TY 2015 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 ................. 1.00	X	X	0	0
(2) JEFF M KOTULA...................................................................... VICE CHAIRMAN	1.00 ................. 1.00	X	X	0	0
(3) JOHN D FRY...................................................................... SECRETARY	1.00 ................. 1.00	X	X	0	0
(4) LOUIS J PANZA JR...................................................................... PRESIDENT AND CEO	51.50 ................. 6.60	X	X	419,395	22,775
(5) RICHARD A BARCELONA...................................................................... TRUSTEE	1.00 ................. 1.00	X		0	0
(6) BRADLEY M BASSI...................................................................... TRUSTEE	1.00 ................. 1.00	X		0	0
(7) CARL CRAWLEY JR...................................................................... TRUSTEE	1.00 ................. 1.00	X		0	0
(8) S P HEWIE MD...................................................................... TRUSTEE	1.00 ................. 1.00	X		0	0
(9) R G KRISHNAN MD...................................................................... TRUSTEE	2.80 ................. 1.00	X		82,320	0
(10) KEVIN M LEE...................................................................... TRUSTEE	1.00 ................. 1.00	X		0	0
(11) MICHAL LEMENTOWSKI MD...................................................................... TRUSTEE	1.00 ................. 1.00	X		0	0
(12) WILLIAM J MILLER JR...................................................................... TRUSTEE	1.00 ................. 1.00	X		0	0
(13) CHARLES MUIA...................................................................... TRUSTEE	1.00 ................. 1.00	X		0	0
(14) MATTHEW M PITZARELLA...................................................................... TRUSTEE	1.00 ................. 1.00	X		0	0
(15) JAMIE L PRAH...................................................................... TRUSTEE	1.00 ................. 1.00	X		0	0
(16) KURT R SALVATORI...................................................................... TRUSTEE	1.00 ................. 1.00	X		0	0
(17) DANA CARUSO SLAGLE...................................................................... TRUSTEE	1.00 ................. 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	2,930,339
UPMC EMERGENCY RESOURCES P O BOX 223270 PITTSBURGH,PA15251	PHYSICIAN SERVICES	1,882,502
MON-VALE CLINICAL PROFESSIONALS INC 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063	CRNA SERVICES	1,198,000
SIEMENS MEDICAL SOLUTIONS P O BOX 7777 N 3580 PHILADELPHIA,PA19175	COMPUTER SERVICES	936,831
VALE-U-HEALTH INC 800 PLAZA DRIVE BELLE VERNON,PA15012	HEALTH PLAN MANAGEMENT	605,567
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 25

- 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.
right arrow

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

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

OMB No. 1545-0047

2015

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 (Form 990 or 990-EZ))

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 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. 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—2014. 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—2015. 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—2014. 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) 2015

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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. 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—2014. 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) 2015

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 (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) 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 section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

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

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 9a) 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 9a) 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 section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b 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

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

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

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, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) 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) 2015

Page 6

Part V

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

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

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) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

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 2015 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-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

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) 2015

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

2015

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 other 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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) 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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization MONONGAHELA VALLEY HOSPITAL INC		Employer identification number 23-7218917

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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

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.) $ 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) (2015)

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

2015

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on 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-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

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) 2012	(b) 2013	(c) 2014	(d) 2015	(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) 2015

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 on 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

36,658

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

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

Yes

18,069

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

54,727

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) 2015

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," on 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

2015

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" on 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" on 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on 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 on 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 on 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) 2015

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

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" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(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 on 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" on 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' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	291,092		291,092
b	Buildings	95,715,088	65,581,153	30,133,935
c	Leasehold improvements
d	Equipment ...	72,383,735	54,747,555	17,636,180
e	Other ...	6,237,239	2,930,384	3,306,855
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				51,368,062

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on 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
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

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

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
OTHER LONG TERM LIABILITIES/ACCRUALS	4,580,046
NET PENSION LIABILITY	27,427,104
THIRD PARTY PAYABLE	1,288,295
NET SWAP LIABILITY	286,619
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	33,582,064
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) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	133,631,356
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	34,802
e	Add lines 2a through 2d .....................			2e	34,802
3	Subtract line 2e from line 1..................			3	133,596,554
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	5,640,501
c	Add lines 4a and 4b....................			4c	5,640,501
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	139,237,055

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	131,781,541
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	34,802
e	Add lines 2a through 2d....................			2e	34,802
3	Subtract line 2e from line 1...................			3	131,746,739
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	3,620,842
c	Add lines 4a and 4b.....................			4c	3,620,842
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	135,367,581

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, 2013, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 34,802.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	DONATIONS 79,037. INVESTMENT INCOME 1,940,623. PROVISION FOR BAD DEBT 3,620,841.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 34,802.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	PROVISION FOR BAD DEBT 3,620,841. ROUNDING ADJUSTMENT 1.

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on 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

2015

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) . . .		2,179	1,279,109		1,279,109	0.970 %
b	Medicaid (from Worksheet 3, column a) . . . . .		23,247	19,445,585	18,530,436	915,149	0.690 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .		25,426	20,724,694	18,530,436	2,194,258	1.660 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	205	11,565	399,360		399,360	0.300 %
f	Health professions education (from Worksheet 5) . . .	176	3,059	481,455		481,455	0.370 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .		4,927	63,418		63,418	0.050 %
j	Total. Other Benefits . .	381	19,551	944,233		944,233	0.720 %
k	Total. Add lines 7d and 7j .	381	44,977	21,668,927	18,530,436	3,138,491	2.380 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

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. ......

3,351,356

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. ......

1,589,347

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).....

61,882,962

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

72,578,332

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

-10,695,370

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) 2015

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) 2015

Page 4

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 15

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

6 a

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/CHNA-REPORT.ASP

Other website (list url):

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 15

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

Yes

If "Yes" (list url): MONVALLEYHOSPITAL.COM/CHNA-REPORT.ASP

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

12b

If "Yes" on 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

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):

MONVALLEYHOSPITAL.COM/CHARITYCARE.ASP

The FAP application form was widely available on a website (list url):

MONVALLEYHOSPITAL.COM/CHARITYCARE.ASP

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

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) 2015

Page 6

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 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 19. (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) 2015

Page 7

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 2014, MONONGAHELA VALLEY HOSPITAL AND WASHINGTON HEALTH SYSTEM CONTRACTED WITH WASHINGTON COUNTY HEALTH PARTNERS (WCHP) TO PERFORM A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). A CHNA IS A SYSTEMATIC PROCESS THAT INVOLVES IDENTIFYING AND ANALYZING THE COMMUNITY'S HEALTH NEEDS AND THE ASSETS THAT ARE AVAILABLE IN THE COMMUNITY TO PRIORITIZE, PLAN AND ACT ON IDENTIFIED NEEDS. QUALIFYING HOSPITALS ARE REQUIRED TO PERFORM A CHNA EVERY THREE YEARS AS MANDATED BY THE AFFORDABLE CARE ACT (ACA). MONONGAHELA VALLEY HOSPITAL AND WASHINGTON HEALTH SYSTEM ONCE AGAIN PARTNERED TO CONTRACT WITH WASHINGTON COUNTY HEALTH PARTNERS TO CONDUCT THE 2015 COMMUNITY HEALTH NEEDS ASSESSMENT.FOR THE 2015 CHNA, REPRESENTATIVES FROM MONONGAHELA VALLEY HOSPITAL AND WASHINGTON HEALTH SYSTEM IDENTIFIED 29 ZIP CODES THAT REPRESENT A TOTAL POPULATION OF 249,908. THE DEMOGRAPHICS FOR THESE ZIP CODES ARE VERY REPRESENTATIVE OF WASHINGTON COUNTY FOR SEX (MALES 48.7%), LATINO ETHNICITY (1.2%), MARITAL STATUS (NOW MARRIED 52.5%), EDUCATIONAL ATTAINMENT (AGES 25 AND OLDER, HIGH SCHOOL GRADUATE 40.9%), MEAN AGE (43.8 YEARS), RACE (AFRICAN AMERICAN 4.9%) AND INCOME (LESS THAN $10,000 7.3%). THE ASSESSMENT COMMITTEE CONTINUED TO USE THE CONCEPTUAL FRAMEWORK OF THE 2012 COUNTY HEALTH RANKINGS, WHICH WERE CREATED BY ROBERT WOOD JOHNSON FOUNDATION AND UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE (UWPHI), AS A TOOL TO IDENTIFY MEASURES AND SELECT WEIGHTS THAT REFLECT A COMMUNITY'S HEALTH. AS IN THE 2012 CHNA, IT WAS DETERMINED TO MODIFY THE COUNTY HEALTH RANKINGS (CHR) MEASURES AND WEIGHTS THAT HAVE BEEN RESEARCHED AND VALIDATED BY CREATING THE 2020 HEALTHY COMMUNITY SCORES INSTEAD OF MERELY RANKING THE DEFINED COMMUNITIES. THE REASONING BEHIND THIS DECISION WAS THAT, AS UWPHI ADMITS, RANKINGS DO NOT NECESSARILY REFLECT STATISTICALLY SIGNIFICANT DIFFERENCES. IN ADDITION, A DEFINED COMMUNITY'S RANK COULD CHANGE BASED ON WHAT OTHER COMMUNITIES DO, RATHER THAN ON WHAT IT DOES TO AFFECT CHANGE IN HEALTH STATUS. THE 2020 HEALTHY COMMUNITY SCORES MEASURE THE "PERCENT HEALTHY" OF THE DEFINED COMMUNITY BASED ON HEALTHY PEOPLE 2020 (HP2020) BASELINES AND TARGETS/GOALS FOR MEASURES. THIS PROVIDES A BENCHMARK TO DETERMINE NEEDS (I.E., EVERYTHING BELOW THE BASELINE IS A NEED). QUANTITATIVE PRIMARY DATA WERE COLLECTED TO REFINE THE 2020 HEALTHY COMMUNITY SCORES FOR THE HOSPITALS' DEFINED COMMUNITY. THE TWO MAJOR SOURCES WERE HOSPITAL DISCHARGE DATA OBTAINED FROM THE HOSPITALS FOR YEARS 2012 TO 2014 AND AN OCTOBER 2015 MAILED SURVEY TO THE DEFINED COMMUNITY WITH SIMILAR QUESTIONS TO THE ANNUAL BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM MANAGED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION AND ADMINISTERED BY THE PA DEPARTMENT OF HEALTH.2012-2015 ASSESSMENT CHANGESWHEN MONONGAHELA VALLEY HOSPITAL PARTICIPATED IN THE 2012 CHNA, 13 AREAS WERE IDENTIFIED AS HEALTH CARE NEEDS FOR THE COMMUNITIES SERVED BY THE HOSPITAL. THESE INCLUDED:CORONARY HEART DISEASE DEATHSTROKE DEATHSBREAST CANCER DEATHS AND LATE STAGE BREAST CANCERCOLORECTAL CANCER DEATHS AND INVASIVE COLORECTAL CANCERLUNG CANCER DEATHSOBESITY, FRUITS AND VEGETABLE CONSUMPTION, RECOMMENDED ACTIVITYDIABETES DEATHS AND DIABETES PREVALENCECOPD DEATHS TOBACCO USE (ADULT SMOKELESS AND PREGNANT SMOKING)BINGE AND HEAVY DRINKINGSUICIDE DEATHSDENTAL VISITSACCESS TO HEALTHY FOOD IN 2013, MONONGAHELA VALLEY HOSPITAL'S PLANNING AND OUTREACH COMMITTEE REVIEWED THE 13 HEALTH NEEDS, WHICH WERE IDENTIFIED AS UNDERPERFORMING BASELINES AND TARGETS. THE COMMITTEE THEN PRESENTED THE HEALTH NEEDS TO MONONGAHELA VALLEY HOSPITAL'S BOARD OF TRUSTEES SO THAT EACH BOARD MEMBER COULD INDIVIDUALLY PRIORITIZE THE NEEDS IN RELATION TO HOSPITAL-SPECIFIC AND AVAILABLE COMMUNITY RESOURCES. WITH THE BOARD OF TRUSTEES' INPUT, THE COMMITTEE CREATED AN IMPLEMENTATION PLAN. WHILE THE COMMITTEE ACKNOWLEDGED THAT ALL 13 IDENTIFIED HEALTH NEEDS WERE IMPORTANT, THE MEMBERS DETERMINED THAT THE HOSPITAL SHOULD ADDRESS THE FOLLOWING NEEDS:CORONARY HEART DISEASE DEATHSSTROKE DEATHSBREAST CANCER DEATHS AND LATE STAGE BREAST CANCERCOLORECTAL CANCER DEATHS AND INVASIVE COLORECTAL CANCERLUNG CANCER DEATHSOBESITY, FRUITS AND VEGETABLE CONSUMPTION, RECOMMENDED ACTIVITYDIABETES DEATHS AND DIABETES PREVALENCECOPD DEATHS MVH AGGRESSIVELY IMPLEMENTED STRATEGIC PLANS TO ADDRESS THE EIGHT AREAS OF FOCUS. FINDINGS FROM THE 2015 CHNA PROVIDE SUPPORT THAT MONONGAHELA VALLEY HOSPITAL'S SERVICES AND PROGRAMS ARE IMPACTING THE COMMUNITY. THE NEEDS WITH THE GREATEST IMPACT IMPROVEMENT INCLUDED THOSE LISTED BELOW.CORONARY HEART DISEASE DEATHS - CORONARY HEART DISEASE DEATHS CHANGED POSITIVELY FROM -7.5% IN 2012 TO 66.7% IN 2015. MONONGAHELA VALLEY HOSPITAL IS COMMITTED TO EARLY DETECTION OF CARDIAC AND VASCULAR DISEASES THROUGH THE USE OF NONINVASIVE TESTING PERFORMED WITHIN THE HOSPITAL'S CARDIAC DEPARTMENT AND THE PERIPHERAL VASCULAR LAB. A FULL RANGE OF DIAGNOSTIC CARDIOLOGY AND VASCULAR TESTING INCLUDES:ECGHOLTER MONITORINGECHOCARDIOGRAMSTRESS TESTS DOPPLER STUDIESTHE CARDIOLOGY ECHO LAB HAS ACHIEVED ACCREDITATION IN THE AREA OF TRANSTHORACIC ECHOCARDIOLOGY AND TRANSESOPHAGEAL ECHOCARDIOLOGY BY THE INTERSOCIETAL COMMISSION FOR THE ACCREDITATION OF ECHOCARDIOLOGY LABORATORIES (ICAEL) WHICH RECOGNIZED THE LAB FOR ITS COMMITMENT TO QUALITY PATIENT CARE AND ITS PROVISION OF QUALITY DIAGNOSTIC TESTING.MVH'S CARDIAC CATHETERIZATION LAB OFFERS THE SAME TECHNOLOGY AND PHYSICIANS FROM THE PITTSBURGH TEACHING HOSPITALS WITH THE CONVENIENCE AND FRIENDLINESS OF A COMMUNITY HOSPITAL.ALSO, OFFERED ARE 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 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.FEBRUARY IS NATIONAL HEART AWARENESS MONTH. EACH YEAR, THE HOSPITAL SPONSORS HEART HEALTH EVENTS AND INNOVATIONS IN MEDICINE COMMUNITY PROGRAMMING THROUGHOUT THE MONTH TO PROVIDE EDUCATION AND FREE SCREENINGS TO MEMBERS OF THE COMMUNITY. 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 DIABETES EDUCATION CLASSES, HEALTHY EATING SUPERMARKET TOURS AND A DIABETES SUPPORT GROUP THAT ARE FREE FOR TO 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. DURING 2015-2016, THESE MULTIPHASIC BLOOD TESTS WERE ALSO OFFERED WEEKDAYS FROM 7 A.M. TO 3 P.M. AT HEALTHY DIRECTIONS, MVH'S WALK-IN MEDICAL CENTER IN FINLEYVILLE. THE HOSPITAL ALSO CONDUCTS MONTHLY BLOOD PRESSURE SCREENINGS THROUGHOUT THE COMMUNITY AT VARIOUS SENIORS CENTERS, CHURCHES AND COMMUNITY EVENTS. MONONGAHELA VALLEY HOSPITAL HAS TAKEN THE STEPS TO SEEK AND RECEIVE THE AMERICAN HEART ASSOCIATION'S MISSION LIFELINE CERTIFICATION. HOSPITALS THAT RECEIVE MISSION LIFELINE STATUS MEET RIGID GUIDELINES FOR THE PROVISION OF HEART CARE SERVICES. THE HOSPITAL EARNED THE AMERICAN HEART ASSOCIATION'S MISSION: LIFELINE BRONZE RECEIVING QUALITY ACHIEVEMENT AWARD. IN ADDITION, THE MVH EARNED THE AMERICAN HEART ASSOCIATION'S GET WITH THE GUIDELINES HEART FAILURE BRONZE QUALITY ACHIEVEMENT AWARD AND IS ACCREDITED AS AN ELECTIVE PERCUTANEOUS CORONARY INTERVENTION (PCI) FACILITY BY THE ACCREDITATION FOR CARDIOVASCULAR EXCELLENCE (ACE). MVH ALSO RECEIVED A THREE-YEAR ACCREDITATION FROM THE INTERSOCIETAL COMMISSION FOR THE ACCREDITATION OF ECHOCARDIOGRAPHY LABORATORIES (ICAEL) IN ADULT TRANSTHORACIC ECHOCARDIOGRAPHY AND ADULT TRANSESOPHAGEAL ECHOCARDIOGRAPHY. 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 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: THE HOSPITAL USES THE LOOK-BACK METHOD TO CALCULATE AMOUNTS GENERALLY BILLED.
PART V, SECTION B, LINE 2	THE CHNA WAS LAST CONDUCTED DURING THE ORGANIZATION'S 2015 TAX YEAR, WHICH IS EQUIVALENT TO ITS FISCAL YEAR ENDED JUNE 30, 2016. THE IMPLEMENTATION STRATEGY WAS ALSO ADOPTED DURING THAT SAME FISCAL YEAR.

