Home
Sign In
SyFPHR
Search
>
Results
>
Details
Hospital Details
Policy Effective Date (Date Posted):
2022-2023 (Most Recent)
2022-2023 (6/9/2023)
2018-2019 (2/6/2018)
2014-2015 (12/30/2014)
2012-2013 (6/6/2012)
2012-2013 (6/6/2012)
2010-2011 (2/10/2010)
2008-2009 (1/6/2008)
Go
Download:
Policy File
Download:
Application File
General Information
Hospital:
POMONA VALLEY HOSPITAL MEDICAL CENTER
1798 NORTH GAREY AVENUE
POMONA, CA 91767
http://www.pvhmc.org/
License:
General Acute Care Hospital
Total Beds:
412
Emergency Room:
Yes
more...
Contact:
Juli Hester
(909) 865-9881
OSHPD ID:
106190630
Fair Pricing Policy Information
Show FPL Chart
Policy Effective Date:
7/1/2017
Download:
Policy File
Federal Poverty Level for Free Care:
400%
Discount Payment Effective Date:
7/1/2017
Discount Payments
Other Discount Payment Information:
Application Form Information
Application Form Eff Date:
7/1/2017
Download:
Application File
Income Type Used:
Salary Received
Interest Received
Pension Received
Language Information
Available Languages:
English
Spanish
Additional Information
Family
Size
100%
150%
200%
250%
300%
350%
400%
