2014-02-10T15:37:43-06:00 2013-06-30 250988255 CARBIS WALKER LLP 5700 CORPORATE DRIVE STE 650 PITTSBURGH PA 15237 990 2012-07-01 251002946 MEYERSDALE COMMUNITY HOSPITAL MEYE 8146345911 200 HOSPITAL DRIVE MEYERSDALE PA 15552 EDWARD DEPASQUALE 8144108271 2014-01-30 1 JEFFREY J PETRELL CPA P00138808 4126356270 2014-01-30 2012 2015-11-30 17:44:51Z MEYERSDALE MEDICAL CENTER SCOTT BECKER 1086 FRANKLIN STREET JOHNSTOWN PA 15905 13023917 0 X WWW.CONEMAUGH.ORG X 1952 PA GENERAL ACUTE CARE CRITICAL ACCESS HOSPITAL PROVIDING INPATIENT, SWING BED, OUTPATIENT, AND CLINIC SERVICES TO THE SOUTHERN SOMERSET COUNTY POPULATION. 14 8 147 23 0 0 98602 104424 11782292 12778686 59509 37981 114148 46760 12054551 12967851 0 7000 0 0 5414947 5630814 0 0 0 6332739 6447029 11747686 12084843 306865 883008 8892745 9728169 3885968 3770679 5006777 5957490 X GENERAL ACUTE CARE CRITICAL ACCESS HOSPITAL PROVIDING INPATIENT, SWING BED, OUTPATIENT, AND CLINIC SERVICES TO THE SOUTHERN SOMERSET COUNTY POPULATION. 0 0 9983579 7000 12809839 LOCATED IN SOUTHERN SOMERSET COUNTY, MEYERSDALE COMMUNITY HOSPITAL (MYMC) IS A STATE DESIGNATED CRITICAL CARE ACCESS HOSPITAL DEEMED A NECESSARY HEALTH CARE PROVIDER BY THE COMMONWEALTH OF PENNSYLVANIA. SPECIALIZING IN FAMILY AND PRIMARY CARE, MYMC OFFERS 20 BEDS FOR INPATIENT AND OUTPATIENT CARE; 24/7 EMERGENCY DEPARTMENT; OR FOR SHORT OR MINOR PROCEDURES; RADIOLOGY SERVICES, INCLUDING MOBILE MRI, AND CT SCANS; PATHOLOGY SERVICES; PHYSICAL THERAPY; RESPIRATORY THERAPY; ULTRASOUND; WOUND HEALING; OB/GYN OUTPATIENT CARE; STEP-DOWN SWING UNIT; AND MEDSTAR MEDICAL HELICOPTER TRANSPORTATION. DURING FISCAL YEAR 2013, THE HOSPITAL TREATED 249 ACUTE PATIENTS FOR A TOTAL OF 854 DAYS AND 97 SWING BED PATIENTS FOR A TOTAL OF 901 DAYS. ALSO, 40,742 OUTPATIENTS WERE TREATED THROUGHOUT THE FACILITY'S CLINICAL DEPARTMENTS AND RURAL HEALTH CLINICS. 9983579 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 29 0 1 147 1 0 0 0 0 0 0 0 0 0 0 X 14 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X HEATHER SMITH 8146345911 200 HOSPITAL DRIVE MEYERSDALE PA 15552 FRANK QUITONI 1.00 2.00 X X 0 0 0 SAMUEL MCCLURE 1.00 2.00 X X 0 0 0 PATTI STEFANICK DO 1.00 4.00 X X 0 25000 0 ALAN STANKIEWICZ DO 1.00 2.00 X X 0 0 0 WILLIAM DURYEA 1.00 2.00 X X 0 0 0 ELMER LASLO 1.00 2.00 X 0 0 0 THOMAS MARINO 1.00 2.00 X 0 0 0 KEVIN MILLER 1.00 2.00 X 0 0 0 WILLIAM POLACEK 1.00 2.00 X 0 0 0 NATHAN THOMAS MD 2.00 42.00 X 0 168144 30924 JAMES TRETTER DO 1.00 73.00 X 0 599165 38064 SHIBAN WARIKOO MD 1.00 42.00 X 0 313454 22390 STEVEN TUCKER 