POMONA VALLEY HOSPITAL MEDICAL CENTER: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- POMONA VALLEY HOSPITAL MEDICAL CENTER (EIN 95-1115230)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-11
- IRS object ID
- 201103159349303355
- Schema version
- 2010v3.4
- 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 M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-11T13:25:35-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18111 VON KARMAN AVENUE SUITE 1000 | AddressLine1 |
| City | IRVINE | City |
| State | CA | State |
| ZIP Code | 92612 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 951115230 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | POMONA VALLEY HOSPITAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | POMO | NameControl |
| Phone | 9098659500 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1798 NORTH GAREY AVENUE | AddressLine1 |
| City | POMONA | City |
| State | CA | State |
| ZIP Code | 91767 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHAEL NELSON | Name |
| Title | EXEC VP/CFO | Title |
| Date Signed | 2011-11-10 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9497942300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | RICHARD YOCHUM | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1798 NORTH GAREY AVENUE | AddressLine1 |
| City | POMONA | City |
| State | CA | State |
| ZIP Code | 91767 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 514235592 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.pvhmc.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1903 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | SEE SCHEDULE O | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 20 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3305 | TotalNbrEmployees |
| Total Nbr Volunteers | 977 | TotalNbrVolunteers |
| Total Gross UBI | 424978 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 30516 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 604549 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 728397 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 409614244 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 482569549 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2469936 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2191842 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 4296297 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2597200 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 416985026 | TotalRevenuePriorYear |
| Total Revenue Current Year | 488086988 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 3170390 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 250178804 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 251616533 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 170933145 | OtherExpensePriorYear |
| Other Expenses Current Year | 209509304 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 421111949 | TotalExpensesPriorYear |
| Total Expenses Current Year | 464296227 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -4126923 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 23790761 | RevenuesLessExpensesCY |
| Total Assets BOY | 306935703 | TotalAssetsBOY |
| Total Assets EOY | 314509551 | TotalAssetsEOY |
| Total Liabilities BOY | 114785534 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 98937235 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 192150169 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 215572316 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | See Schedule O | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 439153653 | Expense |
| Grants | 3170390 | Grants |
| Revenue | 485089496 | Revenue |
| Description | SEE SCHEDULE O | Description |
| Total Program Service Expense | 439153653 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | false | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 906 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 3305 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 20 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JULI HESTER | NamePerson |
| Telephone Number | 9098659881 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1798 NORTH GAREY AVENUE | AddressLine1 |
| City | POMONA | City |
| State | CA | State |
| ZIP Code | 91767 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (31 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| RICHARD YOCHUM | ||||||||
| PRESIDENT/CEO | 40.0 | X | X | 561035 | 0 | 222605 | ||
| ROGER GINSBURG | ||||||||
| CHAIRMAN | 2.0 | X | X | 0 | 0 | 0 | ||
| RONALD T VERA | ||||||||
| VICE CHAIRMAN | 2.0 | X | X | 0 | 0 | 0 | ||
| JANE GOODFELLOW | ||||||||
| VICE CHAIRMAN | 2.0 | X | X | 0 | 0 | 0 | ||
| RANDY KARU MD | ||||||||
| DIRECTOR | 2.0 | X | 14812 | 0 | 0 | |||
| JOHNSON LIGHTFOOTE MD | ||||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | |||
| A MOHAN MD | ||||||||
| DIRECTOR | 2.0 | X | 103093 | 0 | 0 | |||
| RICHARD P CREAN | ||||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | |||
| ROSANNE BADER | ||||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | |||
| JAN PAULSON | ||||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | |||
| FRED FREEHLING | ||||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | |||
| CURTIS W MORRIS | ||||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | |||
| BERNIE BERNSTEIN | ||||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | |||
| BILL STEAD | ||||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | |||
| REGINALD WEBB | ||||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | |||
| STEPHEN MORGAN | ||||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | |||
| BILL MCCOLLUM | ||||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | |||
| RICHARD FASS | ||||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | |||
| THOMAS F NUSS | ||||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | |||
| TONY SPANO | ||||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | |||
| KEVIN MCCARTHY | ||||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | |||
| MICHAEL NELSON | ||||||||
| TREASURER/CFO | 40.0 | X | 1045631 | 0 | 102783 | |||
| KURT WEINMEISTER | ||||||||
| SECRETARY/COO | 40.0 | X | 347594 | 0 | 28124 | |||
| CHRIS ALDWORTH | ||||||||
| ASST SEC/VP SATELLITE DIVISION | 40.0 | X | 202948 | 0 | 41594 | |||
| JULI HESTER | ||||||||
| ASSISTANT TREASURER/VP FINANCE | 40.0 | X | 203646 | 0 | 26936 | |||
| DARLENE SCAFFIDDI | ||||||||
| VICE PRESIDENT OF NURSING | 40.0 | 240318 | 0 | 46603 | X | |||
| KENNETH K NAKAMOTO | ||||||||
| VP MED STAFF AFF | 40.0 | 272744 | 0 | 41340 | X | |||
| JOSEPH P BAUMGAERTNER | ||||||||
| DIRECTOR | 40.0 | 273037 | 0 | 43579 | X | |||
| KENT G HOYOS | ||||||||
| CIO | 40.0 | 236690 | 0 | 40491 | X | |||
| RICHARD ROSSMAN | ||||||||
| ASSOCIATE DIRECTOR | 40.0 | 253176 | 0 | 44143 | X | |||
| JAMES LENTS | ||||||||
| DIRECTOR OF PROJECT MANAGEMENT | 40.0 | 304886 | 0 | 26555 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4059610 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 664753 | TotalOtherCompensation |
| Number Individuals GT100 K | 546 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| KRONOS SPINAL TECHNOLOGIES | |||||
| PO Box 1693 | BOUNTIFUL | UT | 840111693 | PROSTHESIS | 2674902 |
| ADVANCE BUSINESS GRAPHICS | |||||
| 3810 Wabash Drive | MIRA LOMA | CA | 917521134 | BUSINESS FORMS | 684519 |
| HOOPER LUNDY BOOKMAN INC | |||||
| 1875 Century Park East 1600 | LOS ANGELES | CA | 900672517 | LEGAL SERVICES | 610069 |
| INLAND VALLEY ANESTHESIOLOGY MED GR | |||||
| PO Box 148 | CLAREMONT | CA | 917110148 | MEDICAL SERVICES | 565346 |
| QUEST DIAGNOSTICS | |||||
| Nichols Inst 3924 Collection Cente | CHICAGO | IL | 606930039 | LAB TESTS | 543864 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 40 | NumberOfContractorsGT100K |
| Related Organizations | 139735 | RelatedOrganizations |
| Government Grants | 358728 | GovernmentGrants |
| All Other Contributions | 229934 | AllOtherContributions |
| Noncash Contributions | 0 | NoncashContributions |
| Total Contributions | 728397 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Patient Care Revenue | 622110 | 481828318 | 481828318 | |
| Non-Patient Lab Revenue | 621511 | 382755 | 382755 | |
| Physician Office Rental | 621111 | 316253 | 316253 | |
| S-Corp | 531120 | 42223 | 42223 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 482569549 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1552768 | TotalRevenueColumn |
| Exclusion | $1,552,768 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 221057 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 143804 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 77253 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 77253 | TotalRevenueColumn |
| Exclusion | $77,253 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 26643874 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 26004800 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 639074 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 639074 | TotalRevenueColumn |
| Exclusion | $639,074 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| FOOD SALES | 722212 | 1228970 | 1228970 |
| REBATES REFUNDS | 622110 | 347942 | 347942 |
| HEALTH EDUCATION TRAINING | 923110 | 118690 | 118690 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 824345 | TotalRevenueColumn |
