TY 2014 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) R CARLYN BELCZYK........................................................................ CHAIRMAN	1.00 .......................	X	X	0	0
(2) JEFF M KOTULA........................................................................ VICE CHAIRMAN	1.00 .......................	X	X	0	0
(3) JOHN D FRY........................................................................ SECRETARY	1.00 .......................	X	X	0	0
(4) LOUIS J PANZA JR........................................................................ PRESIDENT AND CEO	49.00 .......................8.30	X	X	427,129	22,240
(5) RICHARD A BARCELONA........................................................................ TRUSTEE	1.00 .......................	X		0	0
(6) BRADLEY M BASSI........................................................................ TRUSTEE	1.00 .......................	X		0	0
(7) CARL CRAWLEY JR........................................................................ TRUSTEE	1.00 .......................	X		0	0
(8) S P HEWIE MD........................................................................ TRUSTEE	1.00 .......................	X		0	0
(9) R G KRISHNAN MD........................................................................ TRUSTEE	10.00 .......................16.50	X		82,285	0
(10) KEVIN M LEE........................................................................ TRUSTEE	1.00 .......................	X		0	0
(11) MICHAL LEMENTOWSKI MD........................................................................ TRUSTEE	1.00 .......................	X		0	0
(12) WILLIAM J MILLER JR........................................................................ TRUSTEE	1.00 .......................	X		0	0
(13) CHARLES MUIA........................................................................ TRUSTEE	1.00 .......................	X		0	0
(14) MATTHEW M PITZARELLA........................................................................ TRUSTEE	1.00 .......................	X		0	0
(15) JAMIE L PRAH........................................................................ TRUSTEE	1.00 .......................	X		0	0
(16) KURT R SALVATORI........................................................................ TRUSTEE	1.00 .......................	X		0	0
(17) DANA CARUSO SLAGLE........................................................................ TRUSTEE	1.00 .......................	X		0	0

(A) Name and business address	(B) Description of services	(C) Compensation
MON-VALE ONCOLOGY INC 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063	ONCOLOGY PHYSICIAN SERVICES	4,251,931
UPMC EMERGENCY RESOURCES P O BOX 223270 PITTSBURGH,PA15251	PHYSICIAN SERVICES	1,869,161
SIEMENS MEDICAL SOLUTIONS P O BOX 7777 N 3580 PHILADELPHIA,PA19175	COMPUTER SERVICES	950,760
VALE-U-HEALTH INC 800 PLAZA DRIVE BELLE VERNON,PA15012	HEALTH PLAN MANAGEMENT	603,837
QDI QUEST DIAGNOSTICS 16410 COLLECTIONS CENTER DRIVE CHICAGO,IL60693	LAB SERVICES	555,658
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 26

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 domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ....
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............
4	Benefits paid to or for members ....
5	Compensation of current officers, directors, trustees, and key employees ....	979,918	890,154	89,764
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages ....	48,868,733	41,994,146	6,874,587
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	-378,754	-340,879	-37,875
9	Other employee benefits .......	12,924,582	11,632,124	1,292,458
10	Payroll taxes ...........	3,716,072	3,196,399	519,673
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	210,973		210,973
c	Accounting ...........	100,680		100,680
d	Lobbying ...........	36,715		36,715
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ....	3,988,791	3,988,791
12	Advertising and promotion ....
13	Office expenses .......
14	Information technology ......
15	Royalties ..
16	Occupancy ...........
17	Travel ............
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	233,377	203,815	29,562
20	Interest ...........	651,624	651,624
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	8,243,209	7,392,656	850,553
23	Insurance ..............	1,146,445	1,031,801	114,644
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	UNREL BUS INCOME TAX	65,248	65,248
b	SUPPLIES	45,898,395	40,846,273	5,052,122
c	BAD DEBT	3,369,758	3,369,758
d	EQUIPMENT RENTAL	2,586,923	2,022,385	564,538
e	All other expenses	2,417,057	2,175,029	242,028
25	Total functional expenses. Add lines 1 through 24e	135,059,746	119,119,324	15,940,422	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............		1
2	Savings and temporary cash investments .........	17,038,598	2	11,344,840
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............	11,203,389	4	12,295,360
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............	2,661,980	8	3,089,024
9	Prepaid expenses and deferred charges ..........	3,762,161	9	4,046,650
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	180,003,618
b	Less: accumulated depreciation .....	10b	127,022,260	56,249,323	10c	52,981,358
11	Investments—publicly traded securities ..........	46,290,084	11	47,787,292
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 ...........	4,052,900	15	3,433,117
16	Total assets. Add lines 1 through 15 (must equal line 34)......	141,258,435	16	134,977,641
	17	Accounts payable and accrued expenses .........	11,708,704	17	9,812,290
18	Grants payable .................		18
19	Deferred revenue ................		19
20	Tax-exempt bond liabilities .............	23,730,000	20	23,730,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..	14,651,605	23	13,521,894
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....................	14,299,941	25	19,712,710
26	Total liabilities. Add lines 17 through 25.........	64,390,250	26	66,776,894
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	76,048,107	27	67,685,622
28	Temporarily restricted net assets ...........	820,078	28	515,125
29	Permanently restricted net assets ...........		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	76,868,185	33	68,200,747
34	Total liabilities and net assets/fund balances ........	141,258,435	34	134,977,641

- TIN:

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

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

MONONGAHELA VALLEY HOSPITAL INC

Employer identification number

23-7218917

Part I

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

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

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

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

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

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

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

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

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

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

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

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

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

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

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

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

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

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations .............................

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

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2014

Page 2

Part II

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

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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 VI.)..
11	Total support Add lines 7 through 10.

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

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

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2013 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2014. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2013. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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

Schedule A (Form 990 or 990-EZ) 2014

Page 3

Part III

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

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

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

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2013 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2013 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2014. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2013. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

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

Schedule A (Form 990 or 990-EZ) 2014

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Schedule A (Form 990 or 990-EZ) 2014

Page 5

Part IV

Supporting Organizations (continued)

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2014

Page 6

Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1. Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6
7	Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2014

Page 7

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2014 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2014	(iii) Distributable Amount for 2014
1 Distributable amount for 2014 from Section C, line 6
2 Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2014 distributable amount
i Carryover from 2009 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2014 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2014 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2015. Add lines 3j and 4c.
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......
e From 2014.......

Schedule A (Form 990 or 990-EZ) (2014)

Schedule A (Form 990 or 990-EZ) 2014

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

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

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

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

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

OMB No. 1545-0047

2014

Name of the organization

MONONGAHELA VALLEY HOSPITAL INC

Employer identification number

23-7218917

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

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

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

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

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

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

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

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 2

Name of organization MONONGAHELA VALLEY HOSPITAL INC

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 3

Name of organization MONONGAHELA VALLEY HOSPITAL INC

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 4

Name of organization
MONONGAHELA VALLEY HOSPITAL INC

Employer identification number

23-7218917

Part III

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

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

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

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

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

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

Complete if the organization is described below. SchCMd Bullet

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

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

OMB No. 1545-0047

2014

Open to Public
Inspection

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

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

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

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

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

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

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

Name of the organization

MONONGAHELA VALLEY HOSPITAL INC

Employer identification number

23-7218917

Part I-A

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

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

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

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

Part I-B

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

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

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

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

Yes No

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

Yes No

If "Yes," describe in Part IV.

Part I-C

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

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

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

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

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

Yes No

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

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

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2014

Page 2

Part II-A

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

A Check SchCMd Bullet

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

if the filing organization checked box A and "limited control" provisions apply.

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

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

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) Total

2a	Lobbying nontaxable amount

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

c	Total lobbying expenditures

d	Grassroots nontaxable amount

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

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2014

Page 3

Part II-B

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

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

(a)

Yes

(b)

Amount

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

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

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

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

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

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

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

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

Yes

36,715

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

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

Yes

18,704

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

55,419

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

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

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

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

Part III-A

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

Yes

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

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

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

Part III-B

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

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

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

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

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

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

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

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

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

Part IV

Supplemental Information

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

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

Schedule C (Form 990 or 990EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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

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

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

MONONGAHELA VALLEY HOSPITAL INC

Employer identification number

23-7218917

Part I

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

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

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

Yes No

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

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

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

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

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

Yes No

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

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

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

Yes No

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

Part III

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

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

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

(ii)

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

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

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

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

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

Cat. No. 52283D

Schedule D (Form 990) 2014

Page 2

Part III

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

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

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

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

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

Yes No

Part IV

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

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

Yes No

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


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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII .......

Part V

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

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

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

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

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

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

Yes

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

3a(i)

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

3a(ii)

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

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

Part VI

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

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	291,092		291,092
b	Buildings ................	95,361,213	62,174,773	33,186,440
c	Leasehold improvements ............
d	Equipment ................	80,102,990	61,990,237	18,112,753
e	Other .................	4,248,323	2,857,250	1,391,073
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				52,981,358

Schedule D (Form 990) 2014

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

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








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

Part VIII

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

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









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

Part IX

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

(a) Description				(b) Book value









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

Part X

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

1.(a) Description of liability		(b) Book value
Federal income taxes
OTHER LONG TERM LIABILITIES/ACCRUALS		1,694,689
NET PENSION LIABILITY		13,959,945
THIRD PARTY PAYABLE		3,710,753
NET SWAP LIABILITY		347,323





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		19,712,710
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) 2014

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	134,607,557
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) 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	14,118
e	Add lines 2a through 2d .....................			2e	14,118
3	Subtract line 2e from line 1.....................			3	134,593,439
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	5,846,319
c	Add lines 4a and 4b.......................			4c	5,846,319
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	140,439,758

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	131,704,106
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	14,118
e	Add lines 2a through 2d......................			2e	14,118
3	Subtract line 2e from line 1.....................			3	131,689,988
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	3,369,758
c	Add lines 4a and 4b.......................			4c	3,369,758
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	135,059,746

Part XIII

Supplemental Information

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

Return Reference	Explanation
PART X, LINE 2:	THE HOSPITAL ADOPTED THE STANDARD FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A HOSPITAL'S CONSOLIDATED FINANCIAL STATEMENTS THAT PRESCRIBES A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. THE STANDARD ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. MANAGEMENT HAS DETERMINED THAT THE ADOPTION OF THE STANDARD DID NOT HAVE A MATERIAL EFFECT ON THE CONSOLIDATED FINANCIAL STATEMENTS. THE HOSPITAL'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN OPERATING EXPENSES. THERE WERE NO INTEREST OR PENALTIES RECOGNIZED ON THE CONSOLIDATED STATEMENTS OF OPERATIONS AS A RESULT OF THE ADOPTION. GENERALLY, TAX RETURNS FOR YEARS ENDED JUNE 30, 2012, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 14,118.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	DONATIONS 26,880. INVESTMENT INCOME 2,449,681. PROVISION FOR BAD DEBT 3,369,758.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 14,118.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	PROVISION FOR BAD DEBT 3,369,758.

Schedule D (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the TreasuryInternal Revenue Service

Hospitals

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

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

MONONGAHELA VALLEY HOSPITAL INC

Employer identification number

23-7218917

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

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

Yes

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

Yes

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

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

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

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

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

Yes

100% 150% 200% Other %

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

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

Yes

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

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

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

Yes

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

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

Yes

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

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

Yes

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

Yes

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..		1,913	1,322,852		1,322,852	1.000 %
b	Medicaid (from Worksheet 3, column a) ....		18,742	17,363,352	14,128,918	3,234,434	2.460 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .		20,655	18,686,204	14,128,918	4,557,286	3.460 %
Other Benefits		199	11,632	409,790		409,790	0.310 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	199	11,632	409,790		409,790	0.310 %
f	Health professions education (from Worksheet 5) ..	268	2,993	616,401		616,401	0.470 %
g	Subsidized health services (from Worksheet 6) ..
h	Research (from Worksheet 7)
i	Cash and in-kind contributions for community benefit (from Worksheet 8)		2,451	49,226		49,226	0.040 %
j	Total. Other Benefits ..	467	17,076	1,075,417		1,075,417	0.820 %
k	Total. Add lines 7d and 7j .	467	37,731	19,761,621	14,128,918	5,632,703	4.280 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014

Schedule H (Form 990) 2014

Page

Part II

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

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

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

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

3,336,613

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

1,582,355

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

Section B. Medicare

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

63,978,221

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

73,584,506

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

-9,606,285

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

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

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

Yes

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

Yes

Part IV

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

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2014

Page

Part VFacility Information

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

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

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

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C..........

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12....................

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The significant health needs of the community

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

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

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

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

Other (describe in Section C)

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

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

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

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

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

Yes

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

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

Other website (list url): WCHPINC.ORG

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): MONVALLEYHOSPITAL.COM

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

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

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 150.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url): WWW.MONVALLEYHOSPITAL.COM

The FAP application form was widely available on a website (list url): WWW.MONVALLEYHOSPITAL.COM

A plain language summary of the FAP was widely available on a website (list url):
WWW.MONVALLEYHOSPITAL.COM

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

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

Yes

Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.........

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

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

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

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?................

Yes

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Section C)

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

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

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

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

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

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ................................

If "Yes," explain in Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
MONONGAHELA VALLEY HOSPITAL, INC.	PART V, SECTION B, LINE 5: IN JANUARY 2012, MONONGAHELA VALLEY HOSPITAL AND WASHINGTON HEALTH SYSTEM CONTRACTED WITH WASHINGTON COUNTY HEALTH PARTNERS (WCHP) TO PERFORM A COMMUNITY HEALTH NEEDS ASSESSMENT. THE PENNSYLVANIA DEPARTMENT OF HEALTH RECOGNIZES WCHP AS A PUBLIC ENTITY RESPONSIBLE FOR COMMUNITY HEALTH ASSESSMENT PLANNING BECAUSE THE GROUP IS UNIQUELY POSITIONED TO PROVIDE A QUALITY ASSESSMENT AND A COLLABORATIVE FORMAT TO ADDRESS IDENTIFIED NEEDS. WORKING TOGETHER, REPRESENTATIVES FROM MONONGAHELA VALLEY HOSPITAL AND WCHP CALCULATED THAT APPROXIMATELY 80 PERCENT OF THE HOSPITAL'S ADMISSIONS ORIGINATE FROM THREE COUNTIES - WASHINGTON, WESTMORELAND AND FAYETTE. THEY WERE FURTHER BROKEN DOWN BY COMMUNITY OR TOWN WHICH INCLUDE: BELLE VERNON, CHARLEROI, DONORA, MONESSEN, MONONGAHELA, NEW EAGLE, WEST NEWTON, BENTLEYVILLE, FINLEYVILLE, BROWNSVILLE, CALIFORNIA, COAL CENTER, FAYETTE CITY, PERRYOPOLIS AND ROSCOE. QUANTITATIVE DATA WAS COLLECTED FOR MONONGAHELA VALLEY HOSPITAL'S DEFINED COMMUNITY. SOURCES INCLUDED HOSPITAL DISCHARGE DATA FOR YEARS 2009-2011 AND AN OCTOBER 2012 SURVEY TO THE DEFINED COMMUNITY WITH QUESTIONS SIMILAR TO THOSE FROM THE ANNUAL BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM MANAGED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION AND ADMINISTERED BY THE PENNSYLVANIA DEPARTMENT OF HEALTH. A RANDOMLY CHOSEN SAMPLE WAS CONSTRUCTED WITH A CONFIDENCE LEVEL OF 95 PERCENT. ADDITIONALLY, COMMUNITY LEADER STRUCTURED INTERVIEWS WERE USED TO GATHER COMMUNITY INPUT AND QUALITATIVE PRIMARY DATA ABOUT IDENTIFIED "MISSING" POPULATION NEEDS. AS A RESULT OF THE ASSESSMENT, THE FOLLOWING AREAS WERE IDENTIFIED AS HEALTH CARE NEEDS FOR THE COMMUNITIES SERVED BY MONONGAHELA VALLEY HOSPITAL:- CORONARY HEART DISEASE DEATHS- DIABETES DEATHS AND DIABETES PREVALENCE- STROKE DEATHS- COPD DEATHS - TOBACCO USE (ADULT SMOKELESS AND PREGNANT SMOKING)- BINGE AND HEAVY DRINKING- SUICIDE DEATHS- BREAST CANCER DEATHS AND LATE STAGE BREAST CANCER- DENTAL VISITS- COLORECTAL CANCER DEATHS AND INVASIVE COLORECTAL CANCER- LUNG CANCER DEATHS- OBESITY, FRUITS AND VEGETABLE CONSUMPTION, RECOMMENDED ACTIVITY- ACCESS TO HEALTHY FOODJUST PRIOR TO THE START OF FISCAL YEAR 2013, MONONGAHELA VALLEY HOSPITAL'S PLANNING AND OUTREACH COMMITTEE MET TO REVIEW THE FINDINGS. THE COMMITTEE, WHICH IS CHAIRED BY HOSPITAL PRESIDENT AND CEO LOUIS J. PANZA JR. AND COMPRISED OF DESIGNATED MEMBERS OF MVH'S BOARD OF TRUSTEES AND EXECUTIVE LEADERSHIP, IDENTIFIED 13 HEALTH NEEDS AS UNDERPERFORMING BASELINES AND TARGETS. THESE HEALTH NEEDS WERE PRESENTED TO THE HOSPITAL'S FULL BOARD OF TRUSTEES WHOSE MEMBERS PRIORITIZED THE NEEDS. TAKING INTO ACCOUNT THE BOARD'S INPUT, THE COMMITTEE ACKNOWLEDGED THAT ALL 13 IDENTIFIED HEALTH NEEDS WERE IMPORTANT, BUT DETERMINED THAT DURING THE YEARS AHEAD, THE HOSPITAL SHOULD PREFERENTIALLY ADDRESS THE FOLLOWING NEEDS:- CORONARY HEART DISEASE DEATHS- DIABETES DEATHS AND DIABETES PREVALENCE- STROKE DEATHS- COPD DEATHS - BREAST CANCER DEATHS AND LATE STAGE BREAST CANCER- COLORECTAL CANCER DEATHS AND INVASIVE COLORECTAL CANCER- LUNG CANCER DEATHS- OBESITY, FRUITS AND VEGETABLE CONSUMPTION, RECOMMENDED ACTIVITYTHE COMMUNITY NEEDS OUTLINED ABOVE LARGELY AFFIRM THE RESOURCES AND PROGRAMS THE HOSPITAL OFFERS TO THE COMMUNITY. THE AREAS NOT INCLUDED ON THE PRIORITIZED LIST ARE THOSE FOR WHICH THE HOSPITAL DOES NOT POSSESS THE REQUISITE SKILLS AND RESOURCES TO BEST ADDRESS THE IDENTIFIED HEALTH CARE NEEDS. LISTED BELOW IS A SAMPLING OF SPECIFIC SERVICES AND PROGRAMS THAT MONONGAHELA VALLEY HOSPITAL OFFERED TO PATIENTS AND THE COMMUNITY DURING FISCAL YEAR 2013 THAT DIRECTLY RELATE TO THE 13 IDENTIFIED PRIORITIES.CORONARY HEART DISEASEMONONGAHELA VALLEY HOSPITAL IS COMMITTED TO EARLY DETECTION OF CARDIAC AND VASCULAR DISEASES THROUGH THE USE OF NONINVASIVE TESTING PERFORMED WITHIN THE HOSPITAL'S CARDIAC DEPARTMENT AND THE PERIPHERAL VASCULAR LAB. A FULL RANGE OF DIAGNOSTIC CARDIOLOGY AND VASCULAR TESTING INCLUDES:- ECG- NUCLEAR STRESS - BOTH EXERCISE AND PHARMACOLOGICAL- HOLTER MONITORING- ECHOCARDIOGRAM- STRESS TESTS - STRESS ECHO- DOPPLER STUDIES- TRANSESOPHAGEAL ECHOCARDIOGRAMS- TRANSTHORACIC ECHOCARDIOGRAMSTO CONTINUE PROVIDING THE HIGHEST LEVEL OF INTERVENTIONAL CARDIOLOGY AND VASCULAR THERAPIES, MONONGAHELA VALLEY HOSPITAL INSTALLED THE NEW ARTIS ZEE CEILING/FLOOR-MOUNTED ANGIOGRAPHY SYSTEM THAT PROVIDES PHYSICIANS WITH HIGHLY DETAILED IMAGES OF PATIENT'S BLOOD VESSELS DURING DIAGNOSTIC AND TREATMENT PROCEDURES. THE FULLY DIGITAL ARTIS ZEE FEATURES ADVANCED TECHNOLOGY IN THE FORM OF FLAT-PANEL DETECTORS, WHICH ENABLE PHYSICIANS TO OBTAIN THREE-DIMENSIONAL IMAGES IN HIGH RESOLUTION, WITHOUT THE DISTORTION COMMON WITH CONVENTIONAL X-RAY TECHNIQUES. THE FLAT DETECTORS, MADE OF AMORPHOUS SILICON, NOT ONLY ENABLE PHYSICIANS TO VISUALIZE THE FINEST BLOOD VESSELS, IT ALSO HELPS PHYSICIANS VISUALIZE INTERVENTIONAL DEVICES, SUCH AS GUIDE WIRES AND CATHETERS, IN PRECISE DETAIL AND FROM ALMOST ANY ANGLE. THE SYSTEM IS SPECIALLY DESIGNED TO PROVIDE PATIENTS WITH THE LOWEST POSSIBLE RADIATION DOSE. MINIMIZING RADIATION DOSE IS ESPECIALLY BENEFICIAL DURING ANGIOGRAPHIC PROCEDURES BECAUSE THEY ARE OFTEN LENGTHY IN DURATION. THE ERGONOMIC DESIGN OF THE SYSTEM ALSO ELIMINATES TIME-CONSUMING AND UNCOMFORTABLE REPOSITIONING OF THE PATIENT IN THE EXAM ROOM, MAKING THE PROCEDURE FASTER AND LESS STRESSFUL FOR THE PATIENT. DURING INTERVENTIONS, THE COMPACT FLAT-PANEL DETECTOR TECHNOLOGY ENABLES VIRTUALLY ALL ANATOMICAL REGIONS TO BE EASILY IMAGED. SYSTEM FUNCTIONS CAN BE PERFORMED VIA AN INTUITIVE TABLESIDE TOUCH-SCREEN DISPLAY. THIS ENABLES FULL SYSTEM CONTROL, AND LEADS TO IMPROVED CONFIDENCE DURING THE PROCEDURE.MVH'S CARDIAC CATHETERIZATION LAB OFFERS EMERGENCY THERAPEUTIC SERVICES INCLUDING: CORONARY ANGIOPLASTY, WHICH RESTORES BLOOD FLOW TO THE HEART BY USING A BALLOON CATHETER TO DECREASE THE BLOCKAGE IN THE CORONARY ARTERY CORONARY ARTERY STENTING, WHICH IS A PROCEDURE BY WHICH A SMALL SLEEVE IS INSERTED INTO A STRICTURED ARTERY TO RESTORE BLOOD FLOW TO THE HEART THE USE OF DRUG ELUTING STENTS, WHICH IS THE INSERTION OF A STENT WHICH EMITS A TIME RELEASE DRUG TO PREVENT THE ARTERY FROM CLOSING THE CARDIOLOGY ECHO LAB IS ACCREDITED IN TRANSTHORACIC ECHOCARDIOLOGY AND TRANSESOPHAGEAL ECHOCARDIOLOGY BY THE INTERSOCIETAL COMMISSION FOR THE ACCREDITATION OF ECHOCARDIOLOGY LABORATORIES (ICAEL). THE ICAEL RECOGNIZED THE LAB FOR ITS COMMITMENT TO QUALITY PATIENT CARE AND ITS PROVISION OF QUALITY DIAGNOSTIC TESTING. CARDIAC AND PULMONARY REHABILITATION IS FOR INDIVIDUALS RECOVERING FROM A POST CARDIAC EVENT, ANGIOPLASTY, STABLE ANGINA OR WHO SUFFER FROM A CHRONIC OBSTRUCTIVE PULMONARY DISEASE. THIS MEDICALLY SUPERVISED PROGRAM IS COMPRISED OF A 12-WEEK REHABILITATION PROGRAM, BEHAVIOR MODIFICATION AND EDUCATION TO HELP PATIENTS RETURN TO A BETTER QUALITY OF LIFE.MVH IS ONE OF ONLY FEW MEDICAL FACILITIES IN WESTERN PENNSYLVANIA THAT IS DESIGNATED AS A MISSION: LIFELINE FACILITY. MONONGAHELA VALLEY HOSPITAL HAS TAKEN THE STEP TO SEEK AND RECEIVE THE AMERICAN HEART ASSOCIATION'S MISSION: LIFELINE CERTIFICATION. THE HOSPITAL PROVIDES EMERGENCY CORONARY INTERVENTION WHICH IS THE PLACEMENT OF CORONARY STENTS IN CLOGGED ARTERIES. MISSION: LIFELINE HOSPITALS MEET RIGID GUIDELINES FOR THE PROVISION OF HEART CARE SERVICES. ADDED TO THE LIST OF DISTINCTIONS WERE ACCREDITATION AS AN ELECTIVE PERCULTANEOUS CORONARY INTERVENTION (PCI) FACILITY BY THE ACCREDITATION FOR CARDIOVASCULAR EXCELLENCE (ACE), A THREE-YEAR ACCREDITATION FROM THE INTERSOCIETAL COMMISSION FOR THE ACCREDITATION OF ECHOCARDIOGRAPHY LABORATORIES IN ADULT TRANSTHORACIC ECHOCARDIOGRAPHY AND ADULT TRANSESOPHAGEAL ECHOCARDIOGRAPHY. FEBRUARY IS NATIONAL HEART AWARENESS. IN 2015, MONONGAHELA HOSPITAL, IN CONJUNCTION WITH THE TWO OTHER HOSPITALS IN WASHINGTON COUNTY SPONSORED THE 3RD ANNUAL "GO RED WASHINGTON COUNTY" HEART HEALTH EVENT FOR THE COMMUNITY. ON FEBRUARY 26, FREE PROGRAMS AND SCREENINGS WERE HELD AT THE HOSPITAL THAT INCLUDED: -HEALTH AND WELLNESS SCREENINGS-HEALTH FAIR-HEALTHY COOKING DEMONSTRATION WITH PHOEBE SEIVERLING, THE HOSPITAL'S EXECUTIVE CHEF, AND MICHELE PFARR, RD, LDN, CLINICAL NUTRITION MANAGER -INNOVATIONS IN MEDICINE PROGRAMMING THAT INCLUDED PUSHPA KUMARI, M.D. TALKING ABOUT HEART HEALTH.BLOOD PRESSURE SCREENINGS WERE HELD SEPTEMBER 24 AT THE WASHINGTON COUNTY WELLNESS FAIR AND IN OCTOBER DURING THE BELLE VERNON HROC COMMUNITY DAY AND WELLNESS FAIR WHERE APPROXIMATELY 40 BLOOD PRESSURES WERE PROVIDED TO MEN AND WOMEN OF ALL AGES. THE HOSPITAL'S WEBSITE, MONVALLEYHOSPITAL.COM, INCLUDES A LINK TO A HEALTH LIBRARY. AMONG THE TOPICS ARE CORONARY ARTERY FISTULA, CORONARY ARTERY SPASM AND CORONARY HEART DISEASE. CONTINUED ON SCHEDULE O.
MONONGAHELA VALLEY HOSPITAL, INC.	PART V, SECTION B, LINE 6A: WASHINGTON HEALTH SYSTEM
MONONGAHELA VALLEY HOSPITAL, INC.	PART V, SECTION B, LINE 6B: WASHINGTON COUNTY HEALTH PARTNERS, INC.
MONONGAHELA VALLEY HOSPITAL, INC.	PART V, SECTION B, LINE 7D: AVAILABLE FROM THE WASHINGTON COUNTY HEATH PARTNERS ON THEIR WEBSITE OR FROM THEIR OFFICES.
MONONGAHELA VALLEY HOSPITAL, INC.	PART V, SECTION B, LINE 11: THE COMMUNITY NEEDS OUTLINED ABOVE LARGELY AFFIRM THE RESOURCES AND PROGRAMS THE HOSPITAL OFFERS TO THE COMMUNITY. THE AREAS NOT INCLUDED ON THE PRIORITIZED LIST ARE THOSE FOR WHICH THE HOSPITAL DOES NOT POSSESS THE REQUISITE SKILLS AND RESOURCES TO BEST ADDRESS THE IDENTIFIED HEALTH CARE NEEDS.
MONONGAHELA VALLEY HOSPITAL, INC.	PART V, SECTION B, LINE 16I: THE CHARITY/UNCOMPENSATED CARE POLICY (MVH CARE POLICY) IS PUBLISHED IN THE LOCAL NEWSPAPERS ANNUALLY. SEE SCHEDULE H, PART VI, SUPPLEMENTAL INFORMATION, LINE 3.
MONONGAHELA VALLEY HOSPITAL, INC.	PART V, SECTION B, LINE 22D: AMOUNTS BILLED ARE THE GROSS CHARGES DISCOUNTED BASED ON THE PATIENT'S INCOME AND ELIGIBILITY UNDER THE UNCOMPENSATED CARE POLICY UTILIZING THE FEDERAL POVERTY GUIDELINES.
PART V, SECTION B, LINE 2	THE CHNA WAS LAST CONDUCTED DURING THE ORGANIZATION'S 2012 TAX YEAR, WHICH IS EQUIVALENT TO ITS FISCAL YEAR ENDED JUNE 30, 2013. THE IMPLEMENTATION STRATEGY WAS ALSO ADOPTED DURING THAT SAME FISCAL YEAR.
PART V, SECTION B, LINE 16	FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
MONONGAHELA VALLEY HOSPITAL, INC. PART V, SECTION B, LINE 16A WEBSITE:	WWW.MONVALLEYHOSPITAL.COM
MONONGAHELA VALLEY HOSPITAL, INC. PART V, SECTION B, LINE 16B WEBSITE:	WWW.MONVALLEYHOSPITAL.COM
MONONGAHELA VALLEY HOSPITAL, INC. PART V, SECTION B, LINE 16C WEBSITE:	WWW.MONVALLEYHOSPITAL.COM

