Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter Social Security numbers on this form as it may be made public. By law, the IRS
generally cannot redact the information on the form.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
A For the 2013 calendar year, or tax year beginning 07-01-2013 , 2013, and ending 06-30-2014
BCheck if applicable:
CName of organization
CONEMAUGH HEALTH SYSTEM INC
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
1086 FRANKLIN STREET
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
JOHNSTOWN, PA15905
D Employer identification number

23-2801799
E Telephone number

G Gross receipts $ 8,777,205
F Name and address of principal officer:
SCOTT BECKER
1086 FRANKLIN STREET
JOHNSTOWN,PA15905
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.CONEMAUGH.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1994
M State of legal domicile: PA
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: TO SUPPORT MEMBER HOSPITALS WITHIN THE CONEMAUGH HEALTH SYSTEM AND PROVIDE COMMUNITY BENEFIT
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 17
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 10
5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) ...... 5 0
6 Total number of volunteers (estimate if necessary) ............. 6 10
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 0 0
9 Program service revenue (Part VIII, line 2g) ......... 8,637,318 8,785,989
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 371 327
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 0 -9,111
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 8,637,689 8,777,205
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 140,430 162,360
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) 5,334,387 6,687,087
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 3,162,872 4,475,373
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 8,637,689 11,324,820
19 Revenue less expenses. Subtract line 18 from line 12....... 0 -2,547,615
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 4,652,400 3,191,856
21 Total liabilities (Part X, line 26)............. 2,353,303 4,410,696
22 Net assets or fund balances. Subtract line 21 from line 20..... 2,299,097 -1,218,840
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2013)
Form 990 (2013)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: TO SUPPORT MEMBER HOSPITALS WITHIN THE CONEMAUGH HEALTH SYSTEM AND PROVIDE COMMUNITY BENEFIT SERVICES.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 9,732,771 including grants of $ 162,360 ) (Revenue $ 8,776,878 )
CONEMAUGH HEALTH SYSTEM (CHS) IS THE LARGEST HEALTHCARE PROVIDER IN WEST CENTRAL PENNSYLVANIA, SERVING OVER A HALF-MILLION PATIENTS EACH YEAR THROUGH THE CONEMAUGH PHYSICIAN GROUP AND MEDICAL STAFF, A NETWORK OF HOSPITALS, SPECIALTY CLINICS AND PATIENT FOCUSED PROGRAMS. CONEMAUGH'S 4,500+ EMPLOYEES AND 350+ PHYSICIANS PROVIDE INPATIENT CARE FOR OVER 25,000 PEOPLE AND OUTPATIENT CARE FOR ROUGHLY 500,000 PATIENTS AT MORE THAN 44 LOCATIONS THROUGHOUT A FIVE COUNTY REGION. THE HEALTH SYSTEM IS THE LARGEST EMPLOYER IN THE REGION. CONEMAUGH MEMORIAL MEDICAL CENTER, THE SYSTEM'S FLAGSHIP HOSPITAL, PROVIDES SOPHISTICATED TECHNOLOGY, THE HIGHEST LEVELS OF TRAUMA AND NEONATAL INTENSIVE CARE AND A COMMITTED HISTORY OF TRAINING PHYSICIANS, NURSES AND ALLIED HEALTH PROVIDERS. CONEMAUGH HEALTH SYSTEM IS HOME TO SEVEN MEDICAL RESIDENCY PROGRAMS, A PHARMD RESIDENCY PROGRAM, A NURSING SCHOOL, FIVE ALLIED HEALTH PROGRAMS AND AN ACCREDITED MEDICAL SKILLS LABORATORY. A NUMBER OF CLINICAL ADVANCEMENTS ALSO TOOK PLACE IN THE PAST YEAR INCLUDING: PHILIPS HYBRID OR WITH ALLURACLARITY ALLOWS SURGEONS TO PERFORM A FULL RANGE OF ENDOVASCULAR, CONVENTIONAL SURGICAL AND HYBRID PROCEDURES ALL IN A SINGLE ROOM WHILE OFFERING PATIENTS A LOWER RADIATION DOSE, BETTER SAFETY AND COMFORT; EXPANSION OF CONEMAUGH'S ROBOTIC ASSISTED SURGERY PROGRAM, WITH THE ADDITION OF COLORECTAL AND UROLOGICAL CASES; EXPANSION AND UPDATE OF THE EPILEPSY MONITORING UNIT; CONEMAUGH MEMORIAL OPENED A NEW PRIMARY CARE RESOURCE CENTER (PCRC) AS PART OF THE PITTSBURGH REGIONAL HEALTH INITIATIVE PROJECT TO HELP IMPROVE THE TRANSITION OF CARE FROM THE HOSPITAL TO OUTPATIENT FOR TARGET POPULATIONS AT HIGH RISK FOR READMISSIONS; DATSCAN WAS ADDED AS A NEW IMAGING TOOL TO HELP CLINICALLY EVALUATE PARKINSON'S DISEASE; CONEMAUGH MEMORIAL'S MEDICAL SKILLS LEARNING CENTER ADDED A MOTHER/CHILD BIRTHING SIMULATOR TO HELP TRAIN RESIDENT PHYSICIANS, NURSING STUDENTS AND OTHER STAFF ON PROCEDURES INVOLVING THE BIRTH CANAL, EPIDURAL ACCESS AND C-SECTIONS; ADDITION OF A NEWBORN SCREENING FOR CRITICAL CONGENITAL HEART DISEASE (CCHD) ALLOWING CONEMAUGH MEMORIAL TO NOW TEST FOR MORE THAN 29 DISORDERS EVEN THOUGH PENNSYLVANIA LAW REQUIRES BABIES TO BE TESTED FOR ONLY 6 CONDITIONS; THE XOFIGO PROSTATE THERAPY SYSTEM IS A NEW TREATMENT FOR MEN WITH ADVANCED STAGE METASTATIC PROSTATE CANCER; CONEMAUGH MEMORIAL'S STROKE PROGRAM RECEIVED THE SILVER PLUS STROKE RECOGNITION FROM THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES PROGRAM; CONEMAUGH HOME HEALTH IMPLEMENTED A NEW CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) PROGRAM TO HELP PATIENTS BETTER MANAGE THEIR CONDITION INCLUDING PATIENT EDUCATION ON THE CORRECT USE OF INHALERS AND MEDICATIONS; HOME SLEEP TESTING WAS ADDED BY THE SLEEP DISORDER CENTER TO HELP DIAGNOSE SOME PATIENTS FROM THE COMFORT OF THEIR HOME; CONEMAUGH PARTNERED WITH MARCH OF DIMES TO IMPLEMENT THE 39+WEEKS QUALITY IMPROVEMENT PROGRAM WHICH INCLUDED THE DEVELOPMENT OF POLICIES AND PROCEDURES TO REDUCE MEDICALLY UNNECESSARY INDUCTIONS AND CESAREAN DELIVERIES SCHEDULED BEFORE 39 WEEKS OF PREGNANCY; A NEW INFANT SECURITY SYSTEM FOR WOMEN AND CHILD SERVICES WAS IMPLEMENTED AT CONEMAUGH MEMORIAL MEDICAL CENTER. IN ADDITION TO ITS MAIN CAMPUS, CONEMAUGH MEMORIAL MEDICAL CENTER'S LEE CAMPUS SERVES THE COMMUNITY IN DOWNTOWN JOHNSTOWN PROVIDING A WIDE VARIETY OF OUTPATIENT SERVICES INCLUDING LABORATORY, IMAGING, WOUND HEALING AND THE LEE AMBULATORY SURGERY CENTER WHICH RECENTLY RECEIVED RECOGNITION FROM THE HOSPITAL ASSOCIATION OF PENNSYLVANIA FOR A PATIENT SAFETY INITIATIVE CENTERED ON PREVENTING WRONG SITE SURGERY. THE LEE CAMPUS IS ALSO HOME TO THE CONEMAUGH DIABETES INSTITUTE, THE SLEEP DISORDERS CENTER, AND THE INPATIENT CRICHTON REHABILITATION CENTER AND TRANSITIONAL CARE UNIT. THE LEE CAMPUS PROVIDES A LARGE COMMUNITY ROOM FOR PUBLIC USE AS WELL AS A LOCATION FOR SPIRITUAL NEEDS. MEETING ROOMS AT THE LEE CAMPUS ARE ALSO USED FOR AREA NON-PROFITS AND COMMUNITY GROUPS INCLUDING ORGANIZATIONS THAT HELP LOCAL RESIDENTS WITH DRUG AND ALCOHOL PROBLEMS.CONEMAUGH MINERS MEDICAL CENTER IS A 30-BED FULLY RENOVATED COMMUNITY HOSPITAL SERVING RURAL NORTHERN CAMBRIA COUNTY AND SURROUNDING AREAS. IT IS THE REGION'S SOLE HOSPITAL AND SPECIALIZES IN FAMILY AND PRIMARY CARE. IT ALSO PROVIDES INPATIENT MEDICAL, SURGICAL, AND INTENSIVE CARE SERVICES; COMPREHENSIVE OUTPATIENT SERVICES; 24/7 EMERGENCY DEPARTMENT; 24/7 LABORATORY; ONSITE PHARMACY; OPERATING SUITE FOR SHORT OR MINOR PROCEDURES; RADIOLOGY SERVICES, INCLUDING MOBILE MRI AND CT SCANS, DIGITAL MAMMOGRAPHY, AND ULTRASOUND; PATHOLOGY SERVICES; PHYSICAL THERAPY; RESPIRATORY THERAPY; OB/GYN OUTPATIENT CARE; AND NUMEROUS SPECIALTY SERVICES. CONEMAUGH MEYERSDALE MEDICAL CENTER SERVES A RURAL AREA IN SOUTHWESTERN PENNSYLVANIA'S HISTORIC SOMERSET COUNTY. SPECIALIZING IN FAMILY AND PRIMARY CARE, IT IS A STATE-DESIGNATED CRITICAL CARE ACCESS HOSPITAL AND HAS BEEN DEEMED A NECESSARY HEALTH CARE PROVIDER BY THE COMMONWEALTH OF PENNSYLVANIA. IT PROVIDES 20 BEDS FOR INPATIENT AND OUTPATIENT CARE; 24/7 EMERGENCY DEPARTMENT; OPERATING SUITE FOR SHORT OR MINOR PROCEDURES; RADIOLOGY SERVICES, INCLUDING MOBILE MRI, CT SCANS, AND DIGITAL MAMMOGRAPHY; PATHOLOGY SERVICES; PHYSICAL THERAPY; RESPIRATORY THERAPY; ULTRASOUND; CARDIAC REHABILITATION; OB/GYN OUTPATIENT CARE; STEP-DOWN SWING UNIT; AND MEDSTAR MEDICAL HELICOPTER TRANSPORTATION. MANY PHYSICIAN SPECIALISTS ALSO PROVIDE SERVICES AT THIS LOCATION. THE CONEMAUGH HEALTH SYSTEM ALSO HAS NUMEROUS OUTPATIENT LOCATIONS INCLUDING CONEMAUGH RICHLAND, CONEMAUGH EAST HILLS, AND CONEMAUGH EBENSBURG. AT THESE CENTERS, PATIENTS HAVE ACCESS TO LAB AND IMAGING SERVICES AS WELL AS APPOINTMENTS WITH PHYSICIAN SPECIALISTS.
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 expensesMediumBullet9,732,771
Form 990 (2013)
Form 990 (2013)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? ...
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II........
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part III............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2013)
Form 990 (2013)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I........
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so, complete Schedule L, Part II....................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
15
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
0
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
 
