TY 2018 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) MARK S BRENNAN...................................................................... CHAIRMAN	1.00 ................. 2.00	X	X	0	0
(2) CRAIG A RIPPOLE...................................................................... VICE CHAIRMAN	1.00 ................. 2.00	X	X	0	0
(3) MICHAEL P DICLEMENTE...................................................................... TREASURER	1.00 ................. 2.00	X	X	0	0
(4) DAVID W SCOTT...................................................................... SECRETARY (START 01/2019)	1.00 ................. 2.00	X	X	0	0
(5) DAVID W SCOTT...................................................................... PRESIDENT (UNTIL 12/18)	1.00 ................. 2.00	X	X	447,267	83,360
(6) KURT R GINGRICH ESQ...................................................................... SECRETARY (UNTIL 9/18)	1.00 ................. 2.00	X	X	0	0
(7) S GAYE FALLETTA...................................................................... DIRECTOR	1.00 ................. 2.00	X		0	0
(8) RICHARD KIM MD...................................................................... DIRECTOR	1.00 ................. 2.00	X		0	0
(9) MICHAEL E LALLY MD...................................................................... DIRECTOR	1.00 ................. 2.00	X		0	0
(10) ANGELO D LUPARIELLO MD...................................................................... DIRECTOR	1.00 ................. 2.00	X		0	0
(11) NORMAN F MITRY...................................................................... DIRECTOR	1.00 ................. 2.00	X		0	0
(12) G R ORR...................................................................... DIRECTOR	1.00 ................. 2.00	X		0	0
(13) SYED T ALI MD...................................................................... PRESIDENT MED STAFF	1.00 ................. 2.00	X		0	0
(14) MARY KENDALL RAGO MD...................................................................... PRESIDENT-ELECT MED STAFF	1.00 ................. 2.00	X		0	0
(15) DAVID A CORRAL...................................................................... PRESIDENT MED STAFF (UNTIL 9/18)	1.00 ................. 2.00	X		0	0
(16) CYNTHIA HAINES...................................................................... DIRECTOR (UNTIL 9/18)	1.00 ................. 2.00	X		0	0
(17) GARY G SAUER MD...................................................................... DIRECTOR (UNTIL 9/18)	1.00 ................. 2.00	X		0	0

(A) Name and business address	(B) Description of services	(C) Compensation
EMERGENCY RESOURCE MANAGEMENT INC PO BOX 223270 PITTSBURGH,PA15251	ER PHYSICIAN PROVIDER	1,704,750
WASHINGTON HEALTHCARE STRATEGIES 4000 JOHNSON RD STEUBENVILLE,OH43952	ANESTHESIA SERVICE	1,400,000
ALLSCRIPTS 305 CHURCH AT NORTH HILL STREET RALEIGH,NC27609	SOFTWARE PROVIDER	1,242,473
MAXIM HEALTHCARE SERVICES 12558 COLLECTIONS CENTER DRIVE CHICAGO,IL60693	TEMP AGENCY	1,163,081
ARAMARK CORPORATION PO BOX 978839 DALLAS,TX753988839	FOOD AND HOUSEKEEPING SERVICE	886,837
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 81

- 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 the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

OHIO VALLEY HOSPITAL

Employer identification number

25-0967480

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) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. 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—2017. 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—2018. 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—2017. 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) 2018

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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. 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—2017. 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) 2018

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) 2018

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) 2018

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) 2018

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 2018 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-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, 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 2018. 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 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

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) 2018

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

2018

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

OHIO VALLEY HOSPITAL

Employer identification number

25-0967480

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) 2018

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) 2015	(b) 2016	(c) 2017	(d) 2018	(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) 2018

Page 3

Part II-B

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

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

(a)

Yes

(b)

Amount

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

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

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

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

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

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

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

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

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

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

Yes

6,364

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

6,364

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:	CRANMER CONSULTANTS HAVE BEEN RETAINED TO LOBBY THE CONGRESS OF THE UNITED STATES AND VARIOUS FEDERAL AGENCIES ON BEHALF OF OHIO VALLEY HOSPITAL. CRANMER CONSULTING MAINTAINS THE APPROPRIATE LOBBYING REGISTRATIONS WITH THE U.S. SENATE AND U.S. HOUSE COMMITTEES ON ETHICS. SPECIFICALLY, THIS GROUP SEEKS AND SECURES FUNDING FOR OHIO VALLEY THROUGH CONGRESSIONALLY DIRECTED SPENDING INITIATIVES, FOR VARIOUS CAPITAL PROJECTS, TECHNOLOGICAL UPGRADES AND PROGRAMMATIC NEEDS. OHIO VALLEY HOSPITAL BELONGS TO THE HEALTHCARE COUNCIL OF WESTERN PENNSYLVANIA AND THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA. WE ALSO BELONG TO THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THE ANNUAL DUES FOR THESE ORGANIZATIONS IS USED FOR LOBBYING FEDERAL AND STATE AGENCIES IN MATTERS OF HEALTH CARE REGULATORY ISSUES.

Return Reference

Explanation

PART II-B, LINE 1:

CRANMER CONSULTANTS HAVE BEEN RETAINED TO LOBBY THE CONGRESS OF THE UNITED STATES AND VARIOUS FEDERAL AGENCIES ON BEHALF OF OHIO VALLEY HOSPITAL. CRANMER CONSULTING MAINTAINS THE APPROPRIATE LOBBYING REGISTRATIONS WITH THE U.S. SENATE AND U.S. HOUSE COMMITTEES ON ETHICS. SPECIFICALLY, THIS GROUP SEEKS AND SECURES FUNDING FOR OHIO VALLEY THROUGH CONGRESSIONALLY DIRECTED SPENDING INITIATIVES, FOR VARIOUS CAPITAL PROJECTS, TECHNOLOGICAL UPGRADES AND PROGRAMMATIC NEEDS. OHIO VALLEY HOSPITAL BELONGS TO THE HEALTHCARE COUNCIL OF WESTERN PENNSYLVANIA AND THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA. WE ALSO BELONG TO THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THE ANNUAL DUES FOR THESE ORGANIZATIONS IS USED FOR LOBBYING FEDERAL AND STATE AGENCIES IN MATTERS OF HEALTH CARE REGULATORY ISSUES.

Schedule C (Form 990 or 990EZ) 2018

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 the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

OHIO VALLEY HOSPITAL

Employer identification number

25-0967480

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

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

(i)

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

(ii)

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

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

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

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

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

Cat. No. 52283D

Schedule D (Form 990) 2018

Page 2

Part III

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

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

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

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

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

Yes No

Part IV

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

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

Yes No


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

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

Yes No

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

Part V

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

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

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

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

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

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

Yes

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

3a(i)

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

3a(ii)

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

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

Part VI

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

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

1a	Land .....	92,646		92,646
b	Buildings ....	33,827,314	1,085,790	32,741,524
c	Leasehold improvements
d	Equipment ....	12,009,436	1,391,707	10,617,729
e	Other .....	883,943		883,943
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				44,335,842

Schedule D (Form 990) 2018

Page 3

Part VII

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

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

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

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

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

Part IX

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

(a) Description				(b) Book value
(1) DUE FROM AFFILIATES				27,308,844
(2) OTHER ASSETS				80,185
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				27,389,029

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
THIRD PARTY SETTLEMENTS	631,864
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	631,864
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) 2018

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

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

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

Return Reference	Explanation
PART X, LINE 2:	OHIO VALLEY HOSPITAL QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND, THEREFORE, ARE EXEMPT FROM INCOME TAX ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2019 AND 2018.

Schedule D (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. 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

2018

Open to Public Inspection

Name of the organization
OHIO VALLEY HOSPITAL

Employer identification number

25-0967480

Part I

Fundraising Activities. Complete if the organization answered "Yes" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

YesNo

If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










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

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

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

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2018

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 WINE TASTING (event type)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	63,354	63,354
2	Less: Contributions . . . .	3,553	3,553
3	Gross income (line 1 minus line 2) . . . . . .	59,801	59,801

4	Cash prizes . . . . .
5	Noncash prizes . . . .	28,791	28,791
6	Rent/facility costs . . . .	24,354	24,354
7	Food and beverages . . .	4,372	4,372
8	Entertainment . . . .	650	650
9	Other direct expenses . . .	7,817	7,817
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .		65,984
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .		-6,183

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2018

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2018

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

2018

Open to Public Inspection

Name of the organization

OHIO VALLEY HOSPITAL

Employer identification number

25-0967480

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		(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) . . .	229,480		229,480	0.310 %
b	Medicaid (from Worksheet 3, column a) . . . . .	7,133,983	3,278,360	3,855,623	5.140 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	0
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	7,363,463	3,278,360	4,085,103	5.450 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).
f	Health professions education (from Worksheet 5) . . .	792,564	73,239	719,325	0.960 %
g	Subsidized health services (from Worksheet 6) . . . .	6,345,767	4,380,099	1,965,668	2.620 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	6,500		6,500	0.010 %
j	Total. Other Benefits . .	7,144,831	4,453,338	2,691,493	3.590 %
k	Total. Add lines 7d and 7j .	14,508,294	7,731,698	6,776,596	9.040 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

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.

