TY 2010 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) KIM CRAIG CHAIRMAN	6.00	X	X	0	0	0
(2) FRANK QUITONI VICE-CHAIRMAN	6.00	X	X	0	0	0
(3) CAROLYN CONCANNON SECRETARY	6.00	X	X	0	0	0
(4) PATTI STEFANICK DO ASSISTANT SECRETARY	6.00	X	X	25,000	0	0
(5) ELMER LASLO TREASURER	6.00	X	X	0	0	0
(6) STEVEN TUCKER PRESIDENT	25.00	X	X	531,509	0	35,347
(7) SCOTT BECKER CHIEF EXECUTIVE OFFICER	4.00	X	X	0	1,236,437	42,969
(8) SAMUEL CATANESE TRUSTEE	2.00	X		0	0	0
(9) JONATHAN GLEASON TRUSTEE	2.00	X		0	0	0
(10) JAGDISH PATEL MD TRUSTEE	2.00	X		0	278,242	37,708
(11) WILLIAM POLACEK TRUSTEE	2.00	X		0	0	0
(12) JAMES TRETTER DO TRUSTEE	7.00	X		0	801,687	36,818
(13) ANTHONY SCUDERI MD TRUSTEE	2.00	X		0	0	0
(14) SHIBAN WARIKOO MD TRUSTEE	2.00	X		0	512,127	46,514
(15) EDWARD DEPASQUALE CHIEF FINANCIAL OFFICER	14.00		X	0	538,638	35,167
(16) DAVID CARLSON DO CHIEF MEDICAL OFFICER	10.00		X	0	678,102	30,611
(17) JOSEPH DADO CHIEF INFORMATION OFFICER	16.00		X	0	442,586	16,131

(A) Name and business address	(B) Description of services	(C) Compensation
ABBOTT LABORATORIES PO BOX 100997 ATLANTA,GA30384	LABORATORY SERVICES	2,047,024
MAYO COLLABORATIVE SERVICE PO BOX 9146 MINNEAPOLIS,MN55480	LABORATORY SERVICES	1,726,315
PARIS HEALTHCARE LINEN SERVICE PO BOX 1043 DUBOIS,PA15801	LINEN SERVICES	1,439,627
NORTHROP GRUMMAN IT 88056 EXPEDITE WAY CHICAGO,IL60695	SUBCONTRACTOR	990,492
BENEFIT PLANNERS & ASSOCIATES MANOR OAK SUITE 605 1910 COCHRAN R PITTSBURGH,PA15220	HEALTHCARE THIRD PARTY ADMINISTRATORS	768,003
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 49

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	2,630,837	1,647,351	983,486
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	141,824,644	125,024,855	16,799,789
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	7,265,516	6,218,057	1,047,459
9	Other employee benefits .......	22,912,149	19,393,487	3,518,662
10	Payroll taxes ...........	10,565,440	9,008,094	1,557,346
11	Fees for services (non-employees):
a	Management ......	4,885,437	49,800	4,835,637
b	Legal .........	363,948	11,739	352,209
c	Accounting ...........	211,888		211,888
d	Lobbying ...........	98,371		98,371
e	Professional fundraising. See Part IV, line 17..
f	Investment management fees ......	277,210		277,210
g	Other ..........	12,214,659	9,697,837	2,516,822
12	Advertising and promotion ....	899,574	99,706	799,868
13	Office expenses .......	2,063,553	1,488,616	574,937
14	Information technology ......	7,419,613		7,419,613
15	Royalties ..
16	Occupancy ...........	9,866,983	5,546,373	4,320,610
17	Travel ............	633,835	607,551	26,284
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	468,155	399,569	68,586
20	Interest ...........	10,754,920	10,754,920
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	20,626,385	14,212,235	6,414,150
23	Insurance ..............	6,442,263	5,490,145	952,118
24	Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a	PATIENT CARE SUPPLIES	62,394,484	62,288,967	105,517
b	BAD DEBT	16,486,574	16,486,574
c	PURCHASED SERVICES	12,448,143	11,035,497	1,412,646
d	MAINTENANCE	7,475,293	6,290,269	1,185,024
e	MA ASSESSMENT	5,285,936	5,285,936
f	All other expenses	11,151,528	6,140,889	5,010,639
25	Total functional expenses. Add lines 1 through 24f	377,667,338	317,178,467	60,488,871	0
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	230,291	1	273,824
2	Savings and temporary cash investments .......	28,445,139	2	50,458,394
3	Pledges and grants receivable, net .........		3
4	Accounts receivable, net .........	45,245,684	4	46,434,452
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........		5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6
7	Notes and loans receivable, net .............	2,343,457	7	1,731,831
8	Inventories for sale or use ..............	4,672,995	8	4,734,723
9	Prepaid expenses and deferred charges ............	2,983,853	9	3,284,375
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	454,492,809
b	Less: accumulated depreciation. .....	10b	273,022,698	187,912,878	10c	181,470,111
11	Investments—publicly traded securities ..........	135,026,600	11	166,005,160
12	Investments—other securities. See Part IV, line 11 ......		12	199,971
13	Investments—program-related. See Part IV, line 11 ..	1,444,625	13	1,380,867
14	Intangible assets .........		14
15	Other assets. See Part IV, line 11 ...........	12,693,468	15	18,997,794
16	Total assets. Add lines 1 through 15 (must equal line 34)...	420,998,990	16	474,971,502
	17	Accounts payable and accrued expenses .	29,671,189	17	36,231,243
18	Grants payable ..........		18
19	Deferred revenue ..........	4,887,135	19	5,957,974
20	Tax-exempt bond liabilities ..........	218,228,665	20	218,245,885
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..	8,199,410	23	8,528,403
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities. Complete Part X of Schedule D.....	63,759,621	25	56,758,434
26	Total liabilities. Add lines 17 through 25.....	324,746,020	26	325,721,939
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	96,252,970	27	149,249,563
28	Temporarily restricted net assets .....		28
29	Permanently restricted net assets .....		29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	96,252,970	33	149,249,563
34	Total liabilities and net assets/fund balances .....	420,998,990	34	474,971,502

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SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

CONEMAUGH VALLEY MEMORIAL HOSPITAL

Employer identification number

25-0965307

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2010

Name of organization

CONEMAUGH VALLEY MEMORIAL HOSPITAL

Employer identification number

25-0965307

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ, that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not aggregate to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization CONEMAUGH VALLEY MEMORIAL HOSPITAL
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part I
Part I	Contributors (see Instructions)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization CONEMAUGH VALLEY MEMORIAL HOSPITAL
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part II
Part II	Noncash Property (see Instructions)
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Page 1 of 1 of Part III

Name of organization
CONEMAUGH VALLEY MEMORIAL HOSPITAL

Employer identification number

25-0965307

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below.
SchCMd Bullet

Attach to Form 990 or Form 990-EZ. SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

CONEMAUGH VALLEY MEMORIAL HOSPITAL

Employer identification number

25-0965307

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c) except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities .................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2010

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check if the filing organization belongs to an affiliated group.
B Check if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated Group Totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) Total

2a	Lobbying non-taxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots non-taxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2010

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Yes

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? If "Yes," describe in Part IV ..........................

Yes

98,371

Total. lines 1c through 1i ...................................

98,371

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.

Dues, assessments and similar amounts from members .....................

Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ...........................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
EXPLANATION OF OTHER LOBBYING ACTIVITIES:	PART II-B, LINE 1I:	THE ORGANIZATION PAID DUES TO THE HOSPITAL AND HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA AND THE HOSPITAL COUNCIL OF WESTERN PENNSYLVANIA. A PERCENTAGE OF THE DUES RELATES TO LOBBYING. ALSO, THE ORGANIZATION PAID A LOBBYING FIRM FOR GOVERNMENT RELATIONS.

Schedule C (Form 990 or 990EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

CONEMAUGH VALLEY MEMORIAL HOSPITAL

Employer identification number

25-0965307

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06 ........	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back
1a	Beginning of year balance ....	196,234	187,460	189,857
b	Contributions ........	6,655	8,500	10,000
c	Investment earnings or losses ...	10,954	5,274	-11,897
d	Grants or scholarships .....	5,000	5,000	500
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......	208,843	196,234	187,460

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

Permanent endowment: SchDMd Bullet

100.000 %

Term endowment: SchDMd Bullet

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	2,643,076		2,643,076
b	Buildings ................	258,415,276	130,085,920	128,329,356
c	Leasehold improvements ............	13,964,144	6,907,684	7,056,460
d	Equipment ................	177,147,186	136,029,094	41,118,092
e	Other .................	2,323,127		2,323,127
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........				181,470,111

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes
ACCRUED PENSION		24,724,672
DUE TO MEDICARE		10,179,623
MALPRACTICE RESERVE - RRG		7,358,422
ACCRUED MALPRACTICE INS. LIABILITY		7,682,263
ACCRUED WORKER'S COMPENSATION		2,580,069
ASSET RETIREMENT OBLIG - FIN47		1,195,749
ACCRUED POST RETIREMENT - VEBA		912,210
457F DEFERRED COMPENSATION		282,270
DEFERRED COMPENSATION - ING		1,843,156
Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		56,758,434
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3
4	Net unrealized gains (losses) on investments ..........................	4
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV) .................................	8
9	Total adjustments (net). Add lines 4 - 8 .............................	9
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV): ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......		5

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV): ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ......		5

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	THE ENDOWMENT FUNDS ARE HELD BY THE CONEMAUGH HEALTH FOUNDATION. THESE FUNDS ARE MAINTAINED AND ADMINISTERED BY THE FOUNDATION TO PROVIDE MONIES FOR SCHOLARSHIPS AND TO SUPPORT HEALTH CARE, COMMUNITY SERVICE, EDUCATION, AND RESEARCH.

