4A (Expenses $ 675841178 including grants of $ 193262) (Revenue $ 723214726)
SEE SCHEDULE O

SCHEDULE H, PART V, SECTION B, LINE 5
COMMUNITY NEEDS ASSESSMENT PRIMARY DATA WAS COLLECTED VIA SURVEY AND CONSISTED OF INPUT FROM 819 RESIDENTS FROM THE ELEVEN CITIES WITHIN PVHMC'S SERVICE AREA. THE SURVEYS WERE CONDUCTED BETWEEN JUNE 21, 2021 AND AUGUST 1, 2021. THE PRINCIPAL INVESTIGATOR WAS BARBARA SIROTNIK, PHD AND THE PROJECT COORDINATOR WAS LORI ALDANA, MBA ADDITIONAL PRIMARY DATA WERE COLLECTED THROUGH TWO FOCUS GROUP MEETINGS WITH 152 COMMUNITY-BASED ORGANIZATIONS WITHIN PVHMC'S PRIMARY AND SECONDARY SERVICE AREAS WHOSE ORGANIZATIONS SERVE AND REPRESENT MINORITY, LOW-INCOME AND MEDICALLY UNDERSERVED INDIVIDUALS. SECONDARY SUPPORTING DATA HIGHLIGHTING HEALTH STATUS INDICATORS AND MAJOR HEALTH INFLUENCERS WAS COLLECTED FROM SEVERAL SOURCES, AND WHEN APPROPRIATE, COMPARED TO HEALTHY PEOPLE 2020 GOALS. EVERY ATTEMPT WAS MADE TO SOLICIT PRIMARY, SECONDARY, AND HEALTH-RELATED INFORMATION RELATIVE TO THE COMMUNITIES WE SERVE. IN SOME INSTANCES, PVHMC'S ABILITY TO ASSESS THE HEALTH NEEDS WAS LIMITED BY LACK OF EXISTING DATA AT THE CITY AND COUNTY LEVEL. ADDITIONALLY, IN SOME INSTANCES, COMPARABLE HEALTH-RELATED DATA WAS LIMITED ACROSS BOTH COUNTIES IN WHICH OUR PRIMARY SERVICE AREA ENCOMPASSES. PVHMC'S FY 2021 COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDES INTERVIEWS OF PUBLIC HEALTH OFFICIALS IN BOTH LOS ANGELES AND SAN BERNARDINO COUNTIES. INSTITUTE OF APPLIED RESEARCH (IAR) CONDUCTED AN IN-DEPTH TELEPHONE INTERVIEW WITH MS. JOCELYN ESTIANDAN (LOS ANGELES COUNTY SPA3 AND SPA4 PUBLIC HEALTH OFFICER) ON JULY 22, 2021, AND.MS. JENNIFER BAPTISTE-SMITH, CHIEF OF CLINICAL HEALTH AND PREVENTTION SERVICES AND MS. MONIQUE AMIS, CHIEF OF COMMUNITY AND FAMILY HEALTH OF THE SAN BERNARDINO DEPARTMENT OF PUBLIC HEALTH. THE INTERVIEWS CONSISTED OF QUESTIONS REGARDING THE HEALTH NEEDS OF THE COMMUNITY IN THE AREAS OF SUPPORT FOR PATIENTS AND FAMILIES (EDUCATION, SUPPORT GROUPS, ETC.); PRIMARY CARE AND PREVENTATIVE HEALTH SERVICES; CHRONIC DISEASE MANAGEMENT, AND WELLNESS (NUTRITION, PHYSICAL ACTIVITY, SMOKING, ETC.). RESPONDENTS WERE ASKED TO IDENTIFY UNMET NEEDS IN THE COMMUNITY RELATIVE TO THOSE HEALTH NEED CATEGORIES, AND ALSO INDICATE WHICH POPULATIONS ARE MOST AFFECTED. IN ADDITION, THEY WERE ASKED TO PROVIDE SUGGESTIONS FOR MEETING THE NEEDS OF THE COMMUNITY. OVERALL, THE EXECUTIVE INTERVIEWS FOCUSED HEAVILY ON THE SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY. IN SHORT, IF PEOPLE LIVE IN POOR CONDITIONS, THEY HAVE LIMITED ACCESS TO HEALTH CARE. RESPONDENTS WERE CLEAR THAT THE LACK OF ACCESS TO EDUCATION, GOOD HEALTH CARE, HOUSING, AND OPPORTUNITIES TO IMPROVE ECONOMIC STANDING HAD FAR-REACHING EFFECTS ON THE HEALTH OF THE COMMUNITY. HOWEVER, THESE ARE ISSUES WHICH CAN ONLY BE SOLVED BY FOSTERING COLLABORATION/ PARTNERSHIPS BETWEEN HOSPITALS, COMMUNITY-BASED ORGANIZATIONS, AND GOVERNMENT ORGANIZATIONS, EDUCATION, AND PROVIDING DIABETES EDUCATION AND MANAGEMENT RESOURCES.

SCHEDULE H, PART V, SECTION B, LINE 6B
POMONA VALLEY HOSPITAL MEDICAL CENTER CONDUCTED ITS CHNA WITH HELP FROM CALIFORNIA STATE UNIVERSITY SAN BERNARDINO'S INSTITUTE OF APPLIED RESEARCH.

SCHEDULE H, PART V, SECTION B, LINE 7A
CHNA URL https://www.pvhmc.org/about-us/community-services/

SCHEDULE H, PART V, SECTION B, LINE 10A
IMPLEMENTATION STRATEGY URL https://www.pvhmc.org/about-us/community-services/