| Related Or Exempt Function Income | 824345 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2519947 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 488086988 | TotalRevenueColumn |
| Related Or Exempt Function Income | 484664518 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 424978 | UnrelatedBusinessRevenue |
| Exclusion | $2,269,095 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3170390 | Total |
| Program Services | 3170390 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3187720 | Total |
| Program Services | 117905 | ProgramServices |
| Management And General | 3069815 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 87580 | Total |
| Program Services | 87580 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 200190309 | Total |
| Program Services | 190323154 | ProgramServices |
| Management And General | 9867155 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7233486 | Total |
| Program Services | 6871812 | ProgramServices |
| Management And General | 361674 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25953328 | Total |
| Program Services | 24910939 | ProgramServices |
| Management And General | 1042389 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14964110 | Total |
| Program Services | 14357895 | ProgramServices |
| Management And General | 606215 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1810230 | Total |
| Program Services | 59693 | ProgramServices |
| Management And General | 1750537 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 362650 | Total |
| Management And General | 362650 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 79910 | Total |
| Management And General | 79910 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32371195 | Total |
| Program Services | 30824893 | ProgramServices |
| Management And General | 1546302 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1234407 | Total |
| Program Services | 712458 | ProgramServices |
| Management And General | 521949 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67259920 | Total |
| Program Services | 64047060 | ProgramServices |
| Management And General | 3212860 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4838313 | Total |
| Program Services | 4607197 | ProgramServices |
| Management And General | 231116 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8251546 | Total |
| Program Services | 7857388 | ProgramServices |
| Management And General | 394158 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 153356 | Total |
| Program Services | 110557 | ProgramServices |
| Management And General | 42799 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 243025 | Total |
| Program Services | 169579 | ProgramServices |
| Management And General | 73446 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2880727 | Total |
| Program Services | 2358778 | ProgramServices |
| Management And General | 521949 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22539421 | Total |
| Program Services | 21462762 | ProgramServices |
| Management And General | 1076659 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5213044 | Total |
| Program Services | 4964028 | ProgramServices |
| Management And General | 249016 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| CA HOSP QLTY ASSURANCE FEE | 30359400 | 30359400 | |
| BAD DEBT | 29149308 | 29149308 | |
| ALL OTHER EXPENSES | 2762852 | 2630877 | 131975 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 464296227 | Total |
| Program Services | 439153653 | ProgramServices |
| Management And General | 25142574 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1155944 | BOY |
| EOY | 303064 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12784689 | BOY |
| EOY | 46329435 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62965850 | BOY |
| EOY | 68926372 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1111327 | BOY |
| EOY | 608654 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2755630 | BOY |
| EOY | 3069071 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3860681 | BOY |
| EOY | 3429696 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 457107422 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 308750979 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 152108956 | BOY |
| EOY | 148356443 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62178522 | BOY |
| EOY | 35914405 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -345678 | BOY |
| EOY | -860436 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8359782 | BOY |
| EOY | 8432847 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 306935703 | BOY |
| EOY | 314509551 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49272704 | BOY |
| EOY | 36873769 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 51015000 | BOY |
| EOY | 46720000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3363262 | BOY |
| EOY | 2939215 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11134568 | BOY |
| EOY | 12404251 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 114785534 | BOY |
| EOY | 98937235 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 191012127 | BOY |
| EOY | 214538051 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 432025 | BOY |
| EOY | 328243 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 706017 | BOY |
| EOY | 706022 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 192150169 | BOY |
| EOY | 215572316 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 306935703 | BOY |
| EOY | 314509551 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 23790761 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -368614 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $79,910 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 79910 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Lobby Expense | Identifier |
| Return Reference | SCHEDULE C, PART II-B, LINE 1I | ReturnReference |
| Explanation | LOBBYING EXPENSE IS INCLUDED IN THE ANNUAL DUES FOR HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA, CHA/CAHHS, AND P.E.A.C.H. Inc. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 706017 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 5 | InvestmentEarningsOrLosses |
| End Of Year Balance | 706022 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 706011 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 6 | InvestmentEarningsOrLosses |
| End Of Year Balance | 706017 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 705996 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 15 | InvestmentEarningsOrLosses |
| End Of Year Balance | 706011 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | true | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 7403619 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 11054200 | OtherCostOrOtherBasis |
| Book Value | 18457819 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 110101503 | OtherCostOrOtherBasis |
| Depreciation | 73995278 | Depreciation |
| Book Value | 36106225 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10319146 | OtherCostOrOtherBasis |
| Depreciation | 2944257 | Depreciation |
| Book Value | 7374889 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 303603519 | OtherCostOrOtherBasis |
| Depreciation | 231811444 | Depreciation |
| Book Value | 71792075 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 14625435 | OtherCostOrOtherBasis |
| Book Value | 14625435 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 148356443 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| SELF INSURANCE RESERVES | $11,330,310 |
| DEFERRED COMPENSATION | $1,073,941 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 12404251 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ENDOWMENT FUNDS | Identifier |
| Return Reference | SCHEDULE D, PART V, LINE 4 | ReturnReference |
| Explanation | POMONA VALLEY HOSPITAL MEDICAL CENTER HAS A PERMANENTLY RESTRICTED ENDOWMENT FROM A RESTRICTED DONATION RECEIVED THROUGH A UNITRUST, THE INCOME FROM WHICH IS USED TO SUPPORT THE HOSPITAL'S OPERATIONS. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 500. | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8674688 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8674688 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01990 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 194674924 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 166683291 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 27991633 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06430 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1961092 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1880560 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 80532 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 205310704 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 168563851 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 36746853 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08440 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 51 | NumberOfActivitiesOrPrograms |
| Persons Served | 49287 | PersonsServed |
| Total Community Benefit Expense | 2637147 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1380709 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1256438 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00290 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 17 | NumberOfActivitiesOrPrograms |