3.00 50.50 X X 0 444155 32796 SCOTT BECKER 1.00 69.00 X X 0 874726 35496 EDWARD DEPASQUALE 1.00 49.00 X 0 441373 31177 DAVID CARLSON DO 2.00 48.50 X 0 539348 28020 JOSEPH DADO 2.00 51.00 X 0 352918 15945 MARY LIBENGOOD 50.00 X 166047 0 20054 166047 3758283 254866 1 0 1 0 CONEMAUGH HEALTH INITIATIVES 1086 FRANKLIN STREET JOHNSTOWN PA 15905 ER PHYSICIAN, OFFICE STAFF 1211272 MEMORIAL MEDICAL CENTER 1086 FRANKLIN STREET JOHNSTOWN PA 15905 FINANCIAL, IT, PHARMACY SVCS 1075681 WILHELM MERIWETHER 9213 PEGASUS COURT POTOMAC MD 20854 ER PHYSICIAN 233328 CDL 6400 BROOKTREE COURT WEXFORD PA 15090 NUCLEAR MEDICINE 189395 ALLIANCE IMAGING PO BOX 96485 CHICAGO IL 60693 MRI 165538 7 20893 83531 104424 NET PATIENT SERVICE REVENUE 900099 12528525 12528525 340B REVENUE 900099 199165 199165 BLOOD SCREENING 900099 50780 50780 MEDICAL RECORDS & VERISMA 900099 216 216 12778686 37981 37981 27226 51598 -24372 -24372 -24372 12345 4468 7877 7877 MEANINGFUL USE 900099 21250 21250 CAFETERIA AND VENDING SALES 900099 9903 9903 32102 32102 63255 12967851 12809839 0 53588 7000 7000 189454 37891 151563 4233399 3582754 650645 163818 134331 29487 717448 588307 129141 326695 276921 49774 191256 191256 5540 5540 600 600 998591 998591 62148 62148 72419 36428 35991 326192 244964 81228 34158 615 33543 12647 10425 2222 95953 95953 463402 370722 92680 105873 84698 21175 PURCHASED SERVICES 2474333 1987009 487324 PATIENT SUPPLIES AND FO 1028498 1019674 8824 REPAIRS AND MAINTENANCE 412408 389556 22852 BAD DEBT EXPENSE 93879 93879 69132 23861 45271 12084843 9983579 2101264 0 2832097 12642 344083 4329472 1585286 1330630 17931 27880 9669637 6708738 3098598 2960899 1014750 1066646 8892745 9728169 794000 715538 49189 54370 1484646 1486543 150952 51884 1407181 1462344 3885968 3770679 X 4077321 4974128 211860 237373 717596 745989 5006777 5957490 8892745 9728169 X 883008 67705 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 600 600 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: MEMBERSHIP DUES PAID TO THE HOSPITAL COUNCIL OF WESTERN PENNSYLVANIA INDICATED THAT A SPECIFIC PERCENTAGE OF THE DUES WOULD BE RELATED TO LOBBYING ACTIVITIES. 136049 136049 5641511 3592382 2049129 3750169 3105845 644324 141908 10511 131397 2960899 ACCRUED INTEREST RECEIVABLE 77 MISCELLANEOUS ACCOUNTS RECEIVABLE 16137 INTEREST IN INCOME TRUSTS 745989 RESTRICTED CASH FOUNDATION 173934 RESTRICTED CASH FOUNDATION - CITIZENS NATIONAL BANK 63439 DEFERRED FINANCING EXPENSE 29195 ASSETS HELD BY TRUSTEE 37875 1066646 ASSET RETIREMENT OBLIGATION 75233 DUE TO MEMORIAL