SCHEDULE H, PART V, SECTION B, LINE 11
"SIGNIFICANT HEALTH NEEDS IDENTIFIED PVHMC'S LEADERSHIP AND COMMUNITY BENEFIT COMMITTEE REVIEWED THE 2021 COMMUNITY NEEDS ASSESSMENT AND THROUGH ANALYSIS OF PRIMARY, SECONDARY, FOCUS GROUP AND PUBLIC HEALTH INPUT RECEIVED, THE FOLLOWING WERE IDENTIFIED AS SIGNIFICANT HEALTH NEEDS IN PVHMC'S PRIMARY SERVICE ARE: MENTAL HEALTH; CARE COORDINATION SERVICES/PATIENT NAVIGATORS; RESOURCES/SUPPORT/OUTREACH FOR HOMELESS; CHRONIC DISEASE (DIABETES, HIGH BLOOD PRESSURE/CARDIOVASCULAR DISEASE AND MENTAL HEALTH); DISEASE PREVENTION & EDUCATION RESOURCES; OBESITY & WEIGHT MANAGEMENT; NUTRITION EDUCATION AND SUPPORT GROUPS; PHYSICAL ACTIVITY PROGRAMS; ACCESS TO AFFORDABLE PREVENTATIVE AND SPECIALTY HEALTHCARE SERVICES/ACCESS TO NO-COST SCREENINGS; PRIMARY CARE, PSYCHIATRY, AND GERONTOLOGY PROVIDERS; AND, AWARENESS OF AVAILABLE RESOURCES IN THE COMMUNITY. MAJOR INFLUENCERS OF HEALTH IDENTIFIED (SOCIAL-DETERMINANTS OF HEALTH): HEALTH INSURANCE STATUS (CITY-SPECIFIC); COST OF HEALTHY FOOD/ACCESS TO HEALTHY FOOD (CITY-SPECIFIC); POVERTY/ECONOMIC STANDING; EDUCATION LEVEL; AND,LANGUAGE AND CULTURAL BARRIERS AS INFLUENCERS OF TRUST. THE IDENTIFIEDNEEDS ABOVE WERE PRIORITIZED AND GROUPED INTO THE THREE OVERARCHING AREAS: 1) CHRONIC DISEASE; 2) OBESITY; AND 3) ACCESS TO CARE. HEALTH NEEDS IDENTIFIED IN OUR 2021 COMMUNITY NEEDS ASSESSMENT WERE DETERMINED TO BE A PRIORITY THROUGH EVALUATION OF PRIMARY AND SECONDARY DATA, WHEREBY THOSE IDENTIFIED HEALTH NEEDS WERE PRIORITIZED BASED UPON:(1) COMMUNITY RESPONDENTS AND KEY INFORMANTS IDENTIFIED THE NEED TO BE SIGNIFICANT, OR LARGELY REQUESTED SPECIFIC SERVICES THAT THEY WOULD LIKE TO SEE POMONA VALLEY HOSPITAL MEDICAL CENTER PROVIDE IN THE COMMUNITY (2) FEASIBILITY OF PROVIDING INTERVENTIONS FOR THE UNMET NEED IDENTIFIED IN THE COMMUNITY, IN SUCH THAT POMONA VALLEY HOSPITAL MEDICAL CENTER CURRENTLY HAS, OR HAS THE CURRENT MEANS OF DEVELOPING THE RESOURCES TO MEET THE NEED WITHIN THE NEXT TRIENNIAL CHNA CYCLE, AND (3) ALIGNMENT BETWEEN THE IDENTIFIED HEALTH NEED AND POMONA VALLEY HOSPITAL MEDICAL CENTER'S MISSION, VISION, AND STRATEGIC PLAN. IN SUPPORT OF PVHMC'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), AND ONGOING COMMUNITY BENEFIT PLAN INITIATIVES, POMONA VALLEY HOSPITAL MEDICAL CENTER'S SUPPORTING IMPLEMENTATION STRATEGY DOCUMENTS THE PRIORITY HEALTH NEEDS FOR WHICH PVHMC WILL ADDRESS IN THE COMMUNITY AND TRANSLATES OUR CHNA DATA AND RESEARCH INTO ACTUAL STRATEGIES AND OBJECTIVES THAT CAN BE CARRIED OUT TO IMPROVE HEALTH OUTCOMES. PVHMC DETERMINED A BROAD, FLEXIBLE APPROACH WAS BEST AS STRATEGIES AND PROGRAMS FOR COMMUNITY BENEFIT ARE BUDGETED ANNUALLY AND MAY BE ADJUSTED DURING THIS 12-MONTH PERIOD OF TIME. ACCORDINGLY, THE IMPLEMENTATION STRATEGY WILL BE CONTINUOUSLY MONITORED FOR PROGRESS IN ADDRESSING OUR COMMUNITY'S HEALTH NEEDS AND WILL SERVE AS A TOOL AROUND WHICH OUR COMMUNITY BENEFIT PROGRAMS WILL BE TAILORED. THROUGH PVHMC'S EFFORTS AND STRATEGY TO MEET THE GROWING HEALTH NEEDS OF OUR COMMUNITY, WE HAVE PREVIOUSLY ANTICIPATED, AND CONTINUE TO ANTICIPATE THROUGH CURRENT ACTIONS, THE FOLLOWING IMPACT ON THE HEALTH OF THE COMMUNITY: REDUCED PREVALENCE RATE OF TARGETED CHRONIC DISEASES, INCREASED AWARENESS OF RISK FACTORS ASSOCIATED WITH TARGETED CHRONIC DISEASES, INCREASED AWARENESS OF EARLY INTERVENTION AND PREVENTION STRATEGIES, INCREASED ACCESS TO EMERGENCY, SPECIALTY, AND PRIMARY CARE, AND INCREASED AWARENESS OF RESOURCES AVAILABLE IN THE COMMUNITY TO MEET HEALTH NEEDS. PRIORITY AREA ONE: CARE COORDINATION (CHRONIC DISEASE POPULATION HYPERTENSION/CARDIOVASCULAR DISEASE, DIABETES, OBESITY.) PVHMC'S STRATEGIES TO ADDRESS THIS NEED: SUMMARY: WHILE THERE HAS BEEN A DECLINE IN IN-PERSON EVENTS AND OPPORTUNITIES DUE TO COVID-19, PVHMC WILL CONTINUE TO BE PRESENT AT AND PARTICIPATE IN AS MANY EVENTS AS POSSIBLE TO REACH THE HIGHEST NUMBER OF COMMUNITY MEMBERS. PARTICIPATING IN PARTNER EVENTS CONTINUES TO BE THE BEST OPPORTUNITY TO REACH THE COMMUNITY, BUILD RELATIONSHIPS AND PROVIDE AWARENESS, PREVENTION, SCREENING, EDUCATION AND SUPPORT FOR CHRONIC CONDITIONS SUCH AS HIGH BLOOD PRESSURE AND DIABETES. WHILE PVHMC HAS MANY RESOURCES FOR THE COMMUNITY, THERE CONTINUES TO BE A HIGH NEED FOR EDUCATION MATERIALS IN SPANISH AND MULTI-LINGUAL CAREGIVERS OR TEAM MEMBERS WHO CAN ADDRESS QUESTIONS AND FOLLOW UP WITH PATIENTS AFTER INITIAL COMMUNITY ENGAGEMENT. STRATEGIES TO ADDRESS THIS NEED: -CONTINUE PARTICIPATING IN PARTNER EVENTS, HEALTH FAIRS AND COMMUNITY EVENTS TO