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2013)
Form 990 (2013)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
17
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
10
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
PA
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletLINDA FANALE1086 FRANKLIN STREETJOHNSTOWNPA15905 (814) 410-8287
Form 990 (2013)
Form 990 (2013)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(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) 		(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
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) RON VICKROY........................................................................
CHAIRMAN
 6.00
.......................   		X   X       0 0 0
(2) JAMES CASCIO........................................................................
VICE CHAIRMAN
 6.00
.......................   		X   X       0 0 0
(3) KIM CRAIG........................................................................
TREASURER
 6.00
.......................   		X   X       0 0 0
(4) PATRICIA SEROTKIN........................................................................
SECRETARY
 6.00
.......................   		X   X       0 0 0
(5) DOUGLAS BELL........................................................................
TRUSTEE
 2.00
.......................   		X           0 0 0
(6) KRISTIN BRANT MD........................................................................
TRUSTEE
 2.00
.......................   		X           0 0 0
(7) JAMES HARGREAVES........................................................................
TRUSTEE
 2.00
.......................   		X           0 0 0
(8) NATHAN KAUFMAN........................................................................
TRUSTEE
 2.00
.......................   		X           0 0 0
(9) ADIB KHOUZAMI MD........................................................................
TRUSTEE
 2.00
.......................68.00 		X           0 1,318,013 34,064
(10) BRIAN LIEB DO........................................................................
TRUSTEE
 2.00
.......................62.00 		X           0 297,021 34,936
(11) FRANK QUITONI........................................................................
TRUSTEE
 2.00
.......................   		X           0 0 0
(12) JOHN SARACENA........................................................................
TRUSTEE
 2.00
.......................   		X           0 0 0
(13) SALLY SARGENT........................................................................
TRUSTEE
 2.00
.......................   		X           0 0 0
(14) RICHARD SCHROEDER MD........................................................................
TRUSTEE
 2.00
.......................   		X           0 0 0
(15) MICHAEL SMITH........................................................................
TRUSTEE
 2.00
.......................   		X           0 0 0
(16) RICHARD WOZNIAK MD........................................................................
TRUSTEE
 2.00
.......................50.00 		X           0 208,170 33,403
(17) SCOTT BECKER........................................................................
TRUSTEE, CHIEF EXECUTIVE O
 50.00
.......................20.00 		X   X       961,721 0 30,306
Form 990 (2013)
Form 990 (2013)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(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) 		(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
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) DAVID CARLSON DO........................................................................
CHIEF MEDICAL OFFICER (TERM MAR14)
 21.50
.......................29.00 		    X       552,617 0 24,012
(19) WILLIAM CARNEY MD........................................................................
CHIEF MEDICAL OFFICER (EFF MAR14)
 20.00
.......................42.00 		    X       0 470,484 37,189
(20) EDWARD DEPASQUALE........................................................................
CHIEF FINANCIAL OFFICER
 22.00
.......................28.00 		    X       456,339 0 26,649
(21) JOSEPH DADO........................................................................
CHIEF INFORMATION OFFICER
 12.00
.......................38.50 		    X       360,270 0 17,102
(22) JOHN MORYKEN........................................................................
VP BUSINESS DEVELOP & GOVT RELATIONS
 26.00
.......................24.00 		    X       294,756 0 30,766
(23) BRENT MALLEK........................................................................
CHIEF HUMAN RESOURCES OFFICER
 8.00
.......................38.00 		    X       93,720 0 3,872
(24) DIANE PRINGLE........................................................................
CORPORATE COMPLIANCE OFFICER
 8.00
.......................44.00 		        X   122,471 0 8,287
(25) GREG LEIS........................................................................
DIRECTOR FIN & STRATEGIC P
 1.00
.......................49.00 		        X   119,568 0 17,444
(26) GAIL LUCAS........................................................................
DIRECTOR INTERNAL AUDIT
 15.00
.......................30.00 		        X   114,516 0 16,586
(27) AMY BRADLEY........................................................................
DIRECTOR MARKETING
 19.00
.......................26.00 		        X   105,148 0 18,703
(28) WESLEY SCHMIDT........................................................................
FORMER VP HUMAN RESOSURCES
 0.00
.......................   		          X 207,498 0 1,922




