2025-05-12T16:39:09-05:00 2024-06-30 390859910 BAKER TILLY ADVISORY GROUP LP 20 STANWIX STREET PITTSBURGH PA 15222 990 2023-07-01 251801532 VALLEY MEDICAL FACILITIES INC VALL 4127416600 720 BLACKBURN ROAD SEWICKLEY PA 15143 GARRETT RICHARDSON ASSOCIATE VP, FINANCE 4127416600 2025-05-01 1 1 KELLY A BROCIOUS CPA P01254262 4126976400 2025-05-01 2023 2025-03-06 01:10:19Z HERITAGE VALLEY SEWICKLEY HERITAGE VALLEY BEAVER AND HERITAGE VALLEY KENNEDY NORMAN F MITRY 720 BLACKBURN ROAD SEWICKLEY PA 15143 401405098 0 X WWW.HERITAGEVALLEY.ORG X 1996 PA TO IMPROVE THE HEALTH AND WELL-BEING OF ALL PEOPLE IN THE COMMUNITIES WE SERVE. 17 14 3181 14 4848468 0 20288311 4021784 382210613 372643443 5568214 9392462 26019610 15347409 434086748 401405098 221934 264634 0 0 226224839 208133351 0 0 0 248592213 225998970 475038986 434396955 -40952238 -32991857 579718574 478257383 298376289 241363618 281342285 236893765 X TO IMPROVE THE HEALTH AND WELL-BEING OF ALL PEOPLE IN THE COMMUNITIES WE SERVE. 0 0 374677827 264634 383142384 THE HOSPITALS COMPRISING VALLEY MEDICAL FACILITIES PROVIDE ROUTINE AND AUXILIARY MEDICAL/SURGICAL, PSYCHIATRIC, AND OUTPATIENT REHABILITATION SERVICES TO THE COMMUNITIES SERVED BY THE HOSPITALS REGARDLESS OF PATIENT'S ABILITY TO PAY.DURING THE FISCAL YEAR, THE HOSPITALS HAD 14,250 INPATIENT ADMISSIONS, 6,394 OBSERVATION ADMISSIONS, 788 NEWBORN ADMISSIONS, AND 66,672 INPATIENT DAYS. THE FACILITIES ALSO ENCOUNTERED 96,326 EMERGENCY ROOM VISITS, 9,144 OUTPATIENT SURGERIES, 75 OPEN HEART PROCEDURES, 1,703 CARDIAC CATHETERIZATIONS AND 356,757 DIAGNOSTIC IMAGING PROCEDURES.HERITAGE VALLEY SENIOR LIVING COMMUNITY PROVIDES SENIOR LIVING CHOICES RANGING FROM INDEPENDENT LIVING, PERSONAL CARE AND MEMORY CARE. INDEPENDENT LIVING PROVIDES SENIORS WITH THEIR OWN APARTMENTS, RESTAURANT-STYLE DINING, HOUSEKEEPING AND MANY ACTIVITIES AND OTHER AMENITIES DESIGNED TO SUIT THEIR ACTIVE LIFESTYLES. THE PERSONAL CARE COMMUNITY COMBINES ALL OF THE COMFORTS OF HOME WITH THE ACTIVITY AND SECURITY OF A SMALL COMMUNITY OF CARING STAFF. RESIDENTS ENJOY A WIDE RANGE OF SOCIAL ACTIVITIES IN AN ELEGANT SETTING, ALONG WITH SPECIALLY PLANNED PROGRAMS, GOOD FOOD, FRIENDS AND 24 HOUR ASSISTANCE FROM A CARING STAFF, TAILORED TO EACH RESIDENT'S NEEDS. THE MEMORY CARE PROGRAM IS DESIGNED FOR THE SPECIFIC NEEDS OF SENIORS WITH ALZHEIMER'S OR RELATED DEMENTIA AND OFFERS A HOME-LIKE ENVIRONMENT CONDUCIVE TO BOTH EMOTIONAL HEALTH AND PHYSICIAL WELL-BEING. EVERY ROOM OF OUR PROGRAM HAS BEEN DESIGNED TO STIMULATE THE SENSES AND INVOKE A FEELING OF FAMILIARITY AND WARMTH. RESIDENTS AND THEIR FAMILIES CAN ENJOY COMFORTABLE COMMON ROOMS, AS WELL AS AN ATTRACTIVE AND SECURE OUTDOOR COURTYARD. 374677827 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 126 0 3181 1 1 1 0 0 0 0 0 0 0 1 0 X 17 14 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 X HALEY KOTUN 4127497963 25 HECKEL ROAD 4TH FLOOR MCKEES ROCKS PA 15136 NORMAN F MITRY PRESIDENT & CEO 40.00 26.75 X X 1133045 0 44836 SCOTT M ELSTE CHAIR 2.00 2.00 X X 0 0 0 SUSAN PAONE DHA VICE-CHAIR 2.00 2.00 X X 0 0 0 BOB TERWILLIGER SECRETARY 2.00 2.00 X X 0 0 0 FRED CLERICI TREASURER 2.00 2.00 X X 0 0 0 LYNN GEORGE PHD EMERITUS BOARD CHAIR 2.00 2.00 X 0 0 0 CHARLES KELLY ESQ DIRECTOR 2.00 2.00 X 0 0 0 MICHAEL MALKOWSKI MD DIRECTOR/PHYSICIAN 2.00 41.25 X 0 607218 33276 KEVIN FLANNERY DIRECTOR 2.00 2.00 X 0 0 0 THOMAS LEYDIG DIRECTOR 2.00 2.00 X 0 0 0 JEFFREY HEIN MD DIRECTOR/PHYSICIAN 2.00 40.00 X 0 514412 31410 ANN MARIE EVANS DIRECTOR 2.00 2.00 X 0 0 0 ROGER DAVIS EDD DIRECTOR 2.00 2.00 X 0 0 0 RICHARD BOWERS MD DIRECTOR 2.00 2.00 X 0 0 0 KAREN JEROME-ZAPADKA MD DIRECTOR 2.00 2.00 X 0 0 0 DIANA KOZLINA-PERETIC DNP DIRECTOR 2.00 2.00 X 0 0 0 SRIDHAR TAYUR PHD DIRECTOR 2.00 2.00 X 0 0 0 GARRETT RICHARDSON ASST. TREASURER, ASSOCIATE VP, FINANCE 40.00 1.00 X 210471 0 11808 LINDA HOMYK VP PATIENT CARE SERVICES 40.00 1.00 X 410135 0 48368 MICHAEL CRATTY MD CHIEF MEDICAL OFFICER 1.00 40.00 X 0 614046 31175 JON ZAGORSKI CHIEF INFORMATION OFFICER 40.00 1.00 X 343202 0 54169 LAURIE CLEMENS VP HUMAN RESOURCES 40.00 1.00 X 355910 0 50882 RONALD LECKEY MD MEDICAL DIRECTOR EMERGENCY 40.00 X 461952 0 57590 MICHAEL BOYD MD PHYSICIAN 40.00 X 345785 0 41289 MATTHEW WHEELER MD ASSISTANT MEDICAL DIRECTOR 40.00 X 451454 0 45441 SHAYLA CAMMARATA MD PHYSICIAN 40.00 X 366758 0 44342 JASON VENET MD PHYSICIAN 40.00 X 342142 0 23011 4420854 1735676 517597 304 0 1 0 SUNBURST WORKFORCE ADVISORS 62373 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 AGENCY STAFFING 17196681 SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURGH PA 15251 FACILITY MANAGEMENT SERVICES 6686827 UPMC PO BOX 223270 PITTSBURGH PA 15251 MEDICAL & ADMIN MANAGEMENT SERVICES 5898825 ALLSCRIPTS 24630 NETWORK PLACE CHICAGO IL 60673 COMPUTER PROFESSIONAL SERVICES 5703443 CROTHALL HEALTHCARE 13028 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 MEDICAL EQUIPMENT MANAGEMENT SERVICES 3684355 19 3494548 527236 4021784 NET PATIENT SERVICE REVENUE 900099 367763708 367763708 SENIOR LIVING 623000 4879735 4879735 372643443 1819891 1819891 7559819 12752 0 0 7559819 12752 7572571 7572571 OTHER REVENUE 900099 10498941 10498941 PHARMACEUTICAL REVENUE 456110 4848420 4848420 LABORATORY REVENUE 621500 48 48 15347409 401405098 383142384 4848468 9392462 85000 85000 179634 179634 2768986 2768986 175931667 148134991 27796676 9024077 7603257 1420820 8576957 7192152 1384805 11831664 9820281 2011383 473798 473798 405036 405036 644790 535184 109606 1489547 1236324 253223 10547699 8754590 1793109 11550313 9586760 1963553 294259 244235 50024 194425 161373 33052 6192875 5140086 1052789 32450731 26934107 5516624 9526498 7906993 1619505 MEDICAL AND OTHER SUPPL 62899592 62899592 PROFESSIONAL SERVICES 57826906 47996332 9830574 PHARMACEUTICAL SUPPLIES 21967234 21967234 REPAIRS & MAINTENANCE 4357893 3617051 740842 5177374 4682651 494723 434396955 374677827 59719128 0 24211302 6808995 4260310 3986114 48940260 67858637 743123 760531 7168744 7083434 6147546 5421821 658432998 499051012 190596086 159381986 94834043 65081238 169631160 132122707 33186000 29751920 579718574 478257383 89124423 74385411 1359785 8343 43268494 37170845 40000000 24345 10000000 10000000 114623587 119774674 298376289 241363618 X 259678000 213532000 21664285 23361765 281342285 236893765 579718574 478257383 X -32991857 439000 1103337 -12999000 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 0 0 1 18851 18851 0 PART II-B, LINE 1: OTHER LOBBYING ACTIVITIES: A PORTION OF HOSPITAL AND HEALTH SYSTEM ASSOCIATION OF PA (HAP) DUES ARE LOBBYING EXPENSES. 