TY 2013 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) JOHN D FRY........................................................................ CHAIRMAN	1.00 .......................	X	X	0	0
(2) R CARLYN BELCZYK........................................................................ VICE CHAIRMAN	1.00 .......................	X	X	0	0
(3) JEFF M KOTULA........................................................................ SECRETARY	1.00 .......................	X	X	0	0
(4) LOUIS J PANZA JR........................................................................ PRESIDENT AND CEO	50.60 .......................6.60	X	X	422,047	22,781
(5) RICHARD A BARCELONA........................................................................ TRUSTEE	1.00 .......................	X		0	0
(6) BRADLEY M BASSI........................................................................ TRUSTEE	1.00 .......................	X		0	0
(7) CARL CRAWLEY JR........................................................................ TRUSTEE	1.00 .......................	X		0	0
(8) JAMES C GRECH........................................................................ TRUSTEE	1.00 .......................	X		0	0
(9) S P HEWIE MD........................................................................ TRUSTEE	1.00 .......................	X		0	0
(10) R G KRISHNAN MD........................................................................ TRUSTEE	10.00 .......................16.50	X		86,350	0
(11) MICHAL LEMENTOWSKI MD........................................................................ TRUSTEE	1.00 .......................	X		0	0
(12) WILLIAM J MILLER JR........................................................................ TRUSTEE	1.00 .......................	X		0	0
(13) CHARLES MUIA........................................................................ TRUSTEE	1.00 .......................	X		0	0
(14) JAMIE L PRAH........................................................................ TRUSTEE	1.00 .......................	X		0	0
(15) DANA CARUSO SLAGLE........................................................................ TRUSTEE	1.00 .......................	X		0	0
(16) DANIEL F SIMMONS........................................................................ SR. VICE PRES/TREASURER	58.30 .......................1.80		X	287,568	24,784
(17) PATRICK J ALBERTS........................................................................ SR. VICE PRES/COO	51.00 .......................		X	195,978	15,929

(A) Name and business address	(B) Description of services	(C) Compensation
MON-VALE ONCOLOGY INC1163 COUNTRY CLUB ROADMONONGAHELAPA15063	ONCOLOGY PHYSICIAN SERVICES	2,457,724
UPMC EMERGENCY RESOURCESP O BOX 223270PITTSBURGHPA15251	PHYSICIAN SERVICES	1,648,890
VALE-U-HEALTH INC800 PLAZA DRIVEBELLE VERNONPA15012	HEALTH PLAN MANAGEMENT	591,324
QDI QUEST DIAGNOSTICS16410 COLLECTIONS CENTER DRIVECHICAGOIL60693	LAB SERVICES	590,047
MEDICAL INFORMATION TECHNOLOGYP O BOX 745690CHICAGOIL60696	COMPUTER SERVICES	426,615
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 24

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 United States. See Part IV, line 21
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	991,943	901,383	90,560
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	48,027,358	41,311,056	6,716,302
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	493,709	444,338	49,371
9	Other employee benefits .......	10,872,926	9,785,633	1,087,293
10	Payroll taxes ...........	3,640,832	3,133,180	507,652
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	253,132		253,132
c	Accounting ...........	79,788		79,788
d	Lobbying ...........	36,740		36,740
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	3,834,293	3,834,293
12	Advertising and promotion ....
13	Office expenses .......
14	Information technology ......
15	Royalties ..
16	Occupancy ...........
17	Travel ............
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	173,694	154,507	19,187
20	Interest ...........	664,135	664,135
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	7,783,304	6,984,003	799,301
23	Insurance ..............	1,334,212	1,200,791	133,421
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	UNREL BUS INCOME TAX	50,277	50,277
b	SUPPLIES	43,731,179	39,177,148	4,554,031
c	BAD DEBT	8,520,800	8,520,800
d	EQUIPMENT RENTAL	2,527,275	2,027,828	499,447
e	All other expenses	2,323,844	2,090,890	232,954
25	Total functional expenses. Add lines 1 through 24e	135,339,441	120,280,262	15,059,179	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............		1
2	Savings and temporary cash investments .........	13,393,103	2	17,038,598
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............	13,103,610	4	11,203,389
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............	2,630,417	8	2,661,980
9	Prepaid expenses and deferred charges ..........	3,311,879	9	3,762,161
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	176,355,871
b	Less: accumulated depreciation .....	10b	120,106,548	58,311,423	10c	56,249,323
11	Investments—publicly traded securities ..........	46,876,259	11	46,290,084
12	Investments—other securities. See Part IV, line 11 .....		12
13	Investments—program-related. See Part IV, line 11 .....		13
14	Intangible assets ...............		14
15	Other assets. See Part IV, line 11 ...........	5,313,577	15	4,052,900
16	Total assets. Add lines 1 through 15 (must equal line 34)......	142,940,268	16	141,258,435
	17	Accounts payable and accrued expenses .........	10,257,198	17	11,708,704
18	Grants payable .................		18
19	Deferred revenue ................		19
20	Tax-exempt bond liabilities .............	23,730,000	20	23,730,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other 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 ..	15,751,400	23	14,651,605
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	17,814,096	25	14,299,941
26	Total liabilities. Add lines 17 through 25.........	67,552,694	26	64,390,250
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	74,293,490	27	76,048,107
28	Temporarily restricted net assets ...........	1,094,084	28	820,078
29	Permanently restricted net assets ...........		29
	Organizations that do not follow SFAS 117 (ASC 958), 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 ...........	75,387,574	33	76,868,185
34	Total liabilities and net assets/fund balances ........	142,940,268	34	141,258,435

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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.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

MONONGAHELA VALLEY HOSPITAL INC

Employer identification number

23-7218917

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 described in 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. See section 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 - Non-functionally integrated

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 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 monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2013

Page 2

Part II

Support Schedule for Organizations Described in Sections 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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
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 2013 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2012 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2013. 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—2012. If the organization did not check a 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—2013. 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—2012. 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) 2013

Page 3

Part III

Support Schedule for Organizations Described in Section 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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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.)..

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 2013 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2012 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2012 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2013. 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—2012. 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) 2013

Page 4

Part IV

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2013

Additional Data

Software ID:
Software Version:

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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.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Name of the organization

MONONGAHELA VALLEY HOSPITAL INC

Employer identification number

23-7218917

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, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or for 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 total 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 on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, 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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 2

Name of organization MONONGAHELA VALLEY HOSPITAL INC

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTEDRESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 3

Name of organization MONONGAHELA VALLEY HOSPITAL INC

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 4

Name of organization
MONONGAHELA VALLEY HOSPITAL INC

Employer identification number

23-7218917

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total 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

$
Use duplicate copies of Part III if additional space is needed.

(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) (2013)

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. SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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
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Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
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Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
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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
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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.
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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 35c (Proxy Tax), then
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Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

MONONGAHELA VALLEY HOSPITAL INC

Employer identification number

23-7218917

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 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 function 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 Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2013

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 SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) Total

2a	Lobbying nontaxable amount

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

c	Total lobbying expenditures

d	Grassroots nontaxable amount

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

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2013

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)).

For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(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

36,740

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

Other activities? ..........................

Yes

19,477

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

56,217

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 carry over 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) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

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

Section 162(e) nondeductible 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

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	A PORTION OF THE HOSPITAL'S DUES TO THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA (HAP), HOSPITAL COUNCIL, AND VARIOUS OTHER ASSOCIATIONS ARE USED FOR LOBBYING.

Schedule C (Form 990 or 990EZ) 2013

Additional Data

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Software Version:

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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, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions. SchDMd Bullet

Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

MONONGAHELA VALLEY HOSPITAL INC

Employer identification number

23-7218917

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 can 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 education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 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, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax 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 section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, 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 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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 (ASC 958) 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2013

Page 2

Part III

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

Using the organization’s acquisition, 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 XIII.

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 XIII 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 XIII. Check here if the explanation has been provided in Part XIII ........

Part V

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

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....
b	Contributions ........
c	Net investment earnings, gains, and losses
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

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 XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	291,092		291,092
b	Buildings ................	91,474,346	58,731,435	32,742,911
c	Leasehold improvements ............
d	Equipment ................	78,394,277	58,582,888	19,811,389
e	Other .................	6,196,156	2,792,225	3,403,931
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				56,249,323

Schedule D (Form 990) 2013

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

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









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

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value









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

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes
OTHER LONG TERM LIABILITIES/ACCRUALS		1,910,136
NET PENSION LIABILITY		9,737,713
THIRD PARTY PAYABLE		2,211,186
NET SWAP LIABILITY		440,906





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		14,299,941
2. Liability for uncertain tax positions In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................

Schedule D (Form 990) 2013

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	127,912,957
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 XIII.) ............	2d	18,118
e	Add lines 2a through 2d .....................			2e	18,118
3	Subtract line 2e from line 1.....................			3	127,894,839
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 XIII.) ...........	4b	10,943,807
c	Add lines 4a and 4b.......................			4c	10,943,807
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	138,838,646

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	126,836,759
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 XIII.) ............	2d	18,118
e	Add lines 2a through 2d......................			2e	18,118
3	Subtract line 2e from line 1.....................			3	126,818,641
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 XIII.) ............	4b	8,520,800
c	Add lines 4a and 4b.......................			4c	8,520,800
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	135,339,441

Part XIII

Supplemental Information

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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART X, LINE 2:	THE HOSPITAL ADOPTED THE STANDARD FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A HOSPITAL'S CONSOLIDATED FINANCIAL STATEMENTS THAT PRESCRIBES A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. THE STANDARD ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. MANAGEMENT HAS DETERMINED THAT THE ADOPTION OF THE STANDARD DID NOT HAVE A MATERIAL EFFECT ON THE CONSOLIDATED FINANCIAL STATEMENTS. THE HOSPITAL'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN OPERATING EXPENSES. THERE WERE NO INTEREST OR PENALTIES RECOGNIZED ON THE CONSOLIDATED STATEMENTS OF OPERATIONS AS A RESULT OF THE ADOPTION. GENERALLY, TAX RETURNS FOR YEARS ENDED JUNE 30, 2011, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 18,118.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	DONATIONS 80,007. INVESTMENT INCOME 2,343,000. PROVISION FOR BAD DEBT 8,520,800.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 18,118.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	PROVISION FOR BAD DEBT 8,520,800.

Schedule D (Form 990) 2013

Additional Data

Software ID:
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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.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

MONONGAHELA VALLEY HOSPITAL INC

Employer identification number

23-7218917

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

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

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

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

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

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

If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance 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 discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

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

Yes

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..		2,437	902,385		902,385	0.710 %
b	Medicaid (from Worksheet 3, column a) ....		18,756	17,751,272	14,950,193	2,801,079	2.210 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .		21,193	18,653,657	14,950,193	3,703,464	2.920 %
Other Benefits		310	13,340	412,802		412,802	0.330 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	310	13,340	412,802		412,802	0.330 %
f	Health professions education (from Worksheet 5) ..	284	3,267	791,155		791,155	0.620 %
g	Subsidized health services (from Worksheet 6) ..		436	479,839	482,430	-2,591	0 %
h	Research (from Worksheet 7)
i	Cash and in-kind contributions for community benefit (from Worksheet 8)		2,702	56,449		56,449	0.040 %
j	Total. Other Benefits ..	594	19,745	1,740,245	482,430	1,257,815	0.990 %
k	Total. Add lines 7d and 7j .	594	40,938	20,393,902	15,432,623	4,961,279	3.910 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013

Schedule H (Form 990) 2013

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(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	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
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did 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. Explain in Part VI the methodology used by the organization to estimate this amount. ......

2,547,719

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

1,162,983

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

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

64,216,566

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

71,570,742

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

-7,354,176

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

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(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 %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2013

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number
1	MONONGAHELA VALLEY HOSPITAL 1163 COUNTRY CLUB ROAD MONONONGAHELA,PA150631095	X	X	X

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	MONONGAHELA VALLEY HOSPITAL INC
Name of hospital facility or facility reporting group

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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 ....................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................

Yes

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): MONVALLEYHOSPITAL.COM

Other website (list url): WCHPINC.ORG

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 150.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	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	Residency
i	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to 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 on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?..........	17		No
	If "Yes," check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

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?..........

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individual 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? ............................

If "Yes," explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? .........................