1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 3,388,624 2,293,688 335,241
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet14
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
BUCHANAN INGERSOLL ROONEY PC301 GRANT STREETPITTSBURGHPA15219 LEGAL SERVICES 954,059
BKD LLPP O BOX 1178LOUISVILLEKY40201 ACCOUNTING SERVICES 386,684
PINSTRIPE INC200 SOUTH EXECUTIVE DRIVE SUITE 400BROOKFIELDWI53005 CONSULTANT 238,454
KI ASSOCIATES40 EASTERN PROMENADE UNIT BPORTLANDME04101 CONSULTANT 125,400
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet4
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		 
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet  
Program Service RevenueAmt Business Code
2a MANAGEMENT FEES 561000 8,785,989 8,785,989    
b
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 8,785,989
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 327     327
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory    
b Less: cost or other basis and sales expenses    
c Gain or (loss)    
d Net gain or (loss)..........MediumBullet        
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..MediumBullet      
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...MediumBullet        
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..MediumBullet        
Miscellaneous Revenue Business Code
11a LOSS ON IMPAIRMENT OF 900099 -9,111 -9,111    
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet -9,111
12 Total revenue. See Instructions......MediumBullet 8,777,205 8,776,878 0 327
Form 990 (2013)
Form 990 (2013)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
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 21 162,360 162,360
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 .... 3,009,830 2,889,437 120,393  
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 2,812,586 1,920,487 892,099  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 30,315 8,677 21,638  
9 Other employee benefits ....... 834,356 582,301 252,055  
10 Payroll taxes ...........        
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 1,710,991 1,710,991    
c Accounting ........... 509,618 509,618    
d Lobbying ...........        
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) ........ 864,839 806,519 58,320  
12 Advertising and promotion .... 226,868 226,868    
13 Office expenses ....... 42,353 38,645 3,708  
14 Information technology ...... 183,525 9,675 173,850  
15 Royalties ..        
16 Occupancy ........... 104,523 55,338 49,185  
17 Travel ............ 113,206 112,801 405  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 56,256 46,836 9,420  
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 269,361 269,194 167  
23 Insurance ..............        
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 PURCHASED SERVICES 132,376 126,628 5,748  
b DUES & SUBSCRIPTIONS 111,690 106,629 5,061  
c RECRUITING EXPENSE 71,652 71,652    
d MISCELLANEOUS 66,115 66,115    
e All other expenses 12,000 12,000    
25 Total functional expenses. Add lines 1 through 24e 11,324,820 9,732,771 1,592,049 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 MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2013)
Form 990 (2013)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing .............   1  
2 Savings and temporary cash investments ......... 166,888 2 59,544
3 Pledges and grants receivable, net ...........   3  
4 Accounts receivable, net ............. 354,988 4 166,757
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 ............. 1,206,000 7 1,206,000
8 Inventories for sale or use ..............   8  
9 Prepaid expenses and deferred charges .......... 87,889 9 171,714
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 659,552
b Less: accumulated depreciation ..... 10b 646,951 180,190 10c 12,601
11 Investments—publicly traded securities ..........   11  
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 ........... 2,656,445 15 1,575,240
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 4,652,400 16 3,191,856
Liabilities 17 Accounts payable and accrued expenses ......... 1,643,401 17 3,472,297
18 Grants payable .................   18  
19 Deferred revenue ................   19  
20 Tax-exempt bond liabilities .............   20  
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 ..   23  
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.................... 709,902 25 938,399
26 Total liabilities. Add lines 17 through 25......... 2,353,303 26 4,410,696
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 2,299,097 27 -1,218,840
28 Temporarily restricted net assets ...........   28  
29 Permanently restricted net assets ...........   29  
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet 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 ........... 2,299,097 33 -1,218,840
34 Total liabilities and net assets/fund balances ........ 4,652,400 34 3,191,856
Form 990 (2013)
Form 990 (2013)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
8,777,205
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
11,324,820
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-2,547,615
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
2,299,097
5
Net unrealized gains (losses) on investments ...............
5
-970,322
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
0
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
-1,218,840
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2013)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
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.
right arrow 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
CONEMAUGH HEALTH SYSTEM INC
 
Employer identification number

23-2801799
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.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
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.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
No
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
No
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
No
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (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
Yes No Yes No Yes No
(A) MEYERSDALE MEDICAL CENTER
  		251002946 3   No   No Yes   0
(B) CONEMAUGH VALLEY MEMORIAL HOSPITAL
  		250965307 3   No   No Yes   0
(C) MINERS MEDICAL CENTER
  		250977902 3   No   No Yes   0
(D) CONEMAUGH HEALTH FOUNDATION
  		251719695 11   No   No Yes   0
Total 0

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
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) right arrow (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) right arrow (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).  
12
12
 
13
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
14
14
 
15
15
 
16a
b
17a
b
18
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
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) right arrow (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) right arrow (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.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2013
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:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet 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
CONEMAUGH HEALTH SYSTEM INC
 
Employer identification number

23-2801799
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 ........    
5
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? ............
6
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? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
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.
Held at the End of the 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  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
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)? .......................................
9
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.
1a
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.
b
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 $  
2
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:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
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

Schedule D (Form 990) 2013
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
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?........
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.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
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 ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
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 (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................      
b Buildings ................        
c Leasehold improvements ............        
d Equipment ................   659,552 646,951 12,601
e Other .................        
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 12,601
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 3
Part VII
Investments—Other 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.)Small Bullet  
Part VIII
Investments—Program 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.)Small Bullet  
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
(1) INVESTMENT IN PHHP 7,500
(2) INVESTMENT IN RRG 1,489,091
(3) NON COMPETE COVENANTS (NET) 78,649






Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 1,575,240
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  
DUE TO MEMORIAL MEDICAL CENTER 938,286
DUE TO CONEMAUGH HEALTH FOUNDATION 113







Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 938,399
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

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  
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  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
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  
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  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
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
Schedule D (Form 990) 2013

Additional Data


Software ID:  
Software Version:  




Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
CONEMAUGH HEALTH SYSTEM INC
 
Employer identification number
23-2801799
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) CONEMAUGH HEALTH FOUNDATION
1086 FRANKLIN ST
JOHNSTOWN,PA15905 		25-1719695 501C3 25,250       GENERAL SUPPORT
(2) COMMUNITY FOUNDATION FOR THE ALLEGHENIES
116 MARKET STREET SUITE 4
JOHNSTOWN,PA15901 		25-1637373 501C3 23,250       GENERAL SUPPORT
(3) UNIVERSITY OF PITTSBURGH AT JOHNSTOWN
450 SCHOOLHOUSE ROAD
JOHNSTOWN,PA15904 		25-0965591 501C3 10,000       GENERAL SUPPORT
(4) BEGINNINGS INC
111 MARKET STREET
JOHNSTOWN,PA15901 		25-0984601 501C3 8,750       GENERAL SUPPORT
(5) PEER EMPOWERMENT NETWORK
514 SOMERSET STREET
JOHNSTOWN,PA15901 		27-3723624 501C3 8,000       GENERAL SUPPORT
(6) THE LEARNING LAMP
2025 BEDFORD STREET
JOHNSTOWN,PA15904 		20-0306745 501C3 8,000       GENERAL SUPPORT
(7) AMERICAN RED CROSS - KEYSTONE CHAPTER
250 JARI DRIVE
JOHNSTOWN,PA15904 		53-0196605 501C3 5,100       GENERAL SUPPORT










2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
7
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2013

Schedule I (Form 990) 2013
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance












Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
PART I, LINE 2: THE CONEMAUGH HEALTH SYSTEM ANALYZES REQUESTS FOR CHARITABLE CONTRIBUTIONS AND ASSISTANCE TO OTHER ORGANIZATIONS ON AN ONGOING BASIS IN ACCORDANCE WITH INTERNAL POLICY. THE GOALS OF THE HEALTH SYSTEM ARE TO SUPPORT ORGANIZATIONS AND PROGRAMS THAT FOCUS ON COMMUNITY HEALTH AND WELLNESS, ENHANCE THE DEVELOPMENT OF AREA YOUTH, ENRICH THE LIVES AND ENHANCE THE CULTURE OF ITS REGION, AND CONTRIBUTE TO THE OVERALL GOOD OF THE COMMUNITIES IT SERVES. AMOUNTS ARE AWARDED TO THOSE THAT MEET THESE GOALS, DEMONSTRATE A CHARITABLE PURPOSE, AND PROVIDE COMMUNITY BENEFIT SERVICES.
Schedule I (Form 990) 2013


Additional Data


Software ID:  
Software Version:  


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
CONEMAUGH HEALTH SYSTEM INC
 
Employer identification number

23-2801799
Part I
Questions Regarding Compensation
Yes
No
1a
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.
b
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....
1b
 
 
2
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? ..
2
Yes
 
3
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.
4
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:
a
Receive a severance payment or change-of-control payment? ................
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
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.
5
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:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
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:
a
The organization? ...........................
6a
Yes
 
b
Any related organization? .........................
6b
Yes
 
If "Yes," to line 6a or 6b, describe in Part III.
7
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 ............
7
 
No
8
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 .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013

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
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)ADIB KHOUZAMI MDTRUSTEE (i)
(ii)		 0
947,791 		0
330,704 		0
39,518 		0
22,589 		0
11,475 		0
1,352,077 		0
0
(2)BRIAN LIEB DOTRUSTEE (i)
(ii)		 0
245,141 		0
570 		0
51,310 		0
20,212 		0
14,724 		0
331,957 		0
0
(3)RICHARD WOZNIAK MDTRUSTEE (i)
(ii)		 0
131,338 		0
150 		0
76,682 		0
16,511 		0
16,892 		0
241,573 		0
0
(4)SCOTT BECKERTRUSTEE, CHIEF EXECUTIVE O (i)
(ii)		 656,723
0 		250,000
0 		54,998
0 		10,927
0 		19,379
0 		992,027
0 		0
0
(5)DAVID CARLSON DOCHIEF MEDICAL OFFICER (TERM MAR14) (i)
(ii)		 445,491
0 		82,785
0 		24,341
0 		9,007
0 		15,005
0 		576,629
0 		0
0
(6)WILLIAM CARNEY MDCHIEF MEDICAL OFFICER (EFF MAR14) (i)
(ii)		 0
367,194 		0
56,319 		0
46,971 		0
22,589 		0
14,600 		0
507,673 		0
0
(7)EDWARD DEPASQUALECHIEF FINANCIAL OFFICER (i)
(ii)		 364,815
0 		67,275
0 		24,249
0 		15,209
0 		11,440
0 		482,988
0 		0
0
(8)JOSEPH DADOCHIEF INFORMATION OFFICER (i)
(ii)		 288,176
0 		49,591
0 		22,503
0 		15,398
0 		1,704
0 		377,372
0 		0
0
(9)JOHN MORYKENVP BUSINESS DEVELOP & GOVT RELATIONS (i)
(ii)		 234,579
0 		36,086
0 		24,091
0 		18,805
0 		11,961
0 		325,522
0 		0
0
(10)WESLEY SCHMIDTFORMER VP HUMAN RESOSURCES (i)
(ii)		 40,390
0 		0
0 		167,108
0 		0
0 		1,922
0 		209,420
0 		0
0
Schedule J (Form 990) 2013

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 4A WESLEY SCHMIDT RECEIVED SEVERANCE PAYMENTS OF 161,992
PART I, LINE 6 SCOTT BECKER, DAVID CARLSON, DO, EDWARD DEPASQUALE, JOSEPH DADO, JOHN MORYKEN, DIANE PRINGLE, GAIL LUCAS, GREG LEIS, AND AMY BRADLEY RECEIVED A BONUS FROM THE CONEMAUGH HEALTH SYSTEM. EXECUTIVE AND DIRECTOR BONUSES ARE CALCULATED AS A PERCENTAGE OF BASE SALARY. THE PERCENTAGE IS CONTINGENT ON VARIOUS FINANCIAL AND NON-FINANCIAL INCENTIVE CRITERIA GOVERNED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD. PART I, LINE 6B: ADIB KHOUZAMI, MD, BRIAN LIEB, DO AND WILLIAM CARNEY, MD RECEIVED BONUSES FROM CONEMAUGH HEALTH INITIATIVES, A RELATED ORGANIZATION. PHYSICIAN BONUSES ARE CALCULATED ON A CASH BASIS; TAKING TOTAL CASH COLLECTIONS LESS ALL OFFICE OPERATING, PHYSICIAN AND OVERHEAD EXPENSES. ANY REMAINING AMOUNT IS DISTRIBUTED TO THE PHYSICIAN BASED ON A CONTRACTUAL PERCENTAGE, A PRACTICE REINVESTMENT CONTRIBUTION AND/OR A CAP. TOTAL PHYSICIAN COMPENSATION IS REVIEWED ANNUALLY FOR REASONABLENESS USING INDUSTRY STANDARDS AND APPLICABLE IRS GUIDELINES.
Schedule J (Form 990) 2013