| Persons Served | 1170 | PersonsServed |
| Total Community Benefit Expense | 3397064 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 110016 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3287048 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00760 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 11 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 1696870 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1696870 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00390 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 46 | PersonsServed |
| Total Community Benefit Expense | 71000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 42700 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 28300 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 3170390 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3170390 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00730 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 82 | NumberOfActivitiesOrPrograms |
| Persons Served | 50503 | PersonsServed |
| Total Community Benefit Expense | 10972471 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1533425 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9439046 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02180 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 82 | NumberOfActivitiesOrPrograms |
| Persons Served | 50503 | PersonsServed |
| Total Community Benefit Expense | 216283175 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 170097276 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 46185899 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10620 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 23280 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 23280 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 25 | PersonsServed |
| Total Community Building Expense | 5000 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 5000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 120 | PersonsServed |
| Total Community Building Expense | 663811 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 663811 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00150 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 14 | NumberOfActivitiesOrPrograms |
| Persons Served | 18605 | PersonsServed |
| Total Community Building Expense | 102319 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 102319 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 21 | NumberOfActivitiesOrPrograms |
| Persons Served | 18750 | PersonsServed |
| Total Community Building Expense | 794410 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 794410 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $5,558,773 | BadDebtExpenseAmount |
| Amount Attributable To | 560023 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 72906326 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 71457174 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 1449152 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Pomona Valley Hospital Medical Center | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1798 North Garey Ave | AddressLine1 |
| City | Pomona | City |
| State | CA | State |
| ZIP Code | 91767 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Pomona Valley Hospital Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 18 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (18 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| Robert & Beverley Lewis Cancer Care Cntr | ||||
| 1910 Royalty Drive | Pomona | CA | 91767 | DIAGNOSTIC CENTER & CANCER TREATMENT |
| 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 Milestone Physical Therapy Center | ||||
| 1775 Monte Vista Avenue | Claremont | CA | 91711 | REHABILITATION CENTER |
| PVHMC Covina OP Physical Therapy Clinic | ||||
| 420 W Rowland Street | Covina | CA | 91723 | REHABILITATION CENTER |
| Pomona Valley Health Center | ||||
| 1770 N Orange Grove | Pomona | CA | 91767 | OUTPATIENT PHYSICIAN CLINIC |
| PVHMC Physical Therapy Chino Hills | ||||
| 2140 Grand Avenue Suite 125 | Chino Hills | CA | 91709 | REHABILITATION CENTER |
| PV Health Center Claremont Urgent Care | ||||
| 1601 Monte Vista Avenue | Claremont | CA | 91711 | OUTPATIENT PHYSICIAN CLINIC |
| Pomona Valley Health Center Chino Hills | ||||
| 2140 Grand Avenue Suite 125 | Chino Hills | CA | 91709 | OUTPATIENT PHYSICIAN CLINIC |
| PV Health Center Crossroads Urgent Care | ||||
| 3110 Chino Avenue Suite 150 | Chino Hills | CA | 91709 | OUTPATIENT PHYSICIAN CLINIC |
| PV Health Center Claremont Primary Care | ||||
| 1601 Monte Vista Avenue | Claremont | CA | 91711 | OUTPATIENT PHYSICIAN CLINIC |
| PVHMC Physical Therapy Claremont | ||||
| 1601 Monte Vista Avenue | Claremont | CA | 91711 | REHABILITATION CENTER |
| PV Health Center Crossroads Primary Care | ||||
| 3110 Chino Avenue Suite 150 | Chino Hills | CA | 91709 | OUTPATIENT PHYSICIAN CLINIC |
| Pomona Clinic Coalition | ||||
| Park Avenue | Pomona | CA | 91767 | COMMUNITY CLINIC |
| Pomona Valley Imaging Center Grandview | ||||
| 13768 Roswell Avenue Suite 103 | Chino Hills | CA | 91709 | DIAGNOSTIC CENTER |
| PVHMC Imaging Crossroads | ||||
| 3110 Chino Avenue Suite 150 | Chino Hills | CA | 91709 | DIAGNOSTIC CENTER |
| PVHMC Claremont Aquatic Therapy Pool | ||||
| 481 S Indian Hill Blvd | Claremont | CA | 91711 | REHABILITATION CENTER |
| PVHMC Imaging Western University | ||||
| 309 Pomona Mall | Pomona | CA | 91767 | DIAGNOSTIC CENTER |
Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART I, LINE 7B & 7I | THE CALIFORNIA HOSPITAL FEE PROGRAM (THE PROGRAM) WAS SIGNED INTO LAW BY THE GOVERNOR OF CALIFORNIA AND BECAME EFFECTIVE ON JANUARY 1, 2010. AMENDING LEGISLATION, TO CONFORM TO CHANGES REQUESTED BY THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) DURING THE APPROVAL PROCESS, WAS SIGNED INTO LAW BY THE GOVERNOR OF CALIFORNIA AND BECAME EFFECTIVE SEPTEMBER 8, 2010. THE PRIMARY LEGISLATION (AB 1383) AND AMENDING LEGISLATION (AB 1653) CONTAIN TWO COMPONENTS. THE QUALITY ASSURANCE FEE ACT GOVERNS THE "HOSPITAL FEE" OR "QUALITY ASSURANCE FEE" (QA FEE) PAID BY PARTICIPATING HOSPITALS. THE MEDI-CAL HOSPITAL PROVIDER STABILIZATION ACT GOVERNS SUPPLEMENTAL MEDI-CAL PAYMENTS (SUPPLEMENTAL PAYMENTS) MADE TO PROVIDERS FROM THE FUND. HOSPITAL PARTICIPATION IS MANDATORY WITH LIMITED EXCEPTIONS. THE PROGRAM WAS APPROVED BY CMS IN DECEMBER 2010. THE AMENDED LEGISLATION ALLOWED CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES (DHCS) TO BEGIN ASSESSING FEES AND MAKING SUPPLEMENTAL PAYMENTS IN SEPTEMBER 2010. DHCS BEGAN ASSESSING FEES IN OCTOBER 2010. POMONA VALLEY HOSPITAL MEDICAL CENTER ("THE HOSPITAL") MADE PAYMENTS TO DHCS FOR THE QA FEE IN THE AMOUNT OF $30,359,400 IN 2010, INCLUDED ON SCHEDULE H, PART I, LINE 7B, COLUMN C. THE HOSPITAL ALSO MADE PLEDGE PAYMENTS OF $3,170,390 TO THE CALIFORNIA HEALTH FOUNDATION & TRUST IN CONJUNCTION WITH THE PROGRAM, WHICH ARE REPORTED ON SCHEDULE H, PART I, LINE 7I, COLUMN C. THE HOSPITAL RECEIVED SUPPLEMENTAL PAYMENTS OF APPROXIMATELY $73,819,018, INCLUDED ON SCHEDULE H, PART I, LINE 7B, COLUMN D OVER THE COURSE OF THE PROGRAM IN 2010, WHICH PERTAINS TO THE PERIOD FROM APRIL 1, 2009 TO DECEMBER 31, 2010. THE INCLUSION OF THESE AMOUNTS ON LINE 7B OF PART I IN THE CURRENT YEAR DECREASE THE PERCENTAGE OF TOTAL EXPENSE, AS COMPARED TO THE PRIOR YEAR. PART I, LINE 7G NONE OF THE EXPENSES IDENTIFIED UNDER THE SUBSIDIZED HEALTH SERVICES CATEGORY PERTAINS TO A PHYSICIAN CLINIC IN OUR COMMUNITY BENEFIT REPORT. |
| PART I, LINE 7, COLUMN F | BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) BUT EXCLUDED HERE EQUALS $29,149,308. |
| PART I, LINE 7 | COSTING METHODOLOGY USED IS COST-TO-CHARGE RATIO USING WORKSHEETS 1, 2, AND 3. COMMUNITY BUILDING ACTIVITIES PART II POMONA VALLEY HOSPITAL MEDICAL CENTER SUPPORTS THE ECONOMIC DEVELOPMENT OF THE COMMUNITY BY ALLOWING A LOCAL NOT-FOR-PROFIT ORGANIZATION TO PARTICIPATE IN CREATING A SPONSORSHIP AD FOR THEIR ORGANIZATION IN OUR HOSPITAL'S PROGRAM BOOKS FOR COMMUNITY EVENTS. THE COSTS AND PERSONS SERVED ARE REFLECTED ON LINE 2 OF PART II AS ECONOMIC DEVELOPMENT. POMONA VALLEY HOSPITAL MEDICAL CENTER PARTICIPATES ON THE STEERING COMMITTEE FOR THE LOS ANGELES COUNTY SERVICE PLANNING AREA (SPA 3'S) HEALTH PLANNING GROUP AND SPECIALTY CARE COALITION. WE PARTICIPATE TO LOOK AT ACCESS TO CARE, PROMOTION OF HEALTH AND ACCESS AND AVAILABILITY OF SPECIALTY CARE. THE COSTS AND PERSONS SERVED ARE REFLECTED ON LINE 3 OF PART II AS COMMUNITY SUPPORT. 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 10 "UMBRELLA" FACILITIES IN THE AREA AND COORDINATES DRILLS, TRAINING, AND SHARING OF PLANS TO BRING TOGETHER THE COMMUNITY AND OUR RESOURCES FOR DISASTER PREPAREDNESS. THE COSTS AND PERSONS SERVED ARE REFLECTED ON LINE 3 OF PART II AS COMMUNITY SUPPORT. POMONA VALLEY HOSPITAL MEDICAL CENTER'S EMERGENCY DEPARTMENT IS INVOLVED WITH "EVERY 15 MINUTES" A PROGRAM THAT EDUCATES HIGH SCHOOL STUDENTS OF THE DANGERS OF DRUNK DRIVING THAT ALSO INVOLVES THE LOCAL FIRE AND POLICE DEPARTMENTS, AND AMBULANCES. THE COSTS AND PERSONS SERVED ARE REFLECTED ON LINE 3 OF PART II AS COMMUNITY SUPPORT. POMONA VALLEY HOSPITAL MEDICAL CENTER WORKS WITH LOCAL AREA MIDDLE AND HIGH SCHOOLS AS WELL AS GIRL SCOUTS AND SCHOOL GROUPS TO INTRODUCE CAREERS IN HEALTH CARE BY INVITING THEM TO TOUR OUR HOSPITAL AND BY VISITING THEM ON THEIR CAMPUS (CLAREMONT HIGH SCHOOL CAREER DAY). THE COSTS AND PERSONS SERVED ARE REFLECTED ON LINE 8 OF PART II AS WORKFORCE DEVELOPMENT. POMONA VALLEY HOSPITAL MEDICAL CENTER IS COMMITTED TO PROVIDING ACCESS TO CARE FOR OUR COMMUNITY THROUGH OUR PHYSICIAN ASSISTANCE PROGRAM. THIS PROGRAM PROVIDES LOANS TO NEW PHYSICIANS IN SPECIALTIES IDENTIFIED AS A NEED, TO HELP THEM WITH STARTING THEIR PRACTICES IN OUR COMMUNITY. THESE PHYSICIANS PROVIDE NEEDED MEDICAL CARE TO MANY OF OUR MEDICAL AND INDIGENT PATIENTS AS A CONDITION OF PARTICIPATION IN THE ASSISTANCE PROGRAM. THE COSTS AND PERSONS SERVED ARE REFLECTED ON LINE 8 OF PART II AS WORKFORCE DEVELOPMENT. 