Schedule H (Form 990) 2015

Page 8

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?8
Name and address		Type of Facility (describe)
1	1 - SPARTAN HEALTH SURGICENTER LLC 100 STOOPS DRIVE MONONONGAHELA,PA15063	OUTPATIENT SURGERY CENTER
2	2 - HEALTHPLEX IMAGING 800 PLAZA DRIVE BELLE VERNON,PA15012	OUTPATIENT RADIOLOGY CENTER
3	3 - CENTER FOR CHILDREN'S REHABILITATION 1029 COUNTRY CLUB ROAD MONONONGAHELA,PA15063	CHILDREN'S REHABILITATION CENTER
4	4 - MVH OCCUPATIONAL HEALTH 800 PLAZA DRIVE BELLE VERNON,PA15012	OCCUPATIONAL HEALTH SERVICES
5	5 - MVH CARDIAC AND PULMONARY REHABILITATION 800 PLAZA DRIVE BELLE VERNON,PA15012	CARDIO-PULMONARY REHABILITATION
6	6 - MVH FINLEYVILLE BLOOD DRAW CENTER 6108 BROWNSVILLE ROAD EXT FINLEYVILLE,PA15332	BLOOD DRAW CENTER
7	7 - MVH MONONGAHELA BLOOD DRAW CENTER 447 WEST MAIN STREET MONONONGAHELA,PA15063	BLOOD DRAW CENTER
8	8 - ROSTRAVER IMAGING 100 PEASANT VILLAGE LANE BELLE VERNON,PA15012	OUTPATIENT RADIOLOGY CENTER
9
10