PROVIDE: -BLOOD PRESSURE SCREENINGS -GLUCOSE SCREENINGS -PROMOTE CARDIOVASCULAR HEALTH AND RISK REDUCTION -PROVIDE FREE OR LOW-COST DIABETES AND NUTRITION EDUCATION CLASSES AND RESOURCES PROVIDE RESOURCES IN SPANISH AND ENGLISH IN ORDER TO ASSIST PATIENTS WITH THE FOLLOWING: -RESOURCES AND GUIDANCE FOR CARDIOVASCULAR HEALTH, HIGH BLOOD PRESSURE, DIABETES PROVIDE CARE COORDINATION SERVICES IN SPANISH AND ENGLISH TO ENSURE PATIENTS: -DISCHARGE HOME SAFELY WITH POSITIVE HEALTH OUTCOMES AND INCREASED AWARENESS AND UNDERSTANDING OF THEIR HEALTHCARE NEEDS AND FOLLOW UP CARE AS NEEDED. -HAVE RESOURCES AVAILABLE TO MAKE FOLLOW UP APPOINTMENTS, APPLY FOR FINANCIAL -ASSISTANCE, AND ENROLL IN SUPPORT GROUPS -UNDERSTAND THEIR ACCESS TO ADDITIONAL TREATMENT AND RESOURCE OPTIONS FOR BEHAVIORAL AND MENTAL HEALTH NEEDS -UNDERSTAND THAT PVHMC EMERGENCY DEPARTMENT WILL IDENTIFY, APPROPRIATELY -TREAT, REFER TO TREATMENT, AND PROVIDE FOLLOW UP FOR PATIENTS EXPERIENCING -BEHAVIORAL HEALTH OR SUBSTANCE USE DISORDERS. -GATHER FURTHER PATIENT INFORMATION AT EVENTS TO FOLLOW UP ON THEIR HEALTH CARE JOURNEY -UTILIZE EXISTING PATIENT DOCUMENTS WHILE ADDING FIELDS FOR ""APPROVAL TO SEND PVHMC MATERIALSREQUEST EMAIL AND PHONE NUMBER. THE FOLLOWING PROGRAMS AND SERVICES ARE PROVIDED BY PVHMC, SPECIFICALLY DESIGNATED TO ADDRESS PRIORITY NEED 1, CHRONIC DISEASE MANAGEMENT: STEAD HEART AND VASCULAR CENTER LECTURES AND CLASSES FOR CARDIOVASCULAR HEALTH; SAVING STROKES EVENT; COMMUNITY BLOOD PRESSURE SCREENINGS; COMMUNITY-BASED DIABETES PROGRAM STOPPING DIABETES IN ITS TRACKS (SDIT); NUTRITION EDUCATION; THE ROBERT AND BEVERLY LEWIS FAMILY CANCER CARE CENTER EDUCATION, WELLNESS CLASSES, WORKSHOPS, FORUMS, AND EVENTS; CANCER PROGRAM ANNUAL PUBLICATION; STEAD HEART AND VASCULAR CENTER PUBLICATIONS; PALLIATIVE CARE SERVICES. PRIORITY AREA TWO: ACCESS TO CARE IDENTIFIED COMMUNITY NEED: ACCESS TO CARE (EXAMPLES: PRIMARY AND SPECIALTY CARE, ACCESS TO MENTAL HEALTH SERVICES, CARE COORDINATION/PATIENT NAVIGATION) SUMMARY: THE COVID-19 PANDEMIC HAS GREATLY IMPACTED ACCESS TO CARE FOR COMMUNITY MEMBERS, PARTICULARLY THOSE WHO ARE UNINSURED OR UNDERINSURED. PVHMC'S FREE SCREENINGS AND CLINICS CONTINUE TO PROVIDE VALUABLE RESOURCES AND TOUCH POINTS FOR THE COMMUNITY MEMBERS. THE PARTNERSHIPS WITH LOCAL COMMUNITY CLINICS SUCH AS PARK TREE AND EAST VALLEY COMMUNITY HEALTH CENTER PROVIDE IMPORTANT RESOURCES FOR THE UNDERINSURED AND UNINSURED POPULATIONS AND CONTINUED PARTNERSHIP IS NEEDED TO ADDRESS COMMUNITY NEEDS. TRANSPORTATION NEEDS FOR PATIENTS BEING DISCHARGED TO HOME HAS INCREASED WITH THE PANDEMIC,THEREFORE, IT IS WORTH EXPLORING AVENUES TO SUPPORT PATIENT TRANSPORTATION SO THEY CAN RECEIVE FOLLOW UP CARE IN A CLINIC OR PRIMARY CARE SETTING. WITH BEHAVIORAL AND MENTAL HEALTH NEEDS INCREASING IN THE COMMUNITY, IT IS IMPORTANT PVHMC CONTINUES SUPPORTING THESE NEEDS AS WELL AS EXPLORING ADDITIONAL AVENUES OF SUPPORT TO ENSURE PATIENTS' ACCESS TO CARE. STRATEGIES TO ADDRESS THE NEED: -CONTINUE TO PROVIDE FREE OR REDUCED COST SCREENINGS AND IMMUNIZATIONS AT LOCAL HEALTH FAIRS -CONTINUE TO PROVIDE FREE, LOW-COST OR REDUCED-COST HEALTH SERVICES, MEDICATIONS, AND MEDICAL DEVICES -CONTINUE COLLABORATING WITH PRIMARY CARE PROVIDERS AND CLINICS (PARK TREE AND EAST VALLEY COMMUNITY HEALTH CENTER AS EXAMPLES) TO IMPROVE ACCESS TO PREVENTATIVE AND SPECIALTY CARE -PROMOTE COMMUNITY AWARENESS ABOUT HEALTH SERVICES OFFERED, WELLNESS CLASSES, AND SUPPORT GROUPS IN BOTH ENGLISH AND SPANISH -CONTINUE TO INCREASE PVHMC'S CAPACITY TO CARE FOR PATIENTS NEEDING EMERGENCY TREATMENT, TRAUMA SERVICES, SURGERY, PRIMARY CARE, BEHAVIORAL AND MENTAL HEALTH SERVICES -PROVIDE DISCHARGE TRANSPORTATION FOR VULNERABLE PATIENTS WHO ARE OTHERWISE UNABLE TO GET HOME AND EXPLORE TRANSPORTATION OPPORTUNITIES FOR FOLLOW UP CARE AT PRIMARY CARE OFFICES AND CLINICS. -PROVIDE ENROLLMENT ASSISTANCE FOR APPROPRIATE HEALTH INSURANCE PLANS WHETHER BOTH IN PERSON AND ONLINE; -PARTICIPATION IN THE HOSPITAL PRESUMPTIVE ELIGIBILITY PROGRAM -CONTINUE WORKING WITH PVHMC'S FAMILY MEDICINE RESIDENCY PROGRAM THROUGH UCLA TO INCREASE THE NUMBER OF PRIMARY CARE PHYSICIANS IN THE REGION. OF THE HEALTH NEEDS IDENTIFIED THROUGH OUR NEEDS ASSESSMENT, PVHMC DOES NOT HAVE A LICENSED PSYCHIATRIC FACILITY, OR THE CURRENT CAPACITY, TO PROVIDE INPATIENT AND OUTPATIENT MENTAL HEALTH TREATMENT SERVICES. WHILE PVHMC HAS SOME SERVICES IN PLACE TO ASSIST WITH MENTAL HEALTH AND SUBSTANCE ABUSE, SUCH AS EMERGENT PSYCHIATRIC CONSULTATIONS, MENTAL HEALTH REF"