MEDICAL CENTER 791899 DUE TO CONEMAUGH HEALTH INITIATIVES, INC. 104453 DUE TO MEDICARE 459603 DUE TO CONEMAUGH HEALTH SYSTEM, INC. 31156 1462344 1 1 X 1 X 0 1 1 0 1 1 776404 0 776404 0.06470 766954 1280169 -513215 0.00000 14185 13456 729 0.00010 1557543 1293625 263918 0.06480 36836 0 36836 0.00310 36836 36836 0.00310 1594379 1293625 300754 0.06790 7000 0 7000 0.00060 7000 7000 0.00060 0 44779 0 3502166 3095970 406196 X 1 1 1 1 MEYERSDALE COMMUNITY HOSPITAL

200 HOSPITAL DRIVE MEYERSDALE PA 15552

WWW.CONEMAUGH.ORG X X X X MEYERSDALE COMMUNITY HOSPITAL 1 1 X X X X X X X X 12 1 1 1 X X X X X X X X X 0 0 1 1 200.000000000000 0 1 X X 1 1 X X X 1 0 1 X 0 0 2 FAMILY HEALTHCARE RHC MEYERSDALE

202 BEACHLEY STREET MEYERSDALE PA 15552

RURAL HEALTH CLINIC FAMILY HEALTHCARE RHC SALISBURY

231 ORD STREET SALISBURY PA 15558

RURAL HEALTH CLINIC PART I, LINE 3C: FEDERAL POVERTY GUIDELINES (FPG) ARE USED TO DETERMINE ELIGIBILITY FOR FREE CARE. HOWEVER, FPG ARE NOT USED WHEN MAKING A DETERMINATION FOR DISCOUNTED CARE. IN THESE CASES, ALL SELF-PAY, UNINSURED PATIENTS ARE OFFERED A 60% DISCOUNT OFF OF CHARGES. PART I, LINE 7: THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED ON PART I, LINES 7A, 7B, AND 7C WAS BASED ON THE CONEMAUGH HEALTH SYSTEM'S COST ACCOUNTING SYSTEM AND ADDRESSES ALL PATIENT SEGMENTS. FOR FURTHER DETAILS OF THIS SYSTEM, SEE THE DESCRIPTION FOR PART III, LINE 8. THE METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED ON PART I, LINES 7E THROUGH 7I AS APPLICABLE, WAS BASED ON ACTUAL REVENUES AND EXPENSES INCURRED.PART I, LINE 7B: A GAIN WAS EXPERIENCED WITHIN THE MEDICAID PROGRAMS THIS YEAR DUE TO THE TIMING OF THE COST SETTLEMENTS RECEIVED. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 93879. PART II: MEYERSDALE MEDICAL CENTER'S COMMUNITY BUILDING INITIATIVES CONSIST OF A DONATION MADE TO A LOCAL ORGANIZATION THAT PROMOTES THE SUCCESS OF HIGH SCHOOL STUDENTS IN MANY AREAS, INCLUDING COMMUNITY SERVICE. PART III, LINE 4: PART III, LINE 2: THE METHODOLOGY UTILIZED TO DETERMINE THE AMOUNT REPORTED AS BAD DEBT IS BASED ON THE DESCRIPTIONS CONTAINED IN THE FOOTNOTES DETAILED UNDER PART III, LINE 4. THESE PROCESSES ARE FOLLOWED TO SUPPORT THE AMOUNT OF BAD DEBT REPORTED ON THE FINANCIAL STATEMENTS, WHICH IS REPORTED AT CHARGES. THE ORGANIZATION'S COST TO CHARGE RATIO IS THEN USED TO CALCULATE THE AMOUNT OF BAD DEBT AT COST, SHOWN ON LINE 2. PART III, LINE 3: THE AMOUNT REPORTED ON LINE 3 IS ZERO AS THERE IS NO PORTION OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. CHS HAS