Additional Data


Software ID:  
Software Version:  
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
CONEMAUGH HEALTH SYSTEM INC
 
Employer identification number

23-2801799
Return Reference Explanation
FORM 990, PAGE 1 DURING SEPTEMBER 2014, THE CONEMAUGH HEALTH SYSTEM WAS ACQUIRED BY DUKE LIFEPOINT HEALTHCARE.
FORM 990, PART III, LINE 4A (CONTINUED): SCREENINGS AND SUPPORT GROUPS ARE AN IMPORTANT PART OF THE CONEMAUGH HEALTH SYSTEM'S OUTREACH EFFORTS. THIS PAST YEAR THEY INCLUDED: CONTINUED PARTNERSHIP WITH THE EDWARDS LIFE SCIENCES CORPORATION AND THE HIGHMARK FOUNDATION TO PROVIDE A FREE CARDIOVASCULAR AND DIABETES DISEASE PREVENTION PROGRAM THROUGHOUT LOCAL COMMUNITIES WITH AN EMPHASIS ON DIVERSE AND UNDERSERVED PATIENTS IN RURAL AREAS WHICH INVOLVED 10 LOCATIONS AND VARIOUS SCREENINGS INCLUDING BLOOD PRESSURE, BODY MASS INDEX, BODY FAT ANALYSIS, BLOOD WORK AND VASCULAR; A NEWLY CREATED CANCER SUPPORT GROUP BEGAN MEETING MONTHLY TO HELP PATIENTS WITH ALL TYPES OF CANCER AND THEIR FAMILY AND LOVED ONES; CAR SEAT SAFETY CHECKS WERE HELD IN PARTNERSHIP WITH THE LEARNING LAMP ORGANIZATION, HELPING FAMILIES OBTAIN SAFE AND APPROPRIATE CAR SEATS, WHILE GIVING INFORMATION ON SMOKING CESSATION FOR THOSE PARENTS WHO SMOKE; MAMMOGRAPHY SCREENINGS AND BREAST HEALTH AND WELLNESS FAIRS TOOK PLACE AT SEVERAL CONEMAUGH HEALTH SYSTEM SITES INCLUDING INFORMATION FOR THE PUBLIC ON MAMMOGRAPHY VOUCHERS FOR THE UNINSURED AND UNDERINSURED; WEIGHT LOSS SUPPORT GROUP MEETS MONTHLY FOR THOSE STRUGGLING WITH WEIGHT ISSUES AND FOR THOSE WHO HAVE UNDERGONE WEIGHT LOSS SURGERY; FREE CLASSES FOR EMPLOYEES AND THE PUBLIC WHO WANT TO LEARN WAYS TO HELP QUIT SMOKING AND USING OTHER TOBACCO PRODUCTS; HEART MONTH SCREENINGS INCLUDED EDUCATIONAL EVENTS, BONE DENSITY SCREENINGS AND ABI (ANKLE BRACHIAL INDEX) SCREENINGS; EIGHTEEN SUPPORT GROUPS ARE LISTED ON CONEMAUGH'S WEBPAGE WITH REGULAR MEETINGS COVERING NUMEROUS TOPICS INCLUDING ALZHEIMER'S, BRAIN INJURY AND STROKE, CHRONIC PAIN AND HEADACHES, CHARCOT MARIE TOOTH (CMT), EPILEPSY, HIV/AIDS, PARKINSON'S DISEASE, OSTOMY, SUBSTANCE ABUSE ISSUES AND SUICIDE. THE CONEMAUGH.ORG WEBSITE AND SOCIAL MEDIA EFFORTS CONTINUE TO BE AN IMPORTANT WAY TO SHARE HEALTH AND WELLNESS INFORMATION WITH OUR COMMUNITY. ADVANCEMENTS IN THIS AREA INCLUDE: THE FOLLOWMYHEALTH PATIENT PORTAL WAS INTRODUCED TO THE COMMUNITY, ALLOWING PATIENTS OF CONEMAUGH PHYSICIAN GROUP TO ACCESS THEIR MEDICAL RECORDS ONLINE. THE SYSTEM ALSO ALLOWS PATIENTS TO VIEW TEST AND LAB RESULTS, UPDATE ALLERGY AND MEDICATION INFORMATION AND REQUEST PRESCRIPTION REFILLS AND APPOINTMENTS. THE MARKETING COMMUNICATIONS TEAM UNVEILED A NEW ONLINE CALENDAR. THE CALENDAR IS MORE USER FRIENDLY FOR BOTH STAFF AND THE PUBLIC AND ALLOWS USERS TO SEARCH BY EVENT TYPE, AUDIENCE AND DATE. CONEMAUGH HOME HEALTH AND CONEMAUGH REGIONAL HOSPICE UNVEILED A NEW SYSTEM CALLED "CONEMAUGH HOMECARE WEBCHART" DESIGNED TO REDUCE THE PAPERWORK INVOLVED WITH MANAGING PATIENTS. THE MEDICAL STAFF OF CONEMAUGH MEMORIAL IS COMPRISED OF ABOUT 350 PHYSICIANS REPRESENTING NUMEROUS SPECIALTIES. CONEMAUGH PHYSICIAN GROUP (CPG) IS A MULTI-SPECIALTY GROUP OF DOCTORS WITH MORE THAN 120 PHYSICIANS PARTICIPATING AT SITES CONVENIENTLY LOCATED ACROSS FIVE COUNTIES. CONEMAUGH PHYSICIAN GROUP HAS EXPERTISE IN NUMEROUS SPECIALTIES, INCLUDING FAMILY MEDICINE, CARDIOLOGY, NEUROLOGY, CANCER, SURGERY, AND WOMEN'S HEALTH. ALL PRIMARY CARE PHYSICIAN OFFICES ARE CONNECTED TO THE CONEMAUGH HEALTH SYSTEM HOSPITALS AND PHYSICIAN SPECIALIST OFFICES BY AN ELECTRONIC MEDICAL RECORD (EMR) SYSTEM. CHS IS FORTUNATE TO HAVE NOT ONLY STRONG PHYSICIAN LEADERSHIP BUT STRONG BOARD LEADERSHIP. THE BOARD IS COMPRISED OF A WIDE VARIETY OF DEDICATED LEADERS REPRESENTING DIVERSE FIELDS INCLUDING AREA BUSINESS LEADERS, EDUCATORS, AND PHYSICIANS, BOTH CONEMAUGH PHYSICIAN GROUP AND INDEPENDENT. AN ACTIVE PATIENT ADVISORY COMMITTEE CONTRIBUTES REGULAR CONSTRUCTIVE CRITICISM AND FEEDBACK REGARDING VARIOUS ASPECTS OF CARE DELIVERY INCLUDING WAY FINDING, MARKETING, AND SERVICE EXCELLENCE. IN ADDITION TO THE PATIENT ADVISORY COMMITTEE AT CONEMAUGH MEMORIAL MEDICAL CENTER, CONEMAUGH MINERS MEDICAL CENTER ALSO NOW HAS A PATIENT ADVISORY COMMITTEE IN PLACE. CHS ALSO ENJOYS A HEALTHY VOLUNTEER PROGRAM, MELDING A DIVERSE GROUP OF STUDENTS FROM LOCAL HIGH SCHOOLS AND COLLEGES, MID-CAREER VOLUNTEERS WHO WISH TO "GIVE BACK" TO THE COMMUNITY, RETIREES WHO SPEND COUNTLESS HOURS PROVIDING SUPPORT TO OUR WORKFORCE, AND PASTORAL CARE VOLUNTEERS WHO SUPPORT EMPLOYEES' AND PATIENTS' SPIRITUAL AND RELIGIOUS NEEDS. THE FOLLOWING ARE EXAMPLES OF COMMUNITY PARTNERSHIPS AND EDUCATIONAL EVENTS WHICH HAVE TAKEN PLACE OVER THE PAST YEAR: IDEAL PATIENT EXPERIENCE TRAINING INVOLVED 98% OF CONEMAUGH EMPLOYEES AND PHYSICIANS DESIGNED TO HELP STAFF RECOMMIT TO FOCUSING ON CREATING AN IDEAL EXPERIENCE FOR