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 AND OUR EDUCATION DEPARTMENT SERVES ON THE ADVISORY BOARDS TO THESE SCHOOLS. THE COSTS AND PERSONS SERVED ARE REFLECTED ON LINE 8 OF PART II AS WORKFORCE DEVELOPMENT. POMONA VALLEY HOSPITAL MEDICAL CENTER SUPPORTS OUR COMMUNITY THROUGH CONTRIBUTIONS AND DONATIONS FOR THE VULNERABLE POPULATIONS AS WELL AS THE BENEFIT OF THE BROADER COMMUNITY. EXAMPLES OF OUR PROGRAMS INCLUDE: WIGS FOR NEWLY DIAGNOSED CANCER PATIENTS, MEALS TO THOSE RESIDENTS THAT ARE HOME-BOUND AND CAR SEATS FOR PARENTS UNABLE TO PROVIDE THEM FOR THE NEWBORN BABY, AS WELL AS CONTRIBUTIONS TO OTHER NON-PROFIT ORGANIZATIONS COMMITTED TO ADVANCING THE WELL BEING OF THE RESIDENTS WE SERVE. |
| PART III, LINE 4 | THE COSTING METHODOLOGY USED IS COST-TO-CHARGE RATIO, CALCULATED USING WORKSHEET 2 AND WORKSHEET A. THE HOSPITAL'S FINANCIAL STATEMENT DOES NOT INCLUDE A BAD DEBT FOOTNOTE. BAD DEBT EXPENSE IS ESTIMATED APPLYING HISTORICAL PERCENTAGES (BASED ON THE PRIOR YEARS' BAD DEBT ACTIVITY) TO THE CURRENT ACCOUNTS RECEIVABLE PATIENT RESPONSIBILITY PAYOR CLASSES. PATIENTS WITHOUT INSURANCE ARE OFFERED A PROMPT PAY DISCOUNT, GREATLY DISCOUNTING THEIR BALANCE IF PAID WITHIN 30 DAYS. ALL DISCOUNTS AND PAYMENTS ARE APPLIED TO THE BAD DEBT ACCOUNT BEFORE THE ACCOUNT IS WRITTEN OFF. WHEN A FINANCIAL ASSISTANCE APPLICATION IS RECEIVED FROM A PATIENT, THE PATIENT'S ACCOUNT IS ASSIGNED A SPECIFIC USER DEFINED CODE. THIS CODE ALLOWS THE HOSPITAL TO IDENTIFY ALL ACCOUNTS PENDING FINANCIAL ASSISTANCE REVIEW AND PREVENTS THE ACCOUNT FROM PROGRESSING THROUGH THE NORMAL COLLECTION PROCESS. AFTER THE FINANCIAL ASSISTANCE APPLICATION AND THE PATIENT'S REQUIRED SUPPORTING DOCUMENTATION IS REVIEWED, THE PATIENT IS INFORMED OF THE RESULTS OF THE REVIEW OF THEIR APPLICATION. IF THE PATIENT'S APPLICATION IS APPROVED, THE ACCOUNT BALANCE IS ADJUSTED ACCORDING TO THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. IF THE PATIENT DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE, THE USER DEFINED CODE IS REMOVED AND THE ACCOUNT PROCEEDS THROUGH THE NORMAL COLLECTION CYCLE WHICH ENDS IN A TRANSFER TO A COLLECTION AGENCY IF THE PATIENT FAILS TO PAY THEIR BALANCE IN FULL. ACCOUNTS RETURNED FROM THE COLLECTION AGENCY ARE WRITTEN OFF TO BAD DEBT EXPENSE. LINE 3 CONSISTS OF THE ACCOUNTS WRITTEN OFF, WHICH WERE ALSO DECLINED FOR FINANCIAL ASSISTANCE PER THE HISTORICAL ACCOUNT RECORDS, AND CONVERTED TO COST BY USING THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2. |
| PART III, LINE 8 | THE COSTING METHOD USED IS COST TO CHARGE RATIO. THE SOURCE OF INFORMATION IS THE MEDICARE COST REPORT. |
| PART III, LINE 9B | THE CREDIT & COLLECTIONS DEPARTMENT SENDS A STATEMENT TO EACH PATIENT/GUARANTOR AS NOTIFICATION OF THE PATIENT RESPONSIBILITY AND AMOUNT DUE. IF THE PATIENT HAS INSURANCE COVERAGE, THE CHARGES INCURRED ARE BILLED TO THE INSURANCE PLAN/CARRIER PROVIDED BY THE PATIENT AND VERIFIED AS ELIGIBLE COVERAGE BY POMONA VALLEY HOSPITAL MEDICAL CENTER STAFF. THE AMOUNT BILLED TO THE PATIENT IS THE AMOUNT DETERMINED BY THE INSURANCE CARRIER AS PATIENT RESPONSIBILITY. FOR UNINSURED PATIENTS, A COMPLETE ITEMIZED STATEMENT OF CHARGES IS MAILED TO THE PATIENT. THE HOSPITAL SENDS FIRST PARTY LETTERS TO THE PATIENT WHEN BILLING THE PATIENT THEIR PORTION AFTER INSURANCE HAS PAID OR THEIR BALANCE IF UNINSURED. FIRST PARTY LETTERS ARE GENERATED FROM THE PATIENT ACCOUNTING FINANCIAL SYSTEM AND MAILED TO EACH PATIENT/GUARANTOR IN AN EFFORT TO COLLECT MONIES OWED. THE LETTER SERIES CONSISTS OF THREE SYSTEM GENERATED LETTERS. EACH LETTER MAILED INDICATES THE AMOUNT OWED AND INSTRUCTS THE PATIENT TO CONTACT THE BUSINESS OFFICE TO DISCUSS THEIR OPTIONS AND/OR MAKE PAYMENT ARRANGEMENTS. IF THE PATIENT CALLS AND EXPRESSES AN INABILITY TO PAY, THE BUSINESS OFFICE ASSOCIATE WILL EXPLAIN THE OPTIONS AVAILABLE INCLUDING 1) A MONTHLY INSTALLMENT OPTION AT NO INTEREST IF PAID WITHIN 12 MONTHS OR AN AGREED UPON PERIOD, 2) PATIENTS WITHOUT INSURANCE ARE OFFERED A PROMPT PAY DISCOUNT, GREATLY DISCOUNTING THEIR BALANCE IF PAID WITHIN 30 DAYS, AND 3) WHEN A PATIENT EXPRESSES AN INABILITY TO PAY, THE PATIENT IS INFORMED OF THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM AND IF THE PATIENT IS INTERESTED, A FINANCIAL ASSISTANCE APPLICATION IS MAILED TO THE PATIENT. IF THE PATIENT FAILS TO RESPOND TO THE FIRST STATEMENT/ LETTER MAILED TO THE PATIENT, A PHONE CALL IS PLACED. DURING THE CALL, THE OPTIONS ABOVE ARE SHARED WITH THE PATIENT. IF THE COLLECTOR IS UNABLE TO CONTACT THE PATIENT BY PHONE DUE TO A DISCONNECTED PHONE NUMBER, AN "UNABLE TO REACH BY PHONE" LETTER IS SENT TO THE PATIENT. THIS LETTER INFORMS THE PATIENT OF PAYMENT ARRANGEMENT OPTIONS AND OTHER FINANCIAL ASSISTANCE PROGRAMS AVAILABLE TO ASSIST THEM WITH THEIR FINANCIAL OBLIGATIONS. A SECOND STATEMENT IS MAILED TO THE PATIENT ADVISING THE PATIENT TO CONTACT THE BUSINESS OFFICE IF THE PATIENT IS UNABLE TO REMIT THE FULL AMOUNT DUE. IF AND WHEN A PATIENT CALLS THE BUSINESS OFFICE IN RESPONSE TO PVHMC'S COLLECTION CORRESPONDENCE, THE PATIENT IS INFORMED OF THE VARIOUS FINANCIAL ASSISTANCE OPTIONS. IN THE EVENT A PATIENT HAS A QUESTION IN COMPLETING THE APPLICATION, THE BUSINESS OFFICE SUPERVISOR, MANAGER AND/OR DIRECTOR ARE AVAILABLE TO ASSIST THE PATIENT IN COMPLETING THE APPLICATION. |
| NEEDS ASSESSMENT | IN 2009, A COMMUNITY NEEDS ASSESSMENT WAS COMPLETED BY RESEARCHERS FROM A LOCAL UNIVERSITY. OUR METHODOLOGY INCLUDED COLLECTING PRIMARY DATA FROM A RANDOM SAMPLE OF RESIDENTS LIVING IN THE HOSPITAL'S PRIMARY SERVICE AREA THROUGH TELEPHONE SURVEYS GIVEN IN BOTH ENGLISH AND SPANISH. INFORMATION GATHERED FROM THE NEEDS ASSESSMENT INCLUDED DEMOGRAPHIC PROFILE AND SELF-REPORTED HEALTH EVALUATION, HEALTH INSURANCE COVERAGE, BARRIERS TO RECEIVING NEEDED HEALTH SERVICES, UTILIZATION OF HEALTH CARE SERVICES FOR ROUTINE PRIMARY/PREVENTATIVE CARE, UTILIZATION OF URGENT CARE SERVICES, NEED FOR SPECIALTY HEALTH CARE, AND EXPERIENCE WITH POMONA VALLEY HOSPITAL MEDICAL CENTER (INCLUDING VISITS TO THE EMERGENCY DEPARTMENT, OR THROUGH EDUCATION). THE COSTS AND PERSONS SERVED ARE REFLECTED ON LINES 3 & 8 OF PART II AS COMMUNITY SUPPORT AND WORKFORCE DEVELOPMENT. |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | PUBLIC NOTICE: PUBLIC NOTICES ARE POSTED IN PVHMC'S REGISTRATION AND BILLING AREAS NOTIFYING PATIENTS, FAMILY AND GENERAL PUBLIC THAT WE OFFER CHARITABLE ASSISTANCE TO THOSE WHO QUALIFY. THE NOTICE PROVIDES A BUSINESS OFFICE PHONE NUMBER WHERE THEY MAY CONTACT A BUSINESS OFFICE REPRESENTATIVE TO OBTAIN ADDITIONAL INFORMATION ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAMS. THE NOTICES ARE POSTED IN BOTH ENGLISH AND SPANISH. THESE PUBLIC POSTINGS ARE LOCATED IN THE AREAS LISTED BELOW: - ADMITTING REGISTRATION SITE I - ADMITTING REGISTRATION SITE II - ADMITTING REGISTRATION LAB - ADMITTING REGISTRATION PRE OPERATIVE UNIT - CASHIERS OFFICE - ADMITTING SOUTH REGISTRATION - ADMITTING WOMEN'S CENTER REGISTRATION - ADMITTING EMERGENCY REGISTRATION - OFF-SITE INSURANCE VERIFICATION - CONTRACTS BILLING SUITE 120 AND 160 - BUSINESS SERVICES SYSTEMS - GOVERNMENT AND PATIENT BILLING FINANCIAL COUNSELING - EMERGENCY SERVICES: AN ELIGIBILITY LIAISON IS STAFFED IN THE EMERGENCY SERVICES DEPARTMENT AT TIMES WHEN HIGH VOLUMES ARE EXPECTED, SUNDAY THROUGH FRIDAY, 12:00 PM TO 10:30 PM, TO ASSIST OUR UNINSURED OR UNDERINSURED PATIENTS WITH POSSIBLE LINKS TO MEDI-CAL, THE STATE OF CALIFORNIA'S MEDICAID PROGRAM OR REFERRALS TO CHARITY ASSISTANCE. - PRIOR TO ELECTIVE SERVICE: FINANCIAL COUNSELORS FROM OUR INSURANCE VERIFICATION DEPARTMENT ARE AVAILABLE TO MEET WITH PATIENTS PRIOR TO RENDERING MEDICAL SERVICES TO DISCUSS POSSIBLE LINKS TO GOVERNMENT PROGRAMS SUCH AS MEDI-CAL, HEALTHY FAMILIES, MEDICARE OR OTHER FINANCIAL ASSISTANCE PROGRAMS OFFERED BY PVHMC. FINANCIAL COUNSELORS MAY REFER PATIENTS TO PVHMC'S ELIGIBILITY SERVICES DEPARTMENT FOR ASSISTANCE IN APPLYING FOR GOVERNMENT PROGRAMS. FINANCIAL COUNSELORS ALSO DISTRIBUTE AND ASSIST PATIENTS IN COMPLETING THE UNCOMPENSATED CARE APPLICATION. FOR THOSE PATIENTS WHO HAVE THE ABILITY TO PAY, FINANCIAL OPTIONS ARE DISCUSSED AND PAYMENT ARRANGEMENTS ARE ESTABLISHED. - DURING A PATIENT'S CONFINEMENT: FINANCIAL COUNSELORS ARE ALSO ASSIGNED TO ALL UNINSURED OR UNDERINSURED PATIENTS ADMITTED TO PVHMC IF FINANCIAL COUNSELING DID NOT OCCUR IN ADVANCE OF THE ADMISSION OR DURING THE EMERGENCY VISIT. THE FINANCIAL COUNSELOR PROVIDES THE SAME LEVEL OF SERVICE TO THESE PATIENTS AS DESCRIBED ABOVE UNDER "PRIOR TO ELECTIVE SERVICE." ELIGIBILITY SERVICES: PATIENTS MAY BE REFERRED TO OUR ELIGIBILITY SERVICES TEAM WHO ASSIST OUR PATIENTS WITH LINKS