2019-11-15T20:56:19-06:00 2018-12-31 ERNST & YOUNG US LLP 18101 VON KARMAN AVE STE 1700 IRVINE CA 92612 990 2018-01-01 951115230 POMONA VALLEY HOSPITAL MEDICAL CENTER % Juli Hester POMO 9098659500 1798 N Garey Ave Pomona CA 91767 Juli Hester Treasurer/CFO 9098659881 2019-11-14 true KARA ADAMS P00023315 9497942300 164.57.159.253 33577420193195000111 2019-11-15 P 337686BC7CC6EC2662FF9B863E3DABD55E8368B5 B624E8CB9ADA9901BBF432C0B9948499803DA55C 2018 2020-03-31 21:24:44Z RICHARD E YOCHUM 1798 N GAREY AVE POMONA CA 91767 659459481 false X https://www.pvhmc.org/ X 1903 CA SEE SCHEDULE O 22 19 3467 980 247736 225084 2198980 989449 673116365 651454908 1269438 1904154 2350346 4857843 678935129 659206354 1345635 1351789 0 0 324777995 338759980 0 0 0 278791927 291629041 604915557 631740810 74019572 27465544 631286011 633174020 170104156 144944985 461181855 488229035 X 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. false false 582866413 1351789 656207208 SEE SCHEDULE O 582866413 true true false true false false false false false true true false false true true false false true false false false false false false false false true true true false true false false false false false false true false false false false false false true true true false false true 538 0 true 3467 true true true false false false false false false false false false true false X 22 19 false false false false false false false true true false false true true true true true true true true false CA X Juli Hester 9098659881 1798 N GAREY AVE Pomona CA 91767 RICHARD YOCHUM PRESIDENT/CEO 36.0 4.0 X X 1401716 0 299870 RICHARD FASS CHAIRMAN 2.0 0.0 X X 0 0 0 ROSANNE BADER VICE CHAIRMAN 2.0 0.0 X X 0 0 0 BILL MCCOLLUM VICE CHAIRMAN 2.0 0.0 X X 0 0 0 HEATHER DAVIS-KINGSTON MD DIRECTOR 2.0 2.0 X 8527 0 0 DWARAKNATH P REDDY DIRECTOR (PART YEAR) 2.0 0.0 X 46000 0 0 ELMER PINEDA MD DIRECTOR 2.0 2.0 X 91381 0 0 LESTER HOLSTEIN MD DIRECTOR 2.0 0.0 X 20796 0 0 M HELLEN RODRIGUEZ MD DIRECTOR 2.0 2.0 X 0 0 0 KEVIN MCCARTHY DIRECTOR (PART YEAR) 2.0 2.0 X 0 0 0 PAT HOLT DIRECTOR 2.0 0.0 X 0 0 0 JANE GOODFELLOW DIRECTOR 2.0 0.0 X 0 0 0 RICHARD P CREAN DIRECTOR (PART YEAR) 2.0 2.0 X 0 0 0 JOHN TODD DIRECTOR 2.0 0.0 X 0 0 0 RONALD T VERA DIRECTOR 2.0 0.0 X 0 0 0 STEPHEN MORGAN DIRECTOR (PART YEAR) 2.0 0.0 X 0 0 0 CURTIS MORRIS DIRECTOR 2.0 2.0 X 0 0 0 JOHN LANDHERR DIRECTOR 2.0 0.0 X 0 0 0 JAN PAULSON DIRECTOR (PART YEAR) 2.0 0.0 X 0 0 0 TONY SPANO DIRECTOR 2.0 0.0 X 0 0 0 BILL STEAD DIRECTOR (PART YEAR) 2.0 0.0 X 0 0 0 CID PINEDO DIRECTOR 2.0 0.0 X 0 0 0 REGINALD WEBB DIRECTOR 2.0 0.0 X 0 0 0 ROGER GINSBURG DIRECTOR 2.0 0.0 X 0 0 0 GEORGE SAPP DIRECTOR 2.0 0.0 X 0 0 0 KENNETH BROWN MD DIRECTOR 2.0 0.0 X 0 0 0 STIG LANESSKOG DIRECTOR 2.0 0.0 X 0 0 0 WESLEY CURRY MD DIRECTOR 2.0 0.0 X 0 0 0 MICHAEL NELSON ASST. TREASURER/SECRETARY 39.0 1.0 X 1655418 0 195396 JULI HESTER TREASURER/CFO 39.0 1.0 X 399462 0 45660 DARLENE SCAFFIDDI VP OF NURSING 40.0 0.0 X 412662 0 46510 KENNETH K NAKAMOTO VP MED STAFF AFF 40.0 0.0 X 398703 0 33804 KENT HOYOS CIO 40.0 0.0 X 414860 0 46563 RAY INGE VP HUMAN RESOURCES & PAYROLL 40.0 0.0 X 359098 0 40931 MICHAEL VESTINO VP, SUPPORT SERVICES 