SCHEDULE H, PART V, SECTION B, LINE 13H
CALIFORNIA STATE REGULATIONS

SCHEDULE H, PART V, SECTION B, LINE 15E
THE HOSPITAL WILL PROVIDE GUIDANCE AND/OR DIRECT ASSISTANCE TO PATIENTS OR THEIR FAMILY REPRESENTATIVE AS NECESSARY TO FACILITATE COMPLETION OF FAP APPLICATIONS. FINANCIAL COUNSELORS, ELIGIBILITY SERVICES LIAISONS AND/OR PATIENT ACCOUNT REPRESENTATIVES ARE AVAILABLE TO PROVIDE GUIDANCE OVER THE PHONE OR MEET IN PERSON.

SCHEDULE H, PART V, SECTION B, LINE 16A
FINANCIAL ASSISTANCE POLICY URL https://www.pvhmc.org/Patients-Visitors/Financial-Questions/Financial-Assi stance-Program.aspx

SCHEDULE H, PART V, SECTION B, LINE 16B
FINANCIAL ASSISTANCE POLICY APPLICATION URL https://www.pvhmc.org/Patients-Visitors/Financial-Questions/Financial-Assi stance-Program.aspx

SCHEDULE H, PART V, SECTION B, LINE 16C
FINANCIAL ASSISTANCE POLICY PLAIN LANGUAGE SUMMARY URL https://www.pvhmc.org/Patients-Visitors/Financial-Questions/Financial-Assi stance-Program.aspx

SCHEDULE H, PART V, SECTION B, LINE 7B
COMMUNITY HEALTH NEEDS ASSESSMENT REPORT https://www.pvhmc.org/documents/community/2021_PVHMC-Community-Health-Need s-Assessment.pdf

SCHEDULE H, PART I, LINES 7A-7I
LINES 7A-7B USED COST-TO CHARGE METHODOLOGY USING WORKSHEET 2, RATIO OF PATIENT CARE COST-TO CHARGES. LINES 7E-7I USED ACTUAL AMOUNTS PER THE GENERAL LEDGER.

SCHEDULE H, PART I, LINES 7B & 7I
THE MEDICAL CENTER EXPENSED PAYMENTS TO DEPARTMENT OF HEALTH CARE SERVICES IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS FOR THE QA FEE IN THE AMOUNT OF $40,704,000 IN 2020 AND $ 37,737,939 IN 2021 INCLUDED ON SCHEDULE H, PART I, LINE 7B, COLUMN C. THE MEDICAL CENTER ALSO RECORDED PLEDGE PAYMENTS OF $648,057 IN 2020 AND $104,962 IN 2021 IN CONJUNCTION WITH THE PROGRAM, WHICH IS REPORTED ON SCHEDULE H, PART I, LINE 7I, COLUMN C. THE QA FEE AND PLEDGE PAYMENTS ARE RECORDED IN CALIFORNIA HOSPITAL FEE QUALITY ASSURANCE FEE AND PLEDGE PAYMENTS WITHIN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS. THE MEDICAL CENTER RECOGNIZED SUPPLEMENTAL PAYMENTS OF $104,680,638 IN 2021 INCLUDED ON SCHEDULE H, PART I, LINE 7B, COLUMN D, WHICH PERTAINS TO THE PERIOD JANUARY 1, 2021 TO DECEMBER 31, 2021, FOR THE FEE-FOR-SERVICE PORTION, AND JANUARY 1, 2014 TO JUNE 30, 2016, FOR THE MANAGED CARE NON-MEDICAID EXPANSION PORTION. THE INCLUSION OF THESE AMOUNTS ON LINE 7B OF PART I IN THE CURRENT YEAR DECREASES THE PERCENTAGE OF THE TOTAL EXPENSE, AS COMPARED TO 2009 (THE LAST YEAR BEFORE THE PROGRAM WAS IN EFFECT).