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference	Explanation
MONONGAHELA VALLEY HOSPITAL, INC.	PART V, SECTION B, LINE 3: IN JANUARY 2012, MONONGAHELA VALLEY HOSPITAL AND WASHINGTON HEALTH SYSTEM CONTRACTED WITH WASHINGTON COUNTY HEALTH PARTNERS (WCHP) TO PERFORM A COMMUNITY HEALTH NEEDS ASSESSMENT. THE PENNSYLVANIA DEPARTMENT OF HEALTH RECOGNIZES WCHP AS A PUBLIC ENTITY RESPONSIBLE FOR COMMUNITY HEALTH ASSESSMENT PLANNING BECAUSE THE GROUP IS UNIQUELY POSITIONED TO PROVIDE A QUALITY ASSESSMENT AND A COLLABORATIVE FORMAT TO ADDRESS IDENTIFIED NEEDS. WORKING TOGETHER, REPRESENTATIVES FROM MONONGAHELA VALLEY HOSPITAL AND WCHP CALCULATED THAT APPROXIMATELY 80 PERCENT OF THE HOSPITAL'S ADMISSIONS ORIGINATE FROM THREE COUNTIES WASHINGTON, WESTMORELAND AND FAYETTE. THEY WERE FURTHER BROKEN DOWN BY COMMUNITY OR TOWN WHICH INCLUDE: BELLE VERNON, CHARLEROI, DONORA, MONESSEN, MONONGAHELA, NEW EAGLE, WEST NEWTON, BENTLEYVILLE, FINLEYVILLE, BROWNSVILLE, CALIFORNIA, COAL CENTER, FAYETTE CITY, PERRYOPOLIS AND ROSCOE. WCHP'S ASSESSMENT COMMITTEE USED THE 2012 COUNTY HEALTH RANKINGS' CONCEPTUAL FRAME WORK, WHICH WAS CREATED BY ROBERT WOOD JOHNSON FOUNDATION AND THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE, AS A TOOL TO IDENTIFY MEASURES AND SELECT WEIGHTS THAT REFLECT THE COMMUNITY'S HEALTH. INSTEAD OF MERELY RANKING THE DEFINED COMMUNITIES, THE COUNTY HEALTH RANKINGS' MEASURES AND WEIGHTS WERE MODIFIED TO CREATE THE 2020 HEALTHY COMMUNITY SCORES. THERE ARE TWO SEPARATE HEALTHY COMMUNITY SUMMARY SCORES - ONE TO MEASURE HEALTH OUTCOMES (MORTALITY AND MORBIDITY) AND THE OTHER TO MEASURE HEALTH FACTORS, INCLUDING BEHAVIORS, CLINICAL CARE, SOCIAL/ECONOMIC AND PHYSICAL ENVIRONMENT. ONE SET ADDRESSES HOW HEALTHY THE COUNTY IS AND THE OTHER EXAMINES HOW HEALTHY THE COUNTY MIGHT BE IN THE FUTURE BASED ON THE MANY FACTORS THAT INFLUENCE HEALTH. QUANTITATIVE DATA WAS COLLECTED FOR MONONGAHELA VALLEY HOSPITAL'S DEFINED COMMUNITY. SOURCES INCLUDED HOSPITAL DISCHARGE DATA FOR YEARS 2009-2011 AND AN OCTOBER 2012 SURVEY TO THE DEFINED COMMUNITY WITH QUESTIONS SIMILAR TO THOSE FROM THE ANNUAL BEHAVIOURAL RISK FACTOR SURVEILLANCE SYSTEM MANAGED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION AND ADMINISTERED BY THE PENNSYLVANIA DEPARTMENT OF HEALTH. A RANDOMLY CHOSEN SAMPLE WAS CONSTRUCTED WITH A CONFIDENCE LEVEL OF 95 PERCENT. ADDITIONALLY, COMMUNITY LEADER STRUCTURED INTERVIEWS WERE USED TO GATHER COMMUNITY INPUT AND QUALITATIVE PRIMARY DATA ABOUT IDENTIFIED "MISSING" POPULATION NEEDS.
MONONGAHELA VALLEY HOSPITAL, INC.	PART V, SECTION B, LINE 4: WASHINGTON HEALTH SYSTEM
MONONGAHELA VALLEY HOSPITAL, INC.	PART V, SECTION B, LINE 5D: AVAILABLE FROM THE WASHINGTON COUNTY HEATH PARTNERS ON THEIR WEBSITE OR FROM THEIR OFFICES.
MONONGAHELA VALLEY HOSPITAL, INC.	PART V, SECTION B, LINE 6I: AS A RESULT OF THE ASSESSMENT, THE FOLLOWING AREAS WERE IDENTIFIED AS HEALTH CARE NEEDS FOR THE COMMUNITIES SERVED BY MONONGAHELA VALLEY HOSPITAL: CORONARY HEART DISEASE DEATHS DIABETES DEATHS AND DIABETES PREVALENCE STROKE DEATHS COPD DEATHS TOBACCO USE (ADULT SMOKELESS AND PREGNANT SMOKING) BINGE AND HEAVY DRINKING SUICIDE DEATHS BREAST CANCER DEATHS AND LATE STAGE BREAST CANCER DENTAL VISITS COLORECTAL CANCER DEATHS AND INVASIVE COLORECTAL CANCER LUNG CANCER DEATHS OBESITY, FRUITS AND VEGETABLE CONSUMPTION, RECOMMENDED ACTIVITY ACCESS TO HEALTHY FOODJUST PRIOR TO THE START OF FISCAL YEAR 2013, MONONGAHELA VALLEY HOSPITAL'S PLANNING AND OUTREACH COMMITTEE MET TO REVIEW THE FINDINGS. THE COMMITTEE, WHICH IS CHAIRED BY HOSPITAL PRESIDENT AND CEO LOUIS J. PANZA JR. AND IS COMPOSED OF DESIGNATED MEMBERS OF MVH'S BOARD OF TRUSTEES AND EXECUTIVE LEADERSHIP, IDENTIFIED 13 HEALTH NEEDS AS UNDERPERFORMING BASELINES AND TARGETS. THESE HEALTH NEEDS WERE PRESENTED TO THE HOSPITAL'S FULL BOARD OF TRUSTEES WHOSE MEMBERS PRIORITIZED THE NEEDS. TAKING INTO ACCOUNT THE BOARD'S INPUT, THE COMMITTEE ACKNOWLEDGED THAT ALL 13 IDENTIFIED HEALTH NEEDS WERE IMPORTANT, BUT DETERMINED THAT DURING THE YEARS AHEAD, THE HOSPITAL SHOULD PREFERENTIALLY ADDRESS THE FOLLOWING NEEDS: CORONARY HEART DISEASE DEATHS DIABETES DEATHS AND DIABETES PREVALENCE STROKE DEATHS COPD DEATHS BREAST CANCER DEATHS AND LATE STAGE BREAST CANCER COLORECTAL CANCER DEATHS AND INVASIVE COLORECTAL CANCER LUNG CANCER DEATHS OBESITY, FRUITS AND VEGETABLE CONSUMPTION, RECOMMENDED ACTIVITYTHE COMMUNITY NEEDS OUTLINED ABOVE LARGELY AFFIRM THE RESOURCES AND PROGRAMS THE HOSPITAL OFFERS TO THE COMMUNITY. THE AREAS NOT INCLUDED ON THE PRIORITIZED LIST ARE THOSE FOR WHICH THE HOSPITAL DOES NOT POSSESS THE REQUISITE SKILLS AND RESOURCES TO BEST ADDRESS THE IDENTIFIED HEALTH CARE NEEDS. LISTED BELOW IS A SAMPLING OF SPECIFIC SERVICES AND PROGRAMS THAT MONONGAHELA VALLEY HOSPITAL OFFERED TO PATIENTS AND THE COMMUNITY DURING FISCAL YEAR 2013 THAT DIRECTLY RELATE TO THE 13 IDENTIFIED PRIORITIES.CORONARY HEART DISEASE. MONONGAHELA VALLEY HOSPITAL IS COMMITTED TO EARLY DETECTION OF CARDIAC AND VASCULAR DISEASES THROUGH THE USE OF NONINVASIVE TESTING PERFORMED WITHIN THE HOSPITAL'S CARDIAC DEPARTMENT AND THE PERIPHERAL VASCULAR LAB. A FULL RANGE OF DIAGNOSTIC CARDIOLOGY AND VASCULAR TESTING INCLUDES: ECG NUCLEAR STRESS BOTH EXERCISE AND PHARMACOLOGICAL HOLTER MONITORING ECHOCARDIOGRAM STRESS TESTS STRESS ECHO DOPPLER STUDIES TRANSESOPHAGEAL ECHOCARDIOGRAMS TRANSTHORACIC ECHOCARDIOGRAMSTO CONTINUE PROVIDING THE HIGHEST LEVEL OF INTERVENTIONAL CARDIOLOGY AND VASCULAR THERAPIES, MONONGAHELA VALLEY HOSPITAL INSTALLED THE NEW ARTIS ZEE CEILING/FLOOR-MOUNTED ANGIOGRAPHY SYSTEM THAT PROVIDES PHYSICIANS WITH HIGHLY DETAILED IMAGES OF PATIENT'S BLOOD VESSELS DURING DIAGNOSTIC AND TREATMENT PROCEDURES.THE FULLY DIGITAL ARTIS ZEE FEATURES ADVANCED TECHNOLOGY IN THE FORM OF FLAT-PANEL DETECTORS, WHICH ENABLE PHYSICIANS TO OBTAIN THREE-DIMENSIONAL IMAGES IN HIGH RESOLUTION, WITHOUT THE DISTORTION COMMON WITH CONVENTIONAL X-RAY TECHNIQUES. THE FLAT DETECTORS, MADE OF AMORPHOUS SILICON, NOT ONLY ENABLE PHYSICIANS TO VISUALIZE THE FINEST BLOOD VESSELS, IT ALSO HELPS PHYSICIANS VISUALIZE INTERVENTIONAL DEVICES, SUCH AS GUIDE WIRES AND CATHETERS, IN PRECISE DETAIL AND FROM ALMOST ANY ANGLE. THE SYSTEM IS SPECIALLY DESIGNED TO PROVIDE PATIENTS WITH THE LOWEST POSSIBLE RADIATION DOSE. MINIMIZING RADIATION DOSE IS ESPECIALLY BENEFICIAL DURING ANGIOGRAPHIC PROCEDURES BECAUSE THEY ARE OFTEN LENGTHY IN DURATION. THE ERGONOMIC DESIGN OF THE SYSTEM ALSO ELIMINATES TIME-CONSUMING AND UNCOMFORTABLE REPOSITIONING OF THE PATIENT IN THE EXAM ROOM, MAKING THE PROCEDURE FASTER AND LESS STRESSFUL FOR THE PATIENT. DURING INTERVENTIONS, THE COMPACT FLAT-PANEL DETECTOR TECHNOLOGY ENABLES VIRTUALLY ALL ANATOMICAL REGIONS TO BE EASILY IMAGED. SYSTEM FUNCTIONS CAN BE PERFORMED VIA AN INTUITIVE TABLESIDE TOUCH-SCREEN DISPLAY. THIS ENABLES FULL SYSTEM CONTROL, AND LEADS TO IMPROVED CONFIDENCE DURING THE PROCEDURE.MVH'S CARDIAC CATHETERIZATION LAB OFFERS EMERGENCY THERAPEUTIC SERVICES INCLUDING: CORONARY ANGIOPLASTY, WHICH RESTORES BLOOD FLOW TO THE HEART BY USING A BALLOON CATHETER TO DECREASE THE BLOCKAGE IN THE CORONARY ARTERY CORONARY ARTERY STENTING, WHICH IS A PROCEDURE BY WHICH A SMALL SLEEVE IS INSERTED INTO A STRICTURED ARTERY TO RESTORE BLOOD FLOW TO THE HEART THE USE OF DRUG ELUTING STENTS, WHICH IS THE INSERTION OF A STENT WHICH EMITS A TIME RELEASE DRUG TO PREVENT THE ARTERY FROM CLOSING THE CARDIOLOGY ECHO LAB IS ACCREDITED IN TRANSTHORACIC ECHOCARDIOLOGY AND TRANSESOPHAGEAL ECHOCARDIOLOGY BY THE INTERSOCIETAL COMMISSION FOR THE ACCREDITATION OF ECHOCARDIOLOGY LABORATORIES (ICAEL). THE ICAEL RECOGNIZED THE LAB FOR ITS COMMITMENT TO QUALITY PATIENT CARE AND ITS PROVISION OF QUALITY DIAGNOSTIC TESTING. CARDIAC AND PULMONARY REHABILITATION IS FOR INDIVIDUALS RECOVERING FROM A POST CARDIAC EVENT, ANGIOPLASTY, STABLE ANGINA OR WHO SUFFER FROM A CHRONIC OBSTRUCTIVE PULMONARY DISEASE. THIS MEDICALLY SUPERVISED PROGRAM IS COMPRISED OF A 12-WEEK REHABILITATION PROGRAM, BEHAVIOR MODIFICATION AND EDUCATION TO HELP PATIENTS RETURN TO A BETTER QUALITY OF LIFE.MVH IS ONE OF ONLY FEW MEDICAL FACILITIES IN WESTERN PENNSYLVANIA THAT IS DESIGNATED AS A MISSION: LIFELINE FACILITY. MONONGAHELA VALLEY HOSPITAL HAS TAKEN THE STEP TO SEEK AND RECEIVE THE AMERICAN HEART ASSOCIATION'S MISSION LIFELINE CERTIFICATION. THE HOSPITAL PROVIDES EMERGENCY CORONARY INTERVENTION WHICH IS THE PLACEMENT OF CORONARY STENTS IN CLOGGED ARTERIES. MISSION: LIFELINE HOSPITALS MEET RIGID GUIDELINES FOR THE PROVISION OF HEART CARE SERVICES.FEBRUARY IS NATIONAL HEART AWARENESS. IN 2014, MONONGAHELA HOSPITAL, IN CONJUNCTION WITH THE TWO OTHER HOSPITALS IN WASHINGTON COUNTY SPONSORED THE 2ND ANNUAL "GO RED WASHINGTON COUNTY" HEART HEALTH EVENT FOR THE COMMUNITY. ON FEBRUARY 20, FREE PROGRAMS AND SCREENINGS WERE HELD AT THE HOSPITAL THAT INCLUDED: HEALTH AND WELLNESS SCREENINGS HEALTH FAIR HEALTHY COOKING DEMONSTRATION WITH PHOEBE SEIVERLING, THE HOSPITAL'S EXECUTIVE CHEF, AND MICHELE PFARR, RD, LDN, CLINICAL NUTRITION MANAGER STRESS MANAGEMENT SESSION WITH AMAERA FELDER, A STRESS MANAGEMENT SPECIALIST A DISCUSSION ON HEART HEALTH WITH R.G. KRISHNAN, M.D. CARDIOLOGY AND INTERNAL MEDICINE; RANDALL KOMACKO, MPT, SENIOR STAFF PHYSICAL THERAPIST AND DIRECTOR OF THE DR. DEAN ORNISH PROGRAM FOR REVERSING HEART DISEASE; AND DON DOYLE, GENERAL MANAGER OF THE CENTER FOR FITNESS AND HEALTH BLOOD PRESSURE AND CHOLESTEROL SCREENINGS WERE HELD THROUGHOUT THE YEAR BOTH AT THE HOSPITAL AND AT COMMUNITY SETTINGS, SUCH AS CHURCHES AND COMMUNITY CENTERS. MVH PROVIDED REGULAR BLOOD PRESSURE SCREENINGS AT THE ANTIOCH BAPTIST CHURCH ON AUG. 25 AND NOV. 17, 2013 AND FEB. 16, AND MAY 18, 2014. HOLY RESURRECTION ORTHODOX CHURCH HELD A LARGE BLOOD PRESSURE SCREENING STAFFED BY MVH PERSONNEL DURING ITS FALL FESTIVAL ON OCT. 6, 2013. A BLOOD PRESSURE SCREENING ALSO WAS HELD AT THE MONESSEN SENIOR HIGH RISE EASTGATE MANOR ON SEPT. 25, 2013. THE HOSPITAL OFFERED THE DR. DEAN ORNISH PROGRAM FOR REVERSING HEART DISEASE. PARTICIPANTS IN THE DR. DEAN ORNISH PROGRAM LEARNED ABOUT THE FOUR-DIMENSIONAL APPROACH TO REVERSING HEART DISEASE - PROPER DIET, MODERATE EXERCISE, STRESS MANAGEMENT AND REGULAR GROUP SUPPORT. THE DR. DEAN ORNISH PROGRAM, WAS OFFERED AT THE MON-VALE HEALTHPLEX AND LED BY A TEAM OF MEDICAL PROFESSIONALS SPECIALIZING IN EACH OF THE FOUR FOCUS AREAS.THE HOSPITAL'S WEBSITE, MONVALLEYHOSPITAL.COM, INCLUDES A LINK TO A HEALTH LIBRARY. AMONG THE TOPICS ARE CORONARY ARTERY FISTULA, CORONARY ARTERY SPASM AND CORONARY HEART DISEASE. ACCORDING TO THE NATIONAL DIABETES INFORMATION CLEARINGHOUSE, PEOPLE WHO HAVE DIABETES ARE AT LEAST TWICE AS LIKELY TO HAVE HEART DISEASE AS SOMEONE WHO DOES NOT HAVE DIABETES. MONONGAHELA VALLEY HOSPITAL OFFERS A DIABETES SUPPORT GROUP THAT IS FREE FOR PEOPLE WITH DIABETES, THEIR FAMILIES AND CAREGIVERS. SEMI-ANNUAL MULTIPHASIC BLOOD SCREENINGS ARE HELD AT MONONGAHELA VALLEY HOSPITAL. ON EACH BLOOD SAMPLE, 36 INDIVIDUAL TESTS ARE PERFORMED THAT CAN REVEAL SUCH DISEASES AND CHRONIC CONDITIONS AS DIABETES, HIGH CHOLESTEROL, ETC. THE SCREENINGS WERE HELD AT MVH ON SEPT. 28, 2013 AND MARCH 29, 2014. MORE THAN 1,100 PEOPLE PARTICIPATED IN BOTH SCREENINGS. IN AN EFFORT TO LEAD BY EXAMPLE, MVH STAFF PARTICIPATED IN THE WASHINGTON COUNTY & MON VALLEY HEART WALK ON OCT. 5, 2013. THE EVENT WAS HELD AT CONSOL ENERGY PARK, IN WASHINGTON, PA.CONTINUED ON SCHEDULE O
MONONGAHELA VALLEY HOSPITAL, INC.	PART V, SECTION B, LINE 7: THE COMMUNITY NEEDS OUTLINED ABOVE LARGELY AFFIRM THE RESOURCES AND PROGRAMS THE HOSPITAL OFFERS TO THE COMMUNITY. THE AREAS NOT INCLUDED ON THE PRIORITIZED LIST ARE THOSE FOR WHICH THE HOSPITAL DOES NOT POSSESS THE REQUISITE SKILLS AND RESOURCES TO BEST ADDRESS THE IDENTIFIED HEALTH CARE NEEDS.
MONONGAHELA VALLEY HOSPITAL, INC.	PART V, SECTION B, LINE 14G: THE CHARITY/UNCOMPENSATED CARE POLICY (MVH CARE POLICY) IS PUBLISHED IN THE LOCAL NEWSPAPERS ANNUALLY. SEE SCHEDULE H, PART VI, SUPPLEMENTAL INFORMATION, LINE 3.
MONONGAHELA VALLEY HOSPITAL, INC.	PART V, SECTION B, LINE 20D: AMOUNTS BILLED ARE THE GROSS CHARGES DISCOUNTED BASED ON THE PATIENT'S INCOME AND ELIGIBILITY UNDER THE UNCOMPENSATED CARE POLICY UTILIZING THE FEDERAL POVERTY GUIDELINES.
PART V, SECTION B, LINE 2	THE CHNA WAS LAST CONDUCTED DURING THE ORGANIZATION'S 2012 TAX YEAR, WHICH IS EQUIVALENT TO ITS FISCAL YEAR ENDED JUNE 30, 2013. THE IMPLEMENTATION STRATEGY WAS ALSO ADOPTED DURING THAT SAME FISCAL YEAR.
PART V, SECTION B, CHNA	THE ORGANIZATION HAS DEVELOPED AND ADOPTED AN IMPLEMENTATION STRATEGY TO ADDRESS THE NEEDS IDENTIFIED WITHIN THE CHNA. THIS DOCUMENT IS AVAILABLE ON THE ORGANIZATION'S WEBSITE USING THIS SPECIFIC LINK:WWW.MONVALLEYHOSPITAL.COM/ABOUT.ASP

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?8
Name and address		Type of Facility (describe)
1	SPARTAN HEALTH SURGICENTER LLC 100 STOOPS DRIVE MONONONGAHELA,PA15063	OUTPATIENT SURGERY CENTER
2	HEALTHPLEX IMAGING 800 PLAZA DRIVE BELLE VERNON,PA15012	OUTPATIENT RADIOLOGY CENTER
3	CENTER FOR CHILDREN'S REHABILITATION 1029 COUNTRY CLUB ROAD MONONONGAHELA,PA15063	CHILDREN'S REHABILITATION CENTER
4	MVH OCCUPATIONAL HEALTH 800 PLAZA DRIVE BELLE VERNON,PA15012	OCCUPATIONAL HEALTH SERVICES
5	MVH CARDIO-PULMONARY REHAB 800 PLAZA DRIVE BELLE VERNON,PA15012	CARDIO-PULMONARY REHABILITATION
6	HEALTHY DIRECTIONS AT GIANT EAGLE 3701 ROUTE 88 FINLEYVILLE,PA15332	INFORMATION RESOURCE CENTER
7	MCMURRAY IRG DIAGNOSTIC 4198 WASHINGTON ROAD MCMURRAY,PA15317	OUTPATIENT RADIOLOGY CENTER
8	WHITE OAK IRG DIAGNOSTIC 2002 LINCOLN WAY WHITE OAK,PA15131	OUTPATIENT RADIOLOGY CENTER
9
10