		(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	168	11,052	950	10,102	0.010 %
8	Workforce development
9	Other
10	Total	168	11,052	950	10,102	0.010 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

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

Yes

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

817,333

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. ......

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).....

11,734,985

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

11,687,241

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

47,744

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) 2018

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	OHIO VALLEY HOSPITAL 25 HECKEL ROAD MCKEES ROCKS,PA15136	X	X	X

Schedule H (Form 990) 2018

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)

	OHIO VALLEY HOSPITAL
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 18

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..................................

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. ............................

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): HERITAGEVALLEY.ORG/PAGES/HVK-CHNA-2019

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 18

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

Yes

If "Yes" (list url): HERITAGEVALLEY.ORG/PAGES/HVK-CHNA-2019

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) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	OHIO VALLEY HOSPITAL
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 200.000000000000% and FPG family income limit for eligibility for discounted care of 250.000000000000%

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):

HERITAGEVALLEY.ORG/PAGES/FINANCIAL-ASSISTANCE

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

HERITAGEVALLEY.ORG/PAGES/FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
HERITAGEVALLEY.ORG/PAGES/FINANCIAL-ASSISTANCE

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) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	OHIO VALLEY HOSPITAL
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

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

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) 2018

Page 7

Part VFacility Information (continued)

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

	OHIO VALLEY HOSPITAL
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) 2018

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, 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
OHIO VALLEY HOSPITAL	PART V, SECTION B, LINE 5: TO GUIDE THIS ASSESSMENT, THE HOSPITAL'S LEADERSHIP TEAM FORMED A STEERING COMMITTEE THAT CONSISTED OF HOSPITAL AND COMMUNITY AGENCIES WHO REPRESENTED THE BOARD INTERESTS OF THE LOCAL REGION. THESE INCLUDED REPRESENTATIVES WHO UNDERSTOOD THE NEEDS AND ISSUES RELATED TO VARIOUS UNDERREPRESENTED GROUPS INCLUDING MEDICALLY UNDERSERVED POPULATIONS, LOW-INCOME PERSONS, MINORITY GROUPS, AND THOSE WITH CHRONIC DISEASE AND MENTAL HEALTH NEEDS, INDIVIDUALS WITH EXPERTISE IN PUBLIC HEALTH, AND INTERNAL PROGRAM MANAGERS. THE OVH STEERING COMMITTEE MET TWO TIMES TO PROVIDE GUIDANCE ON THE VARIOUS COMPONENTS OF THE CHNA. THE STAFF, STEERING COMMITTEE MEMBERS AND CONSULTING TEAM MADE SIGNIFICANT EFFORTS TO ENSURE THAT THE ENTIRE PRIMARY SERVICE TERRITORY, ALL SOCIO-DEMOGRAPHIC GROUPS AND ALL POTENTIAL NEEDS, ISSUES AND UNDERREPRESENTED POPULATIONS WERE CONSIDERED IN THE ASSESSMENT. THIS WAS ACCOMPLISHED BY IDENTIFYING FOCUS GROUPS AND KEY STAKEHOLDERS THAT REPRESENTED THE VARIOUS SUBGROUPS IN THE COMMUNITY. IN ADDITION, THE PROCESS INCLUDED PUBLIC HEALTH PARTICIPATION AND INPUT, THROUGH EXTENSIVE USE OF THE PA HEALTH DEPARTMENT AND CENTERS FOR DISEASE CONTROL DATA.
OHIO VALLEY HOSPITAL	PART V, SECTION B, LINE 11: OHIO VALLEY HOSPITAL (OVH) IS COMMITTED TO ACHIEVING THE "TRIPLE AIM": IMPROVED HEALTH THROUGH BETTER QUALITY OF CARE AT LOWER COSTS. TO THAT END, TO ADDRESS THE NEEDS OF THE COMMUNITY, OVH IDENTIFIED AND APPROVED BY THE OVH BOARD OF DIRECTORS TO BE ADDRESSED OVER THE NEXT THREE YEARS ARE: DIABETES, CARDIOVASCULAR DISEASE, TRANSPORTATION FOR SELF/HEALTHCARE WORKERS, KNOWLEDGE OF ALL SERVICES IN THE AREA, MENTAL HEALTH, SMOKING, AND EATING HABITS/ACCESS TO HEALTHY FOODS.AN IMPLEMENTATION COMMITTEE MADE UP OF HOSPITAL ADMINISTRATORS AND SERVICE LINE MANAGERS REVIEWED THE SEVEN PRIORITIES AND CREATED TWO OVERALL IMPLEMENTATION GOALS, GROUPING THE PRIORITIES INTO APPROPRIATE AND COMMON AREAS. WITHIN THOSE TWO GOALS ARE SPECIFIC IMPLEMENTATION EFFORTS, EITHER EXISTING OR TO BE DEVELOPED, WHICH THE HOSPITAL WILL BUDGET FOR, MANAGE, IMPLEMENT AND EVALUATE AND REPORT ON OVER THE NEXT THREE YEARS ARE:CHRONIC DISEASE (INCLUDING DIABETES, CARDIOVASCULAR DISEASE, AND RESPIRATORY DISEASE), MENTAL HEALTH (INCLUDING SUBSTANCE ABUSE DISORDER), ACCESS TO QUALITY HEALTH CARE, AND OVERWEIGHT/OBESITY.AN IMPLEMENTATION COMMITTEE MADE UP OF HOSPITAL ADMINISTRATORS AND SERVICE LINE MANAGERS REVIEWED THE FOUR PRIORITIES AND CREATED THE FOLLOWING FIVE IMPLEMENTATION GOALS, GROUPING THE PRIORITIES INTO APPROPRIATE AND COMMON AREAS. GOAL ONE: REDUCE RISK FACTORS FOR DIABETES AND PRE-DIABETES AND IMPROVE MANAGEMENT OF CHRONIC DISEASE THROUGH HEALTHY LIFESTYLE CHOICES; GOAL TWO: REDUCE RISK FACTORS FOR CARDIOVASCULAR AND RESPIRATORY HEALTH ISSUES THROUGH HEALTHY LIFESTYLE CHOICES; GOAL THREE: PROMOTE AND INCREASE IN MENTAL HEALTH AND SUBSTANCE ABUSE DISORDER SERVICES TO INCREASE THE PERCENTAGE OF RESIDENTS WHO ACCESS SERVICES; GOAL FOUR: INCREASE EDUCATION AND AWARENESS OF SERVICES PROVIDED BY OHIO VALLEY HOSPITAL TO ITS PRIMARY SERVICE AREA, AS WELL AS IMPROVED ACCESS TO OHIO VALLEY HOSPITAL SERVICES; GOAL FIVE: TO INCREASE THE PERCENTAGE OF OHIO VALLEY HOSPITAL SERVICE AREA RESIDENTS THAT ARE AT A HEALTHY WEIGHT, THROUGH EATING A HEALTHY DIET AND REGULAR PHYSICAL ACTIVITY. NOTE: OBJECTIVES RELATED TO EACH GOAL AND EXISTING COMMUNITY ASSETS AND RESOURCES ARE LISTED ON PAGES 4 THROUGH 6 OF THE DOCUMENT CHNA IMPLEMENTATION STRATEGY, OHIO VALLEY AT THE FOLLOWING LINK:HTTPS://WWW.HERITAGEVALLEY.ORG/PAGES/HVK-CHNA-2019 AND 2019 IMPLEMENTATION STRATEGY BUTTON

