TY 2017 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...................................................................... TRUSTEE	1.00 ................. 1.00	X		0	0
(4) LOUIS J PANZA JR...................................................................... PRESIDENT AND CEO	48.70 ................. 6.50	X	X	422,119	23,171
(5) RICHARD A BARCELONA...................................................................... TRUSTEE	1.00 ................. 1.00	X		0	0
(6) BRADLEY M BASSI...................................................................... SECRETARY	1.00 ................. 1.00	X	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	3.50 ................. 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 CPA...................................................................... TRUSTEE	1.00 ................. 1.00	X		0	0
(16) KURT R SALVATORI...................................................................... TRUSTEE	1.00 ................. 1.00	X		0	0
(17) ROBERT ALLRIDGE...................................................................... TRUSTEE	1.00 ................. 1.00	X		0	0

(A) Name and business address	(B) Description of services	(C) Compensation
UPMC EMERGENCY RESOURCES P O BOX 223270 PITTSBURGH,PA15251	PHYSICIAN SERVICES	2,489,352
MON-VALE ONCOLOGY INC 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063	ONCOLOGY PHYSICIAN SERVICES	2,075,205
MON-VALE CLINICAL PROFESSIONALS INC 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063	CRNA SERVICES	1,415,015
MON-VALE MULTIPHASICS INC 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063	HEALTH CLUB MANAGEMENT	822,000
VALE-U-HEALTH INC 800 PLAZA DRIVE BELLE VERNON,PA15012	HEALTH PLAN MANAGEMENT	743,113
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 23

- 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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 12, 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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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) 2019

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 failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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 2019 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2019. 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—2018. 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—2019. 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—2018. 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) 2019

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. 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—2018. 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) 2019

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d 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 12a or 12b 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) 2019

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) 2019

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 (explain in Part VI). 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) 2019

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 2019 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-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

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) 2019

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.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

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. Don't 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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization MONONGAHELA VALLEY HOSPITAL INC

Part I Contributors	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
		$	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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

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) (2019)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

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) 2019

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) 2016	(b) 2017	(c) 2018	(d) 2019	(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) 2019

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|No

(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

36,560

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

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

Yes

16,159

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

52,719

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:	THE HOSPITAL PAID DEBRUNNER & ASSOCIATES $36,560 TO LOBBY ON ITS BEHALF REGARDING HEALTHCARE ISSUES. 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) 2019

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.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 7/25/06, 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 FASB 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 FASB 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 FASB 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) 2019

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

Term 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 .....	1,627,093		1,627,093
b	Buildings ....	113,707,861	72,439,195	41,268,666
c	Leasehold improvements	2,023,918	393,050	1,630,868
d	Equipment ....	75,131,307	60,440,013	14,691,294
e	Other .....	5,487,927	3,064,335	2,423,592
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				61,641,513

Schedule D (Form 990) 2019

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
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
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
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	7,713,570
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) 2019

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	134,346,423
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	1,229,440
e	Add lines 2a through 2d .....................			2e	1,229,440
3	Subtract line 2e from line 1..................			3	133,116,983
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	6,445,223
c	Add lines 4a and 4b....................			4c	6,445,223
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	139,562,206

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	133,814,433
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	1,229,440
e	Add lines 2a through 2d....................			2e	1,229,440
3	Subtract line 2e from line 1...................			3	132,584,993
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	4,667,673
c	Add lines 4a and 4b.....................			4c	4,667,673
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	137,252,666

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 ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING 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, AND DISCLOSURE. MANAGEMENT HAS DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN FISCAL YEAR 2018 AND 2017. 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 STATEMENTS OF OPERATIONS AS A RESULT OF THE ADOPTION.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 1,229,440.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	DONATIONS 15,125. INVESTMENT INCOME 1,339,671. PROVISION FOR BAD DEBT 4,402,429. TEMPORARILY RESTRICTED CONTRIBUTIONS 350,000. EQUITY INCOME IN INVESTMENTS 337,998.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 1,229,440.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	PROVISION FOR BAD DEBT 4,402,429. LOSS ON DEBT REFINANCING 265,244.

Schedule D (Form 990) 2019

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

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2019

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) . . .		3,312	427,211		427,211	0.320 %
b	Medicaid (from Worksheet 3, column a) . . . . .		38,293	19,702,799	18,261,554	1,441,245	1.080 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .		41,605	20,130,010	18,261,554	1,868,456	1.400 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	79	8,112	339,650		339,650	0.260 %
f	Health professions education (from Worksheet 5) . . .	275	2,696	1,072,557		1,072,557	0.810 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .		8,867	68,276		68,276	0.050 %
j	Total. Other Benefits . .	354	19,675	1,480,483		1,480,483	1.120 %
k	Total. Add lines 7d and 7j .	354	61,280	21,610,493	18,261,554	3,348,939	2.520 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019

Schedule H (Form 990) 2019

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 Healthcare 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. ......

4,237,879

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. ......

2,021,977

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

Section B. Medicare

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

63,773,142

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

75,205,694

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

-11,432,552

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) 2019

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?1Name, 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) 2019

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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

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) 2019

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)

Was widely publicized within the community served by the hospital facility?........

Yes

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

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

WWW.MONVALLEYHOSPITAL.COM/CHARITYCARE.ASP

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

WWW.MONVALLEYHOSPITAL.COM/CHARITYCARE.ASP

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

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	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 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 nonpayment?..................................

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

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

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

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

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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) 2019