Schedule H (Form 990) 2013

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

Form and Line Reference	Explanation
MONONGAHELA VALLEY HOSPITAL, INC.	PART V, SECTION B, LINE 3: IN JANUARY 2012, MONONGAHELA VALLEY HOSPITAL AND WASHINGTON HEALTH SYSTEM CONTRACTED WITH WASHINGTON COUNTY HEALTH PARTNERS (WCHP) TO PERFORM A COMMUNITY HEALTH NEEDS ASSESSMENT. THE PENNSYLVANIA DEPARTMENT OF HEALTH RECOGNIZES WCHP AS A PUBLIC ENTITY RESPONSIBLE FOR COMMUNITY HEALTH ASSESSMENT PLANNING BECAUSE THE GROUP IS UNIQUELY POSITIONED TO PROVIDE A QUALITY ASSESSMENT AND A COLLABORATIVE FORMAT TO ADDRESS IDENTIFIED NEEDS. WORKING TOGETHER, REPRESENTATIVES FROM MONONGAHELA VALLEY HOSPITAL AND WCHP CALCULATED THAT APPROXIMATELY 80 PERCENT OF THE HOSPITAL'S ADMISSIONS ORIGINATE FROM THREE COUNTIES WASHINGTON, WESTMORELAND AND FAYETTE. THEY WERE FURTHER BROKEN DOWN BY COMMUNITY OR TOWN WHICH INCLUDE: BELLE VERNON, CHARLEROI, DONORA, MONESSEN, MONONGAHELA, NEW EAGLE, WEST NEWTON, BENTLEYVILLE, FINLEYVILLE, BROWNSVILLE, CALIFORNIA, COAL CENTER, FAYETTE CITY, PERRYOPOLIS AND ROSCOE. WCHP'S ASSESSMENT COMMITTEE USED THE 2012 COUNTY HEALTH RANKINGS' CONCEPTUAL FRAME WORK, WHICH WAS CREATED BY ROBERT WOOD JOHNSON FOUNDATION AND THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE, AS A TOOL TO IDENTIFY MEASURES AND SELECT WEIGHTS THAT REFLECT THE COMMUNITY'S HEALTH. INSTEAD OF MERELY RANKING THE DEFINED COMMUNITIES, THE COUNTY HEALTH RANKINGS' MEASURES AND WEIGHTS WERE MODIFIED TO CREATE THE 2020 HEALTHY COMMUNITY SCORES. THERE ARE TWO SEPARATE HEALTHY COMMUNITY SUMMARY SCORES - ONE TO MEASURE HEALTH OUTCOMES (MORTALITY AND MORBIDITY) AND THE OTHER TO MEASURE HEALTH FACTORS, INCLUDING BEHAVIORS, CLINICAL CARE, SOCIAL/ECONOMIC AND PHYSICAL ENVIRONMENT. ONE SET ADDRESSES HOW HEALTHY THE COUNTY IS AND THE OTHER EXAMINES HOW HEALTHY THE COUNTY MIGHT BE IN THE FUTURE BASED ON THE MANY FACTORS THAT INFLUENCE HEALTH. QUANTITATIVE DATA WAS COLLECTED FOR MONONGAHELA VALLEY HOSPITAL'S DEFINED COMMUNITY. SOURCES INCLUDED HOSPITAL DISCHARGE DATA FOR YEARS 2009-2011 AND AN OCTOBER 2012 SURVEY TO THE DEFINED COMMUNITY WITH QUESTIONS SIMILAR TO THOSE FROM THE ANNUAL BEHAVIOURAL RISK FACTOR SURVEILLANCE SYSTEM MANAGED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION AND ADMINISTERED BY THE PENNSYLVANIA DEPARTMENT OF HEALTH. A RANDOMLY CHOSEN SAMPLE WAS CONSTRUCTED WITH A CONFIDENCE LEVEL OF 95 PERCENT. ADDITIONALLY, COMMUNITY LEADER STRUCTURED INTERVIEWS WERE USED TO GATHER COMMUNITY INPUT AND QUALITATIVE PRIMARY DATA ABOUT IDENTIFIED "MISSING" POPULATION NEEDS.
MONONGAHELA VALLEY HOSPITAL, INC.	PART V, SECTION B, LINE 4: WASHINGTON HEALTH SYSTEM
MONONGAHELA VALLEY HOSPITAL, INC.	PART V, SECTION B, LINE 5D: AVAILABLE FROM THE WASHINGTON COUNTY HEATH PARTNERS ON THEIR WEBSITE OR FROM THEIR OFFICES.
MONONGAHELA VALLEY HOSPITAL, INC.	PART V, SECTION B, LINE 6I: AS A RESULT OF THE ASSESSMENT, THE FOLLOWING AREAS WERE IDENTIFIED AS HEALTH CARE NEEDS FOR THE COMMUNITIES SERVED BY MONONGAHELA VALLEY HOSPITAL: CORONARY HEART DISEASE DEATHS DIABETES DEATHS AND DIABETES PREVALENCE STROKE DEATHS COPD DEATHS TOBACCO USE (ADULT SMOKELESS AND PREGNANT SMOKING) BINGE AND HEAVY DRINKING SUICIDE DEATHS BREAST CANCER DEATHS AND LATE STAGE BREAST CANCER DENTAL VISITS COLORECTAL CANCER DEATHS AND INVASIVE COLORECTAL CANCER LUNG CANCER DEATHS OBESITY, FRUITS AND VEGETABLE CONSUMPTION, RECOMMENDED ACTIVITY ACCESS TO HEALTHY FOODJUST PRIOR TO THE START OF FISCAL YEAR 2013, MONONGAHELA VALLEY HOSPITAL'S PLANNING AND OUTREACH COMMITTEE MET TO REVIEW THE FINDINGS. THE COMMITTEE, WHICH IS CHAIRED BY HOSPITAL PRESIDENT AND CEO LOUIS J. PANZA JR. AND IS COMPOSED OF DESIGNATED MEMBERS OF MVH'S BOARD OF TRUSTEES AND EXECUTIVE LEADERSHIP, IDENTIFIED 13 HEALTH NEEDS AS UNDERPERFORMING BASELINES AND TARGETS. THESE HEALTH NEEDS WERE PRESENTED TO THE HOSPITAL'S FULL BOARD OF TRUSTEES WHOSE MEMBERS PRIORITIZED THE NEEDS. TAKING INTO ACCOUNT THE BOARD'S INPUT, THE COMMITTEE ACKNOWLEDGED THAT ALL 13 IDENTIFIED HEALTH NEEDS WERE IMPORTANT, BUT DETERMINED THAT DURING THE YEARS AHEAD, THE HOSPITAL SHOULD PREFERENTIALLY ADDRESS THE FOLLOWING NEEDS: CORONARY HEART DISEASE DEATHS DIABETES DEATHS AND DIABETES PREVALENCE STROKE DEATHS COPD DEATHS BREAST CANCER DEATHS AND LATE STAGE BREAST CANCER COLORECTAL CANCER DEATHS AND INVASIVE COLORECTAL CANCER LUNG CANCER DEATHS OBESITY, FRUITS AND VEGETABLE CONSUMPTION, RECOMMENDED ACTIVITYTHE COMMUNITY NEEDS OUTLINED ABOVE LARGELY AFFIRM THE RESOURCES AND PROGRAMS THE HOSPITAL OFFERS TO THE COMMUNITY. THE AREAS NOT INCLUDED ON THE PRIORITIZED LIST ARE THOSE FOR WHICH THE HOSPITAL DOES NOT POSSESS THE REQUISITE SKILLS AND RESOURCES TO BEST ADDRESS THE IDENTIFIED HEALTH CARE NEEDS. LISTED BELOW IS A SAMPLING OF SPECIFIC SERVICES AND PROGRAMS THAT MONONGAHELA VALLEY HOSPITAL OFFERED TO PATIENTS AND THE COMMUNITY DURING FISCAL YEAR 2013 THAT DIRECTLY RELATE TO THE 13 IDENTIFIED PRIORITIES.CORONARY HEART DISEASE. MONONGAHELA VALLEY HOSPITAL IS COMMITTED TO EARLY DETECTION OF CARDIAC AND VASCULAR DISEASES THROUGH THE USE OF NONINVASIVE TESTING PERFORMED WITHIN THE HOSPITAL'S CARDIAC DEPARTMENT AND THE PERIPHERAL VASCULAR LAB. A FULL RANGE OF DIAGNOSTIC CARDIOLOGY AND VASCULAR TESTING INCLUDES: ECG NUCLEAR STRESS BOTH EXERCISE AND PHARMACOLOGICAL HOLTER MONITORING ECHOCARDIOGRAM STRESS TESTS STRESS ECHO DOPPLER STUDIES TRANSESOPHAGEAL ECHOCARDIOGRAMS TRANSTHORACIC ECHOCARDIOGRAMSTO CONTINUE PROVIDING THE HIGHEST LEVEL OF INTERVENTIONAL CARDIOLOGY AND VASCULAR THERAPIES, MONONGAHELA VALLEY HOSPITAL INSTALLED THE NEW ARTIS ZEE CEILING/FLOOR-MOUNTED ANGIOGRAPHY SYSTEM THAT PROVIDES PHYSICIANS WITH HIGHLY DETAILED IMAGES OF PATIENT'S BLOOD VESSELS DURING DIAGNOSTIC AND TREATMENT PROCEDURES.THE FULLY DIGITAL ARTIS ZEE FEATURES ADVANCED TECHNOLOGY IN THE FORM OF FLAT-PANEL DETECTORS, WHICH ENABLE PHYSICIANS TO OBTAIN THREE-DIMENSIONAL IMAGES IN HIGH RESOLUTION, WITHOUT THE DISTORTION COMMON WITH CONVENTIONAL X-RAY TECHNIQUES. THE FLAT DETECTORS, MADE OF AMORPHOUS SILICON, NOT ONLY ENABLE PHYSICIANS TO VISUALIZE THE FINEST BLOOD VESSELS, IT ALSO HELPS PHYSICIANS VISUALIZE INTERVENTIONAL DEVICES, SUCH AS GUIDE WIRES AND CATHETERS, IN PRECISE DETAIL AND FROM ALMOST ANY ANGLE. THE SYSTEM IS SPECIALLY DESIGNED TO PROVIDE PATIENTS WITH THE LOWEST POSSIBLE RADIATION DOSE. MINIMIZING RADIATION DOSE IS ESPECIALLY BENEFICIAL DURING ANGIOGRAPHIC PROCEDURES BECAUSE THEY ARE OFTEN LENGTHY IN DURATION. THE ERGONOMIC DESIGN OF THE SYSTEM ALSO ELIMINATES TIME-CONSUMING AND UNCOMFORTABLE REPOSITIONING OF THE PATIENT IN THE EXAM ROOM, MAKING THE PROCEDURE FASTER AND LESS STRESSFUL FOR THE PATIENT. DURING INTERVENTIONS, THE COMPACT FLAT-PANEL DETECTOR TECHNOLOGY ENABLES VIRTUALLY ALL ANATOMICAL REGIONS TO BE EASILY IMAGED. SYSTEM FUNCTIONS CAN BE PERFORMED VIA AN INTUITIVE TABLESIDE TOUCH-SCREEN DISPLAY. THIS ENABLES FULL SYSTEM CONTROL, AND LEADS TO IMPROVED CONFIDENCE DURING THE PROCEDURE.MVH'S CARDIAC CATHETERIZATION LAB OFFERS EMERGENCY THERAPEUTIC SERVICES INCLUDING: CORONARY ANGIOPLASTY, WHICH RESTORES BLOOD FLOW TO THE HEART BY USING A BALLOON CATHETER TO DECREASE THE BLOCKAGE IN THE CORONARY ARTERY CORONARY ARTERY STENTING, WHICH IS A PROCEDURE BY WHICH A SMALL SLEEVE IS INSERTED INTO A STRICTURED ARTERY TO RESTORE BLOOD FLOW TO THE HEART THE USE OF DRUG ELUTING STENTS, WHICH IS THE INSERTION OF A STENT WHICH EMITS A TIME RELEASE DRUG TO PREVENT THE ARTERY FROM CLOSING THE CARDIOLOGY ECHO LAB IS ACCREDITED IN TRANSTHORACIC ECHOCARDIOLOGY AND TRANSESOPHAGEAL ECHOCARDIOLOGY BY THE INTERSOCIETAL COMMISSION FOR THE ACCREDITATION OF ECHOCARDIOLOGY LABORATORIES (ICAEL). THE ICAEL RECOGNIZED THE LAB FOR ITS COMMITMENT TO QUALITY PATIENT CARE AND ITS PROVISION OF QUALITY DIAGNOSTIC TESTING. CARDIAC AND PULMONARY REHABILITATION IS FOR INDIVIDUALS RECOVERING FROM A POST CARDIAC EVENT, ANGIOPLASTY, STABLE ANGINA OR WHO SUFFER FROM A CHRONIC OBSTRUCTIVE PULMONARY DISEASE. THIS MEDICALLY SUPERVISED PROGRAM IS COMPRISED OF A 12-WEEK REHABILITATION PROGRAM, BEHAVIOR MODIFICATION AND EDUCATION TO HELP PATIENTS RETURN TO A BETTER QUALITY OF LIFE.MVH IS ONE OF ONLY FEW MEDICAL FACILITIES IN WESTERN PENNSYLVANIA THAT IS DESIGNATED AS A MISSION: LIFELINE FACILITY. MONONGAHELA VALLEY HOSPITAL HAS TAKEN THE STEP TO SEEK AND RECEIVE THE AMERICAN HEART ASSOCIATION'S MISSION LIFELINE CERTIFICATION. THE HOSPITAL PROVIDES EMERGENCY CORONARY INTERVENTION WHICH IS THE PLACEMENT OF CORONARY STENTS IN CLOGGED ARTERIES. MISSION: LIFELINE HOSPITALS MEET RIGID GUIDELINES FOR THE PROVISION OF HEART CARE SERVICES.FEBRUARY IS NATIONAL HEART AWARENESS. IN 2014, MONONGAHELA HOSPITAL, IN CONJUNCTION WITH THE TWO OTHER HOSPITALS IN WASHINGTON COUNTY SPONSORED THE 2ND ANNUAL "GO RED WASHINGTON COUNTY" HEART HEALTH EVENT FOR THE COMMUNITY. ON FEBRUARY 20, FREE PROGRAMS AND SCREENINGS WERE HELD AT THE HOSPITAL THAT INCLUDED: HEALTH AND WELLNESS SCREENINGS HEALTH FAIR HEALTHY COOKING DEMONSTRATION WITH PHOEBE SEIVERLING, THE HOSPITAL'S EXECUTIVE CHEF, AND MICHELE PFARR, RD, LDN, CLINICAL NUTRITION MANAGER STRESS MANAGEMENT SESSION WITH AMAERA FELDER, A STRESS MANAGEMENT SPECIALIST A DISCUSSION ON HEART HEALTH WITH R.G. KRISHNAN, M.D. CARDIOLOGY AND INTERNAL MEDICINE; RANDALL KOMACKO, MPT, SENIOR STAFF PHYSICAL THERAPIST AND DIRECTOR OF THE DR. DEAN ORNISH PROGRAM FOR REVERSING HEART DISEASE; AND DON DOYLE, GENERAL MANAGER OF THE CENTER FOR FITNESS AND HEALTH BLOOD PRESSURE AND CHOLESTEROL SCREENINGS WERE HELD THROUGHOUT THE YEAR BOTH AT THE HOSPITAL AND AT COMMUNITY SETTINGS, SUCH AS CHURCHES AND COMMUNITY CENTERS. MVH PROVIDED REGULAR BLOOD PRESSURE SCREENINGS AT THE ANTIOCH BAPTIST CHURCH ON AUG. 25 AND NOV. 17, 2013 AND FEB. 16, AND MAY 18, 2014. HOLY RESURRECTION ORTHODOX CHURCH HELD A LARGE BLOOD PRESSURE SCREENING STAFFED BY MVH PERSONNEL DURING ITS FALL FESTIVAL ON OCT. 6, 2013. A BLOOD PRESSURE SCREENING ALSO WAS HELD AT THE MONESSEN SENIOR HIGH RISE EASTGATE MANOR ON SEPT. 25, 2013. THE HOSPITAL OFFERED THE DR. DEAN ORNISH PROGRAM FOR REVERSING HEART DISEASE. PARTICIPANTS IN THE DR. DEAN ORNISH PROGRAM LEARNED ABOUT THE FOUR-DIMENSIONAL APPROACH TO REVERSING HEART DISEASE - PROPER DIET, MODERATE EXERCISE, STRESS MANAGEMENT AND REGULAR GROUP SUPPORT. THE DR. DEAN ORNISH PROGRAM, WAS OFFERED AT THE MON-VALE HEALTHPLEX AND LED BY A TEAM OF MEDICAL PROFESSIONALS SPECIALIZING IN EACH OF THE FOUR FOCUS AREAS.THE HOSPITAL'S WEBSITE, MONVALLEYHOSPITAL.COM, INCLUDES A LINK TO A HEALTH LIBRARY. AMONG THE TOPICS ARE CORONARY ARTERY FISTULA, CORONARY ARTERY SPASM AND CORONARY HEART DISEASE. ACCORDING TO THE NATIONAL DIABETES INFORMATION CLEARINGHOUSE, PEOPLE WHO HAVE DIABETES ARE AT LEAST TWICE AS LIKELY TO HAVE HEART DISEASE AS SOMEONE WHO DOES NOT HAVE DIABETES. MONONGAHELA VALLEY HOSPITAL OFFERS A DIABETES SUPPORT GROUP THAT IS FREE FOR PEOPLE WITH DIABETES, THEIR FAMILIES AND CAREGIVERS. SEMI-ANNUAL MULTIPHASIC BLOOD SCREENINGS ARE HELD AT MONONGAHELA VALLEY HOSPITAL. ON EACH BLOOD SAMPLE, 36 INDIVIDUAL TESTS ARE PERFORMED THAT CAN REVEAL SUCH DISEASES AND CHRONIC CONDITIONS AS DIABETES, HIGH CHOLESTEROL, ETC. THE SCREENINGS WERE HELD AT MVH ON SEPT. 28, 2013 AND MARCH 29, 2014. MORE THAN 1,100 PEOPLE PARTICIPATED IN BOTH SCREENINGS. IN AN EFFORT TO LEAD BY EXAMPLE, MVH STAFF PARTICIPATED IN THE WASHINGTON COUNTY & MON VALLEY HEART WALK ON OCT. 5, 2013. THE EVENT WAS HELD AT CONSOL ENERGY PARK, IN WASHINGTON, PA.CONTINUED ON SCHEDULE O
MONONGAHELA VALLEY HOSPITAL, INC.	PART V, SECTION B, LINE 7: THE COMMUNITY NEEDS OUTLINED ABOVE LARGELY AFFIRM THE RESOURCES AND PROGRAMS THE HOSPITAL OFFERS TO THE COMMUNITY. THE AREAS NOT INCLUDED ON THE PRIORITIZED LIST ARE THOSE FOR WHICH THE HOSPITAL DOES NOT POSSESS THE REQUISITE SKILLS AND RESOURCES TO BEST ADDRESS THE IDENTIFIED HEALTH CARE NEEDS.
MONONGAHELA VALLEY HOSPITAL, INC.	PART V, SECTION B, LINE 14G: THE CHARITY/UNCOMPENSATED CARE POLICY (MVH CARE POLICY) IS PUBLISHED IN THE LOCAL NEWSPAPERS ANNUALLY. SEE SCHEDULE H, PART VI, SUPPLEMENTAL INFORMATION, LINE 3.
MONONGAHELA VALLEY HOSPITAL, INC.	PART V, SECTION B, LINE 20D: AMOUNTS BILLED ARE THE GROSS CHARGES DISCOUNTED BASED ON THE PATIENT'S INCOME AND ELIGIBILITY UNDER THE UNCOMPENSATED CARE POLICY UTILIZING THE FEDERAL POVERTY GUIDELINES.
PART V, SECTION B, LINE 2	THE CHNA WAS LAST CONDUCTED DURING THE ORGANIZATION'S 2012 TAX YEAR, WHICH IS EQUIVALENT TO ITS FISCAL YEAR ENDED JUNE 30, 2013. THE IMPLEMENTATION STRATEGY WAS ALSO ADOPTED DURING THAT SAME FISCAL YEAR.
PART V, SECTION B, CHNA	THE ORGANIZATION HAS DEVELOPED AND ADOPTED AN IMPLEMENTATION STRATEGY TO ADDRESS THE NEEDS IDENTIFIED WITHIN THE CHNA. THIS DOCUMENT IS AVAILABLE ON THE ORGANIZATION'S WEBSITE USING THIS SPECIFIC LINK:WWW.MONVALLEYHOSPITAL.COM/ABOUT.ASP

Schedule H (Form 990) 2013

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, line 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

MONONGAHELA VALLEY HOSPITAL INC

Employer identification number

23-7218917

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 or provision of all of the expenses described above? If "No," complete Part III to explain....

Yes

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

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

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? ................

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? ...........................

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

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

Cat. No. 50053T

Schedule J (Form 990) 2013

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(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 as deferred in prior Form 990
(A) Name and Title		(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)	(F) Compensation reported as deferred in prior Form 990
(1)LOUIS J PANZA JRPRESIDENT AND CEO	(i) (ii)	326,690 0	54,351 0	41,006 0	7,500 0	15,281 0	444,828 0	0 0
(2)DANIEL F SIMMONSSR. VICE PRES/TREASURER	(i) (ii)	225,037 0	26,067 0	36,464 0	6,411 0	18,373 0	312,352 0	0 0
(3)PATRICK J ALBERTSSR. VICE PRES/COO	(i) (ii)	169,931 0	13,385 0	12,662 0	4,938 0	10,991 0	211,907 0	0 0
(4)ELAINE S GELBOCC HEALTH PHYSICIAN	(i) (ii)	223,286 0	0 0	2,499 0	0 0	12,145 0	237,930 0	0 0
(5)DAVID E CLARKSR. VICE PRES OF HR	(i) (ii)	128,911 0	10,071 0	62,564 0	2,928 0	3,597 0	208,071 0	0 0
(6)JACINTA A BALDINICRNA	(i) (ii)	177,096 0	0 0	1,020 0	5,037 0	23,861 0	207,014 0	0 0
(7)NICK E FRANCIACRNA	(i) (ii)	172,571 0	0 0	333 0	3,023 0	21,308 0	197,235 0	0 0
(8)JEREMY J ORTOLONACRNA	(i) (ii)	169,077 0	0 0	333 0	3,583 0	21,308 0	194,301 0	0 0

Schedule J (Form 990) 2013

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 1A	OFFICERS RECEIVE A TAX INDEMNIFICATION/GROSS-UP PAYMENT AS PART OF THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). AMOUNTS PAID ARE CALCULATED PER THE PLAN DOCUMENT AND HAVE BEEN INCLUDED AS TAXABLE WAGES OF EACH PARTICIPANT.
PART I, LINE 4B	LOUIS J. PANZA, PRESIDENT AND CEO, PARTICIPATES IN A SECTION 457(F) DEFERRED COMPENSATION PLAN AND CONTRIBUTED $36,086. OTHER OFFICERS AND SELECT KEY EMPLOYEES PARTICIPATE IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP): DANIEL F. SIMMONS, SR. VICE PRESIDENT/TREASURER - $30,138 PATRICK J. ALBERTS, SR. VICE PRESIDENT/COO - $11,664

Schedule J (Form 990) 2013

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 Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
MONONGAHELA VALLEY HOSPITAL INC

Employer identification number
23-7218917

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	WASHINGTON COUNTY HOSPITAL AUTHORITY	25-6001043	938592HP0	06-09-2011	38,730,000	REFUNDING, CURRENT & ADVANCED, AND NEW MONEY - HOSPITAL FACILITIES		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .
2 Amount of bonds legally defeased . . . . . . . . . . .
3 Total proceeds of issue . . . . . . . . . . . . . .	38,730,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .
5 Capitalized interest from proceeds . . . . . . . . . . .
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .	344,218
8 Credit enhancement from proceeds . . . . . . . . . . .
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	23,011,871
11 Other spent proceeds . . . . . . . . . . . . . .	1,940,082
12 Other unspent proceeds . . . . . . . . . . . . . .
13 Year of substantial completion . . . . . . . . . . . .	2012
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .	X
15 Were the bonds issued as part of an advance refunding issue? . . . . .	X
16 Has the final allocation of proceeds been made? . . . . . . . .	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	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
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X

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

Cat. No. 50193E

Schedule K (Form 990) 2013

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 of bond-financed property? . . . . . . . . . . . .		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any 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 %
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 %
7 Does the bond issue meet the private security or payment test? . . . . .		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X
b Exception to rebate? . . . . . . . .	X
c No rebate due? . . . . . . . .		X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .	X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X
b Name of provider . . . . . . . . .	PNC BANK NA
c Term of hedge . . . . . . . . . .	7.000000000000
d Was the hedge superintegrated? . . . .		X
e Was the hedge terminated? . . . . . .		X

Schedule K (Form 990) 2013

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X
b Name of provider . . . . . . . . .
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation

Schedule K (Form 990) 2013

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.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