262577000 1743000 18669000 60000 88234000 913000 193782000 255822000 1700000 22899000 225000 16817000 802000 262577000 325691000 3172000 -32723000 68000 39506000 744000 255822000 278334000 1071000 66262000 110000 19379000 487000 325691000 259287000 25897000 30086000 63000 35768000 1105000 278334000 0.87878 0.03691 0.08431 1 1 1 7790767 7790767 249636547 153243311 96393236 3847172 3555170 292002 381962476 335029553 46932923 15196036 7222978 7973058 159381986 ALTERNATIVE INVESTMENTS 4082877 F COMMON TRUST 11849150 F INTEREST IN ASSETS HELD BY FOUNDATIONS 112433764 F OTHER INVESTMENTS 3756916 F 132122707 RIGHT OF USE ASSET 29751920 29751920 CAPITALIZED LEASES 24866545 ASSET RETIREMENT AND OTHER OBLIGATIONS 2413307 ACCRUED WORKERS' COMPENSATION 2001734 INTERCOMPANY PAYABLE AND OTHER LIABILITIES 60302102 OPERATING LEASE LIABILITY 30190986 119774674 X PART X, LINE 2: VMF QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND, THEREFORE, IS EXEMPT FROM INCOME TAX ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. VMF DOES NOT HAVE ANY MATERIAL UNCERTAIN POSITIONS AS OF JUNE 30, 2024 AND 2023. PART V LINE 4 BOARD DESIGNATED ASSETS ARE UNRESTRICTED FUNDS UNDER THE CONTROL OF THE BOARD OF DIRECTORS. THE MAJORITY OF THESE FUNDS ARE HELD IN THE MASTER TRUST. THE REMAINING FUNDS ARE IN THE CHECKING AND MONEY MARKET ACCOUNTS. ALL INTEREST, REALIZED GAINS/LOSSES, AND UNREALIZED GAINS/LOSSES ASSOCIATED WITH THESE FUNDS REMAIN AS BOARD DESIGNATED FUNDS. DONOR RESTRICTED SPECIFIC PURPOSE FUNDS ARE COMPOSED OF BOTH TEMPORARY AND PERMANENTLY RESTRICTED FUNDS. ALL FUNDS EARN INTEREST, REALIZED GAINS/LOSSES, AND UNREALIZED GAINS/LOSSES. INTEREST CAN BE RESTRICTED BY THE DONOR, IN WHICH CASE IT REMAINS IN THE FUND. THE DONOR DETERMINES THE INTEREST CLASSIFICATION AT THE TIME OF THE DONATION. THE MAJORITY OF THE FUNDS ARE HELD IN THE MASTER TRUST WITH THE REMAINDER BEING IN THE CHECKING ACCOUNT OR MONEY MARKET ACCOUNTS. FUNDS HELD BY HERITAGE VALLEY HEALTH SYSTEM FOUNDATION FOR USE BY HERITAGE VALLEY SEWICKLEY: LEONARD P. AND EVA M. ALOISE MEMORIAL FUND - THE FUND IS TO BE USED TO SUPPORT NURSING STAFF AT HERITAGE VALLEY SEWICKLEY FOR THEIR PROFESSIONAL DEVELOPMENT THROUGH THE NURSING EDUCATION FUND, WHICH SUPPORTS THE NURSING EDUCATION CENTER, HERITAGE VALLEY HEALTH SYSTEM. CARDIOLOGY FUND -RESTRICTED FOR CARDIOLOGY/CARDIAC REHAB BUT OTHERWISE UNRESTRICTED. CAPITAL PROJECT FUND - TO BE USED TO FUND PURCHASES OF ITEMS DESIGNATED THROUGH APPROVED HERITAGE VALLEY SEWICKLEY CAPITAL BUDGET. COVID-19 RESPONSE FUND - RESTRICTED FOR EXPENSES RELATED TO COVID-19 TREATMENT OF PATIENTS. DALLAS/OLIVER NURSING FUND - DIRECTED TO BE USED FOR NURSES AT HERITAGE VALLEY SEWICKLEY. EMERGENCY DEPARTMENT FUND - FOR EMERGENCY DEPARTMENT USE TO BENEFIT CHILDREN AT MEDICAL DIRECTOR'S DISCRETION AND FOR FUNDING EMERGENCY DEPARTMENT PROGRAM & EQUIPMENT NEEDS. EQUIPMENT FUND - RESTRICTED FOR HOSPITAL EQUIPMENT PURCHASES. IRWIN S. TERNER MEMORIAL EYE GLASS FUND - RESTRICTED TO PURCHASE OF EYEGLASSES FOR THOSE THAT ARE UNABLE TO PAY. REFERRALS TO ACCESS THIS FUND MUST BE SENT TO CASE MANAGEMENT OF HVS FOR EVALUATION OF PATIENT'S NEEDS. OPTHALMOLOGISTS ON STAFF PROVIDE GLASSES AT COST. EYE SURGERY EQUIPMENT FUND - EQUIPMENT NEEDS OF EYE DEPARTMENT. FAITH IN ACTION FUND - ESTABLISHED IN 2014 FROM PROCEEDS OF ANNUAL SEWICKLEY 5K RUN/WALK. RESTRICTED PROCEEDS BENEFIT THE FAITH IN ACTION PROGRAM AT HERITAGE VALLEY SEWICKLEY AND SEWICKLEY YMCA, WHICH PROVIDES SENIORS IN THE COMMUNITY WITH RIDES TO DOCTOR APPOINTMENTS AND MEDICAL TREATMENTS. FREE CARE FUND (CHARITY CARE) - TO PAY FOR PRESCRIPTION DRUGS FOR QUALIFIED NEEDY PATIENTS TO A MAXIMUM OF $5,000 PER YEAR; AND TO PAY FOR SERVICES FOR QUALIFIED NEEDY AS ASSESSED BY CASE MANAGEMENT. (CURRENTLY TRANSFERRING 10% PER YEAR FOR HVS CHARITY CARE.) THOMAS R. HAVRILLA SCHOOL OF RADIOLOGY SCHOLARSHIP FUND - ESTABLISHED BY BRIGHTON RADIOLOGY ASSOCIATES IN MEMORY OF THEIR FRIEND AND COLLEAGUE TO ENCOURAGE INDIVIDUALS TO PURSUE CAREERS IN RADIOLOGY & EMPLOYMENT AT HVHS. INCOME EARNED WILL BE USED ANNUALLY TO PROVIDE FINANCIAL ASSISTANCE TO THE TOP ACADEMIC STUDENT COMPLETING THEIR 1ST YEAR OF TRAINING TO ASSIST THEM WITH 2ND YEAR TUITION COSTS. HITCHAK SCHOLARSHIP - ESTABLISHED WITH $11,000 GIFT FROM HITCHAK FAMILY MEMBERS TO ENDOW A SCHOLARSHIP FOR GRADUATE NURSING STUDIES. MARJORIE WAGNER THEYS SCHOLARSHIP FUND - INCOME TO BE DISTRIBUTED ANNUALLY FOR THE CONTINUING EDUCATION OF NURSES. MATERNAL AND INFANT CHILD CARE FUND - RESTRICTED FOR USE OF MATERNITY AND INFANT CHILD CARE BUT OTHERWISE UNRESTRICTED. E. THORNE MCKALLIP PROFESSIONAL NURSING DEVELOPMENT FUND - RESTRICTED FUND INCOME EARNED TO BENEFIT MEMBERS OF HVS NURSING STAFF IN THEIR PROFESSIONAL DEVELOPMENT, EXCLUDING FORMAL EDUCATION PREPARATION: * INITIAL NURSING CERTIFICATION FEE * NURSING RECERTIFICATION CONTINUING EDUCATION CREDITS * FEES FOR LOCAL CONTINUING EDUCATION * OUT-OF-STATE CONTINUING EDUCATION (FEES, TRANSPORTATION, ACCOMODATIONS) * IN-HOUSE EDUCATION. MEDICAL STAFF SCHOLARSHIP FUND - ESTABLISHED IN 2013. TO AWARD ANNUAL COLLEGE SCHOLARSHIPS TO LOCAL RESIDENTS PURSUING A HEALTHCARE EDUCATION. MURDOCK OPERATING ROOM RENOVATION FUND - RESTRICTED FOR THE USE FOR THE OPERATING ROOM RENOVATIONS AT HVS. ONCOLOGY FUND - RESTRICTED FOR USE FOR INPATIENT ONCOLOGY SERVICES BUT OTHERWISE UNRESTRICTED. OR/LAB FUND - RESTRICTED ENDOWMENT. RESTRICTED TO USE FOR THE BENEFIT OF THE OPERATING ROOMS AND THE LABORATORY, BUT OTHERWISE UNRESTRICTED. NURSING EDUCATION FUND - RESTRICTED TO USE FOR THE CAPITAL AND/OR OPERATING NEEDS FOR EDUCATION, CERTIFICATION AND CONTINUING EDUCATION FOR NURSING AT HERITAGE VALLEY SEWICKLEY. IT IS PERMISSIBLE FOR NURSING FROM HERITAGE VALLEY HEALTH SYSTEM AT-LARGE TO BENEFIT FROM PROGRAMS ESTABLISHED BY THIS FUND; SUCH AS THE NURSING EDUCATION AND SIMULATION CENTER. SCHOOL OF NURSING ALUMNI FUND - BALANCE OF $1,000 FOR 10 YEARS TO PROVIDE AN ANNUAL GRADUATION GIFT OF $100-$200, AS DETERMINED BY FACULTY OF SCHOOL. $500 TO BE SET ASIDE FOR 5 YEARS FOR THE REESTABLISHMENT OF AN ACTIVE ALUMNAE ASSOC. AFTER 2015, MONEY WILL THEN BE IN THE GENERAL FUND FOR SCHOOL OF NURSING. MONEY TO BE UTILIZED FOR SPEAKERS FOR STUDENTS AND GRADUATES, TO BE DETERMINED BY DIRECTOR OF S/N AND ONE ALUMNA. DR. SIDNEY SELKOVITZ ENDOWED FUND - PERMANENTLY RESTRICTED ENDOWED FUND TO BENEFIT HVS. PRINCIPAL WILL REMAIN INTACT FOR PERPETUITY & INTEREST INCOME USED ANNUALLY TO FURTHER THE GOOD WORK OF HVS. THE FUND WILL BE AVAILABLE FOR ADDITIONAL GIFTS FOR FAMILY, FRIENDS, & FORMER PATIENTS WHO WISH TO PAY TRIBUTE TO DR. SELKOVITZ. SILVER SNEAKERS FUND - FUNDS ARE TO BE USED TO SUPPORT THE SILVER SNEAKERS PROGRAM. SPEECH THERAPY FUND - RESTRICTED TO SPEECH PATHOLOGY BUT OTHERWISE UNRESTRICTED. ELIZABETH S. STANDISH MEMORIAL CAPITAL PROJECTS FUND - RESTRICTED ENDOWMENT. INCOME ONLY TO BE USED ANNUALLY TO PROVIDE SCHOLARSHIP ENROLLED IN HVS'S SCHOOL OF NURSING. STAUNTON CLINIC FUND - RESTRICTED TO USE FOR STAUNTON CLINIC BUT OTHERWISE UNRESTRICTED. TEMPORARY RESTRICTED FUND - TEMPORARY HOLD FOR AUXILIARY DONATIONS UNTIL FUNDS USED FOR ASSIGNED PROJECTS; AND FORMERLY USED TO HOLD FOUNDERS SOCIETY DONATIONS (PRIOR TO 2000). ALSO TEMPORARY HOLD FOR STAUNTON FARMS ELECTRONIC HEALTH RECORD GRANT. UNIQUE BOUTIQUE EVENT FUND - PROCEEDS ARE RESTRICTED TO BE PAIRED WITH EQUIPMENT OR PROGRAM NEEDS FOR HVS. COMMUNITY HEALTH SERVICES FUND - PEDIATRIC ASTHMA PROGRAM; DIABETES PROGRAM; PREGNANCY HEALTH SERVICES PROGRAM; PEDIATRIC OBESITY PROGRAM. ROY F. JOHNS, JR. FAMILY ENDOWMENT FUND - RESTRICTED ENDOWMENT. ANNUAL INCOME TO BE USED TO PROVIDE UNRESTRICTED SUPPORT TO THE HERITAGE VALLEY SEWICKLEY FOUNDATION. FUNDS HELD BY HERITAGE VALLEY HEALTH SYSTEM FOUNDATION FOR USE BY HERITAGE VALLEY BEAVER: CARDIOLOGY FUND - PURPOSE: RESTRICTED FOR CARDIOLOGY/CARDIAC CATHETERIZATION NEEDS FOR HERITAGE VALLEY BEAVER, BUT OTHERWISE UNRESTRICTED. CENTER CIVIC WOMEN'S CLUB FUND - PURPOSE: RESTRICTED FUND ESTABLISHED IN 1999 BY CENTER CIVIC WOMEN'S CLUB TO HELP COVER EXPENSES NOT REIMBURSED BY INSURANCE FOR COSMETIC ITEMS (WIGS, TURBANS, PROSTHESES, ETC.) FOR BEAVER COUNTY WOMEN RECEIVING CANCER TREATMENT THROUGH A HERITAGE VALLEY HOSPITAL - HVB OR HVS. HERITAGE VALLEY HEALTH SYSTEM FOUNDATION ADMINISTERS THE FUND. (INCLUDES CRITERIA FOR