SCHEDULE H, PART I, LINE 7F
Health Profession Education POMONA VALLEY HOSPITAL MEDICAL CENTER IS COMMITTED TO CREATING A HEALTHY COMMUNITY IN THE POMONA VALLEY REGION, AND IN REALIZING THIS COMMITMENT, ASSISTS LOCAL SCHOOLS (E.G. CHAFFEY COLLEGE, WESTERN UNIVERSITY OF HEALTH SCIENCES, MOUNT SAN ANTONIO COLLEGE, CITRUS COLLEGE) IN MEETING REQUIREMENTS FOR THEIR NURSING PROGRAMS AND TO PROVIDE HEALTH PROFESSION EXTERNSHIPS, PRECEPTORSHIP, AND CLINICAL EXPERIENCE FOR RESPIRATORY, RADIOLOGY, SOCIAL SERVICES AND DIETETIC STUDENTS ALIKE. POMONA VALLEY HOSPITAL MEDICAL CENTER WORKS WITH LOCAL AREA MIDDLE AND HIGH SCHOOLS TO INTRODUCE CAREERS IN HEALTH CARE BY INVITING THEM TO TOUR OUR HOSPITAL AND BY VISITING THEM ON THEIR CAMPUS. OUR FAMILY MEDICINE RESIDENCY PROGRAM TRAINS 20 PHYSICIANS EACH YEAR TO DEVELOP OUTSTANDING CLINICAL SKILLS, COMPASSION, AND EXCELLENT COMMUNICATION AND LEADERSHIP ABILITIES. THE RESIDENCY IS AFFILIATED WITH THE DAVID GEFFEN SCHOOL OF MEDICINE AT UCLA.

SCHEDULE H, PART I, LINE 7G
SUBSIDIZED HEALTH SERVICES NONE OF THE MONEY IDENTIFIED UNDER THE SUBSIDIZED HEALTH SERVICES CATEGORY PERTAINS TO A PHYSICIAN CLINIC IN OUR COMMUNITY BENEFIT REPORT.

SCHEDULE H, PART II
COMMUNITY BUILDING ACTIVITIES POMONA VALLEY HOSPITAL MEDICAL CENTER PARTICIPATES ON THE STEERING COMMITTEE FOR THE LOS ANGELES COUNTY SERVICE PLANNING AREA (SPA 3'S) HEALTH PLANNING GROUP (SAN GABRIEL VALLEY HEALTH CONSORTIUM). WE PARTICIPATE TO LOOK AT ACCESS TO CARE, PROMOTION OF HEALTH AND ACCESS AND AVAILABILITY OF SPECIALTY CARE, AND HOW THIS NEED PARTICULARLY AFFECTS OUR MOST VULNERABLE AND MEDICALLY UNDERSERVED POPULATIONS. PVHMC ALSO PARTICIPATES IN THE POMONA'S PROMISE COALITION AND HOSTS THE VIOLENCE PREVENTION GROUPS, LOOKING AT VIOLENCE IN THE COMMUNITY AS A SOCIAL DETERMINANT OF HEALTH. POMONA VALLEY HOSPITAL MEDICAL CENTER ASSISTS LOCAL SCHOOLS (E.G. CHAFFEY COLLEGE, WESTERN UNIVERSITY OF HEALTH SCIENCES, MOUNT SAN ANTONIO COLLEGE, CITRUS COLLEGE AND UNIVERSITY OF LA VERNE) IN MEETING REQUIREMENTS FOR THEIR NURSING PROGRAMS, OUR EDUCATION DEPARTMENT SERVES ON THE ADVISORY BOARDS TO THESE SCHOOLS. THE COSTS AND PERSONS SERVED ASSOCIATED ARE REFLECTED ON LINES 3 & 8 OF PART II AS COMMUNITY SUPPORT AND WORKFORCE DEVELOPMENT. POMONA VALLEY HOSPITAL MEDICAL CENTER SUPPORTS THE ECONOMIC DEVELOPMENT OF THE COMMUNITY BY ALLOWING LOCAL NOT-FOR-PROFIT ORGANIZATIONS TO PARTICIPATE IN CREATING A SPONSORSHIP AD FOR THEIR ORGANIZATION IN OUR HOSPITAL'S PROGRAM BOOKS FOR COMMUNITY EVENTS. THE COSTS AND PERSONS SERVED ASSOCIATED WITH CONDUCTING OUR NEEDS ASSESSMENT ARE REFLECTED ON LINE 2 OF PART II AS ECONOMIC DEVELOPMENT. POMONA VALLEY HOSPITAL MEDICAL CENTER IS ONE OF 13 DESIGNATED DISASTER RESOURCE CENTERS (DRC) IN LOS ANGELES COUNTY AS PART OF THE NATIONAL BIOTERRORISM HOSPITAL PREPAREDNESS PROGRAM. AS THE DRC FOR THE REGION, POMONA VALLEY HOSPITAL MEDICAL CENTER IS RESPONSIBLE FOR 12 UMBRELLA FACILITIES IN THE AREA AND COORDINATES DRILLS, TRAINING, AND SHARING OF PLANS TO BRING TOGETHER THE COMMUNITY AND OUR RESOURCES FOR DISASTER PREPAREDNESS.

SCHEDULE H, PART III, LINE 2
THE BAD DEBT EXPENSE IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS FOR EACH MAJOR PAYOR SOURCE, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE MEDICAL CENTER'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE MEDICAL CENTER RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD SERVICES ARE PROVIDED RELATED TO SELF-PAY PATIENTS, INCLUDING BOTH UNINSURED PATIENTS AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR A PORTION OF THEIR BALANCE. FOR RECEIVABLES ASSOCIATED WITH PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE MEDICAL CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE MEDICAL CENTER'S POLICIES.

SCHEDULE H, PART III, LINE 8
THE COSTING METHODOLOGY USED IS COST TO CHARGE RATIO. THE SOURCE OF INFORMATION IS THE MEDICARE COST REPORT.

SCHEDULE H, PART VI, LINE 6
POMONA VALLEY HOSPITAL MEDICAL CENTER IS A STAND ALONE HOSPITAL, NOT PART OF A HEALTH CARE SYSTEM.