TO MEDI-CAL AND THE HEALTH FAMILIES PROGRAMS. THE ELIGIBILITY SERVICES REPRESENTATIVES ASSIST THE PATIENT IN COMPLETING THE PROGRAM APPLICATION(S) AND SUBMIT THE COMPLETED APPLICATION TO THE APPLICABLE PROGRAM ON BEHALF OF THE PATIENT. IF THE PATIENT DOES NOT QUALIFY FOR MEDI-CAL OR THE HEALTHY FAMILIES PROGRAM, THE PATIENT IS PROVIDED INFORMATION REGARDING THE FOLLOWING ASSISTANCE PROGRAMS: - ACCESS FOR INFANTS & MOTHERS (AIM): COVERS OBSTETRIC PATIENTS WHO ARE AT HIGHER INCOME LEVELS AND ARE NOT ELIGIBLE FOR MEDI-CAL - OUTPATIENT REDUCED-COST SIMPLIFIED APPLICATION (ORSA): LOS ANGELES COUNTY PROGRAM FOR ADULTS WHO DO NOT QUALIFY FOR MEDI-CAL AND RESIDE WITHIN LOS ANGELES COUNTY - PUBLIC PRIVATE PARTNERSHIP PROGRAM (PPP ALSO KNOWN AS THE PCC PROGRAM): LOS ANGELES COUNTY PROGRAM FOR ADULTS WHO DO NOT QUALIFY FOR MEDI-CAL AND RESIDE WITHIN LOS ANGELES COUNTY IN POMONA AND SURROUNDING COMMUNITIES - MEDICALLY INDIGENT ADULT PROGRAM (MIA): FOR ADULTS WHO DO NOT QUALIFY FOR MEDI-CAL AND RESIDE WITHIN SAN BERNARDINO COUNTY BILLING: FIRST PARTY LETTERS ARE GENERATED FROM THE PATIENT ACCOUNTING FINANCIAL SYSTEM AND MAILED TO EACH PATIENT/GUARANTOR IN AN EFFORT TO COLLECT MONIES OWED. THE LETTERS PROVIDE THE PHONE NUMBER AND BUSINESS HOURS OF THE HOSPITAL'S BUSINESS OFFICE. THE CUSTOMER SERVICE REPRESENTATIVES IN THE BUSINESS OFFICE ARE AVAILABLE TO DISCUSS THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAMS AND MAKE PAYMENT ARRANGEMENTS. A CHARITY LIAISON IS ALSO AVAILABLE TO ASSIST PATIENTS IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION. ENGLISH AS A SECOND LANGUAGE ALL FINANCIAL ASSISTANCE FORMS ARE AVAILABLE IN SPANISH IN ADDITION TO THE AVAILABILITY OF BILINGUAL STAFF IN ALL ADMITTING AND REGISTRATION AREAS, ELIGIBILITY SERVICES AND THE BUSINESS OFFICE. THE STAFF IN ALL PATIENT ACCESS AND BILLING AREAS HAS BEEN TRAINED ON ACCESSING EXTERNAL INTERPRETATIVE SERVICES WHEN PATIENTS SPEAK A LANGUAGE OTHER THAN ENGLISH AND SPANISH. TRAINING: IN DECEMBER 2007, ALL PATIENT ACCESS AND BILLING OFFICE STAFF WERE TRAINED ON THE REQUIREMENTS OF AB774 AND THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THE STAFF IS UPDATED ON THE HOSPITAL'S POLICY ON AN AS NEEDED BASIS. BEGINNING IN 2010, KEY PATIENT ACCESS STAFF AND PATIENT COLLECTION STAFF WILL BE UPDATED ON BOTH THE FINANCIAL ASSISTANCE AND CREDIT AND COLLECTION POLICIES AT LEAST ANNUALLY. ANNUAL REVIEW OF FINANCIAL ASSISTANCE PROGRAM: THE PATIENT FINANCIAL ASSISTANCE PROGRAM POLICY IS REVIEWED ANNUALLY FOR ANY SIGNIFICANT CHANGES TO THE DISCOUNT PAYMENT, CHARITY, ELIGIBILITY PROCEDURES AND REVIEW PROCESS. THE BUSINESS OFFICE IS RESPONSIBLE FOR THE ELECTRONIC SUBMISSION OF THE APPROVED POLICY AND ANY APPLICABLE CHANGES TO OSHPD IN ACCORDANCE TO TITLE 22, SECTIONS 96040-96050. |
| COMMUNITY INFORMATION | POMONA VALLEY HOSPITAL MEDICAL CENTER 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 771,236 IN 2000 AND AN ESTIMATED POPULATION OF 844,140 IN 2006-2008 AS DERIVED FROM THE STATISTICS REPORTED BY THE U.S. CENSUS BUREAU. THE ETHNIC DIVERSITY REPRESENTED BY THE DEMOGRAPHICS OF THE CITY OF POMONA IN 2006-2008 WAS SUCH THAT 29.02% IS HISPANIC OR LATINO, 11.71% IS WHITE, 7.3% IS BLACK/AFRICAN-AMERICAN, 6.8% IS ASIAN, 0.97% IS AMERICAN INDIAN, 0.1% HAWAIIAN/PACIFIC ISLANDER, 40.7% IS OTHER, AND 3.4% IS TWO OR MORE RACES, ACCORDING TO THE U.S. CENSUS BUREAU. |
| PROMOTION OF COMMUNITY HEALTH | 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 OR FAMILY MEMBERS OF THE ORGANIZATION. POMONA VALLEY HOSPITAL MEDICAL CENTER IS A COMMUNITY BASED, DISPROPORTIONATE SHARE HOSPITAL. IN ADDITION, WE PARTICIPATE IN MEDICARE, MEDI-CAL, CHAMPUS, AND 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. |
| AFFILIATED HEALTH CARE SYSTEM | POMONA VALLEY HOSPITAL MEDICAL CENTER IS A STAND ALONE HOSPITAL, NOT PART OF A HEALTH CARE SYSTEM. STATE FILING OF COMMUNITY BENEFIT REPORT CA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | false | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CALIFORNIA HEALTH FOUNDATION & TRUST | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1215 K STREET STE 800 | AddressLine1 |
| City | SACRAMENTO | City |
| State | CA | State |
| ZIP Code | 95814 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 941498697 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 3170390 | AmountOfCashGrant |
| Purpose Of Grant | HOSPITAL FEE PROGRAM | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RICHARD YOCHUM | |||||||||||||
| 553131 | 0 | 0 | 0 | 7904 | 0 | 201890 | 0 | 20715 | 0 | 783640 | 0 | 0 | 0 |
| MICHAEL NELSON | |||||||||||||
| 405815 | 0 | 0 | 0 | 639816 | 0 | 82052 | 0 | 20731 | 0 | 1148414 | 0 | 631424 | 0 |
| KURT WEINMEISTER | |||||||||||||
| 340792 | 0 | 0 | 0 | 6802 | 0 | 12250 | 0 | 15874 | 0 | 375718 | 0 | 0 | 0 |
| CHRIS ALDWORTH | |||||||||||||
| 185400 | 0 | 0 | 0 | 17548 | 0 | 14604 | 0 | 26990 | 0 | 244542 | 0 | 0 | 0 |
| JULI HESTER | |||||||||||||
| 200007 | 0 | 0 | 0 | 3639 | 0 | 11346 | 0 | 15590 | 0 | 230582 | 0 | 0 | 0 |
| DARLENE SCAFFIDDI | |||||||||||||
| 232960 | 0 | 0 | 0 | 7358 | 0 | 17306 | 0 | 29297 | 0 | 286921 | 0 | 0 | 0 |
| KENNETH K NAKAMOTO | |||||||||||||
| 263930 | 0 | 0 | 0 | 8814 | 0 | 12250 | 0 | 29090 | 0 | 314084 | 0 | 0 | 0 |
| JOSEPH P BAUMGAERTNER | |||||||||||||
| 224074 | 0 | 44574 | 0 | 4389 | 0 | 16498 | 0 | 27081 | 0 | 316616 | 0 | 0 | 0 |
| KENT G HOYOS | |||||||||||||
| 233136 | 0 | 0 | 0 | 3554 | 0 | 11401 | 0 | 29090 | 0 | 277181 | 0 | 0 | 0 |
| RICHARD ROSSMAN | |||||||||||||
| 204148 | 0 | 40253 | 0 | 8775 | 0 | 14899 | 0 | 29244 | 0 | 297319 | 0 | 0 | 0 |
| JAMES LENTS | |||||||||||||
| 215796 | 0 | 84760 | 0 | 4330 | 0 | 6029 | 0 | 20526 | 0 | 331441 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DEFERRED COMPENSATION PLAN | SCHEDULE J, PART I, LINE 4B | MR. NELSON'S COMPENSATION INCLUDES A PAYMENT OF $631,424 MADE ACCORDING TO THE PROVISIONS OF THE EMPLOYMENT CONTRACT DESCRIBED BELOW. THE AMOUNT REPRESENTS DEFERRED COMPENSATION SET ASIDE FOR 34 YEARS OF EMPLOYMENT AND REQUIRED UNDER IRS GUIDELINES TO BE PAID IN 2010 UNDER THE EMPLOYMENT AGREEMENT. THE HOSPITAL HAS EMPLOYMENT CONTRACTS WITH MR. YOCHUM AND MR. NELSON. THE CONTRACTS PROVIDE FOR THE PAYMENT OF FOUR TIMES ANNUAL CASH COMPENSATION IF THE EXECUTIVE REMAINS EMPLOYED UNTIL THE CONTRACT. EMPLOYMENT REQUIREMENTS ARE 31 YEARS FOR MR. YOCHUM AND 34 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 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)). IN ADDITION, SCHEDULE J, PART II, COLUMN C INCLUDES A CURRENT YEAR DEFERRAL AMOUNT OF $182,290 FOR MR. YOCHUM AND $62,452 FOR MR. NELSON. |
| NON-FIXED PAYMENTS | SCHEDULE J, PART I, LINE 7 | CERTAIN MEMBERS OF MANAGEMENT ARE AWARDED INCENTIVE COMPENSATION IN RECOGNITION OF SIGNIFICANT CONTRIBUTIONS TO ACHIEVING CORPORATE GOALS. THESE AMOUNTS ARE LISTED IN SCHEDULE J, PART II, COLUMN B(II). |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Pomona Valley Imaging Med Grp | |||
| SEE PART V | 401185 | COMPENSATION FOR SERVICES | false |
| Tamera Freehling | |||
| SEE PART V | 87580 | COMPENSATION FOR SERVICES | false |
| Gregory Daly | |||
| SEE PART V | 123936 | COMPENSATION FOR SERVICES | false |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | BUSINESS TRANSACTIONS WITH INTERESTED PERSONS | Identifier |
| Return Reference | SCHEDULE L, PART IV | ReturnReference |
| Explanation | 1. JOHNSON LIGHTFOOTE, MD, A DIRECTOR OF THE ORGANIZATION'S BOARD, IS A GREATER THAN 5% OWNER OF POMONA VALLEY IMAGING MEDICAL GROUP. 2. TAMERA FREEHLING IS THE DAUGHTER-IN-LAW OF FRED FREEHLING, A DIRECTOR OF THE ORGANIZATION'S BOARD. 3. GREGORY DALY IS THE BROTHER OF DARLENE SCAFFIDDI, A KEY EMPLOYEE OF THE ORGANIZATION. | Explanation |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArt | |
| Art Historical Treasures | ArtHistoricalTreasures | |
| Art Fractional Interest | ArtFractionalInterest | |
| Books And Publications | BooksAndPublications | |
| Clothing And Household Goods | ClothingAndHouseholdGoods | |
| Cars And Other Vehicles | CarsAndOtherVehicles | |
| Boats And Planes | BoatsAndPlanes | |
| Intellectual Property | IntellectualProperty | |
| Securities Publicly Traded | SecuritiesPubliclyTraded | |
| Securities Closely Held Stock | SecuritiesCloselyHeldStock | |
| Securities Prtnrshp Trust Intrsts | SecuritiesPrtnrshpTrustIntrsts | |
| Securities Miscellaneous | SecuritiesMiscellaneous | |
| Qualified Contrib Hist Struct | QualifiedContribHistStruct | |
| Qualified Contrib Other | QualifiedContribOther | |
| Real Estate Residential | RealEstateResidential | |
| Real Estate Commercial | RealEstateCommercial | |
| Real Estate Other | RealEstateOther | |
| Collectibles | Collectibles | |
| Food Inventory | FoodInventory | |
| Drugs And Medical Supplies | DrugsAndMedicalSupplies | |
| Taxidermy | Taxidermy | |
| Historical Artifacts | HistoricalArtifacts | |
| Scientific Specimens | ScientificSpecimens | |
| Archaeological Artifacts | ArchaeologicalArtifacts |
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | MEDICAL EQUIPMENT | Description |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 0 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | NONE | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 0 | NumberOf8283Received |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | NON-CASH CONTRIBUTIONS | Identifier |