ELIGIBILITY) CANCER TREATMENT CENTER BENEVOLENT FUND - PURPOSE: TO BE USED TO ASSIST PATIENTS WHO HAVE EXHAUSTED THEIR PERSONAL RESOURCES TO BATTLE CANCER BY ASSISTING WITH TRANSPORTATION, MEDICATION OR EQUIPMENT NEEDS. ALLOCATIONS ARE BASED ON RECOMMENDATIONS FROM HOSPITAL CASE MANAGERS AND CANCER TREATMENT CENTER NURSING. RESTRICTIONS: PHARMACY STAFF MUST BE NOTIFIED WHEN PRESCRIPTION FUNDING IS REQUIRED AND THE MEDICATION WILL BE PROVIDED AT A COST WITH A SEPARATE BILL SENT TO THE FOUNDATION. DEVELOPMENT FUND - RESTRICTED FOR EQUIPMENT AND BUILDING (CAPITAL) NEEDS FOR HVB. COMMUNITY HEALTH SERVICES FUND - PREGNANCY HEALTH SERVICES PROGRAM; DIABETES PROGRAM; COMMUNITY ADVANCED ILLNESS PROGRAM; PEDIATRIC ASTHMA PROGRAM. NUTRITIONAL SERVICES PROGRAM. EMERGENCY DEPARTMENT FUND - TO PROVIDE FUNDING FOR EQUIPMENT AND PROGRAM NEEDS FOR HVB EMERGENCY DEPARTMENT. PART V LINE 4 EQUIPMENT FUND - TO PROVIDE FUNDING FOR EQUIPMENT NEEDS FOR HVB FREE CARE FUND - TO REIMBURSE THE HOSPITAL FOR FREE CARE PROVIDED TO PATIENTS TREATED AT HERITAGE VALLEY BEAVER; TO ASSIST WITH PRESCRIPTION DRUGS FOR QUALIFIED NEEDY PATIENTS TO A MAXIMUM OF $5,000 PER YEAR OR TO PAY FOR SERVICES FOR QUALIFIED NEEDY AS ASSESSED BY CASE MANAGEMENT DIRECTOR. MEDICAL STAFF FUND - FUNDS ARE TO BE USED FOR PATIENT CARE PURPOSES ONLY, SUBJECT TO THE MEDICAL STAFF'S ENDORSEMENT. MEDICAL STAFF SCHOLARSHIP FUND - TO AWARD ANNUAL COLLEGE SCHOLARSHIPS TO LOCAL RESIDENTS PURSUING A HEALTHCARE EDUCATION. PEDIATRICS FUND - RESTRICTED FOR USE OF HVB PEDIATRIC UNIT FOR EQUIPMENT AND PROGRAMS, INCLUDING CALMER KIDS PROGRAM. ONCOLOGY FUND - TO PROVIDE FUNDING FOR EQUIPMENT AND PROGRAM NEEDS FOR HVB INPATIENT ONCOLOGY, HVB SATELLITE FACILITIES PROVIDING ONCOLOGY SERVICES, AND ONCOLOGY SERVICES THROUGH THE UNIVERSITY OF PITTSBURGH MEDICAL CENTER/HERITAGE VALLEY HEALTH SYSTEM CANCER CENTER, BEAVER CAMPUS. TEMPORARILY RESTRICTED FUND - TEMPORARY HOLD FOR AUXILIARY DONATIONS UNTIL FUNDS USED FOR ASSIGNED PROJECTS. ORR FAMILY EDUCATION ENDOWMENT - RESTRICTED ENDOWMENT. ANNUAL INCOME ONLY TO BE USED FOR HVB NURSING AND CLINICAL STAFF FOR PROFESSIONAL DEVELOPMENT AND EDUCATION. O'LEARY FAMILY EDUCATION ENDOWMENT - RESTRICTED ENDOWMENT. ANNUAL INCOME TO BE USED TO PROVIDE UNRESTRICTED SUPPORT TO THE HERITAGE VALLEY HEALTH SYSTEM FOUNDATION. PERMANENTLY RESTRICTED ENDOWMENTS - TRUST TO BE USED EXCLUSIVELY FOR THE REHABILITATION OF EXISTING FACILITIES, CONSTRUCTION OF NEW BUILDINGS, PROVIDING FOR SPECIAL EQUIPMENT AND SERVICES AND FOR EXPENSES OF DESERVING PATIENTS OF HVB. THE TRUST IS IRREVOCABLE BUT MAY BE TERMINATED AT ANY TIME BY THE DONOR. LIDA MCHATTIE - PERMANENTLY RESTRICTED ENDOWMENTS - HERITAGE VALLEY HEALTH SYSTEM FOUNDATION RECEIVES 1/6TH SHARE OF THE NET INCOME PER QUARTER. ARTHUR E. MAYER - PERMANENTLY RESTRICTED ENDOWMENTS - ESTABLISHED IN 1964. INCOME IS UNRESTRICTED. MAYER SOCIETY (ONCOLOGY) - PERMANENTLY RESTRICTED ENDOWMENTS - CASH GIFT TO HERITAGE VALLEY HEALTH SYSTEM FOUNDATION'S ENDOWMENT BY MURRAY & CECYL THAW. IN HONOR OF THEIR CHILDREN - DEBORAH AND ROBERT. INCOME IS RESTRICTED TO ONCOLOGY. JOHN "TITO AND BIRDIE FRANCONA MEMORIAL FUND - ESTABLISHED IN 2019, INTEREST EARNED TO BE USED PRIMARILY FOR THE CARDIOLOGY AND ONCOLOGY DEPARTMENTS AT HERITAGE VALLEY BEAVER. ORR FAMILY ENDOWMENT FUND - INCOME EARNED BY THE FUND WILL BE USED TO SUPPORT THE HERITAGE VALLEY BEAVER HOSPITAL, BY PROVIDING FUNDING FOR COMMUNITY-BASED PROGRAMS OR EQUIPMENT. FUNDS HELD BY VMF FACILIITES UNDER CONTROL OF HERITAGE VALLEY HEALTH SYSTEM FOUNDATION: CRAIG FAMILY MEMORIAL FUND - RESTRICTED ENDOWMENT. INCOME ONLY TO BE USED FOR STAUNTON CLINIC. THE MEDICAL DIRECTOR OF THE CLINIC SHALL PROPOSE THE USE OF SUCH FUNDS, AND THEIR EXPENDITURE WILL BE MADE IN ACCORDANCE WITH THE USUAL PRACTICES OF HVS. WILLIAM K. FITCH MEMORIAL FUND - RESTRICTED ENDOWMENT. ANNUAL INTEREST INCOME TO BE USED TO ENCOURAGE, STIMULATE AND AID THE GOVERNING BOARD OF HVS TO MAINTAIN A POSITION OF BEING EVER ALERT TO CHANGING OPPORTUNITIES FOR CONTRIBUTING TO THE HEALTH OF THE COMMUNITY SERVED BY HVS. VAN KLEECK BLOOD BANK MEMORIAL - RESTRICTED ENDOWMENT. INCOME EARNED BY THE FUND TO BENEFIT HVS BLOOD BANK BY AUTHORIZATION OF THE PRESIDENT. INTEREST & PRINCIPAL INVESTED IN VANGUARD GNMA FUNDS WITH INTEREST EARNINGS REINVESTED UNTIL NEEDED. PRINCIPLE SHALL NOT BE EXPENDED; HOWEVER, SHOULD SOME EXTRAORDINARY NEED ARISE IN CONNECTION WITH THE OPERATION OF THE BLOOD BANK, IT IS UNDERSTOOD THAT THE HOSPITAL'S BOARD MAY AUTHORIZE THE EXPENDITURE OF THE PRINCIPLE TO MEET THAT NEED. THE FOLLOWING FUNDS ARE RELATED TO THE HERITAGE VALLEY HEALTH SYSTEM FOUNDATION, BUT ARE UNDER THE CONTROL OF VARIOUS ORGANIZATIONS. HVS HAS BEEN THE RECIPIENT OF VARIOUS TRUSTS: 1. MARTHA LOCKHART MASON TRUST (BNY MELLON) 2. MARTHA LOCKHART MASON TRUST (PNC BANK) 3. BLAIR E. BELL TRUST (BNY MELLON). THE THREE TRUSTS, THE MASON (1&2) AND BELL (3) TRUSTS, ARE IRREVOCABLE TRUSTS. THE HERITAGE VALLEY HEALTH SYSTEM FOUNDATION IS A PARTIAL BENEFICIARY OF THE INCOME DISTRIBUTIONS FROM THESE TRUSTS. THESE TRUSTS ARE NOT UNDER THE CONTROL OF ANY ENTITY WITHIN THE VALLEY MEDICAL FACILITIES SYSTEM. THE INCOME DISTRIBUTIONS FROM THESE TRUSTS ARE RECORDED AS UNRESTRICTED INCOME. FUNDS HELD BY HERITAGE VALLEY HEALTH SYSTEM FOUNDATION FOR USE BY HERITAGE VALLEY KENNEDY: CONTINUING EDUCATION FUND - TO SUPPORT EDUCATION NEEDS OF HERITAGE VALLEY KENNEDY EMPLOYEES. CONTINUING MEDICAL EDUCATION FUND - TO SUPPORT EDUCATIONAL NEEDS OF HERITAGE VALLEY KENNEDY EMPLOYEES. PROVENZANO EDUCATION FUND - TO SUPPORT EDUCATION NEEDS OF HERITAGE VALLEY KENNEDY EMPLOYEES. EDUCATIONAL SOFTWARE, SPEAKERS, TRAINING CLASSES, CAPITAL EQUIPMENT RELATED TO EDUCATION. STITELY STAFF EDUCATION FUND - TO SUPPORT EDUCATION NEEDS OF HERITAGE VALLEY KENNEDY EMPLOYEES. EDUCATIONAL SOFTWARE, SPEAKERS, TRAINING CLASSES, CAPITAL EQUIPMENT RELATED TO EDUCATION. SON ALUMNI ASSOCIATION FUND - TO BE USED BY HERITAGE VALLEY KENNEDY SCHOOL OF NURSING. SON GRADUATION AWARD RONITA DICLEMENTE NURSING FUND - TO BE USED FOR GRADUATION AWARD FOR SON STUDENTS. SON FRANCES DOLGOS MEMORIAL SCHOLARSHIP FUND - TO BE USED FOR GRADUATION AWARD FOR SON STUDENTS. SON GRADUATION AWARD FAIRBANKS-HORIX NURSING FUND - TO BE USED FOR GRADUATION AWARD FOR SON STUDENTS. SON SCHOLARSHIP LAUREN GEIGER MEMORIAL FUND - TO BE USED FOR GRADUATION AWARD FOR SON STUDENTS. SON GRADUATION AWARD ANTHONY F. LISANTI MEMORIAL FUND - TO BE USED FOR GRADUATION AWARD FOR SON STUDENTS. SON GRADUATION AWARD CRAFTON ROTARY CLUB - TO BE USED FOR AWARDS FOR SON STUDENTS. SON GRADUATION AWARD MCKEES ROCKS ROTARY CLUB - TO BE USED FOR AWARDS FOR SON STUDENTS. SON FUND - ESTABLISHED 2022 FOR HERITAGE VALLEY KENNEDY SCHOOL OF NURSING. SOR GRADUATION AWARD JASON DOTSON MEMORIAL FUND - TO BE USED FOR GRADUATION AWARDS FOR ANY SOR GRADUATE WHO SUCCESSFULLY PASSES THE ARRT COMPUTER TOMOGRAPHY CERTIFICATION EXAM. SOR GRADUATION AWARD NANCY LISANTI MEMORIAL - TO BE USED FOR GRADUATION AWARDS FOR SOR STUDENTS. SOR GRADUATION AWARD N. BRUCE TANNEHILL, MD - TO BE USED FOR GRADUATION AWARDS FOR SOR STUDENTS. HOSPITAL DEVELOPMENT FUND - RESTRICTED FOR EQUIPMENT AND BUILDING (CAPITAL) NEEDS FOR HERITAGE VALLEY KENNEDY. TERNER EYE CARE FUND - PROVIDES EYEGLASSES TO INDIVIDUALS WHO DEMONSTRATE FINANCIAL NEED AND RESIDE IN THE HERITAGE VALLEY KENNEDY SERVICE AREA. 1 1 X 1 X 300.000000000000 1 X 450.000000000000 1 1 1 0 1 1 26233069 26233069 0.06040 67499984 