Page 8

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, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 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: AS MANDATED BY THE AFFORDABLE CARE ACT, EVERY THREE YEARS, MONONGAHELA VALLEY HOSPITAL CONTRACTS WITH AN INDEPENDENT ORGANIZATION TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT. (CHNA) THIS STUDY HELPS THE HOSPITAL IDENTIFY AND ANALYZE THE COMMUNITY'S HEALTH NEEDS AND THE ASSETS THAT ARE AVAILABLE IN THE COMMUNITY. THE CHNA THEN ENABLES MVH TO PRIORITIZE, PLAN AND ACT ON IDENTIFIED NEEDS. DURING THE LAST CHNA, REPRESENTATIVES FROM MONONGAHELA VALLEY HOSPITAL IDENTIFIED KEY ZIP CODES THAT REPRESENT A POPULATION FROM WHICH THE HOSPITAL DRAWS THE MAJORITY OF PATIENTS. 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%).
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: FOR THE 2015 ASSESSMENT, THE COMMITTEE USED THE 2012 COUNTY HEALTH RANKINGS' WHICH WERE CREATED BY ROBERT WOOD JOHNSON FOUNDATION AND UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE (UWPHI) CONCEPTUAL FRAMEWORK AS A TOOL TO IDENTIFY MEASURES AND SELECT WEIGHTS THAT REFLECT A COMMUNITY'S HEALTH. 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 COMMUNITIES' 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.2015 CHNA FINDINGSTHE 2015 COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED 12 COMMUNITY NEEDS INCLUDING: LUNG CANCER DEATHS SUICIDE DEATHS MAMMOGRAPHY (BREAST CANCER AND LATE-STAGE BREAST CANCER DEATHS) DIABETES COLORECTAL CANCER DEATHS COPD DEATHS ACCIDENTAL DRUG POISONING DEATHS TOBACCO USE BINGE AND HEAVY DRINKING OBESITY/ADULT HEALTHY WEIGHT, FRUIT AND VEGETABLE CONSUMPTION, YOUTH OBESITY DENTAL VISIT ACCESS TO HEALTHY FOODIN SPRING 2016, FOLLOWING PRESENTATION TO MVH'S BOARD OF TRUSTEES, IT WAS RECOMMENDED TO FOCUS ON SEVEN OF THE OUTLINED NEEDS. THE SEVEN NEEDS 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%)LUNG CANCER DEATHS ACCORDING TO THE AMERICAN CANCER SOCIETY, THE CHANCE THAT A MAN WILL DEVELOP LUNG CANCER IN HIS LIFETIME IS ABOUT 1 IN 15; FOR A WOMAN, THE RISK IS ABOUT 1 IN 17. THESE NUMBERS INCLUDE BOTH SMOKERS AND NON-SMOKERS. FOR SMOKERS THE RISK IS MUCH HIGHER, WHILE FOR NON-SMOKERS THE RISK IS LOWER. STATISTICS ON SURVIVAL IN PEOPLE WITH LUNG CANCER VARY DEPENDING ON THE STAGE (EXTENT) OF THE CANCER WHEN IT IS DIAGNOSED. DESPITE THE VERY SERIOUS PROGNOSIS OF LUNG CANCER, SOME PEOPLE WITH EARLIER STAGE CANCERS ARE CURED. MORE THAN 430,000 PEOPLE ALIVE TODAY IN THE UNITED STATES HAVE BEEN DIAGNOSED WITH LUNG CANCER AT SOME POINT.THE HOSPITAL'S RADIATION ONCOLOGY STAFF USES STEREOTACTIC BODY RADIATION THERAPY (SBRT) TO TREAT CANCER USING THE HIGHEST POSSIBLE DOSE OF RADIATION IN ONE OR UP TO FIVE VISITS. THE RADIATION ONCOLOGIST DEVELOPS EACH PATIENT'S PLAN USING VARIOUS BEAM INTENSITIES AND ANGLES TO KILL THE CANCER WHILE MINIMIZING EXPOSURE TO HEALTHY ORGANS. NOT ONLY DOES MVH TREAT PATIENTS WITH SBRT, BUT THE HOSPITAL'S STEREOTACTIC LUNG PROGRAM HAS A SUCCESS RATE OF 100 PERCENT LOCAL CONTROL AND 86 PERCENT REGIONAL CONTROL WHICH IS BETTER OR EQUAL TO THAT OF ACADEMIC CENTERS ACROSS THE UNITED STATES. 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. IN ADDITION, MVH USES PET/CT FUSION WHEN PLANNING EXTERNAL BEAM RADIATION THERAPY. THIS ADVANCED NUCLEAR IMAGING CAN IDENTIFY PRIMARY AND METASTATIC TUMORS IN A SINGLE SCAN WITH HIGH LEVELS OF ACCURACY. THE IMAGES FROM THE PET/CT SCAN ARE THEN FUSED WITH IMAGES ACQUIRED DURING SIMULATION USING SPECIAL SOFTWARE TO INSURE THAT THE ENTIRE TUMOR RECEIVES 100 PERCENT OF THE PRESCRIBED DOSE OF RADIATION. 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. BREAST CANCER DEATHS AND LATE STAGE BREAST CANCER ACCORDING TO THE CENTERS FOR DISEASE CONTROL AND PREVENTION, IN THE UNITED STATES, NOT COUNTING SKIN CANCER, BREAST CANCER IS THE MOST COMMON CANCER IN WOMEN NOT MATTER THEIR RACE OR ETHNICITY AND THE SECOND MOST COMMON CAUSE OF DEATH FROM CANCER AMONG WHITE, BLACK, ASIAN/PACIFIC ISLANDER AND AMERICAN INDIAN WOMEN. 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). 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). 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 OFFERS A BREAST CANCER SUPPORT GROUP THAT IS FREE AND OPEN TO ALL BREAST CANCER PATIENTS AND THEIR FAMILIES.MONONGAHELA VALLEY HOSPITAL SPONSORS AN ANNUAL EVENT 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. THE HOSPITAL ALSO HAS TAKEN STEPS TO MAKE MAMMOGRAMS CONVENIENT FOR EVERYONE. MVH OFFERS WALK-IN MAMMOGRAMS EVERY DAY OF THE WEEK AT HEALTHPLEX IMAGING LOCATED IN THE MON-VALE HEALTHPLEX. IN ADDITION, IN FALL 2017, HEALTHPLEX BEGAN OFFERING WALK-IN MAMMOGRAMS ON SATURDAY MORNINGS AND TUESDAY EVENINGS. THE FACILITY ALSO OFFERS "BRING A FRIEND" FRIDAYS WERE WOMEN CAN GO WITH THEIR FRIENDS AND EACH ONE OF THEM CAN HAVE MAMMOGRAMS.
MONONGAHELA VALLEY HOSPITAL, INC.	PART V, SECTION B, LINE 16J: DUE TO THE HOSPITAL'S MINORITY POPULATIONS NOT MEETING THE REQUIRED 5% THRESHOLD, THE HOSPITAL DOES NOT HAVE THE FAP, FAP APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY TRANSLATED INTO ANY OTHER LANGUAGES BESIDES ENGLISH. HOWEVER, THEY DO PROVIDE PROFESSIONAL TRANSLATION SERVICES BY PHONE AS NEEDED. THE CHARITY/UNCOMPENSATED CARE POLICY (MVH CARE POLICY) IS PUBLISHED IN THE LOCAL NEWSPAPERS ANNUALLY. SEE SCHEDULE H, PART VI, SUPPLEMENTAL INFORMATION, LINE 3.
PART V, SECTION B, LINE 4	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.
PART V, SECTION B, LINE 11 (CONTINUED 1)	DIABETES EACH YEAR, THE AMERICAN DIABETES ASSOCIATION PUBLISHES STATISTICS RELATED TO THE DISEASE. FOR EXAMPLE, ONE IN 11 AMERICANS HAS DIABETES. ONE IN THREE U.S. ADULTS AGED 20 YEARS OR OLDER HAS PREDIABETES. AFRICAN AMERICANS AND PEOPLE OF HISPANIC DESCENT ARE OVER 50 PERCENT MORE LIKELY TO HAVE DIABETES THAN NON-HISPANIC CAUCASIANS. DIABETES IS THE PRIMARY CAUSE OF DEATH FOR 79,535 AMERICANS EACH YEAR. INDIVIDUALS WITH DIAGNOSED DIABETES HAVE HEALTH CARE COSTS 2.3 TIMES HIGHER THAN SOMEONE WITHOUT DIABETES.MONONGAHELA VALLEY HOSPITAL IS COMMITTED TO THE MISSION OF ENHANCING THE HEALTH OF THE RESIDENTS OF THE MID MONONGAHELA VALLEY. THE HOSPITAL OFFERS THE CLINICAL NUTRITION AND DIABETES UNIT WHICH FOCUSES ON PROVIDING HIGH QUALITY OUTPATIENT AND INPATIENT DIABETES MANAGEMENT AND EDUCATION, AS WELL AS DIABETES PREVENTION EDUCATION. THE UNIT PROVIDES COMMITTED CERTIFIED DIABETES EDUCATORS, PHYSICIANS, NURSES, DIETITIANS AND PROFESSIONAL STAFF WHO 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 CLINICAL NUTRITION AND DIABETES STAFF ALSO COORDINATES DIABETES EDUCATION AND CARE WITH ALL OTHER MONONGAHELA VALLEY HOSPITAL SERVICES INCLUDING: HUMAN SERVICES, CENTER FOR WOUND MANAGEMENT, EMERGENCY SERVICES AND SAME DAY SURGERY. MONONGAHELA VALLEY HOSPITAL WAS ONLY THE SECOND HOSPITAL IN PENNSYLVANIA AND ONLY THE 21ST IN THE NATION TO ACHIEVE THE JOINT COMMISSION CERTIFICATION FOR INPATIENT DIABETES MANAGEMENT. THE JOINT COMMISSION'S CERTIFICATE OF DISTINCTION FOR INPATIENT DIABETES CARE RECOGNIZES HOSPITALS THAT MAKE EXCEPTIONAL EFFORTS TO FOSTER BETTER OUTCOMES ACROSS ALL INPATIENT SETTINGS. THE JOINT COMMISSION AND THE AMERICAN DIABETES ASSOCIATION HAVE IDENTIFIED THAT THE MOST SUCCESSFUL INPATIENT DIABETES PROGRAMS POSSESS THE FOLLOWING CRITICAL ATTRIBUTES: SPECIFIC STAFF EDUCATION REQUIREMENTS WRITTEN BLOOD GLUCOSE MONITORING PROTOCOLS PLANS FOR THE TREATMENT OF HYPOGLYCEMIA AND HYPERGLYCEMIA DATA COLLECTION OF INCIDENCES OF HYPOGLYCEMIA PATIENT EDUCATION ON SELF-MANAGEMENT OF DIABETES AN IDENTIFIED PROGRAM CHAMPION OR PROGRAM CHAMPION 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.COLORECTAL CANCER DEATHS THE AMERICAN CANCER SOCIETY REPORTS THAT IN THE UNITED STATES, COLORECTAL CANCER IS THE THIRD LEADING CAUSE OF CANCER-RELATED DEATHS IN MEN AND IN WOMEN, AND THE SECOND MOST COMMON CAUSE OF CANCER DEATHS WHEN MEN AND WOMEN ARE COMBINED. IT'S EXPECTED TO CAUSE ABOUT 51,020 DEATHS DURING 2019. OVERALL, THE LIFETIME RISK OF DEVELOPING COLORECTAL CANCER IS: ABOUT 1 IN 22 FOR MEN AND 1 IN 24 FOR WOMEN. THIS RISK IS SLIGHTLY LOWER IN WOMEN THAN IN MEN.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. PARTICIPANTS A FREE TAKE-HOME COLORECTAL SCREENING KIT TO TEST FOR BLOOD IN THE STOOL.COPD DEATHS CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) IS THE THIRD LEADING CAUSE OF DEATH IN THE UNITED STATES ACCORDING TO THE AMERICAN LUNG ASSOCIATED. COPD REFERS TO A GROUP OF DISEASES THAT CAUSE AIRFLOW BLOCKAGE AND BREATHING-RELATED PROBLEMS. IT INCLUDES EMPHYSEMA, CHRONIC BRONCHITIS, AND IN SOME CASES ASTHMA. MORE THAN 11 MILLION PEOPLE HAVE BEEN DIAGNOSED WITH COPD, BUT MILLIONS MORE MAY HAVE THE DISEASE WITHOUT EVEN KNOWING IT. COPD CAUSE SERIOUS LONG-TERM DISABILITY AND EARLY DEATH. THERE IS NO CURE AND THE NUMBER OF PEOPLE DYING FROM THIS DEBILITATING DISEASE IS GROWING. COMPARED TO ADULTS WITHOUT COPD, ADULTS WITH COPD ARE MORE LIKELY TO: HAVE ACTIVITY LIMITATIONS SUCH AS DIFFICULTY WALKING OR CLIMBING STAIRS BE UNABLE TO WORK NEED SPECIAL EQUIPMENT SUCH AS PORTABLE OXYGEN TANKS NOT ENGAGE IN SOCIAL ACTIVITIES SUCH AS EATING OUT, GOING TO PLACES OF WORSHIP, GOING TO GROUP EVENTS, OR GETTING TOGETHER WITH FRIENDS OR NEIGHBORS HAVE INCREASED CONFUSION OR MEMORY LOSS HAVE MORE EMERGENCY ROOM VISITS OR OVERNIGHT HOSPITAL STAYSIN 2017, MONONGAHELA VALLEY HOSPITAL ESTABLISHED THE COMMUNITY HEALTH NETWORK TO HELPS PEOPLE RECEIVE THE BEST HEALTH CARE POSSIBLE THROUGH A COMPREHENSIVE SERIES OF CARE COORDINATION AND EDUCATIONAL STRATEGIES. THE CCN HELPS TRANSITION PEOPLE TO THE NEXT STEP OF CARE WHETHER IT'S TO HOME OR A SKILLED NURSING FACILITY, REHAB CENTER OR ANOTHER HOSPITAL, MVH WORKS TO ENSURE A SEAMLESS CONTINUITY OF CARE. IN ADDITION, THESE SERVICES ARE BEING PROVIDED TO THE COMMUNITY COMPLETELY FREE OF CHARGE.THE CCN CONSISTS OF AN INTERDISCIPLINARY TEAM COMPRISED OF A MEDICAL DIRECTOR, CERTIFIED REGISTERED NURSE PRACTITIONER, PHARMACIST, DIETITIANS, A SOCIAL WORKER, A COUNSELOR AND PATIENT NAVIGATORS. THE TEAM FOCUSES ON FINDING AND COORDINATING RESOURCES AS WELL AS ASSISTING PATIENTS IN MANAGING CHRONIC DISEASES, SUCH AS COPD. THE CCN WORKS WITH A PATIENT'S CURRENT CARE PROVIDERS TO HELP THEM UNDERSTAND AND MANAGE THEIR CARE. THE DEDICATED TEAM ALSO WORKS COOPERATIVELY WITHIN OUR SYSTEM AND WITH OTHER COMMUNITY AGENCIES TO UTILIZE ALL AVAILABLE RESOURCES TAKING FOLLOW-UP CARE TO A NEW LEVEL. THE TEAM, UNDER DIRECT MEDICAL SUPERVISION, CAN HELP ENSURE THAT PATIENTS HAVE THE TOOLS THEY NEED TO FOLLOW TREATMENT PLANS INCLUDING THE ABILITY TO AFFORD AND UNDERSTAND HOW TO TAKE PRESCRIBED MEDICATIONS. THE CCN ALSO FOCUSES ON ELIMINATING MISSED APPOINTMENTS WITH PCPS AND SPECIALISTS. WITH AN EMPHASIS ON EARLY DETECTION, IN-HOME MONITORING CAN BE PROVIDED TO HELP IDENTIFY CHANGES IN SYMPTOMS EARLY ON, WHICH COULD ELIMINATE UNNECESSARY TRIPS TO THE HOSPITAL. IN ADDITION, THE PATIENT NAVIGATORS PROVIDE SUPPORT WITH MEDICATIONS, FOOD AND HOSPITALIZATION. THE CCN ULTIMATELY FOCUSES ON HELPING PEOPLE ENGAGE IN A HEALTHY LIFESTYLE IN ORDER TO PREVENT DISEASE AND HELP LIVE THEIR LIVES TO THE FULLEST. DURING THE PAST THREE YEARS, MVH WAS RECOGNIZED FOR ITS COMMITMENT TO PEOPLE WITH COPD. THE HOSPITAL RECEIVED THE AWARDS AND DISTINCTIONS LISTED BELOW: RECOGNIZED AS A BEST HOSPITAL IN COPD BY U.S. NEWS & WORLD REPORT NAMED A 5-STAR RECIPIENT FOR QUALITY COPD TREATMENT BY HEALTHGRADES EARNED THE JOINT COMMISSION'S ADVANCED-DISEASE-SPECIFIC CERTIFICATION IN COPD
PART V, SECTION B, LINE 11 (CONTINUED 2)	ACCIDENTAL DRUG POISONING DEATHS. ON JANUARY 6, 2019, THE OBSERVER-REPORTER PUBLISHED AN ARTICLE FOCUSING ON THE OPIOID EPIDEMIC IN SOUTHWESTERN PENNSYLVANIA. IT READS: WITH THE REGION HAVING BEEN SATURATED LAST YEAR WITH AN OPIOID REVERSAL DRUG, COUNTIES IN THIS REGION MADE PROGRESS IN REDUCING THE NUMBER OF HEROIN AND FENTANYL OVERDOSE DEATHS. WASHINGTON COUNTY EXPERIENCED A NEARLY 22 PERCENT DECLINE IN DRUG OVERDOSE DEATHS LAST YEAR AS COMPARED TO THOSE IN 2017," WASHINGTON COUNTY DISTRICT ATTORNEY GENE VITTONE SAID. WASHINGTON COUNTY RECORDED 75 DRUG OVERDOSE DEATHS LAST YEAR, WITH THE BULK OF THEM HAVING INVOLVED HEROIN AND FENTANYL OR THE MORE POTENT FORMS OF SYNTHETIC OPIOIDS, SAID A SPOKESMAN FOR CORONER TIM WARCO. THERE WERE 96 SUCH DEATHS IN THE COUNTY THE PREVIOUS YEAR.WASHINGTON COUNTY HAS DISTRIBUTED MORE THAN 2,100 KITS OF NALOXONE OVER THE PAST THREE YEARS. WESTMORELAND COUNTY ALSO REPORTED PROGRESS, RECORDING A 36 PERCENT DECREASE LAST YEAR IN SUCH OVERDOSE DEATHS, COUNTY CORONER KENNETH BACHA REPORTED. THAT COUNTY IS EXPECTED TO RECORD 124 ACCIDENTAL DRUG OVERDOSE DEATHS LAST YEAR, DOWN FROM 193 THE PREVIOUS YEAR.WESTMORELAND COUNTY DOES NOT HAVE ENOUGH REPORTS AND OTHER DATA TO CONCLUDE THAT NALOXONE, THE ANTI-OVERDOSE DRUG, IS RESPONSIBLE FOR THE REDUCTION IN OVERDOSE DEATHS.MONONGAHELA VALLEY HOSPITAL IS ADDRESSING THE DRUG ABUSE AND DRUG POISONING EPIDEMIC. THE HOSPITAL HAS TAKEN 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 TRAINING AND RECEIVED KITS. MEMBERS OF THE EMERGENCY DEPARTMENT NURSING STAFF ALSO PROVIDED NARCAN TRAINING TO STAFF AT LOCAL HIGH SCHOOLS. 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 PERCENT 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 2018 EVENTS WERE HELD APRIL 28 AND OCTOBER 27.OBESITY, FRUITS AND VEGETABLE CONSUMPTION 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. IN 2018, FOR THE THIRD CONSECUTIVE , MONONGAHELA VALLEY HOSPITAL PARTICIPATED AT SUMMER FARMERS' MARKETS WHERE MEMBERS OF THE CLINICAL NUTRITION AND DIABETES DEPARTMENT AND THE COMMUNITY RELATIONS STAFF BROUGHT HEALTHY FOOD SAMPLES AND WALKED WITH PARTICIPANTS FROM VENDOR TO VENDOR HELPING THEM MAKE WISE FRUIT AND VEGETABLE CHOICESIN TERMS OF OBESITY, THE HOSPITAL CONTINUED OFFERING THE WEIGHT CONTROL AND WELLNESS PROGRAM, WHICH WAS INTRODUCED 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 PLANS MEDICALLY SUPERVISED WEIGHT LOSS WITH RECIPES AND FOOD JOURNALS AN AT-HOME PHYSICAL ACTIVITY PLAN CENTER FOR FITNESS AND HEALTH CLASSES HEALTHY COOKING CLASSES BARIATRIC SURGERY ADJUSTABLE GASTRIC BAND, GASTRIC SLEEVE AND GASTRIC BYPASS