Schedule H (Form 990) 2015

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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 $3,620,841 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:	IN THE EARLY 1900S, RESIDENTS OF THE MID-MONONGAHELA VALLEY RECEIVED MEDICAL CARE FROM TWO HOSPITALS - MEMORIAL HOSPITAL OF MONONGAHELA, WHICH OPENED IN 1902 IN NEW EAGLE, AND THE CHARLEROI-MONESSEN HOSPITAL, WHICH BEGAN PROVIDING MEDICAL CARE IN 1909. AMIDST CHANGES IN THE COMMUNITIES, THOSE TWO HOSPITALS CONSOLIDATED IN 1972 TO FORM MONONGAHELA VALLEY HOSPITAL (MVH). IN 1978, THE CURRENT 200-BED ACUTE CARE HOSPITAL IN CARROLL TOWNSHIP, PA. WAS DEDICATED WITH A MISSION TO ENHANCE THE HEALTH OF THE RESIDENTS OF THE MID-MONONGAHELA VALLEY AREA. MONONGAHELA VALLEY HOSPITAL OFFERS A MEDICAL STAFF OF MORE THAN 225 PHYSICIANS REPRESENTING MORE THAN 40 MEDICAL SPECIALTIES. HIGH-QUALITY HEALTH CARE IS ONE OF THE FACTORS THAT IS OFTEN USED TO ASSESS A REGION'S LIVABILITY. MVH'S PATIENT-CENTERED, INNOVATIVE APPROACHES TO MEDICAL CARE HELP TO MAKE WASHINGTON AND WESTMORELAND COUNTIES DESIRABLE PLACES TO LIVE. PLUS, MVH OFFERS SOME MEDICAL THERAPIES AND SERVICES THAT ARE NOT PROVIDED AT NEIGHBORING FACILITIES AND THUS ATTRACTS VISITORS FROM SURROUNDING REGIONS. 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 PANELSDISEASE STATES OF PATIENTS SEEN BY THEIR PRIMARY CARE PROVIDERCLINICAL PERFORMANCE METRICS FOR OUR POPULATIONS OF PATIENTS WITH CHRONIC DISEASECLINICAL DECISION SUPPORT CARE TEAMS AT THE POINT OF CAREPATIENT 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 SESSIONSLEADING CAUSES OF DEATH SUCH AS CANCER, HEART DISEASE, VIOLENCE AND HIGHWAY FATALITIESPRIORITY HEALTH ISSUES SUCH AS TEEN PREGNANCY, HIGH BLOOD PRESSURE, HEART DISEASE, CANCER, STROKE, DIABETES AND OBESITYPRIORITY RISK FACTORS SUCH AS ALCOHOL AND DRUG ABUSE, LACK OF PHYSICAL ACTIVITY, USE OF TOBACCO PRODUCTS, ENVIRONMENTAL CONCERNS AND CRIMELEADING FACTORS AFFECTING FAMILIES SEEKING MEDICAL TREATMENT SUCH AS LACK OF INSURANCE AND INABILITY TO PAYGENERAL PATIENT CONCERNS SUCH AS LACK OF TRANSPORTATION, MEDICINE AND FOODENVIRONMENTAL CONCERNS SUCH AS RECYCLING SERVICES, PROPER TRASH DISPOSAL, CLEAN AIR, PEST CONTROL AND ANIMAL CONTROLEDUCATIONAL OPPORTUNITIES FOR INFORMATION ABOUT ALCOHOL/DRUG ABUSE, TEEN PREGNANCY PREVENTION AND PHYSICAL ACTIVITYREVIEW 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, 2016. SEE SCHEDULE H, PART V, SECTION B FOR ADDITIONAL INFORMATION ON THE COMMUNITY HEALTH NEEDS ASSESSMENT.
PART VI, LINE 3:	MONONGAHELA VALLEY HOSPITAL PROVIDES MEDICAL SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE AFFORDABLE CARE ACT (ACA) WAS ENACTED TO DECREASE THE NUMBER OF UNINSURED PEOPLE IN THE UNITED STATES. THE ACA'S MAJOR COVERAGE PROVISIONS WENT INTO EFFECT IN JANUARY 2014 AND HAVE LED TO SIGNIFICANT COVERAGE GAINS. ACCORDING TO THE CENTERS FOR DISEASE CONTROL AND PREVENTION AND CENSUS DATA, IN 2016, THE U.S. UNINSURED RATE WAS 8.6% DOWN FROM 9.2% THE PREVIOUS YEAR AND SIGNIFICANTLY DOWN FROM THE 15.7% RATE IT WAS AT BEFORE THE ACA. MVH ACKNOWLEDGES THAT THERE ARE STILL PEOPLE IN THE COMMUNITY IT SERVES 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 ITS 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: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. EACH YEAR, MVH PUBLISHES A PUBLIC NOTICE, IN THE FORM OF A PAID DISPLAY AD IN THE MON VALLEY INDEPENDENT, HERALD-STANDARD AND OBSERVER-REPORTER DAILY NEWSPAPERS 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 2016 AD WAS PUBLISHED IN THE HERALD-STANDARD AND OBSERVER-REPORTER IN MID-JANUARY 2016. IT WAS NOT PUBLISHED IN THE MON-VALLEY INDEPENDENT IN EARLY 2016 AS THE PAPER DID NOT BEGIN PUBLICATION UNTIL MAY 3, 2016. MONONGAHELA VALLEY HOSPITAL'S "FINANCIAL ASSISTANCE POLICY" IS POSTED AT THE 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 COLLECTION AT 724-258-1188.MONONGAHELA VALLEY HOSPITAL'S MANAGER OF FINANCIAL COUNSELING AND COLLECTIONS CAN ANSWER QUESTIONS AND PROVIDE ADDITIONAL INFORMATION AND APPROPRIATE APPLICATIONS.THE PATIENT RIGHTS, WHICH ARE DISPLAYED THROUGHOUT THE HOSPITAL AND WERE 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. FOR SOME PEOPLE, A CANCER DIAGNOSIS CAN BE A FINANCIAL DISASTER. NOT ONLY ARE THEY OR THEIR LOVED ONES FACING AN ILLNESS WHICH MAY PREVENT THEM FROM WORKING, THEY MAY HAVE TO CONFRONT MOUNTING CO-PAY BILLS FOR CHEMOTHERAPY DRUGS. MANY PEOPLE DIAGNOSED WITH CANCER WHO RECEIVE THEIR MEDICAL CARE AT MONONGAHELA VALLEY HOSPITAL'S CHARLES L. AND ROSE SWEENEY MELENYZER PAVILION AND REGIONAL CANCER CENTER FIND WELCOME RELIEF FROM THEIR PHARMACEUTICAL CO-PAYS. FOR NEARLY EIGHT YEARS, THE STAFF OF MVH'S REGIONAL CANCER CENTER HAS BEEN ASSISTING PATIENTS IN FINDING INDEPENDENT ORGANIZATIONS THAT PROVIDE FUNDS FOR CANCER DRUG CO-PAYS. DURING THE PAST THREE YEARS, THE CENTER'S STAFF ARRANGED FOR PATIENTS TO RECEIVE $1,616,773 IN CO-PAY ASSISTANCE AND FREE CHEMOTHERAPY PRESCRIPTIONS. AS OF THE FIRST SIX WEEKS OF 2015, THE REGIONAL CANCER CENTER HAS HELPED 17 PATIENTS ACHIEVE CHEMOTHERAPY CO-PAY ASSISTANCE. RHEA REGUL IS A MEDICAL SECRETARY WHO WORKS IN MVH'S REGIONAL CANCER CENTER. SHE SPENDS MORE THAN 50 PERCENT OF HER TIME ACTING AS A FINANCIAL ADVOCATE FINDING CO-PAY ASSISTANCE FOR THEIR PATIENTS.IN ADDITION TO ORGANIZATIONS THAT PROVIDE ASSISTANCE WITH DRUGS, THERE ARE OTHERS THAT PROVIDE RESOURCES TO HELP PEOPLE WHO NEED TRANSPORTATION TO AND FROM THEIR TREATMENTS OR OTHER TYPES OF FINANCIAL ASSISTANCE. THE STAFF OF THE REGIONAL CANCER CENTER ASSISTED ONE WOMAN WHO COULDN'T RETURN TO HER JOB DUE TO HER DIAGNOSIS. SHE WAS HAVING DIFFICULTY PAYING HER MONTHLY HEALTH INSURANCE COBRA PAYMENTS. THEY FOUND ONE VERY SMALL NON-PROFIT ORGANIZATION TO PAY HER COBRA PREMIUM.
PART VI, LINE 4:	APPROXIMATELY 80 PERCENT OF MONONGAHELA VALLEY 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 PERCENT VS. 1.1 PERCENT), MARITAL STATUS (NOW MARRIED 52.5 PERCENT VS. 53.2 PERCENT) AND EDUCATION ATTAINMENT (AGES 25 YEARS AND OLDER, HIGH SCHOOL GRADUATE 40.9 PERCENT VS. 40.7 PERCENT). COMPARATIVE VALUES FOR SEX (MALES 45.7 PERCENT VS. 48.6 PERCENT), MEAN AGE (45.4 VS. 43.1), RACE (AFRICAN AMERICAN 5 PERCENT VS. 4.2 PERCENT) AND INCOME (LESS THAN $10,000 7.3 PERCENT VS. 6.3 PERCENT) ARE ONLY SLIGHTLY DIFFERENT. ACCORDING TO 2010 U.S. CENSUS BUREAU STATISTICS, THE POPULATION OF THE 30 COMMUNITIES IN WASHINGTON COUNTY SERVED BY MONONGAHELA VALLEY HOSPITAL DECREASED BY 697 WHILE THE SIX COMMUNITIES IN WESTMORELAND COUNTY INCREASED BY 483 PEOPLE AND THE FOUR COMMUNITIES IN FAYETTE COUNTY INCREASED BY 12 PEOPLE. OVERALL, THE POPULATION IN MVH'S SERVICE AREA DECREASED BY 502 PEOPLE. THE POPULATION BREAKDOWN IN ALL OF THE COMMUNITIES SERVED BY MONONGAHELA VALLEY HOSPITAL IS LISTED BELOW.WASHINGTON COUNTYALLENPORT BOROUGH, 461; BEALLSVILLE BOROUGH, 555; BENTLEYVILLE BOROUGH, 2,554; CALIFORNIA BOROUGH, 6,703; CARROLL TOWNSHIP, 5,640; CENTERVILLE BOROUGH, 3,236; CHARLEROI BOROUGH, 4,069; COAL CENTER BOROUGH, 75; DAISYTOWN, 371; DEEMSTON BOROUGH, 755; DENBO, 137; DONORA BOROUGH, 4,733; DUNLEVY, BOROUGH, 400; EAST BETHLEHEM TWP., 2,354; ELCO, BOROUGH, 321; ELRAMA BOROUGH, 345; ELLSWORTH BOROUGH, 778; FALLOWFIELD, TWP., 4,321; FINLEYVILLE BOROUGH, 467; FREDERICKTOWN BOROUGH, 505; GASTONVILLE, 2,911; MILLSBORO BOROUGH, 496; MONONGAHELA CITY, 4,260; NEW EAGLE BOROUGH, 2,168; NORTH CHARLEROI BOROUGH, 1,255; RICHEYVILLE BOROUGH, 734; ROSCOE BOROUGH, 706; SPEERS BOROUGH, 1,124; STOCKDALE BOROUGH, 438; UNION TOWNSHIP, 5,700.TOTAL 58,572; CHANGE -697 WESTMORELAND COUNTYBELLE VERNON BOROUGH, 1,165; MONESSEN CITY, 7,630; WEST NEWTON BOROUGH, 2,599; PRICEDALE, 111; SUTERSVILLE BOROUGH, 587; WEBSTER BOROUGH, 279.TOTAL 12,371; CHANGE +483FAYETTE COUNTYFAYETTE CITY, 560; NEWELL, 566; PERRYOPOLIS BOROUGH, 1,877; STAR JUNCTION, 544.TOTAL 3,547; CHANGE +123 COUNTY TOTAL 75,490THE 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 TOWNSHIPMONONGAHELA VALLEY HOSPITAL IS PHYSICALLY SITUATED IN CARROLL TOWNSHIP. AS OF THE 2010 CENSUS, THERE WERE 5,640 PEOPLE, 2,265 HOUSEHOLDS, AND 1,701 FAMILIES RESIDING IN THE TOWNSHIP. THE MOST PREVALENT RACE IN THE TOWNSHIP IS WHITE AT 98.26 PERCENT. THE MEDIAN INCOME FOR A HOUSEHOLD IN THE TOWNSHIP WAS $43,347, AND THE MEDIAN INCOME FOR A FAMILY WAS $52,526. APPROXIMATELY 4.8 PERCENT OF FAMILIES AND 6.4 PERCENT OF THE POPULATION WERE BELOW THE POVERTY LINE.CHARLEROIAS OF 2010-2014, THE TOTAL POPULATION OF CHARLEROI IS 4,069, WHICH IS 16.46 PERCENT LESS THAN IT WAS IN 2000. THE POPULATION GROWTH RATE IS MUCH LOWER THAN THE STATE AVERAGE RATE OF 3.89 PERCENT AND IS MUCH LOWER THAN THE NATIONAL AVERAGE RATE OF 11.61PERCENT. THE MOST PREVALENT RACE IN CHARLEROI IS WHITE, WHICH REPRESENT 96.24 PERCENT OF THE TOTAL POPULATION. THE AVERAGE CHARLEROI EDUCATION LEVEL IS LOWER THAN THE STATE AVERAGE AND IS LOWER THAN THE NATIONAL AVERAGE. AS OF 2010-2014, THE PER CAPITA INCOME OF CHARLEROI IS $17,046, WHICH IS MUCH LOWER THAN THE STATE AVERAGE OF $28,912 AND IS MUCH LOWER THAN THE NATIONAL AVERAGE OF $28,555. CHARLEROI MEDIAN HOUSEHOLD INCOME IS $27,398, WHICH HAS GROWN BY 16.13 PERCENT SINCE 2000. MONESSENAS OF 2010-2014, THE TOTAL MONESSEN POPULATION IS 7,630, WHICH HAS DECREASED 11.99 PERCENT SINCE 2000. THE POPULATION GROWTH RATE IS MUCH LOWER THAN THE STATE AVERAGE RATE OF 3.89 PERCENT AND IS MUCH LOWER THAN THE NATIONAL AVERAGE RATE OF 11.61 PERCENT. MONESSEN MEDIAN HOUSEHOLD INCOME IS $32,970 IN 2010-2014 AND HAS GROWN BY 23.55 PERCENT SINCE 2000. THE INCOME GROWTH RATE IS LOWER THAN THE STATE AVERAGE RATE OF 32.44 PERCENT AND IS LOWER THAN THE NATIONAL AVERAGE RATE OF 27.36 PERCENT. MONESSEN MEDIAN HOUSE VALUE IS $74,800 IN 2010-2014 AND HAS GROWN BY 41.13 PERCENT SINCE 2000. THE MOST PREVALENT RACE IN MONESSEN IS WHITE, WHICH REPRESENT 80.07 PERCENT OF THE TOTAL POPULATION. THE AVERAGE MONESSEN EDUCATION LEVEL IS LOWER THAN THE STATE AVERAGE AND IS LOWER THAN THE NATIONAL AVERAGE.MONONGAHELAMONONGAHELA IS ONE OF ONLY TWO CITIES IN WASHINGTON COUNTY AND THE SECOND SMALLEST CITY IN PENNSYLVANIA. THE TOTAL MONONGAHELA POPULATION IS 4,260, WHICH HAS DECREASED 10.52 PERCENT SINCE 2000. THE POPULATION GROWTH RATE IS MUCH LOWER THAN THE STATE AVERAGE RATE OF 3.89 PERCENT AND IS MUCH LOWER THAN THE NATIONAL AVERAGE RATE OF 11.61 PERCENT. MONONGAHELA MEDIAN HOUSEHOLD INCOME IS $43,272 IN 2010-2014 AND HAS GROWN BY 48.91 PERCENT SINCE 2000. THE INCOME GROWTH RATE IS MUCH HIGHER THAN THE STATE AVERAGE RATE OF 32.44 PERCENT AND IS MUCH HIGHER THAN THE NATIONAL AVERAGE RATE OF 27.36 PERCENT. THE MOST PREVALENT RACE IN MONONGAHELA IS WHITE, WHICH REPRESENT 93.59 PERCENT OF THE TOTAL POPULATION. THE AVERAGE MONONGAHELA EDUCATION LEVEL IS LOWER THAN THE STATE AVERAGE AND IS LOWER THAN THE NATIONAL AVERAGE. THE PER CAPITA INCOME OF MONONGAHELA IS $21,716, WHICH IS LOWER THAN THE STATE AVERAGE OF $28,912 AND IS LOWER THAN THE NATIONAL AVERAGE OF $28,555.