42305067 25194917 0.05800 93733053 42305067 51427986 0.11840 1129000 1129000 0.00260 2671000 2671000 0.00610 3800000 3800000 0.00870 97533053 42305067 55227986 0.12710 194000 194000 0.00040 485686 485686 0.00110 679686 679686 0.00150 0 12708010 181278604 210729320 -29450716 X 1 0 3 1 HERITAGE VALLEY BEAVER 1000 DUTCH RIDGE ROAD BEAVER PA 15009 X X X X A 2 HERITAGE VALLEY SEWICKLEY 720 BLACKBURN ROAD SEWICKLEY PA 15143 X X X A 3 HERITAGE VALLEY KENNEDY 25 HECKEL ROAD MCKEES ROCKS PA 15136 X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X 21 1 1 0 1 X WWW.HERITAGEVALLEY.ORG/PAGES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT X 1 21 1 WWW.HERITAGEVALLEY.ORG/PAGES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT 0 1 X 300.000000000000 450.000000000000 X 1 1 X X X X 1 X HERITAGEVALLEY.ORG/FINANCIAL-ASSISTANCE-POLICY/ X HERITAGEVALLEY.ORG/PATIENT-VISITOR-RESOURCES/BILLING-PAYMENTS/ X HERITAGEVALLEY.ORG/PATIENT-VISITOR-RESOURCES/BILLING-PAYMENTS/ X X X X X X 1 X 0 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: HERITAGE VALLEY, BEAVER, - FACILITY 2: HERITAGE VALLEY, SEWICKLEY, - FACILITY 3: HERITAGE VALLEY, KENNEDY GROUP A-FACILITY 2 -- HERITAGE VALLEY, SEWICKLEY PART V, SECTION B, LINE 5: THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY HVHS TO GAIN A BETTER UNDERSTANDING OF THE HEALTH NEEDS ACROSS THE COMMUNITIES WE SERVE. THE 2021 CHNA BUILDS UPON PREVIOUS ASSESSMENTS CONDUCTED IN 2013, 2016, AND 2019 AND WILL CONTINUE TO GUIDE OUR COMMUNITY BENEFIT AND COMMUNITY HEALTH IMPROVEMENT EFFORTS.CONSISTENT WITH PREVIOUS ASSESSMENTS, THE 2021 CHNA FOCUSED ON THE HEALTH NEEDS OF RESIDENTS OF BEAVER COUNTY AND SELECT MUNICIPALITIES IN THE WESTERN PORTION OF ALLEGHENY COUNTY. THE CHNA METHODOLOGY INCLUDES A COMBINATION OF QUANTITATIVE AND QUALITATIVE RESEARCH METHODS DESIGNED TO EVALUATE PERSPECTIVES AND OPINIONS OF STAKEHOLDERS AND HEALTH CARE CONSUMERS ESPECIALLY THOSE FROM UNDERSERVED POPULATIONS. THE METHODOLOGY THAT WAS USED HELPS PRIORITIZE THE NEEDS AND ESTABLISH A BASIS FOR CONTINUED COMMUNITY ENGAGEMENT, IN ADDITION TO SIMPLY DEVELOPING A BROAD, COMMUNITY-BASED LIST OF NEEDS.THE CHNA RESEARCH WILL BE USED TO GUIDE COMMUNITY HEALTH IMPROVEMENT EFFORTS ACROSS THE HVHS SERVICE AREA OVER THE NEXT THREE-YEAR CYCLE. GROUP A-FACILITY 2 -- HERITAGE VALLEY, SEWICKLEY PART V, SECTION B, LINE 6A: THE CHNA IS COMPLETED FOR HERITAGE VALLEY, SEWICKLEY, HERITAGE VALLEY, BEAVER, AND HERITAGE VALLEY, KENNEDY. GROUP A-FACILITY 2 -- HERITAGE VALLEY, SEWICKLEY PART V, SECTION B, LINE 11: VALLEY MEDICAL FACILITIES HAS DEVELOPED AN IMPLEMENTATION PLAN TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED THROUGH ITS CHNA. AS WITH MOST HEALTH CARE FACILITIES, VALLEY MEDICAL FACILITIES HAS LIMITED FINANCIAL RESOURCES TO ADDRESS ALL ISSUES. GROUP A-FACILITY 1 -- HERITAGE VALLEY, BEAVER PART V, SECTION B, LINE 5: THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY HVHS TO GAIN A BETTER UNDERSTANDING OF THE HEALTH NEEDS ACROSS THE COMMUNITIES WE SERVE. THE 2021 CHNA BUILDS UPON PREVIOUS ASSESSMENTS CONDUCTED IN 2013, 2016, AND 2019 AND WILL CONTINUE TO GUIDE OUR COMMUNITY BENEFIT AND COMMUNITY HEALTH IMPROVEMENT EFFORTS.CONSISTENT WITH PREVIOUS ASSESSMENTS, THE 2021 CHNA FOCUSED ON THE HEALTH NEEDS OF RESIDENTS OF BEAVER COUNTY AND SELECT MUNICIPALITIES IN THE WESTERN PORTION OF ALLEGHENY COUNTY. THE CHNA METHODOLOGY INCLUDES A COMBINATION OF QUANTITATIVE AND QUALITATIVE RESEARCH METHODS DESIGNED TO EVALUATE PERSPECTIVES AND OPINIONS OF STAKEHOLDERS AND HEALTH CARE CONSUMERS ESPECIALLY THOSE FROM UNDERSERVED POPULATIONS. THE METHODOLOGY THAT WAS USED HELPS PRIORITIZE THE NEEDS AND ESTABLISH A BASIS FOR CONTINUED COMMUNITY ENGAGEMENT, IN ADDITION TO SIMPLY DEVELOPING A BROAD, COMMUNITY-BASED LIST OF NEEDS.THE CHNA RESEARCH WILL BE USED TO GUIDE COMMUNITY HEALTH IMPROVEMENT EFFORTS ACROSS THE HVHS SERVICE AREA OVER THE NEXT THREE-YEAR CYCLE. GROUP A-FACILITY 1 -- HERITAGE VALLEY, BEAVER PART V, SECTION B, LINE 6A: THE CHNA IS COMPLETED FOR HERITAGE VALLEY, SEWICKLEY, HERITAGE VALLEY, BEAVER, AND HERITAGE VALLEY, KENNEDY. GROUP A-FACILITY 1 -- HERITAGE VALLEY, BEAVER PART V, SECTION B, LINE 11: VALLEY MEDICAL FACILITIES HAS DEVELOPED AN IMPLEMENTATION PLAN TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED THROUGH ITS CHNA. AS WITH MOST HEALTH CARE FACILITIES, VALLEY MEDICAL FACILITIES HAS LIMITED FINANCIAL RESOURCES TO ADDRESS ALL ISSUES. GROUP A-FACILITY 3 -- HERITAGE VALLEY, KENNEDY PART V, SECTION B, LINE 5: THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY HVHS TO GAIN A BETTER UNDERSTANDING OF THE HEALTH NEEDS ACROSS THE COMMUNITIES WE SERVE. THE 2021 CHNA BUILDS UPON PREVIOUS ASSESSMENTS CONDUCTED IN 2013, 2016, AND 2019 AND WILL CONTINUE TO GUIDE OUR COMMUNITY BENEFIT AND COMMUNITY HEALTH IMPROVEMENT EFFORTS.CONSISTENT WITH PREVIOUS ASSESSMENTS, THE 2021 CHNA FOCUSED ON THE HEALTH NEEDS OF RESIDENTS OF BEAVER COUNTY AND SELECT MUNICIPALITIES IN THE WESTERN PORTION OF ALLEGHENY COUNTY. THE CHNA METHODOLOGY INCLUDES A COMBINATION OF QUANTITATIVE AND QUALITATIVE RESEARCH METHODS DESIGNED TO EVALUATE PERSPECTIVES AND OPINIONS OF STAKEHOLDERS AND HEALTH CARE CONSUMERS ESPECIALLY THOSE FROM UNDERSERVED POPULATIONS. THE METHODOLOGY THAT WAS USED HELPS PRIORITIZE THE NEEDS AND ESTABLISH A BASIS FOR CONTINUED COMMUNITY ENGAGEMENT, IN ADDITION TO SIMPLY DEVELOPING A BROAD, COMMUNITY-BASED LIST OF NEEDS.THE CHNA RESEARCH WILL BE USED TO GUIDE COMMUNITY HEALTH IMPROVEMENT EFFORTS ACROSS THE HVHS SERVICE AREA OVER THE NEXT THREE-YEAR CYCLE. GROUP A-FACILITY 3 -- HERITAGE VALLEY, KENNEDY PART V, SECTION B, LINE 6A: THE CHNA IS COMPLETED FOR HERITAGE VALLEY, SEWICKLEY, HERITAGE VALLEY, BEAVER, AND HERITAGE VALLEY, KENNEDY. GROUP A-FACILITY 3 -- HERITAGE VALLEY, KENNEDY PART V, SECTION B, LINE 11: VALLEY MEDICAL FACILITIES HAS DEVELOPED AN IMPLEMENTATION PLAN TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED THROUGH ITS CHNA. AS WITH MOST HEALTH CARE FACILITIES, VALLEY MEDICAL FACILITIES HAS LIMITED FINANCIAL RESOURCES TO ADDRESS ALL ISSUES. 24 1 - HERITAGE VALLEY CHIPPEWA 2580 CONSTITUTION BLVD CHIPPEWA PA 15010 LAB, DIAGNOSTIC IMAGING, REHABILITATION SERVICES,WOMEN'S HEALTH, CONVENIENTC 2 - HERITAGE VALLEY CENTER - CENTER TOWNSHIP M 79 WAGNER ROAD MONACA PA 15061 LAB, DIAGNOSTIC IMAGING, REHABILITATION SERVICES, WOMEN'S HEALTH, CONVENIENT 3 - HERITAGE VALLEY EDGEWORTH 100 HAZEL LANE SEWICKLEY PA 15061 LAB, DIAGNOSTIC IMAGING, REHABILITATION SERVICES, WOMEN'S HEALTH, CONVENIENT 4 - HERITAGE VALLEY ROBINSON TOWNSHIP 2201 PARK MANOR BOULEVARD ROBINSON TOWNSHIP PA 15205 LAB, DIAGNOSTIC IMAGING, REHABILITATION SERVICES, WOMEN'S HEALTH, CONVENIENT 5 - WOMEN'S HEALTH CENTER 200 PLEASANT DRIVE ALIQUIPPA PA 15001 LAB, DIAGNOSTIC IMAGING, WOMEN'S HEALTH 6 - CALCUTTA IMAGING AND LAB SERVICE 48462 BELL SCHOOL ROAD CALCUTTA PA 43920 LAB, DIAGNOSTIC IMAGING, REHABILITATION SERVICES, WOMEN'S HEALTH, CONVENIENT 7 - HERITAGE VALLEY DIAGNOSTIC CENTER ELLWOOD 271 STATE ROUTE 288 ELLWOOD CITY PA 16117 LAB, DIAGNOSTIC IMAGING, REHABILITATION SERVICES, WOMEN'S HEALTH, CONVENIENT 8 - FAMILY MEDICINE CENTER 1125 SEVENTH AVENUE BEAVER FALLS PA 15010 FAMILY MEDICINE, SPORTSCARE, RESIDENCY PROGRAM, LABORATORY 9 - HVHS - STAUNTON CLINIC - BEHAVIORAL HEALTH 111 HAZEL LANE SUITE 300 SEWICKLEY PA 15143 BEHAVIORAL HEALTH SERVICES 10 - EDGEWORTH SURGERY CENTER 301 OHIO RIVER BOULDEVARD SEWICKLEY PA 15143 OUTPATIENT