Schedule H (Form 990) 2019

Page 9

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?9
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 CALIFORNIA BLOOD DRAW CENTER 371 SKYLINE DRIVE CALIFORNIA,PA15419	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	9 - MVH CENTER FOR FITNESS AND HEALTH 800 PLAZA DRIVE BELLE VERNON,PA15012	FITNESS FACILITY
10

Schedule H (Form 990) 2019

Page 10

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 $4,402,429 INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN A WAS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE OF TOTAL EXPENSES.
PART III, LINE 2:	THE ORGANIZATION'S BAD DEBT EXPENSE IS BASED ON CHARGES POSTED TO BAD DEBTS, GROSSED UP WITH OUR 501(R) DISCOUNT PERCENTAGE, RECALCULATED TO COST USING COST TO CHARGE RATIO.
PART III, LINE 3:	THE PORTION OF BAD DEBT INCLUDED AS COMMUNITY BENEFIT IS CALCULATED AS A PERCENTAGE OF BAD DEBT FROM SELF-PAY INDIVIDUALS MULTIPLIED BY APPROVAL PERCENTAGE OF THE ORGANIZATION'S CHARITY CARE APPLICATIONS.
PART III, LINE 4:	PATIENT ACCOUNTS RECEIVABLE ARE STATED AT THE ESTIMATED AMOUNT THE HOSPITAL EXPECTS TO COLLECT. THE HOSPITAL PROVIDES AN ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS EQUAL TO THE ESTIMATED UNCOLLECTABLE AMOUNTS. THE HOSPITAL'S ESTIMATE IS BASED ON HISTORICAL COLLECTION EXPERIENCE ANALYZED BY MAJOR PAYOR SOURCE AND REVIEW OF THE CURRENT STATUS OF PATIENT ACCOUNTS RECEIVABLE. THIS DATA IS REGULARLY REVIEWED TO EVALUATE THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS. THERE HAS BEEN NO SIGNIFICANT CHANGE TO THE AMOUNTS OR METHODS USED TO CALCULATE THE ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS.FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND INSURED PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES), AN ALLOWANCE IS CALCULATED AT THE TIME OF SERVICE ON THE AMOUNT DUE (AFTER ANY DISCOUNTS) BASED ON THE HOSPITAL'S HISTORICAL EXPERIENCE AND INDUSTRY PRACTICES, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS.THE HOSPITAL'S ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS FOR SELF-PAY PATIENTS DECREASED TO 57% OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2018 FROM 58% OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2017. THE HOSPITAL'S SELF-PAY ACCOUNT WRITE-OFFS (NET OF RECOVERIES) WERE APPROXIMATELY $4,100,000 IN 2018 AND $4,500,000 IN 2017. THE DECREASE IN SELF-PAY ACCOUNT WRITE-OFFS (NET OF RECOVERIES) WAS DUE TO VARIOUS FACTORS, THE GREATEST OF WHICH WAS FEWER PATIENT CO-PAYS AND DEDUCTIBLES. THE HOSPITAL DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR DOUBTFUL ACCOUNTS FROM THIRD-PARTY PAYORS, NOR DID IT HAVE SIGNIFICANT WRITE-OFFS FROM THIRD-PARTY PAYORS.THE HOSPITAL GRANTS CREDIT TO PATIENTS, SUBSTANTIALLY ALL OF WHOM ARE LOCAL RESIDENTS. THE HOSPITAL GENERALLY DOES NOT REQUIRE COLLATERAL OR OTHER SECURITY IN EXTENDING CREDIT; HOWEVER, IT ROUTINELY OBTAINS ASSIGNMENT OF (OR IS OTHERWISE ENTITLED TO RECEIVE) PATIENTS' BENEFITS RECEIVABLE UNDER THEIR HEALTH INSURANCE PROGRAMS, PLANS OR POLICIES.
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 2018, MONONGAHELA VALLEY HOSPITAL (MVH) WILL MARK ITS 40TH ANNIVERSARY. THE ROOTS OF THIS PROGRESSIVE HEALTH SYSTEM WERE FORMED MORE THAN 116 YEARS AGO BY TWO COMMUNITY HOSPITALS. IN 1902, J.B. FINLEY DONATED PROPERTY FOR THE HOSPITAL IN WHAT IS NOW NEW EAGLE AND ON DECEMBER 18, 1902 MEMORIAL HOSPITAL OF MONONGAHELA OPENED. CHARLEROI-MONESSEN HOSPITAL WAS ORIGINALLY CHARTERED AS THE MONESSEN HOSPITAL IN 1909, AND BY MID MAY OF THAT YEAR, ALL 20 BEDS IN THE NEW HOSPITAL WERE OCCUPIED. BUT SINCE THE ORIGINAL CHARTER WAS ISSUED IN WESTMORELAND COUNTY AND THE SITE CHOSEN FOR THE HOSPITAL WAS IN NORTH CHARLEROI IN WASHINGTON COUNTY, A NEW CHARTER WAS GRANTED BY THE WASHINGTON COUNTY COURT ON JANUARY 13, 1913 AND THE NAME WAS CHANGED TO THE CHARLEROI-MONESSEN HOSPITAL. WITH THE CONTINUED GROWTH OF THE MID-MONONGAHELA VALLEY CAME THE NEED FOR LARGER HOSPITALS. INITIAL EFFORTS TO CONSOLIDATE THE HOSPITALS BEGAN IN 1969 AS BOTH HOSPITALS FACED SIMILAR PROBLEMS. FACILITIES WERE INADEQUATE TO MEET THE NEEDS OF THE COMMUNITY AND THE REQUIREMENTS OF MODERN MEDICAL PRACTICE AND THE LANDLOCKED STRUCTURES ALLOWED NO ROOM FOR EXPANSION. DUPLICATION OF MANPOWER, FACILITIES AND SERVICES HAD BECOME A COSTLY BURDEN. THERE WAS A CRITICAL NEED FOR A TOTAL COMMUNITY HEALTH CARE EFFORT, NOT ONLY TO CARE FOR THE SICK BUT TO ENCOURAGE GOOD HEALTH PRACTICES AND PREVENTIVE MEDICINE. BOTH HOSPITAL ASSOCIATIONS CAME TOGETHER AND CREATED A CONSOLIDATION PLAN THAT INCLUDED CONSOLIDATED BYLAWS. ON JULY 1, 1972, THE PENNSYLVANIA DEPARTMENT OF WELFARE APPROVED CONSOLIDATION OF THE HOSPITALS AND PLANS FOR CONSTRUCTION OF A NEW HOSPITAL TO BETTER SERVE THE NEEDS OF RESIDENTS OF THE MID-MONONGAHELA VALLEY WERE PREPARED. GROUND WAS BROKEN FOR CONSTRUCTION OF THE NEW MONONGAHELA VALLEY HOSPITAL ON MAY 17, 1976. THE NEW FACILITY WAS OFFICIALLY DEDICATED ON SEPTEMBER 24, 1978. HIGH-QUALITY HEALTH CARE IS ONE OF THE FACTORS THAT IS OFTEN USED TO ASSESS A REGION'S LIVABILITY. MVH'S PATIENT- AND FAMILY-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. ACCORDING TO A REPORT PUBLISHED BY THE HENRY J. KAISER FAMILY FOUNDATION IN DECEMBER 2018, THE NUMBER OF UNINSURED, NONELDERLY AMERICANS DECREASED FROM OVER 44 MILLION IN 2013 (THE YEAR BEFORE THE MAJOR COVERAGE PROVISIONS WENT INTO EFFECT) TO JUST BELOW 27 MILLION IN 2016. HOWEVER, IN 2017, THE NUMBER OF UNINSURED PEOPLE INCREASED BY NEARLY 700,000 PEOPLE, THE FIRST INCREASE SINCE IMPLEMENTATION OF THE AFFORDABLE CARE ACT (ACA). IN THE PAST, GAPS IN THE PUBLIC INSURANCE SYSTEM AND LACK OF ACCESS TO AFFORDABLE PRIVATE COVERAGE LEFT MILLIONS WITHOUT HEALTH INSURANCE. BEGINNING IN 2014, THE ACA EXPANDED COVERAGE TO MILLIONS OF PREVIOUSLY UNINSURED PEOPLE THROUGH THE EXPANSION OF MEDICAID AND THE ESTABLISHMENT OF HEALTH INSURANCE MARKETPLACES. DATA SHOWS SUBSTANTIAL GAINS IN PUBLIC AND PRIVATE INSURANCE COVERAGE AND HISTORIC DECREASES IN THE NUMBER OF UNINSURED PEOPLE UNDER THE ACA, WITH NEARLY 20 MILLION GAINING COVERAGE. HOWEVER, FOR THE FIRST TIME SINCE THE IMPLEMENTATION OF THE ACA, THE NUMBER OF UNINSURED INCREASED BY MORE THAN HALF A MILLION IN 2017. EVEN UNDER THE ACA, MANY UNINSURED PEOPLE CITE THE HIGH COST OF INSURANCE AS THE MAIN REASON THEY LACK COVERAGE. IN 2017, 45 PERCENT OF UNINSURED ADULTS SAID THAT THEY REMAINED UNINSURED BECAUSE THE COST OF COVERAGE WAS TOO HIGH. MANY PEOPLE DO NOT HAVE ACCESS TO COVERAGE THROUGH A JOB, AND SOME PEOPLE REMAIN INELIGIBLE FOR FINANCIAL ASSISTANCE FOR COVERAGE. PEOPLE WITHOUT INSURANCE COVERAGE HAVE WORSE ACCESS TO CARE THAN PEOPLE WHO ARE INSURED. IN 2017, ONE IN FIVE UNINSURED ADULTS WENT WITHOUT NEEDED MEDICAL CARE DUE TO COST. THE KAISER REPORT FURTHER STATED THAT STUDIES REPEATEDLY DEMONSTRATE THAT THE UNINSURED ARE LESS LIKELY THAN THOSE WITH INSURANCE TO RECEIVE PREVENTIVE CARE AND SERVICES FOR MAJOR HEALTH CONDITIONS AND CHRONIC DISEASES. THE UNINSURED OFTEN FACE UNAFFORDABLE MEDICAL BILLS WHEN THEY DO SEEK CARE. IN 2017, UNINSURED NONELDERLY ADULTS WERE OVER TWICE AS LIKELY AS THEIR INSURED COUNTERPARTS TO HAVE HAD PROBLEMS PAYING MEDICAL BILLS IN THE PAST 12 MONTHS. THESE BILLS CAN QUICKLY TRANSLATE INTO MEDICAL DEBT SINCE MOST OF THE UNINSURED HAVE LOW OR MODERATE INCOMES AND HAVE LITTLE, IF ANY, SAVINGS.MONONGAHELA VALLEY HOSPITAL 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 OUR MISSION AND VALUES AS WELL AS WITH FEDERAL AND STATE LAWS. THESE POLICIES AND PRACTICES TAKE INTO ACCOUNT EACH INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER MEDICAL CARE AS WELL AS THE HOSPITAL'S FINANCIAL ABILITY TO PROVIDE CARE.MONONGAHELA VALLEY HOSPITAL MAINTAINS THAT CONCERN OVER A HOSPITAL BILL WILL NEVER PREVENT ANY INDIVIDUAL FROM RECEIVING EMERGENCY HEALTH SERVICES REGARDLESS OF THEIR ABILITY TO PAY. MVH COMMUNICATES THIS MESSAGE CLEARLY TO PATIENTS AND THE COMMUNITY. THIS MESSAGE IS COMMUNICATED THROUGHOUT THE HOSPITAL AND IN THE COMMUNITY VIA THE FOLLOWING SOURCES:A. NOTICES ARE LOCATED AT THE ENTRANCE TO MONONGAHELA VALLEY HOSPITAL'S EMERGENCY DEPARTMENT AND THROUGH THE DOORS OF THE TREATMENT AREA THAT ANNOUNCE:ATTENTION PATIENTS:IF YOU HAVE A MEDICAL EMERGENCY OR ARE IN LABOR, YOU HAVE THE RIGHT TO RECEIVE WITHIN THIS FACILITY AN APPROPRIATE SCREENING, NECESSARY STABILIZATION TREATMENTS (FOR YOU AND YOUR UNBORN BABY) AND APPROPRIATE TRANSFER TO ANOTHER FACILITY EVEN IF YOU CANNOT PAY OR DO NOT HAVE INSURANCE. YOU ARE ENTITLED TO MEDICARE OR MEDICAID. B. EACH YEAR, MVH PUBLISHES A PUBLIC NOTICE, IN THE FORM OF A PAID DISPLAY AD IN THE MON VALLEY INDEPENDENT NEWSPAPER ANNOUNCING THE HOSPITAL'S CHARITY CARE POLICY. THE MON VALLEY INDEPENDENT HAS THE LARGEST CIRCULATION OF THE LOCAL PAPERS IN THE MID-MON VALLEY. THE AD IS TYPICALLY PUBLISHED DURING THE THIRD OR FOURTH WEEK OF JANUARY. IN 2018, THE AD WAS PUBLISHED ON JANUARY 9. IT STATED: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. C. 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.D. 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.
