Pomona Valley Hospital Medical Center — Financial Assistance & Charity Care

Do you qualify for FREE care?

Pomona Valley Hospital Medical Center provides free (charity) care to patients at or below 400% of the Federal Poverty Level. If your yearly household income is at or below the amount for your household size, you likely qualify for 100% free care:

What you'll need to apply

• Completed & signed financial assistance application
• ONE income proof: recent pay stubs (within six months before or after first billed; for care not yet provided, within six months of application submission) OR recent income tax return (showing family income for the year first billed, or for the twelve months before first billed)
• If pay stubs/tax returns unavailable, other proof may be requested (not required): signed employer letter, letter showing approval/denial from a government program, written declaration, or verbal statement

How to apply

When you call, say: “I'd like to apply for financial assistance (charity care) for a hospital bill. Can you send me the application and tell me which documents I need?”

Based on this hospital's policy effective 10/08/2026.

✓ Checked 2026-10-12. These income limits appear in this hospital's own published policy. This is an automatic check of that document — not a review by a person or by the hospital.