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 AND A COMMUNITY RELATIONS COORDINATOR ARE AMONG THE PART-TIME EMPLOYEES IN THE DEPARTMENT. THE DEPARTMENT ALSO EMPLOYS A FULL-TIME PHYSICIAN LIAISON. 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 "WEIGHT CONTROL AND WELLNESS PROGRAM," "SLEEP BETTER, LIVE BETTER," "MANAGING YOUR DIABETES AND MANY MORE. 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. IT IS DESIGNED TO HELP THE FAMILY MEMBERS, FRIENDS AND CAREGIVERS OF THOSE SUFFERING FROM ALZHEIMER'S DISEASE AND OTHER FORM OF DEMENTIA.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 4 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 11 A.M. (NOV. THROUGH MARCH) AND AT 6 P.M. (APRIL THROUGH OCT.). 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 1 P.M.SUICIDE SURVIVOR'S GROUP. APPROXIMATELY 40,000 AMERICANS DIE BY SUICIDE EACH YEAR, AND THE AFTERMATH OF GRIEF AND BEREAVEMENT EXTENDS MUCH FARTHER, WITH A CONSERVATIVE ESTIMATE OF SIX SURVIVORS LEFT BEHIND FOR EVERY SUICIDE DEATH. TO HELP SURVIVORS, MONONGAHELA VALLEY HOSPITAL BEGAN OFFERING A SUICIDE BEREAVEMENT SUPPORT GROUP FOR ANYONE WHO HAS BEEN TOUCHED BY SUICIDE. THE FREE INFORMAL GROUP MEETINGS ARE LED BY STAFF PSYCHOLOGIST SAM LONICH, WHO HAS EXTENSIVE PROFESSIONAL EXPERIENCE WORKING WITH SUICIDE SURVIVORS. THE GROUP MEETS TWO TIMES EACH MONTH.CLASSESMONONGAHELA VALLEY HOSPITAL OFFERS THE FOLLOWING CLASSES FOR MEMBERS OF THE COMMUNITY.AMERICAN HEART ASSOCIATION/HEARTSAVER CPR/AED. HEARTSAVER: ADULT, CHILD AND INFANT CPR AND AED CLASSES ARE OFFERED AT THE HOSPITAL. CLASSES MEET ONE TUESDAY EACH MONTH WITH ALTERNATING DAY AND EVENING CLASSES. THERE IS A MINIMAL FEE TO PARTICIPATE.DIABETES EDUCATION PROGRAMS. OPEN TO ALL PEOPLE WITH DIABETES, FREE CLASSES ARE HELD MONTHLY. TOPICS INCLUDE: "MANAGING YOUR DIABETES AND "ADVANCED CARBOHYDRATE COUNTING." AARP 55 ALIVE REFRESHER DRIVING COURSETHE 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. ADULT FIRST AIDADULT FIRST AID CLASSES ARE OFFERED BY THE HOSPITAL IN CONJUNCTION WITH THE VALLEY HEALTH AND SAFETY TRAINING CENTER. CLASSES ARE OFFERED SEVERAL TIMES THROUGHOUT THE YEAR.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.BREAST CANCER. THE COMMUNITY RELATIONS DEPARTMENT HELPED COORDINATE MONONGAHELA VALLEY HOSPITAL'S ANNUAL BREAST CANCER EDUCATION AND SCREENING LUNCHEON ON OCT. 28 IN THE ANTHONY M. LOMBARDI EDUCATION CONFERENCE CENTER. MORE THAN 75 PEOPLE LISTENED AS BREAST CANCER SURVIVOR KATHY CAMERON DETAILED HER POSITIVE EXPERIENCE AT MVH. IN ADDITION, BREAST SURGEON NATALIE FURGIUELE, M.D., OUTLINED WHO IS AT RISK FOR BREAST CANCER AND THE ADVANTAGES OF GENETIC TESTING. ONCOLOGIST SHANI GUNNING-CARTER, M.D., EXPLAINED WHY DIFFERENT PEOPLE REQUIRE DIFFERENT MEDICAL THERAPIES AND LORI CHERUP, M.D., A PLASTIC SURGEON, OUTLINED WHY BREAST RECONSTRUCTION SURGERY IS FAVORED BY SOME WOMEN FOLLOWING THEIR MASTECTOMIES. LUNG CANCER. TO COINCIDE WITH NATIONAL LUNG CANCER AWARENESS MONTH, MONONGAHELA VALLEY HOSPITAL HOSTED ITS FIRST LUNG CANCER SCREENING EDUCATIONAL PROGRAM ON NOVEMBER 10, IN THE ANTHONY M. LOMBARDI EDUCATION CONFERENCE CENTER. DURING THE FREE SESSION, PARTICIPANTS LEARNED ABOUT THE IMPORTANCE OF EARLY DETECTION AS WELL AS RECENT ADVANCEMENTS IN EARLY DETECTION AND TREATMENTS. SPEAKERS INCLUDED: ANDREW ZAHALSKY, M.D., DIRECTOR OF MEDICAL ONCOLOGY; SURINDER ANEJA, M.D., INTERNAL/PULMONARY MEDICINE; AND RADIOLOGIST ADIL CHAUDRY, M.D. MVH HOSTED A SECOND LUNG CANCER SCREENING AND EDUCATION PROGRAM ON APRIL 20 IN THE ANTHONY M. LOMBARDI EDUCATION CONFERENCE CENTER. CURRENT OR FORMER SMOKERS, WHO ARE MOST AT RISK FOR LUNG CANCER, WERE ENCOURAGED TO PARTICIPATE IN THE COMMUNITY EVENT. DURING THE FREE SESSION, PARTICIPANTS LEARNED ABOUT THE IMPORTANCE OF EARLY DETECTION AS WELL AS RECENT ADVANCEMENTS IN EARLY DETECTION AND TREATMENTS. SPEAKERS INCLUDED: ANDREW ZAHALSKY, M.D., DIRECTOR OF MEDICAL ONCOLOGY; RADIOLOGIST ADIL CHAUDRY, M.D. AND MICHELE KACZMAREK, RN, LUNG CANCER NURSE NAVIGATOR.COLORECTAL CANCER. IN APRIL, THE HOSPITAL CONDUCTS FREE COLORECTAL CANCER SCREENINGS. MEMBERS OF THE COMMUNITY RECEIVE KITS THAT THEY USE AND RETURN TO THE HOSPITAL FOR TESTING. A DISTINGUISHED PANEL OF HEALTH CARE PROFESSIONALS FROM MONONGAHELA VALLEY HOSPITAL PROVIDES INFORMATION DURING THE PRESENTATION. ANDREW J. ZAHALSKY, M.D., MVH'S DIRECTOR OF MEDICAL ONCOLOGY, LEADS THE DISCUSSION AND PROVIDES INFORMATION ON TREATMENTS FOR COLORECTAL CANCER; A SURGEON WHO SPECIALIZES IN COLORECTAL SURGERY, A DIETITIAN TO DISCUSS CANCER AND NUTRITION AND A NURSE TO EXPLAIN THE FREE TAKE-HOME COLORECTAL SCREENING KIT TO TEST FOR BLOOD IN THE STOOL. THE 2015-16 EVENT WAS HELD ON APRIL 27. PROSTATE CANCER. IN SEPTEMBER, A PROSTATE SCREENING IS HELD AT THE HOSPITAL. ANDREW J. ZAHALSKY, M.D., AN ONCOLOGIST, PROVIDES A 45-MINUTE EDUCATIONAL PROGRAM. ATTENDEES LEARN ABOUT THE IMPORTANCE OF EARLY DETECTION AND HAVE THE OPTION TO RECEIVE AN EXAM BY MVH'S MEDICAL STAFF ALONG WITH A PROSTATE SPECIFIC ANTIGEN (PSA) BLOOD TEST. THE 2015-16 SCREENING WAS HELD ON SEPTEMBER 9 WITH 64 MEN RECEIVING THE PSA TEST AS WELL AS THE DIGITAL EXAM. CONTINUED BELOW ON SCHEDULE H, PART VI (AFTER LINE 6)
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 200-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 200-BED HEALTH CARE FACILITY WITH A225-MEMBER MEDICAL STAFF REPRESENTING MORE THAN 40 MEDICAL SPECIALTIES.BLOOD DRAW CENTER - MONONGAHELA 447 WEST MAIN STREET, MONONGAHELA, PA 15063, 724-310-3410A PUBLIC BLOOD DRAW SITE IN MONONGAHELA TO OFFER LOCAL RESIDENTS GREATER CONVENIENCE. ALL BLOOD DRAWS WILL BE PERFORMED BY A MONONGAHELA VALLEY HOSPITAL PHLEBOTOMIST AND PROCESSED IN THE HOSPITAL'S LAB.BLOOD DRAW CENTER - FINLEYVILLE6108 BROWNSVILLE ROAD EXTENSION, FINLEYVILLE, PA 15332, 724-782-0723 A PUBLIC BLOOD DRAW SITE IN FINLEYVILLE TO OFFER LOCAL RESIDENTS GREATER CONVENIENCE. ALL BLOOD DRAWS WILL BE PERFORMED BY A MONONGAHELA VALLEY HOSPITAL PHLEBOTOMIST AND PROCESSED IN THE HOSPITAL'S LAB.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 PROVIDED 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)MONONGAHELA MEDICAL SUPPLY COMPANY 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 MEDICAL FACILITY724-483-2760200 STOOPS DRIVE, MONONGAHELA, PA 15063MON VALLEY CARE CENTER OFFERS SERVICES FOR INDIVIDUALS REQUIRING SKILLED/EXTENDED CARE AND PERSONAL CARE SERVICES. SPARTAN MEDICAL FACILITY 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, ROSTRAVER, PA 15012THIS FACILITY INCLUDES:MONONGAHELA VALLEY HOSPITAL'S CENTER FOR FITNESS AND HEALTH724-379-5100ONE OF THE MOST CLINICALLY ORIENTED AND MEDICALLY ADVANCED 1TNESS 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, AND BONE DENSITY SCREENINGS.MVH CARDIAC AND PULMONARY REHABILITATION SUITE 200, 724-379-1920SERVICES INCLUDE MONITORED EXERCISE, BEHAVIOR MODIFICATION AND EDUCATIONTO REDUCE THE RISK OF ADDITIONAL CORONARY PROBLEMS AFTER CARDIAC SURGERYOR A HEART ATTACK AND FOR PRE-AND POST-TRANSPLANT PATIENTS.MON-VALE PROFESSIONAL SERVICES, INC.1163 COUNTRY CLUB ROAD, MONONGAHELA, PA 15063, 724-379-4011 EXT. 2303A MANAGEMENT SERVICE ORGANIZATION THAT PROVIDES ADMINISTRATIVE, FINANCIAL AND CLINICAL OVERSIGHT FOR SYSTEM-OWNED PRACTICES.MON-VALE PRIMARY CARE PRACTICES, INC.1163 COUNTRY CLUB ROAD, MONONGAHELA, PA 15063, 724-370-4011 EXT. 2303SYSTEM-AFFILIATED PRIMARY CARE PRACTICES.MON-VALE SPECIALTY PRACTICES, INC.1163 COUNTRY CLUB ROAD, MONONGAHELA, PA 15063, 724-370-4011 EXT. 2303SYSTEM-AFFILIATED PRIMARY CARE 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 IMAGINGPEASANT VILLAGE PROFESSIONAL PLAZA, 100 PEASANT VILLAGE LANE, BELLE VERNON, PA 15012, 724-929-6736AN OUTPATIENT DIAGNOSTIC IMAGING CENTER THAT OFFERS OPEN AND CLOSED MRIS, CT SCANS, ULTRASOUND IMAGING AND X-RAYS.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,ROSTRAVER, PA 15012, 724-379-4011THE MONONGAHELA VALLEY PHYSICIAN HOSPITAL ORGANIZATION, INC. AND NETWORK PROVIDES RESIDENTS OF THE MONONGAHELA VALLEY WITH ACCESS TO A RANGE OF HIGH-QUALITY, COST-EFFECTIVE HEALTH CARE PROVIDERS, SERVICES AND BENEFITS THROUGH CONTRACTUAL ARRANGEMENTS WITH MANAGED CARE ORGANIZATIONS, GOVERNMENT AND PRIVATE INSURERS AND PARTICIPATING PROVIDERS. VALE-U-HEALTH REGIONAL HEALTH INFORMATION ORGANIZATION (VUH RHIO)SUITE 230, MON-VALE HEALTHPLEX, WILLOWPOINTE PLAZA,ROSTRAVER, PA 15012, 724-379-4011VUH RHIO IS A LOCAL HEALTH INFORMATION EXCHANGE WHICH ENABLES MONONGAHELA VALLEY HOSPITAL, ITS MEDICAL STAFF AND OTHER LOCAL, REGIONAL AND STATEWIDE PROVIDERS TO ACCESS AND SHARE A PATIENT'S VITAL CLINICAL INFORMATION AT THE POINT-OF-CARE DELIVERY. VALLEY OUTPATIENT REHABILITATION (VOR)VOR OPERATES FOUR SITES AS A PARTNERSHIP BETWEEN ORTHOPEDIC ANDSPORTS 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.
PART VI, LINE 5 CONTINUED	STROKE DEATHS - STROKE DEATHS IS THE SECOND AREA IDENTIFIED IN 2012 AS A COMMUNITY HEALTH NEED IN WHICH MVH HAS NOTEWORTHY IMPROVED OUTCOMES. THE NEED CHANGED FROM -17.9% IN 2012 TO 95.8% IN 2015. WHEN A STROKE IS OCCURRING, TIME EQUALS BRAIN. PATIENTS EXPERIENCING A STROKE MUST BE RAPIDLY ASSESSED BY BOTH EMERGENCY MEDICINE PHYSICIANS AND NEUROLOGISTS. PROMPT TREATMENT CAN SAVE BRAIN FUNCTION AND REDUCE STROKE-RELATED DISABILITY. 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 PROVIDES 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.FOR THE SECOND CONSECUTIVE YEAR, MONONGAHELA VALLEY HOSPITAL EARNED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES STROKE GOLD PLUS AWARD AND FOR RECOGNITION ON THE TARGET: STROKE HONOR ROLL. THESE HONORS PLACE MVH AMONG AN ELITE GROUP OF HOSPITALS RECOGNIZED BY THE ASSOCIATIONS. THE AWARD RECOGNIZES THE HOSPITAL'S COMMITMENT TO PROVIDING THE MOST APPROPRIATE STROKE TREATMENT ACCORDING TO NATIONALLY RECOGNIZED, RESEARCH-BASED GUIDELINES BASED ON THE LATEST SCIENTIFIC EVIDENCE. HOSPITALS MUST ACHIEVE 85 PERCENT OR HIGHER ADHERENCE TO ALL GET WITH THE GUIDELINES-STROKE ACHIEVEMENT INDICATORS FOR TWO OR MORE CONSECUTIVE 12-MONTH PERIODS AND ACHIEVE 75 PERCENT OR HIGHER COMPLIANCE WITH FIVE OF EIGHT GET WITH THE GUIDELINES-STROKE QUALITY MEASURES TO RECEIVE THE GOLD PLUS QUALITY ACHIEVEMENT AWARD. TO QUALIFY FOR THE TARGET: STROKE HONOR ROLL, HOSPITALS MUST MEET QUALITY MEASURES DEVELOPED TO REDUCE THE TIME BETWEEN THE PATIENT'S ARRIVAL AT THE HOSPITAL AND TREATMENT WITH THE CLOT-BUSTER TISSUE PLASMINOGEN ACTIVATOR, OR TPA, THE ONLY DRUG APPROVED BY THE U.S. FOOD AND DRUG ADMINISTRATION TO TREAT ISCHEMIC STROKE. IF GIVEN INTRAVENOUSLY IN THE FIRST THREE HOURS AFTER THE START OF STROKE SYMPTOMS, TPA HAS BEEN SHOWN TO SIGNIFICANTLY REDUCE THE EFFECTS OF STROKE AND LESSEN THE CHANCE OF PERMANENT DISABILITY. 