Schedule D (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

CONEMAUGH VALLEY MEMORIAL HOSPITAL

Employer identification number

25-0965307

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Does the organization have a charity care policy? If "No," skip to question 6a...........

Yes

If "Yes," is it a written policy? .......................

Yes

If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.

Applied uniformly to all hospitals Applied uniformly to most hospitals Generally tailored to individual hospitals

Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.

Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low

income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If

"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....

Yes

200% 250% 300% 350% 400% Other 0 %

If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Does the organization's policy provide free or discounted care to the "medically indigent"? ......

Yes

Does the organization budget amounts for free or discounted care provided under its charity care policy? ...

Yes

If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............

Does the organization prepare an annual community benefit report?.............

If "Yes," does the organization make it available to the public? ..............

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Charity Care and Certain Other Community Benefits at Cost

	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Charity care at cost (from Worksheets 1 and 2) ..	4,582,465	0	4,582,465	1.270 %
b Unreimbursed Medicaid (from Worksheet 3, column a) .	44,132,114	38,699,096	5,433,018	1.500 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....	189,754	98,840	90,914	0.030 %
dTotal Charity Care and Means-Tested Government Programs .....	48,904,333	38,797,936	10,106,397	2.800 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	43,721	107,297	-63,576	0 %
f Health professions education (from Worksheet 5) ..	15,119,925	6,787,205	8,332,720	2.310 %
g Subsidized health services (from Worksheet 6) ..	61,334,029	52,741,352	8,592,677	2.380 %
h Research (from Worksheet 7)	93,009	162,450	-69,441	0 %
i Cash and in-kind contributions to community groups (from Worksheet 8) ..	287,491	0	287,491	0.080 %
jTotal Other Benefits ...	76,878,175	59,798,304	17,079,871	4.770 %
kTotal. Add lines 7d and 7j. ..	125,782,508	98,596,240	27,186,268	7.570 %

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010

Schedule H (Form 990) 2010

Page 2

Part II

Community Building Activities Complete this table if the organization conducted any community building activities.

		(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	2,800	0	2,800	0 %
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development	23,697	0	23,697	0.010 %
9	Other	33,933	4,349	29,584	0.010 %
10	Total	60,430	4,349	56,081	0.020 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense (at cost).....

6,317,655

Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..

4,143,118

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

92,283,399

Enter Medicare allowable costs of care relating to payments on line 5.....

86,606,176

Subtract line 6 from line 5. This is the surplus or (shortfall)........

5,677,223

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Does the organization have a written debt collection policy? ...............

Yes

If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......

Part IV

Management Companies and Joint Ventures

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership%	(e) Physicians' profit % or stock ownership %
11 LAUREL HIGHLANDS ADVANCED IMAGING	DIAGNOSTIC SERVICES	50.000 %	0 %	0 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2010

Page 3

Part VFacility Information

Section A. Hospital Facilities (list in order of size, measured by total revenue per facility, from largest to smallest) How many hospital facilities did the organization operate during the tax year?3 Name and address		Other (Describe)
1	CONEMAUGH VALLEY MEMORIAL HOSPITAL 1086 FRANKLIN STREET JOHNSTOWN,PA15905	X	X	X	X	X
2	CRICHTON REHABILITATION CENTER 320 MAIN STREET JOHNSTOWN,PA15901	X	X
3	LEE AMBULATORY SURGICAL CENTER 320 MAIN STREET JOHNSTOWN,PA15901	X	X

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:NOT REQUIRED

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 7

Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, measured by total revenue per facility, from largest to smallest) How many non-hospital facilities did the organization operate during the tax year?
Name and address		Type of Facility (Describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2010