Schedule H (Form 990) 2018

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?8
Name and address		Type of Facility (describe)
1	1 - OHIO VALLEY PRIMARY CARE CENTER 1308 FITH AVENUE CORAOPOLIS,PA15108	PROFESSIONAL SERVICE
2	2 - PROFESSIONAL SERVICE 556 PINE HOLLOW ROAD KENNEDY TOWNSHIP,PA15136	WOUND AND PAIN CLINIC
3	3 - OVGH MT NEBO 107 MOUNT NEBO POINT COMMONS PITTSBURGH,PA15237	WOUND AND PAIN CLINIC
4	4 - THE RESIDENCE AT WILLOW LANE 15 HECKEL ROAD MCKEES ROCKS,PA15136	ASSISTED LIVING
5	5 - THE RESIDENCE AT WILLOW HEIGHTS 32 HECKEL ROAD MCKEES ROCKS,PA15136	INDEPENDENT LIVING
6	6 - PATHWAYS MEMORY CARE UNIT 30 HECKEL ROAD MCKEES ROCKS,PA15136	MEMORY CARE RESIDENCE
7	7 - HEALTH CENTER AT MOB 25 HECKLE ROAD MCKEES ROCKS,PA15136	PROFESSIONAL SERVICE
8	8 - HATTMAN DRIVE OUTPATIENT GEROPSYCHIATRIC 8 HATTMAN DRIVE CORAOPOLIS,PA15136	OUTPATIENT GEROPSYCHIATRIC OFFICE
9
10