MONONGAHELA VALLEY HOSPITAL INC

Employer identification number

23-7218917

Return Reference	Explanation
FORM 990, PART VI, SECTION B, LINE 11	FORM 990 IS REVIEWED BY THE PRESIDENT/CEO AND THE SENIOR VICE PRESIDENT/TREASURER. IT IS PROVIDED TO THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES FOR REVIEW PRIOR TO FILING. THE FULL BOARD IS INFORMED OF THE FINANCE COMMITTEE'S FINDINGS AND A COPY IS MADE AVAILABLE FOR REVIEW.
FORM 990, PART VI, SECTION B, LINE 12C	MANDATORY DISCLOSURE STATEMENT COMPLETED BY ALL TRUSTEES, OFFICERS, KEY EMPLOYEES AND MANAGERS AND REVIEWED ANNUALLY. POSSIBLE CONFLICTS ARE INVESTIGATED. SENIOR MANAGEMENT MAINTAINS VIGILANCE FOR OTHER POSSIBLE CONFLICTS THAT MAY ARISE DURING THE YEAR.
FORM 990, PART VI, SECTION B, LINE 15	THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS DATA FROM OTHER COMPARABLE FACILITIES AND OUTSIDE ORGANIZATIONS TO DETERMINE THE COMPENSATION LEVELS OF THE HOSPITAL EXECUTIVES. ALL MEMBERS OF THIS COMMITTEE ARE FROM THE BOARD OF TRUSTEES AND HAVE NO RELATIONSHIP (BUSINESS OR PERSONAL) TO THE EXECUTIVES REVIEWED.
FORM 990, PART VI, SECTION C, LINE 18	MONONGAHELA VALLEY HOSPITAL MAKES ITS FORM 990 AND 990-T AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19	MONONGAHELA VALLEY HOSPITAL MAKES OUR GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY AVAILABLE UPON REQUEST. THE HEALTH SYSTEM'S ANNUAL REPORT IS PUBLISHED EACH YEAR IN DECEMBER. BONDHOLDERS MAY ACCESS OUR FINANCIAL DATA THROUGH THE EMMA DISSEMINATION SITE.
FORM 990, PART XI, LINE 9:	TEMPORARILY RESTRICTED GRANTS AND DONATIONS 927,465. TEMPORARILY RESTRICTED NET ASSETS RELEASED FROM RESTRICTIONS -1,201,471. PROPERTY PLANT & EQUIPMENT PURCHASED WITH GRANTS AND DONATIONS 822,206. CHANGE IN NET FUNDED PENSION 187,370. CHANGE IN NET SWAP LIABILITY 95,694. TRANSFER TO PARENT -4,080,000.
FORM 990, PART XI, LINE 2C	MONONGAHELA VALLEY HOSPITAL HAS A FINANCE COMMITTEE COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES THAT OVERSEES THE AUDIT, FINANCIAL STATEMENTS, AND SELECTION OF THE INDEPENDENT ACCOUNTANTS.
FORM 990, PART VI, LINE 16B	WHEN THE ORGANIZATION CONTEMPLATES ENTERING INTO A JOINT VENTURE WITH FOR PROFIT ORGANIZATIONS, IT ENGAGES LEGAL COUNSEL AND TAX COUNSEL TO ENSURE THAT THE TAX EXEMPT STATUS OF THE ORGANIZATION IS SAFEGUARDED.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 6I	THE HOSPITAL SPONSORS MONTHLY INNOVATIONS IN MEDICINE AND TALK WITH A DOC PROGRAMS TO ADDRESS TIMELY TOPICS WITH RESIDENTS OF THE COMMUNITIES IN ITS SERVICE AREA. PHYSICIANS AFFILIATED WITH THE HOSPITAL SERVE AS PRESENTERS. DURING THE FISCAL YEAR, DR. DIANE EMES PRESENTED THE PROGRAM, "HYPERTENSION: DO YOU KNOW YOUR NUMBERS?" ON JAN. 16 AT HER OFFICE AT CENTER IN THE WOODS. DR. GHUSSAN ABU-HAMAD PROVIDED AN INNOVATIONS IN MEDICINE PROGRAM ON "PERIPHERAL ARTERIAL DISEASE" ON MARCH 25 AT THE HOSPITAL. DIABETES DEATHS AND DIABETES PREVALENCE IN 2001, THE CENTER FOR DIABETES & ENDOCRINOLOGY OPENED AT MONONGAHELA VALLEY HOSPITAL TO PROVIDE OUTPATIENT SELF-MANAGEMENT EDUCATION AS WELL AS INPATIENT METABOLIC MANAGEMENT SERVICES. THE CENTER OFFERS COMMITTED CERTIFIED DIABETES EDUCATORS, PHYSICIANS, NURSES, DIETITIANS AND PROFESSIONAL STAFF WHO WILL WORK WITH PATIENTS TO BETTER UNDERSTAND AND MANAGE DIABETES. THE STAFF ALSO COORDINATES DIABETES EDUCATION AND CARE WITH ALL OTHER MONONGAHELA VALLEY HOSPITAL SERVICES SUCH AS CLINICAL NUTRITION, HUMAN SERVICES, CENTER FOR WOUND MANAGEMENT, EMERGENCY SERVICES AND SAME DAY SURGERY. MONONGAHELA VALLEY HOSPITAL WAS ONLY THE SECOND HOSPITAL IN PENNSYLVANIA AND ONLY THE 21ST IN THE NATION TO ACHIEVE THE JOINT COMMISSION CERTIFICATION FOR INPATIENT DIABETES MANAGEMENT. THE JOINT COMMISSION'S CERTIFICATE OF DISTINCTION FOR INPATIENT DIABETES CARE RECOGNIZES HOSPITALS THAT MAKE EXCEPTIONAL EFFORTS TO FOSTER BETTER OUTCOMES ACROSS ALL INPATIENT SETTINGS. THE JOINT COMMISSION AND THE AMERICAN DIABETES ASSOCIATION HAVE IDENTIFIED THAT THE MOST SUCCESSFUL INPATIENT DIABETES PROGRAMS POSSESS THE FOLLOWING CRITICAL ATTRIBUTES: SPECIFIC STAFF EDUCATION REQUIREMENTS WRITTEN BLOOD GLUCOSE MONITORING PROTOCOLS PLANS FOR THE TREATMENT OF HYPOGLYCEMIA AND HYPERGLYCEMIA DATA COLLECTION OF INCIDENCES OF HYPOGLYCEMIA PATIENT EDUCATION ON SELF-MANAGEMENT OF DIABETES AN IDENTIFIED PROGRAM CHAMPION OR PROGRAM CHAMPION TEAM MONONGAHELA VALLEY HOSPITAL RECEIVED RECERTIFICATION BY THE JOINT COMMISSION WITH ITS RESPECTED GOLD SEAL OF APPROVAL FOR ITS ADVANCED INPATIENT DIABETES MANAGEMENT PROGRAM. TO ACHIEVE RECERTIFICATION, MVH DEMONSTRATED COMPLIANCE WITH THE JOINT COMMISSION'S NATIONAL STANDARDS FOR HEALTH CARE QUALITY AND SAFETY IN DISEASE-SPECIFIC CARE. THE RECERTIFICATION AWARD RECOGNIZES MVHS DEDICATION TO CONTINUOUS COMPLIANCE WITH THE JOINT COMMISSION'S STATE-OF-THE-ART STANDARDS. THE CENTER FOR DIABETES & ENDOCRINOLOGY'S INPATIENT PROGRAM FOCUSES ON IDENTIFYING THOSE PATIENTS WHO HAVE DIABETES, BOTH DIAGNOSED AND UNDIAGNOSED, AND WORKING WITH THEIR PHYSICIANS TO MANAGE THEIR BLOOD GLUCOSE THROUGH MEDICAL AND NUTRITIONAL INTERVENTIONS. BASIC DIABETES SELF-MANAGEMENT EDUCATIONAL NEEDS ARE PROVIDED THROUGH THE INPATIENT PROGRAM. PATIENTS ARE DIRECTED TO THE OUTPATIENT PROGRAM FOR MORE IN-DEPTH EDUCATION ON DIABETES SELF-MANAGEMENT. THE AMERICAN DIABETES ASSOCIATION RECOGNIZES MONONGAHELA VALLEY HOSPITALS OUTPATIENT DIABETES EDUCATION PROGRAM AS MEETING THE NATIONAL STANDARDS FOR DIABETES SELF-MANAGEMENT EDUCATION AND HAS SINCE 1999. THE OUTPATIENT PROGRAM OFFERS A WIDE RANGE OF CLASSES DESIGNED TO HELP INDIVIDUALS SELF-MANAGE THEIR DIABETES. A BASIC SERIES, CONSISTING OF THE CORE CONTENT AREAS DESIGNATED BY THE AMERICAN DIABETES ASSOCIATION, IS OFFERED IN THREE SESSIONS. ADVANCED EDUCATION MODULES ARE ALSO AVAILABLE AS WELL AS A GESTATIONAL DIABETES PROGRAM. THE OUTPATIENT EDUCATION PROGRAMS WORK TO CREATE A CARE PLAN SPECIFICALLY TAILORED TO INDIVIDUAL NEEDS AND INCLUDES GROUP DIABETES EDUCATION CLASSES AND INDIVIDUAL COUNSELING ON A WIDE VARIETY OF TOPICS- BLOOD SUGAR MONITORING, INSULIN AND ORAL MEDICATION SELF-MANAGEMENT SKILLS, NUTRITION COUNSELING AND MEAL PLANNING, EXERCISE AND STRESS MANAGEMENT. MONONGAHELA VALLEY HOSPITAL OFFERS A DIABETES SUPPORT GROUP THAT IS FREE FOR PEOPLE WITH DIABETES, THEIR FAMILIES AND CAREGIVERS. DURING THE FISCAL YEAR, THE HOSPITAL OFFERED TWO OF ITS REGULARLY SCHEDULED INNOVATIONS IN MEDICINE COMMUNITY PRESENTATIONS WITH TOPICS OF INTEREST TO DIABETIC PATIENTS. DR. RICHARD YOUNG, A PODIATRIST, PRESENTED "THE DIABETIC FOOT" ON SEPT. 30, 2013. DR. ALEXANDER TAL, WHOSE SPECIALTY IS ENDOCRINOLOGY AND INTERNAL MEDICINE, DISCUSSED "PRE-DIABETES DISEASE" ON MARCH 12, 2014 AT THE MON-VALE HEALTHPLEX. HE PRESENTED A SECOND DIABETES PROGRAM ON JUNE 4, 2014 AT THE HOSPITAL. DR. RICHARD YOUNG ALSO OFFERED A PRESENTATION ON "NON-HEALING WOUNDS" ON APRIL 14 AT THE HOSPITAL. CLINICAL DIETITIANS FROM MONONGAHELA VALLEY HOSPITAL AS WELL AS THE COMMUNITY HEALTH EDUCATION NURSE PROVIDE FREE HEALTHY EATING AND SHOPPING SEMINARS AT THE HOSPITAL AND COMMUNITY CENTERS AS WELL AS AT LOCAL GROCERY STORES TO EDUCATE LOCAL RESIDENTS ABOUT HEALTHY EATING. DURING THE FISCAL YEAR, HEALTHY EATING/SUPERMARKET TOURS WERE OFFERED: AUG. 15, 2013 SEPT. 19, 2013 OCT. 10, 2013 NOV. 7, 2013 FEB. 13, 2014 APRIL 10, 2014 JUNE 19, 2014 ON JUNE 6, 2014, THE HOSPITAL'S COMMUNITY HEALTH EDUCATOR PRESENTED A PROGRAM ON DIABETES AND ENDOCRINOLOGY TO THE EMPLOYEES OF FIRST ENERGY IN CHARLEROI. IN ADDITION, MONONGAHELA VALLEY HOSPITAL OFFERS DIABETES EDUCATION COURSES INCLUDING: "DIABETES SELF-MANAGEMENT TRAINING", A THREE-DAY, TWO-HOUR-PER-DAY EDUCATION SERIES THAT FOCUSES ON DIABETES SELF-MANAGEMENT AND CARE. THIS CLASS IS OFFERED MONTHLY. "UNDERSTANDING YOUR MEAL PLAN", A COURSE THAT BUILDS ON THE EDUCATION RECEIVED IN THE MANAGING YOUR DIABETES PROGRAM. PARTICIPANTS LEARN MORE ABOUT FOOD CHOICES, DINING OUT AND HOW EATING HABITS AFFECT BLOOD GLUCOSE CONTROL. "UNDERSTANDING YOUR BLOOD SUGAR READINGS" HELPS PARTICIPANTS LEARN HOW TO MAKE SENSE OF ALL THOSE BLOOD SUGAR READINGS THEY DOCUMENT. PARTICIPANTS UNDERSTAND HOW DIET, MEDICATIONS, ILLNESS, AND STRESS AFFECT BLOOD SUGARS. "UNDERSTANDING YOUR DIABETES MEDICATIONS" GIVES PEOPLE A BETTER UNDERSTANDING OF HOW DIABETES MEDICATIONS WORK AND LEARN THE EFFECTS DIABETES MEDICATIONS HAVE ON BLOOD SUGAR READINGS. "ADVANCED CARBOHYDRATE COUNTING", IS ANOTHER DIABETES SELF-MANAGEMENT CLASS THAT FOCUSES ON CARB COUNTING WITH EVERYTHING PEOPLE WITH DIABETES NEED TO KNOW. TOPICS RANGE FROM HOW TO MEASURE THE UPWARD DRIVE EACH MEAL HAS ON BLOOD SUGAR TO INFORMATION ON THE GLYCEMIC INDEX. THE HOSPITAL'S WEBSITE, MONVALLEYHOSPITAL.COM, INCLUDES A LINK TO A HEALTH LIBRARY. AMONG THE TOPICS ARE DIABETES, DIABETES EYE CARE, DIABETES FOOT ULCERS, DIABETES KEEPING ACTIVE, DIABETES LOW BLOOD SUGAR, DIABETES NEUROPATHY, DIABETES PREVENTING HEART ATTACK AND STROKE, DIABETES WHAT TO ASK YOUR DOCTOR AND MANY MORE. STROKE DEATHS A STROKE, SOMETIMES CALLED A BRAIN ATTACK, OCCURS WHEN A BLOCKAGE STOPS THE FLOW OF BLOOD TO THE BRAIN OR WHEN A BLOOD VESSEL IN OR AROUND THE BRAIN BURSTS. ALTHOUGH MANY PEOPLE THINK OF STROKE AS A CONDITION THAT AFFECTS ONLY OLDER ADULTS, STROKES CAN AND DO OCCUR IN PEOPLE OF ALL AGES. IN FACT, NEARLY A QUARTER OF ALL STROKES OCCUR IN PEOPLE YOUNGER THAN AGE 65. EACH YEAR, ALMOST 800,000 STROKES OCCUR IN THE UNITED STATES. STROKES OFTEN LEAD TO SERIOUS, LIFE-CHANGING COMPLICATIONS THAT INCLUDE: PARALYSIS OR WEAKNESS ON ONE SIDE OF THE BODY. PROBLEMS WITH THINKING, AWARENESS, ATTENTION, LEARNING, JUDGMENT, AND MEMORY. PROBLEMS UNDERSTANDING OR FORMING SPEECH. DIFFICULTY CONTROLLING OR EXPRESSING EMOTIONS. NUMBNESS OR STRANGE SENSATIONS. PAIN IN THE HANDS AND FEET. DEPRESSION. WHEN A PERSON IS EXPERIENCING A STROKE, FAST AND ACCURATE INTERVENTION IS NECESSARY TO PRESERVE BRAIN FUNCTION AND PREVENT DEATH. HEALTH CARE PROFESSIONALS REPEATEDLY SAY, "TIME EQUALS BRAIN". ACCORDING TO DATA COLLECTED BY THE AMERICAN HEART ASSOCIATION, THE BEST CARE IS DELIVERED WHEN A STROKE-TRAINED NEUROLOGIST IS AVAILABLE AT THE PATIENT'S BEDSIDE OR VIA TELEMEDICINE. MONONGAHELA VALLEY HOSPITAL OFFERS A STROKE TELEMEDICINE PROGRAM THAT GIVES PATIENTS ACCESS TO HIGHLY SKILLED STROKE EXPERTS AT THE UNIVERSITY OF PITTSBURGH MEDICAL CENTER (UPMC) WITHOUT LEAVING THE MONONGAHELA VALLEY. A TEAM OF STROKE-TRAINED NEUROLOGISTS FROM UPMC ARE AVAILABLE AROUND THE CLOCK FOR TELEMEDICINE CONSULTATIONS. A SECURE VIDEO MONITORING SYSTEM PROVIDES A REAL-TIME CONNECTION BETWEEN MONONGAHELA VALLEY HOSPITAL'S EMERGENCY DEPARTMENT STAFF AND UPMCS NEUROLOGISTS AND ENDOVASCULAR NEUROSURGEONS. THE HOSPITAL ALSO OFFERS TWO, 64-SLICE CT SCANNERS WHICH CAN CAPTURE IMAGES OF A BEATING HEART IN FIVE HEARTBEATS AND CAN PERFORM A WHOLE BODY TRAUMA SCAN IN TEN SECONDS. THIS DIAGNOSTIC POWER ENABLES THE PERFORMANCE OF CT ANGIOGRAPHY, AS WELL AS RAPID TESTS FOR ER STROKE AND CHEST PAIN.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 6I CONTINUED	MONONGAHELA VALLEY HOSPITAL EARNED THE AMERICAN HEART ASSOCIATION'S GET WITH THE GUIDELINES' STROKE GOLD-PLUS QUALITY ACHIEVEMENT AWARD FOR IMPLEMENTING SPECIFIC QUALITY IMPROVEMENT MEASURES OUTLINED BY THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION FOR THE TREATMENT OF STROKE PATIENTS. THE GOLD-PLUS AWARD IS THE AHA/ASAS HIGHEST LEVEL OF STROKE CARE PROFICIENCY. MVH EARNED THE AWARD BY MEETING SPECIFIC QUALITY ACHIEVEMENT MEASURES FOR THE DIAGNOSIS AND TREATMENT OF STROKE PATIENTS AT A SET LEVEL FOR A DESIGNATED PERIOD. THESE MEASURES INCLUDE AGGRESSIVE USE OF MEDICATIONS AND RISK-REDUCTION THERAPIES AIMED AT REDUCING DEATH AND DISABILITY AND IMPROVING THE LIVES OF STROKE PATIENTS. MVH ALSO RECEIVED THE ASSOCIATION'S TARGET: STROKE HONOR ROLL FOR MEETING STROKE QUALITY MEASURES THAT REDUCE THE TIME BETWEEN HOSPITAL ARRIVAL AND TREATMENT WITH THE CLOT-BUSTER TPA, THE ONLY DRUG APPROVED BY THE U.S. FOOD AND DRUG ADMINISTRATION TO TREAT ISCHEMIC STROKE. PEOPLE WHO SUFFER A STROKE WHO RECEIVE THE DRUG WITHIN THREE HOURS OF THE ONSET OF SYMPTOMS MAY RECOVER QUICKER AND ARE LESS LIKELY TO SUFFER SEVERE DISABILITY. THE HOSPITAL ALSO EARNED THE JOINT COMMISSION'S DISEASE SPECIFIC CERTIFICATION FOR PRIMARY STROKE CARE CENTER. ACHIEVEMENT OF PRIMARY STROKE CENTER DEMONSTRATES THAT MVH'S STROKE PROGRAM MEETS CRITICAL ELEMENTS OF PERFORMANCE TO ACHIEVE LONG-TERM SUCCESS IN IMPROVING OUTCOMES FOR STROKE PATIENTS. MONONGAHELA VALLEY HOSPITAL OFFERS A STROKE SUPPORT GROUP FOR PATIENTS AND CAREGIVERS TO SHARE, LEARN AND GROW WITH PEOPLE WHO CAN PERSONALLY RELATE TO THE CHALLENGES AND STRUGGLES THEY FACE ON A DAILY BASIS DEALING WITH STROKE AND THE AFTER EFFECTS. THIS GROUP MEETS THE LAST THURSDAY OF EACH MONTH. DR. DIANE EMES PRESENTED A TALK WITH A DOC PROGRAM, "STROKE: YOU'RE YOUR RISKS," ON FEB. 13, 2014 THAT INCLUDED A SCREENING AT THE CENTER IN THE WOODS. SCREENINGS SUCH AS THE MULTIPHASIC AND THE BLOOD PRESSURE HELP MEMBERS OF THE COMMUNITY LEARN IF THEY ARE AT RISK FOR STROKES. THE ONLINE HEALTH LIBRARY AT MONVALLEYHOSPITAL.COM INCLUDES MANY STROKE RELATED TOPICS SUCH AS STROKE, STROKE-RISK FACTORS, STROKE RECOVERY, STROKE PREVENTION AND MANY THAT INDIRECTLY IMPACT THE LIKELIHOOD OF STROKES SUCH AS THOSE THAT RELATED TO HYPERTENSION. COPD DEATHS ACCORDING TO THE COPD FOUNDATION, CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) IS DEFINED AS UMBRELLA TERM TO DESCRIBE PROGRESSIVE LUNG DISEASES INCLUDING EMPHYSEMA, CHRONIC BRONCHITIS, REFRACTORY (NON-REVERSIBLE) ASTHMA, AND