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 QUALITY MEASURES ARE DESIGNED TO HELP HOSPITAL TEAMS FOLLOW THE MOST UP-TO-DATE, EVIDENCE-BASED GUIDELINES WITH THE GOAL OF SPEEDING RECOVERY AND REDUCING DEATH AND DISABILITY FOR STROKE PATIENTS.THE 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. SCREENINGS SUCH AS THE MULTIPHASIC AND THE BLOOD PRESSURE HELP MEMBERS OF THE COMMUNITY LEARN IF THEY ARE AT RISK FOR STROKES. BREAST CANCER DEATHS AND LATE STAGE BREAST CANCER - BREAST CANCER DEATHS AND LATE STAGE BREAST CANCER ARE OTHER AREAS IN WHICH MONONGAHELA VALLEY HAS SIGNIFICANTLY IMPACTED THE COMMUNITY. IN TERMS OF HEALTH OUTCOMES, BREAST CANCER WENT FROM -152.2% IN 2012 TO -75.4% IN 2015; AND, LATE-STAGE BREAST CANCER WENT FROM -522.7% IN 2012 TO -509.1% IN 2015. RESIDENTS OF THE MID-MONONGAHELA VALLEY AND SURROUNDING AREAS DO NOT HAVE TO TRAVEL FAR FROM HOME FOR CUTTING EDGE MEDICAL CARE. MONONGAHELA VALLEY HOSPITAL OFFERS A MEDICAL STAFF OF MORE THAN 225 PHYSICIANS REPRESENTING MORE THAN 40 MEDICAL SPECIALTIES. THE HOSPITAL IS HOME TO THE CHARLES L. AND ROSE SWEENEY MELENYZER PAVILION AND REGIONAL CANCER CENTER (THE FIRST SUCH FACILITY IN WASHINGTON COUNTY AND THE SECOND LARGEST PRIVATELY OWNED CANCER CENTER IN THE GREATER PITTSBURGH AREA). COMPREHENSIVE CANCER CARE SERVICES INCLUDE MEDICAL ONCOLOGY, CHEMOTHERAPY, RADIATION THERAPY, DIAGNOSTIC RADIOLOGY AND SURGICAL SERVICES. MVH OFFERS IMAGE GUIDED RADIATION THERAPY, A HIGHLY ADVANCED CANCER TREATMENT, AND IT IS ONE OF THE FEW HOSPITALS IN THE REGION THAT OFFERS HIGH DOSE RADIATION THERAPY TO CANCER 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 IS ONE OF ONLY A FEW HOSPITALS IN THE UNITED STATES THAT AUTOMATICALLY ASSESSES A GENETIC RISK FOR BREAST CANCER PRIOR TO A WOMAN'S SCREENING MAMMOGRAM.MVH HAS SET UP A PROGRAM TO CAPTURE SCREENING PATIENTS WHEN THEY GO IN FOR THEIR ROUTINE MAMMOGRAMS. THE HOSPITAL ASSESSES A WOMAN'S RISK AT STAGE ZERO - BEFORE CANCER HAS EVEN BEEN IDENTIFIED. THE HOSPITAL IS MAKING PEOPLE AWARE OF THEIR RISK WHO MAY NEVER EVEN HAVE BEEN AWARE THAT ONE EXISTED FOR THEM. PRIOR TO A WOMAN'S SCREENING MAMMOGRAM, A MEMBER OF MVH'S BREAST CARE TEAM PERFORMS THE RISK ASSESSMENT BY ASKING A SERIES OF QUESTIONS THAT HELP DETERMINE THE RISK OF DEVELOPING BREAST CANCER. BASED ON THE RISK ASSESSMENT, GENETIC TESTING MAY BE SUGGESTED. MONONGAHELA VALLEY HOSPITAL OFFERS A 25-GENE PANEL OF WHICH BRCA1 AND 2 ARE INCLUDED. THESE FIND CANCERS THAT OVERLAP WITH BREAST CANCER INCLUDING COLON, ENDOMETRIAL, PANCREATIC MELANOMA AND OVARIAN CANCERS. THOSE WHO HAVE BRCA MUTATIONS HAVE A 50 TO 85 PERCENT CHANCE OF DEVELOPING BREAST CANCER. IT IS RELATIVELY UNCOMMON TO HAVE AN INHERITED BRCA GENE MUTATION - AS THE BRCA1 AND BRCA2 MUTATIONS ARE RESPONSIBLE FOR ONLY APPROXIMATELY 5 PERCENT OF BREAST CANCERS. GENETIC TESTING IS USUALLY A THREE-STEP PROCESS.MONONGAHELA VALLEY HOSPITAL OFFERS A BREAST CANCER SUPPORT GROUP THAT IS FREE AND OPEN TO ALL BREAST CANCER PATIENTS AND THEIR FAMILIES.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. MAMM & GLAMM IS HELD IN MARCH 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 HOSPITAL ALSO HAS TAKEN STEPS TO MAKE MAMMOGRAMS CONVENIENT FOR EVERYONE. IN SPRING 2016, MVH BEGAN OFFERING WALK-IN MAMMOGRAMS EVERY DAY OF THE WEEK AT HEALTHPLEX IMAGING LOCATED IN THE MON-VALE HEALTHPLEX. IN AUGUST 2016, THE HOSPITAL HAD A RECORD-BREAKING MONTH PERFORMING 500 MAMMOGRAMS INCLUDING BOTH SCHEDULED AND WALK-IN.
PART VI, LINE 5 CONTINUED	COLORECTAL CANCER DEATHS AND INVASIVE COLORECTAL CANCER - COLORECTAL CANCER DEATHS AND INVASIVE COLORECTAL CANCER ARE ANOTHER TWO AREAS WHERE MVH MADE A MEANINGFUL IMPACT ON THE COMMUNITY IN THE YEARS BETWEEN THE TWO CHNAS. THE 2012 HEALTHY COMMUNITIES OUTCOMES SCORE FOR CORONARY HEART WAS -80.0% COMPARED TO -50.0% IN 2015; AND, THE INVASIVE COLORECTAL CANCER SCORES WENT FROM -76.5% TO 67.1%.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. A DISTINGUISHED PANEL OF HEALTH CARE PROFESSIONALS FROM MONONGAHELA VALLEY HOSPITAL PROVIDES INFORMATION DURING THE PRESENTATION. ANDREW J. ZAHALSKY, M.D., MVH'S DIRECTOR OF MEDICAL ONCOLOGY, LEADS THE DISCUSSION AND PROVIDES INFORMATION ON TREATMENTS FOR COLORECTAL CANCER; MEMBERS OF THE ONCOLOGY STAFF ALSO PARTICIPATE IN THE PANEL. PARTICIPANTS A FREE TAKE-HOME COLORECTAL SCREENING KIT TO TEST FOR BLOOD IN THE STOOL.LUNG CANCER DEATHS - MVH'S IS MAKING GREAT STRIDES IN TERMS OF LUNG CANCER DEATHS. THE 2012 HEALTHY COMMUNITIES OUTCOME SCORE WENT FROM -160.8% IN 2012 TO -0.7% IN 2015. LUNG CANCER IS THE LEADING CAUSE OF CANCER DEATHS. IT KILLS MORE AMERICANS EACH YEAR THAN BREAST, PROSTATE, COLON AND PANCREATIC CANCERS COMBINED. ACCORDING TO THE AMERICAN CANCER SOCIETY, MORE THAN 224,000 AMERICANS ARE DIAGNOSED WITH LUNG CANCER EACH YEAR. THE GOOD NEWS IS THAT WITH EARLY DETECTION, THE SURVIVAL RATE INCREASES FROM 15 PERCENT (STAGE IV) TO AS HIGH AS 92 PERCENT (STAGE I). 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 30-45 MINUTES. MONONGAHELA VALLEY HOSPITAL HOSTED ITS FIRST LUNG CANCER SCREENING EDUCATIONAL PROGRAM ON NOV. 11, 2015. DURING THE FREE SESSION, PARTICIPANTS LEARNED ABOUT THE IMPORTANCE OF EARLY DETECTION AS WELL AS RECENT ADVANCEMENTS IN EARLY DETECTION AND TREATMENTS. SPEAKERS INCLUDED: ANDREW ZAHALSKY, M.D., DIRECTOR OF MEDICAL ONCOLOGY; SURINDER ANEJA, M.D., INTERNAL/PULMONARY MEDICINE; AND RADIOLOGIST ADIL CHAUDRY, M.D. A SECOND LUNG CANCER SCREENING AND EDUCATIONAL PROGRAM WAS HELD ON APRIL 20, 2016.MONONGAHELA VALLEY HOSPITAL HAS BEEN NAMED A SCREENING CENTER OF EXCELLENCE BY THE LUNG CANCER ALLIANCE (LCA) FOR ITS ONGOING COMMITMENT TO RESPONSIBLE LUNG CANCER SCREENING. DESIGNATED SCREENING CENTERS OF EXCELLENCE ARE COMMITTED TO PROVIDE CLEAR INFORMATION BASED ON CURRENT EVIDENCE ON WHO IS A CANDIDATE FOR LUNG CANCER SCREENING, AND TO COMPLY WITH COMPREHENSIVE STANDARDS BASED ON BEST PRACTICES DEVELOPED BY PROFESSIONAL BODIES SUCH AS THE AMERICAN COLLEGE OF RADIOLOGY (ACR), THE NATIONAL COMPREHENSIVE CANCER NETWORK (NCCN) AND THE INTERNATIONAL EARLY LUNG CANCER ACTION PROGRAM (I-ELCAP) FOR CONTROLLING SCREENING QUALITY, RADIATION DOSE AND DIAGNOSTIC PROCEDURES WITHIN AN EXPERIENCED, MULTI-DISCIPLINARY CLINICAL SETTING. OBESITY, FRUITS AND VEGETABLE CONSUMPTION - WHILE MONONGAHELA VALLEY HOSPITAL'S SCORES FOR ADULT HEALTHY WEIGHT AND YOUTH OBESITY HAVE NOT REALIZED MARKED IMPROVEMENT DURING THE THREE YEARS FROM WHEN THE TWO CHNAS WERE CONDUCTED, THE HOSPITAL HAS MADE A CONSIDERABLE IMPACT IN THE COMMUNITY RELATIVE TO FRUIT AND VEGETABLE CONSUMPTION. THE FRUIT AND VEGETABLE SCORES WENT FROM -514.8% IN 2012 TO -84.4% IN 2015. VEGETABLES AND FRUITS ARE AN IMPORTANT PART OF A HEALTHY DIET AND VARIETY IS AS IMPORTANT AS QUANTITY. NO SINGLE FRUIT OR VEGETABLE PROVIDES ALL OF THE NUTRIENTS A PERSON NEEDS TO BE HEALTHY. 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:PARTICIPATION AT SUMMER FARMERS' MARKETS IN MONONGAHELA, CHARLEROI AND FREDERICKTOWN WHERE MEMBERS OF THE CLINICAL NUTRITION DEPARTMENT BRING HEALTHY FOOD SAMPLES AND WALK WITH PARTICIPANTS FROM VENDOR TO VENDOR HELPING THEM MAKE WISE FRUIT AND VEGETABLE CHOICESHEALTHY EATING CLASSES AND SUPERMARKET TOURS WHERE 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. TOPICS INCLUDE:"HEART HEALTHY EATING""HOW TO READ A FOOD LABEL""HIGH BLOOD PRESSURE: YOUR SALT AND SODIUM INTAKE""NUTRITION BUILDING BLOCKS"IN TERMS OF OBESITY, THE HOSPITAL INTRODUCED A WEIGHT CONTROL AND WELLNESS PROGRAM IN 2015 FOR PEOPLE WHO HAVE 100 POUNDS OR MORE TO LOSE. A TEAM OF PHYSICIANS AND CLINICIANS EVALUATE EACH PERSON BASED ON LIFESTYLE, DIET, CULTURE, AMOUNT OF PHYSICAL ACTIVITY, AGE AND GENDER AS WELL AS CERTAIN ENVIRONMENTAL, PSYCHOLOGICAL AND GENETIC FACTORS THAT CAN CONTRIBUTE TO OBESITY. THE HOSPITAL'S MULTIDISCIPLINARY TEAM OF PHYSICIANS, DIETITIANS, PHYSICAL THERAPISTS AND EXERCISE PHYSIOLOGISTS HELP DESIGN PERSONAL PLANS THAT INCLUDE: NUTRITION COUNSELING TO CREATE HEALTHY EATING PLANSMEDICALLY SUPERVISED WEIGHT LOSS WITH RECIPES AND FOOD JOURNALSAN AT-HOME PHYSICAL ACTIVITY PLANCENTER FOR FITNESS AND HEALTH CLASSESHEALTHY COOKING CLASSESBARIATRIC SURGERY - ADJUSTABLE GASTRIC BAND, GASTRIC SLEEVE AND GASTRIC BYPASSDIABETES - DIABETES IS ONE OF AMERICA'S MOST COMMON AILMENTS. MORE THAN 29 MILLION PEOPLE --- OR NEARLY ONE OUT OF EVERY 10 AMERICANS -- HAVE DIABETES WITH THE NUMBERS NOT ONLY CLIMBING BUT SOARING. MORE THAN A QUARTER OF PEOPLE 65 AND OLDER ALREADY HAVE DIABETES, WITH 86 MILLION AMERICANS AGES 20 AND OLDER HAVE PRE-DIABETES. THE CENTERS FOR DISEASE CONTROL AND PREVENTION REPORT THAT IF THIS TREND CONTINUES, ONE OUT OF EVERY THREE AMERICANS COULD HAVE DIABETES BY 2050. WHILE MONONGAHELA VALLEY HOSPITAL OFFERS CLASSES AND PROGRAMS FOR PEOPLE WHO HAVE DIABETES, FROM WHEN THE CNHA WAS CONDUCTED IN 2012 TO WHEN THE SECOND ONE WAS CONDUCTED IN 2015, THE NUMBERS WERE RELATIVELY THE SAME IN TERMS OF DIABETES. THE NUMBERS WENT FROM -98.6% IN 2012 TO -95.0% IN 2015. MVH STAFF MEMBERS RECOGNIZE THAT DIABETES HAS A HUGE EFFECT ON THE HEALTH OF OUR COMMUNITIES. INDIVIDUALS WITH DIABETES ARE MORE LIKELY TO DEVELOP HEART DISEASE, KIDNEY DISEASE, VISION PROBLEMS AND AMPUTATIONS. TO BETTER SERVE THE NEEDS OF ITS COMMUNITY, MONONGAHELA VALLEY HOSPITAL OPENED THE CENTER FOR DIABETES & ENDOCRINOLOGY IN 2001. THE CENTER FOR DIABETES & ENDOCRINOLOGY FOCUSES ON PROVIDING HIGH QUALITY OUTPATIENT AND INPATIENT DIABETES MANAGEMENT AND EDUCATION, AS WELL AS DIABETES PREVENTION EDUCATION. THE CENTER OFFERS COMMITTED CERTIFIED DIABETES EDUCATORS, PHYSICIANS, NURSES, DIETITIANS AND PROFESSIONAL STAFF WHO WILL WORK WITH PATIENTS TO BETTER UNDERSTAND AND MANAGE DIABETES. MVH'S DIABETIC SELF-MANAGEMENT PROGRAM IS RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION AS MEETING THE NATIONAL STANDARDS FOR EDUCATION. THE MVH CENTER FOR DIABETES & ENDOCRINOLOGY CENTER STAFF ALSO COORDINATES DIABETES EDUCATION AND CARE WITH ALL OTHER MONONGAHELA VALLEY HOSPITAL SERVICES INCLUDING: CLINICAL NUTRITION, HUMAN SERVICES, CENTER FOR WOUND MANAGEMENT, EMERGENCY SERVICES AND SAME DAY SURGERY TO NAME A FEW. 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:
PART VI, LINE 5 CONTINUED	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 TEAMMONONGAHELA 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 MVH DIABETIC 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. 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. 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. THE FOLLOWING PROGRAMS WERE OFFERED IN 2016.DATE/TITLE/LOCATIONSEPTEMBER 15/"HEART HEALTHY EATING"/ROSTRAVER SHOP 'N SAVENOVEMBER 5/"HOLIDAY MEAL PLANNING"/FINLEYVILLE GIANT EAGLEFEBRUARY 17/"HEART-HEALTHY EATING"/FISHER-HEIGHTS GIANT EAGLEMAY 12/"RECIPE MODIFICATION"/ROSTRAVER SHOP 'N SAVEJUNE 9/"HOW TO READ A FOOD LABEL"/FISHER-HEIGHTS GIANT EAGLEMONONGAHELA VALLEY HOSPITAL OFFERS DIABETES EDUCATION COURSES INCLUDING:"DIABETES SELF-MANAGEMENT TRAINING," A THREE-DAY, TWO-HOUR-PER-DAY EDUCATION SERIES THAT FOCUSES ON DIABETES SELF-MANAGEMENT AND CARE. THIS CLASS IS OFFERED MONTHLY."UNDERSTANDING YOUR MEAL PLAN," A COURSE THAT BUILDS ON THE EDUCATION RECEIVED IN THE MANAGING YOUR DIABETES PROGRAM. PARTICIPANTS LEARN MORE ABOUT FOOD CHOICES, DINING OUT AND HOW EATING HABITS AFFECT BLOOD GLUCOSE CONTROL. "UNDERSTANDING YOUR BLOOD SUGAR READINGS" HELPS PARTICIPANTS LEARN HOW TO MAKE SENSE OF ALL THOSE BLOOD SUGAR READINGS THEY DOCUMENT. PARTICIPANTS UNDERSTAND HOW DIET, MEDICATIONS, ILLNESS, AND STRESS AFFECT BLOOD SUGARS. "UNDERSTANDING YOUR DIABETES MEDICATIONS" GIVES PEOPLE A BETTER UNDERSTANDING OF HOW DIABETES MEDICATIONS WORK AND LEARN THE EFFECTS DIABETES MEDICATIONS HAVE ON BLOOD SUGAR READINGS. "ADVANCED CARBOHYDRATE COUNTING," IS ANOTHER DIABETES SELF-MANAGEMENT CLASS THAT FOCUSES ON CARB COUNTING WITH EVERYTHING PEOPLE WITH DIABETES NEED TO KNOW. TOPICS RANGE FROM HOW TO MEASURE THE UPWARD DRIVE EACH MEAL HAS ON BLOOD SUGAR TO INFORMATION ON THE GLYCEMIC INDEX.COPD DEATHS - COPD DEATHS ARE THE ONE AREA THAT DID NOT MAINTAIN OR HAVE MARKED IMPROVEMENT BETWEEN THE TWO CHNAS. ACCORDING TO THE 2015 ASSESSMENT, 15,900 PEOPLE HAVE COPD IN WASHINGTON COUNTY WITH 143 DEATHS. AT MONONGAHELA VALLEY HOSPITAL, COPD ACCOUNTED FOR ONLY 5% OF ADMISSIONS. MONONGAHELA VALLEY HOSPITAL ESTABLISHED THE PRIMARY CARE RESOURCE CENTER IN CONJUNCTION WITH THE PITTSBURGH REGIONAL HEALTH INITIATIVE TO HELP PATIENTS WITH CHRONIC HEALTH PROBLEMS AND THEIR FAMILIES TO UNDERSTAND AND COORDINATE THE CARE THAT THEIR PRIMARY CARE DOCTOR HAS PRESCRIBED FOR THEM. THE PRIMARY OBJECTIVES ARE TO:PROVIDE PATIENTS ESPECIALLY WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), HEART FAILURE (CHF) OR ANY TYPE OF CORONARY ARTERY DISEASE WITH EDUCATION TO ENHANCE THE SELF-MANAGEMENT OF THEIR DISEASESHELP INCREASE PATIENTS' QUALITY OF LIFEIMPROVE PATIENTS' COMPLIANCE WITH THE TREATMENT PLANS FROM THEIR PHYSICIANSDECREASE PREVENTABLE READMISSIONS A TEAM OF NURSE CARE MANAGERS AND A CLINICAL