IMPLEMENTED A SCORING SYSTEM BASED ON FEDERAL POVERTY GUIDELINES THAT SEGREGATES PATIENT BALANCES THAT ARE WRITTEN OFF TO PRESUMPTIVE CHARITY CARE, RATHER THAN BEING SENT TO COLLECTION. THIS HAS RESULTED IN MOVING PATIENTS OUT OF BAD DEBT STATUS THAT WOULD OTHERWISE BE PRESUMED TO BE ELIGIBLE UNDER THE CHS FINANCIAL ASSITANCE POLICY.PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE FOOTNOTE - ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, CHS ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, CHS 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 WHERE THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, CHS RECORDS A SIGNIFICANT 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 DISCOUNTED RATES PROVIDED BY POLICY AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. CHS' ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS DECREASED FROM 86 PERCENT OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2012 TO 85 PERCENT OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2013. IN ADDITION, CHS' WRITE-OFFS DECREASED APPROXIMATELY $5,514,000 FROM APPROXIMATELY $11,316,000 FOR THE YEAR ENDED JUNE 30, 2012, TO APPROXIMATELY $5,802,000 FOR THE YEAR ENDED JUNE 30, 2013. BOTH DECREASES WERE THE RESULT OF CHANGES IN SELF-PAY DISCOUNTING POLICIES EFFECTIVE JULY 1, 2011 THAT RESULTED IN DISCOUNTS ON SELF-PAY ACCOUNTS RECORDED IN NET PATIENT SERVICE REVENUE BEFORE THE PROVISION FOR BAD DEBTS. PART III, LINE 8: CONEMAUGH HEALTH SYSTEM UTILIZES MCKESSON'S HORIZON PERFORMANCE MANAGER (HPM) FOR COST ACCOUNTING. HPM PROVIDES THE ABILITY TO ALLOCATE ALL DEPARTMENTAL EXPENSES AT THE INDIVIDUAL CHARGE FOR EACH CHARGING DEPARTMENT, AS WELL AS ALLOCATE OVERHEAD EXPENSES IN A CONSISTENT MANNER. THE ENCOUNTER COSTING FUNCTIONALITY OF HPM PROVIDES THE ABILITY TO THEN DETERMINE AN ACCURATE ESTIMATE OF COST AT THE PATIENT LEVEL BASED ON THE CHARGE UNIT COSTS. THE SYSTEM THEN PROVIDES THE ABILITY TO SUMMARIZE THE PATIENT VOLUME, CHARGES, AND COSTS IN ANY NUMBER OF WAYS, INCLUDING PAYER SPECIFIC COST ALLOCATION. PART III, LINE 9B: PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE ARE NOT PURSUED USING ANY DEBT COLLECTION PRACTICES. MEYERSDALE COMMUNITY HOSPITAL PART V, SECTION B, LINE 3: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS INCLUDED INTERVIEWS TO GATHER INPUT FROM A BROAD RANGE OF COMMUNITY MEMBERS INCLUDING THOSE WITH PUBLIC HEALTH KNOWLEDGE AND EXPERTISE. KEY INDIVIDUALS WERE IDENTIFIED AND 26 OPEN-ENDED INTERVIEWS WERE COMPLETED WITH PARTICIPANTS FROM THE FOLLOWING