Page 8

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2	Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
		PART I, LINE 7: THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED ON PART I, LINES 7A, 7B, AND 7C WAS BASED ON THE CONEMAUGH HEALTH SYSTEM'S COST ACCOUNTING SYSTEM AND ADDRESSES ALL PATIENT SEGMENTS. FOR FURTHER DETAILS OF THIS SYSTEM, SEE THE DESCRIPTION FOR PART III, LINE 8. THE METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED ON PART I, LINES 7E THROUGH 7I AS APPLICABLE, WAS BASED ON ACTUAL REVENUES AND EXPENSES INCURRED.
		PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 16486574.
		PART II: THE CONEMAUGH HEALTH SYSTEM'S OFFICE OF COMMUNITY HEALTH (OCH) BRINGS COMMUNITY GROUPS TOGETHER TO WORK COLLABORATIVELY TO IMPROVE THE OVERALL HEALTH AND WELL BEING OF AREA RESIDENTS AND TO ENCOURAGE THEIR ACTIVE PARTICIPATION IN DECISIONS RELATING TO THE HEALTH OF THE COMMUNITY IN WHICH THEY LIVE. SOME OF THE OCH INITIATIVES INCLUDE: COMMUNITY HEALTH FAIRS, PHARMACIST PRESCRIPTION MEDICATION REVIEWS AND FREE HEALTH SCREENINGS FOR DIABETES, CARDIOVASCULAR DISEASE, SLEEP DISORDERS, OSTEOPOROSIS, CANCER AND MORE.
		PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED ARE REPORTED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYORS, PATIENTS AND OTHERS. CONEMAUGH HEALTH SYSTEM (CHS) PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, CHS BILLS THIRD-PARTY PAYORS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT.THE METHODOLOGY UTILIZED TO DETERMINE THE AMOUNT REPORTED ON LINE 2 IS BASED ON THE ORGANIZATION'S COST TO CHARGE RATIO. THE METHODOLOGY FOR LINE 3 IS BASED ON A PREDICTIVE ANALYSIS SCORING SYSTEM DEVELOPED BY ACUMEN THAT HAS BEEN IMPLEMENTED AS PART OF THE HEALTH SYSTEM'S PRESUMPTIVE CHARITY CARE PROGRAM. THE SCORING PROGRAM CONSISTS OF A FOUR DIGIT SCORE; THE FIRST TWO DIGITS ARE BASED UPON THE FEDERAL POVERTY GUIDELINES AND THE LAST TWO DIGITS ARE THE PROBABILITY/PROPENSITY TO PAY SCORE. THE PERCENTAGES INCLUDED ON THE 990 HAVE BEEN DERIVED BY FOUR MONTHS OF ACTUAL EXPERIENCE (JULY-OCTOBER 2011) OF ACCOUNTS THAT HAVE GONE THROUGH THE NORMAL BILLING CYCLE OF 120 DAYS; BEING SCORED AND CONSIDERED FOR PRESUMPTIVE CHARITY CARE VS. SENDING TO COLLECTION AGENCY. THE ACCOUNTS THAT WERE SELECTED AND INCLUDED FOR PRESUMPTIVE CHARITY CONSIDERATION WERE BASED ON MEDIAN HOUSEHOLD INCOME AND AVERAGE HOUSEHOLD SIZE THAT FELL BELOW 150% OF THE FEDERAL POVERTY GUIDELINES. THAT SAME PERCENTAGE EXPERIENCE IS BEING APPLIED TO THE FISCAL YEAR 2011 BAD DEBT EXPENSE TO DERIVE AN AMOUNT THAT COULD POTENTIALLY QUALIFY FOR CHARITY CARE.
		PART III, LINE 8: CONEMAUGH HEALTH SYSTEM UTILIZES MCKESSON'S HORIZON PERFORMANCE MANAGER (HPM) FOR COST ACCOUNTING. HPM PROVIDES THE ABILITY TO ALLOCATE ALL DEPARTMENTAL EXPENSES AT THE INDIVIDUAL CHARGE FOR EACH CHARGING DEPARTMENT, AS WELL AS ALLOCATE OVERHEAD EXPENSES IN A CONSISTENT MANNER. THE ENCOUNTER COSTING FUNCTIONALITY OF HPM PROVIDES THE ABILITY TO THEN DETERMINE AN ACCURATE ESTIMATE OF COST AT THE PATIENT LEVEL BASED ON THE CHARGE UNIT COSTS. THE SYSTEM THEN PROVIDES THE ABILITY TO SUMMARIZE THE PATIENT VOLUME, CHARGES, AND COSTS IN ANY NUMBER OF WAYS, INCLUDING PAYER SPECIFIC COST ALLOCATION.
		PART I, LINE 3B: THE ORGANIZATION USES A SLIDING SCALE TO DETERMINE ELIGIBILITY FOR DISCOUNTED CARE.
		PART VI, LINE 2: CHS IS AN ACTIVE MEMBER OF THE COMMUNITY AND AN ADVOCATE FOR THE HEALTH, WELL BEING, AND ECONOMIC STRENGTH OF THE REGION. CHS ADMINISTRATORS HAVE TEAMED UP WITH THE UNITED WAY OF THE LAUREL HIGHLANDS OVER THE PAST FEW YEARS TO IDENTIFY COMMUNITY NEEDS. THIS YEAR, CHS INVESTED NEARLY 1,000 HOURS OF WORK INTO A COMMUNITY NEEDS ANALYSIS FOR CAMBRIA AND SOMERSET COUNTIES. THIS INCLUDED DOZENS OF INTERVIEWS OF AREA LEADERS, HEALTHCARE PROFESSIONALS, EDUCATORS, CLERGY, AND SOCIAL SERVICE PROFESSIONALS. THE FINDINGS HAVE BEEN SHARED WITH THE BOARDS OF CONEMAUGH HEALTH SYSTEM, THE UNTIED WAY OF THE LAUREL HIGHLANDS, AND OVER 20 HUMAN SERVICES AGENCIES. THE 70 PAGE FINAL REPORT WILL BE SHARED WITH COMMUNITY LEADERS AND A CONDENSED HIGHLIGHT VERSION WILL BE RELEASED TO THE MEDIA. THE UNITED WAY HAS BEGUN TO REDIRECT FUNDING TO KEY AREAS OF NEED INCLUDING: PROGRAMS TO HELP CHILDREN STAY IN SCHOOL TO INCREASE THEIR POTENTIAL TO BE SUCCESSFUL; DRUG AND ALCOHOL PROGRAMS; AND MENTAL HEALTH PROGRAMS. CONEMAUGH AND THE UNITED WAY WILL PERIODICALLY MEASURE COMMUNITY IMPACT.IN ADDITION TO PROVIDING THE COMMUNITY NEEDS REPORT, VARIOUS CHS LEADERS HAVE SERVED IN MANY ROLES FOR THE UNITED WAY INCLUDING CHAIRMAN OF THE BOARD, CHAIRMAN OF THE COMMUNITY IMPACT COMMITTEE, AND PARTICIPATION IN THE LOANED EXECUTIVE PROGRAM. SENIOR LEADERS AND DIRECTORS THROUGHOUT THE HEALTH SYSTEM ARE ALSO ENCOURAGED TO SERVE ON OTHER COMMUNITY BOARDS AND ORGANIZATIONS. SOME OF THOSE REPRESENTED INCLUDE THE AMERICAN RED CROSS, THE LEUKEMIA AND LYMPHOMA SOCIETY, THE JOHNSTOWN SYMPHONY, WOMEN'S HELP CENTER, JUNIOR ACHIEVEMENT, LAUREL HIGHLANDS FOOD PANTRY, AND THE GREATER JOHNSTOWN YMCA.
		PART VI, LINE 3: CONEMAUGH HEALTH SYSTEM COMMUNICATES TO PATIENTS THE AVAILABILITY OF FINANCIAL ASSISTANCE UNDER FEDERAL, STATE AND LOCAL PROGRAMS, AS WELL AS THE CHARITY CARE PROGRAM, ON OUR WEBSITE, WHICH INCLUDES A DOWNLOADABLE CHARITY CARE APPLICATION AND INSTRUCTIONS. TABLE TOP BROCHURES ARE PROVIDED AT ALL POINTS OF REGISTRATION, AND BROCHURES ARE INCLUDED IN PATIENT ADMISSION PACKETS. INFORMATION ON THE AVAILABILITY OF FINANCIAL ASSISTANCE IS ALSO INCLUDED ON PATIENT STATEMENTS. ASSISTANCE IS PROVIDED TO PATIENTS TO APPLY FOR MEDICAL ASSISTANCE THROUGH A THIRD-PARTY VENDOR. A ROBUST FINANCIAL COUNSELING AND CUSTOMER SERVICE DEPARTMENT IS AVAILABLE TO HANDLE SPECIFIC PATIENT NEEDS.
		PART VI, LINE 4: THE CONEMAUGH HEALTH SYSTEM'S FLAGSHIP TEACHING HOSPITAL, 545-BED MEMORIAL MEDICAL CENTER (MMC), HAS BEEN REPEATEDLY RECOGNIZED AS A HEALTHGRADES DISTINGUISHED HOSPITAL WITH CLINICAL OUTCOMES IN THE TOP FIVE PERCENT IN THE NATION. CLINICAL QUALITY AT MMC CONTINUES TO BE ENHANCED BY ITS: LEVEL 1 REGIONAL RESOURCE TRAUMA PROGRAM AND LEVEL 3 NEONATAL INTENSIVE CARE UNIT WITH AERO MEDICAL TRANSPORT SERVICE; NUMEROUS NATIONALLY RANKED CLINICAL PROGRAMS INCLUDING CARDIOLOGY, CARDIAC SURGERY, NEUROSURGERY, ORTHOPEDIC SURGERY, VASCULAR SURGERY, PULMONARY, AND CRITICAL CARE; COMMITMENT TO EDUCATIONAL EXCELLENCE INCLUDING EIGHT MEDICAL RESIDENCY PROGRAMS, A PHARM D RESIDENCY, SCHOOL OF NURSING, SCHOOLS OF ALLIED HEALTH, AND A MEDICAL SKILLS LEARNING CENTER WHICH IS ONE OF ONLY 58 ACCREDITED CENTERS WORLDWIDE; TECHNOLOGY ADVANCEMENTS CURRENTLY BEING IMPLEMENTED, INCLUDING A PHARMACY ROBOT AND PHYSICIAN ORDER ENTRY INFORMATION TECHNOLOGY SYSTEM; STATE OF THE ART CARDIAC CATHETERIZATION LABS, MINIMALLY INVASIVE OPERATING SUITES, VASCULAR OPERATING ROOMS, INTERVENTIONAL RADIOLOGY LABS, AND IMAGING EQUIPMENT INCLUDING A 128-SLICE CT AND PET/CT, WHICH ARE AVAILABLE WITHIN THE HEALTH SYSTEM AND RELATED ENTITIES.MEMORIAL MEDICAL CENTER'S LEE CAMPUS SERVES AS A CONVENIENT LOCATION FOR A NUMBER OF IMPORTANT PROGRAMS AND SERVICES INCLUDING THE WOUND HEALING CENTER, THE CONEMAUGH DIABETES INSTITUTE, THE LEE AMBULATORY SURGERY CENTER FOR SAME DAY SURGERY, AND THE SLEEP DISORDERS CENTER. THE LEE CAMPUS ALSO PROVIDES A HOST OF OUTPATIENT LABORATORY AND IMAGING SERVICES FOR THE COMMUNITY. A LARGE COMMUNITY ROOM IS USED BY NUMEROUS COMMUNITY ORGANIZATIONS FOR MEETINGS AND EVENTS. MMC IS COMMITTED TO TEACHING AND LEARNING, CREATING A HIGHLY SKILLED AND SELF GENERATING WORKFORCE THAT DRIVES CLINICAL EXCELLENCE. PHYSICIAN RESIDENCY TRAINING PROGRAMS INCLUDE AOA INTERNSHIP, AOA FAMILY PRACTICE, AOA EMERGENCY MEDICINE, AOA INTERNAL MEDICINE, ACGME INTERNAL MEDICINE, ACGME FAMILY MEDICINE, ACGME GENERAL SURGERY, AND ACGME PATHOLOGY. IN ADDITION, MMC HAS A PHARMACY RESIDENCY