PHARMACIST CAN HELP WITH: LEARNING MORE ABOUT THE DOCTOR'S DIAGNOSIS, ESPECIALLY COPD, CHF OR ANY TYPE OF CORONARY ARTERY DISEASE UNDERSTANDING MEDICATIONS ARRANGING FOLLOW-UP CARE RESPIRATORY INHALER TRAINING AND BETTER BREATHING EDUCATION "SURVIVAL SKILLS" TRAINING FOR DIABETES, NUTRITION, ETC. THE PCRC TEAMS SEES ANY AND ALL PATIENTS FROM MONONGAHELA VALLEY HOSPITAL AND MVH-AFFILIATED PHYSICIANS AT NO CHARGE TO THE PATIENT OR THE PHYSICIAN PRACTICE REGARDLESS OF THE TYPE OF INSURANCE - AND EVEN IF THE PATIENT DOES NOT HAVE INSURANCE. THE PCRC TEAM CONSISTS OF NURSE CARE MANAGERS AND A CLINICAL PHARMACIST. THE PCRC SPONSORS SMOKING CESSATION CLASSES QUARTERLY; A BETTER BREATHERS CLUB FOR ADULTS WITH BREATHING ISSUES FOR ANY REASON AND A COMMUNITY HEALTH TEAM. THE TEAM IS COMPOSED OF REPRESENTATIVES FROM THE MONONGAHELA VALLEY COMMUNITY HEALTH PROVIDERS, AGENCIES AND FACILITIES. IN OCTOBER 2015, MONONGAHELA VALLEY HOSPITAL RECEIVED FIVE STARS FOR THE QUALITY OF ITS TREATMENT OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) FROM HEALTHGRADES. HEALTHGRADES IS A LEADING ONLINE RESOURCE THAT HELPS CONSUMERS MAKE INFORMED DECISIONS IN FINDING THE RIGHT DOCTOR, THE RIGHT HOSPITAL AND THE RIGHT CARE. A FIVE-STAR RATING INDICATES THAT MONONGAHELA VALLEY HOSPITAL'S CLINICAL OUTCOMES ARE STATISTICALLY SIGNIFICANTLY BETTER THAN EXPECTED WHEN TREATING COPD. FROM 2012-2014, PATIENTS TREATED FOR COPD IN HOSPITALS WITH FIVE STARS FOR IN-HOSPITAL MORTALITY HAVE ON AVERAGE A 81.9 PERCENT LOWER RISK OF DYING THAN IF THEY WERE TREATED IN HOSPITALS WITH ONE STAR FOR IN-HOUSE MORTALITY. MVH'S COMMITMENT TO PROVIDING CARE TO PATIENTS WITH COPD ALSO HAS BEEN RECOGNIZED BY OTHER PRESTIGIOUS ORGANIZATIONS. IN 2014, MVH RECEIVED ACCREDITATION FROM THE JOINT COMMISSION IN ADVANCED DISEASE SPECIFIC CERTIFICATION IN COPD.MVH'S PRIMARY CARE RESOURCE CENTER (PCRC) PLAYED A KEY ROLE IN THE HEALTHGRADES AND JOINT COMMISSION DISTINCTIONS. 2015 CHNA FINDINGSWHEN MONONGAHELA VALLEY HOSPITAL RECEIVED THE FINDINGS FROM THE 2015 COMMUNITY HEALTH NEEDS ASSESSMENT, 12 COMMUNITY NEEDS WERE IDENTIFIED. THESE NEEDS INCLUDE:LUNG CANCER DEATHSSUICIDE DEATHSMAMMOGRAPHY (BREAST CANCER AND LATE-STAGE BREAST CANCER DEATHS)DIABETESCOLORECTAL CANCER DEATHSCOPD DEATHSACCIDENTAL DRUG POISONING DEATHSTOBACCO USE BINGE AND HEAVY DRINKINGOBESITY/ADULT HEALTHY WEIGHT, FRUIT AND VEGETABLE CONSUMPTION, YOUTH OBESITYDENTAL VISITACCESS TO HEALTHY FOODTHE REPORT FINDINGS WERE PRESENTED TO THE HOSPITAL'S BOARD OF TRUSTEES FOR RECOMMENDATIONS ON AN IMPLEMENTATION PLAN. IN SPRING 2016, THE BOARD RECOMMENDED FOCUSING ON SEVEN OF THE OUTLINED NEEDS. THE SEVEN NEEDS OF FOCUS INCLUDED:LUNG CANCER DEATHS (ACCOUNT FOR 13% OF TOTAL CANCERS AT MVH)MAMMOGRAPHY - BREAST CANCER AND LATE-STAGE BREAST CANCER DEATHS - (BREAST CANCER ACCOUNTS FOR 26% OF TOTAL CANCERS)DIABETES (REPRESENTS 28% OF TOTAL ADMISSIONS)COLORECTAL CANCER DEATHS (REPRESENTS 8% OF TOTAL CANCERS)COPD DEATHS (REPRESENTS 5% OF TOTAL ADMISSIONS)ACCIDENTAL DRUG POISONING DEATHS (STATISTICS NOT AVAILABLE FROM THE CHNA)OBESITY/ADULT HEALTHY WEIGHT, FRUIT AND VEGETABLE CONSUMPTION, YOUTH OBESITY (ADULTS WITH A BMI>30 IS 38.5%)IT IS IMPORTANT TO NOTE THAT ACCIDENTAL DRUG POISONING WAS NOT AN AREA OF FOCUS IN THE 2012 CHNA. WITH THE EXCEPTION OF ACCIDENTAL DRUG POISONING DEATHS, THERE HAVE BEEN ONGOING PROGRAMS AND SERVICES IN PLACE TO ADDRESS THE FOCUSED NEEDS WHICH HAVE BEEN OUTLINED PREVIOUSLY IN THIS REPORT. ACCIDENTAL DRUG POISONING IS A RELATIVELY NEW COMMUNITY NEED IMPACTING NOT ONLY WASHINGTON COUNTY, BUT THE ENTIRE UNITED STATES. ACCIDENTAL DRUG POISONING DEATHS. POISONING IS THE LEADING CAUSE OF INJURY DEATH IN THE UNITED STATES. DRUGS - BOTH PHARMACEUTICAL AND ILLICIT - CAUSE THE VAST MAJORITY OF POISONING DEATHS. SINCE 2000, THE AGE-ADJUSTED DRUG-POISONING DEATH RATE MORE THAN DOUBLED, FROM 6.2 PER 100,000 IN 2000 TO 14.7 PER 100,000 IN 2014. DEATH RATES FROM DRUG OVERDOSE AND OTHER FORMS OF ACCIDENTAL POISONING AMONG YOUNG ADULTS MORE THAN TRIPLED BETWEEN 1999 AND 2014, RISING FROM 3.8 DEATHS PER 100,000 TO 12.8 DEATHS PER 100,000. IN 2014, 96 PERCENT OF ALL ACCIDENTAL POISONING DEATHS AMONG YOUNG ADULTS WERE DUE TO DRUG OVERDOSES. SOUTHWESTERN PENNSYLVANIA IS EXPERIENCING A DRUG CRISIS DUE TO THE NUMBER OF OVERDOSES.
PART VI, LINE 5 CONTINUED	MONONGAHELA VALLEY HOSPITAL IS ADDRESSING THE DRUG ABUSE AND DRUG POISONING EPIDEMIC. ON JULY 20, 2015, THE HOSPITAL TOOK THE LEAD IN TEACHING POLICE OFFICERS, HOW TO RECOGNIZE A DRUG OVERDOSE AND THE PROPER ADMINISTRATION OF THE OVERDOSE ANTIDOTE NALOXONE, COMMONLY KNOWN AS NARCAN. THE NASAL SPRAY IS AN EFFECTIVE ANTIDOTE WHEN ADMINISTERED ON THE SCENE. OFFICERS FROM CARROLL TOWNSHIP, DONORA AND NORTH BELLE VERNON ATTENDED THE TRAINING AND RECEIVED A TOTAL OF 18 KITS VALUED AT $70 EACH. MEMBERS OF THE EMERGENCY DEPARTMENT NURSING STAFF ALSO PROVIDED NARCAN TRAINING FOR SCHOOL PERSONNEL AT CHARLEROI HIGH SCHOOL ON DECEMBER 1, 2015. DURING THE WEEK OF MAY 30, 2016, JANINE VALKO, BSN, RN, CEN, DIRECTOR, EMERGENCY DEPARTMENT, SHARED INSIGHT INTO THE HEROIN AND OPIOID ABUSE CRISIS. ON JUNE 2, SHE PROVIDED TESTIMONY DURING THE CENTER FOR RURAL PENNSYLVANIA'S HEARING THAT ADDRESSED "CONFRONTING THE HEROIN AND OPIOID EPIDEMIC IN PENNSYLVANIA." IN ADDITION TO JANINE, PARTICIPANTS AT THE ALIQUIPPA MEETING INCLUDED PENNSYLVANIA LEGISLATORS; LAW ENFORCEMENT LEADERS; REPRESENTATIVES FROM SCHOOL DISTRICTS, HEALTH PLANS AND NON-PROFIT DRUG AND ALCOHOL PROGRAMS; AS WELL AS OTHER HEALTH SYSTEMS. JANINE ALSO RECEIVED A SPECIAL INVITATION TO SHARE INSIGHT ON THE IMPACT OPIOIDS AND ADDICTION IS HAVING ON THE LOCAL COMMUNITY AND THE WIDER WASHINGTON COUNTY AREA DURING A ROUNDTABLE DISCUSSION HOSTED BY GOVERNOR WOLF. THE JUNE 3 ROUNDTABLE, WHICH WAS HELD IN WASHINGTON, PA, ALLOWED FOR INTIMATE CONVERSATION BETWEEN, JANINE, GOVERNOR WOLF, SENATOR CAMERA BARTOLOTTA AND REPRESENTATIVE BRANDON NEUMAN.MONONGAHELA VALLEY HOSPITAL SUPPORTS AND PARTICIPATES IN THE BELLE VERNON AREA REALTY TOUR. REALITY TOUR IS A NATIONAL, EVIDENCED-BASED, PARENT AND CHILD DRUG EDUCATION/PREVENTION PROGRAM FOR AGES 10-17. IT ADDRESSES THE CONSEQUENCES OF DRUG USE AND IS A 100% VOLUNTEER DRIVEN PROGRAM. REALTY TOUR IS A WALK IN THE LIFE AND DEATH OF A TEEN ON DRUGS. THIS EVENING PROGRAM INVOLVES LIVE DRAMATIC SCENES AND IS AS CLOSE AS ONE CAN GET TO THIS LIFESTYLE, WITHOUT MAKING THIS WRONG CHOICE. IT INCLUDES A LAW ENFORCEMENT SPEAKER, TESTIMONY OF AN ADDICT IN RECOVERY, TESTIMONY OF A PARENT OF AN ADDICT, AND QUESTION/ANSWER SESSION.TO HELP KEEP PRESCRIPTION DRUGS FROM FALLING INTO THE WRONG HANDS, MVH WORKS IN COOPERATION WITH THE CARROLL TOWNSHIP POLICE DEPARTMENT TO SERVE AS A COLLECTION SITE FOR NATIONAL DRUG TAKE BACK DAY. THIS EVENT IS A CONVENIENT AND SAFE WAY FOR RESIDENTS TO REMOVE UNUSED DRUGS FROM THEIR MEDICINE CABINETS. THE 2015-2016 EVENTS WERE HELD SEPTEMBER 12 AND APRIL 30.REPRESENTATIVES FROM MVH'S EMERGENCY DEPARTMENT, PHARMACY AND COMMUNITY RELATIONS DEPARTMENT PARTICIPATED IN A DRUG SUMMIT AT CHARLEROI HIGH SCHOOL ON OCTOBER 21 TO EDUCATE STUDENTS AND THE COMMUNITY ABOUT THE DANGERS OF PRESCRIPTION DRUGS. THE COMMUNITY HEATH TEAM, WHICH IS COMPOSED OF EMPLOYEES OF MVH AND OTHER HEALTH CARE AGENCIES IN THE MID MONONGAHELA VALLEY AREA CREATED PROGRAMMING FOR HEALTH CARE PROFESSIONALS ON SUBSTANCE ABUSE. THIS ISSUE CAME TO THE FOREFRONT OF PROGRAM PLANNING DUE TO THE MANY OPIOID OVERDOSES THAT HAVE OCCURRED IN THE MID MON VALLEY. THE FIRST SESSION WAS HELD JUNE 29, 2016. IT ADDRESSED DIVERSION BEHAVIORS OF SUBSTANCE ABUSE. SPEAKERS INCLUDED MICHELLE BACK, M.S., DIRECTOR OF SPHS BEHAVIORAL HEALTH AND REHAB. SHE EXAMINED DIVERSION BEHAVIORS, MEDICATED ASSISTED TREATMENT AND WAYS TO PREVENT REOCCURRENCES. RICK GLUTH, DIRECTOR OF WASHINGTON COUNTY DISTRICT ATTORNEY'S DRUG TASK FORCE OUTLINED BEHAVIORS AND INTERVENTIONS IN A COMMUNITY SETTING. SAM LONICH, A LICENSED PSYCHOLOGIST, DETAILED CHARACTERISTICS OF ADDICTIVE PERSONALITIES.
PART VI, LINE 5 CONTINUED	BLOOD PRESSURE. BLOOD PRESSURE SCREENINGS ARE HELD THROUGHOUT THE YEAR BOTH AT THE HOSPITAL AND AT COMMUNITY SETTINGS, SUCH AS CHURCHES AND COMMUNITY CENTERS. IN 2015-16, SCREENINGS WERE HELD AT THE FOLLOWING LOCATIONS:JUNE 27 - LOWE'S BELLE VERNON JULY 20-25 - FINLEYVILLE FIREMEN'S CARNIVAL JULY 25 - WEST NEWTON SENIOR CENTER SEPTEMBER 19 - CHARLEROI DAY OF HOPE SEPTEMBER 24 - WASHINGTON COUNTY WELLNESS FAIR OCTOBER 5 - YMCA WOMEN'S HEALTH FAIR NOVEMBER 9 - BELLE VERNON AREA SCHOOL DISTRICT HEALTH FAIR APRIL 19, 20, 21 AND 23 - WASHINGTON COUNTY MULTIPHASIC SCREENING/WELLNESS FAIR APRIL 8-10 - MON VALLEY HOME SHOW JUNE 10, 17, 24 - MONONGAHELA FARMERS MARKET OCTOBER 10 - BELLE VERNON HROC COMMUNITY DAY AND WELLNESS FAIR FEBRUARY 16 - GO RED DAY AT THE MON-VALE HEALTHPLEX MULTIPHASIC BLOOD SCREENING. MONONGAHELA VALLEY HOSPITAL SPONSORS A SEMI-ANNUAL MULTIPHASIC BLOOD SCREENING THAT IS OPEN TO THE PUBLIC. 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 OFFERED. THE 2015-16 DATES WERE SEPTEMBER 26 AND MARCH 19. A TOTAL OF 800 PEOPLE PARTICIPATED IN THE SCREENINGS. HEALTHY DIRECTIONS, INSIDE THE FINLEYVILLE GIANT EAGLE MADE IT EVEN EASIER FOR PEOPLE TO MONITOR THEIR HEALTH. THE WALK-IN MEDICAL CENTER OFFERED THE DAILY DRAW - A 37-FUNCTION MULTIPHASIC BLOOD ANALYSIS THAT COULD BE PERFORMED ANY WEEKDAY FROM 7 A.M. TO 3 P.M. WITHOUT AN APPOINTMENT. THE TEST CAN REVEAL A GREAT DEAL ABOUT A PERSON'S HEALTH RANGING FROM CHRONIC CONDITIONS TO HIDDEN ILLNESSES. AMONG THE 37 TESTS PERFORMED INCLUDE THOSE THAT SCREEN FOR IRON DEFICIENCIES, LIPIDS, AND CARDIAC RISKS AS WELL AS KIDNEY AND LIVER FUNCTION. THE RESULTS ARE SENT DIRECTLY TO THE PERSON'S PHYSICIAN.IN ADDITION TO MVH'S COMMUNITY MULTIPHASIC BLOOD SCREENINGS, A MULTIPHASIC BLOOD SCREENING/WELLNESS EVENT WAS HELD FOR THE SECOND CONSECUTIVE YEAR FOR WASHINGTON COUNTY EMPLOYEES APRIL 19, 20, 21 AND 23. A TOTAL OF 308 WASHINGTON COUNTY EMPLOYEES AND THEIR SPOUSES PARTICIPATED IN THE SCREENING. HEALTH FAIRSDURING 2015-2016, STAFF FROM MONONGAHELA VALLEY HOSPITAL PARTICIPATED IN HEALTH FAIRS THROUGHOUT THE COMMUNITY. BELOW IS A LISTING OF THE FAIRS.JUNE 27 LOWE'S BELLE VERNONJULY 25 WEST NEWTON SENIOR CENTERSEPTEMBER 19 CHARLEROI DAY OF HOPESEPTEMBER 24 LIBERTY TOWERS HEALTH FAIRSEPTEMBER 24 WASHINGTON COUNTY WELLNESS FAIROCTOBER 5 YMCA WOMEN'S HEALTH FAIROCTOBER 10 BELLE VERNON HROC COMMUNITY DAY AND WELLNESS FAIRNOVEMBER 9 BELLE VERNON AREA SCHOOL DISTRICT HEALTH FAIRFEBRUARY 16 GO RED DAY AT MON-VALE HEALTHPLEXINNOVATIONS IN MEDICINETHROUGHOUT 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 2015-2016, THE FOLLOWING INNOVATIONS PROGRAMS WERE OFFERED.DATE/TOPIC-PHYSICIAN/LOCATIONJULY 15/"ADVANCES IN THE TREATMENT OF HIPS AND KNEES" DR. SCOTT BARON/MON-VALE HEALTHPLEXAUGUST 26/"KNEE ARTHRITIS" DR. ARI PRESSMAN/MVH CONFERENCE CENTERSEPTEMBER 23/"NEW FRAGILITY FRACTURE PROGRAM" DR. TOM BROCKMEYER/MVH CONFERENCE CENTEROCTOBER 27/"KNEE PAIN" DR. RICHARD MITCHELL/MVH CONFERENCE CENTERNOVEMBER 16/"GERIATRIC MEDICINE" DR. LAKSHMI MADDURU/MVH CONFERENCE CENTERFEBRUARY 15/"WHAT IS DIVERTICULAR DISEASE" DR. ARSHAD BACHELANI/MVH CONFERENCE CENTERFEBRUARY 22/"TREATING RUNNING INJURIES" DR. SHAKA WALKER/MVH CONFERENCE CENTERMARCH 23/"WIDE AWAKE HAND SURGERY" DR. GERSON FLOREZ/MVH CONFERENCE CENTERAPRIL 25/"ADVANCES IN THE TREATMENT OF HIPS AND KNEES" DR. SCOTT BARON/MON-VALE HEALTHPLEXMAY 18/"AN OVERVIEW OF ARTHRITIS AND RELATED DISEASES" DR. AJAY MATHER/MVH CONFERENCE CENTERJUNE 29/"WHAT'S NEW IN THE TREATMENT OF