PART VI, LINE 4:	MONONGAHELA VALLEY HOSPITAL IS LOCATED AT THE CROSSROADS OF THREE COUNTIES. HOSPITAL ADMISSIONS ARE PRIMARILY DERIVED FROM THESE THREE COUNTIES WASHINGTON, WESTMORELAND AND FAYETTE. ACCORDING TO THE U.S. CENSUS BUREAU STATISTICS, THE POPULATION BREAKDOWN IN ALL OF THE COMMUNITIES SERVED BY MONONGAHELA VALLEY HOSPITAL IS LISTED BELOW. IT IS IMPORTANT TO NOTE THAT FROM 2015 TO 2016, THE POPULATION IN THE CITIES, TOWNS AND BOROUGHS IN THOSE COUNTIES DECREASED BY 2.87 PERCENT. WASHINGTON COUNTYTOWN/CITY/BOROUGH 2018 POPULATION MEDIAN INCOME PERSONS WITHOUT HEALTH INSURANCEALLENPORT 530 $55,750 13.9 PERCENTBEALLSVILLE 453 $59,375 N/ABENTLEYVILLE 2,531 $40,149 7.6 PERCENTCALIFORNIA 6,678 $36,820 2.7 PERCENTCARROLL TOWNSHIP 5,534 $56,822 4.0 PERCENTCENTERVILLE 3,206 N/A N/ACHARLEROI 4,035 $31,143 6.5 PERCENTCOAL CENTER 138 $45,139 13.0 PERCENTDAISYTOWN 312 $48,750 6.6 PERCENTDEEMSTOWN 714 N/A N/ADENBO 137* N/A N/ADONORA 4,684 $36,150 9.6 PERCENTDUNLEVY 382 $39,531 9.5 PERCENTEAST BETHLEHEM 2,311 N/A N/AELCO 320 $42,813 3.2 PERCENTELRAMA 345 $21,900 5.1 PERCENTELLSWORTH 1,002 $50,735 5.3 PERCENTFALLOWFIELD 4,266 N/A N/AFINLEYVILLE 450 $32,188 14.8 PERCENTFREDERICKTOWN 599 $36,386 1.2 PERCENTGASTONVILLE 2,911 $54,861 4.3 PERCENTMILLSBORO 496 $32,422 27.0 PERCENTMONONGAHELA 4,206 $45,234 10.6 PERCENTNEW EAGLE 2,137 $39,643 9.3 PERCENTNORTH CHARLEROI 1,288 $41,573 6.3 PERCENTRICHEYVILLE 734 N/A N/AROSCOE 797 $50,000 7.2 PERCENTSPEERS 1,136 $51,597 7.7 PERCENTSTOCKDALE 508 $44,250 3.2 PERCENTUNION TOWNSHIP 5,729 N/A N/ANOTE: THE POPULATION STATISTICS WERE TAKEN FROM THE LEAGUE OF WOMEN VOTERS OF WASHINGTON COUNTY AND IS BASED ON THEIR FACTS FOR CITIZENS 2018. THE MEDIAN INCOME WAS TAKEN FROM DATA USA. THE DATA ON PERSONS WITHOUT HEALTH INSURANCE WAS TAKEN FROM VARIOUS SOURCES. WESTMORELAND COUNTYTOWN/CITY/BOROUGH 2016 POPULATION MEDIAN INCOME PERSONS WITHOUT HEALTH INSURANCEBELLE VERNON 1,219 $25,980 10.3 PERCENTMONESSEN 7,530 $36,319 7.9 PERCENTPRICEDALE 111 N/A N/ASUTERSVILLE 611 $38,036 7.4 PERCENTWEBSTER 236 79,471 N/AWEST NEWTON 2,519 $39,415 6.2 PERCENTNOTE: THE POPULATION STATISTICS AND THE MEDIAN INCOME WERE TAKEN FROM DATA USA. THE DATA ON PERSONS WITHOUT HEALTH INSURANCE WAS TAKEN FROM VARIOUS SOURCES.FAYETTE COUNTYTOWN/CITY/BOROUGH 2016 POPULATION MEDIAN INCOME PERSONS WITHOUT HEALTH INSURANCEFAYETTE CITY 578 $32,981 N/ANEWELL 525 $49,750 8.5 PERCENTPERRYOPOLIS 1,873 $48,654 7.7 PERCENTSTAR JUNCTION 544 $40,526 6.7 PERCENTTHE POPULATION STATISTICS WERE TAKEN FROM DATA USA. THE DATA ON MEDIAN INCOME PERSONS WITHOUT HEALTH INSURANCE WAS TAKEN FROM VARIOUS SOURCES.THE COMMUNITIES IN CLOSEST PROXIMITY TO THE HOSPITAL ARE CARROLL TOWNSHIP, CHARLEROI, MONESSEN AND MONONGAHELA, WHICH ARE AMONG SOME OF THE LARGEST POPULATED COMMUNITIES. ADDITIONAL DEMOGRAPHICS FOR THESE COMMUNITIES ARE LISTED BELOW. CARROLL TOWNSHIPMONONGAHELA VALLEY HOSPITAL IS PHYSICALLY SITUATED IN CARROLL TOWNSHIP. THE CENSUS REPORTER LISTS THE POPULATION AS 5,543 WITH THE MEDIAN AGE OF 50.9. THE MEDIAN INCOME FOR A HOUSEHOLD IN THE TOWNSHIP WAS $65,132. CHARLEROITHE POPULATION OF CHARLEROI IS 4,037. THE CENSUS LISTS THE MEDIAN AGE AS 38.6.THE MEDIAN HOUSEHOLD INCOME WAS $31,143. MONESSENTHE POPULATION OF MONESSEN IS 7,530. THE MEDIAN AGE IS LISTED AS 48.0 AND THE MEDIAN HOUSEHOLD INCOME IS $38,050. MONONGAHELAMONONGAHELA IS ONE OF ONLY TWO CITIES IN WASHINGTON COUNTY AND THE SECOND SMALLEST CITY IN PENNSYLVANIA. THE POPULATION IS COMPRISED OF 4,208 PEOPLE. IN MONONGAHELA, THE MEDIAN AGE IS 41.3 AND THE MEDIAN INCOME IS $45,234.
PART VI, LINE 5:	MONONGAHELA VALLEY HOSPITAL'S COMMUNITY RELATIONS DEPARTMENT EMPLOYS FIVE FULL-TIME AND TWO PART-TIME STAFF MEMBERS. THE DEPARTMENT ALSO EMPLOYS A FULL-TIME PHYSICIAN LIAISON. IN KEEPING WITH THE HOSPITAL'S MISSION, 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 "BREAST BIOPSY: WHAT YOU SHOULD KNOW;" "MONONGAHELA VALLEY HOSPITAL'S WEIGHT CONTROL AND WELLNESS PROGRAM;" "ONE EXCELLENT HOSPITAL THREE GREAT OUTPATIENT DIAGNOSTIC IMAGING FACILITIES; AND "MANAGING YOUR DIABETES: TO NAME A FEW.SUPPORT GROUPS SUPPORT GROUPS CAN BE GREAT RESOURCES FOR PEOPLE WHO SHARE A COMMON DISORDER, SUCH AS CANCER OR DIABETES. THE GROUPS MEET REGULARLY TO DISCUSS THEIR EXPERIENCES, SHARE IDEAS AND PROVIDE EMOTIONAL SUPPORT TO EACH OTHER AND THEIR LOVED ONES. 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 MEANS 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. BETTER BREATHERS CLUB. THE BETTER BREATHERS CLUB IS FREE AND OPEN TO ALL ADULTS AND THEIR FRIENDS, FAMILY OR CAREGIVERS WHO WANT TO LEARN OR SHARE INFORMATION ABOUT LIVING WELL WITH BREATHING ISSUES. LOCATIONS AND TIMES VARY.BREAST CANCER SUPPORT GROUP. THIS SUPPORT GROUP IS FREE AND OPEN TO ALL BREAST CANCER PATIENTS AND THEIR FAMILIES. THIS SUPPORT GROUP MEETS THE FIRST MONDAY OF EACH MONTH AT 2 P.M. CANCER SUPPORT GROUP. THIS SUPPORT GROUP IS FREE AND OPEN TO ALL CANCER PATIENTS AND THEIR FAMILIES. THE GROUP MEETS THE THIRD MONDAY OF EACH MONTH AT 2 P.M. DIABETES SUPPORT GROUP. THIS SUPPORT PROGRAM IS FREE FOR PEOPLE WITH DIABETES, THEIR FAMILIES AND CAREGIVERS. DATES AND TIMES VARY.OSTOMY SUPPORT GROUP. THIS SUPPORT GROUP IS FREE AND OPEN TO ALL PERSONS WITH OSTOMIES AND THEIR FAMILIES AND FRIENDS. THIS GROUP MEETS THE THIRD THURSDAY OF EVERY OTHER MONTH AT 2 P.M. PROSTATE CANCER SUPPORT GROUP. ALL PROSTATE CANCER PATIENTS, FAMILIES AND CAREGIVERS ARE INVITED TO ATTEND THIS FREE SUPPORT GROUP. THIS GROUP MEETS QUARTERLY ON THE SECOND WEDNESDAY OF THE MONTH, AT 6 P.M. RSDS SUPPORT GROUP. THE REFLEX SYMPATHETIC DYSTROPHY SYNDROME SUPPORT GROUP IS FREE AND OPEN TO ALL PERSONS WITH RSDS OR RELATED ILLNESSES. THIS GROUP MEETS THE SECOND TUESDAY OF EACH MONTH AT 11 A.M. (NOV. THROUGH MARCH) AND AT 6 P.M. (APRIL THROUGH OCT.). SUICIDE BEREAVEMENT SUPPORT GROUP. THE FREE INFORMAL GROUP MEETINGS ARE LED BY A LICENSED PSYCHOLOGIST WHO HAS EXTENSIVE PROFESSIONAL EXPERIENCE HELPING THOSE TOUCHED BY SUICIDE. TIMES AND LOCATIONS VARY.WEIGHT LOSS AND WELLNESS SUPPORT GROUP. THIS SUPPORT GROUP MEETS THE FOURTH MONDAY EVERY OTHER MONTH AT 6 P.M. AT THE HOSPITAL. THE BIMONTHLY SESSIONS HELP EDUCATE, INFORM AND PROVIDE A WELL-ROUNDED FOUNDATION OF KNOWLEDGE FOR LONG-TERM SUCCESS OF THOSE WHO HAVE HAD WEIGHT-LOSS SURGERY.CLASSESMONONGAHELA VALLEY HOSPITAL OFFERS THE FOLLOWING CLASSES FOR MEMBERS OF THE COMMUNITY.AMERICAN HEART ASSOCIATION FRIENDS AND FAMILY CPR. THIS COURSE IS FOR PEOPLE WHO DO NOT NEED A CERTIFICATION CARD FOR A JOB. CONTENT INCLUDES AN ORIENTATION TO CPR FOR ADULTS, CHILDREN AND INFANTS, CHOKING AND USE OF AN AED. CLASSES MEET ONE TUESDAY OF EVERY MONTH WITH ALTERNATING DAY AND EVENING CLASSES. THERE IS A NOMINAL FEE. 