SCHEDULE H, PART VI, LINE 7
CALIFORNIA

SCHEDULE H, PART III, LINE 9B
THE HOSPITAL'S CREDIT AND COLLECTION POLICY APPLIES TO ALL PATIENTS WHO RECEIVE SERVICES AT POMONA VALLEY HOSPITAL MEDICAL CENTER WHO HAVE A FINANCIAL OBLIGATION TO THE HOSPITAL. THIS POLICY DEFINES THE REQUIREMENTS AND PROCESSES USED BY THE HOSPITAL BUSINESS OFFICE WHEN MAKING PAYMENT ARRANGEMENTS WITH INDIVIDUAL PATIENTS OR THEIR ACCOUNANTORS. THE CREDIT AND COLLECTION POLICY SPECIFIES THE STANDARDS AND PRACTICES USED BY THE HOSPITAL FOR THE COLLECTION OF DEBTS ARISING FROM THE PROVISION OF SERVICES TO PATIENTS AT PVHMC. THESE PRACTICES ARE APPLIED CONSISTENTLY TO PATIENTS WHOSE BALANCE RESULTS FROM AN UNPAID DEDUCTIBLE, COINSURANCE AND/OR COPAY, PATIENTS WHO HAVE BEEN APPROVED FOR FINANCIAL ASSISTANCE IN WHICH THEIR BALANCE IS DISCOUNTED ACCORDING TO THE FINANCIAL ASSISTANCE POLICY, PATIENTS WHO HAVE AGREED TO THE TERMS OF A PROMPT PAYMENT DISCOUNT AS WELL AS PATIENTS WHO HAVE NOT AGREED TO THE TERMS OF A DISCOUNT PROGRAM. IN THE EVENT THAT A PATIENT OR PATIENT'S GUARANTOR HAS MADE A DEPOSIT PAYMENT, OR OTHER PARTIAL PAYMENT FOR SERVICES AND SUBSEQUENTLY IS DETERMINED TO QUALIFY FOR FULL CHARITY CARE OR DISCOUNT PARTIAL CHARITY CARE, ALL AMOUNTS PAID WHICH EXCEED THE PAYMENT OBLIGATION, IF ANY, AS DETERMINED THROUGH THE FINANCIAL ASSISTANCE PROGRAM PROCESS, SHALL BE REFUNDED TO THE PATIENT WITH INTEREST. HOWEVER, SINCE THE APPLICATION PROCESS FOR PARTIAL CHARITY CARE MAY BE APPLIED TO ALL PRE-EXISTING ACCOUNT BALANCES OUTSTANDING AT THE TIME OF CHARITY QUALIFICATION, A PATIENT OVERPAYMENT ON ONE ACCOUNT MAY REDUCE THE PATIENT'S OUTSTANDING OBLIGATION ON ANOTHER ACCOUNT AFTER A PARTIAL CHARITY DISCOUNT HAS BEEN APPLIED. THE HOSPITAL WILL REVIEW ALL OF THE PATIENT'S ACCOUNTS AND COMPLETE A RECONCILIATION OF DISCOUNTED AMOUNTS DUE LESS TOTAL AMOUNTS PAID TO DETERMINE IF THE PATIENT OVERPAID. INTEREST SHALL BEGIN TO ACCRUE ON THE FIRST DAY THAT PAYMENT BY THE PATIENT IS RECEIVED BY THE HOSPITAL. INTEREST AMOUNTS SHALL BE ACCRUED AT THE INTEREST RATE SET FORTH IN SECTION 685.010 OF THE CODE OF CIVIL PROCEDURE. IN THE EVENT THAT THE AMOUNT OF INTEREST AND/OR THE AMOUNT OWED TO THE PATIENT IS IN THE SMALL BALANCE RANGE AS DEFINED BY THE HOSPITAL'S SMALL BALANCE POLICY, THE BALANCE WILL BE PROCESSED IN ACCORDANCE WITH THE SMALL BALANCE POLICY. OTHER OVERPAYMENTS FROM PATIENTS WILL BE PROCESSED IN ACCORDANCE WITH THE REFUND REQUEST POLICY.

SCHEDULE H, PART VI, LINE 2
COMMUNITY NEEDS ASSESSMENT IN 2021, A COMMUNITY NEEDS ASSESSMENT WAS COMPLETED. THE COMMUNITY NEEDS ASSESSMENT IS THE PRIMARY MEANS OF ASSESSING THE NEEDS OF OUR COMMUNITY. THE ASSESSMENT IS INTENDED TO BE A RESOURCE FOR PVHMC TO BECOME INVOLVED WITH DEVELOPING AND MAINTAINING ACTIVITIES AND PROGRAMS THAT CAN HELP IMPROVE THE HEALTH AND WELL-BEING OF THE RESIDENTS OF POMONA VALLEY.THE COMMUNITY NEEDS ASSESSMENT PROCESS INCLUDED PRIMARY AND SECONDARY DATA COLLECTION, INCLUDING VALUABLE COMMUNITY, STAKEHOLDER, AND PUBLIC HEALTH INPUT THAT WAS EXAMINED TO PRIORITIZE THE MOST CRITICAL NEEDS OF OUR COMMUNITY AND SERVE AS THE BASIS FOR OUR COMMUNITY BENEFIT PLAN INITIATIVES AND IMPLEMENTATION STRATEGY. THE RESEARCH OBJECTIVES OF THE 2021 CHNA WERE CONSISTENT WITH THOSE OF PREVIOUS CHNA'S, IN THAT PVHMC DESIRED TO: 1) OBJECTIVELY LOOK AT DEMOGRAPHIC AND SOCIOECONOMIC ASPECTS OF THE COMMUNITY, HEALTH STATUS, AND BARRIERS TO RECEIVING CARE, 2) IDENTIFY OPPORTUNITIES FOR COLLABORATION WITH OTHER COMMUNITY BASED ORGANIZATIONS 3) IDENTIFY COMMUNITIES AND GROUPS THAT ARE EXPERIENCING HEALTH DISPARITIES, AND 4) TO ASSIST PVHMC WITH THE DEVELOPMENT OF RESOURCES AND PROGRAMS THAT WILL IMPROVE AND ENHANCE THE WELL-BEING OF THE RESIDENTS OF POMONA VALLEY AS WELL AS IDENTIFY AREAS FOR POTENTIAL COLLABORATION WITH OTHER COMMUNITY-BASED ORGANIZATIONS. THE COMMUNITY NEEDS ASSESSMENT HAS BEEN MADE WIDELY AVAILABLE TO THE PUBLIC AT https://www.pvhmc.org/about-us/community-services/