| Return Reference | SCHEDULE M, PART I, LINE 25 | ReturnReference |
| Explanation | MEDICAL EQUIPMENT WAS DONATED TO THE HOSPITAL BY THE POMONA VALLEY HOSPITAL MEDICAL CENTER FOUNDATION, A RELATED ORGANIZATION. THE DONATION WAS NOT RECORDED ON THE HOSPITAL'S BOOKS. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990, PART I, LINE 1 & PART III, 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. THE MEDICAL CENTER OFFERS A FULL RANGE OF SERVICES FROM LOCAL PRIMARY ACUTE CARE TO HIGHLY SPECIALIZED REGIONAL SERVICES. SELECTION OF ALL SERVICES IS BASED UPON COMMUNITY NEED, AVAILABILITY OF FINANCING, AND THE ORGANIZATION'S TECHNICAL ABILITY TO PROVIDE HIGH QUALITY RESULTS. BASIC TO OUR MISSION IS OUR COMMITMENT TO STRIVE CONTINUOUSLY TO IMPROVE THE STATUS OF HEALTH BY REACHING OUT AND SERVING THE NEEDS OF OUR DIVERSE COMMUNITY. |
| PROGRAM SERVICE ACCOMPLISHMENTS | FORM 990, PART III, LINE 4A | POMONA VALLEY HOSPITAL MEDICAL CENTER (PVHMC) IS A 453-BED ACUTE CARE COMMUNITY HOSPITAL. WE SERVE A CULTURALLY DIVERSE POPULATION AND ARE A MAJOR PROVIDER IN OUR REGION, PARTICULARLY FOR MEDI-CAL AND INDIGENT PATIENTS IN BOTH LOS ANGELES AND SAN BERNARDINO COUNTIES. OUR COMMUNITY IS IMPORTANT TO US, AND IT IS REPRESENTED IN ALL OF THE WORK WE DO. IN 2009, A COMMUNITY NEEDS ASSESSMENT WAS COMPLETED BY RESEARCHERS FROM A LOCAL UNIVERSITY. OUR METHODOLOGY INCLUDED COLLECTING PRIMARY DATA FROM A RANDOM SAMPLE OF RESIDENTS LIVING IN THE HOSPITAL'S PRIMARY SERVICE AREA THROUGH TELEPHONE SURVEYS GIVEN IN BOTH ENGLISH AND SPANISH. INFORMATION GATHERED FROM THE NEEDS ASSESSMENT INCLUDED DEMOGRAPHIC PROFILE AND SELF-REPORTED HEALTH EVALUATION, HEALTH INSURANCE COVERAGE, BARRIERS TO RECEIVING NEEDED HEALTH SERVICES, UTILIZATION OF HEALTH CARE SERVICES FOR ROUTINE PRIMARY/PREVENTATIVE CARE, UTILIZATION OF URGENT CARE SERVICES, NEED FOR SPECIALTY HEALTH CARE, AND EXPERIENCE WITH PVHMC (INCLUDING VISITS TO THE EMERGENCY DEPARTMENT, OR ED). PVHMC'S ED IS A VITAL COMPONENT OF THE WELL-BEING OF OUR COMMUNITY RESIDENTS. WE DELIVER CARE TO ALL PATIENTS IN OUR ED, WITH OR WITHOUT INSURANCE. PVHMC HAS LEARNED FROM THIS STUDY THAT THE NECESSITY TO IMPROVE AND BUILD UPON THE EFFICIENCY OF OUR ED IS CRITICAL IN ORDER FOR US TO KEEP UP WITH THE GROWING DEMANDS BEING PLACED UPON OUR SYSTEM EVERYDAY. PVHMC CONTINUES TO REACH OUT TO OUR COMMUNITY AND EDUCATE THEM ON A VARIETY OF HEALTH ISSUES, ESPECIALLY THE ESSENTIAL REGIONAL SERVICES WE PROVIDE TO MAINTAIN A HEALTHY COMMUNITY. MANY OF THE ACTIVITIES AND PROGRAMS IN OUR COMMUNITY BENEFIT PLAN ADDRESS IDENTIFIED PUBLIC HEALTH NEEDS. THE MAJORITY OF OUR SERVICES ARE TIED INTO PROVIDING INFORMATION AND EDUCATION TO THE COMMUNITY REGARDING AVAILABILITY AND ACCESSIBILITY TO HEALTH AND SOCIAL SERVICES. BY FOSTERING GREATER COORDINATION AND COLLABORATION AMONG LOCAL SERVICE PROVIDERS, WE ARE ABLE TO CONTINUE TO OFFER COMPREHENSIVE MEDICAL SERVICES AND PROGRAMS TO A LARGE COMMUNITY. OUR SERVICES SHOW HOW THE COMMUNITY'S NEEDS DRIVE THE CONCEPTION AND ESTABLISHMENT OF THE SERVICES WE PROVIDE AND CONTRIBUTE TO ITS GROWTH AND IMPROVEMENT. EVERY ACTIVITY AND PROGRAM IS BUDGETED TO MANAGE THE USE OF AVAILABLE RESOURCES. OUR COMMITMENT TO THESE VITAL SERVICES IS DEMONSTRATED THROUGH THE CONCERTED EFFORTS OF EACH DEPARTMENT TO ENSURE THAT ESSENTIAL SERVICES CONTINUE TO BE PROVIDED TO THE COMMUNITY. ABOUT PVHMC - PRESIDENT/CHIEF EXECUTIVE OFFICER, RICHARD E. YOCHUM AND CHAIRMAN, BOARD OF DIRECTORS, ROGER GINSBURG. OUR ORGANIZATIONAL STRUCTURE - PVHMC IS GOVERNED BY A BOARD OF DIRECTORS WHOSE MEMBERS ARE REPRESENTATIVE OF THE COMMUNITY, HOSPITAL AND MEDICAL STAFF LEADERSHIP. OUR MISSION - PVHMC IS A NOT-FOR-PROFIT REGIONAL MEDICAL CENTER DEDICATED TO PROVIDING HIGH QUALITY, COST EFFECTIVE HEALTH CARE SERVICES TO RESIDENTS OF THE GREATER POMONA VALLEY. THE MEDICAL CENTER OFFERS A FULL RANGE OF SERVICES FROM LOCAL PRIMARY ACUTE CARE TO HIGHLY SPECIALIZED REGIONAL SERVICE. SELECTION OF ALL SERVICES IS BASED ON COMMUNITY NEED, AVAILABILITY OF FINANCING AND THE ORGANIZATION'S TECHNICAL ABILITY TO PROVIDE HIGH QUALITY RESULTS. BASIC TO OUR MISSION IS OUR COMMITMENT TO STRIVE CONTINUOUSLY TO IMPROVE THE STATUS OF HEALTH BY REACHING OUT AND SERVING THE NEEDS OF OUR DIVERSE ETHNIC, RELIGIOUS AND CULTURAL COMMUNITY. 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 771,236 IN 2000 AND AN ESTIMATED POPULATION OF 844,140 IN 2006-2008 AS DERIVED FROM THE STATISTICS REPORTED BY THE U.S. CENSUS BUREAU. THE ETHNIC DIVERSITY REPRESENTED BY THE DEMOGRAPHICS OF THE CITY OF POMONA IN 2006-2008 WAS SUCH THAT 71.3% IS HISPANIC OR LATINO, 40.8% IS WHITE, 7.3% IS BLACK/AFRICAN-AMERICAN, 6.8% IS ASIAN, 0.97% IS AMERICAN INDIAN, 0.1% HAWAIIAN/PACIFIC ISLANDER, 40.7% IS OTHER, AND 3.4% IS TWO OR MORE RACES, ACCORDING TO THE U.S. CENSUS BUREAU. COMMUNITY BENEFIT PLAN FOCUS STUDY - 2009 UPDATE. MEETING THE NEEDS OF OUR GROWING COMMUNITY THROUGH THE EMERGENCY DEPARTMENT (ED) HAS BEEN ONE OF THE TOP PRIORITIES OF OUR ORGANIZATION. PVHMC IS HOME TO THE ONLY 24-HOURS-A-DAY, FULL SERVICE ED IN POMONA WITH OVER 78,000 PATIENT VISITS LAST YEAR. OUR ED TREATS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. SOME OF THE IMPROVEMENTS WE HAVE MADE IN THE ED IN 2010 INCLUDE THE RE-DESIGN OF THE RAPID MEDICAL EVALUATION (RME) PROGRAM. THE CALIFORNIA EMERGENCY PHYSICIAN (CEP) GROUP AT PVHMC HAS DEVELOPED AND PIONEERED A NUMBER OF PROVEN BEST PRACTICES REFERRED TO COLLECTIVELY AS THE RME METHODOLOGY TO EXPEDITE ED CARE AND THROUGHPUT. THIS ALLOWS THE PROVIDER TO EVALUATE THE PATIENT AND BEGIN TREATMENT AS QUICKLY AS POSSIBLE. IT ALLOWS FOR PARALLEL PROCESSING OF ED PATIENT THUS IMPROVING OPERATIONAL EFFICIENCY, PATIENT FLOW, AND PATIENT SATISFACTION WHILE DECREASING DIVERSION TIME AND ED OVERCROWDING. GOALS OF THE RME PROGRAM INCLUDE INITIAL PHYSICIAN EVALUATION IMMEDIATELY UPON A PATIENT'S ARRIVAL, ORDERS WILL BE INITIATED IMMEDIATELY, AND BED AVAILABILITY WILL NOT DELAY A PATIENT FROM SEEING A PROVIDER IMMEDIATELY. AS ED VOLUME CONTINUED TO INCREASE, THE ED ADDED ADDITIONAL NURSING STAFF (A TOTAL OF 21 LICENSED AS COMPARED TO 19 IN 2008) AS WELL AS ADDITIONAL PROVIDER (PHYSICIAN/PHYSICIAN ASSISTANT) COVERAGE TO HAVE A PROVIDER IN TRIAGE DURING THE TIMES OF HEAVIEST PATIENT VOLUMES. WE HAVE DECREASED OUR AVERAGE "DOOR-TO-PROVIDER TIME" IN 2010 TO 43-MINUTES AND SURPASSED OUR GOAL OF 45-MINUTES (CEP GROUP). OUR GOAL FOR 2011 IS 40 MINUTES. THE ADDITION OF BIOSITE CARDIAC/SHORTNESS OF BREATH LABORATORY POINT-OF-CARE TESTING IN THE ED ALLOWS FOR A FASTER, RELIABLE BEDSIDE LAB TEST FOR ANY PATIENTS PRESENTING WITH CHEST PAIN AND SHORTNESS OF BREATH. USING BIOSITE REDUCES THE TIME TO RECEIVE RESULTS FROM 1-1.5 HOURS TO 15 MINUTES AND REDUCES A PATIENT'S OVERALL TURN-AROUND TIME BY AS MUCH AS AN HOUR. IN 2009, WE IMPLEMENTED AN ED SURGE CAPACITY PLAN CALLED "CAPACITY ALERT" THAT ESTABLISHES A HOSPITAL-WIDE APPROACH TO MAXIMIZE CAPABILITIES AND HOSPITAL INTEGRATION IN RESPONSE TO PATIENT INFLUX OF THE ED. THIS ALERT WAS DEMONSTRATED TO BE EFFECTIVE DURING THE H1N1 PANDEMIC DURING MAY AND OCTOBER 2009 WHEN THE ED HAD TO ABSORB ADDITIONAL PATIENT VOLUME. THE ED SEES MANY TRAUMA PATIENTS AND ALTHOUGH WE ARE NOT A DESIGNATED TRAUMA CENTER WE OFFERED OUR EMERGENCY NURSES A NATIONAL COURSE, TRAUMA NURSING CORE COURSE WHICH IS A "NATIONAL CERTIFICATE" TO EDUCATE OUR NURSES IN THE CARE OF TRAUMA PATIENTS. IN 2009, THE ED PASSED THE EMERGENCY DEPARTMENT APPROVED FOR PEDIATRICS (EDAP) SURVEY AND WAS RECERTIFIED AS AN EDAP FOR LOS ANGELES COUNTY. THE EDAP RATING RECOGNIZES THAT PVHMC PROVIDES SPECIALIZED EMERGENCY CARE THAT CAN GREATLY IMPROVE OUTCOMES FOR YOUNG PATIENTS. OUR PEDIATRIC TRANSPORT UNIT STANDS READY 24-HOURS-A-DAY TO TRANSPORT CRITICALLY ILL OR INJURED CHILDREN TO PVHMC FOR CARE IN OUR ED. WE OPERATE ONE OF THE 20 REMAINING PARAMEDIC BASE STATIONS IN LOS ANGELES COUNTY SINCE JULY 1979 AND WE WERE RECERTIFIED IN 2009. THE BASE STATION IS MANNED BY SPECIALLY TRAINED NURSES, MOBILE INTENSIVE CARE NURSES, CERTIFIED BY LOS ANGELES COUNTY. THIS VITAL COMPONENT OF PATIENT CARE PROVIDES EMERGENCY CARE GIVERS IN THE FIELD WITH A DIRECT LINK TO THE ED, ALLOWING DIRECT CONTACT WITH THE MOBILE INTENSIVE CARE NURSE, AND IF NECESSARY THE ED PHYSICIAN. THE ED STAFF IS BETTER PREPARED FOR THE IMMINENT ARRIVAL OF A CRITICALLY ILL OR INJURED PATIENT, RECOGNIZING POTENTIAL PROBLEMS EARLY OR REDIRECTING THE PARAMEDICS IF NECESSARY TO ANOTHER MORE APPROPRIATE FACILITY SUCH AS A TRAUMA CENTER OR OTHER SPECIALTY CENTER. |