PROGRAM, MEDICAL STUDENT ROTATIONS, AND A MENTORING IN MEDICINE PROGRAM. THE CONEMAUGH SCHOOL OF NURSING IS A TWO-YEAR ACCREDITED PROGRAM APPROVED BY PENNSYLVANIA STATE BOARD OF NURSING WHICH PROVIDES 1,000+ HOURS OF CLINICAL PRACTICUM AND THE ADDED BENEFIT TO GRADUATES OF A NOTED HIGH JOB PLACEMENT RATION WITHIN WEEKS OF GRADUATION. THE SCHOOLS OF ALLIED HEALTH AT CONEMAUGH MEMORIAL HAVE BEEN TRAINING STUDENTS FOR OVER 100 YEARS. THE PROGRAMS INCLUDE ACCREDITED EDUCATION PROGRAMS FOR HISTOTECHNOLOGISTS, RADIOLOGIC TECHNOLOGISTS, MEDICAL TECHNOLOGISTS, AND SURGICAL TECHNOLOGISTS. EMERGENCY MEDICAL TECHNOLOGIST AND PARAMEDIC PROGRAMS ARE ALSO AVAILABLE.DEMOGRAPHICALLY, NEARLY 20 PERCENT OF RESIDENTS IN THE CONEMAUGH HEALTH SYSTEM SERVICE AREA ARE 65 OR OLDER, ONE OF THE HIGHEST PERCENTAGES IN THE STATE AND WELL ABOVE THE PENNSYLVANIA AVERAGE OF 15.3 PERCENT. THE PAYOR MIX FOR THE REGION IS SKEWED HEAVILY TOWARD MEDICARE AND MEDICAID. AT 9.7 PERCENT, THE CONEMAUGH HEALTH SYSTEM'S SERVICE AREA HAS ONE OF THE STATE'S HIGHEST UNEMPLOYMENT RATES, AND MEDIAN HOUSEHOLD INCOMES OF $34,000 LAG 30 PERCENT BEHIND STATE AND NATIONAL AVERAGES. THE DEMOGRAPHIC MAKE UP OF THE REGION IS CONSIDERED WHEN PLANNING EDUCATION OPPORTUNITIES AND HEALTH INFORMATION PROGRAMS. THE CONEMAUGH HEALTH SYSTEM'S COVERAGE REGION ALSO PRESENTS SOME GEOGRAPHIC CHALLENGES. MOUNTAINOUS TOPOGRAPHY AND HIGHWAY INFRASTRUCTURE MAKE TIMELY TRAVEL A CONCERN FOR SOME PATIENTS. CHS CONTINUES TO LOOK FOR OPPORTUNITIES TO BRING PRIMARY CARE AND PHYSICIAN SPECIALISTS TO RURAL REGIONS OF THE MARKET. IN THE PAST YEAR, A CONCENTRATED EFFORT HAS BEEN MADE TO DEVELOP AND DELIVER HEALTH AND WELLNESS EDUCATION AND SCREENINGS TO CONSTITUENTS IN RURAL REGIONS. WHEN POSSIBLE, CHS TEAMS UP WITH OTHER COMMUNITY ORGANIZATIONS TO DELIVER THESE PROGRAMS AND SERVICES TO RURAL CONSTITUENTS.
		PART VI, LINE 6: THE CONEMAUGH HEALTH SYSTEM, WHICH INCLUDES MEMORIAL MEDICAL CENTER (MMC), IS THANKFUL FOR SUPPORT FROM THE LOCAL COMMUNITY IN THE FORM OF BOARD OF DIRECTOR PARTICIPATION. THE CHS BOARDS ARE MADE UP OF A WIDE VARIETY OF COMMUNITY LEADERS REPRESENTING A NUMBER OF INDUSTRIES INCLUDING BANKING, COMMUNICATION, INDUSTRIAL, EDUCATION, AND CUSTOMER SERVICE. PHYSICIAN LEADERS ARE ALSO INCLUDED ON THE BOARD, SOME WITH TIES TO THE CONEMAUGH HEALTH SYSTEM AND OTHERS WHO ARE INDEPENDENT. VALUABLE INPUT ALSO COMES FROM OUR PATIENT ADVISORY COMMITTEE; A VOLUNTEER BOARD OF PASSIONATE COMMUNITY MEMBERS WHO ARE DEDICATED TO PROVIDING SUGGESTIONS FOR INNOVATIVE SOLUTIONS TO IMPROVE THE PATIENT EXPERIENCE. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO CLOSE TO 400 PHYSICIANS THROUGHOUT A WIDE GEOGRAPHIC REGION IN BOTH PRIMARY CARE AND SPECIALTY FIELDS. IN THE PAST YEAR, GREAT ENERGY, EFFORT, AND FINANCIAL SUPPORT HAVE BEEN DEDICATED TO A NUMBER OF KEY INITIATIVES DESIGNED TO IMPROVE PATIENT CARE. FOR EXAMPLE: $2.6 MILLION DOLLARS WAS USED TO BRING DIGITAL MAMMOGRAPHY EQUIPMENT TO PATIENTS IN OUR REGION WITH EIGHT NEW DIGITAL MAMMOGRAPHY UNITS INSTALLED IN SIX DIFFERENT HEALTH SYSTEM LOCATIONS; A WOUND HEALING CENTER WAS ADDED TO A THIRD LOCATION TO BETTER SERVE PATIENTS IN THE NORTHERN PORTION OF OUR COVERAGE AREA; CONEMAUGH REGIONAL HOSPICE ADDED A HELPING HEARTS PROGRAM TO ASSIST THOSE PATIENT SUFFERING FROM CONGESTIVE HEART FAILURE; A BRAND NEW WEBSITE WAS LAUNCHED PROVIDING MORE EDUCATIONAL RESOURCES AND SUPPORT GROUP INFORMATION FOR THE COMMUNITY; AND A NUMBER OF WELLNESS EVENTS AND SCREENINGS TOOK PLACE THROUGHOUT THE REGION TO RAISE AWARENESS AND PREVENTION FOR HEALTH ISSUES INCLUDING DIABETES, OBESITY, HEART DISEASE, AND PERIPHERAL VASCULAR DISEASE. MMC PROVIDES PRIMARY SUPPORT TO A FREE MEDICAL CLINIC SERVING THOSE IN NEED. IN ADDITION, ITS TEACHING CLINICS PROVIDE CARE TO MANY UNDERINSURED AND UNINSURED. SERVICE LINES AT MMC WORK TO IDENTIFY AND TARGET AREAS OF CONCERN FOR ITS PATIENTS. THE WOMEN AND CHILD SERVICE LINE FOR EXAMPLE PROVIDES FREE BREAST SCREENINGS, MAMMOGRAPHY EXAMS, AND OSTEOPOROSIS SCREENINGS AS WELL AS CAR SEAT CLINICS, SMOKING CESSATION, AND SAFE SLEEP PROGRAMS. SERVICE LINES LIKE WOMEN'S SERVICES, RADIOLOGY, VASCULAR, CARDIAC, AND ORTHOPEDICS ROUTINELY PARTICIPATE IN RURAL HEALTH AND WELLNESS FAIRS PROVIDING FREE SCREENINGS, LECTURES, AND EDUCATIONAL INFORMATION TO THE PUBLIC. IN THE PAST YEAR, SEVERAL MAJOR INITIATIVES WERE TAKEN TO PROVIDE ONLINE EDUCATIONAL SUPPORT AND AWARENESS BUILDING PROGRAMS FOR THE PUBLIC. THESE INCLUDE AN ONLINE VIDEO TOUR OF THE GI LAB TO ENCOURAGE PEOPLE TO UNDERGO A COLONOSCOPY. PHYSICIANS PROVIDE TIPS AND ADVICE FOR WHO SHOULD BE SCREENED, WHAT SIGNS TO LOOK FOR, AND RISK FACTORS FOR COLON CANCER. THEY ALSO REMIND PEOPLE THAT COLON CANCER IS PREVENTABLE AND CURABLE IF CAUGHT EARLY. THIS PROGRAM WAS PRODUCED IN COOPERATION WITH THE COMMUNITY FOUNDATION FOR THE ALLEGHENIES.MMC ALSO PARTNERED WITH THE HIGHMARK FOUNDATION TO PRODUCE AN EDUCATIONAL VIDEO ON DIABETES. THE HOUR LONG PROGRAM CAN BE GIVEN TO THOSE RECENTLY DIAGNOSED OR AT RISK; IT IS ALSO AVAILABLE ON LINE. THIS PROGRAM PROVIDES A HOST OF INFORMATION ON DIABETES INCLUDING RISK FACTORS, WARNING SIGNS, AND COMPLICATIONS. THE PROGRAM INCLUDES INTERVIEWS WITH NUTRITIONISTS, EXERCISE SPECIALISTS, AND DIABETES PHYSICIANS AND EDUCATORS. IT ALSO PROVIDES FEEDBACK FROM THOSE LIVING WITH DIABETES. MMC LEADERS AND EMPLOYEES ALSO SUPPORT COMMUNITY GROUPS SUCH AS THE AMERICAN HEART ASSOCIATION, MARCH OF DIMES, AND AMERICAN CANCER SOCIETY BY PARTICIPATING IN VARIOUS FUNDRAISING AND AWARENESS BUILDING ACTIVITIES INCLUDING WALKS AND OTHER COMMUNITY FUNDRAISING EVENTS. THE LABORATORY STAFF AT MMC PROVIDES COMMUNITY BLOOD SCREENING EVENTS, USING THE FUNDS RAISED TO HELP LOCAL CHARITABLE ORGANIZATIONS. LAB STAFF ALSO MEETS REGULARLY AND COLLABORATES WITH THE AMERICAN RED CROSS TO WORK TO INCREASE MUCH NEEDED BLOOD DONATIONS. ONCE AGAIN THIS YEAR, MMC PARTNERED WITH THE EDWARD LIFESCIENCES TO PROVIDE CARDIAC, VASCULAR AND DIABETES SCREENING AND EDUCATION THROUGHOUT THE REGION. HEALTH AND WELLNESS EVENTS TARGETED ADULTS AS WELL AS TEENAGERS. HEALTH AND WELLNESS EVENTS AND SCREENINGS TOOK PLACE IN A VARIETY OF COMMUNITIES INCLUDING EBENSBURG, LIGONIER, JOHNSTOWN AND MEYERSDALE. IN THE RECENT PAST, SEVERAL INITIATIVES HAVE BEEN UNDERTAKEN TO ENSURE MORE TIMELY AND CONVENIENT DELIVERY OF CARE. THE NEED FOR AN ALTERNATIVE TO VISITING THE DEPARTMENT OF EMERGENCY MEDICINE WAS IDENTIFIED FOR THOSE SEEKING TREATMENT WHO WERE NOT CRITICALLY ILL. THE MEDWELL URGENT CARE MODEL WAS DEVELOPED INITIALLY IN THE RICHLAND TOWNSHIP AREA AND THEN AT A SECOND SITE TO SERVE PATIENTS IN THE EBENSBURG AREA. BASED ON PATIENT CENSUS DATA, MMC IDENTIFIED THE NEED FOR MORE INTENSIVE CARE UNIT (ICU) BEDS IN THE COMMUNITY AS WELL AS THE NEED FOR POST-ACUTE BEDS WHICH LED TO EXPANSIONS OF BOTH THE ICU AND TRANSITIONAL CARE UNITS.CHS IS ALSO A LEADER IN EMERGENCY PREPAREDNESS AND PANDEMIC PLANNING, WITH SEVERAL MEMORIAL STAFF MEMBERS AND PHYSICIANS SPEARHEADING AND SERVING ON MANY COMMUNITY WIDE TASK FORCES AND PLANNING TEAMS.MEMORIAL MEDICAL CENTER FACILITY HIGHLIGHTS:LICENSED BEDS - 555BEDS IN SERVICE- 555BASSINETS - 14PATIENT DAYS OF SERVICE- 143,984NEWBORN DAYS OF SERVICE - 2,360INPATIENT DAILY CENSUS - 394ADJUSTED PATIENT DAYS - 256,179ADMISSIONS - 25,604AVERAGE LENGTH OF STAY - 5.66BABIES BORN - 1,291FULL TIME EQUIVALENT EMPLOYEES - 2,970VOLUNTEERS - 390PHYSICIANS:ACTIVE - 237COURTESY - 91SERVICES:EMERGENCY VISITS - 69,627INPATIENT SURGERIES - 6,301SAME DAY/AMBULATORY - 38,409OUTPATIENT CLINIC VISITS - 223,168PHYSICAL THERAPY TREATMENTS - 83,728LABORATORY TESTS - 2,564,660RADIOLOGY DIAG./SPECIAL PROCEDURES - 137,509ULTRASOUND PROCEDURES - 12,930MAMMOGRAPHY PROCEDURES - 9,906CAT SCANS - 39,230MRI PROCEDURES - 4,533NUCLEAR MEDICINE - 18,324HOME HEALTH ADMISSIONS - 8,883