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

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

Schedule H (Form 990) 2014

Page

Part VI

Supplemental Information

Provide the following information.

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

Form and Line Reference	Explanation
PART I, LINE 7:	COSTS ARE CALCULATED AS A PERCENTAGE OF GROSS CHARGES. THE PERCENTAGE IS CALCULATED FROM THE TOTAL FACILITY GROSS CHARGES AND EXPENSES.
PART I, LN 7 COL(F):	THE BAD DEBT EXPENSE OF $3,369,758 INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN A WAS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE OF TOTAL EXPENSES.
PART III, LINE 4:	EXCERPT FROM FINANCIAL STATEMENTS: "THE HOSPITAL PROVIDED SERVICES TO INDIVIDUALS FOR WHICH PAYMENTS WERE NOT RECEIVED. THESE CHARGES HAVE BEEN DETERMINED UNCOLLECTABLE BY MANAGEMENT AND ARE RECORDED ON THE STATEMENTS OF OPERATION AS PROVISION FOR BAD DEBTS."BAD DEBT AT COST IS CALCULATED AS A PERCENTAGE OF GROSS CHARGES. THE PERCENTAGE IS CALCULATED FROM THE TOTAL FACILITY GROSS CHARGES AND EXPENSES.
PART III, LINE 9B:	PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE PROCESSED THROUGH THOSE PROGRAMS AND ARE NOT SUBMITTED FOR COLLECTION. MONONGAHELA VALLEY HOSPITAL WILL ASSIST PATIENTS WITH COMPLETING THEIR APPLICATIONS FOR FINANCIAL ASSISTANCE, CHARITY CARE, OR MEDICAID.
PART VI, LINE 2:	HOSPITAL CARE IN THE MID-MONONGAHELA VALLEY DATES BACK TO DECEMBER 18, 1902, WHEN THE ORIGINAL MEMORIAL HOSPITAL OF MONONGAHELA OPENED IN NEW EAGLE. THE CHARLEROI-MONESSEN HOSPITAL SOON FOLLOWED WITH A 1909 OPENING. IN 1972, THOSE TWO HOSPITALS CONSOLIDATED TO FORM MONONGAHELA VALLEY HOSPITAL (MVH). THE CURRENT 210-BED ACUTE CARE HOSPITAL IN CARROLL TOWNSHIP, PA WAS DEDICATED ON SEPTEMBER 24, 1978, TO ENHANCE THE HEALTH OF THE RESIDENTS OF THE MID-MONONGAHELA VALLEY AREA. TODAY, MONONGAHELA VALLEY HOSPITAL OFFERS A MEDICAL STAFF OF MORE THAN 225 PHYSICIANS REPRESENTING MORE THAN 40 MEDICAL SPECIALTIES. RESIDENTS OF THE MON VALLEY AND SURROUNDING AREAS DO NOT HAVE TO TRAVEL TO LARGER CITIES WITH TEACHING HOSPITALS FOR MEDICAL CARE BECAUSE THEY CAN RECEIVE CUTTING EDGE, EXPERT CARE FROM THEIR COMMUNITY HOSPITAL. IN 2010, MONONGAHELA VALLEY HOSPITAL WAS RANKED IN THE TOP 1 PERCENTILE AMONG ALL OF THE NATION'S HEALTH CARE ORGANIZATIONS IN PATIENT SATISFACTION BY PRESS GANEY. IN 2013, JOHNS HOPKINS MEDICINE ARMSTRONG INSTITUTE FOR PATIENT SAFETY AND QUALITY RANKED MVH AMONG THE TOP THREE MEDIUM-SIZED HOSPITALS IN THE NATION FOR NURSE COMMUNICATION, DOCTOR COMMUNICATION, STAFF RESPONSIVENESS AND PAIN MANAGEMENT. THE ACCOLADES CONTINUED IN EARLY 2014 WHEN, FOR THE SECOND CONSECUTIVE YEAR, THE HOSPITAL ACHIEVED THE HEALTHGRADES' OUTSTANDING PATIENT EXPERIENCE AWARD. ONLY 10 PERCENT OF ALL HOSPITALS IN THE UNITED STATES RECEIVED THIS AWARD.WHILE THERE HAVE BEEN MANY INDUSTRY-WIDE CHANGES IN HEALTH CARE IN THE 40 YEARS SINCE MONONGAHELA VALLEY HOSPITAL WAS FORMED, ONE WITH A SIGNIFICANT IMPACT IS THE CHANGE FROM PROVIDING CARE LARGELY ON AN INPATIENT BASIS TO AN OUTPATIENT-BASED SETTING IN WHICH PROVIDERS ARE CONCERNED WITH KEEPING PATIENTS HEALTHY AND AT HOME, WHILE OFFERING APPROPRIATE SERVICES WHEN INPATIENT CARE IS NEEDED. AS THIS SHIFT FROM INPATIENT TO OUTPATIENT CARE IS OCCURRING, MONONGAHELA VALLEY HOSPITAL IS STRENGTHENING OUR ROLE IN THE COMMUNITY.MONONGAHELA VALLEY HOSPITAL'S MISSION IS TO ENHANCE THE HEALTH OF THE RESIDENTS OF THE MID-MONONGAHELA VALLEY AREAS REGARDLESS OF ETHNIC BACKGROUND, AGE, OR ABILITY TO PAY, ALL THE WHILE MAINTAINING A HIGH DEGREE OF RESPONSIVENESS TO CHANGES, PARTICULARLY THOSE OF THE COMMUNITY. THE HOSPITAL WORKS TO ACHIEVE ITS MISSION BY MAINTAINING SUITABLE FACILITIES WITHIN CARROLL TOWNSHIP, WASHINGTON COUNTY AND ROSTRAVER TOWNSHIP, WESTMORELAND COUNTY, AND OTHER SITES IN THE SOUTHWESTERN PENNSYLVANIA VICINITY FOR THE PROVISION OF HEALTH CARE. ADDITIONALLY, MONONGAHELA VALLEY HOSPITAL HAS ALWAYS ENCOURAGED PROGRESS AND FLEXIBILITY TO MEET THE CHANGING NEEDS OF OUR PATIENTS AND ALL RESIDENTS OF THE COMMUNITIES IN THE MID-MONONGAHELA VALLEY.THE MVH COMMUNITY HEALTH NEEDS ASSESSMENT CONSIDERED A WIDE VARIETY OF DATA FROM PRIMARY AND SECONDARY SOURCES THAT ARE BOTH QUALITATIVE AND QUANTITATIVE IN NATURE IN ORDER TO OBTAIN A DIVERSITY OF PERSPECTIVES THAT WAS REQUIRED. THE HEALTH CARE NEEDS OF A COMMUNITY ARE A COMPLEX INTERPLAY BETWEEN PERSONAL BEHAVIORS AND SOCIAL DETERMINANTS. TO EVALUATE EFFECTIVELY, CONSIDERATION WAS GIVEN TO THE POPULATION'S DEMOGRAPHIC AND SOCIOECONOMIC STATUS COUPLED WITH THE HEALTH SYSTEM'S RESOURCES AND POLICIES. A DESCRIPTION OF THOSE FACTORS, ALONG WITH PERSPECTIVES FROM THE COMMUNITY, HELPS TELL US THE STORY OF OUR COMMUNITY'S HEALTH.INFORMATION WAS USED FROM GROUPS COMPRISED OF INDIVIDUAL PHYSICIANS AND PHYSICIAN GROUPS FROM THE HOSPITAL'S MEDICAL STAFF, THE HOSPITAL'S EXECUTIVE AND STRATEGIC PLANNING COMMITTEES, REPRESENTATIVES FROM THE HOSPITAL'S BOARD OF DIRECTORS AND BOARD OF TRUSTEES, AND VARIOUS DISEASE-SPECIFIC COMMITTEES INCLUDING THE HOSPITAL'S TUMOR BOARD AND A CARDIAC ADVISORY COMMITTEE TO ASSESS COMMUNITY NEEDS AND RECOMMEND STRATEGIES TO ADDRESS THESE HEALTH CARE NEEDS.THE HOSPITAL PROVIDED THESE GROUPS WITH INFORMATION RELATED TO THE INCIDENCE AND PREVALENCE OF DISEASE IN THE SERVICE AREA, PREVENTABLE QUALITY INDICATORS, PATTERNS OF ACCESSING HEALTH CARE SERVICES AND USE RATES.SOME INFORMATION AND PARTICIPANTS INCLUDED IN OUR ASSESSMENT WERE:- PROVIDER PANELS- DISEASE STATES OF PATIENTS SEEN BY THEIR PRIMARY CARE PROVIDER- CLINICAL PERFORMANCE METRICS FOR OUR POPULATIONS OF PATIENTS WITH CHRONIC DISEASE- CLINICAL DECISION SUPPORT CARE TEAMS AT THE POINT OF CARE- PATIENT REGISTRIES - EVALUATION OF REPORTS FROM COMMUNITY, LOCAL, STATE, AND FEDERAL GOVERNMENT AGENCIES - REVIEW OF HOSPITAL-GENERATED STATISTICAL INFORMATION - ASSESSMENT OF INFORMATION SOLICITED FROM PATIENTS THROUGH PATIENT SATISFACTION SURVEYS - ONGOING ADMINISTRATIVE STAFF PLANNING SESSIONS- LEADING CAUSES OF DEATH SUCH AS CANCER, HEART DISEASE, VIOLENCE AND HIGHWAY FATALITIES- PRIORITY HEALTH ISSUES SUCH AS TEEN PREGNANCY, HIGH BLOOD PRESSURE, HEART DISEASE, CANCER, STROKE, DIABETES AND OBESITY- PRIORITY RISK FACTORS SUCH AS ALCOHOL AND DRUG ABUSE, LACK OF PHYSICAL ACTIVITY, USE OF TOBACCO PRODUCTS, ENVIRONMENTAL CONCERNS AND CRIME- LEADING FACTORS AFFECTING FAMILIES SEEKING MEDICAL TREATMENT SUCH AS LACK OF INSURANCE AND INABILITY TO PAY- GENERAL PATIENT CONCERNS SUCH AS LACK OF TRANSPORTATION, MEDICINE AND FOOD- ENVIRONMENTAL CONCERNS SUCH AS RECYCLING SERVICES, PROPER TRASH DISPOSAL, CLEAN AIR, PEST CONTROL AND ANIMAL CONTROL- EDUCATIONAL OPPORTUNITIES FOR INFORMATION ABOUT ALCOHOL/DRUG ABUSE, TEEN PREGNANCY PREVENTION AND PHYSICAL ACTIVITY- REVIEW OF CURRENT INDUSTRY JOURNALS, PERIODICALS AND NEWSLETTERS - ANALYSIS OF TRENDS IDENTIFIED IN HEALTH CARE JOURNALS AND PERIODICALSMONONGAHELA VALLEY HOSPITAL HAS COMPLETED THEIR FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT DURING THE FISCAL YEAR ENDED JUNE 30, 2013. SEE SCHEDULE H, PART V, SECTION B FOR ADDITIONAL INFORMATION ON THE COMMUNITY HEALTH NEEDS ASSESSMENT.
PART VI, LINE 3:	THE AFFORDABLE CARE ACT (ACA) WAS PASSED TO PROVIDE MEDICAID COVERAGE TO LOW-INCOME INDIVIDUALS AND MARKETPLACE SUBSIDIES FOR THOSE BELOW THE POVERTY LINE. IN 2013, PRIOR TO THE START OF THE MAJOR ACA COVERAGE PROVISIONS, BASELINE ESTIMATES INDICATED THAT MORE THAN 41 MILLION INDIVIDUALS WERE UNINSURED. THE HIGH COST OF INSURANCE IS A KEY REASON WHY PEOPLE LACKED MEDICAL COVERAGE. IN 2013, 61 PERCENT OF UNINSURED ADULTS DID NOT HAVE COVERAGE DUE TO JOB LOSS OR THE HIGH COST OF MEDICAL INSURANCE. UNDER THE ACA, AS OF 2014, MEDICAID COVERAGE WAS EXPANDED TO NEARLY ALL ADULTS WITH INCOMES AT OR BELOW 138 PERCENT OF POVERTY AND TAX CREDITS WERE AVAILABLE FOR PEOPLE WHO PURCHASE COVERAGE THROUGH A HEALTH INSURANCE MARKETPLACE. THE ACA HAS HELPED EXPAND COVERAGE TO MILLIONS OF PREVIOUSLY UNINSURED PEOPLE. MONONGAHELA VALLEY HOSPITAL PROVIDES MEDICAL SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. ONE OF THE LARGEST POPULATIONS SERVED BY MVH IS THE ELDERLY POPULATION WHICH IS COVERED BY MEDICARE. DESPITE THE AFFORDABLE CARE ACT, THERE ARE STILL PEOPLE IN MONONGAHELA VALLEY HOSPITAL'S SERVICE AREA WHO ARE NOT COVERED BY INSURANCE OR GOVERNMENT PROGRAMS AND LACK THE ABILITY TO PAY FOR MEDICAL SERVICES. HOWEVER, THE HOSPITAL MUST BE PRUDENT IN THE ALLOCATION OF FUNDS SO THAT A SOUND FINANCIAL BASE WILL ENABLE THE HOSPITAL TO CONTINUE PROVIDING MUCH NEEDED COMMUNITY HEALTH SERVICES. ALL TYPES OF SERVICES THAT THE HOSPITAL PROVIDES, WITH THE EXCEPTION OF INDEPENDENT PHYSICIANS' FEES AND ELECTIVE PROCEDURES, ARE CONSIDERED ELIGIBLE FOR CHARITY CARE. MONONGAHELA VALLEY HOSPITAL ESTABLISHED CHARITY CARE AND FINANCIAL AID POLICIES AND PRACTICES THAT ARE CONSISTENT WITH OUR MISSION AND VALUES AS WELL AS WITH FEDERAL AND STATE LAWS. THESE POLICIES AND PRACTICES TAKE INTO ACCOUNT EACH INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER MEDICAL CARE AS WELL AS THE HOSPITAL'S FINANCIAL ABILITY TO PROVIDE CARE.MONONGAHELA VALLEY HOSPITAL MAINTAINS THAT CONCERN OVER A HOSPITAL BILL WILL NEVER PREVENT ANY INDIVIDUAL FROM RECEIVING EMERGENCY HEALTH SERVICES REGARDLESS OF THEIR ABILITY TO PAY. MVH COMMUNICATES THIS MESSAGE CLEARLY TO PATIENTS AND THE COMMUNITY. THIS MESSAGE IS COMMUNICATED THROUGHOUT THE HOSPITAL AND IN THE COMMUNITY VIA THE FOLLOWING SOURCES:A. NOTICES ARE LOCATED AT THE ENTRANCE TO MONONGAHELA VALLEY HOSPITAL'S EMERGENCY DEPARTMENT AND THROUGH THE DOORS OF THE TREATMENT AREA THAT ANNOUNCE:ATTENTION PATIENTS:IF YOU HAVE A MEDICAL EMERGENCY OR ARE IN LABOR, YOU HAVE THE RIGHT TO RECEIVE WITHIN THIS FACILITY AN APPROPRIATE SCREENING, NECESSARY STABILIZATION TREATMENTS (FOR YOU AND YOUR UNBORN BABY) AND APPROPRIATE TRANSFER TO ANOTHER FACILITY EVEN IF YOU CANNOT PAY OR DO NOT HAVE INSURANCE. YOU ARE ENTITLED TO MEDICARE OR MEDICAID. B. EACH YEAR, MVH PUBLISHES A PUBLIC NOTICE, IN THE FORM OF A PAID DISPLAY AD IN THE VALLEY INDEPENDENT, ANNOUNCING THE HOSPITAL'S CHARITY CARE POLICY. THE AD IS TYPICALLY PUBLISHED DURING THE THIRD OR FOURTH WEEK OF JANUARY. IT STATES:MONONGAHELA VALLEY HOSPITAL, A NOT-FOR-PROFIT ORGANIZATION, PROVIDES UNCOMPENSATED SERVICES TO PATIENTS WHO DO NOT QUALIFY FOR ASSISTANCE FROM VARIOUS THIRD-PARTY AGENCIES. THESE CHARITABLE FUNDS ARE ALLOCATED TO INPATIENT AND OUTPATIENT SERVICES FOR FULL OR PARTIAL BENEFITS.THE CHARITY CARE PROGRAM OF MONONGAHELA VALLEY HOSPITAL AUGMENTS ITS COMMITMENT TO ENHANCE THE HEALTH OF THE RESIDENTS OF THE MID-MON VALLEY AREA. IF YOU ARE UNABLE TO RESOLVE YOUR DEBT, OR NEED MEDICAL CARE AND DO NOT HAVE ASSISTANCE FROM THIRD-PARTY AGENCIES OR THE FUNDS TO PAY FOR THE CARE AND BELIEVE THAT YOU MAY QUALIFY FOR CHARITY CARE, PLEASE CALL MONONGAHELA VALLEY HOSPITAL'S OFFICE OF FINANCIAL COUNSELING AND COLLECTIONS AT 724-258-1188. AN APPLICATION WITH ALL APPROPRIATE ATTACHMENTS MAY BE FILED WITH MONONGAHELA VALLEY HOSPITAL AND IF APPROVED, WILL BE VALID FOR UP TO ONE YEAR FROM DATE OF APPROVAL. FOLLOWING THE PUBLICATION OF THE AD, THE HOSPITAL RECEIVES A NOTARIZED DOCUMENT ATTESTING TO THE DATE THAT THE AD WAS PUBLISHED. THE 2015 AD WAS PUBLISHED IN THE VALLEY INDEPENDENT IN EARLY FEBRUARY.C. A LINK IS INCLUDED AT MONONGAHELA VALLEY HOSPITAL'S WEBSITE, HTTP://WWW.MONVALLEYHOSPITAL.COM/CHARITYCARE.ASP, THAT STATES:MONONGAHELA VALLEY HOSPITAL OFFERS FREE FINANCIAL COUNSELING TO PATIENTS WHO ARE IN NEED OF ASSISTANCE TO RESOLVE THEIR DEBT. THERE ARE SEVERAL PROGRAMS AVAILABLE TO THE PUBLIC THROUGH VARIOUS THIRD PARTY AGENCIES INCLUDING, BUT NOT LIMITED TO, THE MEDICAL ASSISTANCE PROGRAM.MONONGAHELA VALLEY HOSPITAL ALSO PROVIDES UNCOMPENSATED SERVICES TO PATIENTS WHO DO NOT QUALIFY FOR ASSISTANCE FROM THE ABOVE MENTIONED THIRD PARTIES. THESE CHARITABLE FUNDS ARE ALLOCATED TO PATIENTS RECEIVING BOTH INPATIENT AND OUTPATIENT SERVICES. IF YOU ARE UNABLE TO RESOLVE YOUR DEBT OR NEED HOSPITAL SERVICES AND CANNOT AFFORD THESE SERVICES, PLEASE CALL MONONGAHELA VALLEY HOSPITAL'S OFFICE OF FINANCIAL COUNSELING AND COLLECTIONS AT 724-258-1188.D. THE PATIENT RIGHTS, WHICH ARE DISPLAYED THROUGHOUT THE HOSPITAL AND PRINTED IN THE PATIENT AND VISITOR GUIDE, OUTLINES ALL OF THE PATIENTS' RIGHTS INCLUDING THE STATEMENT:AS ADOPTED MANY YEARS AGO AND REAFFIRMED YEARLY BY THE BOARD OF TRUSTEES, A PATIENT HAS THE RIGHT TO MEDICAL AND NURSING SERVICES WITHOUT DISCRIMINATION BASED UPON RACE, COLOR, RELIGION, SEX, SEXUAL PREFERENCE, NATIONAL ORIGIN OR SOURCE OF PAYMENT.THE DOCUMENT ALSO STATES:THE PATIENT HAS A RIGHT TO FULL INFORMATION AND COUNSELING ON THE AVAILABILITY OF KNOWN FINANCIAL RESOURCES FOR HEALTH CARE.AS OUTLINED IN THIS DOCUMENT, MVH'S FINANCIAL AID POLICIES ARE CLEAR AND UNDERSTANDABLE AND IN LANGUAGE APPROPRIATE TO THE COMMUNITIES AND PATIENTS SERVED. THE MESSAGE IS COMMUNICATED IN A MANNER THAT IS DIGNIFIED. MVH'S DEBT COLLECTION POLICIES, BY BOTH HOSPITAL STAFF AND EXTERNAL COLLECTION AGENCIES, REFLECT THE MISSION AND VALUES OF THE HOSPITAL AND ARE MONITORED CAREFULLY TO AVOID UNINTENDED CONSEQUENCES.IN ADDITION, MONONGAHELA VALLEY HOSPITAL'S OFFICE OF FINANCIAL COUNSELING AND COLLECTIONS ASSISTS PATIENTS IN OBTAINING HEALTH INSURANCE COVERAGE FROM PRIVATELY AND PUBLICLY FUNDED SOURCES WHENEVER POSSIBLE. THE HOSPITAL'S SOCIAL SERVICE, EDUCATION AND COMMUNITY RELATIONS DEPARTMENTS ENJOY A COLLABORATIVE RELATIONSHIP WITH SOUTHWESTERN PENNSYLVANIA HUMAN SERVICES, INC. (SPHS), WHICH IS LOCATED IN CHARLEROI, PENNSYLVANIA. THROUGH THIS COLLABORATION, INFORMATION IS SHARED THAT CAN BE USED TO IDENTIFY FUNDING SOURCES TO ASSIST PATIENTS WHO ARE IN NEED OF MEDICAL CARE BUT DO NOT HAVE THE ABILITY TO PAY. MONONGAHELA VALLEY HOSPITAL OFFERS A MEDICAL BILL ADVISOR PROGRAM. THIS FREE SERVICE IS DESIGNED TO HELP COMMUNITY RESIDENTS UNDERSTAND AND ORGANIZE THEIR PHYSICIAN, HOSPITAL, AND OTHER MEDICAL BILLS. THE MEDICAL BILL ADVISOR PROGRAM IS PART OF MVH'S "ASK ME!" PROGRAM. THIS SERVICE IS PROMOTED ON PAGE 25 OF THE PATIENT AND VISITOR HANDBOOK. IN ADDITION, IN LATE 2015, MONONGAHELA VALLEY HOSPITAL INTRODUCED A BUDGET-FRIENDLY FINANCING PROGRAM FROM CAREPAYMENT THAT ALLOWS PATIENTS TO PAY MEDICAL BILLS OVER TIME. FEATURING CREDIT LINES AT 0.00% APR FOR THE LIFE OF THE ACCOUNT AND NO IMPACT ON CONSUMER CREDIT SCORES, THE MVH PAYMENT PROGRAM OFFERS TERM LENGTHS OF 6, 12, 24 AND 36 MONTHS BASED ON PATIENT-OWED BALANCES. AVAILABLE AT MORE THAN 700 MEDICAL FACILITIES ACROSS THE UNITED STATES, CAREPAYMENT PATIENT FINANCING PROGRAMS FEATURE FLEXIBLE OPEN-END LINES OF CREDIT, NOT CREDIT CARDS OR LOANS. PATIENTS MANAGE THEIR ACCOUNTS IN A VARIETY OF CONVENIENT WAYS, INCLUDING AUTOMATIC PAYMENTS, MOBILE AND ONLINE ACCOUNT ACCESS, AND PAPER OR ELECTRONIC STATEMENTS.
PART VI, LINE 4:	ALTHOUGH MONONGAHELA VALLEY HOSPITAL MARKED ITS 44TH ANNIVERSARY ON JULY 1, 2015, THE HEALTH SYSTEM TRACES ITS HERITAGE TO THE TURN OF THE LAST CENTURY WHEN ITS PREDECESSOR FACILITIES, CHARLEROI-MONESSEN HOSPITAL AND MEMORIAL HOSPITAL OF MONONGAHELA, WERE FOUNDED. THE ORIGINAL MEMORIAL HOSPITAL OF MONONGAHELA OPENED IN NEW EAGLE, PA IN 1902 AND THE CHARLEROI-MONESSEN HOSPITAL BEGAN ACCEPTING PATIENTS SEVEN YEARS LATER IN 1909. ON JULY 1, 1972, THE FORMER HOSPITALS WERE CONSOLIDATED TO BECOME MONONGAHELA VALLEY HOSPITAL, INC. CONSTRUCTION OF THE NEW HOSPITAL IN CARROLL TOWNSHIP BEGAN IN 1976 AND THE NEW FACILITY OPENED IN SEPTEMBER 1978. MONONGAHELA VALLEY HOSPITAL BECAME THE SINGLE HOSPITAL SERVING THE MID MONONGAHELA VALLEY AREA. APPROXIMATELY 80% OF THE HOSPITAL'S ADMISSIONS ARE DERIVED FROM 15 COMMUNITIES IN THREE COUNTIES - WASHINGTON, WESTMORELAND AND FAYETTE. THESE COMMUNITIES INCLUDE: BELLE VERNON, CHARLEROI, DONORA, MONESSEN, MONONGAHELA, NEW EAGLE, WEST NEWTON, BENTLEYVILLE, FINLEYVILLE, BROWNSVILLE, CALIFORNIA, COAL CENTER, FAYETTE CITY, PERRYOPOLIS AND ROSCOE. ACCORDING TO THE FIVE-YEAR (2007-2011) AVERAGE AMERICAN COMMUNITY SURVEY, THE DEMOGRAPHICS FOR THESE COMBINED ZIP CODES ARE COMPARABLE TO WASHINGTON COUNTY FOR LATINO ETHNICITY (1.2% VS. 1.1%), MARITAL STATUS (NOW MARRIED 52.5% VS. 53.2%) AND EDUCATION ATTAINMENT (AGES 25 YEARS AND OLDER, HIGH SCHOOL GRADUATE 40.9% VS. 40.7%). COMPARATIVE VALUES FOR SEX (MALES 45.7% VS. 48.6%), MEAN AGE (45.4 VS. 43.1), RACE (AFRICAN AMERICAN 5.0% VS. 4.2%) AND INCOME LESS THAN $10,000 (7.3% VS. 6.3%) ARE ONLY SLIGHTLY DIFFERENT. THE POPULATION BREAKDOWN IN ALL OF THE COMMUNITIES SERVED BY MONONGAHELA VALLEY HOSPITAL IS LISTED BELOW (MUNICIPALITY, POPULATION):WASHINGTON COUNTYALLENPORT, 537; BEALLSVILLE, 466; BENTLEYVILLE, 2,581; CALIFORNIA, 6,795; CARROLL, 5,640; CENTERVILLE, 3,263; CHARLEROI, 4,120; COAL CENTER, 139; DAISYTOWN, 326; DEEMSTON, 722; DENBO, 137; DONORA, 4,781; DUNLEVY, 381; EAST BETHLEHEM, 2,354; ELCO, 323; ELRAMA, 291; ELLSWORTH, 1,027; FALLOWFIELD, 4,321; FINLEYVILLE, 461; FREDERICKTOWN, 403; GASTONVILLE, 2,818; MILLSBORO, 666; MONONGAHELA, 4,300; NEW EAGLE, 2,184; NORTH CHARLEROI, 1,313; RICHEYVILLE, 734; ROSCOE, 812; SPEERS, 1,154; STOCKDALE, 502; UNION, 5,700.TOTAL 59,269WESTMORELAND COUNTYBELLE VERNON, 1,093; MONESSEN, 7,220; WEST NEWTON, 2,601; PRICEDALE, 111; SUTERSVILLE, 697; WEBSTER, 174.TOTAL 11,888FAYETTE COUNTYFAYETTE CITY, 596; NEWELL, 537; PERRYOPOLIS, 1,784; STAR JUNCTION, 616.TOTAL 3,535THREE COUNTY TOTAL 74,692 WHILE THE POPULATION REMAINED RELATIVELY THE SAME AS THE PREVIOUS YEAR, MONESSEN (IN WESTMORELAND COUNTY) WAS THE ONE COMMUNITY THAT EXPERIENCED THE GREATEST DECLINE (7,625 DOWN TO 7,220) THE COMMUNITIES IN CLOSEST PROXIMITY TO THE HOSPITAL ARE CARROLL TOWNSHIP, CHARLEROI, MONESSEN AND MONONGAHELA, WHICH ARE AMONG SOME OF THE LARGEST POPULATED COMMUNITIES. THE INDIVIDUAL DEMOGRAPHICS FOR THESE COMMUNITIES ARE LISTED BELOW. CARROLL TOWNSHIPCARROLL TOWNSHIP IS STRONGLY ALLIED WITH THE CITY OF MONONGAHELA AND THE BOROUGHS OF DONORA AND NEW EAGLE. ACCORDING TO THE U.S. CENSUS, THERE ARE APPROXIMATELY 2,265 HOUSEHOLDS AND 1,700 FAMILIES RESIDING IN THE TOWNSHIP. THE AVERAGE HOUSEHOLD SIZE IS 