| PROGRAM SERVICE ACCOMPLISHMENTS CONTINUED | WE HAVE INITIATED IN 2009 A GOLD ALERT, EARLY GOAL DIRECTED THERAPY AS EVIDENCED BY BEST PRACTICE FOR SEPTIC PATIENTS. SEVERE SEPSIS IS THE LEADING CAUSE OF DEATH IN NON-CORONARY INTENSIVE CARE UNIT (ICU) PATIENTS. IT AFFECTS 10% OF ALL ICU PATIENTS. SINCE THE IMPLEMENTATION OF OUR SEPSIS PROGRAM IN 2009, WE HAVE MADE SIGNIFICANT STRIDES INCLUDING LOWER LENGTH OF STAY AND IMPROVED OUTCOMES. INTENSE EDUCATION ON EARLY GOAL DIRECTED THERAPY AND SEPSIS PROTOCOL IMPLEMENTATION TOOK PLACE WITH THE SUPPORT OF OUR CRITICAL CARE DIRECTOR, CRITICAL CARE NURSE PRACTITIONER, AND CLINICAL NURSE SPECIALIST IN THE ED. OUR SEPSIS TASK FORCE WHICH CONSISTS OF NURSING STAFF FROM BOTH THE ICU AND THE ED WAS INVOLVED IN THE DEVELOPMENT OF THE SEPSIS PROTOCOL ORDER SETS, CHECKLIST AND REMINDERS TO INCREASE UTILIZATION OF THE SEPSIS PROTOCOL. THE TASK FORCE ALSO PERFORMS CHART AUDITS; INITIATES THE SEPSIS PROTOCOL, ANALYZES DATA, REPORTS DEFICIENCIES AND IDENTIFIES AREAS FOR IMPROVEMENT; AND, DEVELOPS STRATEGIES TO IMPROVE THE CARE OF SEPSIS PATIENTS. THE ICU ALSO COLLABORATED WITH THE ED TO FACILITATE THE TIMELY TRANSFER OF SEPTIC PATIENTS FROM THE ED TO THE ICU. BUILDING A BRIDGE BETWEEN THE ED AND ICU STAFF THROUGH THE NURSING LEADERSHIP TEAM CONTRIBUTES TO THE SUCCESS OF OUR SEPSIS PROGRAM. PVHMC IS A DESIGNATED STEMI RECEIVING CENTER (SRC) IN BOTH LOS ANGELES AND SAN BERNARDINO COUNTIES. AN ACUTE HEART ATTACK CAUSED BY BLOOD CLOTS IS CALLED AN ST-ELEVATED MYOCARDIAL INFARCTION, OR STEMI. WITHOUT RAPID ANGIOPLASTY, HEART MUSCLE IS PERMANENTLY DAMAGED. IN ORDER TO QUALIFY FOR THIS DESIGNATION, HOSPITALS ARE REQUIRED TO PROVIDE ANGIOPLASTY TREATMENT IN LESS THAN 90 MINUTES. FOR FOURTH QUARTER 2009, THE AVERAGE WAS 57 MINUTES FOR DOOR-TO-BALLOON TIME. IN CONJUNCTION WITH THE STEAD HEART AND VASCULAR CENTER, IN 2010 WE IMPLEMENTED STROKE ALERT. AS IS SIMILAR TO THE PROCESSES FOR A STEMI, THE STROKE ALERT PROTOCOL HAS BEEN ESTABLISHED TO PROPERLY RECOGNIZE, DIAGNOSE AND FAST TRACK POSSIBLE STROKE/TRANSIENT ISCHEMIC ATTACK (TIA) VICTIMS TO THE CORRECT TREATMENT PLAN. ALONG WITH THE PROGRESS WE HAVE MADE TO IMPROVE EMERGENCY CARE SERVICES, IN RECOGNIZING THAT THE ED IS STILL A SOURCE OF PRIMARY HEALTH CARE FOR THE COMMUNITY, WE HAVE INCREASED ACCESS TO PRIMARY HEALTH CARE SERVICES OUTSIDE OF THE HOSPITAL'S ED. WE HAVE OPENED TWO PRIMARY CARE OFFICES IN OUR COMMUNITY (CHINO HILLS) WITH 15 URGENT CARE AND PRIMARY CARE EXAM ROOMS AND ANOTHER WITH NINE URGENT CARE ROOMS AND ANOTHER NINE PRIMARY CARE ROOMS. IN MARCH 2009, WE MADE AVAILABLE THE POMONA VALLEY HEALTH CENTER AT CLAREMONT BASED UPON OUR COMMUNITY'S INCREASED NEED FOR PRIMARY CARE AND URGENT CARE SERVICES. THE CLINICS ARE STAFFED BY PHYSICIANS OF OUR HOSPITAL'S FAMILY MEDICINE RESIDENCY PROGRAM (FMRP) WHO HAVE REMAINED IN THE COMMUNITY AFTER GRADUATING FROM TRAINING. THE GROWTH OF SERVICES SUCH AS OUR ED AND OUR LOCAL CLINICS HAVE BEEN HIGHLY ENCOURAGED BY THE COMMUNITY'S INPUT, THE STRONG TEAM OF PHYSICIANS AND STAFF WHO ARE ABLE AND WILLING TO WORK TOWARDS FULFILLING THE COMMUNITY RESIDENTS' HEALTH CARE NEEDS, AND THE HOSPITAL'S CONTINUOUS EFFORT TO SUPPORT QUALITY SERVICES THAT ARE NECESSARY TO FUNCTION AS A PREMIER HOSPITAL IN OUR REGION. IT IS VERY LIKELY THAT THESE CRITICAL NEEDS WOULD OTHERWISE NOT BE MET OR AVAILABLE TO THE COMMUNITY WITHOUT THE FULL SUPPORT OF THE HOSPITAL AND OUR STATISTICS CLEARLY SUPPORT THE DEMAND. OVERALL, OUR COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS SEEK TO CONNECT RESIDENTS/PATIENTS WITH MUCH NEEDED HEALTH CARE SERVICES. COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS - THE EXAMPLES PRESENTED IN THIS REPORT ARE INSIGHTS INTO A COMMUNITY ACTIVELY INVOLVED IN IMPROVING THE HEALTH STATUS OF RESIDENTS LIVING IN THE POMONA VALLEY. COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS - PVHMC SERVES AS THE LEAD AGENCY FOR THE POMONA CLINIC COALITION (PCC), ASSUMING RESPONSIBILITY FOR LOS ANGELES COUNTY'S POMONA HEALTH CENTER AND FORMING A PUBLIC-PRIVATE PARTNERSHIP. THE PCC OFFERS PRIMARY HEALTH CARE SERVICES AT NO COST TO PATIENTS. IN ADDITION, OUTREACH SERVICES ARE GIVEN TO THE HOMELESS AT SHELTER SITES. PVHMC PROVIDES STAFF, SUPPLIES, AND ANCILLARY OUTPATIENT DIAGNOSTIC SERVICES (X-RAYS AND LABS). THE PORTABLE WELLNESS CLINIC IS A PARTNERSHIP BETWEEN COMPASSION NET, PVHMC'S FAMILY MEDICINE RESIDENCY PROGRAM (FMRP) AND FAMILY HEALTH CENTER (FHC) TO INCREASE ACCESSIBILITY TO PRIMARY HEALTH CARE SERVICES AT A LOW COST. PVHMC PROVIDES THE MEDICAL PERSONNEL, MOSTLY DOCTORS FROM THE FMRP. COMPASSION NET PROVIDES THE VEHICLE AND COORDINATES THE OUTREACH EFFORT. THE MOBILE UNIT TRANSPORTS EQUIPMENT AND SUPPLIES TO THREE POMONA LOCATIONS BIMONTHLY. THE NEWBORN ABANDONMENT PREVENTION LAW ALLOWS A PARENT OF A NEWBORN LESS THAN 72 HOURS OF AGE TO RELINQUISH THEIR BABY ANONYMOUSLY TO AN EMPLOYEE AT ANY HOSPITAL ED WITHIN THE STATE OF CALIFORNIA. PVHMC CREATED A PRIVATE AREA OUTSIDE OF THE ED FOR THIS PURPOSE, THE SAFE SURRENDER PROGRAM. TO DATE,THREE NEWBORNS HAVE BEEN SURRENDERED AND WHOSE LIVES WERE SAVED. THE PROGRAM HAS BEEN SHARED WITH LOCAL SCHOOLS AND COMMUNITY PROGRAMS; HOWEVER, THE NEED TO INCREASE AWARENESS IS CRUCIAL TO THE ONGOING SUCCESS OF THE PROGRAM. MANY DEPARTMENTS IN THE HOSPITAL OFFER CLASSES TO THE COMMUNITY AND SUPPORT GROUPS WITH TRAINED PROFESSIONALS. IN WOMEN'S AND CHILDREN'S SERVICES, MANY OF THE CLASSES ("CHILDBIRTH PREPARATION", "YOUR CESAREAN", "BIG BROTHER/BIG SISTER") OFFERED AT THE HOSPITAL ARE NOT AVAILABLE AT NEIGHBORING HOSPITALS. PVHMC OFFERS FREE SUPPORT GROUPS ("BOOTCAMP FOR DADS", "MOMMY N ME"). A HEALTH NEWSLETTER "REGARDING WOMEN" IS DISTRIBUTED QUARTERLY TO RESIDENTS IN THE COMMUNITY. AT THE ROBERT AND BEVERLY LEWIS FAMILY CANCER CARE CENTER (CCC), THERE ARE PATIENT WORKSHOPS ("LAUGHTER YOGA"), AND SUPPORT GROUPS ("LOOK GOOD...FEEL BETTER", "LIVING IN THE HERE & NOW"). WE ALSO HAVE A SPECIAL "KIDZ GROUP" FOR AGES 7 THROUGH 17 WHO HAVE A PARENT OR LOVED ONE WITH CANCER TO PROVIDE UNDERSTANDING AND COPING SKILLS. THE STEAD HEART AND VASCULAR CENTER (SHVC) OFFERS HEART FAILURE EDUCATION AND AWARENESS TO RECOGNIZE RISK FACTORS, SIGNS AND SYMPTOMS. THERE IS ALSO A HEART FAILURE PROGRAM THAT HELPS PATIENTS IN MAINTAINING THEIR DISEASE AND PROVIDES SUPPORT LEADING TO DECREASED SUBSEQUENT HOSPITALIZATIONS. THE STEAD HEART FOR WOMEN PROGRAM PROVIDES EDUCATION, SUPPORT AND RESOURCES SPECIFICALLY ON HEART DISEASE AND STROKE PREVENTION. WE RECOGNIZE THE IMPORTANCE OF PREVENTIVE HEALTH AND WE PARTICIPATE AND ORGANIZE COMMUNITY HEALTH FAIRS WITH HEALTH CARE INFORMATION AND HEALTH SCREENINGS. THE VOLUNTEER SERVICES DEPARTMENT ORGANIZES MOBILE FLU CLINICS TO OFFER FREE FLU SHOTS TO SENIORS AT LOCAL COMMUNITY SENIOR SETTINGS AND FLU SHOTS IN A DRIVE-THRU SETTING WITH THE HELP OF PVHMC'S NURSES. PVHMC WORKS WITH LA COUNTY AND LOCAL NOT-FOR-PROFIT ORGANIZATIONS TO PUT TOGETHER AN ANNUAL KIDS HEALTH FAIR PROVIDING FREE HEALTH SCREENINGS, IMMUNIZATIONS AND MEDICAL INFORMATION FOR UNINSURED AND UNDER-INSURED CHILDREN AGES TWO MONTHS TO 18 YEARS. THE CCC OFFERS EARLY DETECTION (SKIN SCREENINGS) AND PREVENTION. THE RESPIRATORY SERVICES DEPARTMENT CONDUCTS PULMONARY SCREENINGS AT COMMUNITY HEALTH FAIRS. THE EPIDEMIOLOGY AND INFECTION CONTROL DEPARTMENT EDUCATES THE COMMUNITY ON INFECTION CONTROL AWARENESS, HAND HYGIENE AND DEMONSTRATION, AND HOME CLEANLINESS. THEY ALSO OFFER EDUCATION TO THE COMMUNITY REGARDING FLU SEASON AND COUGH ETIQUETTE. THE SLEEP CENTER PROVIDES AWAKE MEETINGS TO EDUCATE THE COMMUNITY ON NEW MASKS AND MACHINES. THE RESPIRATORY SERVICES DEPARTMENT OFFERS FREE ASTHMA EDUCATION, AVAILABLE IN SPANISH, AND A SMOKING CESSATION PROGRAM. BREATHING BUDDIES IS A SUPPORT GROUP FOR SENIORS WHO HAVE CHRONIC LUNG DISEASE BY PROVIDING THE LATEST HEALTH INFORMATION, REVIEWING THEIR MEDICATIONS, AND PROVIDING INSTRUCTION (E.G., ON HOW TO TRAVEL WITH OXYGEN). THE FOOD AND NUTRITION SERVICES DEPARTMENT OFFERS POR LA VIDA NUTRITION CLASSES FOR SPANISH SPEAKING COMMUNITY MEMBERS TO LEARN ABOUT HEALTHY EATING. HEALTH PROFESSIONS EDUCATION - OUR HOSPITAL PROVIDES MANY TRAINING OPPORTUNITIES THROUGH THE VARIOUS DEPARTMENTS THAT WORK WITH THE LOCAL COLLEGES AND HEALTH PROFESSIONAL PROGRAMS. PVHMC IS A CLINICAL SITE FOR NURSING STUDENTS IN PROGRAMS AT THE LOCAL COMMUNITY COLLEGES AND UNIVERSITIES. THE PARISH NURSE PROGRAM THROUGH THE SHVC EDUCATES AND TRAINS BOTH CLINICAL AND NON-CLINICAL SUPPORT STAFF. PVHMC'S FMRP TRAINS NURSE PRACTITIONER AND MEDICAL STUDENTS AT THE FHC. FNS PROVIDES OPPORTUNITES FOR DIETETIC STUDENTS TO DO THEIR INTERNSHIP ROTATIONS AT PVHMC WHERE THEY LEARN ABOUT FOOD PRODUCTION AND MANAGEMENT. THE HOSPITAL IS ALSO A TRAINING LOCATION FOR PHLEBOTOMY, PHYSICIAN BILLING, RESPIRATORY AND SURGICAL TECH STUDENTS. IN RADIOLOGY, OUR HOSPITAL IS A TRAINING SITE FOR RADIOLOGIC TECHNOLOGY, ULTRASOUND AND NUCLEAR MEDICINE STUDENTS. WE ALSO WELCOME CHAPLAINS IN THE COMMUNITY TO RECEIVE CLINICAL CHAPLAIN TRAINING AT PVHMC. | |