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.BETTER BREATHERS CLUB. MONONGAHELA VALLEY HOSPITAL SPONSORS THESE CLASSES TO ASSIST PEOPLE WHO SUFFER FROM BREATHING DISORDERS SUCH AS CHRONIC OBSTRUCTIVE PULMONARY DISEASE, ASTHMA AND OTHERS. THE CLASSES WERE HELD IN THE ANTHONY M. LOMBARDI EDUCATION CONFERENCE CENTER ON MVH'S CAMPUS ON MARCH 20, MAY 15, JULY 17, SEPTEMBER 18 AND NOVEMBER 13.DIABETES EDUCATION PROGRAMS. OPEN TO ALL PEOPLE WITH DIABETES, FREE CLASSES ARE HELD MONTHLY. TOPICS INCLUDE: "MANAGING YOUR DIABETES AND "ADVANCED CARBOHYDRATE COUNTING." BREATHE PENNSYLVANIA SMOKE FREE FOR LIFE. MONONGAHELA VALLEY HOSPITAL HOSTED THIS CLASS FOR FOUR CONSECUTIVE THURSDAYS IN SEPTEMBER 2018 (SEPTEMBER 6, 13, 20 AND 27), SMOKE-FREE FOR LIFE IS A SMOKING CESSATION PROGRAM DEVELOPED BY BREATHE PENNSYLVANIA. THIS APPROACH FOCUSES ON THE INDIVIDUAL NEEDS OF EACH SMOKER, WHILE IN A GROUP SETTING. KEY TOPICS OF THIS EIGHT-SESSION PROGRAM INCLUDE UNDERSTANDING THE HABIT, DEVELOPING A PLAN TO QUIT AND MAINTENANCE STRATEGIES.IS WEIGHT LOSS SURGERY RIGHT FOR YOU? EACH MONTH, HIRAM GONZALEZ, M.D., A SURGEON AT MONONGAHELA VALLEY HOSPITAL, DISCUSSES MVH'S WEIGHT CONTROL AND WELLNESS PROGRAM, INCLUDING BARIATRIC SURGERY, DURING FREE EDUCATION SESSIONS. DR. GONZALEZ EXPLAINS THE THREE TYPES OF BARIATRIC SURGERY MVH OFFERS. THE SURGERY IS A WEIGHT REDUCTION OPTION FOR PEOPLE STRUGGLING TO LOSE 100 POUNDS OR MORE.HEALTH SCREENINGSMONONGAHELA VALLEY HOSPITAL OFFERS FREE HEALTH SCREENINGS 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 WHICH WAS HELD ON OCT. 17 IN THE ANTHONY M. LOMBARDI EDUCATION CONFERENCE CENTER. APPROXIMATELY 100 WOMEN AND MEN ATTENDED THE EVENT. IN A BREAK FROM PREVIOUS YEARS, THE 2018 PROGRAM FEATURED A MALE SPEAKER WHO SURVIVED BREAST CANCER. THE PROGRAM ALSO INCLUDED DR. NATALIE FURGIUELE WHO DISCUSSED MAMMOGRAMS AND THE LATEST BREAST CANCER TREATMENT OPTIONS AVAILABLE. FOLLOWING THE PRESENTATIONS, GUESTS HAD THE OPPORTUNITY TO HAVE BREAST SCREENINGS OR SCHEDULE THEIR MAMMOGRAMS.LUNG CANCER. ON DECEMBER 17, 2018, THE REGISTERED NURSE WHO OVERSEES THE LUNG SCREENING PROGRAM TALKED WITH THE STEELWORKERS OF AMERICA RETIREES IN ALLENPORT TO EMPHASIZE THE IMPORTANCE OF LUNG SCREENINGS. THE MORE THAN 100 ATTENDEES WERE ENCOURAGED TO PARTICIPATE IN FREE COMMUNITY EVENTS TO LEARN ABOUT THE IMPORTANCE OF EARLY DETECTION, THE RECENT ADVANCEMENTS IN TREATMENT AND WHY SCREENING IS SO IMPORTANT, ESPECIALLY FOR THOSE NOT EXHIBITING TYPICAL SYMPTOMS. COLORECTAL CANCER. THE AMERICAN CANCER SOCIETY RECOMMENDS MEN AND WOMEN AT AGE 50 SHOULD BEGIN TESTING FOR COLORECTAL CANCER. EARLY DETECTION LEADS TO EASIER TREATMENT AND IMPROVED SURVIVAL. MONONGAHELA VALLEY HOSPITAL OFFERED A FREE COLORECTAL CANCER EDUCATION AND SCREENING PROGRAM ON APRIL 20. A PANEL OF HEALTH CARE PROFESSIONALS, INCLUDING ANDREW ZAHALSKY, M.D., DIRECTOR OF MEDICAL ONCOLOGY AT MVH; ARSHAD BACHELANI, M.D., GASTROINTESTINAL SURGEON, AND KRISTEN BEGONIA, CLINICAL DIETICIAN, PROVIDED INFORMATION ON TREATMENTS FOR AND PREVENTION OF COLORECTAL CANCER. PROSTATE CANCER. ASIDE FROM NON-MELANOMA SKIN CANCER, PROSTATE CANCER IS THE MOST COMMON CANCER AMONG MEN IN THE UNITED STATES. IT IS ALSO ONE OF THE LEADING CAUSES OF CANCER DEATH AMONG MEN OF ALL RACES. ABOUT 1 MAN IN 9 WILL BE DIAGNOSED WITH PROSTATE CANCER DURING HIS LIFETIME. PROSTATE CANCER DEVELOPS MAINLY IN OLDER MEN. ABOUT 6 CASES IN 10 ARE DIAGNOSED IN MEN AGED 65 OR OLDER, AND IT IS RARE BEFORE AGE 40. THE AVERAGE AGE AT THE TIME OF DIAGNOSIS IS ABOUT 66. ON SEPT. 26, MVH OFFERED A FREE PROSTATE EDUCATION AND SCREENING PROGRAM. ATTENDEES LEARNED ABOUT THE IMPORTANCE OF EARLY DETECTION AND HAD THE OPTION TO RECEIVE AN EXAM BY MVH'S MEDICAL STAFF ALONG WITH A PROSTATE SPECIFIC ANTIGEN (PSA) BLOOD TEST. THE PROGRAM WAS INTENDED FOR MEN AGES 50-75 WHO DID NOT ALREADY HAVE A DIAGNOSIS OF PROSTATE PROBLEMS.
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 A 225-MEMBER MEDICAL STAFF REPRESENTING MORE THAN 40 MEDICAL SPECIALTIES. MVH HAS A REPUTATION FOR CONTINUOUSLY INTRODUCING THE LATEST TECHNOLOGY IN CANCER DIAGNOSIS AND TREATMENT, WOUND CARE AND DIAGNOSTIC RADIOLOGY. THE HOSPITAL'S REGIONAL CANCER CENTER IS THE SECOND LARGEST PRIVATELY OWNED CANCER CENTER IN THE GREATER PITTSBURGH AREA. MVH IS THE LARGEST EMPLOYER IN THE MID-MONONGAHELA VALLEY AND THE THIRD LARGEST EMPLOYER IN WASHINGTON COUNTY. BLOOD DRAW CENTER CALIFORNIA371 SKYLINE DRIVE, CALIFORNIA, PA 15419, 724-258-1664A PUBLIC BLOOD DRAW SITE IN CALIFORNIA TO OFFER LOCAL RESIDENTS GREATER CONVENIENCE. ALL BLOOD DRAWS ARE PERFORMED BY A MONONGAHELA VALLEY HOSPITAL PHLEBOTOMIST AND PROCESSED IN THE HOSPITAL'S LAB.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 ARE 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. 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 PARTNERSHIP THAT OWNS A PROFESSIONAL OFFICE COMPLEX WHICH HOUSES THE AMBULATORY SURGERY CENTER. MONONGAHELA VALLEY HOSPITAL AND PARTICIPATING PHYSICIANS OWN THE AMBULATORY SURGERY CENTER. MONONGAHELA VALLEY HOSPITAL 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 FITNESS FACILITIESIN THIS REGION, THE CENTER COMBINES STATE-OF-THE-ART FITNESS EQUIPMENT ANDPROGRAMS WITH COMPREHENSIVE MEDICAL DIAGNOSTICS, THERAPEUTICS ANDREHABILITATION SERVICES. MVH OCCUPATIONAL HEALTH PROGRAM SUITE 210, 724-379-1940THIS 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 ULTRASOUND AND 3D MAMMOGRAPHY AND SERVICES, 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 CLINICAL PROFESSIONALS, INC.1163 COUNTRY CLUB ROAD, MONONGAHELA, PA 15063, 724-379-4011 EXT. 2303SYSTEM-AFFILIATED COMPANY PROVIDING NON-PHYSICIAN CLINICAL SERVICES. MON-VALE PRIMARY CARE PRACTICES, INC.1163 COUNTRY CLUB ROAD, MONONGAHELA, PA 15063, 724-370-4011 EXT. 2303SYSTEM-AFFILIATED PRIMARY CARE PRACTICES.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 SPECIALTY PRACTICES, INC.1163 COUNTRY CLUB ROAD, MONONGAHELA, PA 15063, 724-370-4011 EXT. 2303SYSTEM-AFFILIATED SPECIALTY CARE PRACTICES WHICH INCLUDE GENERAL SURGERY, GENECOLOGY, ONCOLOGY, AND ORTHOPEDICS.THE RESIDENCE AT HILLTOP PERSONAL CARE COMMUNITY210 ROUTE 837, MONONGAHELA, PA 15063, 724-258-8940THE RESIDENCE PROVIDES SERVICES FOR INDIVIDUALS OF ALL AGES WHO REQUIRE ASSISTANCE IN SUCH ACTIVITIES AS BATHING, DRESSING, DINING AND MEDICATION MANAGEMENT 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 VASCULAR 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 7, REPORTS FILED WITH STATES	PA
PART VI, LINE 5 (CONTINUED 1)	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 OFFERED. THE 2018 DATES WERE MARCH 24 AND SEPT. 29. A TOTAL OF 525 PEOPLE PARTICIPATED IN THE SCREENINGS. THE WALK-IN MEDICAL CENTERS LOCATED IN MONONGAHELA AND FINLEYVILLE 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 FOURTH CONSECUTIVE YEAR FOR WASHINGTON COUNTY EMPLOYEES AND THEIR SPOUSES APRIL 20, 21 AND 24. A TOTAL OF 297 PEOPLE PARTICIPATED IN THE SCREENING. HEALTH FAIRSMONONGAHELA VALLEY HOSPITAL SPONSORED A HEALTH FAIR ON AUGUST 18, AT THE MONONGAHELA VALLEY HOSPITAL HEALTHPLEX TO SHOWCASE THE OUTPATIENT MEDICAL SERVICES AVAILABLE UNDER ONE ROOF AT THE SITE. MVH ALSO PARTICIPATED IN THE FOLLOWING COMMUNITY HEALTH FAIRS DURING 2018: UNION BAPTIST CHURCH COMMUNITY FAIR AUGUST 25 CALIFORNIA UNIVERSITY HEALTH FAIR --SEPTEMBER 19 ANNUAL DAY OF HOPE SEPTEMBER 15 JUSTIN WALSH HEALTH FAIR OCTOBER 4 WASHINGTON COUNTY WELLNESS FAIR OCTOBER 19 CHARLEROI HIGH SCHOOL SENIORS DAY OCTOBER 26INNOVATIONS 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 2018, THE FOLLOWING INNOVATIONS PROGRAMS WERE OFFERED.DATE TOPIC/PHYSICIAN LOCATIONJANUARY 23 STEM CELLS AND PRP TREATMENTS/DR. RAMIREZ-DEL TORO MVH CONFERENCE CENTERFEBRUARY 28 ARTHRITIS/DR. PRESSMAN MVH CONFERENCE CENTERMAY 22 HIP AND KNEE REPLACEMENT/DR. MOLINARO MVH CONFERENCE CENTERJUNE 11 DIVERTICULAR DISEASE/DR. BACHELANI MVH CONFERENCE CENTERJULY 24 KIDNEY HEALTH/DR. LUTES MVH CONFERENCE CENTERAUGUST 22 CONCUSSIONS/DR. HENNESSEY MVH CONFERENCE CENTERSEPTEMBER 6 OPIOID EPIDEMIC/DR. EKBOTE MVH CONFERENCE CENTERSEPTEMBER 25 SHOULDER SURGERY/DR. TISSENBAUM MVH CONFERENCE CENTEROCTOBER 10 CELIAC DISEASE/DR. BELLICINI MVH CONFERENCE CENTEROCTOBER 15 COLON CANCER/DR. BACHELANI MVH CONFERENCE CENTERNOVEMBER 12 CRYONEUROLYSIS/DR. CUNEO MVH CONFERENCE CENTERDECEMBER 3 LOW BACK PAIN/DR. NABORS MVH CONFERENCE CENTERLIVING WELL SERIESACCORDING TO THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS, NEARLY ONE HALF OF AMERICAN ADULTS DEVELOP KNEE OSTEOARTHRITIS IN AT LEAST ONE KNEE IN THEIR LIFETIME. TODAY, NEARLY 50 PERCENT OF THE PEOPLE RECEIVING KNEE REPLACEMENTS ARE YOUNGER THAN 65 YEARS OF AGE. THE CENTERS FOR DISEASE CONTROL AND PREVENTION REPORT THE NUMBER AND RATE OF TOTAL HIP REPLACEMENTS AMONG INPATIENTS AGED 45 AND OVER INCREASED SIGNIFICANTLY FROM 2000 THROUGH 2010. THE GREATEST INCREASE WAS IN THE 5564 AGE GROUP, WHERE THE NUMBER OF TOTAL HIP REPLACEMENTS ALMOST TRIPLED. TO ADDRESS THE NEEDS OF THE AGING POPULATION IN THE MONONGAHELA VALLEY AREA, THE HOSPITAL SPONSORED A LIVING WELL SERIES ON ORTHOPEDICS IN MARCH 2018. DR. MARK HOFBAUER, FROM THE ORTHOPEDIC GROUP, PROVIDED A GENERAL OVERVIEW OF ORTHOPEDICS ON MARCH 5. DR. SCOTT BARON PRESENTED A PROGRAM ON HIP AND KNEE REPLACEMENT ON MARCH 12. DR. ERIC NABORS