PROFESSIONS: CHILD SERVICES, EDUCATION, CLERGY, ELECTED GOVERNMENT OFFICIALS, GOVERNMENT AGENCIES, HEALTH CARE, HUMAN SERVICE AGENCIES, JUDICIAL, LAW, NURSES, PHYSICIANS, SENIOR SERVICES, AND PUBLIC SAFETY. EACH PROFESSIONAL WAS ASKED WHAT HE OR SHE PERCEIVED TO BE THE MOST PRESSING ISSUES IN THE COMMUNITY.IN ADDITION, PAPER AND/OR ELECTRONIC SURVEYS WERE ADMINISTERED TO ASSURE THAT COMMUNITY MEMBERS, INCLUDING UNDER-REPRESENTED RESIDENTS, WERE INCLUDED IN THE NEEDS ASSESSMENT PLANNING PROCESS. A TOTAL OF 3,491 SURVEYS WERE DISTRIBUTED AND 446 WERE RETURNED; A PARTICIPATION RATE OF 12.7%. THE CHNA PROCESS ALSO INCLUDED FOCUS GROUPS AT TWO PUBLIC HOUSING FACILITIES TO ENSURE THAT POTENTIALLY UNDER-REPRESENTED RESIDENTS WERE INCLUDED. MEYERSDALE COMMUNITY HOSPITAL PART V, SECTION B, LINE 4: THE CHNA WAS CONDUCTED FOR ALL HOSPITALS WITHIN THE CONEMAUGH HEALTH SYSTEM: MEMORIAL MEDICAL CENTER (MMC), MINERS MEDICAL CENTER (MIMC), AND MEYERSDALE MEDICAL CENTER (MYMC). MEYERSDALE COMMUNITY HOSPITAL PART V, SECTION B, LINE 5C: THE CHNA WAS PUT ON THE CONEMAUGH HEALTH SYSTEM (CHS) WEBSITE WHICH AVERAGES ABOUT 150,000 HITS PER MONTH. THE CHNA WAS ALSO MENTIONED IN MULTIPLE NEWS RELEASES, REVIEWED AT VARIOUS COMMUNITY BOARD MEETINGS AND GATHERINGS, AND SHARED WITH APPROXIMATELY 5,000 CHS EMPLOYEES THROUGH VARIOUS FORMATS INCLUDING THE WEEKLY HUDDLE, CARENOTES NEWSLETTER, AND PHYSICIAN NEWSLETTER. THE CHNA WAS ALSO HIGHLIGHTED IN THE CHS PRIME MAGAZINE WHICH IS MAILED TO APPROXIMATELY 28,000 CONSUMERS AND EMAILED TO ANOTHER 6,000 ON AVERAGE. THE CHNA WAS PRESENTED TO THE CHS BOARD AND TO THE HOSPITAL DIVISION BOARD GOVERNING MEMORIAL MEDICAL CENTER, MEYERSDALE MEDICAL CENTER, AND MINERS MEDICAL CENTER. MEYERSDALE COMMUNITY HOSPITAL PART V, SECTION B, LINE 6I: THE ORGANIZATION HAS DEVELOPED AND ADOPTED AN IMPLEMENTATION STRATEGY TO ADDRESS THE NEEDS IDENTIFIED WITHIN THE CHNA. THIS DOCUMENT IS AVAILABLE ON THE ORGANIZATION'S WEBSITE USING THIS SPECIFIC LINK: HTTP://WWW.CONEMAUGH.ORG/TEMPLATE_ARTICLE.ASPX?ID=11782 MEYERSDALE COMMUNITY HOSPITAL PART V, SECTION B, LINE 7: THE CHNA IDENTIFIED A TOTAL OF EIGHT PRIORITY HEALTH NEEDS. PLANS TO ADDRESS ALL EIGHT HAVE BEEN INITIATED AND INCLUDE MULTIPLE STEPS. HOWEVER, THE ORGANIZATION DOES HAVE CONCERNS ABOUT THE SUCCESS OF SIGNIFICANTLY IMPACTING OBESITY AND DRUG ADDICTION, AS THESE ARE DEEP SEATED ISSUES IN OUR COMMUNITY AND THE ORGANIZATION HAS LIMITED FINANCIAL RESOURCES TO ADDRESS THESE ISSUES. MEYERSDALE COMMUNITY HOSPITAL PART V, SECTION B, LINE 11: FEDERAL POVERTY