2.45 PEOPLE AND THE AVERAGE FAMILY SIZE IS 2.85. APPROXIMATELY 26% OF THE FAMILIES HAVE CHILDREN AGES 18 OR YOUNGER LIVING WITH THEM. THE CENSUS FOUND THAT 63.4% OF THE HOUSEHOLDS ARE MARRIED COUPLES LIVING TOGETHER; 7.8% HAD A FEMALE HOUSEHOLDER WITH NO HUSBAND PRESENT; AND 24.9% WERE NON-FAMILIES. OF ALL HOUSEHOLDS, 22.3% ARE MADE UP OF INDIVIDUALS AND 13.2% HAD SOMEONE LIVING ALONE WHO WAS 65 YEARS OF AGE OR OLDER. THE MEDIAN INCOME FOR A HOUSEHOLD IN THE TOWNSHIP IS $43,347, AND THE MEDIAN INCOME FOR A FAMILY IS $52,526. MALES HAVE A MEDIAN INCOME OF $40,970 VERSUS $24,698 FOR FEMALES. THE PER CAPITA INCOME FOR THE TOWNSHIP IS $20,380. ABOUT 4.8% OF FAMILIES AND 6.4% OF THE POPULATION ARE BELOW THE POVERTY LINE, INCLUDING 6.8% OF THOSE UNDER AGE 18 AND 8.9% OF THOSE AGES 65 OR OVER. THE RACIAL MAKEUP OF THE TOWNSHIP IS 98.26% CAUCASIAN; 1.09% AFRICAN AMERICAN; 0.05% NATIVE AMERICAN; 0.11% ASIAN; 0.05% PACIFIC ISLANDER; 0.21% FROM OTHER RACES; AND 0.23% FROM TWO OR MORE RACES. HISPANIC OR LATINO OF ANY RACE ARE 0.74% OF THE POPULATION.CHARLEROITHE BOROUGH OF CHARLEROI HAS EXPERIENCED A POPULATION LOSS DUE TO THE LARGE-SCALE DECLINE OF INDUSTRIAL ACTIVITIES IN THE REGION. THE U.S. CENSUS FOUND THAT THERE ARE 2,258 HOUSEHOLDS AND 1,208 FAMILIES RESIDING IN THE BOROUGH. OF THE HOUSEHOLDS, 22.3% HAD CHILDREN UNDER THE AGE OF 18 LIVING WITH THEM; 35.5% WERE MARRIED COUPLES LIVING TOGETHER; 13.7% HAD A FEMALE HOUSEHOLDER WITH NO HUSBAND PRESENT; AND 46.5% WERE NON-FAMILIES. IN OTHER FINDINGS, 41.8% OF ALL HOUSEHOLDS ARE MADE UP OF INDIVIDUALS AND 21.9% HAVE SOMEONE LIVING ALONE WHO WAS 65 YEARS OF AGE OR OLDER. THE AVERAGE HOUSEHOLD SIZE IS 2.11 PEOPLE AND THE AVERAGE FAMILY SIZE IS 2.88. IN THE BOROUGH, THE POPULATION IS SPREAD OUT WITH 20.5% UNDER THE AGE OF 18; 7.1% FROM AGES 18 TO 24; 27.1% FROM AGES 25 TO 44; 20.2% FROM 45 TO 64; AND 25.0% WHO ARE 65 YEARS OF AGE OR OLDER. THE MEDIAN AGE IS 41 YEARS. FOR EVERY 100 FEMALES THERE ARE 81.4 MALES. FOR EVERY 100 FEMALES AGE 18 AND OVER, THERE ARE 77.1 MALES. THE MEDIAN INCOME FOR A HOUSEHOLD IS $23,593, AND THE MEDIAN INCOME FOR A FAMILY IS $31,699. MALES HAVE A MEDIAN INCOME OF $30,093 VERSUS $23,873 FOR FEMALES. THE PER CAPITA INCOME IS $13,752. IN ADDITION, 16.1% OF FAMILIES AND 21.3% OF THE POPULATION ARE BELOW THE POVERTY LINE, INCLUDING 36.2% OF THOSE UNDER AGE 18 AND 13.7% OF THOSE AGES 65 OR OVER. THE RACIAL MAKEUP OF THE BOROUGH IS 95.3% CAUCASIAN; 3.2% AFRICAN AMERICAN; 0.1% NATIVE AMERICAN; 0.3% ASIAN; 0.2% FROM OTHER RACES; AND 0.8% FROM TWO OR MORE RACES. HISPANIC OR LATINO OF ANY RACE ARE 0.7% OF THE POPULATION.MONESSENMONESSEN IS A CITY THAT IS TRYING TO UNDERGO REVITALIZATION. ACCORDING TO THE U.S. CENSUS, THERE ARE 3,916 HOUSEHOLDS OUT OF WHICH 21.2% HAVE CHILDREN UNDER THE AGE OF 18 LIVING WITH THEM; 42.9% ARE MARRIED COUPLES LIVING TOGETHER; 15.2% HAVE A FEMALE HOUSEHOLDER WITH NO HUSBAND PRESENT; AND 37.4% ARE NON-FAMILIES. IN ADDITION, 34.3% OF ALL HOUSEHOLDS ARE MADE UP OF INDIVIDUALS AND 22.2% HAVE SOMEONE LIVING ALONE WHO IS 65 YEARS OF AGE OR OLDER. THE AVERAGE HOUSEHOLD SIZE IS 2.19 AND THE AVERAGE FAMILY SIZE WAS 2.80. THE POPULATION MIX IS AS FOLLOWS: 19.6% OF THE RESIDENTS ARE UNDER THE AGE OF 18; 5.3% ARE FROM AGES 8 TO 24; 23.3% FROM 25 TO 44; 22.7% FROM 45 TO 64; AND 29.1% ARE 65 YEARS OF AGE OR OLDER. THE MEDIAN AGE IS 46 YEARS. FOR EVERY 100 FEMALES THERE ARE 84.8 MALES. FOR EVERY 100 FEMALES AGES 18 AND OVER, THERE ARE 79.0 MALES. THE MEDIAN INCOME FOR A HOUSEHOLD IN THE CITY IS $26,686, AND THE MEDIAN INCOME FOR A FAMILY IS $37,269. MALES HAVE A MEDIAN INCOME OF $34,773 VERSUS $21,508 FOR FEMALES. THE PER CAPITA INCOME FOR THE CITY IS $16,627. ADDITIONALLY, 11.5% OF FAMILIES AND 15.7% OF THE POPULATION ARE BELOW THE POVERTY LINE, INCLUDING 27.7% OF THOSE UNDER AGE 18 AND 8.2% OF THOSE AGES 65 OR OVER. IN TERMS OF THE RACIAL MIX FOR THE CITY, THE MAKEUP IS AS FOLLOWS: 83.71% CAUCASIAN; 13.99% AFRICAN AMERICAN; 0.09% NATIVE AMERICAN; 0.23% ASIAN; 0.01% PACIFIC ISLANDER; 0.33% FROM OTHER RACES; AND 1.63% FROM TWO OR MORE RACES. HISPANIC OR LATINO OF ANY RACE ARE 0.82% OF THE POPULATION. MONONGAHELAMONONGAHELA IS ONE OF ONLY TWO CITIES IN WASHINGTON COUNTY AND THE SECOND SMALLEST CITY IN PENNSYLVANIA. ACCORDING TO THE U.S. CENSUS, THERE ARE 2,139 HOUSEHOLDS OUT OF WHICH 23.0% HAVE CHILDREN UNDER THE AGE OF 18 LIVING WITH THEM; 42.0% WERE MARRIED COUPLES LIVING TOGETHER; 12.8% HAD A FEMALE HOUSEHOLDER WITH NO HUSBAND PRESENT; AND 40.9% WERE NON-FAMILIES. FURTHERMORE, 36.3% OF ALL HOUSEHOLDS ARE MADE UP OF INDIVIDUALS AND 19.6% HAVE SOMEONE LIVING ALONE WHO IS 65 YEARS OF AGE OR OLDER. THE AVERAGE HOUSEHOLD SIZE IS 2.20 AND THE AVERAGE FAMILY SIZE IS 2.87. IN THE CITY, THE POPULATION IS SPREAD OUT WITH 20.1% UNDER THE AGE OF 18; 6.9% FROM AGES 18 TO 24; 27.4% FROM AGES 25 TO 44; 22.6% FROM AGES 45 TO 64; AND 23.0% WHO ARE 65 YEARS OF AGE OR OLDER. THE MEDIAN AGE IS 42 YEARS. FOR EVERY 100 FEMALES THERE ARE 85.3 MALES. FOR EVERY 100 FEMALES AGES 18 AND OVER, THERE ARE 80.6 MALES. THE MEDIAN INCOME FOR A HOUSEHOLD IN THE CITY IS $29,060, AND THE MEDIAN INCOME FOR A FAMILY IS $36,528. MALES HAVE A MEDIAN INCOME OF $31,250 VERSUS $23,911 FOR FEMALES. THE PER CAPITA INCOME FOR THE CITY IS $16,903. ABOUT 11.1% OF FAMILIES AND 13.6% OF THE POPULATION ARE BELOW THE POVERTY LINE, INCLUDING 25.9% OF THOSE UNDER AGE 18 AND 7.2% OF THOSE AGES 65 OR OVER.
PART VI, LINE 5:	MONONGAHELA VALLEY HOSPITAL'S COMMUNITY RELATIONS DEPARTMENT EMPLOYS SIX FULL-TIME AND THREE PART-TIME STAFF MEMBERS WHO ACT AS LIAISONS BETWEEN THE HOSPITAL AND THE COMMUNITY. A COMMUNITY HEALTH EDUCATOR NURSE IS AMONG THE PART-TIME EMPLOYEES IN THE DEPARTMENT. IN KEEPING WITH THE HOSPITAL'S MISSION, WHICH IS TO ENHANCE THE HEALTH OF THE RESIDENTS OF THE MID-MONONGAHELA VALLEY AREA, THE DEPARTMENT WORKS WITH THE PROFESSIONAL MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, DIETITIANS, THERAPISTS, ETC., TO PRODUCE PUBLICATIONS AND CREATE FREE COMMUNITY PROGRAMMING THAT EDUCATES RESIDENTS ABOUT A VARIETY OF HEALTH AND WELLNESS TOPICS. THE DEPARTMENT ALSO SCHEDULES MANY FREE HEALTH SCREENINGS THROUGHOUT THE YEAR AT THE HOSPITAL AND COMMUNITY SITES. IN ADDITION, THE HOSPITAL OFFERS A VARIETY OF FREE SUPPORT GROUPS. BROCHURES HEALTH EDUCATION RESOURCES, SUCH AS DISEASE SPECIFIC BROCHURES, ARE PUBLISHED TO EDUCATE THE COMMUNITY ON HEALTH-RELATED TOPICS. EXAMPLES INCLUDE BUT ARE NOT LIMITED TO "CLINICAL EXCELLENCE IN CANCER CARE," "LEADING THE WAY TO A HEALTHIER RECOVERY AND "LIVE BETTER - SLEEP BETTER." ONLINE HEALTH LIBRARYTHE HOSPITAL'S WEBSITE, MONVALLEYHOSPITAL.COM, INCLUDES A LINK TO A HEALTH LIBRARY. THIS ONLINE RESOURCE PROVIDES MORE THAN 10,000 TOPICS, 3,600 ARTICLES, 2,000 COLOR ILLUSTRATIONS AND 180 VIDEOS TO ANSWER COMMON MEDICAL QUESTIONS RELATED TO:- DISEASES AND CONDITIONS - MEDICAL TESTS - SYMPTOMS - INJURIES - TREATMENT OPTIONS - SURGICAL PROCEDURES - POISONING - NUTRITION IN ADDITION, AN ANIMATION PLAYER DISPLAYS MORE THAN 140 ANIMATIONS ORGANIZED BY BODY SYSTEM AND MEDICAL SPECIALTY. MVH'S ONLINE MEDICAL LIBRARY CAN BE USED TO ENHANCE EXPLANATIONS FROM PHYSICIANS AND THE HOSPITAL BECAUSE IT OFFERS SOUND, EVIDENCE-BASED INFORMATION THAT IS CURRENT WITH THE LATEST ACCEPTED MEDICAL STANDARDS. NOT ONLY CAN VISITORS CHECK THEIR SYMPTOMS, THEY CAN ALSO LEARN ABOUT LAB TESTS THAT PHYSICIANS MAY HAVE ORDERED FOR THEM, READ ABOUT DRUG INTERACTIONS, AND ACCESS THE SAME DISCHARGE INSTRUCTIONS THEY RECEIVE BEFORE THEY LEAVE MONONGAHELA VALLEY HOSPITAL. MVH'S HEALTH LIBRARY IS AVAILABLE FREE-OF-CHARGE 24/7.SUPPORT GROUPS FOR PEOPLE FACING AN ILLNESS OR THOSE WHO HAVE BEEN DIAGNOSED WITH A CHRONIC AILMENT, A SUPPORT GROUP MAY HELP. THEY PROVIDE A FORUM FOR PEOPLE WHO ARE FACING SIMILAR ISSUES TO TALK ABOUT THEIR EXPERIENCES, CONCERNS AND MILESTONES. WHILE SOME PEOPLE TURN TO FAMILY AND FRIENDS FOR SUPPORT, OTHERS MAY FIND IT HELPFUL TURNING TO PEOPLE WHO SHARE THEIR DIAGNOSES. A SUPPORT GROUP CAN HELP SOME PEOPLE COPE BETTER AND FEEL LESS ISOLATED. WHILE THEY ARE NOT INTENDED TO REPLACE STANDARD MEDICAL CARE, SUPPORT GROUPS CAN BE VALUABLE RESOURCES TO HELP PEOPLE COPE. LISTED BELOW ARE THE VARIOUS SUPPORT GROUPS OFFERED BY MONONGAHELA VALLEY HOSPITAL.ALZHEIMER'S SUPPORT GROUP. THIS FREE SUPPORT GROUP MEETS THE SECOND TUESDAY OF EACH MONTH AT 6 P.M. IN THE ANTHONY M. LOMBARDI EDUCATION CONFERENCE CENTER. IT IS DESIGNED TO HELP THE FAMILY MEMBERS, FRIENDS AND CAREGIVERS OF THOSE SUFFERING FROM ALZHEIMER'S DISEASE OR OTHER FORMS OF DEMENTIA. ATTENDEES CAN DISCUSS THE CHALLENGES OF COPING WITH THIS DISORDER, TECHNIQUES FOR MANAGING STRESS AND METHODS OF ENCOURAGING SOCIAL ENGAGEMENT. ARTHRITIS AND FIBROMYALGIA SUPPORT GROUP. THE ARTHRITIS AND FIBROMYALGIA SUPPORT GROUP IS FREE AND OPEN TO ALL PERSONS WITH ARTHRITIS, FIBROMYALGIA OR RELATED ILLNESSES AND THEIR FAMILIES. THIS GROUP MEETS QUARTERLY ON THE THIRD WEDNESDAY OF THE MONTH AT 1 P.M. BETTER BREATHERS CLUB. THE BETTER BREATHERS CLUB IS FREE AND OPEN TO ALL ADULTS AND THEIR FRIENDS, FAMILY OR CARE-GIVERS WHO WANT TO LEARN OR SHARE INFORMATION ABOUT LIVING WELL WITH BREATHING ISSUES. THIS GROUP MEETS THE SECOND TUESDAY OF EACH MONTH AT 2 P.M. BREAST CANCER SUPPORT GROUP. THIS SUPPORT GROUP IS FREE AND OPEN TO ALL BREAST CANCER PATIENTS AND THEIR FAMILIES. THIS SUPPORT GROUP MEETS THE FIRST MONDAY OF EACH MONTH AT 2 P.M. CANCER SUPPORT GROUP. THIS SUPPORT GROUP IS FREE AND OPEN TO ALL CANCER PATIENTS AND THEIR FAMILIES. THE GROUP MEETS THE THIRD MONDAY OF EACH MONTH AT 2 P.M. DIABETES SUPPORT GROUP. THIS SUPPORT PROGRAM IS FREE FOR PEOPLE WITH DIABETES, THEIR FAMILIES AND CAREGIVERS. DATES AND TIMES VARY.OSTOMY SUPPORT GROUP. THIS SUPPORT GROUP IS FREE AND OPEN TO ALL PERSONS WITH OSTOMIES AND THEIR FAMILIES AND FRIENDS. THIS GROUP MEETS THE THIRD THURSDAY OF EVERY OTHER MONTH AT 2 P.M. PROSTATE CANCER SUPPORT GROUP. ALL PROSTATE CANCER PATIENTS, FAMILIES AND CAREGIVERS ARE INVITED TO ATTEND THIS FREE SUPPORT GROUP. THIS GROUP MEETS QUARTERLY ON THE SECOND WEDNESDAY OF THE MONTH AT 6 P.M. RSDS SUPPORT GROUP. THE REFLEX SYMPATHETIC DYSTROPHY SYNDROME SUPPORT GROUP IS FREE AND OPEN TO ALL PERSONS WITH RSDS OR RELATED ILLNESSES. THIS GROUP MEETS THE SECOND TUESDAY OF EACH MONTH AT 1 P.M. SUICIDE BEREAVEMENT SUPPORT GROUP. THIS SUPPORT GROUP IS A FOUR-MONTH PROGRAM WHICH MEETS THE SECOND AND FOURTH MONDAYS OF EACH MONTH AT 6 P.M. IN THE ANTHONY M. LOMBARDI EDUCATION CONFERENCE CENTER. THE PROGRAM IS LED BY A LICENSED PSYCHOLOGIST AND IS FREE AND OPEN TO ALL OF THOSE TOUCHED BY SUICIDE.STROKE SUPPORT GROUP. THE STROKE SUPPORT GROUP IS DESIGNED FOR PATIENTS AND CAREGIVERS TO SHARE, LEARN AND GROW WITH PEOPLE WHO CAN PERSONALLY RELATE TO THE CHALLENGES AND STRUGGLES THEY FACE ON A DAILY BASIS DEALING WITH STROKE AND THE AFTER EFFECTS. THIS GROUP MEETS EVERY SECOND THURSDAY OF EACH MONTH AT 2 P.M. HEALTH SCREENINGSMANY TIMES THROUGHOUT THE YEAR, MONONGAHELA VALLEY HOSPITAL OFFERS FREE HEALTH SCREENINGS EITHER AS STAND-ALONE EVENTS OR TO COMPLEMENT EDUCATIONAL PROGRAMS. BELOW ARE SOME OF THE SCREENINGS HELD AT THE HOSPITAL AND OFF-CAMPUS LOCATIONS.SKIN CANCER. A FREE SKIN CANCER SCREENING IS HELD EACH SPRING. IN 2015, THE EVENT, WHICH IS HELD ON A SATURDAY, WAS MOVED FROM THE FINLEYVILLE COMMUNITY CENTER TO MONONGAHELA VALLEY HOSPITAL'S SAME DAY SURGERY AREA. A RECORD 99 PEOPLE ATTENDED THE APRIL 25 EVENT TO BE SCREENED BY DR. ELIZABETH REISINGER. BREAST CANCER. IN RECOGNITION OF NATIONAL BREAST CANCER AWARENESS MONTH IN OCTOBER, MONONGAHELA VALLEY HOSPITAL SPONSORS A FREE BREAST SCREENING AND EDUCATION EVENT. IT WAS STANDING ROOM ONLY FOR THE HOSPITAL'S ANNUAL BREAST CANCER LUNCHEON, EDUCATION AND SCREENING ON OCT. 28, 2015, IN THE ANTHONY M. LOMBARDI EDUCATION CONFERENCE CENTER. BREAST SURGEON NATALIE FURGIUELE, M.D., WHO IS THE DIRECTOR OF MVH'S BREAST CARE CENTER, OUTLINED WHO IS AT RISK FOR BREAST CANCER AND THE ADVANTAGES OF GENETIC TESTING. MOHSEN ISAAC, M.D., THE HOSPITAL'S MEDICAL DIRECTOR OF RADIATION ONCOLOGY, DISCUSSED THE TREATMENT OF BREAST CANCER USING THE LATEST ADVANCEMENTS IN RADIATION SUCH AS BRACHYTHERAPY. IN ADDITION TO THE PHYSICIANS, RADIOLOGY TECHNOLOGISTS FROM MVH DISCUSS BREAST CANCER FACTS, TECHNIQUES OF PERFORMING BREAST SELF-EXAMINATIONS, AND THE IMPORTANCE OF MAMMOGRAMS AND MAMMOGRAPHY RESOURCES. FOLLOWING THE OPTIONAL PHYSICAL BREAST EXAMS BY MEMBERS OF THE HOSPITAL'S MEDICAL STAFF, MAMMOGRAMS WERE SCHEDULED FOR ANY WOMAN WHO HAD AN ABNORMAL FINDING DURING THE SCREENING.CONTINUED ON SCHEDULE O.
PART VI, LINE 6:	MON-VALE HEALTH RESOURCES, INC. (MVHR) IS THE PARENT COMPANY OF MONONGAHELA VALLEY HOSPITAL AND VARIOUS OTHER BUSINESSES THAT PROVIDE HEALTH CARE SERVICES AND MEDICAL PRODUCTS. UNITS INCLUDE THE 210-BED ACUTE CARE HOSPITAL, SKILLED NURSING HOME, ASSISTED LIVING FACILITY, OUTPATIENT REHABILITATION AND MEDICAL IMAGING SERVICES, A DURABLE MEDICAL EQUIPMENT PROVIDER, AMBULATORY SURGERY CENTERS, A PHYSICIAN HOSPITAL ORGANIZATION AND PHYSICIAN PRACTICE MANAGEMENT SERVICES. THE MISSION OF MON-VALE HEALTH RESOURCES, INC. IS TO ENHANCE THE HEALTH OF THE RESIDENTS OF THE MID-MONONGAHELA VALLEY AREA. LISTED BELOW ARE THE VARIOUS UNITS THAT MAKE UP THE HEALTH SYSTEM.MONONGAHELA VALLEY HOSPITAL1163 COUNTRY CLUB ROAD, MONONGAHELA, PA 15063, 724-258-1000MONONGAHELA VALLEY HOSPITAL IS A 210-BED HEALTH CARE FACILITY WITH A225-MEMBER MEDICAL STAFF REPRESENTING MORE THAN 40 MEDICAL SPECIALTIES.CENTER FOR CHILDREN'S REHABILITATION1029 COUNTRY CLUB ROAD, SUITE 202, MONONGAHELA, PA 15063, 724-258-2971THE CENTER PROVIDES SPECIALIZED SERVICES TO MEET THE REHABILITATION NEEDS OF CHILDREN, ADOLESCENTS AND YOUNG ADULTS, AGES BIRTH TO 21. HEALTHY DIRECTIONS EXCLUSIVELY AT GIANT EAGLE3701 ROUTE 88, FINLEYVILLE, PA 15332, 724-348-6699CERTIFIED REGISTERED NURSE PRACTITIONERS UNDER THE DIRECTION OF MVH-AFFILIATED PHYSICIANS PROVIDE CONVENIENT WALK-IN PHYSICALS AND DIAGNOSIS AND TREATMENT OF NON-URGENT MEDICAL CARE FOR PEOPLE AGES 18 MONTHS AND OLDER.MONONGAHELA MEDICAL SUPPLY COMPANY (MMSC)ANTHONY M. LOMBARDI EDUCATION CONFERENCE CENTER, SUITE 104,1163 COUNTRY CLUB ROAD, MONONGAHELA, PA 15063, 724-258-CARE (2273)MMSC RENTS AND SELLS DURABLE MEDICAL EQUIPMENT AND OXYGEN FOR THE CARE OF PATIENTS AT HOME AND IN EXTENDED CARE FACILITIES.MON VALLEY CARE CENTER724-310-1111AND SPARTAN HEALTH SURGICENTER, LLC724-483-2760200 STOOPS DRIVE, MONONGAHELA, PA 15063MON VALLEY CARE CENTER OFFERS SERVICES FOR INDIVIDUALS REQUIRING SKILLED/EXTENDED CARE AND PERSONAL CARE SERVICES. SPARTAN HEALTH SURGICENTER IS AN AMBULATORY SURGERY CENTER AND PROFESSIONAL OFFICE COMPLEX. BOTH FACILITIES ARE OPERATED BY SPARTAN HEALTH LP, A PARTNERSHIP BETWEEN CPSR ASSOCIATES, INC., MONONGAHELA VALLEY HOSPITAL, INC. AND MON-VALE NON ACUTE CARE SERVICES, INC.MON-VALE HEALTHPLEXWILLOWPOINTE PLAZA, 800 PLAZA DRIVE, BELLE VERNON, PA 15012THIS FACILITY INCLUDES:MONONGAHELA VALLEY HOSPITAL'S CENTER FOR FITNESS AND HEALTH724-379-5100ONE OF THE MOST CLINICALLY ORIENTED AND MEDICALLY ADVANCED FITNESS FACILITIES IN THIS REGION, THE CENTER COMBINES STATE-OF-THE-ART FITNESS EQUIPMENT AND PROGRAMS WITH COMPREHENSIVE MEDICAL DIAGNOSTICS, THERAPEUTICS AND REHABILITATION SERVICES. MVH OCCUPATIONAL HEALTH PROGRAM SUITE 210, 724-379-1940THE PROGRAM OFFERS A RANGE OF SERVICES INCLUDING PRE-EMPLOYMENTPHYSICALS, WORK-RELATED INJURY EVALUATION AND TREATMENT, LABORATORY TESTING, AND ALCOHOL, DRUG AND TB TESTING FOR EMPLOYERS AND THEIR EMPLOYEES.HEALTHPLEX IMAGING SUITE 170, 724-379-1900THIS OUTPATIENT DIAGNOSTIC CENTER OFFERS MAMMOGRAPHY AND ULTRASOUNDSERVICES, DIAGNOSTIC RADIOLOGY, OPEN MRI AND BONE DENSITY SCREENINGS BY APPOINTMENT.MVH CARDIAC AND PULMONARY REHABILITATION SUITE 200, 724-379-1920SERVICES INCLUDE MONITORED EXERCISE, BEHAVIOR MODIFICATION AND EDUCATION TO REDUCE THE RISK OF ADDITIONAL CORONARY PROBLEMS AFTER CARDIAC SURGERY OR A HEART ATTACK AND FOR PRE-AND POST-TRANSPLANT PATIENTS.MON-VALE PRIMARY CARE PRACTICES, INC.1163 COUNTRY CLUB ROAD, MONONGAHELA, PA 15063, 724-258-6048PROVIDING MANAGEMENT FOR PRIMARY CARE PHYSICIAN PRACTICES.MON-VALE PROFESSIONAL SERVICES, INC.1163 COUNTRY CLUB ROAD, MONONGAHELA, PA 15063, 724-258-6048A MANAGEMENT SERVICES ORGANIZATION. MON-VALE SPECIALTY PRACTICES, INC.1163 COUNTRY CLUB ROAD, MONONGAHELA, PA 15063, 724-258-6048PROVIDING MANAGEMENT FOR SPECIALIZED PHYSICIAN PRACTICES.THE RESIDENCE AT HILLTOP PERSONAL CARE COMMUNITY210 ROUTE 837, MONONGAHELA, PA 15063, 724-258-8940THE RESIDENCE PROVIDES SERVICES FOR INDIVIDUALS OF ALL AGES WHO REQUIREASSISTANCE IN SUCH ACTIVITIES AS BATHING, DRESSING, DINING AND MEDICATIONMANAGEMENT BUT WHO DO NOT REQUIRE SKILLED MEDICAL CARE.ROSTRAVER IMAGING PEASANT VILLAGE PROFESSIONAL PLAZA, 100 PEASANT VILLAGE LANE, BELLE VERNON, PA 15012PROVIDES OUTPATIENT DIAGNOSTIC IMAGING SERVICES. SOUTHWESTERN AMBULATORY SURGERY CENTER500 LEWIS RUN ROAD, PITTSBURGH, PENNSYLVANIA 15236, 412-466-0600MONONGAHELA VALLEY HOSPITAL, A NATIONAL AMBULATORY SURGERY CENTER OPERATOR AND PARTICIPATING SURGEONS OWN THIS SURGERY CENTER.VALE-U-HEALTH, INC.SUITE 230, MON-VALE HEALTHPLEX, WILLOWPOINTE PLAZA, BELLE VERNON, PA 15012, 724-379-4011THE MONONGAHELA VALLEY PHYSICIAN HOSPITAL ORGANIZATION, INC. PROVIDES ACCESS TO A RANGE OF COST-EFFECTIVE HEALTH CARE SERVICES AND BENEFITS THROUGH CONTRACTUAL ARRANGEMENTS WITH INSURERS, MANAGED CARE ORGANIZATIONS AND EMPLOYERS.VALLEY OUTPATIENT REHABILITATION (VOR)VOR OPERATES FOUR SITES AS A PARTNERSHIP BETWEEN ORTHOPEDIC AND SPORTS PHYSICAL THERAPY ASSOCIATES AND THE MVHR SUBSIDIARY, MON-VALE MULTIPHASICS.VOR AT CALIFORNIA240 THIRD STREET, CALIFORNIA, PA 15419, 724-938-0310VOR AT MONONGAHELA1027 COUNTRY CLUB ROAD, MONONGAHELA, PA 15063, 724-258-6211VOR AT MON VALLEY CARE CENTER200 STOOPS DRIVE, MONONGAHELA, PA 15063, 724-310-1074VOR AT ROSTRAVERMON-VALE HEALTHPLEX, SUITE 110, 800 PLAZA DRIVE, ROSTRAVER, PA 15012, 724-379-7130AREAS OF SPECIALIZATION INCLUDE AQUATIC THERAPY (ROSTRAVER ONLY), INDUSTRIAL REHABILITATION, OCCUPATIONAL THERAPY, PHYSICAL THERAPY AND SPEECH THERAPY.