40.0 0.0 X 291338 0 43603 JOSEPH BAUMGARTNER DIRECTOR OF PHYSICAL THERAPY 40.0 0.0 X 258350 0 72881 CHRIS ALDWORTH FORMER OFFICER 0.0 0.0 X 360025 0 7649 6118336 0 832867 908 true true false Premier Family Medicine Association 1770 N Orange Grove Ave Pomona CA 91767 Medical Services 6058456 Institute of Trauma Acute Care In 3680 E Imperial Hwy Suite 502 Lynwood CA 90262 Medical Services 2338700 Chaparral Medical Group 840 TOWNE CENTER DRIVE Pomona CA 91767 Medical Services 1821038 Hospitalist Corp of the Inland Empi 840 Towne Center Drive Pomona CA 91767 Medical Services 1303268 Inland Valley Anesthesia Medical Gr 1798 Garey Ave Pomona CA 91767 Medical Services 983346 24 426060 251973 311416 989449 Patient Care Revenue 622110 650043907 650043907 0 0 340b Pharmacy Program 900099 998802 998802 0 0 Physician Office Rental 621111 164463 164463 0 0 Non-Patient Lab Revenue 621511 247736 0 247736 0 651454908 1886347 1886347 19807 19807 0 356670 251127 105543 0 105543 105543 2000 -2000 -2000 -2000 0 0 0 0 0 0 0 0 0 REBATES & REFUNDS 622110 1855343 1855343 0 0 Food Sales 722212 1230214 1230214 0 0 HEALTH EDUCATION 923110 76003 76003 0 0 1590740 1590740 0 0 4752300 659206354 655959472 247736 2009697 X 1351789 1351789 0 0 0 0 0 0 4206970 166704 4040266 0 512509 512509 0 0 260708596 252909813 7798783 0 12765648 12127366 638282 0 41097781 39961502 1136279 0 19468476 18758947 709529 0 0 0 0 0 2228891 144199 2084692 0 100861 0 100861 0 185378 0 185378 0 0 0 0 0 0 0 73676319 63435311 10241008 0 1495050 1225435 269615 0 15738096 13550501 2187595 0 9636069 8296655 1339414 0 0 0 0 0 12335254 10620654 1714600 0 309881 266643 43238 0 0 0 0 0 621246 437493 183753 0 18327 15780 2547 0 0 0 0 0 31930961 27492557 4438404 0 4431356 3815398 615958 0 Medical Supplies 78403157 67505118 10898039 0 CALIFORNIA HOSPITAL FEE 35791797 35791797 0 0 Capitation Expense 18246508 18246508 0 0 Dues & Subscriptions 1421632 1421632 0 0 5058258 4812102 246156 631740810 582866413 48874397 0 0 790993 0 47516977 54395139 0 0 82856446 88380614 0 0 0 0 2506742 3624605 4233370 3981378 8528572 7177083 851022680 512854969 319274910 338167711 2565866 2541114 0 0 -5557717 -4816143 0 0 168569852 139722519 631286011 633174020 114293811 99107701 0 0 0 0 9360000 4765000 0 0 0 0 25031624 21702973 0 0 21418721 19369311 170104156 144944985 X 459992909 487055577 482896 467405 706050 706053 461181855 488229035 631286011 633174020 X 27465544 157207 0 0 0 -575571 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 185378 185378 false SCHEDULE C, PART II-B, LINE 1I LOBBY EXPENSE LOBBYING EXPENSE IS INCLUDED IN THE ANNUAL DUES FOR THE HOSPITAL ASSOCIATION OF CALIFORNIA AND CHA/CAHHS. 8678048 33880 -421631 8290297 7659098 108531 910419 8678048 6991692 923136 375083 630813 7659098 7711079 340670 -34511 1025546 6991692 9702737 245470 361425 2598553 7711079 0.02270 0.92570 0.05160 false true true 5186695 16399914 21586609 246648154 115459590 131188564 29770965 12561236 17209729 500769405 384834143 115935262 52247547 52247547 338167711 MALPRACTICE RECEIVABLE 5809039 WORKERS COMP RECEIVABLE 921567 RETIREMENT PLAN ASSETS 598360 INTEREST RECEIVABLE 9657545 HOSPITAL FEE RECEIVABLE 122736008 139722519 0 SELF INSURANCE LIABILITIES 17427750 DEFERRED COMPENSATION 1941561 19369311 SCHEDULE D, PART V, LINE 4 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. 