Schedule H (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

CONEMAUGH VALLEY MEMORIAL HOSPITAL

Employer identification number

25-0965307

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Yes

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Yes

Any related organization? .........................

Yes

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2010

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported in prior Form 990 or Form 990-EZ
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) STEVEN TUCKER	(i) (ii)	313,307 0	66,488 0	151,714 0	19,435 0	15,912 0	566,856 0	97,025 0
(2) SCOTT BECKER	(i) (ii)	0 571,461	0 210,076	0 454,900	0 13,224	0 29,745	0 1,279,406	0 204,798
(3) JAGDISH PATEL MD	(i) (ii)	0 259,425	0 3,948	0 14,869	0 16,158	0 21,550	0 315,950	0 0
(4) JAMES TRETTER DO	(i) (ii)	0 586,625	0 0	0 215,062	0 21,842	0 14,976	0 838,505	0 0
(5) SHIBAN WARIKOO MD	(i) (ii)	0 492,330	0 0	0 19,797	0 39,317	0 7,197	0 558,641	0 0
(6) EDWARD DEPASQUALE	(i) (ii)	0 313,637	0 66,488	0 158,513	0 18,798	0 16,369	0 573,805	0 98,604
(7) DAVID CARLSON DO	(i) (ii)	0 400,722	0 86,056	0 191,324	0 12,606	0 18,005	0 708,713	0 103,693
(8) JOSEPH DADO	(i) (ii)	0 254,066	0 53,829	0 134,691	0 13,099	0 3,032	0 458,717	0 80,488
(9) MARY YORK	(i) (ii)	0 109,968	0 0	0 136,882	0 11,963	0 8,358	0 267,171	0 24,750
(10) JOHN MORYKEN	(i) (ii)	0 203,678	0 32,762	0 85,018	0 15,189	0 11,503	0 348,150	0 47,184
(11) CLAUDIA RAGER	(i) (ii)	219,470 0	35,183 0	81,332 0	18,668 0	11,046 0	365,699 0	41,016 0
(12) STEVE TAMBOLAS	(i) (ii)	192,559 0	30,394 0	34,422 0	5,048 0	10,655 0	273,078 0	19,800 0
(13) PATRICK SHANNON MD	(i) (ii)	245,028 0	13,502 0	26,643 0	0 0	11,302 0	296,475 0	0 0
(14) JOSEPH CLARK DO	(i) (ii)	299,003 0	19,400 0	1,660 0	10,561 0	11,257 0	341,881 0	0 0
(15) MICHAEL LEWITT MD	(i) (ii)	265,960 0	24,980 0	3,265 0	15,570 0	11,482 0	321,257 0	0 0
(16) KEVIN CASEY DO	(i) (ii)	264,583 0	28,565 0	12,171 0	2,355 0	10,347 0	318,021 0	0 0
(17) DANIEL WEHNER MD	(i) (ii)	278,298 0	22,200 0	1,408 0	14,487 0	10,301 0	326,694 0	0 0
(18) KATHY SMITH-KNOLL	(i) (ii)	0 0	0 0	102,296 0	0 0	0 0	102,296 0	0 0

Schedule J (Form 990) 2010

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
	PART I, LINE 1A	SOCIAL CLUB DUES ARE PAID BY THE FILING ORGANIZATION FOR THE PRESIDENT. UNDER THE OVERSIGHT OF THE EXECUTIVE COMPENSATION COMMITTEE, IT HAS ALWAYS BEEN THE HEALTH SYSTEM'S PRACTICE TO PAY THE DUES FOR THIS INDIVIDUAL AS THE SOCIAL CLUB IS PRIMARILY USED TO BENEFIT THE ORGANIZATION.
	PART I, LINES 4A-B	KATHY SMITH-KNOLL RECEIVED SEVERANCE PAYMENTS DURING THE YEAR TOTALING $102,296. MARY YORK RECEIVED SEVERANCE PAYMENTS DURING THE YEAR TOTALING $73,906 FROM CONEMAUGH HEALTH SYSTEM, A RELATED ORGANIZATION. IN ADDITION, HER 457(F) PLAN BALANCE OF $44,258 WAS RECOGNIZED AS TAXABLE INCOME. THE CONEMAUGH HEALTH SYSTEM'S 457(F) EXECUTIVE COMPENSATION PROGRAM WAS TERMINATED DECEMBER 10, 2010 RESULTING IN A TAXABLE EVENT. ON THAT DATE, EACH PARTICIPANT'S ENTIRE ACCOUNT BALANCE WAS RECOGNIZED AS TAXABLE INCOME PER IRS REGULATIONS. THESE AMOUNTS, WHICH ARE INCLUDED ON THE 990 CORE FORM AND SCHEDULE J AS REPORTABLE COMPENSATION ARE AS FOLLOWS: $136,362 FOR STEVEN TUCKER; $430,918 FOR SCOTT BECKER; $148,478 FOR EDWARD DEPASQUALE; $180,982 FOR DAVID CARLSON, DO; $130,649 FOR JOSEPH DADO; $78,414 FOR JOHN MORYKEN; $77,089 FOR CLAUDIA RAGER; AND $31,130 FOR STEVE TAMBOLAS. PLEASE NOTE THAT THESE AMOUNTS LESS ALL APPLICABLE TAXES, WHICH HAVE BEEN REMITTED UPON THE PLAN'S TERMINATION, WILL NOT BE DISTRIBUTED TO THE PARTICIPANTS UNTIL 1 YEAR AND 1 DAY AFTER THE TERMINATION DATE HAS PASSED.
	PART I, LINE 6	BONUSES RECEIVED BY THE OFFICERS AND KEY EMPLOYEE LISTED IN PART II WERE PAID BY EITHER MEMORIAL MEDICAL CENTER OR CONEMAUGH HEALTH SYSTEM, A RELATED ORGANIZATION. EXECUTIVE BONUSES ARE CALCULATED AS A PERCENTAGE OF BASE SALARY. THE PERCENTAGE IS CONTINGENT ON VARIOUS FINANCIAL AND NON-FINANCIAL INCENTIVE CRITERIA, GOVERNED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF CONEMAUGH HEALTH SYSTEM. PHYSICIAN BONUSES ARE CALCULATED QUARTERLY BASED ON RELATIVE VALUE UNITS (RVU'S) AND HOURS WORKED.
SUPPLEMENTAL INFORMATION	PART III	PART II, COLUMN (F): PAST CONTRIBUTIONS MADE TO THE 457(F) PLAN ARE INCLUDED AS REPORTABLE COMPENSATION IN THE CURRENT YEAR DUE TO THE PLAN'S TERMINATION. AMOUNTS SHOWN REPRESENT CONTRIBUTIONS THAT WERE RECOGNIZED AS DEFERRED COMPENSATION ON PAST FORM 990S.