PATIENTS AND FAMILIES; ARTS FOR HEALING PROGRAM ALLOWS PAIN AND NEUROLOGY PATIENTS CREATE AND DISPLAY ARTWORK AT A LOCAL UNIVERSITY; A BALANCE/FALL PREVENTION HEALTH FAIR TOOK PLACE AT CONEMAUGH MEMORIAL; A PATIENT SAFETY FAIR WAS HELD FOR EMPLOYEES AND THE COMMUNITY COVERING INFECTION PREVENTION TIPS, SOCIAL MEDIA AND HEALTHCARE COMPLIANCE AND DRUG/ALCOHOL IMPAIRMENT; CONEMAUGH HEALTH SYSTEM SPONSORED CAMBRIA COUNTY NIGHT AT THE ALTOONA CURVE BASEBALL GAME AND DISTRIBUTED HEALTH INFORMATION TO ATTENDEES; A NEWLY CREATED SUMMER PREMED VOLUNTEER PROGRAM ALLOWED NINE LOCAL ASPIRING PHYSICIANS TO PARTICIPATE IN A SIX-WEEK SHADOWING PROGRAM; MY BIKE PROGRAM WITH VARIETY THE CHILDREN'S CHARITY HELD TWO CEREMONIES WHERE ADAPTED BICYCLES WERE GIVEN TO CHILDREN FROM OUR AREA WITH SPECIAL NEEDS; "FACE OFF AGAINST CANCER" IN CONJUNCTION WITH THE JOHNSTOWN TOMAHAWKS HOCKEY ORGANIZATION RAISED AWARENESS AND EDUCATION OF ALL TYPES OF CANCER AND PROVIDED SUPPORT FOR THOSE DEALING WITH CANCER; "PINK IN THE RINK" FOCUSED ON BREAST CANCER AWARENESS WITH THE ICE AT THE CAMBRIA COUNTY WAR MEMORIAL DYED PINK, ALLOWED CANCER SURVIVORS AND THEIR LOVED ONES TO PARTICIPATE IN ACTIVITIES WHILE PROVIDING PREVENTION AND EDUCATION BOOTHS; ORGAN, TISSUE AND EYE DONOR RECOGNITION WALL WAS REDEDICATED WITH THE UNVEILING OF A SECOND PORTION OF THE WALL; IN COLLABORATION WITH CORE (CENTER FOR ORGAN RECOVERY AND EDUCATION) CONEMAUGH HELD A CEREMONY RECOGNIZING THE FAMILIES OF DONORS FROM THE PAST YEAR; BREAST CANCER AWARENESS EVENTS INCLUDED A NUMBER OF SCREENINGS AND EDUCATIONAL FAIRS; STROKE AWARENESS EDUCATION FOR EMS WAS PROVIDED BY THE CONEMAUGH STROKE TEAM ; COLORECTAL CANCER AWARENESS EVENTS WERE HELD INCLUDING A 9K RUN; STROKE AWARENESS FAIR TO HELP PEOPLE LEARN THE RISK FACTORS AND HOW TO RECOGNIZE THE SIGNS AND SYMPTOMS OF STROKE; CANCER AWARENESS BRUNCH PROVIDED INFORMATION ON ALL TYPES OF CANCER AND GUEST SPEAKERS WHO SHARED THEIR JOURNEY; SEXUAL ASSAULT AWARENESS FAIR HELD IN PARTNERSHIP WITH VICTIM SERVICES AND THE WOMEN'S HELP CENTER; CAR SEAT CLINICS HELD IN CONJUNCTION WITH OTHER COMMUNITY ORGANIZATIONS; DRUG AND ALCOHOL AND BULLYING PREVENTION PROGRAMS WERE PROVIDED FOR THE ALTERNATIVE COMMUNITY RESOURCE PROGRAM (ACRP) ALTERNATIVE SCHOOL; OSTEOPOROSIS SCREENINGS AND MAMMOGRAPHY INFORMATION WERE PROVIDED AT RICHLAND COMMUNITY DAYS; TRAINING PROGRAM WAS HELD FOR UNIVERSITY OF PITTSBURGH AT JOHNSTOWN (UPJ) NURSING STUDENTS TO DO DENTAL EDUCATION IN PRESCHOOLS; 60 PEOPLE PARTICIPATED IN A PROSTATE SCREENING; PRESENTED THE PA YOUTH SURVEY TO THE FOSTER GRANDPARENTS ORGANIZATION; "BRIDGES OUT OF POVERTY" PROGRAM WAS PRESENTED BY CONEMAUGH COMMUNITY WELLNESS STAFF TO BILLERS/CODERS AND UPJ NURSING STUDENTS; PRESENTATION ON CLEAN AIR FOR HEALTHY CHILDREN SMOKING CESSATION WAS PRESENTED TO HEALTHCARE WORKERS WHO WORK WITH LOW INCOME PARENTS OF 477 CHILDREN; 600 FLU SHOTS WERE ADMINISTERED TO LOW INCOME FAMILIES IN JOHNSTOWN AND EBENSBURG, AS WELL AS AT AREA SOUP KITCHENS; KEYSTONE TRAUMA AND EMERGENCY MEDICINE CONFERENCE PROVIDED EDUCATIONAL TRAINING ON MANAGEMENT OF MULTI-SYSTEM TRAUMA PATIENTS; DONATE LIFE GAME IN COLLABORATION WITH CORE AND THE JOHNSTOWN TOMAHAWKS HOCKEY PROGRAM; "LIVING WITH ALS SYMPOSIUM" IN CONJUNCTION WITH THE ALS ASSOCIATION WESTERN PENNSYLVANIA CHAPTER; HEART HEALTH AWARENESS FAIRS HELD AT MULTIPLE CONEMAUGH HEALTH SYSTEM LOCATIONS TO PROVIDE CARDIAC HEALTH INFO AND WELLNESS TIPS; NEW VISIONS STAFF PARTICIPATED IN LOCAL TV SPECIAL ON HEROIN USE, PROMOTING PREVENTION AND TREATMENT OPTIONS; PUBLIC AWARENESS CAMPAIGN HELD TO EDUCATE PEOPLE ABOUT POLST (PENNSYLVANIA ORDERS FOR LIFE-SUSTAINING TREATMENT); CHS EMPLOYEES ONCE AGAIN PARTICIPATED WITH THE UNITED WAY RAISING OVER $34,000 FOR COMMUNITY ORGANIZATIONS; THE 6TH ANNUAL CHEF AUCTION RAISED $55,000 FOR PEDIATRIC AND TEENAGE TRAUMA PATIENTS AT CONEMAUGH MEMORIAL; SPONSORSHIP OF THE JOHNSTOWN SYMPHONY ORCHESTRA ALLOWED MEMBERS TO PLAY FOR PATIENTS AND VISITORS AT CONEMAUGH MEMORIAL; CHS CONTINUES TO PARTNER WITH THE INTEGRATIVE MEDICINE ADVISORY COUNCIL (IMAC) TO EXPAND THE HOSPITAL'S COMFORT CART PROGRAM TO PROVIDE AMENITIES TO PATIENTS AT NO CHARGE INCLUDING, LOTION, LIP BALM, SMALL FRAMED WORKS OF ART, PUZZLE BOOKS, AND MAGAZINES; CONEMAUGH MEMORIAL PARTICIPATES IN THE "OFFICER PHIL" PROGRAM IN CONJUNCTION WITH LOCAL LAW ENFORCEMENT TO HELP DISTRIBUTE ANTIDRUG AND ALCOHOL MATERIAL TO NEARLY 600 STUDENTS IN 1ST THROUGH 5TH GRADES.