Schedule H (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

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

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

Attach to Form 990.
SchJMediumBullet

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

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

MONONGAHELA VALLEY HOSPITAL INC

Employer identification number

23-7218917

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

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

Yes

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

Yes

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

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

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

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

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

Yes

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

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

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

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

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

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

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

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

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

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

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

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

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

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

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

Cat. No. 50053T

Schedule J (Form 990) 2014

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 in column(B) reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1LOUIS J PANZA JRPRESIDENT AND CEO	(i) (ii)	327,820 ............................... 0	54,276 ............................... 0	45,033 ............................... 0	7,800 ............................... 0	14,440 ............................... 0	449,369 ............................... 0	0 ............................... 0
2DANIEL F SIMMONSSR. VICE PRES/TREASURER	(i) (ii)	222,481 ............................... 0	25,273 ............................... 0	30,481 ............................... 0	6,426 ............................... 0	13,758 ............................... 0	298,419 ............................... 0	0 ............................... 0
3PATRICK J ALBERTSSR. VICE PRES/COO	(i) (ii)	168,251 ............................... 0	16,478 ............................... 0	7,538 ............................... 0	4,950 ............................... 0	10,541 ............................... 0	207,758 ............................... 0	0 ............................... 0
4ELAINE S GELBOCC HEALTH PHYSICIAN	(i) (ii)	183,819 ............................... 0	0 ............................... 0	2,101 ............................... 0	2,523 ............................... 0	11,620 ............................... 0	200,063 ............................... 0	0 ............................... 0
5JACINTA A BALDINICRNA	(i) (ii)	181,028 ............................... 0	0 ............................... 0	1,933 ............................... 0	5,095 ............................... 0	22,173 ............................... 0	210,229 ............................... 0	0 ............................... 0
6NICK E FRANCIACRNA	(i) (ii)	166,404 ............................... 0	0 ............................... 0	341 ............................... 0	3,655 ............................... 0	11,835 ............................... 0	182,235 ............................... 0	0 ............................... 0
7JEREMY J ORTOLONACRNA	(i) (ii)	164,534 ............................... 0	0 ............................... 0	341 ............................... 0	3,630 ............................... 0	19,404 ............................... 0	187,909 ............................... 0	0 ............................... 0
8MARY B ELLIOTTCRNA	(i) (ii)	157,826 ............................... 0	0 ............................... 0	568 ............................... 0	3,655 ............................... 0	14,661 ............................... 0	176,710 ............................... 0	0 ............................... 0