Schedule J (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
CONEMAUGH VALLEY MEMORIAL HOSPITAL

Employer identification number
25-0965307

Part I

Bond Issues

(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	(g) Defeased		(h) On Behalf of Issuer		(i) Pool financing
(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	Yes	No	Yes	No	Yes	No
A	SOUTH FORK MUNICIPAL AUTHORITY	25-1550471	83786DER4	07-17-2008	44,295,000	SEE PART V		X		X		X
B	SOUTH FORK MUNICIPAL AUTHORITY	25-1550471	83786DFR3	05-27-2010	109,809,659	SEE PART V		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired. . . . .
2 Amount of bonds defeased . . . .
3 Total proceeds of issue . . . .	44,295,000		109,809,659
4 Gross proceeds in reserve funds . .	1,080,047		1,080,047
5 Capitalized interest from proceeds.
6 Proceeds in refunding escrow. . . . .	43,212,400		104,702,110
7 Issuance costs from proceeds . . .	427,668		1,565,372
8 Credit enhancement from proceeds.	104,932		7,499
9 Working capital expenditures from proceeds . .
10 Capital expenditures from proceeds . .	550,000		2,454,630
11 Other spent proceeds . .
12 Other unspent proceeds. . .
13 Year of substantial completion . . .	2008		2010
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue?	X		X
15 Were the bonds issued as part of an advance refunding issue?		X		X
16 Has the final allocation of proceeds been made? . .	X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .	X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .		X		X

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2010

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use?		X		X
b Are there any research agreements that may result in private business use of bond-financed property? . .		X		X
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? .
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . .	0 %		3.460 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .	0 %
6 Total of lines 4 and 5 . . .. . . . . .	0 %		3.460 %
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities?	X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .		X		X
2 Is the bond issue a variable rate issue?	X			X
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?		X		X
b Name of provider .	NA		NA
c Term of hedge . .
d Was the hedge superintegrated? .
e Was a hedge terminated? .
4a Were gross proceeds invested in a GIC? .		X	X
b Name of provider .	NA		SEE PART V
c Term of GIC . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .	X		X
5 Were any gross proceeds invested beyond an available temporary period? .		X		X
6 Did the bond issue qualify for an exception to rebate? . . .		X		X

Schedule K (Form 990) 2010

Page 3

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation
SCHEDULE K SUPPLENTAL INFORMATION		PART 1, A(F): CURRENT REFUNDING OF 1998A BOND ISSUED 8/1/98 AND REIMBURSE COSTS OF MISCELLANEOUS CAPITAL. PART I, B(F): REMARKET 2005A BOND ISSUED 9/1/05 WHICH REFUNDED 1996A BOND ISSUED 9/15/96, REMARKET 2005B BOND ISSUED 9/1/05 WHICH ACQUIRED CERTAIN ASSETS OF UPMC LEE REGIONAL HOSPITAL AND REFINANCE 2005C BOND ISSUED 9/1/05 WHICH FUNDED CONSTRUCTION AND EQUIPPING OF AN ENERGY PLANT, REIMBURSE OTHER CAPITAL IMPROVEMENTS, FUND RESERVES, AND PAY COST OF ISSUANCE.
		PART IV, 4(B), B: DEBT SERVICE RESERVE FUNDS INVESTED IN COLLATERALIZED REPURCHASE AGREEMENT WITH BAYERISCHE LANDESBANK. PART IV, 4(C), B: TERM OF BAYERISCHE LANDESBANK AGREEMENT IS 20.1 YEARS.

Schedule K (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

CONEMAUGH VALLEY MEMORIAL HOSPITAL

Employer identification number

25-0965307

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(b) Description of transaction	(c) Corrected?
1(a) Name of disqualified person	(b) Description of transaction	Yes	No

Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.

(a) Name of interested person and purpose	(b) Loan to or from the organization?		(c)Original principal amount	(d)Balance due	(e) In default?		(f) Approved by board or committee?		(g)Written agreement?
(a) Name of interested person and purpose	To	From	(c)Original principal amount	(d)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b)Relationship between interested person and the organization	(c)Amount of grant or type of assistance

For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2010

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) HELENE GLEASON	FAMILY MEMBER OF JONATHAN GLEASON (TRUSTEE).	63,863	EMPLOYMENT		No
(2) LAUREL LITHOTRIPSY	SHIBAN WARIKOO (TRUSTEE) HAS MORE THAN 5% OWNERSHIP INTEREST.	240,000	LITHOTRIPSY SERVICES		No
(3) AMY SHAW	FAMILY MEMBER OF STEVEN TUCKER (PRESIDENT).	45,786	EMPLOYMENT		No
(4) CAMBRIA SOMERSET RADIOLOGY (ANTHONY SCUDERI MD)	JOINT VENTURE IN LAUREL HIGHLANDS ADVANCED IMAGING (LAUREL HIGHLANDS MRI)	569,501	MMC'S INVESTMENT IN THE JOINT VENTURE		No
(5) DANIEL RAGER	FAMILY MEMBER OF CLAUDIA RAGER (OFFICER)	57,156	EMPLOYMENT		No
(6) JODI RAGER	FAMILY MEMBER OF CLAUDIA RAGER (OFFICER)	36,391	EMPLOYMENT		No

