share Of EOY Assets	$3,087,294	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. Operatio	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	$27,610	ShareOfTotalIncomeAmt
Share Of EOY Assets	-$211,359	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 (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
THE AUXILIARY OF PVHMC
C	$145,457	Accrual
PVHMC FOUNDATION
c	$280,602	Accrual
POMONA VALLEY MEDICAL PLAZA
I	$470,861	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