Schedule H (Form 990) 2018

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 3C:	OHIO VALLEY HOSPITAL USES FEDERAL POVERTY GUIDELINES AS A BASIS FOR ELIGIBILITY TO QUALIFY FOR FREE AND DISCOUNTED CARE. CURRENTLY THESE RATES ARE 200% FOR FREE CARE 250% AND 300% FOR DISCOUNTED SERVICES USING A SLIDING SCALE.
PART I, LINE 7:	AMOUNTS WERE DERIVED FROM OUR MEDICARE COST REPORT, USING OUR MEDICARE COST TO CHARGE RATIO FOR FISCAL YEAR ENDING JUNE 30, 2019. THE EDUCATION DEPARTMENT DIRECT EXPENSES WERE DIVIDED BY TOTAL EDUCATION DEPARTMENT TO CALCULATE THE INDIRECT EXPENSES.THE GENERAL SERVICES COST CENTERS DIRECT EXPENSES WERE DIVIDED BY TOTAL EXPENSES OF THAT COST CENTER TO CALCULATE INDIRECT EXPENSES
PART I, LN 7 COL(F):	THE AMOUNT OF BAD DEBT EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN A THAT WAS REMOVED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN SCHEDULE H, PART I, LINE 7, COLUMN (F) WAS $2,251,886.
PART II, COMMUNITY BUILDING ACTIVITIES:	THE HOSPITAL PROMOTES THE HEALTH OF THE COMMUNITY BY IDENTIFYING NEEDS, CONSTRUCTING FACILITIES, AND STARTING NEW PROGRAMS. THIS INCLUDES MEMORY CARE AND GEROPSYCHIATRIC PROGRAMS THAT HELP OUR COMMUNITY AND IMPROVE PATIENT CARE. THE HOSPITAL EXTENDS MEDICAL PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN OUR COMMUNITY.OVH CONTINUES TO BE INVOLVED WITH MANY COMMUNITY-BASED ORGANIZATIONS. THIS INCLUDES THE GREATER AREA MCKEES ROCKS ROTARY, FOCUS ON RENEWAL, THE STO-ROX FAMILY HEALTH CENTER, ROBINSON TOWNSHIP LIBRARY, THE WESTERN AREA YMCA, PARKWAY WEST ROTARY, THE MCKEES ROCKS COMMUNITY DEVELOPMENT CENTER, AND THE AIRPORT AREA CHAMBER OF COMMERCE, INCLUDING THE CHOICES PROGRAM.SOME OF THE SERVICES PROVIDED SOLELY BY OVH ARE: AN EMERGENCY DEPARTMENT OPEN TO ALL PERSONS REGARDLESS OF RACE, COLOR, SEX OR CREED, OR ABILITY TO PAY. OPERATES AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS, DIABETIC EDUCATION AND TRAINING, SAFE HAVEN, ORTHOPEDIC EDUCATION PROGRAMS, CONTINUOUS EDUCATION PROGRAMS FOR EMTS AND PARAMEDICS, INDEPENDENT, ASSISTED AND MEMORY CARE UNITS, CARDIAC REHAB AND OCCUPATIONAL REHAB AND MEDICINE. ADDITIONALLY, OHIO VALLEY HOSPITAL HAS A 19-MONTH RN DIPLOMA PROGRAM. THIS PROGRAM IS FULLY ACCREDITED BY THE PENNSYLVANIA STATE BOARD OF NURSING (PASBON) AND BY THE ACCREDITATION COMMISSION FOR EDUCATION IN NURSING. IT IS ALSO APPROVED BY THE DEPARTMENT OF EDUCATION. WE ALSO HAVE A 24-MONTH SCHOOL OF RADIOGRAPHY PROGRAM. STUDENTS WHO SUCCESSFULLY COMPLETE THE PROGRAM ARE AWARDED A CERTIFICATE IN RADIOLOGIC TECHNOLOGY AND AN ASSOCIATE DEGREE IN HEALTH SCIENCE WITH A CONCENTRATION IN RADIOLOGIC TECHNOLOGY FROM LA ROCHE COLLEGE. THEY ARE THEN ELIGIBLE TO TAKE THE NATIONAL CERTIFICATION EXAMINATION ADMINISTERED BY THE AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS (ARRT).
PART III, LINE 2:	BAD DEBT WAS CALCULATED USING THE MEDICARE COST TO CHARGE RATIOS IN ORDERTO REPORT AT COST.
PART III, LINE 4:	PATIENT ACCOUNTS RECEIVABLE RECOGNIZED PRIOR TO JULY 1, 2018, WERE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. HERITAGE VALLEY ANALYZED ITS PAST HISTORY AND IDENTIFIED TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF PATIENT SERVICE REVENUE TO ESTIMATE AN APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISON FOR BAD DEBTS. UNDER THE PROVISIONS OF ASC 606, WHICH WE ADOPTED EFFECTIVE JULY 1, 2018, ACCOUNT RECEIVABLE ARE RECOGNIZED WHEN WE HAVE AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME. FOR PATIENTS ACCOUNTS RECEIVABLE SUBSEQUENT TO THE ADOPTION OF ASC 606, THE ESTIMATED UNCOLLECTIBLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT ACCOUNT RECEIVABLE RATHER THAN AN ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III, LINE 8:	THE AMOUNTS WERE TAKEN DIRECTLY FROM THE MEDICARE COST REPORT. NO SHORTFALL NOTED.
PART III, LINE 9B:	ALL PATIENTS PRESENTING WITH NO INSURANCE OR LIMITED COVERAGE ARE PROVIDED WITH THE GUIDELINES FOR THE OHIO VALLEY CARE PROGRAM. PATIENTS CAN QUALIFY FOR FREE CARE BASED ON THE INFORMATION THEY PROVIDE. IF A PATIENT IS PLACED INTO A BAD DEBT STATUS THEY MAY STILL ESTABLISH INDIGENCE AT ANY TIME AND BE COMPATIBLE WITH THE OHIO VALLEY CARE PROGRAM POLICY AND PROCEDURE GUIDELINES. DOCUMENTATION SUPPORTING THE DETERMINATION OF INDIGENCE WILL BE AVAILABLE UPON REQUEST. THE DOCUMENTATION WILL INCLUDE NOTES ON THE PATIENT'S ACCOUNT IN OUR PATIENT ACCOUNTING SYSTEM AND OTHER INFORMATION THAT CAN BE RETRIEVED AS NEEDED TO SUPPORT THE INDIGENCE STATUS OF THE PATIENT OR RESPONSIBLE PARTY.IF AN ACCOUNT QUALIFIES FOR INDIGENCE THE DEBT MAY BE DEEMED UNCOLLECTIBLE WITHOUT APPLYING ANY FURTHER COLLECTION EFFORTS. THERE WILL NOT BE ANY OTHER LEGAL SOURCE OF RESPONSIBILITY FOR PAYMENT.
PART VI, LINE 2:	OHIO VALLEY HOSPITAL PARTNERED WITH STRATEGY SOLUTIONS, INC TO FACILITATE THE FIRST YEAR OF THEIR COMMUNITY HEALTH NEEDS ASSESSMENT. TOGETHER, THEY TOOK THE IMPLEMENTATION STRATEGIES DESIGNED BY THE CHNA STEERING COMMITTEE IN 2016 AND MET TO EVALUATE THE PROGRESS MADE UNDER EACH GOAL AND INITIATIVE. ATTACHED IS THE DOCUMENTATION OF THE MEETING, WHICH ALSO INCORPORATES ALL OF THE STATISTICS AND INFORMATION ON HOW EACH GOAL, OBJECTIVE, INITIATIVE, IMPLEMENTATION STRATEGY, AND ACCOMPLISHMENT HAS PROGRESSED DURING YEAR ONE.
PART VI, LINE 3:	THE CHARITY CARE POLICY (OHIO VALLEY CARES) AND FINANCIAL ASSISTANCE CONTACT INFORMATION IS AVAILABLE IN THE ADMISSION AREA, THE EMERGENCY ROOM, OUTPATIENT REGISTRATION AND OTHER AREAS OF THE ORGANIZATION IN WHICH PATIENT ARE LIKELY TO BE PRESENT. INTERPRETATION SERVICES ARE AVAILABLE FOR NON-ENGLISH SPEAKING INDIVIDUALS.OHIO VALLEY HOSPITAL (OVH) PROVIDES FINANCIAL COUNSELING TO THOSE IN NEED. OUR POLICY FOR THE PURPOSE OF PROVIDING INPATIENT AND/OR OUTPATIENT SERVICES TO THE INDIGENT STATES:THE FINANCIAL COUNSELOR WILL IDENTIFY PATIENTS AND/OR GUARANTORS THAT MAY QUALIFY FOR CHARITY CARE RELIEF IN ADDITION TO DISCUSSING THE ALTERNATIVE OF PUBLIC ASSISTANCE.THERE ARE TWO (2) OUTSIDE VENDORS THAT ARE AVAILABLE TO ASSIST PATIENTS IN THE APPLICATION PROCESS FOR PUBLIC ASSISTANCE.THE FINANCIAL COUNSELOR WILL CONDUCT A PRIVATE INTERVIEW WITH THE PATIENT AND/OR GUARANTOR AND DISCUSS THE CHARITY ALTERNATIVE AND PARAMETERS. THE FINANCIAL COUNSELOR WILL DISTRIBUTE THE CHARITY CARE APPLICATION AND ASSIST IN ITS COMPLETION AS NECESSARY. THEY WILL FURTHER REQUEST:1. THE MOST RECENT IRS TAX RETURN AND W-2 PROOF OF NON-FILING STATUS2. COPIES OF THE APPLICANTS MOST RECENT PAY STUBS, IF APPROPRIATE3. DENIAL NOTICE RECEIVED FROM MEDICAL ASSISTANCE, IF APPROPRIATETHE FINANCIAL COUNSELOR WILL REFER THE COMPLETED CHARITY CARE APPLICATION AND ANY/ALL ATTACHMENTS TO THE DIRECTOR OF PATIENT FINANCIAL SERVICES FOR REVIEW AND PROCESSING OF THE REQUEST. THE FINANCIAL COUNSELOR WILL ENTER COMMENTS THAT CONVEY ANY AND ALL ACTIONS TAKEN IN THE NOTES FEATURE OF THE HOSPITAL PATIENT ACCOUNTING SYSTEM. THE DIRECTOR OF PATIENT FINANCIAL SERVICES WILL DETERMINE THE CHARITY CARE ELIGIBILITY BASED ON FEDERAL POVERTY GUIDELINES AND:1. INCOME LEVEL2. FAMILY SIZEAN ALTERNATIVE METHOD IS TO HAVE ALL SELF PAY ACCOUNTS AND BALANCES AFTER INSURANCE PROCESSED THROUGH A PRESUMPTIVE CHARITY CARE ANALYSIS TOOL TO DETERMINE ELIGIBILITY BASED ON OVH GUIDELINES OR IN ACCORDANCE WITH FORM 990 SCHEDULE H LANGUAGE.
PART VI, LINE 4:	OVH IS PART OF THE HIGHLY COMPETITIVE PITTSBURGH, PENNSYLVANIA HEALTH CARE ENVIRONMENT. MANY OF THE HOSPITALS ARE INTERNATIONALLY RECOGNIZED. OVH SERVES A MIX OF FIFTEEN SMALL, URBAN AND SUBURBAN COMMUNITIES IN ITS PRIMARY SERVICE AREA. OVH IS LOCATED IN MCKEES ROCKS, PENNSYLVANIA WHICH IS ITS PRIMARY SERVICE AREA. OVH ALSO SERVES SURROUNDING COMMUNITIES WHICH INCLUDE: KENNEDY TWP, ROBINSON TOWNSHIP, MOON TOWNSHIP, CRAFTON, CORLISS, NORTH FAYETTE, MCDONALD, CORAOPOLIS, SEWICKLEY, BELLEVUE, AVONWORTH, AND OHIO TOWNSHIP. THE COMMUNITIES MENTIONED ABOVE PROVIDE A LARGE CROSS SECTION OF SOCIO-ECONOMIC CLASSES AND A WIDE RANGE OF ETHNIC AND CULTURAL DIVERSITY AS WELL.THE TOTAL POPULATION OF THE HOSPITALS SERVICE AREA IS ESTIMATED TO BE 140,260 WITH LITTLE GROWTH FROM THE 2010 CENSUS, ALTHOUGH THE POPULATION IS EXPECTED TO INCREASE SLIGHTLY OVER THE NEXT SEVERAL YEARS.IN 2015 THE PITTSBURGH METROPOLITAN AREA HAD AN OVERALL UNEMPLOYMENT RATE OF 5.6% WHICH WAS HIGHER THAN THE NATIONAL AVERAGE OF 4.9%.AT THE TIME OF THE HOSPITALS COMMUNITY NEEDS ASSESSMENT 30.3% OF THE ADULT POPULATION WAS OVERWEIGHT AND 28.1% WERE CONSIDERED OBESE, WHICH IS UNDER THE HEALTH PEOPLE 2020 GOAL OF 30.6%.
PART VI, LINE 5:	OHIO VALLEY GENERAL HOSPITAL HAS AN OPEN MEDICAL STAFF AND ITS BOARD OF DIRECTORS IS COMPRISED OF COMMUNITY MEMBERS. AT THIS TIME THE HOSPITAL DOES NOT HAVE SURPLUS FUNDS
PART VI, LINE 6:	OHIO VALLEY HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES. THE HOSPITAL ALSO OPERATES THE RESIDENCE AT WILLOW LANE, AN 84-BED PERSONAL CARE FACILITY, WILLOW HEIGHTS INDEPENDENT LIVING, A 65-BED INDEPENDENT LIVING FACILITY, WILLOW BROOK, A 21-BED GEROPSYCHIATRIC UNIT, PATHWAYS, A 16-BED MEMORY CARE UNIT, AND A 16-BED ACUTE REHABILITATION UNIT ON ITS CAMPUS. IN ADDITION, THE HOSPITAL CONTROLS OHIO VALLEY MEDICAL SERVICES, INC., AND OHIO VALLEY PROFESSIONAL SERVICES, INC. WHOSE PRINCIPAL PURPOSES ARE TO PROVIDE VARIOUS HEALTHCARE SERVICES TO PATIENTS OF THE HOSPITAL. OHIO VALLEY HOSPITAL ALSO PROVIDES WOUND CARE, PAIN MANAGEMENT, AND PRIMARY CARE SERVICES AT AFFILIATED PRACTICES AT VARIOUS OFF SITE LOCATIONS.EFFECTIVE JANUARY 1, 2019, HERITAGE VALLEY HEALTH SYSTEM, INC. BECAME THE SOLE MEMBER OF OHIO VALLEY HOSPITAL AND SUBSIDIARIES. HERITAGE VALLEY MANAGES AND OPERATES A PRIMARY CARE-BASED INTEGRATED DELIVERY SYSTEM SERVING THE RESIDENTS OF BEAVER COUNTY, PA; NORTHWESTERN ALLEGHEYN COUNTY, PA; SOUTHERN LAWRENCE COUNTY, PA; EASTERN OHIO; AND THE SURROUNDING AREAS. THE INTEGRATED DELIVERY SYSTEM INCLUDES THREE ACUTE CARE HOSPITALS (HERITAGE VALLEY, BEAVER; HERITAGE VALLEY, SEWICKLEY; AND OHIO VALLEY) AND PHYSICIAN PRACTICES.
FORM 990, PART VI, LINE 7:	PENNSYLVANIA

Schedule H (Form 990) 2018

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

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

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
OHIO VALLEY HOSPITAL

Employer identification number
25-0967480

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

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

Cat. No. 50055P

Schedule I (Form 990) 2018

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) STUDENT NURSE SCHOLARSHIPS	39	269,660	CASH
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	FUNDS ARE BUDGETED AND BUDGETS ARE APPROVED BY THE BOARD ON AN ANNUAL BASIS. ALL AMOUNTS DISBURSED ARE APPROVED BY THE PRESIDENT/CEO OF THE HOSPITAL.