FORM 990, PART III, LINE 4A (CONTINUED): COMMUNITY SUPPORT CONTINUES TO BE A HALLMARK OF THE CONEMAUGH HEALTH SYSTEM. IN THE PAST YEAR, MORE THAN $160,000 WAS GIVEN TO SUPPORT NEARLY 200 VARIOUS COMMUNITY ORGANIZATIONS. SUPPORT RANGED FROM LOCAL BASEBALL, SOFTBALL AND BASKETBALL TEAMS TO LARGER DONATIONS TO SUPPORT THE AMERICAN CANCER SOCIETY, THE AMERICAN HEART ASSOCIATION AND ALZHEIMER'S FOUNDATION. FINANCIAL SUPPORT WAS ALSO GIVEN TO COMMUNITY ARTS ORGANIZATIONS, SCHOOLS AND OTHER ORGANIZATIONS WHICH HELP BOOST THE CULTURAL RICHNESS OF THE AREA AND HELP WITH THE RECRUITMENT OF NEW PHYSICIANS AND OTHER STAFF TO THE CONEMAUGH HEALTH SYSTEM. IN ADDITION, CHS PROVIDED FREE OR DISCOUNTED CARE FOR THOSE WHO CANNOT AFFORD TO PAY AS WELL AS FREE COMMUNITY HEALTH SCREENINGS, FAIRS AND EDUCATIONAL GROUPS WHILE PROVIDING FUNDING FOR NEIGHBORHOOD IMPROVEMENT AND ECONOMIC DEVELOPMENT. CHS ALSO MAKES A PAYMENT IN LIEU OF TAXES DONATION TO SUPPORT THE CITY OF JOHNSTOWN, CAMBRIA COUNTY, AND THE GREATER JOHNSTOWN SCHOOL DISTRICT. THE CONEMAUGH HEALTH SYSTEM CARING INITIATIVE HAS BEEN IN PLACE FOR THE PAST FOUR YEARS. ONE OF THE ASPECTS OF THIS INITIATIVE IS THE PROMOTION OF THE AREA'S GET CONNECTED WEBSITE. THE UNITED WAY AND LIFT JOHNSTOWN CREATED THE CENTRALIZED GET CONNECTED WEBSITE AS A PLACE FOR INDIVIDUALS TO GO TO FIND OPPORTUNITIES TO VOLUNTEER IN THE COMMUNITY. THE HOPE IS THAT THIS WEBSITE WILL BECOME THE "GO TO" PLACE IN THE COMMUNITY FOR INDIVIDUALS TO FIND OPPORTUNITIES TO VOLUNTEER AND GIVE BACK! WE ENCOURAGE OUR EMPLOYEES TO VISIT THE SITE REGULARLY TO SEARCH FOR VOLUNTEER OPPORTUNITIES IN THE COMMUNITY. IN ADDITION, EMPLOYEE DONATIONS ARE COLLECTED EACH MONTH FOR A DIFFERENT ORGANIZATION IN THE COMMUNITY IN OUR CARING BOXES. THE BOXES ARE PLACED AT VARIOUS LOCATIONS THROUGHOUT THE CONEMAUGH HEALTH SYSTEM. ITEMS COLLECTED HAVE INCLUDED CANNED GOODS, PET SUPPLIES, PERSONAL HYGIENE PRODUCTS, TOYS FOR THE HOLIDAYS, WINTER COATS AND MORE. OTHER HIGHLIGHTS OF THE PAST YEAR, INCLUDE HOSPICE VOLUNTEERS WHO BROKE RECORDS FOR THE ALL-TIME HIGH FOR HOURS OF SERVICE AND A NEW HOPE AND HEALING AT THE HOLIDAYS PROGRAM WAS CONDUCTED BY CONEMAUGH REGIONAL HOSPICE STAFF.
FORM 990, PART V, LINE 2A: FORM 990, PART V, LINE 2A: CONEMAUGH HEALTH SYSTEM'S (CHS) EMPLOYEE WAGES ARE PROCESSED BY CONEMAUGH VALLEY MEMORIAL HOSPITAL D/B/A MEMORIAL MEDICAL CENTER (MMC), A RELATED 501(C)(3) ORGANIZATION. THE W2S ARE FILED BY MMC (EIN 25-0965307) ON BEHALF OF CHS. ALL CHS WAGES THAT ARE PROCESSED BY MMC ARE REFLECTED ON THE 990 AS REPORTABLE COMPENSATION FROM CHS.
FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S BOARD OF DIRECTORS BEFORE IT IS FILED. ONCE THE FORM IS COMPLETE, BOARD MEMBERS ARE GIVEN THE OPPORTUNITY TO REVIEW THE CONTENTS OF THE FORM AND SUBMIT ANY COMMENTS OR QUESTIONS. IN ADDITION, THE FORM IS REVIEWED BY THE HEALTH SYSTEM'S FINANCIAL OPERATIONS DEPARTMENT LEADERSHIP. AN EXTERNAL CPA FIRM IS ENGAGED TO REVIEW AND ELECTRONICALLY FILE THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION AND ALL SUBSIDIARIES ARE GOVERNED BY A CONFLICT OF INTEREST POLICY, WHICH HAS BEEN APPROVED BY THE HEALTH SYSTEM'S BOARD. UNDER THIS POLICY, EVERY BOARD MEMBER IS GIVEN A COPY OF THE POLICY AS WELL AS A FORM THAT MUST BE COMPLETED ON AN ANNUAL BASIS. NO BOARD MEMBER IS APPROVED OR RE-APPOINTED UNTIL HE OR SHE HAS COMPLETED AND SIGNED THE CONFLICT OF INTEREST FORM. ONCE THE FORM IS RETURNED, IT IS REVIEWED BY THE CHS COMPLIANCE OFFICER AND CEO. IF ANY CONFLICTS ARE DISCLOSED, THE DETAILS ARE FORWARDED TO THE BOARD CHAIR TO BE ADDRESSED. DEPENDING ON THE CONFLICT, THE BOARD MEMBER COULD BE GIVEN CERTAIN RESTRICTIONS, SUCH AS BEING PROHIBITED FROM PARTICIPATING IN CERTAIN BOARD DECISIONS. THE CHS AUDIT AND COMPLIANCE COMMITTEE HAS THE FINAL DECISION-MAKING REGARDING ALL CONFLICTS OF INTEREST. THROUGHOUT THE FISCAL YEAR, BOARD MEMBERS MUST NOTIFY THE BOARD CHAIR, COMPLIANCE OFFICER, AND/OR CEO IF A NEW CONFLICT HAS DEVELOPED.
FORM 990, PART VI, SECTION B, LINE 15 CHS MANAGES THE DETERMINATION OF COMPENSATION FOR ITS EXECUTIVES AS WELL AS THE EXECUTIVES OF ALL ITS SUBSIDIARIES. THE PROCESS IS OUTLINED IN ITS BY-LAWS. AN OUTSIDE CONSULTING FIRM IS UTILIZED TO ENSURE THAT EXECUTIVE COMPENSATION PACKAGES ARE FAIR AND COMPARABLE WITH SIMILAR ORGANIZATIONS. CHS HAS ALSO ESTABLISHED AN EXECUTIVE COMPENSATION COMMITTEE TO REVIEW AND RECOMMEND THE COMPENSATION DECISIONS MADE. THIS COMMITTEE REPORTS DIRECTLY TO THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19 ALL REQUESTS FOR THIS INFORMATION ARE HANDLED BY THE CHS MARKETING/PUBLIC RELATIONS DEPARTMENT.
FORM 990, PART VI, SECTION B, LINES 12A, 13, AND 14: FORM 990, PART VI, SECTION B, LINES 12A, 13, AND 14: ALL APPLICABLE POLICY QUESTIONS HAVE BEEN ANSWERED YES SINCE ALL POLICIES HAVE BEEN APPROVED BY THE HEALTH SYSTEM'S BOARD.
FORM 990, PART XII, LINE 2: THE ORGANIZATION'S FINANCIAL STATEMENTS FOR THE FISCAL YEAR ENDING JUNE 30, 2014 WERE AUDITED AS PART OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS OF THE CONEMAUGH HEALTH SYSTEM, INC. AND SUBSIDIARIES. THE HEALTH SYSTEM'S AUDIT AND COMPLIANCE COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach 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
CONEMAUGH HEALTH SYSTEM INC
 