ARTHRITIS AND JOINT PAIN?" DR. ARI PRESSMAN/MON-VALE HEALTHPLEXLIVING WELL SERIESCARDIOVASCULAR HEALTHIN FEBRUARY 2016, THE INNOVATIONS IN MEDICINE PROGRAMMING WAS RE-LAUNCHED WITH A THREE-PART "LIVING WELL SERIES ON CARDIOVASCULAR HEALTH. SESSIONS WERE HELD MARCH 3, 10 AND 17 AND ADDRESSED WHAT IS HEART DISEASE?" "HOW IS HEART DISEASE TREATED? AND "HOW DO I LIVE WITH HEART DISEASE?"CANCERTHE LIVING WELL SERIES CONTINUED IN JUNE 2016 WITH A THREE-PART CANCER SERIES FOR THE COMMUNITY THAT WAS WELL ATTENDED. "WHAT IS CANCER?" "HOW IS CANCER TREATED? AND "HOW DO I LIVE WITH CANCER?" WERE THE TOPICS COVERED, JUNE 16, 23 AND 30, BY MVH PHYSICIANS AND NURSES.TALK WITH A DOCMONONGAHELA VALLEY HOSPITAL EXPANDED ITS PHYSICIAN PROGRAMMING BEYOND ITS IMMEDIATE SERVICE AREA WITH "TALK WITH A DOC" PROGRAMMING IN A COMMUNITY WHERE THE ORTHOPEDIC GROUP HAS A BUSY PRACTICE IN PITTSBURGH'S SOUTH HILLS. THE SESSIONS WERE INTENDED TO ATTRACT NEW PATIENTS TO THE PRACTICE AND THE PHYSICIANS WOULD PERFORM THE SURGERIES AT MVH. BELOW IS A LISTING OF THE 2015-2016 "TALK WITH A DOC" PRESENTATIONS.DATE/TOPIC-PHYSICIAN/LOCATIONJULY 30/ORTHOPEDIC SURGERY" DR. RICHARD MITCHELL/MT. LEBANON PUBLIC LIBRARYAUGUST 26/"JOINT REPLACEMENT SURGERY" DR. SHAKA WALKER/UPPER ST. CLAIR COMMUNITY CENTERSEPTEMBER 30/ORTHOPEDIC SURGERY" DR. GERSON FLOREZ/MT. LEBANON PUBLIC LIBRARYNOVEMBER 11/"FOOD AND ANKLE AILMENTS" DR. WILLIAM DECARBO/MT. LEBANON PUBLIC LIBRARYHEALTH EDUCATION PROGRAMS/INITIATIVESRESIDENTS OF THE COMMUNITIES IN MONONGAHELA VALLEY 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.BEHAVIORAL HEALTH SERIES. MONONGAHELA VALLEY HOSPITAL AND SOUTHWESTERN PENNSYLVANIA HUMAN SERVICES, INC. (SPHS) PARTNERED TO OFFER A MENTAL WELLNESS SERIES FOR ANYONE WHO WAS FINDING THEIR LIVES SPINNING OUT OF CONTROL. THE FREE SESSIONS, WHICH WERE HELD IN MVH'S ANTHONY M. LOMBARDI EDUCATION CONFERENCE CENTER, FEATURED OSCAR URREA, M.D., A PSYCHIATRIST AFFILIATED WITH MVH AND PSYCHIATRIC CARE SYSTEMS, WHO DISCUSSED "WHEN IT'S TIME TO SEEK HELP: A CLINICAL PERSPECTIVE" ON SEPTEMBER 17. THE SERIES CONTINUED ON NOVEMBER 5 WITH "RESOURCES AND SUPPORT: A COMMUNITY PERSPECTIVE," WHICH WAS A PANEL DISCUSSION. PANELISTS INCLUDED: MARK FREADO, M.A., RECLAIMING YOUTH INTERNATIONAL; ALONG WITH RAVINDRANATH KOLLI, M.D., AND CHERYLD EMALA, MSW, LCSW, FROM SPHS BEHAVIORAL HEALTH.CHILD REGISTRY. THE CHILD REGISTRY PROGRAM, WHICH IS UNDER THE DIRECTION OF THE COMMUNITY RELATIONS DEPARTMENT, USES THE AUXILIARY OF MON-VALE HEALTH RESOURCES, INC. TO GO INTO 14 ELEMENTARY SCHOOLS LOCATED IN MVH'S SERVICE AREA TO FINGERPRINT KINDERGARTEN STUDENTS SO THAT IN THE EVENT THE CHILD SHOULD EVER BE LOST, POSITIVE IDENTIFICATION CAN BE MADE. BARIATRIC CLASSES. MONONGAHELA VALLEY HOSPITAL HOSTED INFORMATION SESSIONS ON MINIMALLY INVASIVE BARIATRIC SURGERY TO TREAT OBESITY. CANDIDATES FOR BARIATRIC SURGERY ARE THOSE WHO NEED TO LOSE MORE THAN 100 POUNDS, WHICH IS ALMOST 10 PERCENT OF ALL ADULTS.DR. HIRAM GONZALEZ, WHO PERFORMS THE BARIATRIC SURGERY, LED THE SESSIONS WHICH WERE HELD MONTHLY AT THE HOSPITAL AND THE MON-VALE HEALTHPLEX. LOOK GOOD FEEL BETTERGETTING A MAKEOVER CAN BE JUST AS UPLIFTING AND ENCOURAGING TO CANCER PATIENTS AS IT IS FOR THOSE NOT STRUGGLING WITH THE EFFECTS OF THE DISEASE AND TREATMENT. MAYBE EVEN MORE SO. MONONGAHELA VALLEY HOSPITAL OFFERED THE LOOK GOOD FEEL BETTER PROGRAM, A FREE EVENT THAT TAUGHT WOMEN HOW TO DEAL WITH HAIR LOSS AND SKIN CHANGES FROM CHEMOTHERAPY AND RADIATION TREATMENT. THE GROUP MET AUGUST 3 AND OCTOBER 5 FROM IN THE ANTHONY M. LOMBARDI EDUCATION CONFERENCE CENTER.MEDICAL STAFF SYMPOSIUM PHYSICIANS FROM NOTED MEDICAL CENTERS THROUGHOUT THE UNITED STATES DISCUSSED "UPDATES IN CANCER MANAGEMENT" DURING MONONGAHELA VALLEY HOSPITAL'S 26TH ANNUAL MEDICAL STAFF SYMPOSIUM ON OCTOBER 21 IN THE HOSPITAL'S ANTHONY M. LOMBARDI EDUCATION AND CONFERENCE CENTER. THE SYMPOSIUM WAS DESIGNED TO EDUCATE PHYSICIANS, NURSES AND OTHER HEALTH CARE PROFESSIONALS ON THE LATEST ADVANCEMENTS IN BREAST CANCER DETECTION, SCREENING AND PREVENTION; NEW APPROACHES TO PROSTATE CANCER DETECTION AND MANAGEMENT; COLORECTAL CANCER MANAGEMENT; TARGETED TREATMENTS FOR NON-SMALL-CELL LUNG CANCER; AND THE NUANCES OF DISCLOSURES IN TODAY'S PRACTICE ENVIRONMENT.
PART VI, LINE 5 CONTINUED	MONONGAHELA VALLEY HOSPITAL'S (MVH) CHARLES L. AND ROSE SWEENEY MELENYZER PAVILION AND REGIONAL CANCER CENTER OFFERS ONE OF THE MOST PROGRESSIVE PROGRAMS FOR CANCER PREVENTION, DIAGNOSIS, TREATMENT AND EDUCATION IN SOUTHWESTERN PENNSYLVANIA. AS PART OF MVH'S CONTINUING EDUCATION PROGRAM FOR MEDICAL PROFESSIONALS, THE HOSPITAL HOSTED ITS ANNUAL ONCOLOGY SYMPOSIUM ON JUNE 22 IN THE ANTHONY M. LOMBARDI EDUCATION CONFERENCE CENTER. FEATURED TOPICS WILL BE PRESENTED BY NATIONAL ONCOLOGY EXPERTS. PRESENTATIONS INCLUDED: "THE CHANGING FACE OF OPC: EVOLVING TRENDS OF OROPHARYNGEAL SQUAMOUS CELL CARCINOMA," "UPDATES AND ADVANCES IN PANCREATIC SURGERY," "NAVIGATIONAL BRONCHOSCOPY IN EARLY DETECTION OF LUNG CANCER AND "IMMUNOTHERAPY: UNDERSTANDING THE IMMUNE SYSTEM AND HOW IT FIGHTS CANCER." SMOKING CESSATION. SMOKING CESSATION CLASSES WERE HELD AT THE HOSPITAL AND AT COMMUNITY LOCATIONS AT DIFFERENT TIMES THROUGHOUT THE YEAR. DOZENS OF PEOPLE SUCCESSFULLY QUIT SMOKING AND USING TOBACCO PRODUCTS AFTER COMPLETING THE FOUR-WEEK CLASSES. SESSIONS WERE HELD IN AUGUST, OCTOBER, MARCH AND JUNE.JUNIOR CHEF COOKING CLASS. TO HELP TWEENS AND TEENS LEARN HOW TO EAT RIGHT, A JUNIOR CHEF COOKING CLASS WAS HELD ON AUGUST 11 AT THE MON-VALE HEALTHPLEX. STAFF MEMBERS FROM THE MARKETING/COMMUNITY RELATIONS AND NUTRITION AND FOOD SERVICE DEPARTMENTS WORKED TOGETHER TO PLAN AND HOST THE EVENT WHICH GAVE THE JUNIOR CHEFS AN OPPORTUNITY TO PREPARE HEALTHY FOODS AND SNACKS.HEALTHY EATING AND SHOPPING. CLINICAL DIETITIANS FROM MONONGAHELA VALLEY HOSPITAL AND 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 2015-2016.DATE/TITLE/LOCATIONSEPTEMBER 15/"HEART HEALTHY EATING"/ROSTRAVER SHOP 'N SAVE NOVEMBER 5/"HOLIDAY MEAL PLANNING"/FINLEYVILLE GIANT EAGLE FEBRUARY 17/"HEART-HEALTHY EATING"/FISHER-HEIGHTS GIANT EAGLEMAY 12/"RECIPE MODIFICATION"/ROSTRAVER SHOP 'N SAVEJUNE 9/"HOW TO READ A FOOD LABEL"/FISHER-HEIGHTS GIANT EAGLE MISCELLANEOUS TOPICS. THE FOLLOWING PRESENTATIONS WERE OFFERED BY THE COMMUNITY HEALTH EDUCATOR NURSE AND VARIOUS CLINICIANS FROM MONONGAHELA VALLEY HOSPITAL.DATE/TITLE/LOCATIONJULY 17/"HEAT EXHAUSTION AND HEATSTROKE"/MONESSEN SENIOR CENTERJULY 20/"NUTRITION"/BENTLEYVILLE TOPSJULY 21/"DIABETES: THE IMPORTANT FACTS"/RETIRED ALLENPORT STEELWORKERSAUGUST 25/"SKIN CANCER"/FINLEYVILLE SENIOR CENTERSEPTEMBER 16/"ARTHRITIS"/PERRYOPOLIS SENIOR CENTERSEPTEMBER 16/"RESPIRATORY CONDITIONS"/CALIFORNIA UNIVERSITY HEALTH FAIRSEPTEMBER 17/"SCIATICA"/NATHAN GOFF SENIOR HIGH RISESEPTEMBER 21/"ARTHRITIS"/DONORA SENIOR CENTER SEPTEMBER 24/"GENERAL WELLNESS"/LIBERTY TOWERS IN CALIFORNIA, PAOCTOBER 12/"GENERAL WELLNESS"/CALIFORNIA INTERMEDIATE UNITOCTOBER 21/"ARTHRITIS"/CENTER ON THE HILL IN BELLE VERNONOCTOBER 28/"SMOKING AND SECOND- HAND SMOKE"/SPHS FAMILY CENTER PARENTING CLASSNOVEMBER 9/"MVH PROGRAMS AND SERVICES"/OLD TRAILS PROFESSIONAL WOMEN'S CLUBNOVEMBER 17/GLOW GERM PRESENTATION/FREDERICKSTOWN LIBRARYNOVEMBER 19/"WHY ANIMALS DON'T SMOKE"/BETH-CENTER ELEMENTARY SCHOOLJANUARY 21/"MVH CANCER THERAPIES"/MONONGAHELA SENIOR CENTERFEBRUARY 2/"SEASONAL EFFECTIVE DISORDER"/SOAR GROUP OF WEST MIFFLINFEBRUARY 11/"WHY ANIMALS DON'T SMOKE"/BETHLEHEM ELEMENTARY SCHOOLFEBRUARY 25/"HEART DISEASE PROGRAM"/FAYETTE CITY PRIMARY CARE PRACTICE OFFICEMARCH 11/"GENERAL PRESENTATION ON MVH SERVICES"/WEST NEWTON SENIOR CENTERMARCH 14/"HEALTHY EATING"/OLD TRAILS PROFESSIONAL WOMEN'S CLUBMARCH 15/LUNCH AND LEARN - "ASK A PHARMACIST"/MON VALLEY YMCAMARCH 18/"GENERAL PRESENTATION ON MVH SERVICES"/MONESSEN SENIOR CENTERMARCH 22/"GENERAL PRESENTATION ON MVH SERVICES"/LIBERTY TOWERS IN CALIFORNIA, PAAPRIL 5/ORTHOPEDIC INJURIES"/SOAR GROUP OF WEST MIFFLINAPRIL 6/"BUILDING BRIDGES FOR STUDENTS"/MONESSEN HIGH SCHOOLAPRIL 18/"HOW TO READ A FOOD LABEL"/RETIRED ALLENPORT STEELWORKERSMAY 4/"OSTEOPOROSIS"/NAOMI CLUBSPECIAL EVENTSLISTED BELOW ARE THE SPECIAL EVENTS MONONGAHELA VALLEY HOSPITAL, PLANNED, HOSTED OR PARTICIPATED IN DURING 2015-2016.GO RED WASHINGTON COUNTYFOR THE FOURTH CONSECUTIVE YEAR, MONONGAHELA VALLEY HOSPITAL'S COMMUNITY RELATIONS DEPARTMENT PARTICIPATED IN "GO RED WASHINGTON COUNTY" TO CREATE AWARENESS OF WOMEN'S HEART HEALTH ISSUES. MVH'S EVENT WAS HELD ON FEBRUARY 16 AT THE MON-VALE HEALTHPLEX. THE EVENT INCLUDED FREE BLOOD PRESSURE SCREENINGS AND STROKE RISK ASSESSMENTS AS WELL AS FITNESS AND COOKING DEMONSTRATIONS. MAMM & GLAMMBY ADDING A SOOTHING ATMOSPHERE AND SOME GLAMOUR TO THE PROCESS OF GETTING A MAMMOGRAM, LOCAL WOMEN WERE ENCOURAGED TO HAVE THEIR ANNUAL PREVENTATIVE SCREENING AT HEALTHPLEX IMAGING IN ROSTRAVER. THE STAFF HOSTED THE FOURTH ANNUAL MAMM & GLAMM ON APRIL 16 AT THE MON-VALE HEALTHPLEX. THE EVENT OFFERED WOMEN THE OPPORTUNITY TO HAVE THEIR MAMMOGRAMS AND THEN ENJOY FREE PAMPERING SERVICES SUCH AS MASSAGES AND PARAFFIN HAND WAX TREATMENTS. THE FACILITY OFFERS 3-D MAMMOGRAMS, WHICH IMPROVE THE ABILITY TO DETECT BREAST CANCER IN DENSE BREASTS AND GENERALLY LOWER THE AMOUNT OF CALLBACKS AND ADDITIONAL TESTS.COMMUNITY DRUG SUMMITS REPRESENTATIVES FROM MVH'S EMERGENCY DEPARTMENT, PHARMACY AND COMMUNITY RELATIONS DEPARTMENT PARTICIPATED IN A DRUG SUMMIT AT CHARLEROI HIGH SCHOOL ON OCTOBER 21 TO EDUCATE STUDENTS AND THE COMMUNITY ABOUT THE DANGERS OF PRESCRIPTION DRUGS. DRUG TAKE BACK EVENTSSTAFF MEMBERS FROM MONONGAHELA VALLEY HOSPITAL JOINED FORCES WITH THE CARROLL TOWNSHIP POLICE DEPARTMENT FOR NATIONAL PRESCRIPTION DRUG TAKE BACK DAY, A CONVENIENT AND SAFE WAY FOR RESIDENTS TO REMOVE UNUSED DRUGS FROM THEIR MEDICINE CABINETS. THE 2015-2016 EVENTS WERE HELD SEPTEMBER 12 AND APRIL 30. MVH/LOIS ORANGE DUCOEUR BREAST CANCER WALKTHE MORE THAN 450 WALKERS WHO PARTICIPATED IN THE 2015 MVH/LOIS ORANGE DUCOEUR BREAST CANCER WALK ON OCT. 10 RAISED $25,000 TO SUPPORT THE PREVENTION, EARLY DETECTION AND TREATMENT OF BREAST CANCER IN THE COMMUNITY AT MONONGAHELA VALLEY HOSPITAL.WALKERS WERE ASKED TO MAKE A MINIMUM DONATION OF $10 EACH TO PARTICIPATE AND MANY COLLECTED DONATIONS FROM FAMILY, FRIENDS AND NEIGHBORS. BREAST CANCER SURVIVORS WERE HONORED BEFORE THE WALK BEGAN WITH A GROUP PHOTO AND A CELEBRATORY WAVE OF PINK POWER TOWELS. A MOMENT OF SILENCE WAS ALSO OBSERVED TO REMEMBER THOSE AFFECTED BY BREAST CANCER AND THOSE WHO LOST THEIR BATTLES. ONCE THE WALK BEGAN, MCKEAN AND FALLOWFIELD AVENUES IN CHARLEROI WERE FILLED WITH A SEA OF PINK. PEOPLE PUSHED BABIES IN STROLLERS AND INCLUDED THEIR PETS ON LEASHES. A GOAT DRESSED IN A PINK T-SHIRT PARTICIPATED IN THE WALK WITH ITS OWNER. SPECIAL EVENTS/ACTIVITIESMONONGAHELA VALLEY HOSPITAL'S COMMUNITY RELATIONS STAFF COORDINATED PARTICIPATION IN THE FOLLOWING SPECIAL COMMUNITY EVENTS/ACTIVITIES.DATE/EVENT/LOCATIONJULY 25/AMERICANS WITH DISABILITIES ACT CELEBRATION/PALMER PARK, DONORAAUGUST 8/HEALTHY DIRECTIONS 4TH ANNIVERSARY CELEBRATION/HEALTHY DIRECTIONS FINLEYVILLEAUGUST, OCTOBER, FEBRUARY, APRIL AND JUNE/RED CROSS BLOOD DRIVE/MVH CONF. CENTERNOVEMBER 7/MON VALLEY VETERANS DAY PARADE/MONONGAHELAJUNE 11/WALK-IN THE PARK (MONESSEN TOBACCO FREE COALITION/MONESSEN CITY PARKJUNE 29/COMMUNITY HEALTH TEAM SUBSTANCE ABUSE PROGRAMMING/MVH CONF. CENTERPROMOTIONEVERY 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, SOCIAL MEDIA INCLUDING FACEBOOK, 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.