PRESENTED THE THIRD AND FINAL PROGRAM ON INNOVATIONS IN JOINT REPLACEMENT SURGERY ON MARCH 26. TALK WITH A DOCMONONGAHELA VALLEY HOSPITAL'S EXPANDED PHYSICIAN PROGRAMMING, "TALK WITH A DOC" CONTINUED IN 2018. BELOW IS A LISTING OF "TALK WITH A DOC" PROGRAMMING.DATE PROGRAM LOCATIONJANUARY 16 BACK PAIN/ DISC DEGENERATION/DR. NABORS MON VALLEY YMCAFEBRUARY 28 ORTHOPEDIC PAIN/DR. RAMIREZ-DEL TORO FRIENDSHIP VILLAGE OF SOUTH HILLSCOMMUNITY TALKSDURING 2018, MONONGAHELA VALLEY HOSPITAL'S PRESIDENT, VICE PRESIDENTS AND OTHER SENIOR STAFF MEMBERS PRESENTED EDUCATIONAL PROGRAMS TO VARIOUS GROUPS THROUGHOUT THE COMMUNITY. LISTED BELOW ARE THE PROGRAMS.DATE PROGRAM LOCATIONFEBRUARY 2 COMMUNITY HEALTH WASHINGTON COUNTY HEALTH AND WELFARE/DONNA RAMUSIVICH SENIOR PRESBYTERIAN HOME, WASHINGTON, PAFEBRUARY 12 FLU PREVENTION/DR. AYERSMAN SOUTH PARK LIBRARYFEBRUARY 15 GLOW GERM/LAUREN KIFER BETH CENTER ELEMENTARY CENTERFEBRUARY 15 COMMUNITY HEALTH/DAN SIMMONS PLEASANT HILLS UNITED PRESBYTERIAN CHURCHMARCH 5 COMMUNITY HEALTH CATHOLIC WOMEN'S COLLEGE CLUB/SARA SCHUMACHER ANTHONY M. LOMBARDI EDUCATION CONFERENCE CENTERMARCH 6 COMMUNITY HEALTH ST. MARY'S GUILD/CORINNE LABOON ST. MARY'S CHURCH MONESSEN, PAMARCH 6 LUNCH AND LEARN/RANDALL KOMACKO MON VALLEY YMCAMARCH 13 COMMUNITY HEALTH PLEASANT HILLS ROTARY/LAUREN KIFER BLUE FLAME RESTAURANT, JEFFERSON HILLS, PAMARCH 20 CALIFORNIA ROTARY/PATRICK ALBERTS HAMPTON INN, CALIFORNIA, PAAPRIL 9 COMMUNITY HEALTH/DONNA RAMUSIVICH OLD TRAILS BUSINESS/PROFESSIONAL WOMENJUNE 13 LYME DISEASE/DR. AYERSMAN BETHEL PARK ROTARYJUNE 28 GLOW GERM/LAUREN KIFER CHARLEROI SUMMER PROGRAMMINGSEPTEMBER 6 COMMUNITY HEALTH/CHARLEROI GOLDEN AGERS/LOUIS PANZA CHARLEROI, PAHEALTH EDUCATION PROGRAMS/COMMUNITY INITIATIVESPEOPLE WHO LIVE IN 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.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. IN 2018, A TOTAL OF 942 KINDERGARTEN STUDENTS WERE FINGERPRINTED BY MVH'S AUXILIARY WITH ASSISTANCE FROM LOCAL LAW ENFORCEMENT PERSONNEL.BARIATRIC CLASSES. MORE THAN 35 PERCENT OF ADULTS ARE OBESE. OBESITY HAS BEEN CLINICALLY CLASSIFIED AS A DISEASE BY THE AMERICAN MEDICAL ASSOCIATION AND FOR GOOD REASON. OBESITY CAN REDUCE BOTH LIFE EXPECTANCY AND QUALITY OF LIFE. IF OBESITY RATES CONTINUE ON THEIR CURRENT PATH, IT IS ESTIMATED THAT THE NUMBER OF NEW CASES OF TYPE 2 DIABETES, CORONARY ARTERY DISEASE, HIGH BLOOD PRESSURE, STROKE AND ARTHRITIS COULD INCREASE 10 FOLD BY 2020. SOME OF THESE CONDITIONS CAN BE CONTROLLED OR EVEN CURED BY TREATING OBESITY. MONONGAHELA VALLEY HOSPITAL OFFERS 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 AT THE HOSPITAL JAN. 3, FEBRUARY 7, MARCH 7, APRIL 4, MAY 10, JUNE 6, JULY 13, AUGUST 8, SEPT. 5, OCT. 3, AND NOV. 14. HARVEST BRUNCH. ON SEPT. 29, MONONGAHELA VALLEY HOSPITAL (MVH) LEADERSHIP AND PHYSICIANS MET WITH PASTORS, FIRST LADIES AND MEMBERS OF MONONGAHELA VALLEY CHURCHES FOR A HARVEST BRUNCH AND WELLNESS FELLOWSHIP GATHERING. THE BRUNCH, WHICH WAS HELD AT CHRISTIAN LIFE MINISTRIES IN MONESSEN, WAS PLANNED TO INTRODUCE THE CHURCH COMMUNITY TO THE HEALTH AND WELLNESS OPPORTUNITIES OFFERED BY MVH. LOOK GOOD FEEL BETTER. GETTING 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. 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 CHEMO-THERAPY AND RADIATION TREATMENT. THE GROUP MET MARCH 5, JUNE 4, SEPT. 10 AND DEC. 3 IN THE ANTHONY M. LOMBARDI EDUCATION CONFERENCE CENTER.
PART VI, LINE 5 (CONTINUED 2)	MEDICAL STAFF SYMPOSIUM. "ESSENTIAL UPDATES FOR THE PRACTICING PHYSICIAN" WAS THE FOCUS OF MONONGAHELA VALLEY HOSPITAL'S 29TH ANNUAL MEDICAL STAFF SYMPOSIUM ON OCT. 24 IN THE HOSPITAL'S ANTHONY M. LOMBARDI EDUCATION AND CONFERENCE CENTER. TOPICS AND SPEAKERS INCLUDED: "UPDATE ON INJECTABLE THERAPIES FOR OSTEOARTHRITIS (OLD AND NEW)" BY NICOLAS S. PIUZZI, M.D, ORTHOPAEDIC REGENERATIVE MEDICINE AND CELLULAR THERAPIES CLINICAL SCHOLAR/FELLOWSHIP, CLEVELAND CLINIC, CLEVELAND, OHIO "UPDATE ON STATIN-RELATED AND OTHER MYOPATHIES" BY DAVID LACOMIS, M.D., PROFESSOR OF NEUROLOGY AND PATHOLOGY, DIVISION OF NEUROMUSCULAR DISEASES, UNIVERSITY OF PITTSBURGH MEDICAL CENTER, PITTSBURGH PA "THE CLINICIAN'S GUIDE TO INTERPRETING ABNORMAL LIVER FUNCTION TESTS" MICHAEL W. BABICH, M.D., KEY CLINICAL FACULTY, ALLEGHENY CENTER FOR DIGESTIVE HEALTH, ALLEGHENY HEALTH SYSTEM, PITTSBURGH, PA "UPDATE ON DERMATOLOGY UPDATES IN PHOTOPROTECTION" BY NOORI KIM, M.D. ASSISTANT PROFESSOR OF DERMATOLOGY, JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE DEPARTMENT OF DERMATOLOGY, BALTIMORE, MD "HIPAA AND SOCIAL MEDIA" BY PHILIP W. ZARONE, ATTORNEY, SPRINGER AND MATTERN, ATTORNEYS AT LAW, PITTSBURGH, PA ONCOLOGY SYMPOSIUM. 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 27 IN THE ANTHONY M. LOMBARDI EDUCATION CONFERENCE CENTER. NATIONAL ONCOLOGY EXPERTS PRESENTED PROGRAMS ON MELANOMA, LUNG CANCER, RECTAL CANCER AND BREAST SURGERY.DRUG TAKE BACK EVENTS. MONONGAHELA VALLEY HOSPITAL PARTNERED WITH THE CARROLL TOWNSHIP POLICE DEPARTMENT TO HELP KEEP DRUGS OFF OF THE STREETS. ON OCT. 27, DURING NATIONAL DRUG TAKE BACK DAY, THE HOSPITAL SERVED AS A COLLECTION SITE ENABLING THE POLICE DEPARTMENT TO COLLECT 16 BOXES CONTAINING OVER 300 POUNDS OF PRESCRIPTION AND OVER-THE COUNTER MEDICATIONS. THE DRUGS RANGED FROM CONTROLLED SUBSTANCES TO STEROID CREAMS. COMBINED WITH THE ITEMS COLLECTED DURING THE SPRING TAKE BACK DAY ON APRIL 28, MVH HELPED COLLECT OVER 628 POUNDS OF DRUGS IN 2018.MVH/LOIS ORANGE DUCOEUR BREAST CANCER WALK. EACH YEAR, THE MVH//LOIS ORANGE DUCOEUR BREAST CANCER WALK GETS BIGGER AND BETTER AND THE 15TH ANNUAL WALK, ON OCT. 13, WAS NO EXCEPTION. MORE THAN 500 EMPLOYEES, COMMUNITY MEMBERS, BUSINESSES AND SURVIVORS PARTICIPATED IN THE EVENT WHICH RAISED APPROXIMATELY $43,000 FOR THE PREVENTION, EARLY DETECTION AND TREATMENT OF BREAST CANCER IN THE COMMUNITY AT MONONGAHELA VALLEY HOSPITAL. "GIVE CANCER THE BOOT" WAS THE THEME OF THE ONE-OR TWO-MILE WALK THROUGH THE MAIN STREETS OF CHARLEROI WHICH INCLUDED A TRIBUTE TO SURVIVORS AS WELL AS FELLOWSHIP, INFORMATION TABLES, ENTERTAINMENT, TRIBUTE RIBBONS ON LAMPPOSTS, LIVE MUSIC, VENDORS AND PRIZES. NATIONAL HEALTH CARE DECISIONS DAY. DURING THIS ANNUAL EVENT, WHICH WAS HELD AT MONONGAHELA VALLEY HOSPITAL ON APRIL 16, PEOPLE COULD CONSULT WITH RENEE HURLEY, ED.D. TO LEARN ABOUT ADVANCE LIFE DIRECTORS AND HEALTH CARE POWER OF ATTORNEY. COMMUNITY BLOOD DRIVES. SEVERAL TIMES A YEAR, MONONGAHELA VALLEY HOSPITAL HOSTS BLOOD DRIVES IN COOPERATION WITH THE AMERICAN RED CROSS TO COLLECT BLOOD FROM EMPLOYEES AND MEMBERS OF THE COMMUNITY. THE 2018 BLOOD DRIVES WERE HELD IN THE ANTHONY M. LOMBARDI EDUCATION CONFERENCE CENTER FEBRUARY 2, APRIL 6, JUNE 15, AUGUST 24, AND OCTOBER 26. FARMER'S MARKETS. IN 2018, MVH CONTINUED TO EXHIBIT AND PROVIDE BLOOD PRESSURE SCREENINGS AT THE LARGER FARMER'S MARKETS IN THE COMMUNITIES THE HOSPITAL SERVES IN ORDER TO HELP VISITORS MAKE HEALTHY FOOD CHOICES. MVH PARTICIPATED IN FARMER'S MARKETS JUNE 8 AND JULY 6 IN CHESS PARK, IN MONONGAHELA; AND JUNE 28 AND JULY 19 IN NORTH BELLE VERNON PARK. RELAY FOR LIFE. MVH PARTICIPATED IN THE AMERICAN CANCER SOCIETY'S ANNUAL RELAY FOR LIFE TO RAISE FUNDS AND TAKE ACTION AGAINST CANCER. THE EVENT WAS HELD IN CHARLEROI ON MAY 4. CHARLEROI DAY OF HOPE. THE ANNUAL DAY OF HOPE WAS HELD SEPTEMBER 15. THIS EVEN OF WHICH MVH IS A MAJOR PARTICIPANT IS ORGANIZED TO REACH OUT TO CHILDREN AND FAMILIES BY MEETING SOME OF THEIR BASIC HEALTH AND WELLNESS NEEDS. PROMOTIONEVERY 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 TWITTER AND INSTAGRAM, 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.
PART VI, LINE 3 (CONTINUED 1)	MONONGAHELA VALLEY HOSPITAL OFFERS A MEDICAL BILL ADVISOR PROGRAM. THIS FREE SERVICE IS DESIGNED TO HELP COMMUNITY RESIDENTS UNDERSTAND AND ORGANIZE THEIR PHYSICIAN, HOSPITAL, AND OTHER MEDICAL BILLS. THE MEDICAL BILL ADVISOR PROGRAM IS PART OF MVH'S "ASK ME!" PROGRAM. 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 THAT 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 MORE THAN A DECADE, THE STAFF OF MVH'S REGIONAL CANCER CENTER HAS BEEN ASSISTING PATIENTS IN FIVE YEARS, THE CENTER'S STAFF ARRANGED FOR PATIENTS TO RECEIVE MORE THAN $1.6 MILLION IN CO-PAY ASSISTANCE AND FREE CHEMOTHERAPY PRESCRIPTIONS. MVH CANCER CENTER STAFF ACT AS FINANCIAL ADVOCATES 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.