Schedule J (Form 990) 2014

Page 3

Part III

Supplemental Information

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

Return Reference	Explanation
PART I, LINE 1A	OFFICERS RECEIVE A TAX INDEMNIFICATION/GROSS-UP PAYMENT AS PART OF THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). AMOUNTS PAID ARE CALCULATED PER THE PLAN DOCUMENT AND HAVE BEEN INCLUDED AS TAXABLE WAGES OF EACH PARTICIPANT.
PART I, LINE 4B	LOUIS J. PANZA, PRESIDENT AND CEO, PARTICIPATES IN A SECTION 457(F) DEFERRED COMPENSATION PLAN AND CONTRIBUTED $38,163. OTHER OFFICERS AND SELECT KEY EMPLOYEES PARTICIPATE IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP): DANIEL F. SIMMONS, SR. VICE PRESIDENT/TREASURER - $23,745 PATRICK J. ALBERTS, SR. VICE PRESIDENT/COO - $6,538

Schedule J (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

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

Attach to Form 990.
SchKMediumBullet

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

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
MONONGAHELA VALLEY HOSPITAL INC

Employer identification number
23-7218917

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	WASHINGTON COUNTY HOSPITAL AUTHORITY	25-6001043	938592HP0	06-09-2011	38,730,000	REFUNDING, CURRENT & ADVANCED, AND NEW MONEY - HOSPITAL FACILITIES		X		X		X

Part II

Proceeds

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

Part III

Private Business Use

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

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

Cat. No. 50193E

Schedule K (Form 990) 2014

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0 %
7 Does the bond issue meet the private security or payment test? . . . . .		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .		X

Part IV

Arbitrage

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

Schedule K (Form 990) 2014

Page 3

Part IV

Arbitrage (Continued)

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

Part V

Procedures To Undertake Corrective Action

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

Part VI

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

Return Reference	Explanation

Schedule K (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ 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