SURGERY CENTER 11 - HERITAGE VALLEY REHABILITATION 1030 BEANER HOLLOW ROAD BEAVER PA 15009 REHABILITATION SERVICES 12 - HERITAGE VALLEY BADEN LAB 220 OHIO RIVER BOULEVARD BADEN PA 15005 LABORATORY SERVICES 13 - HERITAGE VALLEY REHABILITATION 400 PENN LINCOLN DRIVE IMPERIAL PA 15126 REHABILITATION SERVICES, BEHAVIORAL HEALTH SERVICES 14 - HERITAGE VALLEY ALIQUIPPA 2719 BRODHEAD ROAD ALIQUIPPA PA 15001 LABORATOY AND DIAGNOSTIC IMAGING, CONVENIENTCARE 15 - STAUNTON CLINIC BELLEVUE 612 LINCOLN AVENUE BELLEVUE PA 15202 BEHAVIORAL HEALTH SERVICES 16 - STAUNTON CLINIC WEXFORD 119 VIP DRIVE SUITE 202 WEXFORD PA 15090 BEHAVIORAL HEALTH SERVICES 17 - HERITAGE VALLEY PAIN CLINIC AND WOUND CENT 556 PINE HOLLOW ROAD KENNEDY TOWNSHIP PA 15136 WOUND AND PAIN CLINIC 18 - HERITAGE VALLEY NORTH HILLS PAIN CLINIC AN 107 MOUNT NEBO POINT COMMONS PITTSBURGH PA 15237 WOUND AND PAIN CLINIC 19 - HERITAGE VALLEY PERSONAL CARE 32 HECKEL ROAD MCKEES ROCKS PA 15136 ASSISTED LIVING 20 - HERITAGE VALLEY SENIOR LIVING 32 HECKEL ROAD MCKEES ROCKS PA 15136 INDEPENDENT LIVING 21 - HERITAGE VALLEY MEMORY CARE 30 HECKEL ROAD MCKEES ROCKS PA 15136 MEMORY CARE RESIDENCE 22 - COMMUNITY HEALTH SERVICES 2 PEARTREE WAY BEAVER PA 15009 PEDIATRIC ASTHMA AND DIABETES SELF MANAGEMENT AND DIABETES PREVENTION, PREGN 23 - HEART AND VASCULAR 605 SHARON ROAD BEAVER PA 15009 CARDIAC REHAB 24 - HEART AND VASCULAR 12 QUAKER VILLAGE SHOPPING CENTER LEETSDALE PA 15056 CARDIAC REHAB, PEDIATRIC ASTHMA AND DIABETES SELF MANAGEMENT AND DIABETES PR PART I, LINE 3C: THE FOLLOWING EXPLANATIONS ARE RELEVANT TO ALL HOSPITALS OF THE ORGANIZATION: HERITAGE VALLEY, BEAVER, HERITAGE VALLEY, SEWICKLEY AND HERITAGE VALLEY, KENNEDY. THE ORGANIZATION PROVIDES CHARITY CARE TO QUALIFYING INDIVIDUALS AND FAMILIES BASED ON A SLIDING SCALE USING FEDERAL HEALTH & HUMAN SERVICES POVERTY GUIDELINES. ACCOUNTING FOR FAMILY SIZE AT 300% OF THE POVERTY LEVEL FOR FREE CARE, A 75% DISCOUNT FOR FAMILIES AT 350%, A 50% DISCOUNT FOR FAMILIES AT 400% AND A 25% DISCOUNT FOR FAMILIES AT 450%. PART I, LINE 7: THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED WAS BASED ON THE ORGANIZATION'S COST ACCOUNTING SYSTEM. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES INCLUDE BEHAVIORAL HEALTH, FAMILY PRACTICE CLINIC AND RETAIL MEDICINE SERVICES IN THE COMMUNITIES WE SERVE TO MEET THE INSTITUTE FOR HEALTHCARE IMPROVEMENT'S TRIPLE AIM GOAL OF PATIENT ACCESS, LOWER COST AND POPULATION HEALTH MANAGEMENT, SUPPORTED BY SEVERAL PROVISIONS IN THE AFFORDABLE CARE ACT. PART I, LN 7 COL(F): DIFFERENCES BETWEEN AMOUNTS REIMBURSED AND NORMAL BILLING RATES ARE CHARGED TO PROVISIONS FOR CONTRACTUAL ALLOWANCES AS A REDUCTION TO NET PATIENT SERVICE REVENUE. ACCOUNTS RECEIVABLE ARE FURTHER REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE ORGANIZATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF PATIENT SERVICE REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF PATIENT SERVICE REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE ORGANIZATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXIST FOR PART OF THE BILL, THE ORGANIZATION RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES OR THE DISCOUNTED RATES ACCORDING TO THE ORGANIZATION'S CHARITY CARE POLICY AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. HERITAGE VALLEY IS IN FULL COMPLIANCE WITH THE 501(R) REGULATIONS. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY HEALTH EDUCATION & OUTREACH MATERNAL & CHILD HEALTH STAFF AT HERITAGE VALLEY AND BEAVER -CONDUCTED SESSIONS OF DIFFERENT PRENATAL EDUCATION TOPICS, INCLUDING BREASTFEEDING, PRENATAL-NEWBORN CLASSES AND PATIENT & FAMILY TOURS. ALSO PROVIDED SUPPORT GROUPS FOR PREGNANCY LOSS AND NEW MOTHERS. STAFF OF THE COMMUNITY HEALTH SERVICES DEPARTMENT PARTICIPATED IN HEALTH EVENTS THAT INCLUDES FREE SCREENINGS, HEALTH EDUCATION TABLES AND PRESENTATIONS TO THE GENERAL COMMUNITY. THESE FREE SCREENINGS ARE USED TO INFLUENCE INDIVIDUALS TO TAKE A GREATER ROLE IN THEIR HEALTH. CAR SEATS ARE RENTED AT DISCOUNTED RATES TO PARENTS IN NEED FOR SAFE TRANSPORT OF NEWBORNS. FAMILY MEDICINE RESIDENTS PROVIDED FREE SPORTS/SCHOOL PHYSICALS, AND PROVIDE HEALTH EDUCATIONAL TALKS ON SMOKING CESSATION AND SEX EDUCATION. *THE HOSPITAL DIVISION LABORATORY PROVIDED 136 LEGAL ALCOHOL TESTS FOR AREA POLICE DEPARTMENTS AT A TESTING COST OF $1,700. MANAGEMENT AND STAFF FROM SEVERAL DEPARTMENTS PARTICIPATED IN LOCAL SCHOOL CAREER DAYS. COMMUNITY-BASED CLINICAL SERVICES *THE FAMILY MEDICINE CLINIC (BEAVER FALLS) CONDUCTS FREE PHYSICALS FOR THE FOSTER GRANDPARENT PROGRAM. DONATIONS TO NOT-FOR-PROFIT ORGANIZATIONS *PAYMENTS TO LOCAL MUNICIPALITIES (IN LIEU OF TAXES) - $194,000. *THE ORGANIZATION SPONSORED EVENTS HELD BY THE COMMUNITY NOT-FOR-PROFIT ORGANIZATIONS AND DONATED $175,806 TO THESE ORGANIZATIONS (NET OF VALUE RECEIVED). *THE ORGANIZATION ALSO DONATED $85,000 TO LOCAL FOOD BANKS TO ASSIST IN THE PURCHASE OF FOOD SUPPLIES AND EQUIPMENT. SUBSIDIZED HEALTH SERVICES: THE ORGANIZATION IS COMMITTED TO OFFERING A ROBUST RANGE OF SERVICES TO MEET COMMUNITY NEEDS; THEREFORE SOME SERVICES SUCH AS BEHAVIOR HEALTH, DIALYSIS, FAMILY PRACTICE CLINIC AND MATERNAL/CHILD HEALTH SERVICES ARE OPERATED WITH SIGNIFICANT SUBSIDIES. MEDICAL STAFF PRIVILEGES: IN GENERAL, THE BEAVER, SEWICKLEY, AND KENNEDY CAMPUSES HAVE AN OPEN MEDICAL STAFF AND PRIVILEGES ARE GRANTED TO QUALIFIED PHYSICIANS WHO MEET ESTABLISHED CRITERIA. THERE ARE, HOWEVER, CERTAIN DEPARTMENTS AND/OR SERVICES THAT ARE CLOSED DUE TO CONTRACTUAL ARRANGEMENTS WITH THIRD PARTY PROVIDERS. FIVE DEPARTMENTS ARE CLOSED. THE DEPARTMENT OF EMERGENCY MEDICINE AND HOSPITALIST SERVICES ARE CLOSED TO PHYSICIANS WHO ARE EMPLOYED BY THE ORGANIZATION, AND TO PHYSICIANS OTHERWISE CONTRACTED BY THE ORGANIZATION. FOR THE DEPARTMENTS OF RADIOLOGY, PATHOLOGY AND ANESTHESIOLOGY, THE ORGANIZATION HAS EXCLUSIVE CONTRACTS WITH THE CONTRACTING PHYSICIAN GROUPS, AND THUS PRIVILEGES IN THESE DEPARTMENTS ARE LIMITED TO THOSE PHYSICIANS WHO HAVE A CONTRACTUAL RELATIONSHIP WITH THE GROUP. IN ADDITION, THE ORGANIZATION HAS EXCLUSIVE CONTRACTS WITH THIRD PARTY PROVIDERS FOR THE PROVISION OF TELEMEDICINE STROKE SERVICES AT EACH OF THE CAMPUSES. QUALITY IMPROVEMENTS IN PATIENT CARE: HERITAGE VALLEY IS A JOINT COMMISSION ACCREDITED HOSPITAL COMPLIANT WITH THE NATIONAL PATIENT SAFETY GOALS AND CMS'S INPATIENT QUALITY REPORTING PROGRAM. THE SYSTEM HAS RECEIVED PRIMARY STROKE CERTIFICATION WHICH RECOGNIZES COMPLIANCE TO THE AMERICAN HEART ASSOCIATION'S STROKE STANDARDS. PERFORMANCE IMPROVEMENT INITIATIVES ARE ONGOING IN THE AREAS OF INFECTION CONTROL, PATIENT SAFETY AND THE CUSTOMER EXPERIENCE. ADDITIONALLY, HERITAGE VALLEY HAS DEVELOPED A ROBUST POPULATION HEALTH STRATEGY THAT INCLUDES A TEAM OF REGISTERED NURSES THAT ACT AS PRACTICE-BASED CARE MANAGERS WORKING TO CLOSE GAPS IN PATIENT CARE OUTSIDE THE HOSPITAL. THE POPULATION HEALTH TEAM HAS REALIZED YEAR-OVER-YEAR IMPROVEMENT IN CMS'S STAR RATINGS AND HEDIS SCORES. THE POPULATION HEALTH TEAM FOCUSES ON ENSURING PATIENTS ARE SEEING THEIR PHYSICIAN AND GETTING THE APPROPRIATE ANNUAL SCREENINGS IN AN EFFORT TO AVOID THE NEED FOR ACUTE HEALTH CARE SERVICES. THE PERFORMANCE IMPROVEMENT INITIATIVE EMPLOYED BY THE HOSPITAL ENSURES QUALITY HEALTH CARE WHEN THE PATIENT NEEDS INPATIENT CARE. THE COMBINATION OF HOSPITAL AND POPULATION HEALTH QUALITY PROMOTE HEALTH IN THE COMMUNITIES WE SERVE. PART III, LINE 2: BAD DEBT EXPENSE AT COST