SCHEDULE H, PART VI, LINE 4
COMMUNITY INFORMATION OUR MISSION - PVHMC IS A NOT-FOR-PROFIT REGIONAL MEDICAL CENTER DEDICATED TO PROVIDING HIGH QUALITY, COST EFFECTIVE HEALTH CARE SERVICES TO RESIDENTS OF THE GREATER POMONA VALLEY. THE MEDICAL CENTER OFFERS A FULL RANGE OF SERVICES FROM LOCAL PRIMARY ACUTE CARE TO HIGHLY SPECIALIZED REGIONAL SERVICE. SELECTION OF ALL SERVICES IS BASED ON COMMUNITY NEED, AVAILABILITY OF FINANCING AND THE 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 ACCORDING TO THE 2020 UNITED STATES CENSUS. ACCORDING TO THE OFFICE OF STATEWIDE HEALTH AND PLANNING 2012 DATA, POMONA EAST AND SOUTH ARE DESIGNATED AS A MEDICALLY UNDERSERVED AREA, SPECIFICALLY AS AN AREA WITH A PRIMARY CARE SHORTAGE. AS A PRIVATE COMMUNITY SAFETY NET HOSPITAL, ALSO WITH THE DESIGNATION AS A DISPROPORTIONATE SHARE HOSPITAL (DSH), WE CARE FOR A GREATER POPULATION OF LOW-INCOME, MEDICALLY VULNERABLE PATIENTS. THEY OFTEN REQUIRE AN INCREASED NEED OF ACCESSIBLE, HIGH QUALITY, AND COST-EFFECTIVE HEALTH CARE SERVICES. WE DELIVER CARE TO ALL PATIENTS IN OUR ED, WITH OR WITHOUT INSURANCE. BASED ON THE 2020 CENSUS, THE ETHNIC DIVERSITY OF POMONA IS SUCH THAT 12.5% ARE WHITE, 70.5% ARE HISPANIC OR LATINO, 7.6% ARE BLACK OR AFRICAN AMERICAN, 0.2% ARE AMERICAN INDIAN, 8.3% ARE ASIAN, 0.2% ARE HAWAIIAN OR PACIFIC ISLANDER, 0.2% IDENTIFY AS OTHER, AND 1.4% IDENTIFY AS TWO OR MORE RACES. AMONG THIS POPULATION, ACCORDING TO THE 2019 HEALTH INTERVIEW SURVEY, POMONA'S MEDIAN HOUSEHOLD INCOME IS $67,202, WITH 13.1 % OF FAMILIES LIVING BELOW THE FEDERAL POVERTY LEVEL. EDUCATIONAL ATTAINMENT DATA WAS ALSO RETRIEVED FROM THE SURVEY, SHOWING 72.0% OF POMONA RESIDENT'S HAVE A HIGH SCHOOL DIPLOMA, 18.6% HAVE A BACHELOR'S DEGREE. MARKET SHARE - SEVERAL OTHER HOSPITALS SERVE OUR COMMUNITY. THESE HOSPITALS ARE KAISER FOUNDATION HOSPITAL OF FONTANA AND ONTARIO, SAN ANTONIO REGIONAL HOSPITAL, CHINO VALLEY MEDICAL CENTER, ARROWHEAD REGIONAL MEDICAL CENTER, MONTCLAIR HOSPITAL MEDICAL CENTER, LOMA LINDA UNIVERSITY MEDICAL CENTER, CANYON RIDGE HOSPITAL, KAISER FOUNDATION HOSPITAL OF BALDWIN PARK, COMMUNITY HOSPITAL OF SAN BERNARDINO, SAN DIMAS COMMUNITY HOSPITAL, AND EMANATE HEALTH-QUEEN OF THE VALLEY CAMPUS. EMANATE HEALTH-QUEEN OF THE VALLEY CAMPUS.