2014

Open to Public
Inspection

Name of the organization

MONONGAHELA VALLEY HOSPITAL INC

Employer identification number

23-7218917

Return Reference	Explanation
FORM 990, PART VI, SECTION B, LINE 11	FORM 990 IS REVIEWED BY THE PRESIDENT/CEO AND THE SENIOR VICE PRESIDENT/TREASURER. IT IS PROVIDED TO THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES FOR REVIEW PRIOR TO FILING. THE FULL BOARD IS INFORMED OF THE FINANCE COMMITTEE'S FINDINGS AND A COPY IS MADE AVAILABLE FOR REVIEW.
FORM 990, PART VI, SECTION B, LINE 12C	MANDATORY DISCLOSURE STATEMENT COMPLETED BY ALL TRUSTEES, OFFICERS, KEY EMPLOYEES AND MANAGERS AND REVIEWED ANNUALLY. POSSIBLE CONFLICTS ARE INVESTIGATED. SENIOR MANAGEMENT MAINTAINS VIGILANCE FOR OTHER POSSIBLE CONFLICTS THAT MAY ARISE DURING THE YEAR.
FORM 990, PART VI, SECTION B, LINE 15	THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS DATA FROM OTHER COMPARABLE FACILITIES AND OUTSIDE ORGANIZATIONS TO DETERMINE THE COMPENSATION LEVELS OF THE HOSPITAL EXECUTIVES. ALL MEMBERS OF THIS COMMITTEE ARE FROM THE BOARD OF TRUSTEES AND HAVE NO RELATIONSHIP (BUSINESS OR PERSONAL) TO THE EXECUTIVES REVIEWED.
FORM 990, PART VI, SECTION C, LINE 18	MONONGAHELA VALLEY HOSPITAL MAKES ITS FORMS 990 AND 990-T AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19	MONONGAHELA VALLEY HOSPITAL MAKES OUR GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY AVAILABLE UPON REQUEST. THE HEALTH SYSTEM'S ANNUAL REPORT IS PUBLISHED EACH YEAR IN DECEMBER. BONDHOLDERS MAY ACCESS OUR FINANCIAL DATA THROUGH THE EMMA DISSEMINATION SITE.
FORM 990, PART XI, LINE 9:	TEMPORARILY RESTRICTED GRANTS AND DONATIONS 794,566. TEMPORARILY RESTRICTED NET ASSETS RELEASED FROM RESTRICTIONS -1,099,518. PROPERTY PLANT & EQUIPMENT PURCHASED WITH GRANTS AND DONATIONS 674,283. CHANGE IN NET FUNDED PENSION -7,952,808. CHANGE IN NET SWAP LIABILITY 93,583. TRANSFER TO PARENT -5,467,000.
FORM 990, PART XI, LINE 2C	MONONGAHELA VALLEY HOSPITAL HAS A FINANCE COMMITTEE COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES THAT OVERSEES THE AUDIT, FINANCIAL STATEMENTS, AND SELECTION OF THE INDEPENDENT ACCOUNTANTS.
FORM 990, PART VI, LINE 16B	WHEN THE ORGANIZATION CONTEMPLATES ENTERING INTO A JOINT VENTURE WITH FOR PROFIT ORGANIZATIONS, IT ENGAGES LEGAL COUNSEL AND TAX COUNSEL TO ENSURE THAT THE TAX EXEMPT STATUS OF THE ORGANIZATION IS SAFEGUARDED.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 6I	ACCORDING TO THE NATIONAL DIABETES INFORMATION CLEARINGHOUSE, PEOPLE WHO HAVE DIABETES ARE AT LEAST TWICE AS LIKELY TO HAVE HEART DISEASE AS SOMEONE WHO DOES NOT HAVE DIABETES. MONONGAHELA VALLEY HOSPITAL OFFERS A DIABETES SUPPORT GROUP THAT IS FREE FOR PEOPLE WITH DIABETES, THEIR FAMILIES AND CAREGIVERS. SEMI-ANNUAL MULTIPHASIC BLOOD SCREENINGS ARE HELD AT MONONGAHELA VALLEY HOSPITAL. ON EACH BLOOD SAMPLE, 37 INDIVIDUAL TESTS ARE PERFORMED THAT CAN REVEAL SUCH DISEASES AND CHRONIC CONDITIONS AS DIABETES, HIGH CHOLESTEROL, ETC. THE SCREENINGS WERE HELD AT MVH ON MARCH 28 AND SEPT. 26, 2015. MORE THAN 1,100 PEOPLE PARTICIPATED IN BOTH SCREENINGS. IN AN EFFORT TO LEAD BY EXAMPLE, MVH STAFF PARTICIPATED IN THE WASHINGTON COUNTY & MON VALLEY HEART WALK ON SEPT. 12, 2015. THE EVENT WAS HELD AT CONSOL ENERGY PARK, IN WASHINGTON, PA. THE HOSPITAL SPONSORS MONTHLY INNOVATIONS IN MEDICINE AND TALK WITH A DOC PROGRAMS TO ADDRESS TIMELY TOPICS WITH RESIDENTS OF THE COMMUNITIES IN ITS SERVICE AREA. PHYSICIANS AND HEALTH CARE PROVIDERS AFFILIATED WITH THE HOSPITAL SERVE AS PRESENTERS. IN 2015, KEN FURLONG, RN, PRESENTED "HEART HEALTH" IN THE ANTHONY M. LOMBARDI EDUCATION CONFERENCE CENTER. DIABETES DEATHS AND DIABETES PREVALENCE IN 2001, THE CENTER FOR DIABETES & ENDOCRINOLOGY OPENED AT MONONGAHELA VALLEY HOSPITAL TO PROVIDE OUTPATIENT SELF-MANAGEMENT EDUCATION AS WELL AS INPATIENT METABOLIC MANAGEMENT SERVICES. THE CENTER OFFERS COMMITTED CERTIFIED DIABETES EDUCATORS, PHYSICIANS, NURSES, DIETITIANS AND PROFESSIONAL STAFF WHO WILL WORK WITH PATIENTS TO BETTER UNDERSTAND AND MANAGE DIABETES. THE STAFF ALSO COORDINATES DIABETES EDUCATION AND CARE WITH ALL OTHER MONONGAHELA VALLEY HOSPITAL SERVICES SUCH AS CLINICAL NUTRITION, HUMAN SERVICES, CENTER FOR WOUND MANAGEMENT, EMERGENCY SERVICES AND SAME DAY SURGERY. MONONGAHELA VALLEY HOSPITAL WAS ONLY THE SECOND HOSPITAL IN PENNSYLVANIA AND ONLY THE 21ST IN THE NATION TO ACHIEVE THE JOINT COMMISSION CERTIFICATION FOR INPATIENT DIABETES MANAGEMENT. THE JOINT COMMISSION'S CERTIFICATE OF DISTINCTION FOR INPATIENT DIABETES CARE RECOGNIZES HOSPITALS THAT MAKE EXCEPTIONAL EFFORTS TO FOSTER BETTER OUTCOMES ACROSS ALL INPATIENT SETTINGS. THE JOINT COMMISSION AND THE AMERICAN DIABETES ASSOCIATION HAVE IDENTIFIED THAT THE MOST SUCCESSFUL INPATIENT DIABETES PROGRAMS POSSESS THE FOLLOWING CRITICAL ATTRIBUTES: - SPECIFIC STAFF EDUCATION REQUIREMENTS - WRITTEN BLOOD GLUCOSE MONITORING PROTOCOLS - PLANS FOR THE TREATMENT OF HYPOGLYCEMIA AND HYPERGLYCEMIA - DATA COLLECTION OF INCIDENCES OF HYPOGLYCEMIA - PATIENT EDUCATION ON SELF-MANAGEMENT OF DIABETES - AN IDENTIFIED PROGRAM CHAMPION OR PROGRAM CHAMPION TEAM MONONGAHELA VALLEY HOSPITAL RECEIVED RECERTIFICATION BY THE JOINT COMMISSION WITH ITS RESPECTED GOLD SEAL OF APPROVAL FOR ITS ADVANCED INPATIENT DIABETES MANAGEMENT PROGRAM. TO ACHIEVE RECERTIFICATION, MVH DEMONSTRATED COMPLIANCE WITH THE JOINT COMMISSION'S NATIONAL STANDARDS FOR HEALTH CARE QUALITY AND SAFETY IN DISEASE-SPECIFIC CARE. THE RECERTIFICATION AWARD RECOGNIZES MVH'S DEDICATION TO CONTINUOUS COMPLIANCE WITH THE JOINT COMMISSION'S STATE-OF-THE-ART STANDARDS. THE CENTER FOR DIABETES & ENDOCRINOLOGY'S INPATIENT PROGRAM FOCUSES ON IDENTIFYING THOSE PATIENTS WHO HAVE DIABETES, BOTH DIAGNOSED AND UNDIAGNOSED, AND WORKING WITH THEIR PHYSICIANS TO MANAGE THEIR BLOOD GLUCOSE THROUGH MEDICAL AND NUTRITIONAL INTERVENTIONS. BASIC DIABETES SELF-MANAGEMENT EDUCATIONAL NEEDS ARE PROVIDED THROUGH THE INPATIENT PROGRAM. PATIENTS ARE DIRECTED TO THE OUTPATIENT PROGRAM FOR MORE IN-DEPTH EDUCATION ON DIABETES SELF-MANAGEMENT. THE AMERICAN DIABETES ASSOCIATION RECOGNIZES MONONGAHELA VALLEY HOSPITAL'S OUTPATIENT DIABETES EDUCATION PROGRAM AS MEETING THE NATIONAL STANDARDS FOR DIABETES SELF-MANAGEMENT EDUCATION AND HAS SINCE 1999. THE OUTPATIENT PROGRAM OFFERS A WIDE RANGE OF CLASSES DESIGNED TO HELP INDIVIDUALS SELF-MANAGE THEIR DIABETES. A BASIC SERIES, CONSISTING OF THE CORE CONTENT AREAS DESIGNATED BY THE AMERICAN DIABETES ASSOCIATION, IS OFFERED IN THREE SESSIONS. ADVANCED EDUCATION MODULES ARE ALSO AVAILABLE AS WELL AS A GESTATIONAL DIABETES PROGRAM. THE OUTPATIENT EDUCATION PROGRAMS WORK TO CREATE A CARE PLAN SPECIFICALLY TAILORED TO INDIVIDUAL NEEDS AND INCLUDES GROUP DIABETES EDUCATION CLASSES AND INDIVIDUAL COUNSELING ON A WIDE VARIETY OF TOPICS - BLOOD SUGAR MONITORING, INSULIN AND ORAL MEDICATION SELF-MANAGEMENT SKILLS, NUTRITION COUNSELING AND MEAL PLANNING, EXERCISE AND STRESS MANAGEMENT. MONONGAHELA VALLEY HOSPITAL OFFERS A DIABETES SUPPORT GROUP THAT IS FREE FOR PEOPLE WITH DIABETES, THEIR FAMILIES AND CAREGIVERS. CLINICAL DIETITIANS FROM MONONGAHELA VALLEY HOSPITAL AS WELL AS THE COMMUNITY HEALTH EDUCATION NURSE PROVIDE FREE HEALTHY EATING AND SHOPPING SEMINARS AT THE HOSPITAL AND COMMUNITY CENTERS AS WELL AS AT LOCAL GROCERY STORES TO EDUCATE LOCAL RESIDENTS ABOUT HEALTHY EATING. DURING THE FISCAL YEAR, HEALTHY EATING/SUPERMARKET TOURS WERE OFFERED: FEB. 17 -- HEART-HEALTHY EATING -- FISHER HEIGHTS GIANT EAGLE MARCH 10 -- HOW TO READ A FOOD LABEL -- FINLEYVILLE GIANT EAGLE MAY 12 -- RECIPE MODIFICATION -- ROSTRAVER SHOP 'N SAVE JUNE 9 -- HOW TO READ A FOOD LABEL -- FISHER HEIGHTS GIANT EAGLE AUG. 25 -- HEART-HEALTHY EATING -- FINLEYVILLE GIANT EAGLE SEPT. 15 -- DIABETES SUPPORT GROUP -- FISHER HEIGHTS GIANT EAGLE NOV. 3 -- HOLIDAY MEAL PLANNING -- ROSTRAVER SHOP 'N SAVE THROUGHOUT 2015, THE COMMUNITY HEALTH EDUCATOR PRESENTED PROGRAMS TO COMMUNITY GROUPS ADDRESSING DIABETES. PROGRAMS WERE PRESENTED: FEBRUARY 26 TO WESTGATE MANOR RESIDENTS IN MONESSEN APRIL 27 TO THE BENTLEYVILLE LIONESS GROUP JULY 21 TO THE RETIRED STEELWORKERS GROUP IN ALLENPORT SEPTEMBER 19 TO CHARLEROI DAY OF HOPE SEPTEMBER 24 DURING THE WASHINGTON COUNTY WELLNESS FAIR IN ADDITION, MONONGAHELA VALLEY HOSPITAL OFFERS DIABETES EDUCATION COURSES INCLUDING: "DIABETES SELF-MANAGEMENT TRAINING," A THREE-DAY, TWO-HOUR-PER-DAY EDUCATION SERIES THAT FOCUSES ON DIABETES SELF-MANAGEMENT AND CARE. THIS CLASS IS OFFERED MONTHLY. "UNDERSTANDING YOUR MEAL PLAN," A COURSE THAT BUILDS ON THE EDUCATION RECEIVED IN THE MANAGING YOUR DIABETES PROGRAM. PARTICIPANTS LEARN MORE ABOUT FOOD CHOICES, DINING OUT AND HOW EATING HABITS AFFECT BLOOD GLUCOSE CONTROL. "UNDERSTANDING YOUR BLOOD SUGAR READINGS" HELPS PARTICIPANTS LEARN HOW TO MAKE SENSE OF ALL THOSE BLOOD SUGAR READINGS THEY DOCUMENT. PARTICIPANTS UNDERSTAND HOW DIET, MEDICATIONS, ILLNESS, AND STRESS AFFECT BLOOD SUGARS. "UNDERSTANDING YOUR DIABETES MEDICATIONS" GIVES PEOPLE A BETTER UNDERSTANDING OF HOW DIABETES MEDICATIONS WORK AND THEY LEARN THE EFFECTS OF DIABETES MEDICATIONS ON BLOOD SUGAR READINGS. "ADVANCED CARBOHYDRATE COUNTING" IS ANOTHER DIABETES SELF-MANAGEMENT CLASS THAT FOCUSES ON CARB COUNTING WITH EVERYTHING PEOPLE WITH DIABETES NEED TO KNOW. TOPICS RANGE FROM HOW TO MEASURE THE UPWARD DRIVE EACH MEAL HAS ON BLOOD SUGAR TO INFORMATION ON THE GLYCEMIC INDEX. THE HOSPITAL'S WEBSITE, MONVALLEYHOSPITAL.COM, INCLUDES A LINK TO A HEALTH LIBRARY. AMONG THE TOPICS ARE DIABETES, DIABETES EYE CARE, DIABETES FOOT ULCERS, DIABETES KEEPING ACTIVE, DIABETES LOW BLOOD SUGAR, DIABETES NEUROPATHY, DIABETES PREVENTING HEART ATTACK AND STROKE, DIABETES WHAT TO ASK YOUR DOCTOR, AND MANY MORE. STROKE DEATHS A STROKE, SOMETIMES CALLED A BRAIN ATTACK, OCCURS WHEN A BLOCKAGE STOPS THE FLOW OF BLOOD TO THE BRAIN OR WHEN A BLOOD VESSEL IN OR AROUND THE BRAIN BURSTS. ALTHOUGH MANY PEOPLE THINK OF STROKE AS A CONDITION THAT AFFECTS ONLY OLDER ADULTS, STROKES CAN AND DO OCCUR IN PEOPLE OF ALL AGES. IN FACT, NEARLY A QUARTER OF ALL STROKES OCCUR IN PEOPLE YOUNGER THAN AGE 65. EACH YEAR, ALMOST 800,000 STROKES OCCUR IN THE UNITED STATES. STROKES OFTEN LEAD TO SERIOUS, LIFE-CHANGING COMPLICATIONS THAT INCLUDE: - PARALYSIS OR WEAKNESS ON ONE SIDE OF THE BODY - PROBLEMS WITH THINKING, AWARENESS, ATTENTION, LEARNING, JUDGMENT, AND MEMORY - PROBLEMS UNDERSTANDING OR FORMING SPEECH - DIFFICULTY CONTROLLING OR EXPRESSING EMOTIONS - NUMBNESS OR STRANGE SENSATIONS - PAIN IN THE HANDS AND FEET - DEPRESSION WHEN A PERSON IS EXPERIENCING A STROKE, FAST AND ACCURATE INTERVENTION IS NECESSARY TO PRESERVE BRAIN FUNCTION AND PREVENT DEATH. HEALTH CARE PROFESSIONALS REPEATEDLY SAY, "TIME EQUALS BRAIN."
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 6I CONTINUED	ACCORDING TO DATA COLLECTED BY THE AMERICAN HEART ASSOCIATION, THE BEST CARE IS DELIVERED WHEN A STROKE-TRAINED NEUROLOGIST IS AVAILABLE AT THE PATIENT'S BEDSIDE OR VIA TELEMEDICINE. MONONGAHELA VALLEY HOSPITAL OFFERS A STROKE TELEMEDICINE PROGRAM THAT GIVES PATIENTS ACCESS TO HIGHLY SKILLED STROKE EXPERTS AT THE UNIVERSITY OF PITTSBURGH MEDICAL CENTER (UPMC) WITHOUT LEAVING THE MONONGAHELA VALLEY. A TEAM OF STROKE-TRAINED NEUROLOGISTS FROM UPMC ARE AVAILABLE AROUND THE CLOCK FOR TELEMEDICINE CONSULTATIONS. A SECURE VIDEO MONITORING SYSTEM PROVIDES A REAL-TIME CONNECTION BETWEEN MONONGAHELA VALLEY HOSPITAL'S EMERGENCY DEPARTMENT STAFF AND UPMC'S NEUROLOGISTS AND ENDOVASCULAR NEUROSURGEONS. THE HOSPITAL ALSO OFFERS TWO, 64-SLICE CT SCANNERS WHICH CAN CAPTURE IMAGES OF A BEATING HEART IN FIVE HEARTBEATS AND CAN PERFORM A WHOLE BODY TRAUMA SCAN IN TEN SECONDS. THIS DIAGNOSTIC POWER ENABLES THE PERFORMANCE OF CT ANGIOGRAPHY, AS WELL AS RAPID TESTS FOR ER STROKE AND CHEST PAIN. IN 2015, MVH RECEIVED THE WOMEN'S CHOICE AWARD AS ONE OF AMERICA'S BEST STROKE CENTERS. MONONGAHELA VALLEY HOSPITAL EARNED THE AMERICAN HEART ASSOCIATION'S GET WITH THE GUIDELINES STROKE GOLD-PLUS QUALITY ACHIEVEMENT AWARD FOR IMPLEMENTING SPECIFIC QUALITY IMPROVEMENT MEASURES OUTLINED BY THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION FOR THE TREATMENT OF STROKE PATIENTS. THE GOLD-PLUS AWARD IS THE AHA/ASA'S HIGHEST LEVEL OF STROKE CARE PROFICIENCY. MVH EARNED THE AWARD BY MEETING SPECIFIC QUALITY ACHIEVEMENT MEASURES FOR THE DIAGNOSIS AND TREATMENT OF STROKE PATIENTS AT A SET LEVEL FOR A DESIGNATED PERIOD. THESE MEASURES INCLUDE AGGRESSIVE USE OF MEDICATIONS AND RISK-REDUCTION THERAPIES AIMED AT REDUCING DEATH AND DISABILITY AND IMPROVING THE LIVES OF STROKE PATIENTS. MVH ALSO RECEIVED THE ASSOCIATION'S TARGET: STROKE HONOR ROLL FOR MEETING STROKE QUALITY MEASURES THAT REDUCE THE TIME BETWEEN HOSPITAL ARRIVAL AND TREATMENT WITH THE CLOT-BUSTER TPA, THE ONLY DRUG APPROVED BY THE U.S. FOOD AND DRUG ADMINISTRATION TO TREAT ISCHEMIC STROKE. PEOPLE WHO SUFFER A STROKE WHO RECEIVE THE DRUG WITHIN THREE HOURS OF THE ONSET OF SYMPTOMS MAY RECOVER QUICKER AND ARE LESS LIKELY TO SUFFER SEVERE DISABILITY. THE HOSPITAL ALSO EARNED THE JOINT COMMISSION'S DISEASE SPECIFIC CERTIFICATION FOR PRIMARY STROKE CARE CENTER. ACHIEVEMENT OF PRIMARY STROKE CENTER DEMONSTRATES THAT MVH'S STROKE PROGRAM MEETS CRITICAL ELEMENTS OF PERFORMANCE TO ACHIEVE LONG-TERM SUCCESS IN IMPROVING OUTCOMES FOR STROKE PATIENTS. MONONGAHELA VALLEY HOSPITAL OFFERS A STROKE SUPPORT GROUP FOR PATIENTS AND CAREGIVERS TO SHARE, LEARN AND GROW WITH PEOPLE WHO CAN PERSONALLY RELATE TO THE CHALLENGES AND STRUGGLES THEY FACE ON A DAILY BASIS DEALING WITH STROKE AND THE AFTER EFFECTS. THIS GROUP MEETS THE LAST THURSDAY OF EACH MONTH. PROGRAMS WERE PRESENTED TO COMMUNITY GROUPS RELATED TO STROKES WITH A MINI HEALTH FAIR HELD AT THE CREST AVENUE APARTMENTS IN CHARLEROI FOR RESIDENTS. SCREENINGS SUCH AS THE MULTIPHASIC AND THE BLOOD PRESSURE HELP MEMBERS OF THE COMMUNITY LEARN IF THEY ARE AT RISK FOR STROKES. THE ONLINE HEALTH LIBRARY AT MONVALLEYHOSPITAL.COM INCLUDES MANY STROKE RELATED TOPICS SUCH AS STROKE, STROKE-RISK FACTORS, STROKE RECOVERY, STROKE PREVENTION AND MANY THAT INDIRECTLY IMPACT THE LIKELIHOOD OF STROKES SUCH AS THOSE RELATED TO HYPERTENSION. COPD DEATHS ACCORDING TO THE COPD FOUNDATION, CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) IS DEFINED AS AN UMBRELLA TERM TO DESCRIBE PROGRESSIVE LUNG DISEASES INCLUDING EMPHYSEMA, CHRONIC BRONCHITIS, REFRACTORY (NON-REVERSIBLE) ASTHMA, AND SOME FORMS OF BRONCHIECTASIS. THIS DISEASE IS CHARACTERIZED BY INCREASING BREATHLESSNESS. COPD AFFECTS AN ESTIMATED 24 MILLION INDIVIDUALS IN THE UNITED STATES, AND MORE THAN HALF OF THEM HAVE SYMPTOMS OF COPD AND DO NOT KNOW IT. EARLY SCREENING CAN IDENTIFY COPD BEFORE MAJOR LOSS OF LUNG FUNCTION OCCURS. IN 2012, MONONGAHELA VALLEY HOSPITAL ESTABLISHED THE PRIMARY CARE RESOURCE CENTER (PCRC) IN CONJUNCTION WITH THE PITTSBURGH REGIONAL HEALTH INITIATIVE TO HELP PATIENTS WITH CHRONIC HEALTH PROBLEMS AND THEIR FAMILIES TO UNDERSTAND AND COORDINATE THE CARE THAT THEIR PRIMARY CARE DOCTOR HAS PRESCRIBED FOR THEM. THE PRIMARY OBJECTIVES ARE TO: - PROVIDE PATIENTS ESPECIALLY WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), HEART FAILURE (CHF) OR ANY TYPE OF CORONARY ARTERY DISEASE WITH EDUCATION TO ENHANCE THE SELF-MANAGEMENT OF THEIR DISEASES - HELP INCREASE PATIENTS' QUALITY OF LIFE - IMPROVE PATIENTS' COMPLIANCE WITH THE TREATMENT PLANS FROM THEIR PHYSICIANS - DECREASE PREVENTABLE READMISSIONS A TEAM OF NURSE CARE MANAGERS AND A CLINICAL PHARMACIST CAN HELP WITH: - LEARNING MORE ABOUT THE DOCTOR'S DIAGNOSIS, ESPECIALLY COPD, CHF OR ANY TYPE OF CORONARY ARTERY DISEASE - UNDERSTANDING MEDICATIONS - ARRANGING FOLLOW-UP CARE - RESPIRATORY INHALER TRAINING AND BETTER BREATHING EDUCATION - "SURVIVAL SKILLS" TRAINING FOR DIABETES, NUTRITION, ETC. THE PCRC TEAM SEES ANY AND ALL PATIENTS FROM MONONGAHELA VALLEY HOSPITAL AND MVH-AFFILIATED PHYSICIANS AT NO CHARGE TO THE PATIENT OR THE PHYSICIAN PRACTICE REGARDLESS OF THE TYPE OF INSURANCE - AND EVEN IF THE PATIENT DOES NOT HAVE INSURANCE. THE PCRC TEAM CONSISTS OF NURSE CARE MANAGERS AND A CLINICAL PHARMACIST. IN 2015, MVH RECEIVED HEALTHGRADES' FIVE STAR AWARD FOR COPD TREATMENT. THE HOSPITAL ALSO RECEIVED THE JOINT COMMISSION'S ADVANCED DISEASE-SPECIFIC CERTIFICATION IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE. THE PCRC SPONSORS SMOKING CESSATION CLASSES. DURING THE FISCAL YEAR, THE CLASSES WERE HELD: FEBRUARY 3, 10, 17, 24 MAY 5, 12, 19, 26 AUGUST 4, 11, 18, 25 NOVEMBER 3, 10, 17, 24 A BETTER BREATHERS CLUB FOR ADULTS WITH BREATHING ISSUES FOR ANY REASON IS UNDER THE DIRECTION OF THE PCRC AND MEETS MONTHLY. THE CLUB IS FREE AND OPEN TO ALL ADULTS AND THEIR FRIENDS, FAMILY OR CAREGIVERS WHO WANT TO LEARN OR SHARE INFORMATION ABOUT LIVING WELL WITH BREATHING ISSUES. THE GROUP MEETS THE SECOND TUESDAY OF EACH MONTH. BREAST CANCER DEATHS AND LATE STAGE BREAST CANCER ON JUNE 30, 1985, WHEN THE CHARLES L. AND ROSE SWEENEY MELENYZER PAVILION AND REGIONAL CANCER CENTER OPENED, IT WAS THE FIRST FACILITY IN WASHINGTON, FAYETTE AND GREENE COUNTIES TO OFFER RADIATION THERAPY TO PATIENTS. FOR THE FIRST TIME IN THE HISTORY OF THESE THREE COUNTIES, CANCER PATIENTS NO LONGER HAD TO LEAVE THE AREA FOR TREATMENT. IN 2003, MONONGAHELA VALLEY HOSPITAL TOOK CANCER CARE TO NEW HEIGHTS WITH THE ADDITION OF TWO FLOORS ON THE ORIGINAL BUILDING. TODAY, THE REGIONAL CANCER CENTER OFFERS CHEMOTHERAPY AND RADIATION THERAPY IN A PATIENT-CENTERED CARE ENVIRONMENT WITH MEDICALLY ADVANCED TECHNOLOGY. THE STAFF IS COMPOSED OF HIGHLY SKILLED CANCER CARE PROFESSIONALS WHO ARE TRAINED AND CERTIFIED IN CHEMOTHERAPY AND RADIATION THERAPY. THE MON-VALE ONCOLOGY UNIT AT MONONGAHELA VALLEY HOSPITAL IS LOCATED ON THE SECOND FLOOR OF THE CHARLES L. AND ROSE SWEENEY MELENYZER PAVILION AND REGIONAL CANCER CENTER. THIS AMERICAN COLLEGE OF SURGEONS' COMMISSION ON CANCER-APPROVED CANCER FACILITY PROVIDES A SITE FOR COORDINATING THE MANY OUTPATIENT ACTIVITIES REQUIRED FOR OPTIMAL CARE OF THE PATIENT. MON-VALE ONCOLOGY SERVES PRIMARILY ADULT AND GERIATRIC PATIENTS. APPROXIMATELY 80 PERCENT OF PATIENTS HAVE A CANCER-RELATED DIAGNOSIS WITH 65 PERCENT BEING HIGH-RISK PATIENTS RECEIVING AN INDIVIDUALIZED FORM OF TREATMENT AND 20 TO 15 PERCENT ARE FOLLOW-UP PATIENTS IN REMISSION. THE RADIATION ONCOLOGY DEPARTMENT SERVICES INPATIENTS, OUTPATIENTS AND EMERGENCY DEPARTMENT PATIENTS. RADIATION THERAPY IS WHOLLY THERAPEUTIC. TREATMENTS ARE CUSTOMIZED FOR EACH PATIENT IN ORDER TO CALCULATE THE CORRECT DOSE OF RADIATION AND TARGET THE TUMOR SITE TO DESTROY OR RETARD CELL GROWTH. EMPHASIS IS PLACED ON MINIMIZING THE SIDE EFFECTS TO SURROUNDING TISSUES AND STRUCTURES THAT DO NOT NEED IRRADIATED, WHILE MAXIMIZING THE RADIATION DOSE TO THE PRESCRIBED TUMOR SITE. THE TREATMENT PLANNING PHASE IS PERFORMED BY THE MEDICAL PHYSICIST AND DOSIMETRIST. THEY USE STATE-OF-THE-ART TECHNOLOGY, INCLUDING A 3-D TREATMENT PLANNING SYSTEM, IN CALCULATING THE DAILY DOSE THAT WILL BE USED TO ACCURATELY DELIVER THE PATIENT'S TREATMENT. MANY FACTORS ARE TAKEN INTO CONSIDERATION DURING THIS PROCESS, INCLUDING THE PATIENT'S ANATOMY AND EXTENT OF DISEASE. THE RADIATION THERAPISTS THEN USE ALL OF THIS INFORMATION TO SET UP THE PATIENT, AND TO PROGRAM THE LINEAR ACCELERATOR TO DELIVER THE PRESCRIBED DAILY RADIATION TREATMENT. THIS IS ACHIEVED THROUGH COMPUTER TECHNOLOGY THAT AUTOMATICALLY DOWNLOADS THE TREATMENT INFORMATION AND CUSTOMIZES THE SHAPE OF THE BEAM TO BLOCK OUT AREAS THAT DO NOT NEED TO BE TREATED.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 6I CONTINUED	THE RADIATION ONCOLOGY DEPARTMENT OFFERS THE LATEST ADVANCEMENT IN CANCER THERAPIES USING EXTERNAL BEAM RADIATION THERAPY (EBRT), HIGH-DOSE (HDR) AND LOW-DOSE (LDR) BRACHYTHERAPY TO TARGET CANCER CELLS, WHILE ALSO SPARING HEALTHY TISSUES AND ORGANS. EXTERNAL BEAM RADIATION THERAPY USES THE LINEAR ACCELERATOR TO DELIVER HIGH DOSES OF RADIATION IN INNOVATIVE THERAPIES SUCH AS STEREOTACTIC RADIOSURGERY, STEREOTACTIC BODY RADIATION THERAPY, INTENSITY MODULATED RADIATION THERAPY AND IMAGE GUIDED RADIATION THERAPY. HDR BRACHYTHERAPY IS A TYPE OF INTERNAL RADIATION THERAPY THAT DELIVERS HIGH DOSES OF RADIATION FROM IMPLANTS PLACED CLOSE TO, OR INSIDE, THE TUMOR(S) IN THE BODY. BRACHYTHERAPY OFFERS A QUICKER, MORE EFFECTIVE WAY TO GIVE RADIATION TREATMENT FOR SOME PATIENTS. ACCORDING TO THE AMERICAN CANCER SOCIETY, IN TERMS OF BREAST CANCER, EARLY DETECTION IS ONE OF THE BEST WAYS TO SAVE LIVES. MONONGAHELA VALLEY HOSPITAL HAS BEEN DESIGNATED A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR). MVH IS THE ONLY HOSPITAL IN WASHINGTON COUNTY TO EARN THIS DESIGNATION. BY AWARDING FACILITIES THE STATUS OF A BREAST IMAGING CENTER OF EXCELLENCE, THE ACR RECOGNIZES BREAST IMAGING CENTERS THAT HAVE EARNED ACCREDITATION IN MAMMOGRAPHY, STEREOTACTIC BREAST BIOPSY AND BREAST ULTRASOUND (INCLUDING ULTRASOUND-GUIDED BREAST BIOPSY). PEER-REVIEW EVALUATIONS CONDUCTED IN EACH BREAST IMAGING MODALITY BY BOARD-CERTIFIED PHYSICIANS AND MEDICAL PHYSICISTS WHO ARE EXPERTS IN THE FIELD DETERMINED THAT MVH HAS ACHIEVED HIGH PRACTICE STANDARDS IN IMAGE QUALITY, PERSONNEL QUALIFICATIONS, FACILITY EQUIPMENT, QUALITY CONTROL PROCEDURES AND QUALITY ASSURANCE PROGRAMS. THE BREAST IMAGING CENTER OF EXCELLENCE DESIGNATION INDICATES THAT MONONGAHELA VALLEY HOSPITAL'S PATIENTS RECEIVE THE SAME HIGH LEVEL OF DIAGNOSTIC IMAGING SERVICES AS PEOPLE WHO GO TO SOME OF THE COUNTRY'S MOST RENOWNED HEALTH CENTER. IN ADDITION, MVH OFFERS A CONTINUUM OF CARE FROM IMAGING AND DIAGNOSIS THROUGH THE LATEST ADVANCEMENTS IN THERAPIES. MONONGAHELA VALLEY HOSPITAL'S MAMMOGRAPHY DEPARTMENT PASSED THE MAMMOGRAPHY QUALITY STANDARDS ACT (MQSA) INSPECTION. THE MQSA REQUIRES MAMMOGRAPHY FACILITIES ACROSS THE NATION TO MEET UNIFORM QUALITY STANDARDS TO ASSURE EARLY BREAST CANCER DETECTION. MONONGAHELA VALLEY HOSPITAL SPONSORS TWO ANNUAL EVENTS TO EDUCATE AND SCREEN WOMAN FOR BREAST CANCER. EACH OCTOBER, THE HOSPITAL HOSTS A FREE BREAST SCREENING AND EDUCATION EVENT. NATALIE FURGIUELE-IRACKI, M.D., WHO IS A BREAST SURGEON, ADDRESSES THE AUDIENCE. FOLLOWING THE OPTIONAL PHYSICAL BREAST EXAMS BY MEMBERS OF THE HOSPITAL'S MEDICAL STAFF, A MAMMOGRAM WILL BE SCHEDULED FOR ANY WOMAN WHO HAS AN ABNORMAL FINDING DURING THE SCREENING. ROUTINE YEARLY MAMMOGRAMS MAY ALSO BE SCHEDULED FOR WOMEN WHO HAVE A FAMILY HISTORY OF BREAST CANCER, WHO FALL INTO A HIGH-RISK CATEGORY, AND WHO HAVE NEVER HAD A BASELINE MAMMOGRAM OR WHO MEET THE RECOMMENDED AGE GUIDELINES. IN 2015, THE EVENT WAS HELD ON OCTOBER 28. THE SECOND EVENT, MAMM & GLAMM, IS HELD IN THE SPRING AT THE MON-VALE HEALTHPLEX FOR WOMEN WHO HAVE PRESCRIPTIONS FOR MAMMOGRAMS. PARTICIPANTS HAVE THE OPPORTUNITY TO HAVE THEIR SCREENINGS IN A RELAXING ATMOSPHERE AND THEN ENJOY FREE PAMPERING THAT INCLUDES MASSAGES, NAIL TREATMENTS AND MORE. THE 2015 EVENT WAS HELD ON APRIL 18. IN ADDITION, MONONGAHELA VALLEY HOSPITAL OFFERS A BREAST CANCER SUPPORT GROUP THAT IS FREE AND OPEN TO ALL BREAST CANCER PATIENTS AND THEIR FAMILIES. THE GROUP MEETS YEAR ROUND THE FIRST MONDAY OF EACH MONTH. ON JUNE 7, 2015 (NATIONAL CANCER SURVIVORS' DAY), MVH HOSTED A FREE PICNIC CELEBRATION FOR ALL CANCER SURVIVORS REGARDLESS OF WHERE THEY RECEIVED THEIR CANCER TREATMENT. MORE THAN 1,000 PEOPLE ATTENDED THIS FREE EVENT. THE HOSPITAL'S WEBSITE, WWW.MONVALLEYHOSPITAL.COM, PROVIDES EDUCATIONAL INFORMATION TO THE COMMUNITY RELATED TO BREAST CANCER. TOPICS INCLUDE: BREAST ABSCESS, BREAST BIOPSY - STEREOTACTIC, BREAST BIOPSY - ULTRASOUND, BREAST CANCER, BREAST CONSERVATION SURGERY, BREAST LUMP, BREAST LUMP REMOVAL, BREAST MASS, BREAST MRI SCAN, BREAST PET SCAN, BREAST POSITRON EMISSION TOMOGRAPHY, BREAST RADIATION, BREAST RECONSTRUCTION, BREAST REMOVAL, BREAST SELF-EXAM, BREAST SPARING SURGERY AND BREAST ULTRASOUND. COLORECTAL CANCER DEATHS AND INVASIVE COLORECTAL CANCER THE AMERICAN CANCER SOCIETY REPORTS THAT EXCLUDING SKIN CANCERS, COLORECTAL CANCER IS THE THIRD MOST COMMON CANCER DIAGNOSED IN MEN AND WOMEN IN THE UNITED STATES. ACCORDING TO THE CENTERS FOR DISEASE CONTROL AND PREVENTION, OF CANCERS AFFECTING BOTH MEN