WAS DETERMINED BASED ON THE COST TO CHARGE RATIO UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES APPLIED TO THE BAD DEBT EXPENSE FOR THE FISCAL YEAR. PART III, LINE 8: THE ORGANIZATION BELIEVES THE ENTIRE SHORTFALL OF REIMBURSEMENT VERSUS COST SHOULD BE CONSIDERED COMMUNITY BENEFIT SINCE IT RESULTS IN A LOSS THEREFORE LESSENING GOVERNMENT BURDEN. COSTS ASSOCIATED WITH THE SHORTFALL WERE DETERMINED FROM THE ORGANIZATION'S COST ACCOUNTING SYSTEM. PART III, LINE 9B: WITHIN THE ORGANIZATION'S BAD DEBT/COLLECTION POLICY, THERE IS REFERENCE TO THE FACT THAT PATIENTS ARE PROVIDED SEVERAL OPTIONS, ONE OF WHICH BEING THE APPLICATION FOR CHARITY CARE IN SATISFYING THE OUTSTANDING BALANCE OF THEIR ACCOUNT. IF THE PATIENT PURSUES CHARITY CARE, THERE IS A SEPARATE POLICY DETAILING THE STEPS REQUIRED TO QUALIFY FOR CHARITY CARE. PART VI, LINE 2: THE ORGANIZATION IS COMMITTED TO THE PEOPLE IT SERVES AND THE COMMUNITIES THEY LIVE IN. HEALTHY COMMUNITIES LEAD TO LOWER HEALTH CARE COSTS, ROBUST COMMUNITY PARTNERSHIPS, AND AN OVERALL ENHANCED QUALITY OF LIFE. THE CHNA FINAL SUMMARY REPORT SERVES AS A COMPILATION OF THE OVERALL FINDINGS OF EACH RESEARCH COMPONENT. PART VI, LINE 3: THE ORGANIZATION IS COMMITTED TO ASSISTING ALL SELF PAY PATIENTS IN APPLYING FOR STATE MEDICAID. CURRENTLY THE ORGANIZATION ENGAGES A THIRD PARTY SERVICE TO INTERVIEW AND COMPLETE THE MEDICAID APPLICATION ON ALL PATIENTS ADMITTED WITH NO HEALTH INSURANCE. DURING THE APPLICATION PROCESS, PATIENTS ARE MADE AWARE OF THE CHARITY CARE PROGRAM IN THE EVENT THEY ARE DENIED STATE MEDICAID. THE FINANCIAL INFORMATION OBTAINED DURING THIS PROCESS IS USED IN DETERMINING IF THE PATIENTS QUALIFY FOR THE CHARITY CARE PROGRAM. IF THE PATIENT IS DENIED FOR MEDICAID, THEY RECEIVE MONTHLY STATEMENTS REFLECTING THE OUTSTANDING BALANCE OWED. THE ORGANIZATION MAKES THE PATIENTS AWARE OF THE CHARITY CARE PROGRAM ON THE BACK SIDE OF ALL SELF PAY PATIENTS STATEMENTS. THE STATEMENT DIRECTS ALL INQUIRIES REGARDING CHARITY CARE TO THE PATIENT ACCOUNTING DEPARTMENT. THE PATIENTS ARE PROVIDED WITH THE GUIDELINES OF THE PROGRAM AT THE POINT THEY CONTACT PATIENT ACCOUNTING. THE PHONE CALL USUALLY RESULTS IN THE APPLICATION ALONG WITH THE CURRENT GUIDELINES BEING MAILED TO THE PATIENT FOR COMPLETION. IN ADDITION, TO THE SELF PAY STATEMENTS NOTIFYING PATIENTS OF THE CHARITY CARE PROGRAM, THE PROGRAM IS ALSO INCLUDED ON THE ORGANIZATION WEBSITE AND GIVES THE PATIENT THE OPTION OF PRINTING THE CHARITY CARE APPLICATION DIRECTLY FROM THE WEBSITE. ALSO, REFERENCE TO THE CHARITY CARE PROGRAM IS INCLUDED IN THE "PATIENT GUIDE" WHICH IS PROVIDED TO ALL PATIENTS ADMITTED. PART VI, LINE 4: VALLEY MEDICAL FACILITIES IS PART OF THE HIGHLY COMPETITIVE PITTSBURGH, PENNSYLVANIA HEALTH CARE ENVIRONMENT. SEVERAL OF THE HOSPITALS IN THE PITTSBURGH AREA ARE INTERNATIONALLY RECOGNIZED.VALLEY MEDICAL FACILITIES HAS HOSPITALS IN BEAVER, SEWICKLEY, AND KENNEDY TOWNSHIP, PENNSYLVANIA. THE ORGANIZATION DEFINED ITS SERVICE AREA BASED ON AN ANALYSIS OF THE GEOGRAPHIC AREAS OF RESIDENCE OF CUSTOMERS. THE ORGANIZATION'S PRIMARY SERVICE AREA IS CONSIDERED TO BE BEAVER COUNTY, PENNSYLVANIA AND THE FOLLOWING MUNICIPALITIES WITHIN ALLEGHENY COUNTY, PENNSYLVANIA: ALEPPO TOWNSHIP, BELL ACRES BOROUGH, CARNEGIE BOROUGH, CORAOPOLIS BOROUGH, CORLISS (A NEIGHBORHOOD IN THE CITY OF PITTSBURGH), CRAFTON BOROUGH, CRESCENT TOWNSHIP, EDGEWORTH BOROUGH, FINDLAY TOWNSHIP, GLEN OSBORNE BOROUGH, GLENFIELD BOROUGH, HAYSVILLE BOROUGH, HEIDELBERG BOROUGH, KENNEDY TOWNSHIP, LEET TOWNSHIP, LEETSDALE BOROUGH, MCKEES ROCKS BOROUGH, MOON TOWNSHIP, NEVILLE TOWNSHIP, NORTH FAYETTE TOWNSHIP, OAKDALE BOROUGH, SEWICKLEY BOROUGH, SEWICKLEY HEIGHTS BOROUGH, AND SEWICKLEY HILLS BOROUGH.THE TOTAL POPULATION OF THE HOSPITALS' PRIMARY SERVICE AREA IS ESTIMATED TO BE 318,560 AS OF 2020.SELECTED DEMOGRAPHIC AND BEHAVIORAL RISK FINDINGS: THE PRIMARY SERVICE AREA (BEAVER COUNTY AND THE ABOVE LISTED AREAS OF ALLEGHENY COUNTY) DECREASED IN POPULATION BY APPROXIMATELY 0.2% BETWEEN 2010 AND 2020. THE MEDIAN AGE IN EACH OF THE 3 SERVICE AREAS (BEAVER COUNTY, SEWICKLEY/MOON, AND KENNEDY/MCKEES ROCKS) IS HIGHER THAN THE STATE AND NATIONAL AVERAGES. THE SEWICKLEY/MOON AREA HAS THE HIGHEST MEDIAN AGE OF 51.1 YEARS WHILE THE KENNEDY/MCKEES ROCKS AREA HAS THE LOWEST MEDIAN AGE OF 40.4 YEARS. ALSO IN ALL 3 SERVICE AREAS, THE 65 YEARS AND OLDER GROUP MAKE UP A LARGER PERCENTAGE OF THE POPULATION THAN THE STATE AND NATIONAL AVERAGES, RANGING FROM 18.5% TO 22.6% COMPARED TO THE STATE AVERAGE OF 18.3% AND THE NATIONAL AVERAGE OF 16.0%. IN ALL 3 SERVICE AREAS, OVER 20% OF INDIVIDUALS WHO ARE OVER 65 TO 74 YEARS OF AGE HAVE A DISABILITY, WITH 40% OF THOSE OVER 75 HAVING A DISABILTY. THE LEADING CAUSES OF DEATH IN BOTH BEAVER AND ALLEGHENY COUNTIES IN 2015 THROUGH 2019 WERE HEART DISEASE AND CANCER. IN 2017 THROUGH 2019, BEAVER COUNTY HAS AN ADULT OBESITY RATE OF 34% AND ALLEGHENY COUNTY HAD A 30% OBESITY RATE. ON 2017 THROUGH 2019, BEAVER COUNTY HAD A RATE OF ADULTS DIAGNOSED WITH DIABETES OF 8.0%, WHICH WAS LOWER THAN PREVIOUS YEARS. MEDICALLY UNDERSERVED AREAS IN THE PRIMARY SERVICE AREA INCLUDE: BEAVER FALLS (PART), BRIDGEWATER, ALIQUIPPA (PART), CORAOPOLIS (PART) AND MCKEES ROCKS (PART). PART VI, LINE 5: INVESTMENT IN FACILITIES AND EQUIPMENT *THE ORGANIZATION HAS A SIGNIFICANT CAPITAL BUDGET OF APPROXIMATELY $30 MILLION ANNUALLY, PRIMARILY FUNDED BY OPERATING MARGINS. THE FOUNDATION SUPPORTS FACILITY ENHANCEMENTS AND EQUIPMENT PURCHASES. THE FOUNDATION SUPPORTS INITIATIVES SUCH AS THE NURSING EDUCATION AND SIMULATION CENTER AND DIAGNOSTIC EQUIPMENT. MEDICAL EDUCATION *THE ORGANIZATION SERVES AS A SITE FOR NUMEROUS HEALTH AND ADMINISTRATIVE/PROFESSIONAL INTERNSHIPS AND ADMINISTRATING NURSING STUDENTS FROM CERTAIN TECHNICAL AND COMMUNITY COLLEGES & UNIVERSITIES, WHO USE THE ORGANIZATION AS A SITE FOR CLINICAL TRAINING WITH NO TUITION OR MONETARY REIMBURSEMENT. COORDINATION OF THESE UNPAID INTERNSHIPS REQUIRES MULTIPLE HOURS OF STAFF TIME, VALUED AT $21,756. THE ORGANIZATION HAS A FAMILY PRACTICE RESIDENCY PROGRAM IN BEAVER FALLS, WITH AN ASSOCIATED CLINIC. THE AFFILIATED FOUNDATION OFFERS NURSING SCHOOL SCHOLARSHIPS AND MEDICAL STUDENT SCHOLARSHIPS. ADDITIONALLY, HERITAGE VALLEY KENNEDY 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. HERITAGE VALLEY KENNEDY ALSO HAS A 24-MONTH SCHOOL OF RADIOGRAPHY PROGRAM. STUDENTS WHO SUCCESSFULLY COMPLETE THE PROGRAM ARE AWARDED A CERTIFICATE IN RADIOLOGIC TECHNOLOGY AND AS 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).COMMUNITY HEALTH SERVICES *COMMUNITY HEALTH SERVICES IS A ROBUST SET OF PROGRAMS AND SERVICES THAT FOCUS ON FAMILIES AND INDIVIDUALS SUFFERING FROM CHRONIC ILLNESSES. THE BENEFITS OF THESE PROGRAMS ARE DEMONSTRATED THROUGH CLINICAL OUTCOMES THAT RELATE TO HEALTHY LIVING AND IMPROVED FUNCTIONING. PROGRAMS INCLUDE: *PEDIATRIC ASTHMA, *DIABETES EDUCATION AND PREVENTION, *PREGNANCY HEALTH SERVICES (DESIGNED FOR HIGH-RISK PREGNANCIES), *CHILDHOOD OBESITY, AND *NUTRITIONAL COUNSELING. THESE SERVICES ARE SUPPORTED THROUGH GRANTS FROM THE FOUNDATIONS.THE FOUNDATION ALSO SUPPORTS THE BEAVER CAMPUS BY REIMBURSING HERITAGE VALLEY BEAVER FOR BUILDING SYSTEMS AND CAPITAL PROJECTS FROM THE FORMER BEAVER FOUNDATION UNRESTRICTED FUNDS, TO ADDRESS THE AGING INFRASTRUCTURE OF THE BEAVER CAMPUS.A MAJORITY OF THE BOARD MEMBERS OF HERITAGE VALLEY HEALTH SYSTEM, INC., THE PARENT OF VALLEY MEDICAL FACILITIES