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THE HOSPITAL MAKES EVERY EFFORT TO INFORM ITS PATIENTS OF THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. SPECIFICALLY: -EVERY REGISTERED PATIENT RECEIVES A WRITTEN NOTICE OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY WRITTEN IN PLAIN LANGUAGE PER IRC 501(R); -UPON REQUEST, PAPER COPIES OF THE FINANCIAL ASSISTANCE POLICY, THE FINANCIAL ASSISTANCE APPLICATION FORM AND THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY ARE MADE AVAILABLE FREE OF CHARGE. THESE DOCUMENTS ARE ALSO AVAILABLE ON THE HOSPITAL'S WEBSITE; -WHENEVER POSSIBLE, DURING THE REGISTRATION PROCESS, UNINSURED PATIENTS ARE SCREENED FOR ELIGIBILITY WITH GOVERNMENT; -SPONSORED PROGRAMS INCLUDING MEDI-CAL HOSPITAL PRESUMPTIVE ELIGIBILITY AND/OR THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM; -PUBLIC NOTICES ARE POSTED THROUGHOUT THE HOSPITAL NOTIFYING THE PUBLIC OF FINANCIAL ASSISTANCE FOR THOSE WHO QUALIFY SUCH NOTICES ARE POSTED IN HIGH VOLUME INPATIENT, AREAS AND IN OUTPATIENT SERVICE AREAS OF THE HOSPITAL, INCLUDING BUT NOT LIMITED TO THE EMERGENCY DEPARTMENT, INPATIENT ADMISSION AND OUTPATIENT REGISTRATION AREAS, OR OTHER COMMON PATIENT WAITING AREAS OF THE HOSPITAL. NOTICES ARE ALSO POSTED AT ALL LOCATIONS WHERE A PATIENT MAY PAY THEIR BILL. NOTICES INCLUDE CONTACT INFORMATION ON HOW A PATIENT MAY OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR SUCH ASSISTANCE.THESE NOTICES ARE WRITTEN IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT ARE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. -GUARANTOR BILLING STATEMENTS CONTAIN INFORMATION TO ASSIST PATIENTS IN OBTAINING GOVERNMENT SPONSORED COVERAGE AND/OR FINANCIAL ASSISTANCE PROVIDED BY THE HOSPITAL. CONSISTENT WITH CALIFORNIA HEALTH AND SAFETY CODE SECTION 127420, THE HOSPITAL WILL INCLUDE THE FOLLOWING CLEAR AND CONSPICUOUS INFORMATION ON A PATIENT'S BILL: (1)A STATEMENT OF CHARGES FOR SERVICES RENDERED BY THE HOSPITAL (2)A REQUEST THAT THE PATIENT INFORM THE HOSPITAL IF THE PATIENT HAS HEALTH INSURANCE COVERAGE, MEDICARE, MEDI-CAL, OR OTHER COVERAGE (3)A STATEMENT THAT IF THE CONSUMER DOES NOT HAVE HEALTH INSURANCE COVERAGE, THE CONSUMER MAY BE ELIGIBLE FOR COVERAGE OFFERED THROUGH THE CALIFORNIA HEALTH BENEFIT EXCHANGE (COVERED CA), MEDICARE, MEDI-CAL, CALIFORNIA CHILDREN'S SERVICES PROGRAM, OR CHARITY CARE (4)A STATEMENT INDICATING HOW PATIENTS MAY OBTAIN AN APPLICATION FOR THE MEDICAL PROGRAM, COVERAGE OFFERED THROUGH THE CALIFORNIA HEALTH BENEFIT EXCHANGE, OR OTHER STATE- OR COUNTY-FUNDED HEALTH COVERAGE PROGRAMS AND THAT THE HOSPITAL WILL PROVIDE THESE APPLICATIONS. IF THE PATIENT DOES NOT INDICATE COVERAGE BY A THIRD-PARTY PAYER OR REQUESTS A DISCOUNTED PRICE OR CHARITY CARE,THEN THE HOSPITAL SHALL PROVIDE AN APPLICATION FOR THE MEDI-CAL PROGRAM, OR OTHER STATE- OR COUNTY-FUNDED PROGRAMS TO THE PATIENT.THIS APPLICATION SHALL BE PROVIDED PRIOR TO DISCHARGE IF THE PATIENT HAS BEEN ADMITTED OR TO PATIENTS RECEIVING EMERGENCY OR OUTPATIENT CARE. THE HOSPITAL SHALL ALSO PROVIDE PATIENTS WITH A REFERRAL TO A LOCAL CONSUMER ASSISTANCE CENTER HOUSED AT LEGAL SERVICES OFFICES (5)INFORMATION REGARDING THE FINANCIALLY QUALIFIED PATIENT AND CHARITY CARE APPLICATION, INCLUDING THE FOLLOWING: (A) A STATEMENT THAT INDICATES THAT IF THE PATIENT LACKS, OR HAS INADEQUATE INSURANCE, AND MEETS CERTAIN LOW- AND MODERATE-INCOME REQUIREMENTS, THE PATIENT MAY QUALIFY FOR DISCOUNTED PAYMENT OR CHARITY CARE. (B) THE NAME AND TELEPHONE NUMBER OF A HOSPITAL EMPLOYEE OR OFFICE FROM WHOM THE PATIENT MAY OBTAIN INFORMATION ABOUT THE HOSPITAL'S DISCOUNT PAYMENT AND CHARITY CARE POLICIES, AND HOW TO APPLY FOR THAT ASSISTANCE. (C) IF A PATIENT APPLIES, OR HAS A PENDING APPLICATION, FOR ANOTHER HEALTH COVERAGE PROGRAM AT THE SAME TIME THAT HE OR SHE APPLIES FOR A HOSPITAL CHARITY CARE OR DISCOUNT PAYMENT PROGRAM, NEITHER APPLICATION SHALL PRECLUDE ELIGIBILITY FOR THE OTHER PROGRAM. THE HOSPITAL WILL PROVIDE PATIENTS WITH A REFERRAL TO A LOCAL CONSUMER ASSISTANCE CENTER HOUSED IN A LEGAL SERVICES OFFICE.

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OTHER INFORMATION ON PROMOTING COMMUNITY HEALTH IMPROVEMENTS POMONA VALLEY HOSPITAL MEDICAL CENTER IS GOVERNED BY A BOARD OF DIRECTORS WHOSE MEMBERS ARE REPRESENTATIVE OF THE COMMUNITY, HOSPITAL AND MEDICAL STAFF LEADERSHIP. CONSISTENT WITH THE IRS COMMUNITY BENEFIT STANDARD A MAJORITY OF THE BOARD OF DIRECTORS ARE NEITHER EMPLOYEES, CONTRACTORS NOR FAMILY MEMBERS OF THE ORGANIZATION. POMONA VALLEY HOSPITAL MEDICAL CENTER IS A COMMUNITY BASED DISPROPORTIONATE SHARE HOSPITAL. IN ADDITION, WE PARTICIPATE IN MEDICARE, MEDICAL, CHAMPUS, TRICARE. POMONA VALLEY HOSPITAL MEDICAL CENTER IS AN OPEN MEDICAL STAFF, EXTENDING STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS FOR ALL AREAS AND DEPARTMENTS OF OUR FACILITY. POMONA VALLEY HOSPITAL MEDICAL CENTER IS HOME TO THE ONLY 24-HOURS-A-DAY, FULL SERVICE EMERGENCY DEPARTMENT (ED) AND LEVEL II TRAUMA CENTER IN POMONA. OUR ED TREATS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY; POMONA VALLEY HOSPITAL MEDICAL CENTER PROVIDES EMERGENCY SERVICES TO ALL PATIENTS WITH OUR WITHOUT INSURANCE. THE EMERGENCY DEPARTMENT'S DEDICATED STAFF IS EXPERIENCED IN PROVIDING PROMPT, ACCURATE DIAGNOSIS AND SKILLFUL MEDICAL TREATMENT. THIS EXPERT TEAM INCLUDES BOARD-CERTIFIED EMERGENCY PHYSICIANS, PHYSICIAN ASSISTANTS, BOARD CERTIFIED NURSES, EMERGENCY MEDICAL TECHNICIANS, RESPIRATORY THERAPISTS AND OTHER HIGHLY TRAINED EMERGENCY CARE PROFESSIONALS. ALL ARE DEDICATED TO PROVIDING TECHNOLOGICALLY ADVANCED, LIFESAVING MEDICAL SERVICES WITH COMPASSIONATE, CULTURALLY APPROPRIATE CARE. A PART OF PVHMC'S MISSION IS OUR DEDICATION TO CONTINUOUSLY STRIVE TO IMPROVE THE STATUS OF HEALTH BY REACHING OUT AND SERVING THE NEEDS OF OUR DIVERSE ETHNIC, RELIGIOUS AND CULTURAL COMMUNITY.