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X X X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false 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 24 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 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 false CASA COLINA CTR FOR REHAB FOUNDATION 255 E BONITA AVENUE POMONA CA 91769 953655255 501(c)(3) 9500 PROGRAM SUPPORT KECK GRADUATE INSTITUTE 535 WATSON DRIVE CLAREMONT CA 91711 954625327 501(c)(3) 10000 PROGRAM SUPPORT PILGRIM PLACE 721 W HARRISON AVENUE CLAREMONT CA 91711 951691301 501(c)(3) 7500 PROGRAM SUPPORT CALIFORNIA HEALTH FOUNDATION & TRUST 1215 K ST STE 8000 SACRAMENTO CA 95814 941498697 501(c)(3) 1036918 HOSPITAL FEE PROGRAM PROGRAM POMONA COMMUNITY FOUNDATION 101 W MISSION BLVD STE 110 201 POMONA CA 917661799 392073462 501(C)(3) 8000 PROGRAM SUPPORT 5 0 FORM 990, SCHEDULE I, PART I, LINE 2 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. X X X X X false true false false false false false false false RICHARD YOCHUM PRESIDENT/CEO 728215 0 188496 0 485005 0 282421 0 17449 0 1701586 0 370203 0 MICHAEL NELSON ASST. TREASURER/SECRETARY 519466 0 125675 0 1010277 0 178007 0 17389 0 1850814 0 841015 0 JULI HESTER TREASURER/CFO 316489 0 80000 0 2973 0 22000 0 23660 0 445122 0 0 0 DARLENE SCAFFIDDI VP OF NURSING 305125 0 81375 0 26162 0 22000 0 24510 0 459172 0 0 0 KENNETH K NAKAMOTO VP MED STAFF AFF 353732 0 35920 0 9051 0 16500 0 17304 0 432507 0 0 0 KENT HOYOS CIO 334914 0 69000 0 10946 0 22000 0 24563 0 461423 0 0 0 RAY INGE VP HUMAN RESOURCES & PAYROLL 290080 0 59480 0 9538 0 16500 0 24431 0 400029 0 0 0 MICHAEL VESTINO VP, SUPPORT SERVICES 230965 0 49220 0 11153 0 19690 0 23913 0 334941 0 0 0 JOSEPH BAUMGARTNER DIRECTOR OF PHYSICAL THERAPY 215596 0 35860 0 6894 0 56562 0 16319 0 331231 0 0 0 CHRIS ALDWORTH FORMER OFFICER 295371 0 62600 0 2054 0 0 0 7649 0 367674 0 0 0 SCHEDULE J, PART I, LINE 4B 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. Gregory Daly SEE PART V 144835 Compensation for services false Schedule L, Part IV BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS LINE (1) - GREGORY DALY IS THE BROTHER OF DARLENE SCAFFIDDI, KEY EMPLOYEE OF THE ORGANIZATION. 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 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 true Pomona Valley Medical Plaza 1798 N Garey Avenue Pomona CA 91767 954175295 Leasing CA PVHMC RELATED -490683 3087294 false 0 false 0.90000 Pomona Valley Health Facilities 1798 N Garey Avenue Pomona CA 91767 954104554 R.E. Operatio CA PVHMC C Corp 27610 -211359 1.00000 true true false true false false false false false true true false false false true true true false false false THE AUXILIARY OF PVHMC C 145457 Accrual PVHMC FOUNDATION c 280602 Accrual POMONA VALLEY MEDICAL PLAZA I 470861 Accrual SCHEDULE R, PART III IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP POMONA VALLEY MEDICAL PLAZA 1798 NORTH GAREY AVENUE POMONA, CA 91767 EIN: 95-4175295