Schedule I (Form 990) 2018

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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

2018

Open to Public Inspection

Name of the organization

OHIO VALLEY HOSPITAL

Employer identification number

25-0967480

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

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

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

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? .........

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

Yes

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) 2018

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)
1DAVID W SCOTT PRESIDENT (UNTIL 12/18)	(i) (ii)	447,267 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	83,360 ------------- 0	530,627 ------------- 0	0 ------------- 0
2JACK NELSON VICE PRESIDENT FINANCE, CFO	(i) (ii)	154,677 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	28,828 ------------- 0	183,505 ------------- 0	0 ------------- 0
3ERIC LAWLOR EXECUTIVE VP	(i) (ii)	190,442 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	35,494 ------------- 0	225,936 ------------- 0	0 ------------- 0
4KATIE MICHELINIE NURSE ANESTHETIST	(i) (ii)	176,193 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	32,838 ------------- 0	209,031 ------------- 0	0 ------------- 0
5LAJENNEPHER A ZEVOLA CHIEF CRNA	(i) (ii)	168,246 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	31,357 ------------- 0	199,603 ------------- 0	0 ------------- 0
6CHRISTIANA HARMS NURSE ANESTHETIST	(i) (ii)	155,590 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	28,998 ------------- 0	184,588 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2018

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 6	THERE IS A PERFORMANCE BASED COMPONENT OF THE CEO'S COMPENSATION. THIS COMPONENT IS BASED ON THE CEO BEING RATED AS "MEETING BOARD EXPECTATIONS AND THE CEO'S ATTAINMENT OF PERFORMANCE GOALS SET BY THE COMMITTEE. THE PERFORMANCE GOALS ARE BASED ON YEAR OVER YEAR IMPROVEMENT IN BOTH THE HOSPITAL'S NET OPERATING INCOME AND THE HOSPITAL'S OVERALL QUALITY AND PATIENT SATISFACTION SCORES.

Schedule J (Form 990) 2018

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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 the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
OHIO VALLEY HOSPITAL

Employer identification number
25-0967480

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	ALLEGHENY COUNTY HOSPITAL DEVELOPMENT AUTHORITY	25-1327925	01728AB88	04-21-2005	23,500,623	CONSTRUCTION OF MED SURG AND OB-GYN WING		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	2,050,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	23,870,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............	1,004,091
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	376,938
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	23,493,062
11 Other spent proceeds .............
12 Other unspent proceeds .............
13 Year of substantial completion .............	2008
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....		X
15 Were the bonds issued as part of an advance refunding issue? .....		X
16 Has the final allocation of proceeds been made? ..........	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X

Part Ⅲ

Private Business Use

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

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

Cat. No. 50193E

Schedule K (Form 990) 2018

Page 2

Part Ⅲ

Private Business Use (Continued)

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

Part Ⅳ

Arbitrage

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

Schedule K (Form 990) 2018

Page 3

Part Ⅳ

Arbitrage (Continued)

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

Part Ⅴ

Procedures To Undertake Corrective Action

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

Part Ⅵ

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

Return Reference	Explanation
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: ALLEGHENY COUNTY HOSPITAL DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/01/2015

Schedule K (Form 990) 2018

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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

2018

Open to Public
Inspection

Name of the organization

OHIO VALLEY HOSPITAL

Employer identification number

25-0967480

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 3	REHABCARE GROUP INC. HAS BEEN CONTRACTED TO MANAGE THE ACUTE REHAB UNIT OF THE HOSPITAL. TELECARE CORPORATION HAS BEEN CONTRACTED TO MANAGE THE HOSPITALS GERIATRIC PSYCHIATRIC UNIT OF THE HOSPITAL. NATIONAL HEALING HAS BEEN CONTRACTED TO MANAGE THE HOSPITAL'S WOUND HEALING FACILITIES. ALL THREE GROUPS RESPONSIBILITIES INCLUDE DEPARTMENTAL BUDGETING, STAFFING, OFFICE MANAGEMENT, AS WELL AS PATIENT SCHEDULING, CARE, AND BILLING FOR THE FACILITY.
FORM 990, PART VI, SECTION A, LINE 4	THE BYLAWS WERE AMENDED TO REFLECT THE MERGER OF OHIO VALLEY HOSPITAL INTO THE HERITAGE VALLEY HEALTH SYSTEM.
FORM 990, PART VI, SECTION B, LINE 11B	A DRAFT OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE (IRS).
FORM 990, PART VI, SECTION B, LINE 12C	EVERY YEAR, THE BOARD OF DIRECTORS OF OHIO VALLEY HOSPITAL DISTRIBUTES TO ITS DIRECTORS AND KEY HOSPITAL MANAGEMENT THE CONFLICT OF INTEREST POLICY. EACH RECIPIENT MUST LIST ANY POSSIBLE CONFLICT, SIGN AND RETURN THE CONFLICT STATEMENT. INCLUDED IN THE POLICY IS SPECIFIC LANGUAGE REGARDING THE CONDUCT OF THE INDIVIDUAL WITH THE POTENTIAL CONFLICT. PERSONS IN QUESTION ARE REQUIRED ANNUALLY TO COMPLETE THE CONFLICT OF INTEREST QUESTIONNAIRE. ANY POTENTIAL CONFLICTS ARE REVIEWED BY THE CHAIRMAN OF THE BOARD FOR POSSIBLE ACTION. A LIST OF ANNUAL PAYMENTS MADE TO THE DISCLOSED ENTITIES IS MAINTAINED BY THE HOSPITAL'S PRESIDENT'S OFFICE.
FORM 990, PART VI, SECTION B, LINE 15	THE HOSPITAL UTILIZES THE HEALTHCARE COUNCIL OF WESTERN PA'S SALARY SURVEY IN DETERMINING COMPENSATION FOR OFFICERS AND KEY EMPLOYEES, IN ORDER TO ENSURE COMPENSATION DOES NOT EXCEED FAIR MARKET VALUE. THE BOARD OF DIRECTORS COMPENSATION COMMITTEE APPROVES ALL SALARY INCREASES FOR THE CEO, CFO, EXECUTIVE VP, HR VP, AND NURSING VP.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G	PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,801,595. MANAGEMENT AND GENERAL EXPENSES 1,445,661. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,247,256. TEMPORARY HELP: PROGRAM SERVICE EXPENSES 818,042. MANAGEMENT AND GENERAL EXPENSES 656,424. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,474,466. CONSULTING FEES: PROGRAM SERVICE EXPENSES 388,248. MANAGEMENT AND GENERAL EXPENSES 311,544. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 699,792. CONTRACT AGREEMENTS: PROGRAM SERVICE EXPENSES 2,248,513. MANAGEMENT AND GENERAL EXPENSES 1,804,283. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,052,796. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,497,002. MANAGEMENT AND GENERAL EXPENSES 1,201,246. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,698,248.
FORM 990, PART XI, LINE 9:	PENSION LIABILITY ADJUSTMENT -1,637,921.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

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

2018

Open to Public Inspection

Name of the organization

OHIO VALLEY HOSPITAL

Employer identification number

25-0967480

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)OVH PROFESSIONAL LIABILITY SELF INSURANCE 25 HECKEL ROAD MCKEES ROCK,PA15136 25-1619844	PROVIDES MALPRACTICE INSURANCE TO THE HOSPITAL	PA	501(C)(3)	LINE 12B, II	OHIO VALLEY HOSPITAL	Yes
(2)OVH WORKER COMPENSATION SELF INSURANCE TRUST 25 HECKEL ROAD MCKEES ROCK,PA15136 25-1619842	FOR THE HOSPITAL TO COVER ITS WORKERS COMPENSATION CLAIMS	PA	501(C)(3)	LINE 12B, II	OHIO VALLEY HOSPITAL	Yes
(3)HERITAGE VALLEY HEALTH SYSTEM INC 1000 DUTCH RIDGE ROAD BEAVER,PA15009 25-1441518	PARENT SUPPORTING ORGANIZATION	PA	501(C)(3)	LINE 12C, III-FI	N/A		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2018