AND WOMEN, COLORECTAL CANCER IS THE SECOND LEADING CANCER KILLER IN THE UNITED STATES. EACH SPRING, MONONGAHELA VALLEY HOSPITAL CONDUCTS FREE COLORECTAL CANCER SCREENINGS. MEMBERS OF THE COMMUNITY RECEIVE KITS THAT THEY USE AND RETURN TO THE HOSPITAL FOR TESTING. THE 2015 EVENT WAS HELD APRIL 29, WITH 50 PEOPLE IN ATTENDANCE. ANDREW J. ZAHALSKY, M.D., MVH'S DIRECTOR OF MEDICAL ONCOLOGY, LED A DISCUSSION AND PROVIDED INFORMATION ON TREATMENTS FOR COLORECTAL CANCER. THE PARTICIPANTS WERE GIVEN A FREE TAKE-HOME COLORECTAL SCREENING KIT TO TEST FOR BLOOD IN THE STOOL. IN ADDITION, THE HOSPITAL'S WEBSITE, MONVALLEYHOSPITAL.COM, INCLUDES A HEALTH LIBRARY THAT OFFERS INFORMATION AND IMAGES RELATED TO COLON CANCER, COLORECTAL POLYPS, RECTAL ABSCESSES, RECTAL CANCER AND RECTAL LUMPS. LUNG CANCER DEATHS ACCORDING TO THE AMERICAN CANCER SOCIETY (ACS), LUNG CANCER, BOTH SMALL CELL AND NON-SMALL CELL, IS THE SECOND MOST COMMON CANCER IN BOTH MEN AND WOMEN (NOT COUNTING SKIN CANCER). THE ACS ESTIMATES THAT THERE WERE APPROXIMATELY 224,210 CASES OF LUNG CANCER IN THE UNITED STATES LAST YEAR AND AN ESTIMATED 159,260 DEATHS. LUNG CANCER ACCOUNTS FOR ABOUT 27 PERCENT OF ALL CANCER DEATHS AND IS BY FAR THE LEADING CAUSE OF CANCER DEATH AMONG BOTH MEN AND WOMEN. EACH YEAR, MORE PEOPLE DIE OF LUNG CANCER THAN OF COLON, BREAST, AND PROSTATE CANCERS COMBINED. LUNG CANCER MAINLY OCCURS IN OLDER PEOPLE. ABOUT TWO OUT OF THREE PEOPLE DIAGNOSED WITH LUNG CANCER ARE 65 OR OLDER; FEWER THAN 2 PERCENT OF ALL CASES ARE FOUND IN PEOPLE YOUNGER THAN 45. THE AVERAGE AGE AT THE TIME OF DIAGNOSIS IS ABOUT 70. OVERALL, THE CHANCE THAT A MAN WILL DEVELOP LUNG CANCER IN HIS LIFETIME IS ABOUT 1 IN 13; FOR A WOMAN, THE RISK IS ABOUT 1 IN 16. THESE NUMBERS INCLUDE BOTH SMOKERS AND NON-SMOKERS. FOR SMOKERS THE RISK IS MUCH HIGHER, WHILE FOR NON-SMOKERS THE RISK IS LOWER. MONONGAHELA VALLEY HOSPITAL IS POISED TO MAKE A SIGNIFICANT IMPACT ON THE REDUCTION OF LUNG CANCER DEATHS AS IDENTIFIED IN THE RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITAL HAS MANY HEALTH AND WELLNESS TOOLS AVAILABLE AS IT TACKLES THIS DISEASE RANGING FROM DIAGNOSIS TO TREATMENT. MOHSEN ISAAC, M.D., MEDICAL DIRECTOR OF RADIATION ONCOLOGY AT MVH, AND CLINICAL ASSISTANT PROFESSOR AT TEMPLE UNIVERSITY SCHOOL OF MEDICINE, IS ONE OF THE FEW PHYSICIANS WHO USES AN INNOVATIVE TECHNIQUE TO TREAT HIGH-RISK PATIENTS WITH EARLY STAGE, NON-SMALL CELL LUNG CANCER. DR. ISAAC HAS RECORDED PROVEN SUCCESS IMPLANTING LOW-DOSE RADIOACTIVE IODINE SEEDS PERMANENTLY INTO THE LUNGS OF PEOPLE WITH STAGE 1 LUNG CANCER. THE TREATMENT, WHICH IS PRIMARILY USED ON PATIENTS WITH LIMITED HEART/LUNG FUNCTION, REDUCES RECURRENCES. THIS NEW RADIATION THERAPY TECHNIQUE NOT ONLY ALLOWS LESS LOSS OF THE LUNG, BUT IN FACT, PRESERVES MORE LUNG FUNCTION WITH LESS BREATHING PROBLEMS. MONONGAHELA VALLEY HOSPITAL WAS THE FIRST AND ONLY HOSPITAL IN WESTERN PENNSYLVANIA TO OFFER RADIATION THERAPY TREATMENTS USING THE ELEKTA AGILITY THAT INCLUDES A MULTI-LEAF COLLIMATOR (MLC) DEVICE THAT PROVIDES PRECISE, HIGH-RESOLUTION BEAM SHAPING TO TARGET TUMORS. USE OF THE MLC DEVICE ENABLES MEDICAL PROFESSIONALS AT MVH TO ADMINISTER HIGHER DOSES OF RADIATION AT MULTIPLE SITES SIMULTANEOUSLY. IT DELIVERS RADIATION TO THE UNIQUE CONTOURS OF THE TUMOR WHILE REDUCING THE RISK OF EXPOSURE TO HEALTHY TISSUE. AN MLC IS A DEVICE COMPOSED OF MANY INDIVIDUAL TUNGSTEN "LEAVES" THAT SHAPE BEAMS OF THERAPEUTIC RADIATION THAT ARE DELIVERED FROM DIFFERENT ANGLES AROUND THE PATIENT. THE AGILITY IS EQUIPPED WITH 160 MLCS WHICH IS TWICE THE NUMBER OF LEAVES USED IN MOST TYPICAL TREATMENT CENTERS. IT ALSO INCLUDES ULTRA-FAST LEAF MOVEMENTS. THE HOSPITAL'S MLC INCLUDES TWICE THE NUMBER OF LEAVES AND IS TWICE AS FAST, IT REDUCES TREATMENT TIMES BY MORE THAN HALF. PATIENTS ARE NOT ONLY TREATED FASTER, BUT MORE IMPORTANTLY, THEY BENEFIT FROM THE MLC'S ENHANCED TARGETING CAPABILITIES WHICH IMPROVE TREATMENT OUTCOMES AND REDUCE ORGAN AT RISK POTENTIAL COMPLICATIONS. ADDITIONALLY, SHORTER TREATMENT TIMES RESULT IN INCREASED PATIENT COMFORT AND CONVENIENCE. IT ALSO ALLOWS FASTER AND SAFER STEREOTACTIC BODY RADIOSURGERY AND VOLUMETRIC ARC THERAPY (VMAT).
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 6I CONTINUED	AT MVH, SKILLED ONCOLOGISTS, SURGEONS, NURSES, RADIATION THERAPISTS, SOCIAL WORKERS, NUTRITIONISTS, PHARMACISTS AND CASE MANAGEMENT COORDINATORS HELP PATIENTS WIN THE BATTLE AGAINST LUNG CANCER USING ADVANCED TECHNOLOGY WITH A PERSONALIZED APPROACH. IN ADDITION TO THE IMAGE-GUIDED RADIATION THERAPY, MVH OFFERS: STEREOTACTIC RADIOSURGERY (SRS) - STEREOTACTIC RADIOSURGERY IS A NON-SURGICAL PROCEDURE THAT DELIVERS PRECISELY TARGETED RADIATION AT MUCH HIGHER DOSES IN A SINGLE OR FEW TREATMENTS. IT FOCUSES HIGH-POWERED X-RAYS ON A SMALL AREA, TARGETING THE ABNORMAL AREA. SRS CAN BEST BE DESCRIBED AS "SURGERY WITHOUT A KNIFE AND IT IS COMPARABLE TO GAMMA KNIFE THERAPY THAT IS USED FOR VARIOUS TYPES OF CANCERS. IT IS TYPICALLY USED FOR SMALL ISOLATED TUMORS AND IS USUALLY GIVEN IN MORE THAN ONE DOSE. HIGH-DOSE RATE RADIATION THERAPY - HIGH-DOSE RATE (HDR) RADIATION THERAPY IS A FORM OF BRACHYTHERAPY, OR INTERNAL RADIATION THERAPY, WHICH INVOLVES THE PLACEMENT OF A HIGH-ENERGY RADIATION SOURCE INSIDE THE BODY NEAR THE TUMOR FOR BRIEF PERIODS OF TIME. HDR RADIATION THERAPY, WHICH IS USUALLY PERFORMED AS A SHORT SERIES OF OUTPATIENT PROCEDURES, ALLOWS HIGHLY LOCALIZED DOSES OF RADIATION TO BE DELIVERED TO THE TUMOR QUICKLY. MVH'S HDR PROGRAM USES A RADIOACTIVE SOURCE THAT IS IMPLANTED INTO THE PATIENT'S BODY VIA CATHETERS TO TARGET THE CANCER SITE. HIGH-DOSE RADIATION THERAPY IS NOT RECOMMENDED FOR EVERY PATIENT; HOWEVER, IT IS ANOTHER TREATMENT OPTION FOR LUNG CANCER. VOLUMETRIC ARC THERAPY (VMAT) - VOLUMETRIC ARC THERAPY USES SINGLE OR MULTIPLE RADIATION BEAMS TO SWEEP IN UNINTERRUPTED ARCS AROUND THE PATIENT TO DRAMATICALLY SPEED THE TREATMENT DELIVERY AND REDUCE TREATMENT TIMES FROM THE 8 TO 12 MINUTES REQUIRED FOR "CONVENTIONAL" RADIATION THERAPY TO AS FEW AS TWO MINUTES. 4-D IMAGING - FOUR-DIMENSIONAL CT IMAGING IS ONE OF THE LATEST ADVANCES IN CANCER THERAPY. 4-D CT TAKES IMAGES THAT CAPTURE THE LOCATION OF THE TUMOR, ITS MOVEMENT, AND THE MOVEMENT OF THE BODY'S ORGANS TO ACCURATELY TREAT TUMORS LOCATED ON OR NEAR ORGANS THAT MOVE. THE SCAN ENABLES RADIATION ONCOLOGISTS TO DEVELOP MORE ACCURATE TREATMENTS FOR MOVING TUMORS, TO BETTER TARGET MOVING TUMORS, TO DELIVER RADIATION WITHIN A CERTAIN INTERVAL IN THE BREATHING CYCLE, AND TO REDUCE THE RISK OF TREATMENT SIDE EFFECTS. MVH IS AMONG THE FIRST HOSPITALS IN THE REGION TO USE THE SPIN THORACIC NAVIGATION SYSTEM IN THE DETECTION OF LUNG CANCER. THE SPIN THORACIC NAVIGATION SYSTEM IS THE ONLY SYSTEM IN THE WORLD THAT ALLOWS PHYSICIANS TO ACCURATELY ACCESS SMALL LUNG LESIONS VIA MULTIPLE APPROACHES. THIS ASSISTS PHYSICIANS IN DETECTING LUNG CANCER EARLIER AND WITHOUT THE NEED FOR INCISIONS OR MULTIPLE HOSPITAL VISITS FOR DIAGNOSTIC PROCEDURES. THE SCREENING BEGINS WITH A LOW-DOSE CT SCAN. IF THE SCAN REVEALS A SUSPICIOUS MARK OR A LESION, A CT IMAGE OF THE PATIENT'S AIRWAYS IS USED TO PLAN THE ROUTE TO THE ABNORMALITY. THE COMPUTERIZED THORACIC NAVIGATION SYSTEM IS THEN USED TO AUTOMATICALLY REGISTER THE PATIENT'S UNIQUE ANATOMY AND ADVANCE THE INSTRUMENT TOWARD THE MARK OR LESION IN THE LUNG. THE SYSTEM FUNCTIONS SIMILARLY TO A VEHICLE'S GPS SYSTEM BECAUSE IT PROVIDES A DETAILED ROUTE TO THE SITE OF THE LESION. ONCE THE INSTRUMENT REACHES THE SITE, THE PHYSICIAN TAKES BIOPSIES OF THE LESION WHILE THE INSTRUMENT IS IN PLACE. THE NAVIGATION AND BIOPSY PROCESS TAKES APPROXIMATELY 30 TO 45 MINUTES. MVH HOSTED ITS FIRST LUNG CANCER EDUCATION PROGRAM TO COINCIDE WITH NATIONAL LUNG CANCER AWARENESS MONTH ON NOV. 10. AS PART OF THE HOSPITAL'S MISSION OF ENHANCING THE HEALTH OF THE RESIDENTS OF THE MID MONONGAHELA VALLEY AREA, THERE IS A STRONG FOCUS ON PREVENTION AND EDUCATION. SMOKING CAUSES THE MAJORITY OF LUNG CANCERS - BOTH IN SMOKERS AND IN PEOPLE EXPOSED TO SECOND-HAND SMOKE. DURING 2015, THE HOSPITAL OFFERED THE SMOKING CESSATION CLASSES LISTED BELOW: FEBRUARY 3, 10, 17, 24 MAY 5, 12, 19, 26 AUGUST 4, 11, 18, 25 NOVEMBER 3, 10, 17, 24 IT'S NEVER TOO EARLY TO DISCOURAGE PEOPLE FROM SMOKING. THE HOSPITAL'S COMMUNITY HEALTH EDUCATOR PRESENTED A PROGRAM TO PRESCHOOLERS AT THE NEW ADVENTURES LEARNING CENTER ON APRIL 20 CALLED, "WHY ANIMALS DON'T SMOKE." THE PROGRAM ALSO WAS PRESENTED TO BETH-CENTER ELEMENTARY SCHOOL ON NOV. 16. ON JUNE 13, 2015, THE HOSPITAL PARTNERED WITH THE MONESSEN TOBACCO FREE COALITION FOR ITS ANNUAL HEALTH FAIR - "A WALK IN THE PARK," WHICH ENCOURAGES PEOPLE TO NOT SMOKE AND BE ACTIVE. A PROGRAM WAS PRESENTED ON SMOKING AND SECOND-HAND SMOKE TO THE SPHS FAMILY CENTER PARENTING CLASS ON OCT. 28. THE COMMUNITY HEALTH EDUCATOR ALSO WORKED WITH THE DEPARTMENT OF HEALTH TO EDUCATE PHYSICIANS' OFFICES ABOUT THE "FAX TO QUIT" PROGRAM THAT REFERS PATIENTS TO CESSATION COUNSELING. THE HOSPITAL PROVIDES A GENERAL CANCER SUPPORT GROUP WHICH IS FREE AND OPEN TO ALL CANCER PATIENTS AND THEIR FAMILIES. THE GROUP MEETS THE THIRD MONDAY OF EACH MONTH. THE WEBSITE, MONVALLEYHOSPITAL.COM OFFERS EDUCATIONAL INFORMATION AND VIDEOS THAT FOCUS ON LUNG CANCER, LUNG CANCER SMALL CELL, LUNG CANCER NON-SMALL CELL AND LUNG METASTASES. OBESITY, FRUITS AND VEGETABLE CONSUMPTION, RECOMMENDED ACTIVITY PEOPLE WHO EAT FRUITS AND VEGETABLES AS PART OF THEIR DAILY DIET HAVE A REDUCED RISK OF MANY CHRONIC DISEASES. A DIET RICH IN FRUITS AND VEGETABLES CAN LOWER BLOOD PRESSURE, REDUCE THE RISK OF HEART DISEASE AND STROKE, PREVENT SOME TYPES OF CANCER, LOWER THE RISK OF EYE AND DIGESTIVE PROBLEMS AND HAVE A POSITIVE EFFECT ON BLOOD SUGAR. MONONGAHELA VALLEY HOSPITAL PROVIDES THE FOLLOWING SERVICES AND PROGRAMS RELATED TO THIS CRITICAL NEED. IN EARLY 2015, MVH BEGAN OFFERING A BARIATRIC SURGERY AND LIFESTYLE PROGRAM. THE PROGRAM IS A COMPREHENSIVE WEIGHT LOSS PROGRAM THAT PROMOTES LONG-TERM WELLNESS. IT IS A PROVEN PROGRAM, WHICH CAN INCLUDE BARIATRIC SURGERY, THAT INVOLVES PHYSICIAN INTERVENTION AND OVERSIGHT THROUGHOUT THE ENTIRE PROCESS. WHAT MAKES THIS PROGRAM UNIQUE IS THAT OUR TEAM RECOGNIZES THAT LONG-LASTING WEIGHT LOSS AND HEALTH IMPROVEMENT DOES NOT START AND END WITH SURGERY. BARIATRIC CLASSES. MONONGAHELA VALLEY HOSPITAL HOSTED INFORMATION SESSIONS ON MINIMALLY INVASIVE BARIATRIC SURGERY, WHICH TREATS OBESITY AND ITS RELATED COMPLICATIONS. CANDIDATES FOR BARIATRIC SURGERY ARE THOSE WHO NEED TO LOSE MORE THAN 100 POUNDS, WHICH IS ALMOST 10 PERCENT OF ALL ADULTS. THE SESSIONS WERE HELD THE FOLLOWING DATES: JUNE 30 JULY 28 AUGUST 24 SEPT. 29 OCT. 27 DR. HIRAM GONZALEZ, WHO OVERSEES THE BARIATRIC SURGERY AND LIFESTYLE PROGRAM AT MVH AND PERFORMS THE BARIATRIC SURGERY AT THE HOSPITAL, HOSTED AN INNOVATIONS IN MEDICINE PROGRAM ON "OBESITY" ON MARCH 12, 2015, IN THE ANTHONY M. LOMBARDI EDUCATION CENTER. AS OUTLINED IN THE DIABETES DEATHS AND DIABETES PREVALENCE SECTION OF THIS REPORT, CLINICAL DIETITIANS FROM MONONGAHELA VALLEY HOSPITAL AS WELL AS THE COMMUNITY HEALTH EDUCATOR PROVIDE FREE HEALTHY EATING AND SHOPPING SEMINARS AT THE HOSPITAL AND COMMUNITY CENTERS AS WELL AS AT LOCAL GROCERY STORES TO EDUCATE LOCAL RESIDENTS ABOUT HEALTHY EATING. DURING 2015, HEALTHY EATING/SUPERMARKET TOURS WERE OFFERED: FEB. 17 -- HEART-HEALTHY EATING -- FISHER HEIGHTS GIANT EAGLE MARCH 10 -- HOW TO READ A FOOD LABEL -- FINLEYVILLE GIANT EAGLE MAY 12 -- RECIPE MODIFICATION -- ROSTRAVER SHOP 'N SAVE JUNE 9 -- HOW TO READ A FOOD LABEL -- FISHER HEIGHTS GIANT EAGLE AUG. 25 -- HEART-HEALTHY EATING -- FINLEYVILLE GIANT EAGLE SEPT. 15 -- DIABETES SUPPORT GROUP -- FISHER HEIGHTS GIANT EAGLE THE HEALTH LIBRARY AT MONVALLEYHOSPITAL.COM INCLUDES A COMPLETE LINK ON NUTRITION AND OFFERS A WIDE RANGE OF TOPICS FROM ADDITIVES IN FOOD TO ZINC IN THE DIET. OBESITY IS MORE THAN SIMPLY AN INDIVIDUAL PROBLEM, IT HAS BECOME A COMMUNITY PROBLEM, DRIVING UP HEALTH CARE COSTS AND DECREASING PRODUCTIVITY. WHILE DIET IS IMPORTANT, PHYSICAL ACTIVITY PLAYS AN IMPORTANT PART IN PREVENTING OBESITY. THE KEY TO SUCCESS IS MAKING CHANGES IN DAILY EATING AND ACTIVITY HABITS THAT CAN BE MAINTAINED OVER A PERSON'S LIFETIME. THE COMMUNITY HEALTH EDUCATOR PRESENTED A PROGRAM CALLED "NUTRITION AND HOW IT AFFECTS YOUR BLOOD PRESSURE" TO THE WASHINGTON TOWNSHIP SENIOR CENTER ON JUNE 24. THE HOSPITAL DISTRIBUTED INFORMATION ON ITS PROGRAMS FOR HEALTHY EATING WHILE PARTICIPATING IN A HEALTH FAIR AT LOWE'S IN BELLE VERNON ON JUNE 27, AS WELL AS DURING REPRESENTATIVE PETE DALEY'S KIDZ FAIR AT THE CENTER IN THE WOODS ON JULY 15, AND AT THE SENIOR CENTER HEALTH FAIR IN WEST NEWTON ON JULY 25. THE PROGRAM "GAINING WEIGHT AFTER 65" WAS PRESENTED TO WORLD KITCHEN IN CHARLEROI ON APRIL 14. OTHER PROGRAMMING RELATED TO NUTRITION INCLUDED "GOOD NUTRITION" AT THE MON VALLEY YMCA ON MAY 19 AND "PHYSICAL FITNESS FOR WEIGHT LOSS" AT THE BENTLEYVILLE T.O.P.S. ON APRIL 28.
SCHEDULE H, PART VI, SUPPLEMENTAL INFORMATION	COLORECTAL CANCER. NEARLY HALF OF THE COLORECTAL CANCER PATIENTS IN THIS COUNTRY - MORE THAN 50,000 PEOPLE - WILL DIE FROM THEIR CANCER THIS YEAR. MOST COLORECTAL CANCERS START AS PRE-MALIGNANT POLYPS WHICH THEN TAKE SEVERAL YEARS TO CHANGE INTO CANCER. MONONGAHELA VALLEY HOSPITAL OFFERED A FREE COLORECTAL CANCER EDUCATION AND SCREENING PROGRAM APRIL 29, 2015, IN THE HOSPITAL'S ANTHONY M. LOMBARDI EDUCATION CONFERENCE CENTER. A FREE TAKE-HOME TEST TO SCREEN FOR BLOOD IN THE STOOL WAS GIVEN TO ALL PARTICIPANTS. PROSTATE CANCER. PROSTATE CANCER IS THE MOST COMMON CANCER IN MEN, AND THOSE MOST AT RISK INCLUDE OLDER MEN, AFRICAN-AMERICAN MEN AND MEN WITH A FAMILY HISTORY OF PROSTATE CANCER. MONONGAHELA VALLEY HOSPITAL OFFERED A FREE PROSTATE EDUCATION AND SCREENING PROGRAM ON SEPT. 9, 2015, IN THE ANTHONY M. LOMBARDI EDUCATION CONFERENCE CENTER. ATTENDEES LEARNED ABOUT THE IMPORTANCE OF EARLY DETECTION AND HAD THE OPTION TO RECEIVE AN EXAM BY MVH'S MEDICAL STAFF ALONG WITH A PROSTATE SPECIFIC ANTIGEN (PSA) BLOOD TEST. BLOOD PRESSURE. BLOOD PRESSURE AND CHOLESTEROL SCREENINGS WERE HELD THROUGHOUT THE YEAR BOTH AT THE HOSPITAL AND AT COMMUNITY SETTINGS, SUCH AS CHURCHES AND COMMUNITY CENTERS. MULTIPHASIC BLOOD SCREENING. MONONGAHELA VALLEY HOSPITAL SPONSORS A SEMI-ANNUAL MULTIPHASIC BLOOD SCREENING THAT IS OPEN TO THE PUBLIC FOR A COST OF ONLY $25. ON EACH BLOOD SAMPLE, 37 INDIVIDUAL TESTS ARE PERFORMED THAT CAN REVEAL ANEMIA, LUNG DISEASE, DIABETES, LEUKEMIA, HIGH CHOLESTEROL, BLOOD DISORDERS AND MUCH MORE. ADDITIONAL SCREENINGS, INCLUDING THYROID STIMULATING HORMONE (TSH) AND PROSTATIC SPECIFIC ANTIGEN (PSA), ARE ALSO AVAILABLE FOR A SMALL ADDITIONAL COST. THE 2015 SCREENINGS WERE HELD MARCH 28 AND SEPTEMBER 26. ADDITIONAL TESTS WERE OFFERED FOR THE SPRING SCREENING. THE NEW TESTS INCLUDED A1C AND VITAMIN D. INNOVATIONS IN MEDICINE THROUGHOUT THE YEAR, A VARIETY OF MONTHLY INNOVATIONS IN MEDICINE PROGRAMS ARE OFFERED FREE TO THE PUBLIC AT THE HOSPITAL AND AT THE MON-VALE HEALTHPLEX. THE POPULAR PROGRAMS PROVIDE MEDICAL EDUCATION AND AN OPPORTUNITY FOR LOCAL RESIDENTS TO MEET PHYSICIANS AFFILIATED WITH THE HOSPITAL. DURING 2015, THE FOLLOWING INNOVATIONS PROGRAMS WERE OFFERED. DATE/TOPIC/PHYSICIAN JAN. 15, 2015/TREATMENT OF KNEE PAIN/DR. BARON FEB. 12, 2015/RADIATION TREATMENTS/DR. ISAAC FEB. 26,2015/STROKE SURVIVAL/DR. KUMARI MARCH 12, 2015/OBESITY AND BARIATRIC SURGERY/DR. GONZALEZ APRIL 6, 2015/RX FOR VARICOSE VEINS/DR. HAPPEL APRIL 15, 2015/JOINT REPLACEMENT/DR. WALKER APRIL 16, 2016/AVOIDING SURGERY FOR BACK PAIN/DR. AGUILAR MAY 11, 2015/TREATMENT OF SHOULDER PAIN/DR. FLOREZ JUNE 10, 2015/SCIATICA/DR. GUANCHE JULY 15, 2015/ADVANCES IN THE TREATMENT OF HIPS AND KNEES/DR. BARON AUGUST 26, 2015/KNEE ARTHRITIS/DR. PRESSMAN SEPTEMBER 23, 2015/NEW FRAGILITY FRACTURE PROGRAM/DR. BROCKMEYER OCT. 27, 2015/KNEE PAIN/DR. MITCHELL NOV. 16, 2015/GERIATRIC MEDICINE/DR. MADDURU TALK WITH A DOC BUILDING ON THE SUCCESS OF MONONGAHELA VALLEY HOSPITAL'S INNOVATIONS IN MEDICINE SERIES, THE SERIES EXPANDED INTO ADDITIONAL GEOGRAPHIC REGIONS IN 2013 AND NAMED TALK WITH A DOC. THE FOLLOWING TALK WITH A DOC PRESENTATIONS WERE OFFERED IN 2015. DATE/TOPIC/PHYSICIAN JULY 30, 3015/ORTHOPEDICS/DR. MITCHELL AUGUST 26, 2015/JOINT PAIN/DR. SHAKA WALKER SEPTEMBER 30, 2015/ORTHOPEDICS/DR. FLOREZ HEALTH EDUCATION PROGRAMS/INITIATIVES THE MISSION OF MONONGAHELA VALLEY HOSPITAL IS TO ENHANCE THE HEALTH OF THE RESIDENTS OF THE MID MONONGAHELA VALLEY AREA. RESIDENTS OF THE COMMUNITIES IN THE HOSPITAL'S SERVICE AREA RELY ON THE HOSPITAL FOR EDUCATION, GUIDANCE AND ASSISTANCE IN MANY HEALTH RELATED AREAS. LISTED BELOW ARE SPECIAL CLASSES, PROGRAMS AND INITIATIVES THAT WERE OFFERED TO THE COMMUNITY. BARIATRIC CLASSES. MONONGAHELA VALLEY HOSPITAL HOSTED INFORMATION SESSIONS ON MINIMALLY INVASIVE BARIATRIC SURGERY, WHICH TREATS OBESITY AND ITS RELATED COMPLICATIONS. CANDIDATES FOR BARIATRIC SURGERY ARE THOSE WHO NEED TO LOSE MORE THAN 100 POUNDS, WHICH IS ALMOST 10 PERCENT OF ALL ADULTS. THE SESSIONS WERE HELD THE FOLLOWING DATES: JUNE 30 JULY 28 AUGUST 24 SEPT. 29 OCT. 27 SMOKING CESSATION. AS PART OF THE HOSPITAL'S MISSION OF ENHANCING THE HEALTH OF THE RESIDENTS OF THE MID MONONGAHELA VALLEY AREA, THERE IS A STRONG FOCUS ON PREVENTION AND EDUCATION. SMOKING CAUSES THE MAJORITY OF LUNG CANCERS - BOTH IN SMOKERS AND IN PEOPLE EXPOSED TO SECOND-HAND SMOKE. IN 2015, THE HOSPITAL OFFERED THE SMOKING CESSATION CLASSES LISTED BELOW: FEBRUARY 3, 10, 17, 24 MAY 5, 12, 19, 26 AUGUST 4, 11, 18, 25 NOVEMBER 3, 10, 17, 24 HEALTHY EATING AND SHOPPING. CLINICAL DIETITIANS FROM MONONGAHELA VALLEY HOSPITAL AS WELL AS THE COMMUNITY HEALTH EDUCATION NURSE PROVIDE FREE HEALTHY EATING AND SHOPPING SEMINARS AT THE HOSPITAL AND COMMUNITY CENTERS AS WELL AS AT LOCAL GROCERY STORES TO EDUCATE LOCAL RESIDENTS ABOUT HEALTHY EATING. THE FOLLOWING PROGRAMS WERE OFFERED IN 2015: FEB. 17 -- HEART-HEALTHY EATING -- FISHER HEIGHTS GIANT EAGLE MARCH 10 -- HOW TO READ A FOOD LABEL -- FINLEYVILLE GIANT EAGLE MAY 12 -- RECIPE MODIFICATION -- ROSTRAVER SHOP 'N SAVE JUNE 9 -- HOW TO READ A FOOD LABEL -- FISHER HEIGHTS GIANT EAGLE AUG. 25 -- HEART-HEALTHY EATING -- FINLEYVILLE GIANT EAGLE SEPT. 15 -- DIABETES SUPPORT GROUP -- FISHER HEIGHTS GIANT EAGLE CPR TRAINING. THROUGHOUT 2015, MONONGAHELA VALLEY HOSPITAL OFFERED CPR TRAINING FOR THE COMMUNITY. THE ADULT CPR INSTRUCTION WAS OFFERED IN CONJUNCTION WITH VALLEY HEALTH AND SAFETY TRAINING CENTER. THE INSTRUCTION DATES WERE JANUARY 27, MARCH 31, MAY 26, JULY 28, SEPTEMBER 29, AND NOVEMBER 24, 2015. INFANT AND CHILD CPR CLASSES, ALSO HELD IN CONJUNCTION WITH VALLEY HEALTH AND SAFETY TRAINING CENTER WERE HELD FEBRUARY 26, APRIL 30, JUNE 25, AUGUST 27, AND OCTOBER 29, 2015. PUBLIC FIRST AID INSTRUCTION. ADULT FIRST AID CLASSES ARE OFFER BY THE HOSPITAL IN CONJUNCTION WITH VALLEY HEALTH AND SAFETY TRAINING CENTER. THE CLASSES WERE HELD JANUARY 29, MARCH 26, MAY 28, JULY 30, AND NOVEMBER 19, 2015. AARP 55 ALIVE REFRESHER DRIVING COURSE. THE NATION'S FIRST AND LARGEST CLASSROOM DRIVER IMPROVEMENT COURSE SPECIALLY DESIGNED FOR MOTORISTS AGE 50 AND OLDER. IT IS INTENDED TO HELP IMPROVE SKILLS WHILE TEACHING ACCIDENT AND TRAFFIC-VIOLATION AVOIDANCE. THIS COURSE IS OFFERED SEVERAL TIMES THROUGHOUT THE YEAR. DURING 2015, THE COURSE WAS OFFERED MAY 15 AND JULY 24. AARP 55 ALIVE BEGINNERS DRIVING COURSE. ALL INFORMATION IS CONVEYED IN A CLASSROOM SETTING IN TWO HALF-DAY SESSIONS. THE COURSE WAS HELD APRIL 23, JUNE 4, AND OCTOBER 8, 2015. MANAGING YOUR DIABETES. MONONGAHELA VALLEY HOSPITAL OFFERS A THREE-DAY, TWO-HOUR-PER-DAY EDUCATION SERIES THAT FOCUSES ON DIABETES SELF-MANAGEMENT AND CARE. THIS SESSION ADDRESSES FOOD CHOICES, DINING OUT, AND HOW EATING HABITS AFFECT BLOOD GLUCOSE CONTROL. THE CLASSES WERE HELD JANUARY 6-8, JANUARY 20-22, FEBRUARY 3-5, FEBRUARY 17-19, MARCH 3-5, MARCH 17-19, APRIL 7-9, APRIL 21-23, MAY 5-7, MAY 19-21, JUNE 2-4, JUNE 16-18, JULY 7-9, JULY 21-23, AUGUST 4-6, AUGUST 18-20, SEPTEMBER 1-3, SEPTEMBER 22-24, OCTOBER 6-8, OCTOBER 20-22, NOVEMBER 3-5, NOVEMBER 17-19, DECEMBER 8-10, 2015. ADVANCED CARBOHYDRATE COUNTING. THIS IS A DIABETES SELF-MANAGEMENT CLASS THAT FOCUSES ON COUNTING CARBOHYDRATE INTAKE. TOPICS RANGE FROM HOW TO MEASURE THE UPWARD DRIVE EACH MEAL HAS ON BLOOD SUGAR TO INFORMATION ON THE GLYCEMIC INDEX. DURING 2015, CLASSES WERE HELD JANUARY 14, FEBRUARY 11, MARCH 11, APRIL 15, MAY 27, JUNE 10, JULY 15, SEPTEMBER 10, AND DECEMBER 16.
SCHEDULE H, PART VI, SUPPLEMENTAL INFORMATION CONTINUED	SPECIAL EVENTS THE FOLLOWING SPECIAL EVENTS WERE HELD DURING 2015. GO RED WASHINGTON COUNTY. FOR THE THIRD CONSECUTIVE YEAR, MONONGAHELA VALLEY HOSPITAL'S COMMUNITY RELATIONS DEPARTMENT LED AN INITIATIVE FOR THE THREE HOSPITALS IN WASHINGTON COUNTY TO "GO RED" IN FEBRUARY TO CREATE AWARENESS OF WOMEN'S HEART HEALTH ISSUES. A PROGRAM WAS HELD ON FEBRUARY 26 AT MVH THAT INCLUDED: - HEALTH AND WELLNESS SCREENINGS - HEALTH FAIR - HEALTHY COOKING DEMONSTRATION WITH PHOEBE SEIVERLING, THE HOSPITAL'S EXECUTIVE CHEF, AND MICHELE PFARR, RD, LDN, CLINICAL NUTRITION MANAGER - INNOVATIONS IN MEDICINE PROGRAMMING THAT INCLUDED PUSHPA KUMARI, M.D. TALKING ABOUT HEART HEALTH MAMM & GLAMM. FOR THE THIRD CONSECUTIVE YEAR, MONONGAHELA VALLEY HOSPITAL HOSTED MAMMOGRAM SCREENINGS THAT WERE COMPLEMENTED WITH A DAY OF PAMPERING. THE EVENT WAS HELD ON APRIL 18 AT HEALTHPLEX IMAGING. SIXTY-FIVE WOMEN, WHO HAD PRESCRIPTIONS FOR MAMMOGRAMS, HAD THE OPPORTUNITY TO HAVE THEIR SCREENINGS IN A RELAXING ATMOSPHERE AND THEN ENJOY FREE PAMPERING THAT INCLUDED MASSAGES, NAIL TREATMENTS AND MORE. COMMUNITY DRUG SUMMITS. REPRESENTATIVES FROM MONONGAHELA VALLEY HOSPITAL'S EMERGENCY DEPARTMENT AND PHARMACY PARTICIPATED IN DRUG SUMMITS AT LOCAL HIGH SCHOOLS TO EDUCATE STUDENTS AND THE COMMUNITY ABOUT THE DANGERS OF PRESCRIPTION DRUGS. COMPELLING STATISTICS AND IMAGES SHOWED HOW EASILY THE MISUSE OF PRESCRIPTION DRUGS CAN LEAD TO ADDICTION TO ILLEGAL STREET DRUGS. REPRESENTATIVES FROM THE HOSPITAL'S PHARMACY STAFFED INFORMATION TABLES. DRUG TAKE BACK EVENTS. MONONGAHELA VALLEY HOSPITAL AND THE CARROLL TOWNSHIP POLICE DEPARTMENT WORKED TOGETHER ON THE NATIONAL PRESCRIPTION DRUG TAKE BACK DAY, A CONVENIENT AND SAFE WAY FOR RESIDENTS TO REMOVE UNUSED DRUGS FROM THEIR MEDICINE CABINETS. PEOPLE DROPPED OFF THEIR PRESCRIPTION AND OVER-THE-COUNTER MEDICATIONS ON SEPTEMBER 12, 2015. MVH/LOIS ORANGE DUCOEUR BREAST CANCER WALK. ON OCTOBER 10, 2015, THE MVH/LOIS ORANGE DUCOEUR BREAST CANCER WALK WAS HELD IN CHARLEROI TO HELP THE CANCER PATIENTS AT MVH'S CHARLES L. AND ROSE SWEENEY MELENYZER PAVILION AND REGIONAL CANCER CENTER. PROMOTION EVERY MONTH, THE HOSPITAL'S COMMUNITY RELATIONS DEPARTMENT PUBLISHES A "LIVING WELL" CALENDAR THAT IS DISTRIBUTED IN ALL OF THE WAITING ROOMS IN THE HOSPITAL. IT ALSO IS SENT TO THE LOCAL DAILY AND MONTHLY NEWSPAPERS WHERE IT IS PUBLISHED IN ITS ENTIRETY FREE OF CHARGE. THE CALENDAR IS ALSO POSTED AT THE HOSPITAL'S WEBSITE, WWW.MONVALLEYHOSPITAL.COM. DEPENDING ON THE NATURE OF THE EVENT, HEALTH FAIRS, SCREENINGS, INNOVATIONS IN MEDICINE AND TALK WITH A DOC PROGRAMS AND VARIOUS SPECIAL EVENTS ARE PROMOTED THROUGH NEWS RELEASES, NEWSPAPER AND TELEVISION ADVERTISING, LINKS ON THE HOSPITAL'S WEBSITE, ON THE MARQUEE AT THE ENTRANCE TO THE HOSPITAL ON ROUTE 88, ON TELEPHONE ON-HOLD ANNOUNCEMENTS, ON LED SCREENS THROUGHOUT THE HOSPITAL AND THROUGH DIRECT MAIL.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: THE MISSION OF MONONGAHELA VALLEY HOSPITAL IS TO ENHANCE THE HEALTH OF THE RESIDENTS OF THE MID-MONONGAHELA VALLEY AREA BY PROVIDING OUTSTANDING HEALTHCARE SERVICES.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	17
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	15
5	Total number of individuals employed in calendar year 2014 (Part V, line 2a) ......	5	1,243
6	Total number of volunteers (estimate if necessary) .............	6	174
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	4,210,055
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	75,013