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

CONEMAUGH VALLEY MEMORIAL HOSPITAL

Employer identification number

25-0965307

Identifier	Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 6		CONEMAUGH HEALTH SYSTEM, INC. IS THE SOLE CORPORATE MEMBER OF CONEMAUGH VALLEY MEMORIAL HOSPITAL. THE NON-CORPORATE MEMBERS CONSIST OF THE DULY ELECTED AND SEATED MEMBERS OF THE BOARD OF TRUSTEES OF CONEMAUGH VALLEY MEMORIAL HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7A		THE SOLE CORPORATE MEMBER OF CONEMAUGH VALLEY MEMORIAL HOSPITAL, CONEMAUGH HEALTH SYSTEM, INC., HAS THE POWER TO APPROVE OR DISAPPROVE THE ELECTION OF ALL MEMBERS OF ITS GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7B		ALL DECISIONS OF THE GOVERNING BODY OF CONEMAUGH VALLEY MEMORIAL HOSPITAL ARE SUBJECT TO APPROVAL BY ITS SOLE CORPORATE MEMBER, CONEMAUGH HEALTH SYSTEM, INC. THE CONTROL AND MANAGEMENT OF THE AFFAIRS OF THE ORGANIZATION, SUBJECT TO THE AFORESTATED POWERS RESERVED TO CONEMAUGH HEALTH SYSTEM, INC., ARE VESTED IN THE BOARD OF TRUSTEES, ITS NON-CORPORATE MEMBER.
FORM 990, PART VI, SECTION B, LINE 11		THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S BOARD OF DIRECTORS BEFORE IT IS FILED. ONCE THE FORM IS COMPLETE, BOARD MEMBERS ARE GIVEN THE OPPORTUNITY TO REVIEW THE CONTENTS OF THE FORM AND SUBMIT ANY COMMENTS OR QUESTIONS. IN ADDITION, SINCE THE ORGANIZATION IS A SUBSIDIARY WITHIN A LARGER HEALTH SYSTEM, THE FORM IS REVIEWED BY THE HEALTH SYSTEM'S MANAGER, TAX & COMPLIANCE; DIRECTOR, FINANCIAL OPERATIONS; VICE-PRESIDENT, FINANCIAL OPERATIONS; CHIEF FINANCIAL OFFICER; AND THE AUDIT AND COMPLIANCE COMMITTEE. AN EXTERNAL CPA FIRM IS ENGAGED TO REVIEW AND ELECTRONICALLY FILE THE RETURN.
	FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION IS A SUBSIDIARY OF A LARGER HEALTH SYSTEM AND IS GOVERNED BY THE SYSTEM'S CONFLICT OF INTEREST POLICY, WHICH HAS BEEN APPROVED BY THE HEALTH SYSTEM'S BOARD. UNDER THIS POLICY, EVERY BOARD MEMBER IS GIVEN A COPY OF THE POLICY AS WELL AS A FORM THAT MUST BE COMPLETED ON AN ANNUAL BASIS. NO BOARD MEMBER IS APPROVED OR RE-APPOINTED UNTIL HE OR SHE HAS COMPLETED AND SIGNED THE CONFLICT OF INTEREST FORM. ONCE THE FORM IS RETURNED, IT IS REVIEWED BY THE SYSTEM'S COMPLIANCE OFFICER AND CEO. IF ANY CONFLICTS ARE DISCLOSED, THE DETAILS ARE FORWARDED TO THE BOARD CHAIR TO BE ADDRESSED. DEPENDING ON THE CONFLICT, THE BOARD MEMBER COULD BE GIVEN CERTAIN RESTRICTIONS, SUCH AS BEING PROHIBITED FROM PARTICIPATING IN CERTAIN BOARD DECISIONS. THE HEALTH SYSTEM'S AUDIT AND COMPLIANCE COMMITTEE HAS THE FINAL DECISION-MAKING REGARDING ALL CONFLICTS OF INTEREST. THROUGHOUT THE FISCAL YEAR, BOARD MEMBERS MUST NOTIFY THE BOARD CHAIR, COMPLIANCE OFFICER, AND/OR CEO IF A NEW CONFLICT OF INTEREST HAS DEVELOPED.
	FORM 990, PART VI, SECTION B, LINE 15	THE ORGANIZATION'S PARENT, A HEALTH SYSTEM, MANAGES THE DETERMINATION OF COMPENSATION AND THE PROCESS IS OUTLINED IN ITS BY-LAWS. AN OUTSIDE CONSULTING FIRM IS UTILIZED TO ENSURE THAT EXECUTIVE COMPENSATION PACKAGES ARE FAIR AND COMPARABLE WITH SIMILAR ORGANIZATIONS. THE HEALTH SYSTEM HAS ALSO ESTABLISHED AN EXECUTIVE COMPENSATION COMMITTEE TO REVIEW AND RECOMMEND THE COMPENSATION DECISIONS MADE. THIS COMMITTEE REPORTS DIRECTLY TO THE HEALTH SYSTEM'S BOARD.
	FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION IS PART OF HEALTH SYSTEM AND ALL REQUESTS FOR THIS INFORMATION ARE HANDLED BY THE SYSTEM'S MARKETING/PUBLIC RELATIONS DEPARTMENT.
		FORM 990, PART VI, LINES 12A, 13, AND 14: ALL APPLICABLE POLICY QUESTIONS HAVE BEEN ANSWERED YES SINCE THE ORGANIZATION IS A SUBSIDIARY OF A LARGER HEALTH SYSTEM AND IS GOVERNED BY THE SYSTEM'S POLICIES. ALL POLICIES HAVE BEEN APPROVED BY THE HEALTH SYSTEM'S BOARD.
		FORM 990, PART VII, SECTION A, LINE 1A, COLUMN B: IN ADDITION TO THE HOURS DEVOTED TO THE FILING ORGANIZATION SHOWN IN PART VII, THE FOLLOWING OFFICERS AND TRUSTEES ALSO DEVOTED HOURS TO RELATED ORGANIZATIONS DURING THE YEAR. THE HOURS SHOWN REPRESENT THE AVERAGE NUMBER OF HOURS PER WEEK. SCOTT BECKER, CEO: CONEMAUGH HEALTH SYSTEM - 53 MEYERSDALE COMMUNITY HOSPITAL - 1 MINERS HOSPITAL - 1 GOOD SAMARITAN MEDICAL CENTER - 0.3 CONEMAUGH HEALTH FOUNDATION - 3.5 CONEMAUGH HOUSING, INC. - 0.2 CONEMAUGH HEALTH INITIATIVES - 7 EDWARD DEPASQUALE, CFO: CONEMAUGH HEALTH SYSTEM - 22 MEYERSDALE COMMUNITY HOSPITAL - 1 MINERS HOSPITAL - 1 GOOD SAMARITAN MEDICAL CENTER - 1 CONEMAUGH HEALTH FOUNDATION - 0.5 CONEMAUGH HOUSING, INC. - 0.5 CONEMAUGH HEALTH INITIATIVES - 10 DAVID CARLSON, DO, CMO: CONEMAUGH HEALTH SYSTEM - 20 MEYERSDALE COMMUNITY HOSPITAL - 4 MINERS HOSPITAL - 4 GOOD SAMARITAN MEDICAL CENTER - 0.5 CONEMAUGH HEALTH FOUNDATION - 0.5 CONEMAUGH HOUSING, INC. - 1 CONEMAUGH HEALTH INITIATIVES - 10 JOSEPH DADO, CIO: CONEMAUGH HEALTH SYSTEM - 20 MEYERSDALE COMMUNITY HOSPITAL - 2 MINERS HOSPITAL - 2 GOOD SAMARITAN MEDICAL CENTER - 1 CONEMAUGH HEALTH FOUNDATION - 1 CONEMAUGH HEALTH INITIATIVES - 8 MARY YORK, CLO: CONEMAUGH HEALTH SYSTEM - 30 MEYERSDALE COMMUNITY HOSPITAL - 2 MINERS HOSPITAL - 2 GOOD SAMARITAN MEDICAL CENTER - 1 STEVEN TUCKER, PRESIDENT: CONEMAUGH HEALTH SYSTEM - 15 MEYERSDALE COMMUNITY HOSPITAL - 3 MINERS HOSPITAL - 3 GOOD SAMARITAN MEDICAL CENTER - 1 CONEMAUGH HEALTH FOUNDATION - 0.5 CONEMAUGH HOUSING, INC. - 1 CONEMAUGH HEALTH INITIATIVES - 1.5 JOHN MORYKEN, VP: CONEMAUGH HEALTH SYSTEM - 20 MEYERSDALE COMMUNITY HOSPITAL - 1 MINERS HOSPITAL - 1 CONEMAUGH HEALTH INITIATIVES - 8 JAGDISH PATEL, MD: CONEMAUGH HEALTH INITIATIVES - 40 JAMES TRETTER, DO: CONEMAUGH HEALTH INITIATIVES - 65 SHIBAN WARIKOO, MD: CONEMAUGH HEALTH INITIATIVES - 40
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 5:	GAIN ON MARKET VALUATIONS 16,644,000. CHANGE IN CHF FAS 136 RECEIVABLE 717,000. IMPAIRMENT OF GSMC INTERCOMPANY -3,274,000. CHI CAPITALIZATION -8,169,000. FAS 87 PENSION ADJUSTMENT 13,051,000. TOTAL TO FORM 990, PART XI, LINE 5: 18,969,000.
		FORM 990, PART XI, LINE 2: THE ORGANIZATION'S FINANCIAL STATEMENTS FOR THE FISCAL YEAR ENDING JUNE 30, 2011 WERE AUDITED AS PART OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS OF THE CONEMAUGH HEALTH SYSTEM, INC. AND SUBSIDIARIES. THE HEALTH SYSTEM'S AUDIT AND COMPLIANCE COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

CONEMAUGH VALLEY MEMORIAL HOSPITAL

Employer identification number

25-0965307

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) CONEMAUGH HEALTH SYSTEM INC 1086 FRANKLIN STREET JOHNSTOWN,PA15905 23-2801799	SUPPORT MEMBER HOSPITALS	PA	501(C)(3)	11A	N/A		No
(2) MINERS HOSPITAL DBA MINERS MEDICAL CENTER 290 HAIDA AVENUE HASTINGS,PA16646 25-0977902	HEALTHCARE SERVICES	PA	501(C)(3)	3	CONEMAUGH HEALTH SYSTEM		No
(3) MEYERSDALE COMMUNITY HOSPITAL DBA MEYERSDALE MEDICAL CENTER 200 HOSPITAL DRIVE MEYERSDALE,PA15552 25-1002946	HEALTHCARE SERVICES	PA	501(C)(3)	3	CONEMAUGH HEALTH SYSTEM		No
(4) GOOD SAMARITAN MEDICAL CENTER 1020 FRANKLIN STREET JOHNSTOWN,PA15905 25-0965428	HEALTHCARE SERVICES	PA	501(C)(3)	3	CONEMAUGH HEALTH SYSTEM		No
(5) CONEMAUGH HOUSING INC 1086 FRANKLIN STREET JOHNSTOWN,PA15905 25-1606936	PROVIDES SENIOR HOUSING FACILITIES	PA	501(C)(3)	9	CONEMAUGH VALLEY MEMORIAL HOSPITAL	Yes
(6) CONEMAUGH HEALTH FOUNDATION 1086 FRANKLIN STREET JOHNSTOWN,PA15905 25-1719695	SUPPORTS CONEMAUGH HEALTH SYSTEM	PA	501(C)(3)	11B	CONEMAUGH HEALTH SYSTEM		No

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2010

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) LAUREL HIGHLANDS ADVANCED IMAGING 1450 SCALP AVENUE JOHNSTOWN,PA15904 25-1864587	DIAGNOSTIC SERVICES	PA	N/A	RELATED	988,500	925,000		No		Yes		50.000 %
(2) GREATER JOHNSTOWN TECH PARK 1086 FRANKLIN STREET JOHNSTOWN,PA15905 26-0389121	OPERATES MULTI TENANT COMMERCE OFFICE PARK	PA	CONEMAUGH ENTERPRISES INC	UNRELATED	19,572	10,535,221		No		Yes		51.000 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership
(1) CONEMAUGH ENTERPRISES INC 1086 FRANKLIN STREET JOHNSTOWN,PA15905 20-2998473	ECONOMIC DEVELOPMENT	PA	CONEMAUGH VALLEY MEMORIAL HOSPITAL	C	18,271	712,377	100.000 %
(2) CONEMAUGH HEALTH INITIATIVES INC DBA CONEMAUGH PHYSICIAN GP 1086 FRANKLIN STREET JOHNSTOWN,PA15905 25-1658283	PHYSICIAN SERVICES	PA	N/A	C
(3) 1086 REAL ESTATE 1086 FRANKLIN STREET JOHNSTOWN,PA15905 25-1489704	REAL ESTATE	PA	N/A	C
(4) SINDO INC 1086 FRANKLIN STREET JOHNSTOWN,PA15905 25-1144116	COMMUNITY RENTALS	PA	N/A	C