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

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(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) OHIO VALLEY MEDICAL SERVICES INC 25 HECKEL ROAD MCKEES ROCK,PA15136 20-5830183	PROVIDES SURGERY AND ANESTHESIA SERVICES TO PATIENTS	PA	OHIO VALLEY HOSPITAL	C	-392,462	115,388	100.000 %	Yes
(2) OHIO VALLEY ANESTHESIA PAIN MANAGEMENT INC 25 HECKEL ROAD MCKEES ROCK,PA15136 20-5696032	PROVIDES PAIN MANAGMENT SERVICES TO PATIENTS	PA	OHIO VALLEY HOSPITAL	C			100.000 %	Yes
(3) OHIO VALLEY PROFESSIONAL SERVICES INC 25 HECKEL ROAD MCKEES ROCK,PA15136 20-5689859	EXTENSION OF THE HOSPITAL TO PROVIDE HEALTH SERVICES TO THE COMMUNITY	PA	OHIO VALLEY HOSPITAL	C	-1,999,359	1,953,700	100.000 %	Yes
(4) EMBROOKE INCORPORATED 366 HELEN STREET MCKEES ROCK,PA15136 30-0008536	AMBULANCE SERVICES	PA	OHIO VALLEY HOSPITAL	C	-228,336	2,254,656	87.500 %		No

Schedule R (Form 990) 2018

Page 3

Part V

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

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

Yes

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Yes

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
(1) OHIO VALLEY MEDICAL SERVICES INC	R	1,999,402	CASH
(2) OHIO VALLEY PROFESSIONAL SERVICES INC	R	392,464	CASH

Schedule R (Form 990) 2018

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) 2018

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) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO DELIVER QUALITY, PERSONALIZED HEALTH CARE SERVICES TO OUR PATIENTS AND FAMILIES
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	11
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	11
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	1,041
6	Total number of volunteers (estimate if necessary) .............	6	106
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	27,476	17,478
9	Program service revenue (Part VIII, line 2g) .........	67,338,566	64,783,802
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	5,424,757	4,210,857
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	766,039	607,002
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	73,556,838	69,619,139
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	186,540	269,660
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)	29,014,804	32,539,442
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)....	44,216,995	44,450,345
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	73,418,339	77,259,447
19	Revenue less expenses. Subtract line 18 from line 12.......	138,499	-7,640,308
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	131,605,525	112,075,734
21	Total liabilities (Part X, line 26).............	49,172,769	41,643,920
22	Net assets or fund balances. Subtract line 21 from line 20.....	82,432,756	70,431,814