RESIDENT IN VALLEY MEDICAL FACILITIES' PRIMARY SERVICE AREA. PART VI, LINE 6: THE ORGANIZATION IS A WHOLLY OWNED SUBSIDIARY OF HERITAGE VALLEY HEALTH SYSTEM, INC. AND PROVIDES INPATIENT AND OUTPATIENT HEALTH CARE AND RELATED SERVICES TO THE RESIDENTS OF BEAVER COUNTY, PA, AND NORTHWESTERN ALLEGHENY COUNTY, PA, AND THE SURROUNDING AREAS THROUGH ITS THREE ACUTE CARE HOSPITALS: HERITAGE VALLEY, BEAVER, HERITAGE VALLEY, SEWICKLEY AND HERITAGE VALLEY, KENNEDY. THE ORGANIZATION IS PART OF AN INDEPENDENT, COMMUNITY-BASED HEALTH SYSTEM, UNAFFILIATED WITH ANY OTHER HEALTH CARE SYSTEM. THE ROLES OF THE ORGANIZATION AND ITS AFFILIATED FOUNDATION ARE DOCUMENTED ELSEWHERE IN THIS FORM. EMPLOYEES OF THE HEALTH SYSTEM'S PHYSICIAN CORPORATIONS ALSO WORK HARD TO PROMOTE THE HEALTH OF THE PATIENTS IN OUR COMMUNITIES. WE OFFER WALK-IN CARE 7 DAYS A WEEK AT OUR CONVENIENTCARE CLINICS ALLOWING PATIENTS TO SEEK CARE WHEN AND WHERE IT IS CONVENIENT FOR THEM. THESE SAME CLINICS OFFER DISCOUNTED SERVICES SUCH AS FLU CLINIC FRIDAYS DURING THE SEASON WHERE IT'S MOST CRITICAL FOR PATIENTS TO RECEIVE THESE VACCINES. OUR PRIMARY CARE OFFICES NOW HAVE INTEGRATED PATIENT DASHBOARDS THAT DISPLAY THE PREVENTIVE AND RECOMMENDED WELL SERVICES THAT PATIENTS ARE ENCOURAGED TO RECEIVE. WHETHER SCHEDULING FREE ANNUAL WELLNESS EXAMS OR RECOMMENDING PREVENTIVE SCREENINGS (IE. MAMMOGRAMS, COLORECTAL SCREENINGS, ETC.) AND IMMUNIZATIONS, OUR PHYSICIANS AND PHYSICIAN PRACTICE STAFF WORK WITH THE PATIENTS TO CLOSE THESE "GAPS" IN CARE AND IMPROVE THE PATIENT'S CHANCE OF STAYING WELL. 0 CORAOPOLIS COMMUNITY DEVELOPMENT FOOD PANTRY 1108 4TH AVENUE CORAOPOLIS PA 15108 205398660 501(3)(C) 7000 0 PROVIDE FUNDS TO SUPPORT LOCAL FOOD BANKS, ASSISTING THEM IN THE PURCHASE OF FOOD SUPPLIES AND EQUIPMENT, FOR THE HEALTH AND WELL BEING OF THE COMMUNITIES SERVED BY VMF. FAMILIES MATTER 186 WAGNER ROAD MONACA PA 15061 320363967 501(3)(C) 7000 0 PROVIDE FUNDS TO SUPPORT LOCAL FOOD BANKS, ASSISTING THEM IN THE PURCHASE OF FOOD SUPPLIES AND EQUIPMENT, FOR THE HEALTH AND WELL BEING OF THE COMMUNITIES SERVED BY VMF. SEWICKLEY YMCA QUAKER VALLEY FOOD RELIEF 625 BLACKBURN ROAD SEWICKLEY PA 15143 250979384 501(3)(C) 7000 0 PROVIDE FUNDS TO SUPPORT LOCAL FOOD BANKS, ASSISTING THEM IN THE PURCHASE OF FOOD SUPPLIES AND EQUIPMENT, FOR THE HEALTH AND WELL BEING OF THE COMMUNITIES SERVED BY VMF. CENTER FOR HOPE 740 PARK ROAD AMBRIDGE PA 15003 061651889 501(3)(C) 7000 0 PROVIDE FUNDS TO SUPPORT LOCAL FOOD BANKS, ASSISTING THEM IN THE PURCHASE OF FOOD SUPPLIES AND EQUIPMENT, FOR THE HEALTH AND WELL BEING OF THE COMMUNITIES SERVED BY VMF. UNITED WAY OF BEAVER COUNTY 3582 BRODHEAD ROAD SUITE 205 MONACA PA 15061 251086798 501(3)(C) 22000 0 PROVIDE FUNDS TO SUPPORT LOCAL FOOD BANKS, ASSISTING THEM IN THE PURCHASE OF FOOD SUPPLIES AND EQUIPMENT, FOR THE HEALTH AND WELL BEING OF THE COMMUNITIES SERVED BY VMF. DESIGNATED FOR THE SALVATION ARMY OF BEAVER COUNTY. FOCUS ON RENEWAL NEIGHBORHOOD CORPORATION 420 CHARTIERS AVENUE MCKEES ROCKS PA 15136 237181440 501(3)(C) 7000 0 PROVIDE FUNDS TO SUPPORT LOCAL FOOD BANKS, ASSISTING THEM IN THE PURCHASE OF FOOD SUPPLIES AND EQUIPMENT, FOR THE HEALTH AND WELL BEING OF THE COMMUNITIES SERVED BY VMF. BEAVER COUNTY YMCA 2236 THIRD AVENUE NEW BRIGHTON PA 15066 203139411 501(3)(C) 7000 0 PROVIDE FUNDS TO SUPPORT LOCAL FOOD BANKS, ASSISTING THEM IN THE PURCHASE OF FOOD SUPPLIES AND EQUIPMENT, FOR THE HEALTH AND WELL BEING OF THE COMMUNITIES SERVED BY VMF. SEWICKLEY COMMUNITY CENTER 15 CHADWICK STREET SEWICKLEY PA 15143 251048779 501(3)(C) 7000 0 PROVIDE FUNDS TO SUPPORT LOCAL FOOD BANKS, ASSISTING THEM IN THE PURCHASE OF FOOD SUPPLIES AND EQUIPMENT, FOR THE HEALTH AND WELL BEING OF THE COMMUNITIES SERVED BY VMF. TWELVE LOAVES LLC 1031 SECOND AVENUE NEW BRIGHTON PA 15066 823826885 501(3)(C) 7000 0 PROVIDE FUNDS TO SUPPORT LOCAL FOOD BANKS, ASSISTING THEM IN THE PURCHASE OF FOOD SUPPLIES AND EQUIPMENT, FOR THE HEALTH AND WELL BEING OF THE COMMUNITIES SERVED BY VMF. WEST HILLS FOOD PANTRY 522 CARNOT ROAD MOON TOWNSHIP PA 15108 251669851 501(3)(C) 7000 0 PROVIDE FUNDS TO SUPPORT LOCAL FOOD BANKS, ASSISTING THEM IN THE PURCHASE OF FOOD SUPPLIES AND EQUIPMENT, FOR THE HEALTH AND WELL BEING OF THE COMMUNITIES SERVED BY VMF. 10 EDUCATIONAL ASSISTANCE (BSN) 4 4754 FMV N/A EDUCATIONAL ASSISTANCE 34 73560 FMV N/A STUDENT NURSE SCHOLARSHIPS 12 86620 FMV N/A RADIOLOGY STUDENT SCHOLARSHIPS 1 14700 FMV N/A 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. PART III LINE 1 HERITAGE VALLEY OFFERS SUPPLEMENTAL FINANCIAL ASSISTANCE FOR FULL-TIME AND PART-TIME 1 REGISTERED NURSES TO OBTAIN THEIR BSN. REGISTERED NURSE CANDIDATES CAN RECEIVE UP TO A MAXIMUM OF $10,000 TO OBTAIN THEIR BSN. THE RECIPIENT MUST BE IN GOOD EMPLOYMENT STANDING, REGISTERED NURSES WHO HAVE BEEN ACCEPTED INTO AN ACCREDITED EDUCATIONAL INSTITUTION OFFERING AN RN TO BSN PROGRAM, AND EMPLOYED BY HERITAGE VALLEY FOR AT LEAST ONE (1) YEAR. HERITAGE VALLEY HEALTH SYSTEM ENCOURAGES NURSES TO ACHIEVE CERTIFICATION IN THEIR SPECIALTY. FOR ANY REGISTERED NURSE WHO WISHES TO VOLUNTARILY OBTAIN AND/OR MAINTAIN A CERTIFICATION, THE HOSPITAL SHALL REIMBURSE ACTIVE FULL TIME AND PART TIME 1 EMPLOYEES MEETING THE FOLLOWING CRITERIA: THE SPECIALTY CERTIFICATION OF INTEREST IS DIRECTLY APPLICABLE TO THE NURSE'S CURRENT POSITION, APPROVAL IS OBTAINED AT LEAST 30 DAYS IN ADVANCE, AND THE EMPLOYEE MUST HAVE WORKED IN THE UNIT FOR AT LEAST (1) YEAR. PART III LINE 2 EDUCATIONAL ASSISTANCE EDUCATIONAL ASSISTANCE IS GRANTED TO ACTIVE, ELIGIBLE FULL-TIME AND PART-TIME EMPLOYEES. CURRENT AND FUTURE EDUCATIONAL, TRAINING AND STAFFING NEEDS OF THE ORGANIZATION ARE TAKEN INTO CONSIDERATION WHEN GRANTING EDUCATIONAL ASSISTANCE. THE GRADE REPORT FOR EMPLOYEES RECEIVING EDUCATIONAL ASSISTANCE MUST SHOW A GRADE OF "C OR BETTER FOR UNDERGRADUATE AND A "B OR BETTER FOR GRADUATE LEVEL COURSES. STUDENT NURSE SCHOLARSHIPS FUNDS ARE BUDGETED AND BUDGETS ARE APPROVED BY THE HERITAGE VALLEY HEALTH SYSTEM BOARD ON AN ANNUAL BASIS. ALL AMOUNTS DISBURSED ARE APPROVED BY THE PRESIDENT/CEO OF HERITAGE VALLEY. SCHOOL OF RADIOLOGY SCHOLARSHIPS FUNDS ARE BUDGETED AND BUDGETS ARE APPROVED THE HVHS BOARD ON AN ANNUAL BASIS. STUDENTS ARE REQUIRED TO MAINTAIN A MINIMUM "B" GRADE IN ALL DIDACTIC AND CLINICAL RADIOGRAPHY COURSES AND MINIMUM "C" GRADE IN LA ROCHE UNIVERSITY SCIENCE AND MATH COURSES. IN ACCORDANCE WITH THE GRADING SCALE OUTLINED IN THE HVHS SCHOOL OF RADIOLOGY STUDENT HANDBOOK AND THE LA ROCHE UNIVERSITY STUDENT HANDBOOK. X 1 1 X X X X 0 0 0 0 0 0 0 0 0 NORMAN F MITRY PRESIDENT & CEO 840814 0 250250 0 41981 0 28098 0 16738 0 1177881 0 0 0 MICHAEL CRATTY MD CHIEF MEDICAL OFFICER 0 466096 0 121800 0 26150 0 13200 0 17975 0 645221 0 0 MICHAEL MALKOWSKI MD DIRECTOR/PHYSICIAN 0 476316 0 115702 0 15200 0 13200 0 20076 0 640494 0 0 JEFFREY HEIN MD DIRECTOR/PHYSICIAN 0 195214 0 287148 0 32050 0 13200 0 18210 0 545822 0 0 RONALD LECKEY MD MEDICAL DIRECTOR EMERGENCY 422036 0 0 0 39916 0 34687 0 22903 0 519542 0 0 0 MATTHEW WHEELER MD ASSISTANT MEDICAL DIRECTOR 386404 0 0 0 65050 0 22568 0 22873 0 496895 0 0 0 LINDA HOMYK VP PATIENT CARE SERVICES 300281 0 79800 0 30054 0 31398 0 16970 0 458503 0 0 0 SHAYLA CAMMARATA MD PHYSICIAN 327197 0 0 0 39561 0 21498 0 22844 0 411100 0 0 0 LAURIE CLEMENS VP HUMAN RESOURCES 260668 0 70000 0 25242 0 28098 0 22784 0 406792 0 0 0 JON ZAGORSKI CHIEF INFORMATION OFFICER 264608 0 61600 0 16994 0 31398 0 22771 0 