SOME FORMS OF BRONCHIECTASIS. THIS DISEASE IS CHARACTERIZED BY INCREASING BREATHLESSNESS. COPD AFFECTS AN ESTIMATED 24 MILLION INDIVIDUALS IN THE UNITED STATES, AND MORE THAN HALF OF THEM HAVE SYMPTOMS OF COPD AND DO NOT KNOW IT. EARLY SCREENING CAN IDENTIFY COPD BEFORE MAJOR LOSS OF LUNG FUNCTION OCCURS. IN 2012, MONONGAHELA VALLEY HOSPITAL ESTABLISHED THE PRIMARY CARE RESOURCE CENTER IN CONJUNCTION WITH THE PITTSBURGH REGIONAL HEALTH INITIATIVE TO HELP PATIENTS WITH CHRONIC HEALTH PROBLEMS AND THEIR FAMILIES TO UNDERSTAND AND COORDINATE THE CARE THAT THEIR PRIMARY CARE DOCTOR HAS PRESCRIBED FOR THEM. THE PRIMARY OBJECTIVES ARE TO: PROVIDE PATIENTS ESPECIALLY WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), HEART FAILURE (CHF) OR ANY TYPE OF CORONARY ARTERY DISEASE WITH EDUCATION TO ENHANCE THE SELF-MANAGEMENT OF THEIR DISEASES HELP INCREASE PATIENTS' QUALITY OF LIFE IMPROVE PATIENTS' COMPLIANCE WITH THE TREATMENT PLANS FROM THEIR PHYSICIANS DECREASE PREVENTABLE READMISSIONS A TEAM OF NURSE CARE MANAGERS AND A CLINICAL PHARMACIST CAN HELP WITH: LEARNING MORE ABOUT THE DOCTOR'S DIAGNOSIS, ESPECIALLY COPD, CHF OR ANY TYPE OF CORONARY ARTERY DISEASE UNDERSTANDING MEDICATIONS ARRANGING FOLLOW-UP CARE RESPIRATORY INHALER TRAINING AND BETTER BREATHING EDUCATION "SURVIVAL SKILLS" TRAINING FOR DIABETES, NUTRITION, ETC. THE PCRC TEAMS SEES ANY AND ALL PATIENTS FROM MONONGAHELA VALLEY HOSPITAL AND MVH-AFFILIATED PHYSICIANS AT NO CHARGE TO THE PATIENT OR THE PHYSICIAN PRACTICE REGARDLESS OF THE TYPE OF INSURANCE AND EVEN IF THE PATIENT DOES NOT HAVE INSURANCE. THE PCRC TEAM CONSISTS OF NURSE CARE MANAGERS AND A CLINICAL PHARMACIST. THE PCRC SPONSORS SMOKING CESSATION CLASSES. DURING THE FISCAL YEAR, THE CLASSES WERE HELD: JULY 2, 9, 16 AND 23, 2013 OCT. 1, 8, 15 AND 22, 2013 JAN. 8, 14, 28 AND FEB. 4 A BETTER BREATHERS CLUB FOR ADULTS WITH BREATHING ISSUES FOR ANY REASON IS UNDER THE DIRECTION OF THE PCRC AND MEETS MONTHLY. THE CLUB IS FREE AND OPEN TO ALL ADULTS AND THEIR FRIENDS, FAMILY OR CAREGIVERS WHO WANT TO LEARN OR SHARE INFORMATION ABOUT LIVING WELL WITH BREATHING ISSUES. THE GROUP MEETS THE SECOND TUESDAY OF EACH MONTH. IN ADDITION TO THE PCRC PROVIDING EDUCATION ABOUT COPD, INDIVIDUAL PHYSICIANS PROVIDE INFORMATION. DR. DIANE EMES LED A TALK WITH A DOC PROGRAM ON APRIL 17, 2014 ADDRESSING COPD. BREAST CANCER DEATHS AND LATE STAGE BREAST CANCER ON JUNE 30, 1985 WHEN THE CHARLES L. AND ROSE SWEENEY MELENYZER PAVILION AND REGIONAL CANCER CENTER OPENED, IT WAS THE FIRST FACILITY IN WASHINGTON, FAYETTE AND GREENE COUNTIES TO OFFER RADIATION THERAPY TO PATIENTS. FOR THE FIRST TIME IN THE HISTORY OF THESE THREE COUNTIES, CANCER PATIENTS NO LONGER HAD TO LEAVE THE AREA FOR TREATMENT. IN 2003, MONONGAHELA VALLEY HOSPITAL TOOK CANCER CARE TO NEW HEIGHTS WITH THE ADDITION OF TWO FLOORS ON THE ORIGINAL BUILDING. TODAY, THE REGIONAL CANCER CENTER OFFERS CHEMOTHERAPY AND RADIATION THERAPY IN A PATIENT-CENTERED CARE ENVIRONMENT WITH MEDICALLY ADVANCED TECHNOLOGY. THE STAFF IS COMPOSED OF HIGHLY SKILLED CANCER CARE PROFESSIONALS WHO ARE TRAINED AND CERTIFIED IN CHEMOTHERAPY AND RADIATION THERAPY. THE MON-VALE ONCOLOGY UNIT AT MONONGAHELA VALLEY HOSPITAL IS LOCATED ON THE SECOND FLOOR OF THE CHARLES L. AND ROSE SWEENEY MELENYZER PAVILION AND REGIONAL CANCER CENTER. THIS AMERICAN COLLEGE OF SURGEONS' COMMISSION ON CANCER-APPROVED CANCER FACILITY PROVIDES A SITE FOR COORDINATING THE MANY OUTPATIENT ACTIVITIES REQUIRED FOR OPTIMAL CARE OF THE PATIENT. MON-VALE ONCOLOGY SERVES PRIMARILY ADULT AND GERIATRIC PATIENTS. APPROXIMATELY 80 PERCENT OF PATIENTS HAVE A CANCER-RELATED DIAGNOSIS WITH 65 PERCENT BEING HIGH-RISK PATIENTS RECEIVING AN INDIVIDUALIZED FORM OF TREATMENT AND 20 TO 15 PERCENT ARE FOLLOW-UP PATIENTS IN REMISSION. THE RADIATION ONCOLOGY DEPARTMENT SERVICES INPATIENTS, OUTPATIENTS AND EMERGENCY DEPARTMENT PATIENTS. RADIATION THERAPY IS WHOLLY THERAPEUTIC. TREATMENTS ARE CUSTOMIZED FOR EACH PATIENT IN ORDER TO CALCULATE THE CORRECT DOSE OF RADIATION AND TARGET THE TUMOR SITE TO DESTROY OR RETARD CELL GROWTH. EMPHASIS IS PLACED ON MINIMIZING THE SIDE EFFECTS TO SURROUNDING TISSUES AND STRUCTURES THAT DO NOT NEED IRRADIATED, WHILE MAXIMIZING THE RADIATION DOSE TO THE PRESCRIBED TUMOR SITE. THE TREATMENT PLANNING PHASE IS PERFORMED BY THE MEDICAL PHYSICIST AND DOSIMETRIST. THEY USE STATE-OF-THE-ART TECHNOLOGY, INCLUDING A 3-D TREATMENT PLANNING SYSTEM, IN CALCULATING THE DAILY DOSE THAT WILL BE USED TO ACCURATELY DELIVER THE PATIENT'S TREATMENT. MANY FACTORS ARE TAKEN INTO CONSIDERATION DURING THIS PROCESS, INCLUDING THE PATIENT'S ANATOMY AND EXTENT OF DISEASE. THE RADIATION THERAPISTS THEN USE ALL OF THIS INFORMATION TO SET UP THE PATIENT, AND TO PROGRAM THE LINEAR ACCELERATOR TO DELIVER THE PRESCRIBED DAILY RADIATION TREATMENT. THIS IS ACHIEVED THROUGH COMPUTER TECHNOLOGY THAT AUTOMATICALLY DOWNLOADS THE TREATMENT INFORMATION AND CUSTOMIZES THE SHAPE OF THE BEAM TO BLOCK OUT AREAS THAT DO NOT NEED TO BE TREATED. THE RADIATION ONCOLOGY DEPARTMENT OFFERS THE LATEST ADVANCEMENT IN CANCER THERAPIES USING EXTERNAL BEAM RADIATION THERAPY (EBRT), HIGH-DOSE (HDR) AND LOW-DOSE (LDR) BRACHYTHERAPY TO TARGET CANCER CELLS, WHILE ALSO SPARING HEALTHY TISSUES AND ORGANS. EXTERNAL BEAM RADIATION THERAPY USES THE LINEAR ACCELERATOR TO DELIVER HIGH DOSES OF RADIATION IN INNOVATIVE THERAPIES SUCH AS STEREOTACTIC RADIOSURGERY, STEREOTACTIC BODY RADIATION THERAPY, INTENSITY MODULATED RADIATION THERAPY AND IMAGE GUIDED RADIATION THERAPY. HDR BRACHYTHERAPY IS A TYPE OF INTERNAL RADIATION THERAPY THAT DELIVERS HIGH DOSES OF RADIATION FROM IMPLANTS PLACED CLOSE TO, OR INSIDE, THE TUMOR(S) IN THE BODY. BRACHYTHERAPY OFFERS A QUICKER, MORE EFFECTIVE WAY TO GIVE RADIATION TREATMENT FOR SOME PATIENTS.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 6I CONTINUED	ACCORDING TO THE AMERICAN CANCER SOCIETY, IN TERMS OF BREAST CANCER, EARLY DETECTION IS ONE OF THE BEST WAYS TO SAVE LIVES. MONONGAHELA VALLEY HOSPITAL HAS BEEN DESIGNATED A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR). MVH IS THE ONLY HOSPITAL IN WASHINGTON COUNTY TO EARN THIS DESIGNATION. BY AWARDING FACILITIES THE STATUS OF A BREAST IMAGING CENTER OF EXCELLENCE, THE ACR RECOGNIZES BREAST IMAGING CENTERS THAT HAVE EARNED ACCREDITATION IN MAMMOGRAPHY, STEREOTACTIC BREAST BIOPSY AND BREAST ULTRASOUND (INCLUDING ULTRASOUND-GUIDED BREAST BIOPSY). PEER-REVIEW EVALUATIONS CONDUCTED IN EACH BREAST IMAGING MODALITY BY BOARD-CERTIFIED PHYSICIANS AND MEDICAL PHYSICISTS WHO ARE EXPERTS IN THE FIELD DETERMINED THAT MVH HAS ACHIEVED HIGH PRACTICE STANDARDS IN IMAGE QUALITY, PERSONNEL QUALIFICATIONS, FACILITY EQUIPMENT, QUALITY CONTROL PROCEDURES AND QUALITY ASSURANCE PROGRAMS. THE BREAST IMAGING CENTER OF EXCELLENCE DESIGNATION INDICATES THAT MONONGAHELA VALLEY HOSPITAL'S PATIENTS RECEIVE THE SAME HIGH LEVEL OF DIAGNOSTIC IMAGING SERVICES AS PEOPLE WHO GO TO SOME OF THE COUNTRY'S MOST RENOWNED HEALTH CENTERS. IN ADDITION, MVH OFFERS A CONTINUUM OF CARE FROM IMAGING AND DIAGNOSIS THROUGH THE LATEST ADVANCEMENTS IN THERAPIES. MONONGAHELA VALLEY HOSPITAL'S MAMMOGRAPHY DEPARTMENT PASSED THE MAMMOGRAPHY QUALITY STANDARDS ACT (MQSA) INSPECTION. THE MQSA REQUIRES MAMMOGRAPHY FACILITIES ACROSS THE NATION TO MEET UNIFORM QUALITY STANDARDS TO ASSURE EARLY BREAST CANCER DETECTION. MONONGAHELA VALLEY HOSPITAL SPONSORS TWO ANNUAL EVENTS TO EDUCATE AND SCREEN WOMAN FOR BREAST CANCER. EACH OCTOBER, THE HOSPITAL HOSTS A FREE BREAST SCREENING AND EDUCATION EVENT. NATALIE FURGIUELE-IRACKI, M.D., WHO IS A BREAST SURGEON, ADDRESSES THE AUDIENCE. FOLLOWING THE OPTIONAL PHYSICAL BREAST EXAMS BY MEMBERS OF THE HOSPITAL'S MEDICAL STAFF, A MAMMOGRAM WILL BE SCHEDULED FOR ANY WOMAN WHO HAS AN ABNORMAL FINDING DURING THE SCREENING. ROUTINE YEARLY MAMMOGRAMS MAY ALSO BE SCHEDULED FOR WOMEN WHO HAVE A FAMILY HISTORY OF BREAST CANCER, WHO FALL INTO A HIGH-RISK CATEGORY, AND WHO HAVE NEVER HAD A BASELINE MAMMOGRAM OR WHO MEET THE RECOMMENDED AGE GUIDELINES. DURING FISCAL YEAR 2013, THE EVENT WAS HELD ON OCT. 30. THE SECOND EVENT, MAMM & GLAMM, IS HELD IN THE SPRING AT THE MON-VALE HEALTHPLEX FOR WOMEN WHO HAVE PRESCRIPTIONS FOR MAMMOGRAMS. PARTICIPANTS HAVE THE OPPORTUNITY TO HAVE THEIR SCREENINGS IN A RELAXING ATMOSPHERE AND THEN ENJOY FREE PAMPERING THAT INCLUDES MASSAGES, NAIL TREATMENTS AND MORE. DURING FISCAL YEAR 2013, THE EVENT WAS HELD ON MARCH 1. IN ADDITION, MONONGAHELA VALLEY HOSPITAL OFFERS A BREAST CANCER SUPPORT GROUP THAT IS FREE AND OPEN TO ALL BREAST CANCER PATIENTS AND THEIR FAMILIES. THE GROUP MEETS YEAR ROUND THE FIRST MONDAY OF EACH MONTH. THE HOSPITAL'S WEBSITE, WWW.MONVALLEYHOSPITAL.COM, PROVIDES EDUCATIONAL INFORMATION TO THE COMMUNITY RELATED TO BREAST CANCER. TOPICS INCLUDE: BREAST ABSCESS, BREAST BIOPSY STEREOTACTIC, BREAST BIOPSY ULTRASOUND, BREAST CANCER, BREAST CONSERVATION SURGERY, BREAST LUMP, BREAST LUMP REMOVAL, BREAST MASS, BREAST MRI SCAN, BREAST PET SCAN, BREAST POSITRON EMISSION TOMOGRAPHY, BREAST RADIATION, BREAST RECONSTRUCTION, BREAST REMOVAL, BREAST SELF-EXAM, BREAST SPARING SURGERY AND BREAST ULTRASOUND. COLORECTAL CANCER DEATHS AND INVASIVE COLORECTAL CANCER THE AMERICAN CANCER SOCIETY REPORTS THAT EXCLUDING SKIN CANCERS, COLORECTAL CANCER IS THE THIRD MOST COMMON CANCER DIAGNOSED IN MEN AND WOMEN IN THE UNITED STATES. ACCORDING TO THE CENTERS FOR DISEASE CONTROL AND PREVENTION, OF CANCERS AFFECTING BOTH MEN AND WOMEN, COLORECTAL CANCER IS THE SECOND LEADING CANCER KILLER IN THE UNITED STATES. EACH SPRING, MONONGAHELA VALLEY HOSPITAL CONDUCTS FREE COLORECTAL CANCER SCREENINGS. MEMBERS OF THE COMMUNITY RECEIVE KITS THAT THEY USE AND RETURN TO THE HOSPITAL FOR TESTING. DURING FISCAL YEAR 2013, THE EVENT WAS HELD ON APRIL 30, 2014. ANDREW J. ZAHALSKY, M.D., MVHS DIRECTOR OF MEDICAL ONCOLOGY, LED A DISCUSSION AND PROVIDED INFORMATION ON TREATMENTS FOR COLORECTAL CANCER. AMONG THE MEMBERS OF THE PANEL THAT PROVIDED INFORMATION TO THE PARTICIPANTS ALONG WITH DR. ZAHALSKY WERE DR. HIRAM GONZALEZ, A SURGEON AFFILIATED WITH MVH, WHO DISCUSSED SURGICAL INTERVENTIONS AND REGISTERED DIETITIAN KRISTA BEGONIA, WHO DISCUSSED CANCER AND NUTRITION AND CAROL MANOWN, RN, WHO EXPLAINED THE FREE TAKE-HOME COLORECTAL SCREENING KIT TO TEST FOR BLOOD IN THE STOOL. IN ADDITION, THE HOSPITAL'S WEBSITE, MONVALLEYHOSPITAL.COM, INCLUDES A HEALTH LIBRARY THAT OFFERS INFORMATION AND IMAGES RELATED TO COLON CANCER, COLORECTAL POLYPS, RECTAL ABSCESSES, RECTAL CANCER AND RECTAL LUMPS. LUNG CANCER DEATHS ACCORDING TO THE AMERICAN CANCER SOCIETY (ACS), LUNG CANCER, BOTH SMALL CELL AND NON-SMALL CELL, IS THE SECOND MOST COMMON CANCER IN BOTH MEN AND WOMEN (NOT COUNTING SKIN CANCER). THE ACS ESTIMATES THAT THERE WERE APPROXIMATELY 224,210 CASES OF LUNG CANCER IN THE UNITED STATES LAST YEAR AND AN ESTIMATED 159,260 DEATHS. LUNG CANCER ACCOUNTS FOR ABOUT 27 PERCENT OF ALL CANCER DEATHS AND IS BY FAR THE LEADING CAUSE OF CANCER DEATH AMONG BOTH MEN AND WOMEN. EACH YEAR, MORE PEOPLE DIE OF LUNG CANCER THAN OF COLON, BREAST, AND PROSTATE CANCERS COMBINED. LUNG CANCER MAINLY OCCURS IN OLDER PEOPLE. ABOUT TWO OUT OF THREE PEOPLE DIAGNOSED WITH LUNG CANCER ARE 65 OR OLDER; FEWER THAN 2 PERCENT OF ALL CASES ARE FOUND IN PEOPLE YOUNGER THAN 45. THE AVERAGE AGE AT THE TIME OF DIAGNOSIS IS ABOUT 70. OVERALL, THE CHANCE THAT A MAN WILL DEVELOP LUNG CANCER IN HIS LIFETIME IS ABOUT 1 IN 13; FOR A WOMAN, THE RISK IS ABOUT 1 IN 16. THESE NUMBERS INCLUDE BOTH SMOKERS AND NON-SMOKERS. FOR SMOKERS THE RISK IS MUCH HIGHER, WHILE FOR NON-SMOKERS THE RISK IS LOWER. MONONGAHELA VALLEY HOSPITAL IS POISED TO MAKE A SIGNIFICANT IMPACT ON THE REDUCTION OF LUNG CANCER DEATHS AS IDENTIFIED IN THE RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITAL HAS MANY HEALTH AND WELLNESS TOOLS AVAILABLE AS IT TACKLES THIS DISEASE RANGING FROM DIAGNOSIS TO TREATMENT. MOHSEN ISAAC, M.D., MEDICAL DIRECTOR OF RADIATION ONCOLOGY AT MVH, AND CLINICAL ASSISTANT PROFESSOR AT TEMPLE UNIVERSITY SCHOOL OF MEDICINE, IS ONE OF THE FEW PHYSICIANS WHO USES AN INNOVATIVE TECHNIQUE TO TREAT HIGH-RISK PATIENTS WITH EARLY STAGE, NON-SMALL CELL LUNG CANCER. DR. ISAAC HAS RECORDED PROVEN SUCCESS IMPLANTING LOW-DOSE RADIOACTIVE IODINE SEEDS PERMANENTLY INTO THE LUNGS OF PEOPLE WITH STAGE 1 LUNG CANCER. THE TREATMENT, WHICH IS PRIMARILY USED ON PATIENTS WITH LIMITED HEART/LUNG FUNCTION, REDUCES RECURRENCES. THIS NEW RADIATION THERAPY TECHNIQUE NOT ONLY ALLOWS LESS LOSS OF THE LUNG, BUT IN FACT, PRESERVES MORE LUNG FUNCTION WITH LESS BREATHING PROBLEMS. DURING FISCAL YEAR 2013, THE MONONGAHELA VALLEY HOSPITAL WAS THE FIRST AND ONLY HOSPITAL IN WESTERN PENNSYLVANIA THAT OFFERED RADIATION THERAPY TREATMENTS USING THE NEW ELEKTA AGILITY THAT INCLUDES A MULTI-LEAF COLLIMATOR (MLC) DEVICE THAT PROVIDES PRECISE, HIGH-RESOLUTION BEAM SHAPING TO TARGET TUMORS. USE OF THE MLC DEVICE ENABLES MEDICAL PROFESSIONALS AT MVH TO ADMINISTER HIGHER DOSES OF RADIATION AT MULTIPLE SITES SIMULTANEOUSLY. IT DELIVERS RADIATION TO THE UNIQUE CONTOURS OF THE TUMOR WHILE REDUCING THE RISK OF EXPOSURE TO HEALTHY TISSUE. AN MLC IS A DEVICE COMPOSED OF MANY INDIVIDUAL TUNGSTEN "LEAVES" THAT SHAPE BEAMS OF THERAPEUTIC RADIATION THAT ARE DELIVERED FROM DIFFERENT ANGLES AROUND THE PATIENT. THE AGILITY IS EQUIPPED WITH 160 MLCS WHICH IS TWICE THE NUMBER OF LEAVES USED IN MOST TYPICAL TREATMENT CENTERS. IT ALSO INCLUDES ULTRA-FAST LEAF MOVEMENTS. THE HOSPITAL'S MLC INCLUDES TWICE THE NUMBER OF LEAVES AND IS TWICE AS FAST, IT REDUCES TREATMENT TIMES BY MORE THAN HALF. PATIENTS ARE NOT ONLY TREATED FASTER, BUT MORE IMPORTANTLY, THEY BENEFIT FROM THE MLC'S ENHANCED TARGETING CAPABILITIES WHICH IMPROVE TREATMENT OUTCOMES AND REDUCE ORGAN AT RISK POTENTIAL COMPLICATIONS. ADDITIONALLY, SHORTER TREATMENT TIMES RESULT IN INCREASED PATIENT COMFORT AND CONVENIENCE. IT ALSO ALLOWS FASTER AND SAFER STEREOTACTIC BODY RADIOSURGERY AND VOLUMETRIC ARC THERAPY (VMAT). AT MVH, SKILLED ONCOLOGISTS, SURGEONS, NURSES, RADIATION THERAPISTS, SOCIAL WORKERS, NUTRITIONISTS, PHARMACISTS AND CASE MANAGEMENT COORDINATORS HELP PATIENTS WIN THE BATTLE AGAINST LUNG CANCER USING ADVANCED TECHNOLOGY WITH A PERSONALIZED APPROACH. IN ADDITION TO THE IMAGE-GUIDED RADIATION THERAPY, MVH OFFERS: STEREOTACTIC RADIOSURGEY (SRS) STEREOTACTIC RADIOSURGERY IS A NON-SURGICAL PROCEDURE THAT DELIVERS PRECISELY TARGETED RADIATION AT MUCH HIGHER DOSES IN A SINGLE OR FEW TREATMENTS. IT FOCUSES HIGH-POWERED X-RAYS ON A SMALL AREA, TARGETING THE ABNORMAL AREA. SRS CAN BEST BE DESCRIBED AS "SURGERY WITHOUT A KNIFE" AND IT IS COMPARABLE TO GAMMA KNIFE THERAPY THAT IS USED FOR VARIOUS TYPES OF CANCERS. IT IS TYPICALLY USED FOR SMALL ISOLATED TUMORS AND IS USUALLY GIVEN IN MORE THAN ONE DOSE.