Schedule H (Form 990) 2015

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" on 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

2015

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 on 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 on 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 on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

For persons listed on 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 on 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" on 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) 2015

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 on 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 on 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)	333,362 ------------- 0	41,259 ------------- 0	44,774 ------------- 0	7,950 ------------- 0	14,825 ------------- 0	442,170 ------------- 0	0 ------------- 0
2DANIEL F SIMMONSSR. VICE PRES/TREASURER	(i) (ii)	232,951 ------------- 0	19,107 ------------- 0	46,124 ------------- 0	6,515 ------------- 0	11,528 ------------- 0	316,225 ------------- 0	0 ------------- 0
3PATRICK J ALBERTSSR. VICE PRES/COO	(i) (ii)	175,898 ------------- 0	9,811 ------------- 0	18,574 ------------- 0	5,037 ------------- 0	10,811 ------------- 0	220,131 ------------- 0	0 ------------- 0
4THOMAS J CULLENSR. VICE PRES	(i) (ii)	157,001 ------------- 0	7,970 ------------- 0	43,536 ------------- 0	4,219 ------------- 0	15,690 ------------- 0	228,416 ------------- 0	0 ------------- 0
5JEREMY J ORTOLONACRNA	(i) (ii)	178,298 ------------- 0	0 ------------- 0	355 ------------- 0	3,782 ------------- 0	19,862 ------------- 0	202,297 ------------- 0	0 ------------- 0
6DONNA L RAMUSIVICHSR. VICE PRES	(i) (ii)	146,998 ------------- 0	8,086 ------------- 0	20,570 ------------- 0	4,226 ------------- 0	14,740 ------------- 0	194,620 ------------- 0	0 ------------- 0
7NICK E FRANCIACRNA	(i) (ii)	169,525 ------------- 0	0 ------------- 0	349 ------------- 0	3,693 ------------- 0	20,080 ------------- 0	193,647 ------------- 0	0 ------------- 0
8DAVID M POPOVICCRNA	(i) (ii)	158,673 ------------- 0	0 ------------- 0	2,556 ------------- 0	4,456 ------------- 0	21,866 ------------- 0	187,551 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

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 $38,229. OTHER OFFICERS AND SELECT KEY EMPLOYEES PARTICIPATE IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP): DANIEL F. SIMMONS, SR. VICE PRESIDENT/TREASURER - $39,884 PATRICK J. ALBERTS, SR. VICE PRESIDENT/COO - $17,554

Schedule J (Form 990) 2015

Additional Data

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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

2015

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) 2015

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 .........	700.0000000000 %
d Was the hedge superintegrated? ......		X
e Was the hedge terminated? ........		X

Schedule K (Form 990) 2015

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) 2015

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

2015

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 114,702. TEMPORARILY RESTRICTED NET ASSETS RELEASED FROM RESTRICTIONS -324,927. PROPERTY PLANT & EQUIPMENT PURCHASED WITH GRANTS AND DONATIONS 294,615. CHANGE IN NET FUNDED PENSION -16,131,806. CHANGE IN NET SWAP LIABILITY 60,704. TRANSFER TO PARENT -4,910,000.
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.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

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SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

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

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

MONONGAHELA VALLEY HOSPITAL INC

Employer identification number

23-7218917

Part I

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

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

Part II

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

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

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

Cat. No. 50135Y

Schedule R (Form 990) 2015

Page 2

Part III

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

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

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) MON-VALE MULTIPHASICS INC 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063 25-1464425	HEALTH CARE MANAGEMENT/WELLNESS CENTER	PA	MON-VALE HEALTH RESOURCES INC	C				No
(2) MON-VALE ONCOLOGY INC 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063 80-0703620	PHYSICIAN PRACTICE	PA	MON-VALE SPECIALTY PRACTICES INC	C				No
(3) MON-VALE PROFESSIONAL SERVICES INC 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063 80-0162030	HEALTH CARE MANAGEMENT	PA	MON-VALE MULTIPHASICS INC	C				No
(4) MON-VALE PRIMARY CARE INC 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063 45-2260948	PHYSICIAN PRACTICE	PA	MON-VALE PROFESSIONAL SERVICES INC	C				No
(5) MON-VALE SPECIALTY PRACTICES INC 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063 46-0662192	PHYSICIAN PRACTICE	PA	MON-VALE PROFESSIONAL SERVICES INC	C				No
(6) MON-VALE ORTHOPEDICS INC 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063 25-1483685	PHYSICIAN PRACTICE	PA	MON-VALE SPECIALTY PRACTICES INC	C				No
(7) MON-VALE PRIMARY CARE PRACTICES INC 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063 61-1708169	PHYSICIAN PRACTICE	PA	MON-VALE PRIMARY CARE INC	C				No
(8) MON-VALE RADIATION ONCOLOGY INC 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063 38-3903238	PHYSICIAN PRACTICE	PA	MON-VALE SPECIALTY PRACTICES INC	C				No
(9) MON-VALE CLINICAL PROFESSIONALS INC 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063 47-5215841	CRNA SERVICES	PA	MON-VALE SPECIALTY PRACTICES INC	C				No
(10) TRIVESTA CASUALTY INSURANCE INC 160 TECHNOLOGY DRIVE SUITE 202 CANONSBURG,PA15317 98-0497488	INSURANCE	CJ	MON-VALE MULTIPHASICS INC	C				No

Schedule R (Form 990) 2015

Page 3

Part V

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

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

Yes

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

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

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

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

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

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

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

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

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

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

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

Yes

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

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

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

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

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

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

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

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

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

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

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

Schedule R (Form 990) 2015

Page 4

Part VI

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

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

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

Schedule R (Form 990) 2015

Page 5

Part VII

Supplemental Information

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

Return Reference	Explanation

Schedule R (Form 990) 2015

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 2015 (Part V, line 2a) ......	5	1,265
6	Total number of volunteers (estimate if necessary) .............	6	170
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	2,044,729
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	939

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	430,720	104,348
9	Program service revenue (Part VIII, line 2g) .........	136,722,394	136,447,296
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	2,489,053	1,898,084
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	797,591	787,327
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	140,439,758	139,237,055
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)	66,110,551	65,763,658
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)....	68,949,195	69,603,923
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	135,059,746	135,367,581
19	Revenue less expenses. Subtract line 18 from line 12.......	5,380,012	3,869,474
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	134,977,641	129,082,197
21	Total liabilities (Part X, line 26).............	66,776,894	78,330,691
22	Net assets or fund balances. Subtract line 21 from line 20.....	68,200,747	50,751,506

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 119,385,164 including grants of $ ) (Revenue $ 135,035,651 )
	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 2016.DURING FISCAL 2016, MONONGAHELA VALLEY HOSPITAL PROVIDED CARE FOR 12,955 ADULT AND PEDIATRIC INPATIENT ADMISSIONS AND OBSERVATIONS AND NEARLY 302,000 OUTPATIENT VISITS WHICH INCLUDES 34,099 PATIENTS RECEIVING CARE THROUGH OUR 24-HOUR EMERGENCY ROOM. MEDICARE AND MEDICAID PATIENTS CONSTITUTED 59.5% OF OUR PATIENTS DURING FISCAL YEAR 2016.THE HOSPITAL'S COST OF THE COMMUNITY SUPPORT PROGRAMS AND MEDICAL ASSISTANCE SHORTFALLS DURING FISCAL 2016 WAS NEARLY $1,859,000. IN ADDITION, THE HOSPITAL PROVIDED $1,383,433 OF CHARITY CARE.ALSO DURING FISCAL YEAR 2016, MONONGAHELA VALLEY HOSPITAL, INC., WROTE OFF NEARLY $3,621,000 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, 2016THE HOSPITAL SPONSORS A "LIFELINE" FIRST RESPONDER PROGRAM. THIS PROGRAM ENABLES OVER 130 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 180 EDUCATIONAL PROGRAMS SERVICING APPROXIMATELY 3,060 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. OVER 3,020 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 55 COMMUNITY HEALTH PROGRAMS WITH NEARLY 1,700 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 330 INDIVIDUALS DURING THE FISCAL YEAR ENDED JUNE 30, 2016. PROGRAMS INCLUDED: CANCER, DIABETES, LUPUS, ARTHRITIS, SCHIZOPHRENIA, STROKE AND CAREGIVERS SUPPORT GROUPS.MONONGAHELA VALLEY HOSPITAL PROVIDED 6 SCHOOL PROGRAMS TO NINE AREA SCHOOL DISTRICTS WHICH INCLUDE: RINGGOLD, MONESSEN, CHARLEROI, YOUGH, FRAZIER, BENTWORTH, CALIFORNIA, BETH CENTER AND BELLE VERNON. PRESENTATIONS WERE MADE TO NEARLY 290 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 6,000 ELDERLY AND INDIGENT RESIDENTS OF THE MID-MON VALLEY COMMUNITY DURING FISCAL YEAR 2016. PROGRAMS INCLUDE: DIABETES MANAGEMENT, STRESS MANAGEMENT, DEPRESSION, AND TRANSPORTATION SERVICES.THE HOSPITAL PROVIDED NEARLY $61,956 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 expenses119,385,164

(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	62.40 .......................1.40	X		298,182	0	18,043
(19) PATRICK J ALBERTS........................................................................ SR. VICE PRES/COO	52.80 .......................1.10	X		204,283	0	15,848
(20) THOMAS J CULLEN........................................................................ SR. VICE PRES	25.70 .......................24.40		X	208,507	0	19,909
(21) JEREMY J ORTOLONA........................................................................ CRNA	40.00 .......................		X	178,653	0	23,644
(22) DONNA L RAMUSIVICH........................................................................ SR. VICE PRES	50.00 .......................		X	175,654	0	18,966
(23) NICK E FRANCIA........................................................................ CRNA	40.00 .......................		X	169,874	0	23,773
(24) DAVID M POPOVIC........................................................................ CRNA	40.00 .......................		X	161,229	0	26,322

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	1,898,097	0	169,280

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 above		1f	104,348

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		104,348

			Business Code
2a	PATIENT SERVICE REVENUE	621990	134,276,544	134,276,544
b	MEDICAL LABORATORY	621500	2,044,729		2,044,729
c	PARKING GARAGE INCOME	812930	126,023	126,023
d
e
f	All other program service revenue.
g Total.Add lines 2a–2f.....			136,447,296

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			1,705,988			1,705,988
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		189,045
b	Less: rental expenses		34,802
c	Rental income or (loss)		154,243
d	Net rental income or (loss)......			154,243			154,243
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	4,875	17,692,520
b	Less: cost or other basis and sales expenses	112,979	17,392,320
c	Gain or (loss)	-108,104	300,200
d	Net gain or (loss).....			192,096			192,096
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..
Business Code			Miscellaneous Revenue
11a	CAFETERIA INCOME		722210	551,366	551,366
b	MEDICAL RECORD TRANSCRIPTS		621990	81,718	81,718
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			633,084
12	Total revenue. See Instructions......			139,237,055	135,035,651	2,044,729	2,052,327

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	1,004,181	911,995	92,186
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	48,933,988	41,920,945	7,013,043
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	234,915	211,424	23,491
9	Other employee benefits .......	11,884,350	10,695,915	1,188,435
10	Payroll taxes ...........	3,706,224	3,177,730	528,494
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	180,115		180,115
c	Accounting ...........	102,880		102,880
d	Lobbying ...........	36,658		36,658
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)	4,099,943	4,099,943
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 ....	214,960	190,733	24,227
20	Interest ...........	645,987	645,987
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	8,283,486	7,431,357	852,129
23	Insurance ...	1,039,925	935,933	103,992
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	16,718	16,718
b	SUPPLIES	46,416,715	41,394,821	5,021,894
c	BAD DEBT	3,620,841	3,620,841
d	EQUIPMENT RENTAL	2,531,581	1,958,260	573,321
e	All other expenses	2,414,114	2,172,562	241,552
25	Total functional expenses. Add lines 1 through 24e	135,367,581	119,385,164	15,982,417	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).

1	Cash–non-interest-bearing ........				1
2	Savings and temporary cash investments .........			11,344,840	2	8,650,698
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			12,295,360	4	11,019,564
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 ........			3,089,024	8	3,194,983
9	Prepaid expenses and deferred charges ......			4,046,650	9	3,498,823
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	174,627,154
b	Less: accumulated depreciation	10b	123,259,092	52,981,358	10c	51,368,062
11	Investments—publicly traded securities .			47,787,292	11	45,383,206
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 ...........			3,433,117	15	5,966,861
16	Total assets. Add lines 1 through 15 (must equal line 34)...			134,977,641	16	129,082,197

17	Accounts payable and accrued expenses .....	9,812,290	17	8,946,392
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	23,730,000	20	23,437,989
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 ..	13,521,894	23	12,364,246
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	19,712,710	25	33,582,064
26	Total liabilities. Add lines 17 through 25..	66,776,894	26	78,330,691

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	67,685,622	27	50,446,606
28	Temporarily restricted net assets ...........	515,125	28	304,900
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 ...........	68,200,747	33	50,751,506
34	Total liabilities and net assets/fund balances ........	134,977,641	34	129,082,197