397371 0 0 0 MICHAEL BOYD MD PHYSICIAN 303618 0 0 0 42167 0 18397 0 22892 0 387074 0 0 0 JASON VENET MD PHYSICIAN 306619 0 0 0 35523 0 14327 0 8684 0 365153 0 0 0 GARRETT RICHARDSON ASST. TREASURER, ASSOCIATE VP, FINAN 204327 0 0 0 6144 0 11084 0 724 0 222279 0 0 0 PART I, LINE 1A CEO SOCIAL MEMBERSHIP DUES AT CLUB ARE PAID BY THE ORGANIZATION. PART I, LINE 3 HERITAGE VALLEY HEALTH SYSTEM'S BOARD OF DIRECTORS HAS APPOINTED AN EXECUTIVE COMPENSATION COMMITTEE TO REVIEW THE SALARIES FOR THE ORGANIZATION'S CEO AND OTHER SENIOR MANAGEMENT OFFICIALS. AS PART OF THE REVIEW, THE EXECUTIVE COMPENSATION COMMITTEE ENGAGED AN OUTSIDE CONSULTING FIRM TO REVIEW THE BASE SALARIES OF THE SENIOR MANAGEMENT TEAM INCLUDING THE CEO IN COMPARISON TO THE MARKET TO ENSURE REASONABLENESS OF COMPENSATION. MARKET ADJUSTMENTS ARE MADE ACCORDINGLY IN INSTANCES WHERE DATA SUPPORTED SUCH CHANGES FOR THE PERIOD. BONUSES ARE PAID IN ACCORDANCE WITH AN INCENTIVE COMPENSATION PLAN WHICH WAS DEVELOPED AND APPROVED BY THE BOARD OF DIRECTORS SEVERAL YEARS AGO. A ALLEGHENY COUNTY HOSPITAL DEVELOPMENT AUTHORITY 251327925 2019-12-12 35825000 REFUNDING OF OUTSTANDING SERIES 2012 BEAVER REVENUE BONDS 0 0 0 B ALLEGHENY COUNTY HOSPITAL DEVELOPMENT AUTHORITY 251327925 2019-12-12 19455000 REFUNDING OF OUTSTANDING 2005A GROSS REVENUE BONDS 0 0 0 A 14960000 35825000 35647684 304384 2019 1 0 1 1 B 2970000 19455000 170904 2019 1 0 1 1 A 0 0 0 0 1 0 1 B 0 0 0 0 1 0 1 A 0 1 0 0 1 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER, HERITAGE VALLEY HEALTH SYSTEM, ACTING BY AND THROUGH ITS BOARD OF DIRECTORS HAVE EXCLUSIVE POWER TO: 1. ELECT ALL MEMBERS TO THE CORPORATION'S BOARD OF DIRECTORS, WITH RIGHT TO REVOKE THE ELECTED DIRECTORS, WITH OR WITHOUT CAUSE; 2. AMEND OR APPROVE AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS: 3. APPROVE ANY VOLUNTARY DISSOLUTION, MERGER OR CONSOLIDATION OF THE CORPORATION; AND 4. APPROVE THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER, HERITAGE VALLEY HEALTH SYSTEM, APPOINTS THE MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER, HERITAGE VALLEY HEALTH SYSTEM, ACTING BY AND THROUGH ITS BOARD OF DIRECTORS HAVE EXCLUSIVE POWER TO: 1. ELECT ALL MEMBERS TO THE CORPORATION'S BOARD OF DIRECTORS, WITH RIGHT TO REVOKE THE ELECTED DIRECTORS, WITH OR WITHOUT CAUSE; 2. AMEND OR APPROVE AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS: 3. APPROVE ANY VOLUNTARY DISSOLUTION, MERGER OR CONSOLIDATION OF THE CORPORATION; AND 4. APPROVE THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE COMPLETED FORM 990 AND ALL ASSOCIATED FORMS IS MADE AVAILABLE ELECTRONICALLY TO ALL BOARD OF DIRECTORS MEMBERS AND SENIOR MANAGEMENT FOR REVIEW AND COMMENT PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE (IRS). THE BOARD OF DIRECTORS HAS DELEGATED THE RESPONSIBILITY FOR REVIEW AND APPROVAL OF THE FORM 990 TO THE FINANCE COMMITTEE OF THE BOARD, WHICH MEETS, REVIEWS, AND APPROVES THE FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL EMPLOYEES, INCLUDING MANAGEMENT ARE REQUIRED TO SIGN AN ACKNOWLEDGMENT AFTER REVIEWING OUR CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS DOCUMENTING AN UNDERSTANDING OF ITS CONTENTS. EMPLOYEES SIGN THIS STATEMENT DURING ANNUAL MANDATORY EDUCATION TRAINING. ANY POTENTIAL CONFLICTS ARE REFERRED TO THE APPROPRIATE VICE PRESIDENT AND HUMAN RESOURCES TO CONFIRM AND RESOLVE THE CONFLICT. OTHER POTENTIALLY INTERESTED PARTIES, SUCH AS BOARD MEMBERS, AND OFFICERS SIGN A STATEMENT ANNUALLY WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX EXEMPT PURPOSES. THE CHAIRPERSON OF THE BOARD MEMBERS ARE FAMILIAR WITH POTENTIAL CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 HERITAGE VALLEY HEALTH SYSTEM'S BOARD OF DIRECTORS HAS APPOINTED AN EXECUTIVE COMPENSATION COMMITTEE TO REVIEW THE SALARIES FOR THE ORGANIZATION'S CEO AND OTHER SENIOR MANAGEMENT OFFICIALS. AS PART OF THE REVIEW, THE EXECUTIVE COMPENSATION COMMITTEE ENGAGED AN OUTSIDE CONSULTING FIRM TO REVIEW THE BASE SALARIES OF THE SENIOR MANAGEMENT TEAM INCLUDING THE CEO IN COMPARISON TO THE MARKET TO ENSURE REASONABLENESS OF COMPENSATION. MARKET ADJUSTMENTS ARE MADE ACCORDINGLY IN INSTANCES WHERE DATA SUPPORTED SUCH CHANGES FOR THIS PERIOD. BONUSES ARE PAID IN ACCORDANCE WITH AN INCENTIVE COMPENSATION PLAN WHICH WAS DEVELOPED AND APPROVED BY THE BOARD OF DIRECTORS SEVERAL YEARS AGO. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PUBLISHES CONDENSED FINANCIAL STATEMENTS FOR PUBLIC USE ON ITS WEBSITE WWW.HERITAGEVALLEY.ORG. GOVERNING DOCUMENTS AND POLICIES, INCLUDING CONFLICTS OF INTEREST, ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: PENSION OBLIGATION ADJUSTMENT 5,009,000. IMPAIRMENT OF HELD AND USED LONG-LIVED ASSETS -14,126,000. RESTRICTED INVESTMENT RETURN 13,000. OTHER NET -3,923,000. RESTRICTED CONTRIBUTIONS 28,000. HERITAGE VALLEY HEALTH SYSTEM INC 1000 DUTCH RIDGE ROAD BEAVER PA 15009 251441518 PARENT SUPPORTING ORG PA 501(C)(3) 11C N/A 0 HOSPITALITY SHOP OF SEWICKLEY VALLEY 720 BLACKBURN ROAD SEWICKLEY PA 15143 251012989 FUNDRAISING PA 501(C)(3) 11C HERITAGE VALLEY HEALTH SYSTEM 0 THE MEDICAL CENTER AUXILIARY 1000 DUTCH RIDGE ROAD BEAVER PA 15009 251383145 FUNDRAISING PA 501(C)(3) 11C HERITAGE VALLEY HEALTH SYSTEM 0 HERITAGE VALLEY HEALTH SYSTEM FOUNDATION 25 HECKEL ROAD 4TH FLOOR MCKEES ROCKS PA 15136 251801534 FUNDRAISING PA 501(C)(3) 11C HERITAGE VALLEY HEALTH SYSTEM 0 WORKERS COMPENSATION TRUST FUND 25 HECKEL ROAD 4TH FLOOR MCKEES ROCKS PA 15136 251463381 WORKERS COMPENSATION PA 501(C)(3) 11C VALLEY MEDICAL FACILITIES INC 1 HERITAGE VALLEY HEALTHCARE NETWORK LLC 1000 DUTCH RIDGE ROAD BEAVER PA 15009 814233618 CLINICALLY INTEGRATED NETWORK PA 501(C)(3) 11C HERITAGE VALLEY HEALTH SYSTEM 0 HERITAGE VALLEY HEALTHCARE NETWORK ACO LLC 1000 DUTCH RIDGE ROAD BEAVER PA 15009 821646033 CLINICALLY INTEGRATED NETWORK PA 501(C)(3) 11C HERITAGE VALLEY HEALTH SYSTEM 0 OVH PROFESSIONAL LIABILITY SELF-INSURANCE 25 HECKEL ROAD 4TH FLOOR MCKEES ROCKS PA 15136 251619844 MALPRACTICE INSURANCE PA 501(C)(3) 12B, II VALLEY MEDICAL FACILITIES INC 1 OVH WORKER COMPENSATION SELF-INSURANCE TRUST 25 HECKEL ROAD 4TH FLOOR MCKEES ROCKS PA 15136 251619842 WORKERS COMPENSATION PA 501(C)(3) 12B, II VALLEY MEDICAL FACILITIES INC 1 CONSOLIDATED SUPPLY CHAIN SERVICES 25 HECKEL ROAD 4TH FLOOR MCKEES ROCKS PA 15136 271055405 GROUP PURCHASING PA N/A 0 0 EDGEWORTH COMMONS GROUP LLC 725 CHERRINGTON PARKWAY SUITE 200 MOON TOWNSHIP PA 15108 020713415 SURGERY CENTER PA N/A 0 0 BEAVER VALLEY AMBULATORY SURGERY CENTER LLC 1030 BEANER HOLLOW ROAD BEAVER PA 15009 822918272 SURGERY CENTER PA N/A 0 0 TRI-STATE OBSTETRICS & GYNECOLOGY 1000 DUTCH RIDGE ROAD BEAVER PA 15009 251776052 PHYSICIAN PRACTICE PA N/A C 0 HERITAGE VALLEY PEDIATRICS INC 1000 DUTCH RIDGE ROAD BEAVER PA 15009 251775950 PHYSICIAN PRACTICE PA N/A C 0 HERITAGE VALLEY MULTISPECIALTY GROUP INC 1000 DUTCH RIDGE ROAD BEAVER PA 15009 251775949 PHYSICIAN PRACTICE PA N/A C 0 TRI-STATE GYNECOLOGY INC 1000 DUTCH RIDGE ROAD BEAVER PA 15009 841647473 PHYSICIAN PRACTICE PA N/A C 0 HERITAGE VALLEY INSURANCE COMPANY PO BOX 1051 GRAND CAYMAN CJ 251441518 PROFESSIONAL LIABILITY CAPTIVE CJ N/A C 0 EMBROOKE INCORPORATED 25 HECKEL ROAD 4TH FLOOR MCKEES ROCKS PA 15136 300008536 AMBULANCE SERVICES PA VALLEY MEDICAL FACILITIES INC C 574461 2055807 1.00000 1 KBS ANESTHESIA INC 1000 DUTCH RIDGE ROAD BEAVER PA 15009 834184731 PROVIDES MEDICAL SERVICES PA N/A C 0 0 1 1 0 0 0 0 0 0 1 0 0 1 1 1 1 1 1 1