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 6I CONTINUED	HIGH-DOSE RATE RADIATION THERAPY HIGH-DOSE RATE (HDR) RADIATION THERAPY IS A FORM OF BRACHYTHERAPY, OR INTERNAL RADIATION THERAPY, WHICH INVOLVES THE PLACEMENT OF A HIGH-ENERGY RADIATION SOURCE INSIDE THE BODY NEAR THE TUMOR FOR BRIEF PERIODS OF TIME. HDR RADIATION THERAPY, WHICH IS USUALLY PERFORMED AS A SHORT SERIES OF OUTPATIENT PROCEDURES, ALLOWS HIGHLY LOCALIZED DOSES OF RADIATION TO BE DELIVERED TO THE TUMOR QUICKLY. MVH'S HDR PROGRAM USES A RADIOACTIVE SOURCE THAT IS IMPLANTED INTO THE PATIENT'S BODY VIA CATHETERS TO TARGET THE CANCER SITE. HIGH-DOSE RADIATION THERAPY IS NOT RECOMMENDED FOR EVERY PATIENT; HOWEVER, IT IS ANOTHER TREATMENT OPTION FOR LUNG CANCER. VOLUMETRIC ARC THERAPY (VMAT) VOLUMETRIC ARC THERAPY USES SINGLE OR MULTIPLE RADIATION BEAMS TO SWEEP IN UNINTERRUPTED ARCS AROUND THE PATIENT TO DRAMATICALLY SPEED THE TREATMENT DELIVERY AND REDUCE TREATMENT TIMES FROM THE 8 TO 12 MINUTES REQUIRED FOR "CONVENTIONAL" RADIATION THERAPY TO AS FEW AS TWO MINUTES. 4-D IMAGING FOUR-DIMENSIONAL CT IMAGING IS ONE OF THE LATEST ADVANCES IN CANCER THERAPY. 4-D CT TAKES IMAGES THAT CAPTURE THE LOCATION OF THE TUMOR, ITS MOVEMENT, AND THE MOVEMENT OF THE BODY'S ORGANS TO ACCURATELY TREAT TUMORS LOCATED ON OR NEAR ORGANS THAT MOVE. THE SCAN ENABLES RADIATION ONCOLOGISTS TO DEVELOP MORE ACCURATE TREATMENTS FOR MOVING TUMORS, TO BETTER TARGET MOVING TUMORS, TO DELIVER RADIATION WITHIN A CERTAIN INTERVAL IN THE BREATHING CYCLE, AND TO REDUCE THE RISK OF TREATMENT SIDE EFFECTS. AS PART OF THE HOSPITAL'S MISSION OF ENHANCING THE HEALTH OF THE RESIDENTS OF THE MID MONONGAHELA VALLEY AREA, THERE IS A STRONG FOCUS ON PREVENTION AND EDUCATION. SMOKING CAUSES THE MAJORITY OF LUNG CANCERS BOTH IN SMOKERS AND IN PEOPLE EXPOSED TO SECONDHAND SMOKE. DURING FISCAL YEAR 2014, THE HOSPITAL OFFERED THE SMOKING CESSATION CLASSES LISTED BELOW: JULY 2, 9, 16 AND 23, 2013 OCT. 1, 8, 15 AND 22, 2013 JAN. 8, 14, 28 AND FEB. 4 ON SEPT. 6, 2013, MVH TOBACCO CESSATION STATISTICS WERE PRESENTED TO THE WASHINGTON COUNTY HEALTH PARTNERS. IN ADDITION, SMOKING CESSATION INFORMATION WAS AVAILABLE TO STUDENTS AND FACULTY AT CALIFORNIA UNIVERSITY OF PENNSYLVANIA'S ANNUAL HEALTH FAIR. IN ADDITION, THE HOSPITAL PROVIDED AN INFORMATION TABLE TO ENCOURAGE PEOPLE TO GIVE UP SMOKING FOR ONE DAY AND ULTIMATELY FOR GOOD. THE TABLE WAS POSITIONED IN THE MAIN LOBBY BY THE WELCOME DESK FOR THE AMERICAN CANCER SOCIETY'S GREAT AMERICAN SMOKE OUT ON NOV. 21, 2013. IT'S NEVER TOO EARLY TO DISCOURAGE PEOPLE FROM SMOKING. THE HOSPITAL'S COMMUNITY HEALTH EDUCATOR PRESENTED A PROGRAM TO KINDERGARTEN STUDENTS AT THE BETHLEHEM SCHOOL DISTRICT IN OCTOBER, 2013 CALLED, "WHY ANIMALS DON'T SMOKE." THE PROGRAM ALSO WAS PRESENTED TO CALIFORNIA UNIVERSITYS HEAD START PROGRAM ON MAY 5, 2014. THE HOSPITAL PARTNERED WITH THE MONESSEN TOBACCO FREE COALITION FOR ITS ANNUAL HEALTH FAIR "A WALK IN THE PARK," WHICH ENCOURAGES PEOPLE TO NOT SMOKE AND BE ACTIVE ON JUNE 12, 2014. SMOKELESS SATURDAYS, TO ENCOURAGE TEENS TO QUIT SMOKING, WERE HELD AT THE HOSPITAL ON MARCH 15 AND MAY 31, 2014. THE COMMUNITY HEALTH EDUCATOR ALSO WORKED WITH THE DEPARTMENT OF HEALTH TO EDUCATE PHYSICIANS OFFICES ABOUT THE "FAX TO QUIT" PROGRAM THAT REFERS PATIENTS TO CESSATION COUNSELING. MONONGAHELA VALLEY HOSPITAL HOSTED A MEETING OF THE SOUTHWESTERN PENNSYLVANIA TOBACCO-FREE COALITION, ADAGIO HEALTH AND SEVERAL MEMBERS OF THE PENNSYLVANIA DEPARTMENT OF HEALTH TO DISCUSS TOBACCO PREVENTION INITIATIVES AND CESSATION PROGRAMS FOR THE REGION IN MARCH 2014. THE HOSPITAL PROVIDES A GENERAL CANCER SUPPORT GROUP WHICH IS FREE AND OPEN TO ALL CANCER PATIENTS AND THEIR FAMILIES. THE GROUP MEETS THE THIRD MONDAY OF EACH MONTH. THE WEBSITE, MONVALLEYHOSPITAL.COM OFFERS EDUCATIONAL INFORMATION AND VIDEOS THAT FOCUS ON LUNG CANCER, LUNG CANCER SMALL CELL, LUNG CANCER NON-SMALL CELL AND LUNG METASTASES. OBESITY, FRUITS AND VEGETABLE CONSUMPTION, RECOMMENDED ACTIVITY PEOPLE WHO EAT FRUIT AND VEGETABLES AS PART OF THEIR DAILY DIET HAVE A REDUCED RISK OF MANY CHRONIC DISEASES. A DIET RICH IN FRUITS AND VEGETABLES CAN LOWER BLOOD PRESSURE, REDUCE THE RISK OF HEART DISEASE AND STROKE, PREVENT SOME TYPES OF CANCER, LOWER THE RISK OF EYE AND DIGESTIVE PROBLEMS AND HAVE A POSITIVE EFFECT ON BLOOD SUGAR. MONONGAHELA VALLEY HOSPITAL PROVIDES THE FOLLOWING SERVICES AND PROGRAMS RELATED TO THIS CRITICAL NEED. BARIATRIC CLASSES. MONONGAHELA VALLEY HOSPITAL, IN COLLABORATION WITH MAGEE-WOMENS HOSPITAL OF UPMC, HOSTED INFORMATION SESSIONS ON MINIMALLY INVASIVE BARIATRIC SURGERY, WHICH TREATS OBESITY AND ITS RELATED COMPLICATIONS. CANDIDATES FOR BARIATRIC SURGERY ARE THOSE WHO NEED TO LOSE MORE THAN 100 POUNDS, WHICH IS ALMOST 10 PERCENT OF ALL ADULTS. WHILE MAGEE'S SURGICAL STAFF WILL PERFORM THE PROCEDURES IN PITTSBURGH, MVH OFFERS PRE-OPERATIVE TESTING/CLEARANCES AND PSYCHOLOGICAL AND NUTRITIONAL CONSULTS. THE HOSPITAL ALSO PROVIDED HEALTHY COOKING DEMONSTRATIONS WITH THE BARIATRIC INFORMATION SESSIONS THAT FEATURED MVH/DEAN ORNISH CHEF LARRY LOVE. THE SESSIONS WERE HELD THE FOLLOWING DATES: OCT. 8, 2014 AT MON-VALE HEALTHPLEX OCT. 13, 2014 AT THE HOSPITAL MARCH 10, 2014 AT THE HOSPITAL MARCH 17, 2014 AT MON-VALE HEALTHPLEX THE COMMUNITY HEALTH EDUCATOR PRESENTED A PROGRAM TO THE RETIREES OF WORLD KITCHEN, A MAJOR EMPLOYER IN CHARLEROI, ABOUT THE IMPORTANCE OF UNDERSTANDING FOOD LABELS. THE PROGRAM WAS HELD AUG. 13, 2013. AS OUTLINED IN THE DIABETES DEATHS AND DIABETES PREVALENCE SECTION OF THIS REPORT, CLINICAL DIETITIANS FROM MONONGAHELA VALLEY HOSPITAL AS WELL AS THE COMMUNITY HEALTH EDUCATOR PROVIDE FREE HEALTHY EATING AND SHOPPING SEMINARS AT THE HOSPITAL AND COMMUNITY CENTERS AS WELL AS AT LOCAL GROCERY STORES TO EDUCATE LOCAL RESIDENTS ABOUT HEALTHY EATING. DURING THE FISCAL YEAR, HEALTHY EATING/SUPERMARKET TOURS WERE OFFERED: AUG. 15, 2013 SEPT. 19, 2013 OCT. 10, 2013 NOV. 7, 2013 FEB. 13, 2014 APRIL 10, 2014 JUNE 19, 2014 THE DR. DEAN ORNISH PROGRAM FOR REVERSING HEART DISEASE AFTER YEARS OF RESEARCH, DR. DEAN ORNISH HAS SHOWN THAT MAKING LIFESTYLE MODIFICATIONS CAN HELP IMPROVE, AND IN SOME CASES REVERSE, CARDIOVASCULAR DISEASE. THE PROGRAM, OFFERED AT THE MON-VALE HEALTHPLEX, WAS LED BY A TEAM OF MEDICAL PROFESSIONALS WHO FOCUS ON PROPER DIET, MODERATE EXERCISE, STRESS MANAGEMENT AND GROUP SUPPORT. ON FEB. 20, 2014, CARDIOLOGIST R.G. KRISHNAN, M.D. LED A PANEL DISCUSSION THAT INCLUDED A DISCUSSION ON HOW PARTICIPATION IN THE DEAN ORNISH PROGRAM AND INCORPORATING HEALTHY EATING HABITS CAN IMPACT A PERSONS HEART HEALTH. THE HEALTH LIBRARY AT MONVALLEYHOSPITAL.COM INCLUDES A COMPLETE LINK ON NUTRITION AND OFFERS A WIDE RANGE OF TOPICS FROM ADDITIVES IN FOOD TO ZINC IN THE DIET. OBESITY IS MORE THAN SIMPLY AN INDIVIDUAL PROBLEM, IT HAS BECOME A COMMUNITY PROBLEM, DRIVING UP HEALTH CARE COSTS AND DECREASING PRODUCTIVITY. WHILE DIET IS IMPORTANT, PHYSICAL ACTIVITY PLAYS AN IMPORTANT PART IN PREVENTING OBESITY. THE KEY TO SUCCESS IS MAKING CHANGES IN DAILY EATING AND ACTIVITY HABITS THAT CAN BE MAINTAINED OVER A PERSON'S LIFETIME. THE COMMUNITY HEALTH EDUCATOR PRESENTED A PROGRAM CALLED "SPRING INTO FITNESS" FOR SENIORS ON MARCH 25, 2014 AT LIBERTY TOWERS AND FOR MEMBERS OF THE CROSSKEYS SOCIAL REHABILITATION PROGRAM IN BROWNSVILLE. THE HOSPITAL DISTRIBUTED INFORMATION ON ITS PROGRAMS FOR HEALTHY EATING WHILE PARTICIPATING IN A HEALTH FAIR AT THE MONESSEN CIVIC CENTER ON JUNE 7, 2014.
SCHEDULE H, PART VI, COMMUNITY INFORMATION	THE MEDIAN AGE IS 42 YEARS. FOR EVERY 100 FEMALES THERE ARE 85.3 MALES. FOR EVERY 100 FEMALES AGES 18 AND OVER, THERE ARE 80.6 MALES. THE MEDIAN INCOME FOR A HOUSEHOLD IN THE CITY IS $29,060, AND THE MEDIAN INCOME FOR A FAMILY IS $36,528. MALES HAVE A MEDIAN INCOME OF $31,250 VERSUS $23,911 FOR FEMALES. THE PER CAPITA INCOME FOR THE CITY IS $16,903. ABOUT 11.1 PERCENT OF FAMILIES AND 13.6 PERCENT OF THE POPULATION ARE BELOW THE POVERTY LINE, INCLUDING 25.9 PERCENT OF THOSE UNDER AGE 18 AND 7.2 PERCENT OF THOSE AGES 65 OR OVER.
SCHEDULE H, PART VI, SUPPLEMENTAL INFORMATION	COLORECTAL CANCER. NEARLY HALF OF THE COLORECTAL CANCER PATIENTS IN THIS COUNTRY MORE THAN 50,000 PEOPLE WILL DIE FROM THEIR CANCER THIS YEAR. MOST COLORECTAL CANCERS START AS PRE-MALIGNANT POLYPS WHICH THEN TAKE SEVERAL YEARS TO CHANGE INTO CANCER. MONONGAHELA VALLEY HOSPITAL OFFERED A FREE COLORECTAL CANCER EDUCATION AND SCREENING PROGRAM APRIL 30, 2014 IN THE HOSPITAL'S ANTHONY M. LOMBARDI EDUCATION CONFERENCE CENTER. A FREE TAKE-HOME TEST TO SCREEN FOR BLOOD IN THE STOOL WAS GIVEN TO ALL PARTICIPANTS. PROSTATE CANCER. PROSTATE CANCER IS THE MOST COMMON CANCER IN MEN, AND THOSE MOST AT RISK INCLUDE OLDER MEN, AFRICAN-AMERICAN MEN AND MEN WITH A FAMILY HISTORY OF PROSTATE CANCER. MONONGAHELA VALLEY HOSPITAL OFFERED A FREE PROSTATE EDUCATION AND SCREENING PROGRAM ON SEPT. 18, 2013 IN THE ANTHONY M. LOMBARDI EDUCATION CONFERENCE CENTER. ATTENDEES LEARNED ABOUT THE IMPORTANCE OF EARLY DETECTION AND HAD THE OPTION TO RECEIVE AN EXAM BY MVH'S MEDICAL STAFF ALONG WITH A PROSTATE SPECIFIC ANTIGEN (PSA) BLOOD TEST. BLOOD PRESSURE. BLOOD PRESSURE AND CHOLESTEROL SCREENINGS WERE HELD THROUGHOUT THE YEAR BOTH AT THE HOSPITAL AND AT COMMUNITY SETTINGS, SUCH AS CHURCHES AND COMMUNITY CENTERS. MVH PROVIDED REGULAR BLOOD PRESSURE SCREENINGS AT THE ANTIOCH BAPTIST CHURCH ON AUG. 25 AND NOV. 17, 2013 AND FEB. 16, AND MAY 18, 2014. HOLY RESURRECTION ORTHODOX CHURCH HELD A LARGE BLOOD PRESSURE SCREENING STAFFED BY MVH PERSONNEL DURING ITS FALL FESTIVAL ON OCT. 6, 2013. A BLOOD PRESSURE SCREENING ALSO WAS HELD AT THE MONESSEN SENIOR HIGH RISE EASTGATE MANOR ON SEPT. 25, 2013. MULTIPHASIC BLOOD SCREENING. MONONGAHELA VALLEY HOSPITAL SPONSORS A SEMI-ANNUAL MULTIPHASIC BLOOD SCREENING THAT IS OPEN TO THE PUBLIC FOR A COST OF ONLY $25. ON EACH BLOOD SAMPLE, 37 INDIVIDUAL TESTS ARE PERFORMED THAT CAN REVEAL ANEMIA, LUNG DISEASE, DIABETES, LEUKEMIA, HIGH CHOLESTEROL, BLOOD DISORDERS AND MUCH MORE. ADDITIONAL SCREENINGS, INCLUDING THYROID STIMULATING HORMONE (TSH) AND PROSTATIC SPECIFIC ANTIGEN (PSA), ARE ALSO AVAILABLE FOR A SMALL ADDITIONAL COST. IN FISCAL YEAR 2013, THE DATES WERE SEPTEMBER 28 AND MARCH 29. ADDITIONAL TESTS WERE OFFERED FOR THE SPRING SCREENING. THE NEW TESTS INCLUDED A1C AND VITAMIN D. INNOVATIONS IN MEDICINE THROUGHOUT THE YEAR, A VARIETY OF MONTHLY INNOVATIONS IN MEDICINE PROGRAMS ARE OFFERED FREE TO THE PUBLIC AT THE HOSPITAL AND AT THE MON-VALE HEALTHPLEX. THE POPULAR PROGRAMS PROVIDE MEDICAL EDUCATION AND AN OPPORTUNITY FOR LOCAL RESIDENTS TO MEET PHYSICIANS AFFILIATED WITH THE HOSPITAL. DURING FISCAL YEAR 2013, THE FOLLOWING INNOVATIONS PROGRAMS WERE OFFERED. DATE TOPIC/PHYSICIAN LOCATION JULY 9, 2013 "WHY DO YOU NEED A PRIMARY CARE PHYSICIAN" LAURIE MOLINDA, M.D. ANTHONY LOMBARDI EDUCATION CONFERENCE CENTER JULY 29, 2013 "INNOVATIONS IN KNEE REPLACEMENT" SCOTT BARON, M.D. MON-VALE HEALTHPLEX SEPT. 9, 2013 "CHILDREN'S HEALTH AND SAFETY TIPS" PERVEEN PUNJANI, M.D. ANTHONY LOMBARDI EDUCATION CONFERENCE CENTER SEPT. 11, 2013 "CHILDREN'S HEALTH AND SAFETY TIPS" PERVEEN PUNJANI, M.D. MON-VALE HEALTHPLEX SEPT. 30, 2013 "THE DIABETIC FOOT" RICHARD YOUNG, D.P.M. ANTHONY LOMBARDI EDUCATION CONFERENCE CENTER OCT. 2, 2013 "FOOT WOUNDS OF THE DIABETIC" RICHARD YOUNG, D.P.M. MON-VALE HEALTHPLEX OCT. 9, 2013 "INNOVATIONS IN ANESTHESIA" THAD OSOWSKI, M.D. ANTHONY LOMBARDI EDUCATION CONFERENCE CENTER OCT. 10, 2013 "INNOVATIONS IN ANESTHESIA" THAD OSOWSKI, M.D. MON-VALE HEALTHPLEX OCT. 22, 2013 "INNOVATIONS IN NECK PAIN" ALEXANDER KANDABAROW, M.D. MON-VALE HEALTHPLEX OCT. 23, 2013 "INNOVATIONS IN NECK PAIN" ALEXANDER KANDABAROW, M.D. ANTHONY LOMBARDI EDUCATION CONFERENCE CENTER DEC. 2, 2013 "CARPAL TUNNEL DISEASE" DANIEL STEWART, M.D. ANTHONY LOMBARDI EDUCATION CONFERENCE CENTER FEB. 20, 2014 "CARDIAC DISEASE" R.G. KRISHNAN, M.D. ANTHONY LOMBARDI EDUCATION CONFERENCE CENTER MARCH 12, 2014 "PRE DIABETES DISEASE" ALEXANDER TAL, M.D. MON-VALE HEALTHPLEX MARCH 25, 2014 "PERIPHERAL ARTERIAL DISEASE" GHUSSAN ABU-HAMAD, M.D. ANTHONY LOMBARDI EDUCATION CONFERENCE CENTER APRIL 14, 2014 "NON-HEALING WOUNDS" RICHARD YOUNG, D.P.M. ANTHONY LOMBARDI EDUCATION CONFERENCE CENTER APRIL 23, 2014 "POST-SURGICAL PAIN" THOMAS BROCKMEYER, M.D. ANTHONY LOMBARDI EDUCATION CONFERENCE CENTER APRIL 29, 2014 "PROBLEMS WITH FEET" MARK HOFBAUER, M.D. ANTHONY LOMBARDI EDUCATION CONFERENCE CENTER MAY 14, 2014 "OVERVIEW OF ARTHRITIS" A.J. MATHUR, M.D. ANTHONY LOMBARDI EDUCATION CONFERENCE CENTER JUNE 4, 2014 "PRE DIABETES DISEASE" ALEXANDER TAL, M.D. ANTHONY LOMBARDI EDUCATION CONFERENCE CENTER JUNE 16, 2014 "CARPAL TUNNEL DISEASE" DANIEL STEWART, M.D. MON-VALE HEALTHPLEX TALK WITH A DOC BUILDING ON THE SUCCESS OF MONONGAHELA VALLEY HOSPITAL'S INNOVATIONS IN MEDICINE SERIES, THE SERIES EXPANDED INTO ADDITIONAL GEOGRAPHIC REGIONS IN 2013 AND NAMED TALK WITH A DOC. THE FOLLOWING TALK WITH A DOC PRESENTATIONS WERE OFFERED IN FISCAL YEAR 2013. DATE TOPIC/PHYSICIAN LOCATION JULY 11, 2013 "BACK PAIN" JOSE RAMIREZ-DEL TORO, M.D. MT. LEBANON PUBLIC LIBRARY OCT. 24, 2013 "NECK PAIN" JUSTIN PETROLLA, M.D. FRANK SARRIS LIBRARY CANONSBURG NOV. 7, 2013 "FOOD AND ANKLE AILMENTS" WILLIAM DECARBO, M.D. MT. LEBANON RECREATION CENTER JAN. 16, 2014 "HYPERTENSION: DO YOU KNOW YOUR NUMBERS?" DIANE EMES, M.D. CENTER IN THE WOODS FEB. 13, 2014 "STROKE: KNOW YOUR RISKS" DIANE EMES, M.D. CENTER IN THE WOODS MARCH 20, 2014 "OSTEOPOROSIS" DIANE EMES, M.D. CENTER IN THE WOODS APRIL 9, 2014 "OSTEOPOROSIS" LAURIE MOLINDA, M.D. WAS SCHEDULED BY AN RN HAD TO REPLACE HER AT THE LAST MINUTE DUE TO AN EMERGENCY PETERS TOWNSHIP, PETERSWOOD PARKS AND RECREATION CENTER APRIL 17, 2014 "HOW IS YOUR BREATHING?" DIANE EMES, M.D. CENTER IN THE WOODS MAY 27, 2014 "SHOULDER PAIN" RICHARD MITCHELL, M.D. BETHEL PARK MUNICIPAL CENTER HEALTH EDUCATION PROGRAMS/INITIATIVES THE MISSION OF MONONGAHELA VALLEY HOSPITAL IS TO ENHANCE THE HEALTH OF THE RESIDENTS OF THE MID MONONGAHELA VALLEY AREA. RESIDENTS OF THE COMMUNITIES IN THE HOSPITAL'S SERVICE AREA RELY ON THE HOSPITAL FOR EDUCATION, GUIDANCE AND ASSISTANCE IN MANY HEALTH RELATED AREAS. LISTED BELOW ARE SPECIAL CLASSES, PROGRAMS AND INITIATIVES THAT WERE OFFERED TO THE COMMUNITY. BARIATRIC CLASSES. MONONGAHELA VALLEY HOSPITAL, IN COLLABORATION WITH MAGEE-WOMENS HOSPITAL OF UPMC, HOSTED INFORMATION SESSIONS ON MINIMALLY INVASIVE BARIATRIC SURGERY, WHICH TREATS OBESITY AND ITS RELATED COMPLICATIONS. CANDIDATES FOR BARIATRIC SURGERY ARE THOSE WHO NEED TO LOSE MORE THAN 100 POUNDS, WHICH IS ALMOST 10 PERCENT OF ALL ADULTS. WHILE MAGEE'S SURGICAL STAFF WILL PERFORM THE PROCEDURES IN PITTSBURGH, MVH OFFERS PRE-OPERATIVE TESTING/CLEARANCES AND PSYCHOLOGICAL AND NUTRITIONAL CONSULTS. THE HOSPITAL ALSO PROVIDED HEALTHY COOKING DEMONSTRATIONS WITH THE BARIATRIC INFORMATION SESSIONS THAT FEATURED MVH/DEAN ORNISH CHEF LARRY LOVE. THE SESSIONS WERE HELD THE FOLLOWING DATES: OCT. 8, 2014 AT MON-VALE HEALTHPLEX OCT. 13, 2014 AT THE HOSPITAL MARCH 10, 2014 AT THE HOSPITAL MARCH 17, 2014 AT MON-VALE HEALTHPLEX SMOKING CESSATION. AS PART OF THE HOSPITAL'S MISSION OF ENHANCING THE HEALTH OF THE RESIDENTS OF THE MID MONONGAHELA VALLEY AREA, THERE IS A STRONG FOCUS ON PREVENTION AND EDUCATION. SMOKING CAUSES THE MAJORITY OF LUNG CANCERS BOTH IN SMOKERS AND IN PEOPLE EXPOSED TO SECONDHAND SMOKE. DURING FISCAL YEAR 2013, THE HOSPITAL OFFERED THE SMOKING CESSATION CLASSES LISTED BELOW: JULY 2, 9, 16 AND 23, 2013 OCT. 1, 8, 15 AND 22, 2013 JAN. 8, 14, 28 AND FEB. 4 HEALTHY EATING AND SHOPPING. CLINICAL DIETITIANS FROM MONONGAHELA VALLEY HOSPITAL AS WELL AS THE COMMUNITY HEALTH EDUCATION NURSE PROVIDE FREE HEALTHY EATING AND SHOPPING SEMINARS AT THE HOSPITAL AND COMMUNITY CENTERS AS WELL AS AT LOCAL GROCERY STORES TO EDUCATE LOCAL RESIDENTS ABOUT HEALTHY EATING. THE FOLLOWING PROGRAMS WERE OFFERED IN 2013. "BACK TO SCHOOL: KIDS' LUNCHES AND SNACKS" AUG. 15, 2013 "EATING FOR BONE HEALTH: BONE DENSITY SCREENING" SEPT. 19, 2013 "PORTION CONTROL" OCT. 10, 2013 "HOLIDAY MEAL PLANNING" NOV. 7, 2013 "HEART HEALTHY EATING" FEB. 13, 2014 "RECIPE MODIFICATION" APRIL 10, 2014 "PICNIC FOODS/FOOD SAFETY" JUNE 19, 2014 CPR TRAINING. THROUGHOUT THE FISCAL YEAR, MONONGAHELA VALLEY HOSPITAL OFFERED CPR TRAINING FOR THE COMMUNITY. THE ADULT CPR INSTRUCTION WAS OFFERED IN CONJUNCTION WITH VALLEY HEALTH AND SAFETY TRAINING CENTER. THE INSTRUCTION DATES WERE JULY 30, 2013; SEPT. 24, 2013; NOV. 26, 2013; JAN. 28, 2014; MARCH 25, 2014; AND MAY 27, 2014. INFANT AND CHILD CPR CLASSES, ALSO HELD IN CONJUNCTION WITH VALLEY HEALTH AND SAFETY TRAINING CENTER WERE HELD AUG. 29, 2013; OCT. 31, 2013; FEB. 27, 2014; APRIL 24, 2014; AND JUNE 26, 2014.
SCHEDULE H, PART VI, SUPPLEMENTAL INFORMATION CONTINUED	PUBLIC FIRST AID INSTRUCTION. ADULT FIRST AID CLASSES ARE OFFERED BY THE HOSPITAL IN CONJUNCTION WITH VALLEY HEALTH AND SAFETY TRAINING CENTER. THE CLASSES WERE HELD JULY 25, 2013; SEPT. 26, 2013; NOV. 21, 2013; JAN. 30, 2014; MARCH 27, 2014; AND MAY 29, 2014. AARP 55 ALIVE REFRESHER DRIVING COURSE THE NATION'S FIRST AND LARGEST CLASSROOM DRIVER IMPROVEMENT COURSE SPECIALLY DESIGNED FOR MOTORISTS AGE 50 AND OLDER. IT IS INTENDED TO HELP IMPROVE SKILLS WHILE TEACHING ACCIDENT AND TRAFFIC-VIOLATION AVOIDANCE. THIS COURSE IS OFFERED SEVERAL TIMES THROUGHOUT THE YEAR. DURING THE FISCAL YEAR, THE COURSE WAS OFFERED JULY 15, 2013; NOV. 15, 2013 AND MAY 16, 2014. AARP 55 ALIVE BEGINNERS DRIVING COURSE. ALL INFORMATION IS CONVEYED IN A CLASSROOM SETTING IN TWO HALF-DAY SESSIONS. THE COURSE WAS HELD OCT. 21 AND 22, 2013 AND APRIL 3 AND 4, 2014. HOW TO PREVENT DIABETES. MONONGAHELA VALLEY HOSPITAL OFFERED A FIVE-WEEK EDUCATION PROGRAM, TO HELP MEMBERS OF THE COMMUNITY LEARN HOW TO MAKE BETTER FOOD CHOICES, BEGIN TO LOSE WEIGHT, BECOME MORE ACTIVE AND CHANGE BEHAVIORS TO IMPROVE THEIR HABITS AND USE FOOD RECORDS TO TRACK YOUR FOOD CHOICES. THE CLASSES WERE HELD JUNE 2, 9, 16, 23 AND 30, 2014. NUTRITION BUILDING BLOCKS. THIS PROGRAM HELPED ENRICH THE COMMUNITY'S UNDERSTANDING OF GOOD NUTRITION. A REGISTERED CLINICAL DIETITIAN TAUGHT THE FOLLOWING TOPICS: "CALORIE INTAKE AND EXERCISE," SEPT. 5, 2013; "READING FOOD LABELS AND PORTION CONTROL," SEPT. 12, 2013; AND "TIPS ON EATING IN RESTAURANTS", SEPT. 19, 2013. THE ONE-HOUR CLASSES WERE FREE AND OPEN TO THE PUBLIC. MANAGING YOUR DIABETES MONONGAHELA VALLEY HOSPITAL OFFERS A THREE-DAY, TWO-HOUR-PER-DAY EDUCATION SERIES THAT FOCUSES ON DIABETES SELF-MANAGEMENT AND CARE. THIS SESSION ADDRESSES FOOD CHOICES, DINING OUT, AND HOW EATING HABITS AFFECT BLOOD GLUCOSE CONTROL. THE CLASSES WERE HELD JULY 9-11, 2013; JULY 23-25, 2013; AUG. 20-22, 2013; SEPT. 24-26, 2014; OCT. 8-10, 2013; NOV. 5-7, 2013; DEC. 10-12, 2013; JAN. 21-23, 2014; FEB. 4-6, 2014; MARCH 4-6, 2014; APRIL 22-24, 2014; MAY 6-8, 2014; AND JUNE 17-19, 2014. ADVANCED CARBOHYDRATE COUNTING THIS IS A DIABETES SELF-MANAGEMENT CLASS THAT FOCUSES ON COUNTING CARBOHYDRATE INTAKE. TOPICS RANGE FROM HOW TO MEASURE THE UPWARD DRIVE EACH MEAL HAS ON BLOOD SUGAR TO INFORMATION ON THE GLYCEMIC INDEX. DURING THE FISCAL YEAR, CLASSES WERE HELD, JULY 17, 2013; AUG. 28, 2013; SEPT. 18, 2013; OCT. 16, 2013; NOV. 27, 2013; DEC. 18, 2013; JAN. 15, 2014; FEB. 12, 2014; MARCH 26, 2014; APRIL 9, 2014; MAY 28, 2014; AND JUNE 11, 2014. UNDERSTANDING YOUR BLOOD SUGAR READINGS. PARTICIPANTS LEARNED HOW TO MAKE SENSE OUT OF THE BLOOD SUGAR READINGS THEY DOCUMENT. THE CLASS ALSO TAUGHT HOW DIET, MEDICATIONS, ILLNESS AND STRESS AFFECT THE BLOOD SUGAR. CLASSES WERE OFFERED JULY 31, 2013 AND OCT. 30, 2013. UNDERSTANDING YOUR MEAL PLAN. THIS CLASS TAUGHT PARTICIPANTS ABOUT FOOD CHOICES, DINING OUT, AND HOW EATING HABITS AFFECT BLOOD GLUCOSE CONTROL. CLASSES WERE HELP JULY 30, 2013 AND OCT. 29, 2013. UNDERSTANDING YOUR DIABETES MEDICATIONS. PARTICIPANTS ACQUIRED A BETTER UNDERSTANDING OF HOW DIABETES MEDICATIONS WORK AND THE EFFECTS DIABETES MEDICATIONS HAVE ON BLOOD SUGAR READINGS. CLASSES WERE HELD AUG. 1, 2013 AND OCT. 31, 2013. CHILDBIRTH PREPARATION CLASS A FOUR-WEEK SERIES OF PRENATAL EDUCATION CLASSES DESIGNED TO PREPARE COUPLES FOR THE BIRTHING PROCESS. TOPICS INCLUDE: SIGNS OF LABOR, VAGINAL AND C-SECTION DELIVERIES, ROLE OF THE LABOR COACH, COMFORT MEASURES INCLUDING BREATHING AND RELAXATION SKILLS AND PAIN MEDICATION OPTIONS. COUPLES REHEARSE WHAT THEY LEARN IN CLASS TO HELP RELIEVE ANXIETY SURROUNDING THE BIRTHING EXPERIENCE. CLASSES ARE FREE TO VALLEY WOMEN'S HEALTH PATIENTS AND A FEE APPLIES TO NON-PATIENTS. DURING THE FISCAL YEAR, THE CLASSES WERE HELD JULY 10, 17, 24 AND 31, 2013; SEPT. 4, 11, 18 AND 25, 2013; NOV. 6, 13, 20 AND 27, 2013; JAN. 8, 15, 22 AND 29, 2014; MARCH 5, 12, 19 AND 26, 2014; AND MAY 7, 14, 21 AND 28, 2014. BABY CARE CLASS. PARENTS-TO-BE LEARNED BABY CARE BASICS AT THIS INSTRUCTIONAL SESSION. TOPICS INCLUDED HOME SAFETY, CAR SEAT SAFETY, IMMUNIZATIONS, BREAST AND BOTTLE FEEDING, PACIFIERS, BATHING INFANTS AND ADDITIONAL TOPICS. CLASSES WERE HELD AUG. 5, 2013; OCT. 7, 2013; DEC. 9, 2013; FEB. 3, 2014; APRIL 7, 2014; AND JUNE 9, 2014. BREASTFEEDING CLASS. THIS FREE CLASS IS DESIGNED FOR MOTHERS WHO PLAN TO BREASTFEED TO HELP THEM FEEL MORE COMFORTABLE AND CONFIDENT WHILE IN THE HOSPITAL AFTER DELIVERY AND WHEN RETURNING HOME. MANY PROPS ARE USED FOR THIS CLASS INCLUDING BREAST PUMPS. THE CLASSES WERE HELD JULY 29, 2013: AUG. 26, 2013; SEPT. 30, 2013; OCT. 28, 2013; NOV. 25, 2013; DEC. 30, 2013; JAN. 27, 2014; FEB. 24, 2014; MARCH 24, 2014; APRIL 28, 2014; MAY 19, 2014; AND JUNE 20, 2014. COPING WITH ALZHEIMER'S: FAMILY CAREGIVER WORKSHOP. THIS EDUCATIONAL PROGRAM WAS LED BY TRAINED FAMILY CAREGIVER PROFESSIONALS TO PROVIDE INFORMATION TO FAMILY CAREGIVERS ON ALZHEIMER'S AND OTHER TYPES OF DEMENTIAS. IT INCLUDED TECHNIQUES TO HANDLE CHALLENGING BEHAVIORS AND ACTIVITIES TO ENCOURAGE ENGAGEMENT. THE WORKSHOP WAS HELD NOV. 12, 2013. ETHICAL PERSPECTIVES OF HOSPICE AND PALLIATIVE CARE. THIS SEMINAR WAS OFFERED FOR COMMUNITY HEALTH CARE PROVIDERS, INCLUDING NURSES, SOCIAL WORKERS AND CASE MANAGERS OR ADMINISTRATORS OF NURSING AND PERSONAL CARE HOMES. THE PANEL OF SPEAKERS CONSISTED OF DANIEL A. IRACKI M.D., WHOSE SPECIALTIES INCLUDE PALLIATIVE CARE, INTERNAL MEDICINE AND PULMONARY MEDICINE; VICKIE CAROLLA, DIRECTOR OF OPERATIONS FOR AMEDISYS HOME HEALTH CARE; AND FATHER JOHN FIERO, FROM THE TRUE VINE ANGLICAN CHURCH AND COORDINATOR OF THE MVH ON-CALL CHAPLAINS PROGRAM. IT WAS HELD NOV. 12, 2013. SPECIAL EVENTS THE FOLLOWING SPECIAL EVENTS WERE HELD DURING THE FISCAL YEAR. GO RED WASHINGTON COUNTY FOR THE SECOND CONSECUTIVE YEAR, MONONGAHELA VALLEY HOSPITAL'S COMMUNITY RELATIONS DEPARTMENT LED AN INITIATIVE FOR THE THREE HOSPITALS IN WASHINGTON COUNTY TO "GO RED" IN FEBRUARY TO CREATE AWARENESS OF WOMEN'S HEART HEALTH ISSUES. PROGRAMS WERE HELD EACH HOSPITAL ON FEBRUARY 20. THE FOUR-HOUR EVENT AT MVH INCLUDED: HEALTH AND WELLNESS SCREENINGS HEALTH FAIR HEALTHY COOKING DEMONSTRATION WITH PHOEBE SEIVERLING, THE HOSPITAL'S EXECUTIVE CHEF, AND MICHELE PFARR, RD, LDN, CLINICAL NUTRITION MANAGER STRESS MANAGEMENT SESSION WITH AMAERA FELDER, A STRESS MANAGEMENT SPECIALIST A DISCUSSION ON HEART HEALTH WITH R.G. KRISHNAN, M.D. CARDIOLOGY AND INTERNAL MEDICINE; RANDALL KOMACKO, MPT, SENIOR STAFF PHYSICAL THERAPIST AND DIRECTOR OF THE DR. DEAN ORNISH PROGRAM FOR REVERSING HEART DISEASE; AND DON DOYLE, GENERAL MANAGER OF THE CENTER FOR FITNESS AND HEALTH MAMM & GLAMM FOR THE SECOND CONSECUTIVE YEAR, MONONGAHELA VALLEY HOSPITAL RECEIVED A GRANT FROM THE SUSAN G. KOMEN FOUNDATION TO HOST A SPECIAL EVENT FOR MAMMOGRAM SCREENINGS. THE EVENT WAS HELD ON MARCH 1 2013 AT HEALTHPLEX IMAGING. SIXTY-THREE WOMEN, WHO HAD PRESCRIPTIONS FOR MAMMOGRAMS, HAD THE OPPORTUNITY TO HAVE THEIR SCREENINGS IN A RELAXING ATMOSPHERE AND THEN ENJOY FREE PAMPERING THAT INCLUDED MASSAGES, NAIL TREATMENTS AND MORE. COMMUNITY DRUG SUMMITS REPRESENTATIVES FROM MONONGAHELA VALLEY HOSPITAL'S EMERGENCY DEPARTMENT AND PHARMACY PARTICIPATED DRUG SUMMITS AT LOCAL HIGH SCHOOLS TO EDUCATE STUDENTS AND THE COMMUNITY ABOUT THE DANGERS OF PRESCRIPTION DRUGS. COMPELLING STATISTICS AND IMAGES SHOWED HOW EASILY THE MISUSE OF PRESCRIPTION DRUGS CAN LEAD TO ADDICTION TO ILLEGAL STREET DRUGS. REPRESENTATIVES FROM THE HOSPITAL'S PHARMACY STAFFED INFORMATION TABLES. DRUG TAKE BACK EVENTS MONONGAHELA VALLEY HOSPITAL AND THE CARROLL TOWNSHIP POLICE DEPARTMENT WORKED TOGETHER ON THE NATIONAL PRESCRIPTION DRUG TAKE BACK DAY, A CONVENIENT AND SAFE WAY FOR RESIDENTS TO REMOVE UNUSED DRUGS FROM THEIR MEDICINE CABINETS. PEOPLE DROPPED OFF THEIR PRESCRIPTION AND OVER-THE-COUNTER MEDICATIONS ON OCT. 26, 2013 AND APRIL 26, 2014. MVH/LOIS ORANGE DUCOEUR BREAST CANCER WALK ON OCT. 12, 2013, THE MVH/LOIS ORANGE DUCOEUR BREAST CANCER WALK WAS HELD IN CHARLEROI TO HELP THE CANCER PATIENTS AT MVH'S CHARLES L. AND ROSE SWEENEY MELENYZER PAVILION AND REGIONAL CANCER CENTER. PROMOTION EVERY MONTH, THE HOSPITAL'S COMMUNITY RELATIONS DEPARTMENT PUBLISHES A "LIVING WELL" CALENDAR THAT IS DISTRIBUTED IN ALL OF THE WAITING ROOMS IN THE HOSPITAL. IT ALSO IS SENT TO THE LOCAL DAILY AND MONTHLY NEWSPAPERS WHERE IT IS PUBLISHED IN ITS ENTIRETY FREE OF CHARGE. THE CALENDAR IS ALSO POSTED AT THE HOSPITALS WEBSITE, WWW.MONVALLEYHOSPITAL.COM. DEPENDING ON THE NATURE OF THE EVENT, HEALTH FAIRS, SCREENINGS, INNOVATIONS IN MEDICINE AND TALK WITH A DOC PROGRAMS AND VARIOUS SPECIAL EVENTS ARE PROMOTED THROUGH NEWS RELEASES, NEWSPAPER AND TELEVISION ADVERTISING, LINKS ON THE HOSPITAL'S WEBSITE, ON THE MARQUEE AT THE ENTRANCE TO THE HOSPITAL ON ROUTE 88, ON TELEPHONE ON-HOLD ANNOUNCEMENTS, ON LED SCREENS THROUGHOUT THE HOSPITAL AND THROUGH DIRECT MAIL.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2013