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 40,069,896 including grants of $ 269,660 ) (Revenue $ 58,214,168 )
	THE HOSPITAL:SINCE ITS BEGINNING, OHIO VALLEY HAS NURTURED A COMMITMENT TO PROVIDE THE COMMUNITY WITH A PERSONALIZED APPROACH TO HIGH QUALITY HEALTH CARE. THIS DEDICATION HAS ESTABLISHED THE FOUNDATION FOR THE HOSPITAL TO GROW AND MEET THE COMMUNITY'S HEALTH CARE NEEDS WITH EXPANDED SERVICES, NEW PROGRAMS, ADVANCED TECHNOLOGY AND EDUCATION. WITH ITS CLOSE PROXIMITY TO THE CITY OF PITTSBURGH, THE HOSPITAL HAS THE UNIQUE ADVANTAGE OF A MEDICAL STAFF WHOSE SPECIALISTS PRACTICE AT BOTH THE HOSPITAL AS WELL AS TERTIARY-CARE HOSPITALS LOCATED IN THE CITY.FOR OUR COMMUNITY WE PROVIDE PROGRAMS AND SERVICE TO IMPROVE THE QUALITY OF LIFE: PROGRAMS SUCH AS: DIABETES AWARENESS AND PREVENTION. WE OFFER NUTRITION SERVICES, INCLUDING INPATIENT AND OUTPATIENT DIETITIAN HELP, AND A DIABETES PROGRAM FOR THOSE SUFFERING FROM DIABETIC HEALTH CONCERNS. THIS INCLUDES A SUPPORT GROUP MEETING, AS WELL AS PERSONAL NUTRITION COACHING AND OUR LIVING WELL WITH DIABETES PROGRAM. WE HOLD A COMMUNITY EVENT, NOW IN ITS 11TH YEAR, CALLED DIABETES DAY, WHICH OFFERS MATERIALS, FOOD DEMONSTRATIONS, LECTURES, AND FREE HEALTH SCREENINGS TO COMMUNITY MEMBERS WHO MAY HAVE DIABETES OR WHO ARE INTERESTED IN IMPROVING THEIR HEALTH. WE ALSO WORK WITH FOCUS ON RENEWAL TO HOLD A VARIETY OF HEALTHY HABITS FOOD COURSES FOR INDIVIDUALS, SUCH AS A STEEL CHEF COURSE. WE ALSO HOLD AND OFFER CPR AND FIRST AID CLASSES, AN ANNUAL 5K COMMUNITY RACE (NOW IN ITS 38TH YEAR), ALZHEIMER AND PARKINSON'S CLASSES, FREE BLOOD PRESSURE SCREENINGS, BLOOD SCREENINGS, LIFELINE, A VOLUNTEER SERVICES PROGRAM, AND OUR SENIORITY PROGRAM. WE SPONSOR THE YMCA'S HEALTHY HABITS AFTER-SCHOOL INITIATIVE AS WELL.OUR SENIORITY PROGRAM MEETS MONTHLY AND GETS INVOLVED WITH OTHER COMMUNITY GROUPS, LIKE THE FOCUS ON RENEWAL GROUP, AND THE WESTERN AREA YMCA IN ORDER TO HAVE NEW ACTIVITIES AND LECTURES FOR OUR ATTENDEES TO GET INVOLVED WITH. WE SEND OUT A TRI-ANNUAL NEWSLETTER WITH LOCAL HOSPITAL NEWS AND COMMUNITY ORGANIZATION INFORMATION. WE ALSO DO A LOT OF HEALTH FAIRS WITH OUR NURSING STUDENTS AND SOME OF OUR ANCILLARY SERVICES, RANGING FROM HIGH SCHOOLS WHERE WE PROVIDE INFORMATION TO TEACHERS ON SOME OF OUR AVAILABLE SERVICES, TO FLU SHOT CLINICS ORGANIZED BY LOCAL REPRESENTATIVES. PLEASE SEE THE ATTACHED YEAR 2 OF OUR CHNA TO LEARN MORE ABOUT THE PROGRAMS LISTED ABOVE.FOR OUR PATIENTS, WE PROVIDE PERSONALIZED HEALTH CARE SERVICE IN A FRIENDLY, CARING, AND COST-EFFECTIVE MANNER. SERVICES SUCH AS: AN ACUTE REHABILITATION UNIT, OCCUPATIONAL MEDICINE, CARDIAC REHABILITATION, CARDIOLOGY SERVICES, CRITICAL CARE, EMERGENCY DEPARTMENT, LABORATORY, MEDICAL/SURGICAL UNIT, IMC/ICU UNIT, NUCLEAR MEDICINE, PULMONARY REHABILITATION, RESPIRATORY SERVICES, SLEEP LAB, WILLOW BROOK GEROSPYCHIATRIC INPATIENT UNIT, PAIN TREATMENT CENTER, ORTHOPEDIC SERVICES WITH A KNEE AND HIP JOINT PROGRAM THAT RECEIVED A BLUE CROSS DISTINCTION CENTER PLUS RATING, REHABILITATION SERVICES INCLUDING PHYSICAL THERAPY, PILATES, OSTEOPOROSIS TREATMENT, LYMPHEDEMA THERAPY, A BALANCE CENTER, AND OCCUPATIONAL THERAPY, RADIOLOGY SERVICES INCLUDING CT SCANS (AND A BRAND NEW LOW-DOSE CT SCANNER), MAMMOGRAPHY, AND X-RAY, LABORATORY SERVICES WITH OUR CAP-ACCREDITED PROGRAM, INPATIENT AND OUTPATIENT SURGICAL SERVICES, TWO WOUND CARE CENTERS WITH HYPERBARIC OXYGEN THERAPY CHAMBERS AVAILABLE. OUR PROGRAM WAS RECENTLY GIVEN THE HEALOGICS CENTER OF DISTINCTION AWARD. IN 2016, THE WOUND CARE CENTER HAD A PATIENT SATISFACTION RATE ABOVE 92% AND A WOUND HEALING RATE OF MORE THAN 93%! FOR OUR STUDENTS WE PROVIDE THE ENVIRONMENT FOR THE EDUCATION OF FUTURE HEALTH CARE PROFESSIONALS THROUGH A SOLID CLINICAL AND THEORETICAL BACKGROUND. THE SCHOOL OF NURSING PROVIDES A THEORETICAL AND CLINICAL ENVIRONMENT WHERE PROSPECTIVE NURSES WILL BE CHALLENGED AND MOTIVATED TO ACHIEVE THEIR BEST. THE SCHOOL OF RADIOGRAPHY STRIVES TO MEET THE NEEDS OF THE COMMUNITIES IT SERVES BY OFFERING A PROGRAM THAT DEVELOPS COMPETENT AND PROFESSIONAL FUTURE RADIOLOGICAL TECHNOLOGISTS. IN 1901, THE SCHOOL OF NURSING WAS INAUGURATED WITH SIX STUDENTS ENROLLED IN A THREE YEAR COURSE. THEIR FIRST STUDENT GRADUATED IN 1904. THE HOSPITAL AND THE SCHOOL OPERATED IN THIS ORIGINAL FACILITY UNTIL THE HOSPITAL WAS REPLACED BY NEWER FACILITIES IN A NEARBY LOCATION, WHICH OPENED IN 1949. THE SCHOOL RECEIVED A NEW FACILITY IN 1956. OUR SCHOOL OF RADIOGRAPHY OPENED IN 1963, AND CELEBRATED ITS 50TH COMMENCEMENT IN 2015. HISTORICAL PERSPECTIVE:AFTER ITS RELOCATION TO KENNEDY TOWNSHIP IN 1949, THE HOSPITAL FACILITIES HAD A CAPACITY OF 130 BEDS AND 35 BASSINETS. EXTENSIVE FACILITY IMPROVEMENTS AND EQUIPMENT ACQUISITION PROJECTS HAVE BEEN COMPLETED, AND NEW PROGRAMS INITIATED, SINCE THEN IN THE YEARS INDICATED BELOW:- 1963 EXPANSION OF THE HOSPITAL FACILITIES FEATURING THE ADDITION OF 21 NEW BEDS AND NEW OPERATING ROOMS, AND THE RELOCATION OF ANCILLARY DEPARTMENTS TO FACILITATE GROWTH OF OUTPATIENT SERVICES- 1978 ADDITION TO THE HOSPITAL FACILITIES FEATURING IMPROVEMENT TO OUTPATIENT AND ANCILLARY DEPARTMENTS, AND THE ADDITION OF ANOTHER 27 BEDS- 1987 INSTALLATION OF A CT SCANNER IN THE RADIOLOGY DEPARTMENT- 1988 OPENING OF THE MEDICAL OFFICE BUILDING - 1987 - 1992 EXTENSIVE RENOVATIONS TO VARIOUS PATIENT FLOORS, THE NUCLEAR MEDICINE DEPARTMENT AND THE MAIN ENTRANCE AND LOBBY- 1992 OPENING OF A 25,000 SQUARE-FOOT ADDITION TO THE SOUTH WING OF THE HOSPITAL FACILITIES WHICH PROVIDED SPACE FOR A CRITICAL CARE SUITE, CARDIOLOGY DEPARTMENT, RESPIRATORY THERAPY DEPARTMENT AND CARDIAC REHABILITATION UNIT. - 1992 OPENING OF THE WOUND CARE CENTER FOR THE SPECIALIZED TREATMENT OF CHRONIC WOUNDS, ONE OF THE FIRST PROGRAMS OF THIS TYPE IN WESTERN PENNSYLVANIA - 1994 EXTENSIVE RENOVATIONS TO THE HOSPITAL FACILITIES' SECOND FLOOR WHICH PROMOTED THE CONSOLIDATION OF OUTPATIENT REGISTRATION AND NUMEROUS OUTPATIENT PROGRAM IN A SINGLE LOCATION READILY ACCESSIBLE BY ELEVATED WALKWAY FROM THE MEDICAL OFFICE BUILDING, AND EXTENSIVE UPGRADES TO THE REHABILITATION SERVICES DEPARTMENT, THE LABORATORY AND THE RADIOLOGY DEPARTMENT. - 1997 COMPLETE REDESIGN OF THE EMERGENCY DEPARTMENT, INCLUDING THE INTERIOR PATIENT CARE AREAS, AS WELL AS THE EXTERIOR AMBULANCE AND AUTOMOBILE ACCESS ROADWAY. - 1999 CLOSURE OF THE HOSPITAL'S TRANSITIONAL (SUB-ACUTE) CARE UNIT TO MAKE WAY FOR A 15-BED INPATIENT REHABILITATION UNIT, WHICH WAS SUBSEQUENTLY EXPANDED TO 16 BEDS. - 2001 ESTABLISHMENT OF A CARDIAC CATHETERIZATION LABORATORY (THE 'CATH LAB') WITH NEW EQUIPMENT. - 2001 OPENING OF THE HOSPITAL'S PAIN TREATMENT CENTER - 2003 OPENING OF THE HOSPITAL'S PULMONARY HEALTH CENTER - 2010 OPENING OF THE WILLOW BROOK GEROPSYCHIATRIC UNIT- 2014 WE ADDED ROBOTIC-ASSISTED SURGERY WITH FIREFLY TECHNOLOGY.- 2015 REOPENING OF OUR ARU UNIT ON OUR NEWLY RENOVATED 3RD FLOOR; THIS WAS MOVED FROM OUR 5TH FLOOR AT THAT TIME.- 2016 WE TURNED OUR 5TH FLOOR INTO OUR ORTHOPEDIC UNIT, WITH A FOCUS ON OUR KNEE AND HIP JOINT PROGRAM. IT OFFERS PRIVATE ROOMS AND A LOW PATIENT-TO-NURSE RATIO. WE ALSO HAVE A NEW GYM FOR PHYSICAL AND OCCUPATIONAL THERAPY. WE ALSO OFFER A CLASS PRIOR TO THE SURGERY THAT WALKS PATIENTS THROUGH WHAT THEY CAN EXPECT BEFORE, DURING, AND AFTER THEIR SURGERY, AS WELL AS DURING THEIR RECOVERY. - 2016 WE CELEBRATED OUR 35TH ANNUAL OVH AND KENNEDY TOWNSHIP 5K, WITH 187 REGISTERED RUNNERS, AND MORE THAN 60 LOCAL VOLUNTEERS.- 2016 OUR RADIOLOGY DEPARTMENT BEGAN WORKING WITH A NEW LOW-DOSE RADIATION SCANNER. DESIGNED TO MAKE THE IMAGING PROCESS SAFER AND FASTER FOR PATIENTS, ITS IMPROVED IMAGE QUALITY AIDS OUR RADIOLOGISTS AND PHYSICIANS IN THEIR DIAGNOSIS. THE SCANNER ALSO ALLOWS US TO PERFORM NEW SERVICES SUCH AS A CTA OF THE HEART AND LUNG CANCER SCREENINGS. OUR DOSE REDUCTION SOFTWARE THAT REDUCES RADIATION EXPOSURE BY AN AVERAGE OF 38%.IN THE FISCAL YEAR 2018, OVH CURRENTLY HAS 124 BEDS, INCLUDING 16 REHABILITATION AND 21 GEROPSYCHIATRIC BEDS.

4b	(Code: ) (Expenses $ 1,861,280 including grants of $ 0 ) (Revenue $ 3,903,606 )
	THE RESIDENCE AT WILLOW LANE:THE RESIDENCE AT WILLOW LANE IS A CONTEMPORARY PERSONAL CARE SENIOR LIVING COMMUNITY THAT COMBINES ALL OF THE COMFORTS OF HOME WITH THE ACTIVITY AND SECURITY OF A SMALL COMMUNITY OF PEOPLE WHO CARE. RESIDENTS ENJOY A WIDE VARIETY OF SOCIAL ACTIVITIES IN AN ELEGANT SETTING, ALONG WITH SPECIALLY-PLANNED PROGRAMS, GOOD FOOD, FRIENDS, AND HELP FROM A CARING STAFF, TAILORED TO EACH RESIDENT'S NEEDS. AT THE RESIDENCE AT WILLOW LANE, GOOD HEALTH COMES FIRST. WILLOW LANE OFFERS SECURITY, WITH STAFF AVAILABLE 24 HOURS A DAY, AND COMFORT, WITH APARTMENTS OFFERING MANY OF THE FEATURES OF HOME.