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	459,272	430,720
9	Program service revenue (Part VIII, line 2g) .........	135,222,748	136,722,394
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	2,412,537	2,489,053
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	744,089	797,591
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	138,838,646	140,439,758
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	64,026,768	66,110,551
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	71,312,673	68,949,195
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	135,339,441	135,059,746
19	Revenue less expenses. Subtract line 18 from line 12.......	3,499,205	5,380,012
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	141,258,435	134,977,641
21	Total liabilities (Part X, line 26).............	64,390,250	66,776,894
22	Net assets or fund balances. Subtract line 21 from line 20.....	76,868,185	68,200,747

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 119,119,324 including grants of $ ) (Revenue $ 133,116,974 )
	MONONGAHELA VALLEY HOSPITAL'S MISSION IS TO ENHANCE THE HEALTH OF THE RESIDENTS OF THE MID-MON VALLEY AREAS. THE HOSPITAL WORKS TO ACHIEVE ITS MISSION BY MAINTAINING SUITABLE FACILITIES WITHIN THE CARROLL TOWNSHIP, WASHINGTON COUNTY, PENNSYLVANIA VICINITY FOR THE PROVISION OF HEALTH CARE. ADDITIONALLY, MONONGAHELA VALLEY HOSPITAL HAS ALWAYS ENCOURAGED PROGRESS AND FLEXIBILITY TO MEET THE CHANGING NEEDS OF OUR PATIENTS AND ALL RESIDENTS OF THE COMMUNITIES IN THE MID-MON VALLEY. THE HOSPITAL CONFRONTED THE ISSUES REQUIRED TO ENHANCE THE HEALTH AND WELFARE OF THE RESIDENTS OF THE MID-MON VALLEY BY PROVIDING QUALITY HEALTH CARE REGARDLESS OF ETHNIC BACKGROUND, AGE OR ABILITY TO PAY, ALL THE WHILE MAINTAINING A HIGH DEGREE OF RESPONSIVENESS TO CHANGES, PARTICULARLY THOSE OF THE COMMUNITY. IN OUR EFFORT TO FULFILL OUR MISSION OF SERVING THE COMMUNITY, THE HOSPITAL COMMITTED TO SERVE ALL MEMBERS OF ITS COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY, THROUGH VARIOUS MEANS:CARE PROVIDED TO PERSONS COVERED BY GOVERNMENT PROGRAMS (I.E., MEDICARE AND MEDICAID) AT BELOW COST, CHARITY CARE, AND HEALTH EDUCATION PROGRAMS AND ACTIVITIES TO INFORM AND SUPPORT THE COMMUNITY.THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, CLINICS, COMMUNITY EDUCATION PROGRAMS, HEALTH SCREENINGS, COUNSELING SERVICES, SCHOOL PROGRAMS AND A VARIETY OF OTHER SUPPORT ACTIVITIES. SEE THE FOLLOWING SUMMARY OF COMMUNITY SUPPORT SERVICES AND PROGRAMS PROVIDED BY MONONGAHELA VALLEY HOSPITAL DURING THE FISCAL YEAR 2015.DURING FISCAL 2015, MONONGAHELA VALLEY HOSPITAL PROVIDED CARE FOR 12,944 ADULT AND PEDIATRIC INPATIENT ADMISSIONS AND OBSERVATIONS AND OVER 286,000 OUTPATIENT VISITS WHICH INCLUDES 32,089 PATIENTS RECEIVING CARE THROUGH OUR 24-HOUR EMERGENCY ROOM. MEDICARE AND MEDICAID PATIENTS CONSTITUTED 55.3% OF OUR PATIENTS DURING FISCAL YEAR 2015. THE HOSPITAL'S COST OF THE COMMUNITY SUPPORT PROGRAMS AND MEDICAL ASSISTANCE SHORTFALLS DURING FISCAL 2015 WAS NEARLY $4,309,000. IN ADDITION, THE HOSPITAL PROVIDED $1,333,992 OF CHARITY CARE.ALSO DURING FISCAL YEAR 2015, MONONGAHELA VALLEY HOSPITAL, INC., WROTE OFF NEARLY $3,370,000 OF CHARGES FOR UNINSURED AND UNDERINSURED INDIVIDUALS AND OTHERS. THESE INDIVIDUALS FROM OUR COMMUNITY WERE UNABLE TO PAY THOSE CHARGES AND DID NOT QUALIFY FOR ASSISTANCE FROM ANY GOVERNMENT OR CHARITY CARE PROGRAM.SUMMARY OF COMMUNITY SUPPORT PROGRAMSFISCAL YEAR ENDED JUNE 30, 2015THE HOSPITAL SPONSORS A "LIFELINE" FIRST RESPONDER PROGRAM. THIS PROGRAM ENABLES OVER 300 INDIVIDUALS WITHIN OUR COMMUNITY TO LIVE INDEPENDENTLY, WHILE GIVING THEM THE SECURITY OF KNOWING THEY CAN GET MEDICAL ASSISTANCE IMMEDIATELY IF REQUIRED.THE HOSPITAL PROVIDED NEARLY 270 EDUCATIONAL PROGRAMS SERVICING APPROXIMATELY 2,990 INDIVIDUALS. SUBJECTS INCLUDED: CONTINUING EDUCATION, PARAMEDIC TRAINING, CPR TRAINING, INFECTION CONTROL AND PEDIATRIC PROGRAMS. HEALTH SCREENINGS WERE PROVIDED TO VARIOUS SEGMENTS OF OUR SERVICE AREA. THESE SERVICES WERE PROVIDED THROUGH EMPLOYERS, LOCAL SOCIAL ORGANIZATIONS, AND HEALTH FAIRS. NEARLY 2,850 COMMUNITY RESIDENTS WERE SERVED THROUGH THESE PROGRAMS. THE SERVICES PROVIDED INCLUDE: IMMUNIZATIONS, BLOOD PRESSURE SCREENINGS, PULMONARY FUNCTION TESTS, DIABETES RISK SCREENINGS, CANCER SCREENINGS, GLUCOSE AND CHOLESTEROL SCREENINGS, HEARING SCREENINGS, BONE DENSITY SCREENINGS, HEALTH FAIRS, ETC. THESE TYPES OF PROGRAMS ARE PROVIDED AT MINIMAL COST TO THE COMMUNITY.THE HOSPITAL ALSO PROVIDED NEARLY 60 COMMUNITY HEALTH PROGRAMS WITH NEARLY 880 PARTICIPANTS. PROGRAMS INCLUDED: CPR, AIDS AWARENESS, ARTHRITIS AWARENESS, DIABETES PROGRAM, SMOKING CESSATION COUNSELING, INFECTION PREVENTION, CHILDBIRTH PREPARATION CLASSES, ETC.THE HOSPITAL PROVIDED COUNSELING SERVICES TO NEARLY 250 INDIVIDUALS DURING THE FISCAL YEAR ENDED JUNE 30, 2015. PROGRAMS INCLUDED: CANCER, DIABETES, LUPUS, ARTHRITIS, SCHIZOPHRENIA, STROKE AND CAREGIVERS SUPPORT GROUPS.MONONGAHELA VALLEY HOSPITAL PROVIDED OVER 10 SCHOOL PROGRAMS TO NINE AREA SCHOOL DISTRICTS WHICH INCLUDE: RINGGOLD, MONESSEN, CHARLEROI, YOUGH, FRAZIER, BENTWORTH, CALIFORNIA, BETH CENTER AND BELLE VERNON. PRESENTATIONS WERE MADE TO OVER 950 STUDENTS AND TEACHERS. PROGRAMS PROVIDED INCLUDE: AIDS AWARENESS, INFECTION PREVENTION, CONFLICT RESOLUTIONS, TEEN PREGNANCY, NICO-TEEN SMART, NUTRITION AND HOSPITAL TOURS.THE HOSPITAL PROVIDED OUTREACH PROGRAMS FOR OVER 6,500 ELDERLY AND INDIGENT RESIDENTS OF THE MID-MON VALLEY COMMUNITY DURING FISCAL YEAR 2015. PROGRAMS INCLUDE: DIABETES MANAGEMENT, STRESS MANAGEMENT, DEPRESSION, AND TRANSPORTATION SERVICES.THE HOSPITAL PROVIDED NEARLY $49,230 OF FINANCIAL SUPPORT TO THE LOCAL EMS PROVIDERS BY SUPPLYING THEIR AMBULANCES WITH REPLACEMENT ITEMS THAT WERE USED DURING PATIENT TRANSPORT.MONONGAHELA VALLEY HOSPITAL ALSO PARTICIPATES IN AND SPONSORS MANY COMMUNITY PROGRAMS SUCH AS SCOUTING FOR FOOD, UNITED WAY, PLUS SEVERAL OTHER PROGRAMS WITHIN THE MID-MON VALLEY.NUMEROUS PATIENT BROCHURES ARE PUBLISHED TO INCREASE PATIENT AWARENESS OF POTENTIAL HEALTH RISKS.THIS SUMMARY IS JUST THAT, A SUMMARY OF OUR PROGRAMS GEARED TO COMMUNITY SERVICE. MONONGAHELA VALLEY HOSPITAL AND OUR EMPLOYEES PROVIDE COUNTLESS HOURS PROMOTING COMMUNITY HEALTH AWARENESS; THIS SUMMARY REPRESENTS A PORTION OF THAT EFFORT.

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












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












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses119,119,324

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)			(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) DANIEL F SIMMONS........................................................................ SR. VICE PRES/TREASURER	59.10 .......................2.30	X		278,235	0	20,184
(19) PATRICK J ALBERTS........................................................................ SR. VICE PRES/COO	48.30 .......................1.20	X		192,267	0	15,491
(20) ELAINE S GELB........................................................................ OCC HEALTH PHYSICIAN	40.00 .......................		X	185,920	0	14,143
(21) JACINTA A BALDINI........................................................................ CRNA	40.00 .......................		X	182,961	0	27,268
(22) NICK E FRANCIA........................................................................ CRNA	40.00 .......................		X	166,745	0	15,490
(23) JEREMY J ORTOLONA........................................................................ CRNA	40.00 .......................		X	164,875	0	23,034
(24) MARY B ELLIOTT........................................................................ CRNA	40.00 .......................		X	158,394	0	18,316

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	1,838,811	0	156,166

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

f	All other contributions, gifts, grants, and similar amounts not included above1f		430,720

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			430,720
			Business Code
2a	PATIENT SERVICE REVENUE		621990	132,376,400	132,376,400
b	MEDICAL LABORATORY		621500	4,210,055		4,210,055
c	PARKING GARAGE INCOME		812930	135,939	135,939
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			136,722,394
3	Investment income (including dividends, interest, and other similar amounts).......			1,700,146			1,700,146
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	207,074
b	Less: rental expenses	14,118
c	Rental income or (loss)	192,956
d	Net rental income or (loss).......			192,956			192,956
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	14,396,939	650
b	Less: cost or other basis and sales expenses	13,608,332	350
c	Gain or (loss)	788,607	300
d	Net gain or (loss)..........			788,907			788,907
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	CAFETERIA INCOME		722210	545,377	545,377
b	MEDICAL RECORD TRANSCRIPTS		621990	59,258	59,258
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			604,635
12	Total revenue. See Instructions......			140,439,758	133,116,974	4,210,055	2,682,009


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............				1
2	Savings and temporary cash investments .........			17,038,598	2	11,344,840
3	Pledges and grants receivable, net ...........				3
4	Accounts receivable, net .............			11,203,389	4	12,295,360
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............			2,661,980	8	3,089,024
9	Prepaid expenses and deferred charges ..........			3,762,161	9	4,046,650
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	180,003,618
b	Less: accumulated depreciation .....	10b	127,022,260	56,249,323	10c	52,981,358
11	Investments—publicly traded securities ..........			46,290,084	11	47,787,292
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 ...........			4,052,900	15	3,433,117
16	Total assets. Add lines 1 through 15 (must equal line 34)......			141,258,435	16	134,977,641
17	Accounts payable and accrued expenses .........			11,708,704	17	9,812,290
18	Grants payable .................				18
19	Deferred revenue ................				19
20	Tax-exempt bond liabilities .............			23,730,000	20	23,730,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..			14,651,605	23	13,521,894
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....................			14,299,941	25	19,712,710
26	Total liabilities. Add lines 17 through 25.........			64,390,250	26	66,776,894
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			76,048,107	27	67,685,622
28	Temporarily restricted net assets ...........			820,078	28	515,125
29	Permanently restricted net assets ...........				29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			76,868,185	33	68,200,747
34	Total liabilities and net assets/fund balances ........			141,258,435	34	134,977,641

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) MON-VALE HEALTH RESOURCES INC 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063 25-1426999	PROMOTING HEALTH SERVICES	PA	501(C)(3)	LINE 11B, II			No
(2) MON-VALE NON ACUTE CARE SERVICES INC 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063 25-1792434	ASSISTED LIVING FACILITY	PA	501(C)(3)	LINE 3	MON-VALE HEALTH RESOURCES INC		No

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) MONONGAHELA MEDICAL SUPPLY COMPANY 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063 25-1486121	MEDICAL EQUIPMENT	PA	MON-VALE MULTIPHASICS INC	RELATED				No			No

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