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" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

MONONGAHELA VALLEY HOSPITAL INC

Employer identification number

23-7218917

Part I

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

(a) Name, address, and EIN (if applicable) 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 entity?
(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) MON-VALE HEALTH RESOURCES INC 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063 25-1426999	PROMOTING HEALTH SERVICES	PA	501(C)(3)	LINE 11B, II			No
(2) MON-VALE NON ACUTE CARE SERVICES INC 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063 25-1792434	ASSISTED LIVING FACILITY	PA	501(C)(3)	LINE 3	MON-VALE HEALTH RESOURCES INC		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2013

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 V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(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 V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) MONONGAHELA MEDICAL SUPPLY COMPANY 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063 25-1486121	MEDICAL EQUIPMENT	PA	MON-VALE MULTIPHASICS INC	RELATED				No			No

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	(i) Section 512(b)(13) controlled entity?
(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	Yes	No
(1) MON-VALE HEALTH PLANS INC 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063 25-1508835	HEALTH CARE BENEFITS	PA	MON-VALE HEALTH RESOURCES INC	C				No
(2) MON-VALE MULTIPHASICS INC 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063 25-1464425	HEALTH CARE MANAGEMENT/WELLNESS CENTER	PA	MON-VALE HEALTH RESOURCES INC	C				No
(3) MON-VALE ONCOLOGY INC 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063 80-0703620	PHYSICIAN PRACTICE	PA	MON-VALE SPECIALTY PRACTICES INC	C				No
(4) MON-VALE PROFESSIONAL SERVICES INC 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063 80-0162030	HEALTH CARE MANAGEMENT	PA	MON-VALE MULTIPHASICS INC	C				No
(5) MON-VALE PRIMARY CARE INC 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063 45-2260948	PHYSICIAN PRACTICE	PA	MON-VALE PROFESSIONAL SERVICES INC	C				No
(6) MON-VALE SPECIALTY PRACTICES INC 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063 46-0662192	PHYSICIAN PRACTICE	PA	MON-VALE PROFESSIONAL SERVICES INC	C				No
(7) MON-VALE ORTHOPEDICS INC 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063 25-1483685	PHYSICIAN PRACTICE	PA	MON-VALE SPECIALTY PRACTICES INC	C				No
(8) MON-VALE PRIMARY CARE PRACTICES INC 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063 61-1708169	PHYSICIAN PRACTICE	PA	MON-VALE PRIMARY CARE INC	C				No
(9) MON-VALE RADIATION ONCOLOGY INC 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063 38-3903238	PHYSICIAN PRACTICE	PA	MON-VALE SPECIALTY PRACTICES INC	C				No
(10) TRIVESTA CASUALTY INSURANCE INC 160 TECHNOLOGY DRIVE SUITE 202 CANONSBURG,PA15317 98-0497488	INSURANCE	CJ	MON-VALE MULTIPHASICS INC	C				No

Schedule R (Form 990) 2013

Page 3

Part V

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

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

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 or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

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

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Yes

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

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2013

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

Schedule R (Form 990) 2013

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2013

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: THE MISSION OF MONONGAHELA VALLEY HOSPITAL IS TO ENHANCE THE HEALTH OF THE RESIDENTS OF THE MID-MONONGAHELA VALLEY AREA BY PROVIDING OUTSTANDING HEALTHCARE SERVICES.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	15
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	13
5	Total number of individuals employed in calendar year 2013 (Part V, line 2a) ......	5	1,147
6	Total number of volunteers (estimate if necessary) .............	6	189
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	3,536,176
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	226,812

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	598,441	459,272
9	Program service revenue (Part VIII, line 2g) .........	138,363,177	135,222,748
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	3,241,866	2,412,537
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	705,228	744,089
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	142,908,712	138,838,646
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)	64,433,396	64,026,768
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–24e)....	74,625,094	71,312,673
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	139,058,490	135,339,441
19	Revenue less expenses. Subtract line 18 from line 12.......	3,850,222	3,499,205
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	142,940,268	141,258,435
21	Total liabilities (Part X, line 26).............	67,552,694	64,390,250
22	Net assets or fund balances. Subtract line 21 from line 20.....	75,387,574	76,868,185

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 120,280,262 including grants of $ ) (Revenue $ 132,249,459 )
	MONONGAHELA VALLEY HOSPITAL'S MISSION IS TO ENHANCE THE HEALTH OF THE RESIDENTS OF THE MID-MON VALLEY AREAS. THE HOSPITAL WORKS TO ACHIEVE ITS MISSION BY MAINTAINING SUITABLE FACILITIES WITHIN CARROLL TOWNSHIP, WASHINGTON COUNTY, PENNSYLVANIA VICINITY FOR THE PROVISION OF HEALTH CARE. ADDITIONALLY, MONONGAHELA VALLEY HOSPITAL HAS ALWAYS ENCOURAGED PROGRESS AND FLEXIBILITY TO MEET THE CHANGING NEEDS OF OUR PATIENTS AND ALL RESIDENTS OF THE COMMUNITIES IN THE MID-MON VALLEY. THE HOSPITAL CONFRONTED THE ISSUES REQUIRED TO ENHANCE THE HEALTH AND WELFARE OF THE RESIDENTS OF THE MID-MON VALLEY BY PROVIDING QUALITY HEALTH CARE REGARDLESS OF ETHNIC BACKGROUND, AGE OR ABILITY TO PAY, ALL THE WHILE MAINTAINING A HIGH DEGREE OF RESPONSIVENESS TO CHANGES, PARTICULARLY THOSE OF THE COMMUNITY. IN OUR EFFORT TO FULFILL OUR MISSION OF SERVING THE COMMUNITY, THE HOSPITAL COMMITTED TO SERVE ALL MEMBERS OF ITS COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY, THROUGH VARIOUS MEANS:CARE PROVIDED TO PERSONS COVERED BY GOVERNMENT PROGRAMS (I.E., MEDICARE AND MEDICAID) AT BELOW COST, CHARITY CARE, AND HEALTH EDUCATION PROGRAMS AND ACTIVITIES TO INFORM AND SUPPORT THE COMMUNITY.THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, CLINICS, COMMUNITY EDUCATION PROGRAMS, HEALTH SCREENINGS, COUNSELING SERVICES, SCHOOL PROGRAMS AND A VARIETY OF OTHER SUPPORT ACTIVITIES. SEE THE FOLLOWING SUMMARY OF COMMUNITY SUPPORT SERVICES AND PROGRAMS PROVIDED BY MONONGAHELA VALLEY HOSPITAL DURING THE FISCAL YEAR 2014.DURING FISCAL 2014, MONONGAHELA VALLEY HOSPITAL PROVIDED CARE FOR 12,505 ADULT AND PEDIATRIC INPATIENT ADMISSIONS AND OBSERVATIONS AND NEARLY 284,000 OUTPATIENT VISITS WHICH INCLUDES 32,413 PATIENTS RECEIVING CARE THROUGH OUR 24-HOUR EMERGENCY ROOM. MEDICARE AND MEDICAID PATIENTS CONSTITUTED 55.1% OF OUR PATIENTS DURING FISCAL YEAR 2014. THE HOSPITAL'S COST OF THE COMMUNITY SUPPORT PROGRAMS AND MEDICAL ASSISTANCE SHORTFALLS DURING FISCAL 2014 WAS OVER $4,085,000. IN ADDITION, THE HOSPITAL PROVIDED $3,018,010 OF CHARITY CARE.ALSO DURING FISCAL YEAR 2014, MONONGAHELA VALLEY HOSPITAL, INC., WROTE OFF NEARLY $8,521,000 OF CHARGES FOR UNINSURED AND UNDERINSURED INDIVIDUALS AND OTHERS. THESE INDIVIDUALS FROM OUR COMMUNITY WERE UNABLE TO PAY THOSE CHARGES AND DID NOT QUALIFY FOR ASSISTANCE FROM ANY GOVERNMENT OR CHARITY CARE PROGRAM.SUMMARY OF COMMUNITY SUPPORT PROGRAMSFISCAL YEAR ENDED JUNE 30, 2014THE HOSPITAL SPONSORS A "LIFELINE" FIRST RESPONDER PROGRAM. THIS PROGRAM ENABLES OVER 300 INDIVIDUALS WITHIN OUR COMMUNITY TO LIVE INDEPENDENTLY, WHILE GIVING THEM THE SECURITY OF KNOWING THEY CAN GET MEDICAL ASSISTANCE IMMEDIATELY IF REQUIRED.THE HOSPITAL PROVIDED OVER 280 EDUCATIONAL PROGRAMS SERVICING APPROXIMATELY 3,270 INDIVIDUALS. SUBJECTS INCLUDED: CONTINUING EDUCATION, PARAMEDIC TRAINING, CPR TRAINING, INFECTION CONTROL AND PEDIATRIC PROGRAMS. HEALTH SCREENINGS WERE PROVIDED TO VARIOUS SEGMENTS OF OUR SERVICE AREA. THESE SERVICES WERE PROVIDED THROUGH EMPLOYERS, LOCAL SOCIAL ORGANIZATIONS, AND HEALTH FAIRS. NEARLY 3,690 COMMUNITY RESIDENTS WERE SERVED THROUGH THESE PROGRAMS. THE SERVICES PROVIDED INCLUDE: IMMUNIZATIONS, BLOOD PRESSURE SCREENINGS, PULMONARY FUNCTION TESTS, DIABETES RISK SCREENINGS, CANCER SCREENINGS, GLUCOSE AND CHOLESTEROL SCREENINGS, HEARING SCREENINGS, BONE DENSITY SCREENINGS, HEALTH FAIRS, ETC. THESE TYPES OF PROGRAMS ARE PROVIDED AT MINIMAL COST TO THE COMMUNITY.THE HOSPITAL ALSO PROVIDED OVER 120 COMMUNITY HEALTH PROGRAMS WITH NEARLY 2,660 PARTICIPANTS. PROGRAMS INCLUDED: CPR, AIDS AWARENESS, ARTHRITIS AWARENESS, DIABETES PROGRAM, SMOKING CESSATION COUNSELING, INFECTION PREVENTION, CHILDBIRTH PREPARATION CLASSES, ETC.THE HOSPITAL PROVIDED COUNSELING SERVICES TO NEARLY 350 INDIVIDUALS DURING THE FISCAL YEAR ENDED JUNE 30, 2014. PROGRAMS INCLUDED: CANCER, DIABETES, LUPUS, ARTHRITIS, SCHIZOPHRENIA, STROKE AND CAREGIVERS SUPPORT GROUPS.MONONGAHELA VALLEY HOSPITAL PROVIDED OVER 10 SCHOOL PROGRAMS TO NINE AREA SCHOOL DISTRICTS WHICH INCLUDE: RINGGOLD, MONESSEN, CHARLEROI, YOUGH, FRAZIER, BENTWORTH, CALIFORNIA, BETH CENTER AND BELLE VERNON. PRESENTATIONS WERE MADE TO NEARLY 640 STUDENTS AND TEACHERS. PROGRAMS PROVIDED INCLUDE: AIDS AWARENESS, INFECTION PREVENTION, CONFLICT RESOLUTIONS, TEEN PREGNANCY, NICO-TEEN SMART, NUTRITION AND HOSPITAL TOURS.THE HOSPITAL PROVIDED OUTREACH PROGRAMS FOR NEARLY 5,950 ELDERLY AND INDIGENT RESIDENTS OF THE MID-MON VALLEY COMMUNITY DURING FISCAL YEAR 2014. PROGRAMS INCLUDE: DIABETES MANAGEMENT, STRESS MANAGEMENT, DEPRESSION, AND TRANSPORTATION SERVICES.THE HOSPITAL PROVIDED NEARLY $56,450 OF FINANCIAL SUPPORT TO THE LOCAL EMS PROVIDERS BY SUPPLYING THEIR AMBULANCES WITH REPLACEMENT ITEMS THAT WERE USED DURING PATIENT TRANSPORT.MONONGAHELA VALLEY HOSPITAL ALSO PARTICIPATES AND SPONSORS MANY COMMUNITY PROGRAMS SUCH AS SCOUTING FOR FOOD, UNITED WAY, PLUS SEVERAL OTHER PROGRAMS WITHIN THE MID-MON VALLEY.NUMEROUS PATIENT BROCHURES ARE PUBLISHED TO INCREASE PATIENT AWARENESS OF POTENTIAL HEALTH RISKS.THIS SUMMARY IS JUST THAT, A SUMMARY OF OUR PROGRAMS GEARED TO COMMUNITY SERVICE. MONONGAHELA VALLEY HOSPITAL AND OUR EMPLOYEES PROVIDE COUNTLESS HOURS PROMOTING COMMUNITY HEALTH AWARENESS; THIS SUMMARY REPRESENTS A PORTION OF THAT EFFORT.

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 expenses120,280,262

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)		(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) ELAINE S GELB........................................................................ OCC HEALTH PHYSICIAN	40.00 .......................	X	225,785	0	12,145
(19) DAVID E CLARK........................................................................ SR. VICE PRES OF HR	50.00 .......................	X	201,546	0	6,525
(20) JACINTA A BALDINI........................................................................ CRNA	40.00 .......................	X	178,116	0	28,898
(21) NICK E FRANCIA........................................................................ CRNA	40.00 .......................	X	172,904	0	24,331
(22) JEREMY J ORTOLONA........................................................................ CRNA	40.00 .......................	X	169,410	0	24,891

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	1,939,704	0	160,284

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

f	All other contributions, gifts, grants, and similar amounts not included above1f		459,272

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			459,272
			Business Code
2a	PATIENT SERVICE REVENUE		621990	131,549,718	131,549,718
b	MEDICAL LABORATORY		621500	3,536,176		3,536,176
c	PARKING GARAGE INCOME		812930	136,854	136,854
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			135,222,748
3	Investment income (including dividends, interest, and other similar amounts).......			1,666,975			1,666,975
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	199,320
b	Less: rental expenses	18,118
c	Rental income or (loss)	181,202
d	Net rental income or (loss).......			181,202			181,202
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	14,153,718	198
b	Less: cost or other basis and sales expenses	13,406,419	1,935
c	Gain or (loss)	747,299	-1,737
d	Net gain or (loss)..........			745,562			745,562
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 INCOME		722210	500,313	500,313
b	MEDICAL RECORD TRANSCRIPTS		621990	62,574	62,574
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			562,887
12	Total revenue. See Instructions......			138,838,646	132,249,459	3,536,176	2,593,739


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............				1
2	Savings and temporary cash investments .........			13,393,103	2	17,038,598
3	Pledges and grants receivable, net ...........				3
4	Accounts receivable, net .............			13,103,610	4	11,203,389
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............			2,630,417	8	2,661,980
9	Prepaid expenses and deferred charges ..........			3,311,879	9	3,762,161
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	176,355,871
b	Less: accumulated depreciation .....	10b	120,106,548	58,311,423	10c	56,249,323
11	Investments—publicly traded securities ..........			46,876,259	11	46,290,084
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 .....				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			5,313,577	15	4,052,900
16	Total assets. Add lines 1 through 15 (must equal line 34)......			142,940,268	16	141,258,435
17	Accounts payable and accrued expenses .........			10,257,198	17	11,708,704
18	Grants payable .................				18
19	Deferred revenue ................				19
20	Tax-exempt bond liabilities .............			23,730,000	20	23,730,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other 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 ..			15,751,400	23	14,651,605
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			17,814,096	25	14,299,941
26	Total liabilities. Add lines 17 through 25.........			67,552,694	26	64,390,250
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			74,293,490	27	76,048,107
28	Temporarily restricted net assets ...........			1,094,084	28	820,078
29	Permanently restricted net assets ...........				29
	Organizations that do not follow SFAS 117 (ASC 958), 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 ...........			75,387,574	33	76,868,185
34	Total liabilities and net assets/fund balances ........			142,940,268	34	141,258,435