Employer identification number

23-2801799
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?
Yes No
(1)  

 
 
         
Yes
 
(2) CONEMAUGH VALLEY MEMORIAL HOSPITAL DBA MEMORIAL MEDICAL CTR

1086 FRANKLIN STREET

JOHNSTOWN,PA15905
25-0965307 		HEALTHCARE SERVICES PA 501C(3) 3 CONEMAUGH HEALTH SYSTEM INC
 
Yes
 
(3) MINERS HOSPITAL DBA MINERS MEDICAL CENTER

290 HAIDA AVENUE

HASTINGS,PA16646
25-0977902 		HEALTHCARE SERVICES PA 501C(3) 3 CONEMAUGH HEALTH SYSTEM INC
 
Yes
 
(4) MEYERSDALE COMMUNITY HOSPITAL DBA MEYERSDALE MEDICAL CENTER

200 HOSPITAL DRIVE

MEYERSDALE,PA15552
25-1002946 		HEALTHCARE SERVICES PA 501C(3) 3 CONEMAUGH HEALTH SYSTEM INC
 
Yes
 
(5) CONEMAUGH HEALTH FOUNDATION

1086 FRANKLIN STREET

JOHNSTOWN,PA15905
25-1719695 		SUPPORTS CONEMAUGH HEALTH SYSTEM PA 501C(3) 11B CONEMAUGH HEALTH SYSTEM INC
 
Yes
 




For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
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?



 		(k)
Percentage
ownership
Yes No Yes No
(1) LAUREL HIGHLANDS ADVANCED IMAGING

1450 SCALP AVENUE
JOHNSTOWN,PA15904
25-1864587 		DIAGNOSTIC SERVICES PA CONEMAUGH VALLEY MEMORIAL HOSPITAL
  		RELATED       No     No  
(2) GREATER JOHNSTOWN TECH PARK

1086 FRANKLIN STREET
JOHNSTOWN,PA15905
26-0389121 		OPERATES MULTI-TENANT COMMERCE OFFICE PARK PA CONEMAUGH ENTERPRISES INC
  		UNRELATED       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
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) CONEMAUGH HEALTH INITIATIVES INC DBA CONEMAUGH PHYSICIAN GP

1086 FRANKLIN STREET
JOHNSTOWN,PA15905
25-1658283 		PHYSICIAN SERVICES PA CONEMAUGH HEALTH SYSTEM INC
  		C -4,557,000 18,020,000 100.000 % Yes  
(2) CONEMAUGH ENTERPRISES INC

1086 FRANKLIN STREET
JOHNSTOWN,PA15905
20-2998473 		ECONOMIC DEVELOPMENT PA CONEMAUGH VALLEY MEMORIAL HOSPITAL
  		C         No
(3) 1086 REAL ESTATE

1086 FRANKLIN STREET
JOHNSTOWN,PA15905
25-1489704 		REAL ESTATE PA CONEMAUGH HEALTH INITIATIVES
  		C         No








Schedule R (Form 990) 2013
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
No
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 . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
No
2
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
(1) CONEMAUGH HEALTH INITIATIVES

 Q 1,569,220 FAIR MARKET VALUE
(2) CONEMAUGH VALLEY MEMORIAL HOSPITAL

 Q 6,156,969 FAIR MARKET VALUE
(3) MINERS HOSPITAL

 Q 282,476 FAIR MARKET VALUE
(4) MEYERSDALE COMMUNITY HOSPITAL

 Q 195,434 FAIR MARKET VALUE
(5) CONEMAUGH VALLEY MEMORIAL HOSPITAL

 K 104,523 FAIR MARKET VALUE

Schedule R (Form 990) 2013
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) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(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? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2013
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


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