Schedule H (Form 990) 2019

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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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 on 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 on 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 nonfixed
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) 2019

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 JR PRESIDENT AND CEO	(i) (ii)	345,036 ------------- 0	31,407 ------------- 0	45,676 ------------- 0	8,100 ------------- 0	15,071 ------------- 0	445,290 ------------- 0	0 ------------- 0
2DANIEL F SIMMONS SR. VICE PRES/TREASURER	(i) (ii)	242,900 ------------- 0	20,510 ------------- 0	51,286 ------------- 0	6,777 ------------- 0	11,737 ------------- 0	333,210 ------------- 0	0 ------------- 0
3PATRICK J ALBERTS SR. VICE PRES/COO	(i) (ii)	184,167 ------------- 0	10,843 ------------- 0	15,588 ------------- 0	5,395 ------------- 0	17,394 ------------- 0	233,387 ------------- 0	0 ------------- 0
4THOMAS J CULLEN SR. VICE PRES	(i) (ii)	154,727 ------------- 0	8,856 ------------- 0	25,849 ------------- 0	4,407 ------------- 0	16,634 ------------- 0	210,473 ------------- 0	0 ------------- 0
5DONNA L RAMUSIVICH SR. VICE PRES	(i) (ii)	147,036 ------------- 0	8,856 ------------- 0	9,087 ------------- 0	4,390 ------------- 0	15,578 ------------- 0	184,947 ------------- 0	0 ------------- 0
6LOUISE Y BANKS OCC MED PHYSICIAN	(i) (ii)	241,612 ------------- 0	0 ------------- 0	1,547 ------------- 0	6,167 ------------- 0	12,115 ------------- 0	261,441 ------------- 0	0 ------------- 0
7LOUIS GOODMAN SR. VICE PRES	(i) (ii)	148,496 ------------- 0	8,590 ------------- 0	15,479 ------------- 0	3,548 ------------- 0	3,599 ------------- 0	179,712 ------------- 0	0 ------------- 0
8MARY LOU MURT SR. VICE PRES	(i) (ii)	139,971 ------------- 0	19,000 ------------- 0	4,834 ------------- 0	4,322 ------------- 0	15,578 ------------- 0	183,705 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2019

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 $38,472. THERE WERE NO DISTRIBUTIONS FROM THE 457(F) PLAN DURING THE YEAR. OTHER OFFICERS AND SELECT KEY EMPLOYEES PARTICIPATE IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP): DANIEL F. SIMMONS, SR. VICE PRESIDENT/TREASURER - $42,741 PATRICK J. ALBERTS, SR. VICE PRESIDENT/COO - $13,526

Schedule J (Form 990) 2019

Additional Data

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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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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
B	WASHINGTON COUNTY HOSPITAL AUTHORITY	25-6001043		12-15-2016	12,775,000	ACQUISITION OF LAND, BUILDING, & EQUIPMENT		X		X		X
C	WASHINGTON COUNTY HOSPITAL AUTHORITY	25-6001043		05-01-2018	33,588,749	REFUNDING, CURRENT & ADVANCED - HOSPITAL FACILITIES		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................
2 Amount of bonds legally defeased ..............	34,045,000
3 Total proceeds of issue ..................	38,730,000		12,775,000		33,588,749
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	344,218		70,710		317,458
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	23,011,871		12,704,290
11 Other spent proceeds .............	1,940,082				33,271,291
12 Other unspent proceeds .............
13 Year of substantial completion .............	2012		2017		2018
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2018, a current refunding issue)? ........
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2018, an advance refunding issue)? ........
16 Has the final allocation of proceeds been made? ..........	X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X

Part Ⅲ

Private Business Use

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

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

Cat. No. 50193E

Schedule K (Form 990) 2019

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	X			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?			X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		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 ....
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 .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X		X		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		X		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		X		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		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X
b Exception to rebate? ........	X			X	X
c No rebate due? .........		X		X		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		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X		X		X
b Name of provider ..........	PNC BANK NA		KEY BANK NA		CITIZENS BANK OF PENNSYLVANIA
c Term of hedge .........	700.0000000000 %		983.3333300000 %		700.0000000000 %
d Was the hedge superintegrated? ......		X		X		X
e Was the hedge terminated? ........		X		X		X

Schedule K (Form 990) 2019

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		X		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		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...		X		X		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		X		X

Part Ⅵ

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

Return Reference

Explanation

SCHEDULE K, PART III, LINE 2, COLUMN B:

THE HOSPITAL LEASES SPACE IN THE BUILDING TO PRIVATE ENTITIES, INCLUDING THE SOCIAL SECURITY ADMINISTRATION. APPROXIMATELY, 15.29% OF THE FACILITY IS LEASED TO THIRD PARTIES, INCLUDING THE SOCIAL SECURITY ADMINISTRATION. ACCORDINGLY, THE HOSPITAL BORROWED A PORTION OF THE COST OF THE FACILITY, APPROXIMATELY 20%, WITH A TAXABLE LOAN. AS SUCH, THERE IS NO PRIVATE USE ASSOCIATED WITH THE PORTIONS OF THE FACILITY FINANCED WITH TAX-EXEMPT BONDS. BOND COUNSEL REVIEWED THE LEASES AND MANAGEMENT CONTRACTS NOTED ON ITEM # 3A WHEN ESTABTHING THE PERCENTAGES FINANCED ON A TAX-EXEMPT VS TAXABLE BASIS.