4c	(Code: ) (Expenses $ 673,654 including grants of $ 0 ) (Revenue $ 1,818,045 )
	WILLOW HEIGHTS INDEPENDENT LIVING:WILLOW HEIGHTS INDEPENDENT LIVING IS A UNIQUE RESIDENCE FOR INDEPENDENT SENIOR LIVING, WHERE SENIORS WILL FIND A VARIETY OF ACTIVITIES AND AMENITIES DESIGNED TO SUIT THEIR ACTIVE LIFESTYLES, ALL IN AN INVITING ATMOSPHERE OF COMFORT AND COMMUNITY. THE RESIDENTS ALSO ENJOY ENTERTAINING FAMILY AND FRIENDS, WHETHER IN THEIR OWN APARTMENT OR AT ONE OF THE MANY PARLORS, PATIOS OR ENTERTAINMENT AREAS SPECIFICALLY DESIGNED WITH FUN IN MIND. WITH A HOST OF ACTIVITIES, SOCIAL EVENTS, SERVICES AND AMENITIES, WILLOW HEIGHTS TRULY BRINGS NEW MEANING TO SENIOR LIVING.

	(Code: ) (Expenses $ 313,109 including grants of $ 0 ) (Revenue $ 847,983 )
	PATHWAYS AT THE WILLOWS, A MEMORY CARE COMMUNITY:PATHWAYS AT THE WILLOWS IS AN EXCEPTIONAL OPTION FOR SENIORS WITH MEMORY IMPAIRMENTS, ONE THAT PROVIDES MAXIMUM COMFORT FOR RESIDENTS, AND PEACE OF MIND FOR FAMILIES. THE PATHWAYS PROGRAM OFFERS A STATE-OF-THE-ART RESIDENCE DESIGNED FOR THE SPECIFIC NEEDS OF SENIORS WITH ALZHEIMER'S OR RELATED DEMENTIA. OUR MEMORY CARE RESIDENCE HAS BEEN DESIGNED TO CREATE MEANINGFUL AND PERSONAL ROUTINES BASED ON EACH RESIDENT'S LIFE STORY AND HISTORY. OUR PATHWAYS PROGRAM OFFERS A HOME-LIKE ENVIRONMENT CONDUCIVE TO BOTH YOUR EMOTIONAL HEALTH AND WELL-BEING. EVERY ROOM AT PATHWAYS HAS BEEN DESIGNED TO STIMULATE THE SENSES AND INVOKE A FEELING OF FAMILIARITY AND WARMTH.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 313,109 including grants of $ 0 ) (Revenue $ 847,983 )
4e	Total program service expenses42,917,939

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)			(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) CAROL SIRIANNI........................................................................ DIRECTOR (UNTIL 9/18)	1.00 .......................2.00	X			0	0	0
(19) MICHAEL MILLER........................................................................ PRESIDENT/CEO (START 1/1/19)	38.00 .......................2.00		X		0	0	0
(20) JACK NELSON........................................................................ VICE PRESIDENT FINANCE, CFO	40.00 .......................2.00		X		154,677	0	28,828
(21) MAUREEN M HEILMANN........................................................................ CHIEF CLINICAL OFFICER	40.00 .......................0.00		X		123,238	0	22,969
(22) ERIC LAWLOR........................................................................ EXECUTIVE VP	40.00 .......................0.00			X	190,442	0	35,494
(23) KATIE MICHELINIE........................................................................ NURSE ANESTHETIST	40.00 .......................0.00			X	176,193	0	32,838
(24) LAJENNEPHER A ZEVOLA........................................................................ CHIEF CRNA	40.00 .......................0.00			X	168,246	0	31,357
(25) CHRISTIANA HARMS........................................................................ NURSE ANESTHETIST	40.00 .......................0.00			X	155,590	0	28,998
(26) MICHAEL NAN........................................................................ ASSOCIATE VP	40.00 .......................0.00			X	124,598	0	23,222

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	1,540,251	0	287,066

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	3,553
d	Related organizations		1d
e	Government grants (contributions)		1e	1,500

f	All other contributions, gifts, grants, and similar amounts not included above		1f	12,425

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		17,478

		Business Code
2a	PATIENT REVENUE	621400	57,916,989	57,916,989
b	NURSING/ASSISTED LIVING	623000	6,569,634	6,569,634
c	NURSING ENTRANCE FEES	611600	297,179	297,179
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		64,783,802

3 Investment income (including dividends, interest, and othersimilar amounts) ......			933,145			933,145
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		864,689
b	Less: rental expenses		859,705
c	Rental income or (loss)		4,984
d	Net rental income or (loss)......			4,984			4,984
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		23,673,097
b	Less: cost or other basis and sales expenses		20,395,385
c	Gain or (loss)		3,277,712
d	Net gain or (loss).....			3,277,712			3,277,712
8a	Gross income from fundraising events (not including $ 3,553of contributions reported on line 1c). See Part IV, line 18 ....
	a		59,801
b	Less: direct expenses ...b		65,984
c	Net income or (loss) from fundraising events..			-6,183			-6,183
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	CAFETERIA		722210	248,273			248,273
b	DISCOUNTS & REBATES		900099	186,712			186,712
c	HOUSEKEEPING		900099	70,714			70,714
d	All other revenue ....			102,502			102,502
e	Total. Add lines 11a–11d ......			608,201
12	Total revenue. See Instructions......			69,619,139	64,783,802	0	4,817,859

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	269,660	269,660
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	860,339	477,321	383,018
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	26,549,017	14,729,535	11,819,482
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	32,055	17,784	14,271
9	Other employee benefits .......	2,680,167	1,486,971	1,193,196
10	Payroll taxes ...........	2,417,864	1,341,444	1,076,420
11	Fees for services (non-employees):
a	Management ......	2,265,207	1,256,749	1,008,458
b	Legal .........	662,824	367,738	295,086
c	Accounting ...........	482,613	267,756	214,857
d	Lobbying ...........	6,364		6,364
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	112,710		112,710
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	12,172,558	6,753,400	5,419,158
12	Advertising and promotion ....	294,678	163,489	131,189
13	Office expenses .......	760,644	422,009	338,635
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	2,678,159	1,485,857	1,192,302
17	Travel ............	59,653	33,096	26,557
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	1,308,221	725,808	582,413
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	4,604,552	2,554,630	2,049,922
23	Insurance ...	2,045,055	1,134,607	910,448
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	PATIENT SUPPLIES	10,665,820	5,917,453	4,748,367
b	BAD DEBT	2,251,886	1,249,358	1,002,528
c	MEDICAID ASSESSMENT	1,298,780	720,570	578,210
d	EQUIPMENT RENTAL	1,132,022	628,052	503,970
e	All other expenses	1,648,599	914,652	733,947
25	Total functional expenses. Add lines 1 through 24e	77,259,447	42,917,939	34,341,508	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 ........			3,450	1	3,450
2	Savings and temporary cash investments .........			527,421	2	420,893
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			5,374,404	4	5,068,430
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
					6
7	Notes and loans receivable, net ....				7
8	Inventories for sale or use ........			1,072,132	8	933,942
9	Prepaid expenses and deferred charges ......			1,310,105	9	1,249,889
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	46,813,339
b	Less: accumulated depreciation	10b	2,477,497	52,180,567	10c	44,335,842
11	Investments—publicly traded securities .			42,748,944	11	30,607,014
12	Investments—other securities. See Part IV, line 11 .....			2,061,955	12	2,067,245
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			26,326,547	15	27,389,029
16	Total assets. Add lines 1 through 15 (must equal line 34)...			131,605,525	16	112,075,734

17	Accounts payable and accrued expenses .....	18,818,642	17	18,907,151
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	23,329,583	20	21,820,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22
23	Secured mortgages and notes payable to unrelated third parties ..	6,712,987	23	284,905
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	311,557	25	631,864
26	Total liabilities. Add lines 17 through 25..	49,172,769	26	41,643,920

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	80,870,005	27	69,021,124
28	Temporarily restricted net assets ...........	1,562,751	28	1,410,690
29	Permanently restricted net assets		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	82,432,756	33	70,431,814
34	Total liabilities and net assets/fund balances ........	131,605,525	34	112,075,734