| PROGRAM SERVICE ACCOMPLISHMENTS CONTINUED | FOR THE MEDICAL COMMUNITY, THE HOSPITAL ORGANIZES WEEKLY CONTINUING MEDICAL EDUCATION AT NO COST TO PHYSICIANS. WE OFFER A PERINATAL SYMPOSIUM WHICH IS LABOR AND DELIVERY AND NEONATAL EDUCATION. THE CCC OFFERS SEMINARS ON LUNG AND GASTROINTESTINAL CANCERS. SUBSIDIZED HEALTH SERVICES - PVHMC IS A MAJOR PROVIDER IN OUR REGION, PARTICULARLY FOR MEDI-CAL AND INDIGENT PATIENTS IN BOTH LOS ANGELES AND SAN BERNARDINO COUNTIES. IT IS ESSENTIAL FOR OUR HOSPITAL'S ED TO HAVE ADEQUATE COVERAGE OF SPECIALISTS TO PROVIDE NEEDED SPECIALTY MEDICINE TO PATIENTS. IN ADDITION, WE HAVE ROUND THE CLOCK PHYSICIAN COVERAGE OF FULL-TIME LABORISTS (HOSPITAL-BASED OB/GYN PHYSICIANS WHO DO DELIVERIES), A HOSPITALIST TEAM, AND A DEDICATED INTENSIVIST PROGRAM IN THE INTENSIVE CARE UNIT. RESEARCH - THE ROBERT AND BEVERLY LEWIS FAMILY CANCER CARE CENTER OF PVHMC PARTICIPATES IN CLINICAL RESEARCH STUDIES IN BREAST CANCER, GASTROINTESTINAL CANCERS, HEAD & NECK CANCERS, LUNG CANCER, PROSTATE CANCER, AND SYMPTOM MANAGEMENT. CASH AND IN-KIND CONTRIBUTIONS - OUR HOSPITAL PROVIDES SUPPORT TO VARIOUS LOCAL COMMUNITY SERVICE ORGANIZATIONS INCLUDING THE HOUSE OF RUTH (SERVICES AND ASSISTANCE TO VICTIMS OF DOMESTIC VIOLENCE), PROJECT SISTER (SEXUAL ASSAULT CRISIS AND PREVENTION SERVICES), AND YMCA. IN-KIND CONTRIBUTIONS TO OUR PATIENTS AND TO THE COMMUNITY INCLUDE TOYS GIVEN TO PEDIATRIC SURGERY PATIENTS. THE FACILITIES DEPARTMENT PARTICIPATES IN THE CITY-WIDE CLEAN BY DONATING STAFF AND SUPPLIES. FOOD AND NUTRITION SERVICES "MEALS ON WHEELS" PROGRAM PROVIDES FOOD TO HOMEBOUND MEMBERS OF OUR COMMUNITY AND DONATES CANNED FOODS TO THE SALVATION ARMY "PROJECT SHIELD & SHELTER". OUR VOLUNTEER SERVICES DEPARTMENT GIVES INFANT LAYETTES AND CAR SEATS TO NEEDY FAMILIES. THE CANCER CARE CENTER GIVES WIGS TO PATIENTS AT NO COST. COMMUNITY BUILDING ACTIVITIES - PVHMC WORKS WITH LOCAL AREA MIDDLE AND HIGH SCHOOLS AS WELL AS GIRL SCOUTS AND SCHOOL GROUPS TO INTRODUCE CAREERS IN HEALTH CARE BY INVITING THEM TO TOUR OUR HOSPITAL AND BY VISITING THEM ON THEIR CAMPUS (CLAREMONT HIGH SCHOOL CAREER DAY). PVHMC PARTICIPATES IN LA COUNTY SERVICE PLANNING AREA 3'S HEALTH PLANNING GROUP ON THE STEERING COMMITTEE AND THE SPECIALTY CARE COALITION. PVHMC IS A 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, PVHMC IS RESPONSIBLE FOR 10 "UMBRELLA" FACILITIES IN THE AREA AND COORDINATES DRILLS, TRAINING, AND SHARING OF PLANS TO BRING TOGETHER THE COMMUNITY AND OUR RESOURCES FOR DISASTER PREPAREDNESS. PVHMC'S ED IS INVOLVED WITH "EVERY 15 MINUTES", A PROGRAM THAT EDUCATES HIGH SCHOOL STUDENTS OF THE DANGERS OF DRUNK DRIVING THAT ALSO INVOLVES THE LOCAL FIRE AND POLICE DEPARTMENTS, AND AMBULANCES. VALUATION OF COMMUNITY BENEFIT PROGRAMS - FOR 2010, PVHMC'S TOTAL COMMUNITY BENEFITS CAME TO $137,824,109 WHICH CONSISTS OF TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS ($131,264,740) AND TOTAL OTHER BENEFITS ($6,559,369). TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS IS MADE UP OF CHARITY CARE ($45,488,664), MEDI-CAL INPATIENT OR THE NET UNREIMBURSED COST, WHICH IS EQUIVALENT TO UNREIMBURSED COST LESS THE DISPROPORTIONATE SHARE PAYMENT ($52,194,096), MEDI-CAL OUTPATIENT UNREIMBURSED COSTS ($19,948,420), MEDICARE INPATIENT UNREIMBURSED COST ($3,238,631), AND MEDICARE OUTPATIENT UNREIMBURSED COST ($10,394,929). OTHER BENEFITS IS MADE UP OF COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS ($1,370,593), HEALTH PROFESSIONS EDUCATION ($3,319,693), SUBSIDIZED HEALTH SERVICES ($1,738,464), AND RESEARCH ($28,300). ADDITIONALLY, THE VALUE OF COMMUNITY BUILDING ACTIVITIES IS $794,400. THESE AMOUNTS ARE MEASURED AT STANDARD COSTS. THE ECONOMIC VALUE OF THE DOCUMENTED COMMUNITY BENEFITS WAS DETERMINED AS FOLLOWS: UNCOMPENSATED CARE WAS VALUED IN THE SAME MANNER THAT SUCH SERVICES WERE REPORTED IN THE HOSPITAL'S ANNUAL REPORT TO THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT. CHARITY CARE WAS VALUED BY COMPUTING THE DIFFERENCE BETWEEN CHARGES AND ACTUAL REVENUE RECEIVED (INCLUDING CHARITY CARE DONATIONS). OTHER SERVICES WERE VALUED BY ESTIMATING THE COSTS OF PROVIDING THE SERVICES AND SUBTRACTING ANY REVENUES RECEIVED FOR SUCH SERVICES. COSTS WERE DETERMINED BY ESTIMATING STAFF AND SUPERVISION HOURS INVOLVED IN PROVIDING THE SERVICES. OTHER DIRECT COSTS SUCH AS SUPPLIES AND PURCHASED SERVICES WERE ALSO ESTIMATED. ANY OFFSETS (CORPORATE SPONSORSHIP, ATTENDANCE FEES, OR OTHER INCOME CONTRIBUTED OR GENERATED) WERE SUBTRACTED FROM THE COSTS REPORTED. PLANS FOR 2011/2012 PUBLIC REVIEW - PVHMC PLANS TO CONTINUE SUPPORTING ITS VARIED COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS CURRENTLY IN PLACE. THE COMMUNICATION OF OUR COMMUNITY BENEFIT IS A COMBINATION OF PRESENTATIONS GIVEN TO VARIOUS ORGANIZATIONS INCLUDING THE CITY GOVERNMENT, AND DISTRIBUTION OF COPIES OF THE REPORT TO ALL INTERESTED MEMBERS (COMMUNITY COLLABORATORS, LIBRARIES, COMMUNITY CENTERS, AND BUSINESSES) WITHIN OUR COMMUNITY UPON THEIR REQUEST. PVHMC'S CHARITY CARE POLICY - PVHMC POSTS NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. SUCH NOTICES ARE POSTED IN HIGH VOLUME INPATIENT, AND 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 POSTED AT ANY LOCATION 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 POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT ARE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. A COPY OF THE FINANCIAL ASSISTANCE POLICY IS MADE AVAILABLE TO THE PUBLIC ON A REASONABLE BASIS. | |
| ORGANIZATION'S GOVERNING BODY PROCEDURES FOR FORM 990 REVIEW | FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF THE TAX RETURN ALONG WITH A NARRATIVE FROM ERNST & YOUNG, THE HOSPITAL'S EXTERNAL ACCOUNTING FIRM, IS DISTRIBUTED TO THE BOARD OF DIRECTORS PRIOR TO FILING IN NOVEMBER 2011. THE INTERNAL PROCESS INCLUDES PREPARATION OF THE FINANCIAL DATA BY HOSPITAL PERSONNEL, SURVEYS OF DIRECTORS, OFFICERS AND KEY EMPLOYEES REGARDING INFORMATION IN RESPONSE TO QUESTIONS IN PART IV, AND DISCLOSED IN SCHEDULE L. THE COMPLETE 990 IS REVIEWED FOR OVERALL COMPLETENESS AND ACCURACY BY THE CEO AND CFO. WRITTEN CONFLICT OF INTEREST POLICY ENFORCEMENT FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR OFFICERS AND DIRECTORS 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. |
| DETERMINATION OF COMPENSATION FOR CEO | FORM 990, PART VI, SECTION B, LINE 15A | THE BOARD OF DIRECTORS HAS A COMPENSATION COMMITTEE WHO ANNUALLY REVIEW AND DETERMINE THE COMPENSATION FOR THE CEO. THEIR REVIEW DETERMINATION OF THE CEO'S COMPENSATION IS BASED UPON INDEPENDENT REVIEW OF THE CEO COMPENSATION COMPARED TO INDUSTRY PRACTICE. IN 2010 ALL MANAGEMENT SALARIES WERE FROZEN SO THERE WAS NO REVIEW OF UPPER MANAGEMENT BROUGHT FORWARD TO THE COMPENSATION COMMITTTEE AND NO REVIEW OF A HAY GROUP REPORT. THE COMPENSATION REVIEW PROCESS IS DOCUMENTED IN THE MINUTES OF THE COMPENSATION COMMITTEE. DETERMINATION OF COMPENSATION FOR OTHER KEY EMPLOYEES FORM 990, PART VI, SECTION B, LINE 15B FOR OTHER OFFICERS AND KEY EMPLOYEES, THE SAME PROCESS IS USED AS ABOVE, WITH THE EXCEPTION, THAT THE CEO PRESENTS HIS RECOMMENDATION FOR COMPENSATION TO THE COMPENSATION COMMITTEE BASED UPON THE REPORT FOR TOTAL COMPENSATION COMPARISONS SUPPLIED BY THE HAY GROUP. THE POSITIONS COVERED BY THE PROCESS ARE THE COO, CFO, VP SATELLITES, VP NURSING, VP MEDICAL STAFF AFFAIRS, VP HUMAN RESOURCES, CHIEF INFORMATION OFFICER, EXECUTIVE DIRECTOR OF FINANCE, DIRECTOR OF MANAGED CARE, COMPLIANCE OFFICER, DIRECTOR OF UTILIZATION MANAGEMENT. THIS PROCESS IS ALSO DOCUMENTED IN THE MINUTES OF THE COMPENSATION COMMITTEE. |
| PUBLIC DISCLOSURE OF GOVERNING DOCUMENTS AND POLICY | FORM 990, PART VI, SECTION C, 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. |
| PUBLIC DISCLOSURE OF GOVERNING DOCUMENTS AND POLICY | FORM 990, PART VI, SECTION C, LINE 19 | THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. HOURS DEVOTED TO RELATED ORGANIZATIONS FORM 990, PART VII RICHARD YOCHUM, MICHAEL NELSON, AND JULI HESTER DEVOTE TWO HOURS SERVING ON THE BOARD OF POMONA VALLEY HOSPITAL MEDICAL CENTER FOUNDATION. |
| RECONCILIATION OF NET ASSETS | FORM 990, PART XI, LINE 5 | NET UNREALIZED GAIN(LOSS) FROM INVESTMENTS: $404,026 EFFECT OF ADOPTION OF FASB STATEMENT NO. 158: -$215,689 LOSS FROM SUBSIDIARY: -$514,758 S-CORP K1: -$ 42,223 ROUNDING: $ 30 TOTAL OTHER CHANGES IN NET ASSETS: -$368,614 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| Pomona Valley Hospital Medical Ctr Fdn | |||||||||
| 1798 North Garey Avenue | Pomona | CA | 91767 | 953403287 | Support PVHMC | CA | 501(C)(3) | 7 | NA |
| Pomona Valley Hospital Medical Ctr Aux | |||||||||
| 1798 North Garey Avenue | Pomona | CA | 91767 | 956053224 | Support PVHMC | CA | 501(C)(3) | 11, I | NA |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Pomona Valley Medical Plaza | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1798 NORTH GAREY AVENUE | AddressLine1 |
| City | POMONA | City |
| State | CA | State |
| ZIP Code | 91767 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 954175295 | EIN |
| Primary Activity | LEASING | PrimaryActivity |
| Legal Domicile State | CA | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeType |
| Share Of Total Income | -506938 | ShareOfTotalIncome |
| Share Of EOY Assets | 4386497 | ShareOfEOYAssets |
| Disproportionate Allocations | false | DisproportionateAllocations |
| Code V | $0 | CodeVAmount |
| General Or Managing Partner | false | GeneralOrManagingPartner |
| Percentage Ownership | 1.00000 | PercentageOwnership |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Pomona Valley Health Facilities | |||||||||||
| 1798 North Garey Avenue | Pomona | CA | 91767 | 954104554 | R.E. OPERATION | CA | NA | C CORP | 35572 | -60873 | 1.00000 |
| Pomona North Medical Building Inc | |||||||||||
| 1798 North Garey Avenue | Pomona | CA | 91767 | 952629873 | R.E. Rental | CA | NA | S Corp | 42223 | 559305 | 1.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Pomona Valley North Medical Building | |
| J | 165460 |
| Pomona Valley North Medical Building | |
| P | 68100 |
| Pomona Valley North Medical Building | |
| R | 100000 |
| Pomona Valley Medical Plaza | |
| A -(I | 463961 |
| Pomona Valley Medical Plaza | |
| A -(I | 90321 |
| Pomona Valley Health Facilities | |
| 0 | |
| Pomona Valley Hospital Medical Center Aux | |
| 0 | |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP | Identifier |
| Return Reference | SCHEDULE R, PART III, COLUMN (A) | ReturnReference |
| Explanation | POMONA VALLEY MEDICAL PLAZA 1798 NORTH GAREY AVENUE POMONA, CA 91767 EIN: 95-4175295 | Explanation |