Schedule K (Form 990) 2019

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

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 11B	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 STATEMENTS COMPLETED BY ALL TRUSTEES, OFFICERS, KEY EMPLOYEES AND MANAGERS ARE REVIEWED ANNUALLY BY THE PRESIDENT/CEO AND THE SVP OF FINANCE/TREASURER. 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, WHICH IS DOCUMENTED IN THE COMMITTEE MINUTES. 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 NET ASSETS RELEASED FROM RESTRICTIONS -407,942. PROPERTY PLANT & EQUIPMENT PURCHASED WITH GRANTS AND DONATIONS 407,942. CHANGE IN NET FUNDED PENSION 7,723,742. CHANGE IN NET SWAP LIABILITY -76,026. TRANSFER TO PARENT -6,589,198. CHANGE IN INTEREST IN NET ASSETS OF PARENT -79,312.
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) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

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

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 12C, III-FI			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
(3)MONONGAHELA VALLEY HOSPITAL FOUNDATION 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063 82-5336533	FUNDRAISING	PA	501(C)(3)	LINE 12C, III-FI	MON-VALE HEALTH RESOURCES INC		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2019

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	(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	N/A

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	N/A	C				No
(2) MON-VALE ONCOLOGY INC 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063 80-0703620	PHYSICIAN PRACTICE	PA	N/A	C				No
(3) MON-VALE PROFESSIONAL SERVICES INC 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063 80-0162030	HEALTH CARE MANAGEMENT	PA	N/A	C				No
(4) MON-VALE PRIMARY CARE INC 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063 45-2260948	PHYSICIAN PRACTICE	PA	N/A	C				No
(5) MON-VALE SPECIALTY PRACTICES INC 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063 46-0662192	PHYSICIAN PRACTICE	PA	N/A	C				No
(6) MON-VALE ORTHOPEDICS INC 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063 25-1483685	PHYSICIAN PRACTICE	PA	N/A	C				No
(7) MON-VALE PRIMARY CARE PRACTICES INC 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063 61-1708169	PHYSICIAN PRACTICE	PA	N/A	C				No
(8) MON-VALE RADIATION ONCOLOGY INC 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063 38-3903238	PHYSICIAN PRACTICE	PA	N/A	C				No
(9) MON-VALE CLINICAL PROFESSIONALS INC 1163 COUNTRY CLUB ROAD MONONGAHELA,PA15063 47-5215841	CRNA SERVICES	PA	N/A	C				No
(10) TRIVESTA CASUALTY INSURANCE INC 100 ALLEGHENY DRIVE SUITE 100 WARRENDALE,PA15086 98-0497488	INSURANCE	CJ	N/A	C				No

Schedule R (Form 990) 2019

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) ............................

Yes

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) ............................

Yes

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) 2019

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) 2019

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) 2019

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO ENHANCE THE HEALTH OF THE RESIDENTS OF THE MID-MONONGAHELA VALLEY AREA.
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 2019 (Part V, line 2a) ......	5	1,240
6	Total number of volunteers (estimate if necessary) .............	6	135
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	3,496,349
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	-42,895

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,390,661	1,372,781
9	Program service revenue (Part VIII, line 2g) .........	138,604,671	135,892,287
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	1,451,546	1,312,389
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	634,005	984,749
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	142,080,883	139,562,206
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)	66,005,735	65,958,352
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	71,761,589	71,294,314
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	137,767,324	137,252,666
19	Revenue less expenses. Subtract line 18 from line 12.......	4,313,559	2,309,540
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	141,093,885	133,041,603
21	Total liabilities (Part X, line 26).............	83,507,257	71,553,190
22	Net assets or fund balances. Subtract line 21 from line 20.....	57,586,628	61,488,413

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 121,195,530 including grants of $ ) (Revenue $ 133,195,749 )
	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 2018.DURING FISCAL 2018, MONONGAHELA VALLEY HOSPITAL PROVIDED CARE FOR 11,861 ADULT AND PEDIATRIC INPATIENT ADMISSIONS AND OBSERVATIONS AND OVER 299,700 OUTPATIENT VISITS WHICH INCLUDES 33,272 PATIENTS RECEIVING CARE THROUGH OUR 24-HOUR EMERGENCY ROOM. MEDICARE AND MEDICAID PATIENTS CONSTITUTED 60.9% OF OUR PATIENTS DURING FISCAL YEAR 2018.THE HOSPITAL'S COST OF THE COMMUNITY SUPPORT PROGRAMS AND MEDICAL ASSISTANCE SHORTFALLS DURING FISCAL 2018 WAS NEARLY $2,922,000. IN ADDITION, THE HOSPITAL PROVIDED $1,455,078 OF CHARITY CARE.ALSO DURING FISCAL YEAR 2018, MONONGAHELA VALLEY HOSPITAL, INC., WROTE OFF OVER $4,402,000 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, 2018THE HOSPITAL SPONSORS A "LIFELINE" FIRST RESPONDER PROGRAM. THIS PROGRAM ENABLES OVER 85 INDIVIDUALS WITHIN OUR COMMUNITY TO LIVE INDEPENDENTLY, WHILE GIVING THEM THE SECURITY OF KNOWING THEY CAN GET MEDICAL ASSISTANCE IMMEDIATELY IF REQUIRED.THE HOSPITAL PROVIDED OVER 275 EDUCATIONAL PROGRAMS SERVICING APPROXIMATELY 2,695 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 1,790 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 30 COMMUNITY HEALTH PROGRAMS WITH OVER 840 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 OVER 370 INDIVIDUALS DURING THE FISCAL YEAR ENDED JUNE 30, 2018. PROGRAMS INCLUDED: CANCER, DIABETES, LUPUS, ARTHRITIS, SCHIZOPHRENIA, STROKE AND CAREGIVERS SUPPORT GROUPS.MONONGAHELA VALLEY HOSPITAL PROVIDED 8 SCHOOL PROGRAMS TO NINE AREA SCHOOL DISTRICTS WHICH INCLUDE: RINGGOLD, MONESSEN, CHARLEROI, YOUGH, FRAZIER, BENTWORTH, CALIFORNIA, BETH CENTER AND BELLE VERNON. PRESENTATIONS WERE MADE TO OVER 225 STUDENTS AND TEACHERS. PROGRAMS PROVIDED INCLUDE: AIDS AWARENESS, INFECTION PREVENTION, CONFLICT RESOLUTIONS, TEEN PREGNANCY, NICO-TEEN SMART, NUTRITION AND HOSPITAL TOURS.THE HOSPITAL PROVIDED OUTREACH PROGRAMS FOR NEARLY 4,900 ELDERLY AND INDIGENT RESIDENTS OF THE MID-MON VALLEY COMMUNITY DURING FISCAL YEAR 2018. PROGRAMS INCLUDE: DIABETES MANAGEMENT, STRESS MANAGEMENT, DEPRESSION, AND TRANSPORTATION SERVICES.THE HOSPITAL PROVIDED OVER $68,270 OF FINANCIAL SUPPORT TO THE LOCAL EMS PROVIDERS BY SUPPLYING THEIR AMBULANCES WITH REPLACEMENT ITEMS THAT WERE USED DURING TRANSPORT OF NEARLY 8,870 PATIENTS.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 expenses121,195,530

(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	51.90 .......................1.80	X		314,696	0	18,514
(19) PATRICK J ALBERTS........................................................................ SR. VICE PRES/COO	51.40 .......................0.30	X		210,598	0	22,789
(20) THOMAS J CULLEN........................................................................ SR. VICE PRES	30.60 .......................19.50		X	189,432	0	21,041
(21) DONNA L RAMUSIVICH........................................................................ SR. VICE PRES	50.00 .......................		X	164,979	0	19,968
(22) LOUISE Y BANKS........................................................................ OCC MED PHYSICIAN	40.00 .......................		X	243,159	0	18,282
(23) LOUIS GOODMAN........................................................................ SR. VICE PRES	45.00 .......................		X	172,565	0	7,147
(24) MARY LOU MURT........................................................................ SR. VICE PRES	50.00 .......................		X	163,805	0	19,900

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	1,963,673	0	150,812

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	430,141
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	942,640

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		1,372,781

		Business Code
2a	PATIENT SERVICE REVENUE	621990	132,236,889	132,236,889
b	FITNESS CENTER INCOME	713940	1,794,323		1,794,323
c	MEDICAL LABORATORY	621500	1,762,247		1,762,247
d	PARKING GARAGE INCOME	812930	98,828			98,828
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		135,892,287

3 Investment income (including dividends, interest, and othersimilar amounts) ......			1,237,555			1,237,555
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		1,255,329	6a
b	Less: rental expenses		1,229,440	6b
c	Rental income or (loss)		25,889	6c
d	Net rental income or (loss).......			25,889		-60,221	86,110
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	2,340	17,252,696	7a
b	Less: cost or other basis and sales expenses	99,107	17,081,095	7b
c	Gain or (loss)	-96,767	171,601	7c
d	Net gain or (loss).........			74,834			74,834
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	CAFETERIA INCOME		722210	532,166	532,166
b	EQUITY INCOME IN INVESTMENT		621400	337,998	337,998
c	MEDICAL RECORD TRANSCRIPTS		621990	88,696	88,696
d	All other revenue ....
e	Total. Add lines 11a–11d ......			958,860
12	Total revenue. See instructions.....			139,562,206	133,195,749	3,496,349	1,497,327

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	1,029,734	934,992	94,742
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........	50,025,474	42,818,262	7,207,212
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	-529,615	-476,654	-52,961
9	Other employee benefits .......	11,659,549	10,493,594	1,165,955
10	Payroll taxes ...........	3,773,210	3,232,962	540,248
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	229,952		229,952
c	Accounting ...........	83,043		83,043
d	Lobbying ...........	52,719		52,719
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)	5,616,188	5,616,188
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 ....	185,963	164,152	21,811
20	Interest ...........	1,223,427	1,223,427
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	8,395,158	7,550,513	844,645
23	Insurance ...	1,128,519	1,015,667	112,852
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	SUPPLIES	44,776,819	40,108,995	4,667,824
b	BAD DEBT	4,402,429	4,402,429
c	EQUIPMENT RENTAL	2,473,264	1,896,096	577,168
d	UTILITIES	2,037,118	1,833,406	203,712
e	All other expenses	689,715	381,501	308,214
25	Total functional expenses. Add lines 1 through 24e	137,252,666	121,195,530	16,057,136	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 .........			9,163,476	2	8,077,322
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			10,338,393	4	11,590,295
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			3,243,089	8	3,377,321
9	Prepaid expenses and deferred charges ......			3,596,164	9	3,462,478
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	197,978,106
b	Less: accumulated depreciation	10b	136,336,593	63,103,563	10c	61,641,513
11	Investments—publicly traded securities .			45,622,953	11	38,544,108
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 ...........			6,026,247	15	6,348,566
16	Total assets. Add lines 1 through 15 (must equal line 33)...			141,093,885	16	133,041,603

17	Accounts payable and accrued expenses .....	11,055,396	17	10,907,153
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	42,655,180	20	11,990,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	11,853,917	23	40,942,467
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	17,942,764	25	7,713,570
26	Total liabilities. Add lines 17 through 25..	83,507,257	26	71,553,190

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........		27
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	57,586,628	32	61,488,413
33	Total liabilities and net assets/fund balances ........	141,093,885	33	133,041,603