Schedule R (Form 990) 2010

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

Yes

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

Yes

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1) GREATER JOHNSTOWN TECH PARK	D	1,200,000	NOTE RECEIVABLE ON BALANCE SHEET
(1)
(2)
(3)
(4)
(5)
(6)

Schedule R (Form 990) 2010

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Are all partners section 501(c)(3) organizations?		(e) Share of end-of-year assets	(f) Disproprtionate allocations?		(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(h) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(e) Share of end-of-year assets	Yes	No	(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: ACUTE CARE HOSPITAL PROVIDING INPATIENT AND OUTPATIENT SERVICES AS WELL AS EDUCATION AND RESEARCH.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	14
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	5
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	3,984
6	Total number of volunteers (estimate if necessary) ....	6	390
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	6,347

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	7,823,042	8,235,378
9	Program service revenue (Part VIII, line 2g) .........	366,469,723	394,757,226
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	6,520,529	3,740,440
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	4,059,249	4,961,887
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	384,872,543	411,694,931
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4) ....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	175,881,605	185,198,586
16a	Professional fundraising fees (Part IX, column (A), line 11e)....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	179,097,037	192,468,752
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	354,978,642	377,667,338
19	Revenue less expenses. Subtract line 18 from line 12......	29,893,901	34,027,593
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	420,998,990	474,971,502
21	Total liabilities (Part X, line 26)............	324,746,020	325,721,939
22	Net assets or fund balances. Subtract line 21 from line 20 .....	96,252,970	149,249,563

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.


4a	(Code: ) (Expenses $ 317,178,467 including grants of $ ) (Revenue $ 394,757,226 )
	MEMORIAL MEDICAL CENTER (MMC) IN JOHNSTOWN, CAMBRIA COUNTY, IS THE CONEMAUGH HEALTH SYSTEM'S FLAGSHIP TEACHING HOSPITAL. MMC HAS BEEN REPEATEDLY RECOGNIZED AS A HEALTHGRADES DISTINGUISHED HOSPITAL WITH CLINICAL OUTCOMES IN THE TOP FIVE PERCENT IN THE NATION. CLINICAL QUALITY AT MMC CONTINUES TO BE ENHANCED BY ITS LEVEL 1 REGIONAL RESOURCE TRAUMA PROGRAM AND LEVEL 3 NEONATAL INTENSIVE CARE UNIT WITH AERO MEDICAL TRANSPORT SERVICE; NUMEROUS NATIONALLY RANKED CLINICAL PROGRAMS INCLUDING CARDIOLOGY, CARDIAC SURGERY, NEUROSURGERY, ORTHOPEDIC SURGERY, VASCULAR SURGERY, PULMONARY, AND CRITICAL CARE. THESE UTILIZE STATE OF THE ART CARDIAC CATHETERIZATION LABS, MINIMALLY INVASIVE OPERATING SUITES, VASCULAR OPERATING ROOMS, INTERVENTIONAL RADIOLOGY LABS, AND IMAGING EQUIPMENT. MMC'S LEE CAMPUS SERVES AS A CONVENIENT LOCATION FOR A NUMBER OF IMPORTANT PROGRAMS AND SERVICES INCLUDING THE WOUND HEALING CENTER, THE CONEMAUGH DIABETES INSTITUTE, THE LEE AMBULATORY SURGERY CENTER FOR SAME DAY SURGERY, AND THE SLEEP DISORDERS CENTER. THE LEE CAMPUS ALSO PROVIDES A HOST OF OUTPATIENT LABORATORY AND IMAGING SERVICES. MMC'S COMMITMENT TO EDUCATIONAL EXCELLENCE INCLUDES EIGHT MEDICAL RESIDENCY PROGRAMS: AOA INTERNSHIP, AOA FAMILY PRACTICE, AOA EMERGENCY MEDICINE, AOA INTERNAL MEDICINE, ACGME INTERNAL MEDICINE, ACGME FAMILY MEDICINE, ACGME GENERAL SURGERY, AND ACGME PATHOLOGY. IN ADDITION, MMC HAS A PHARMACY RESIDENCY PROGRAM. ALLIED HEALTH PROGRAMS INCLUDE THE CONEMAUGH SCHOOL OF NURSING ALONG WITH ACCREDITED EDUCATION PROGRAMS FOR HISTOTECHNOLOGISTS, RADIOLOGIC TECHNOLOGISTS, MEDICAL TECHNOLOGISTS, AND SURGICAL TECHNOLOGISTS. EMERGENCY MEDICAL TECHNOLOGIST AND PARAMEDIC PROGRAMS ARE ALSO AVAILABLE AS WELL AS A MEDICAL SKILLS LEARNING CENTER WHICH IS ONE OF ONLY 58 ACCREDITED CENTERS WORLDWIDE. DURING THE FISCAL YEAR ENDING JUNE 30, 2011, MMC ADMITTED 25,604 PATIENTS, HAD 69,627 EMERGENCY VISITS, AND PERFORMED 33,388 SURGICAL PROCEDURES.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services. (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 317,178,467

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)					(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) MARY YORK CHIEF LEARNING OFFICER	15.00	X				0	246,850	20,321
(19) JOHN MORYKEN VP MARKETING/COMMUNICATION	10.00	X				0	321,458	26,692
(20) CLAUDIA RAGER VP PATIENT CARE SERVICES	40.00	X				335,985	0	29,714
(21) STEVE TAMBOLAS VP SUPPLY CHAIN	40.00		X			257,375	0	15,703
(22) PATRICK SHANNON MD PHYSICIAN	40.00			X		285,173	0	11,302
(23) JOSEPH CLARK DO PHYSICIAN	40.00			X		320,063	0	21,818
(24) MICHAEL LEWITT MD PHYSICIAN	40.00			X		294,205	0	27,052
(25) KEVIN CASEY DO PHYSICIAN	40.00			X		305,319	0	12,702
(26) DANIEL WEHNER MD PHYSICIAN	40.00			X		301,906	0	24,788
(27) KATHY SMITH-KNOLL FORMER VP SUPPORT SERVICES	0.00				X	102,296	0	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	2,758,831	5,056,127	471,357

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		250,801
e	Government grants (contributions)1e		7,113,125

f	All other contributions, gifts, grants, and similar amounts not included above1f		871,452
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			8,235,378
			Business Code
2a	PROVISION OF MEDICAL S		900,099	394,757,226	394,757,226
b
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			394,757,226
3	Investment income (including dividends, interest
	and other similar amounts).....			3,617,949			3,617,949
4	Income from investment of tax-exempt bond proceeds..
5	Royalties............
		(i) Real	(ii) Personal
6a	Gross Rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss).......
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	296,110,968	25,413
b	Less: cost or other basis and sales expenses	296,013,890
c	Gain or (loss)	97,078	25,413
d	Net gain or (loss)..........			122,491			122,491
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	CAFETERIA SALES		900,099	2,148,964			2,148,964
b	SUPPORT SERVICES		900,099	1,297,405			1,297,405
c	PARKING GARAGE		900,099	276,187			276,187
d	All other revenue ....			1,239,331			1,239,331
e	Total. Add lines 11a–11d ......			4,961,887
12	Total revenue. See Instructions....			411,694,931	394,757,226	0	8,702,327


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			230,291	1	273,824
2	Savings and temporary cash investments .......			28,445,139	2	50,458,394
3	Pledges and grants receivable, net .........				3
4	Accounts receivable, net .........			45,245,684	4	46,434,452
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............			2,343,457	7	1,731,831
8	Inventories for sale or use ..............			4,672,995	8	4,734,723
9	Prepaid expenses and deferred charges ............			2,983,853	9	3,284,375
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	454,492,809
b	Less: accumulated depreciation. .....	10b	273,022,698	187,912,878	10c	181,470,111
11	Investments—publicly traded securities ..........			135,026,600	11	166,005,160
12	Investments—other securities. See Part IV, line 11 ......				12	199,971
13	Investments—program-related. See Part IV, line 11 ..			1,444,625	13	1,380,867
14	Intangible assets .........				14
15	Other assets. See Part IV, line 11 ...........			12,693,468	15	18,997,794
16	Total assets. Add lines 1 through 15 (must equal line 34)...			420,998,990	16	474,971,502
17	Accounts payable and accrued expenses .			29,671,189	17	36,231,243
18	Grants payable ..........				18
19	Deferred revenue ..........			4,887,135	19	5,957,974
20	Tax-exempt bond liabilities ..........			218,228,665	20	218,245,885
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..			8,199,410	23	8,528,403
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities. Complete Part X of Schedule D.....			63,759,621	25	56,758,434
26	Total liabilities. Add lines 17 through 25.....			324,746,020	26	325,721,939
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			96,252,970	27	149,249,563
28	Temporarily restricted net assets .....				28
29	Permanently restricted net assets .....				29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			96,252,970	33	149,249,563
34	Total liabilities and net assets/fund balances .....			420,998,990	34	474,971,502