GUIDELINES ARE NOT USED IN THE DETERMINATION OF DISCOUNTED CARE. ALL SELF-PAY, UNINSURED PATIENTS ARE OFFERED A 60% DISCOUNT OFF OF CHARGES. MEYERSDALE COMMUNITY HOSPITAL PART V, SECTION B, LINE 14G: THE ORGANIZATION IS GOVERNED BY THE CONEMAUGH HEALTH SYSTEM'S FINANCIAL ASSISTANCE POLICY. A SUMMARY OF THIS POLICY IS MADE AVAILABLE VIA BROCHURES LOCATED AT ALL REGISTRATION SITES, AND IS INCLUDED IN THE ADMISSIONS PACKET. IN ADDITION, BILLING STATEMENTS INDICATE THAT "FINANCIAL ASSISTANCE PROGRAM APPLICATIONS ARE AVAILABLE ON REQUEST, OR VISIT OUR WEBSITE AT WWW.CONEMAUGH.ORG". THE POLICY IS ALSO ADVERTISED PERIODICALLY IN THE LOCAL NEWSPAPERS. PART V, SECTION B, LINE 2: THE CHNA WAS LAST CONDUCTED DURING THE ORGANIZATION'S 2012 TAX YEAR, WHICH IS EQUVIALENT TO ITS FISCAL YEAR ENDED JUNE 30, 2013. THE IMPLEMENTATION STRATEGY WAS ALSO ADOPTED DURING THAT SAME FISCAL YEAR. PART VI, LINE 2: THERE ARE VARIOUS WAYS THAT THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES, IN ADDITION TO THE NEEDS ASSESSMENT REPORTED IN PART V, SECTION B. THE CONEMAUGH HEALTH SYSTEM (CHS) PROVIDES A WAY FOR PEOPLE WITHIN THE COMMUNITIES OF ALL MEMBER HOSPITALS TO ASK QUESTIONS THROUGH ITS WEBSITE. THROUGH EMAILUS@CONEMAUGH.ORG, THE HEALTH SYSTEM RECEIVES NUMEROUS QUESTIONS AND SUGGESTIONS, ALL OF WHICH ARE FILED BY ITS MARKETING DEPARTMENT AND THEN GIVEN TO THE APPROPRIATE PERSON OR DEPARTMENT FOR A QUICK AND ACCURATE RESPONSE. THESE EMAILS RANGE FROM SUGGESTIONS TO HEALTH QUESTIONS AND HELP FINDING AN APPROPRIATE PROVIDER OR SERVICE. IN ADDITION, NUMEROUS HEALTH FAIRS ARE HELD AT VARIOUS LOCATIONS THROUGHOUT CHS EACH YEAR TO ALLOW PEOPLE TO LEARN MORE ABOUT SPECIFIC HELP TOPICS. PEOPLE ARE ENCOURAGED TO SPEAK DIRECTLY TO CAREGIVERS AND HAVE THEIR SPECIFIC QUESTIONS ANSWERED WHEN APPROPRIATE. CHS PROVIDES A 1-800 NUMBER FOR PEOPLE TO CALL TO SEEK HELP FINDING A PHYSICIAN. CALLS COME IN DAILY WITH A VARIETY OF QUESTIONS RANGING FROM HELP FINDING A PHYSICIAN TO SPECIFIC MEDICAL QUESTIONS TO REQUESTS FOR SUPPORT GROUP INFORMATION. THE PHONE NUMBER IS INCLUDED IN MOST CHS ADVERTISING MATERIALS AS A WAY TO HELP PEOPLE FIND ADDITIONAL INFORMATION OR TO ASK QUESTIONS. THE CHS FACEBOOK PAGE PROVIDES ANOTHER OPPORTUNITY FOR PEOPLE TO PROVIDE FEEDBACK AND TO INQUIRE ABOUT HEALTH RELATED TOPICS AND SERVICES. IN ADDITION TO PROVIDING HEALTH INFORMATION AND WELLNESS TIPS, PEOPLE ARE ENCOURAGED TO PROVIDE TOPICS THEY WOULD LIKE TO LEARN MORE ABOUT. CHS USES THE VOICE OF THE CUSTOMER (VOC) TO HELP DETERMINE APPROPRIATE ADVERTISING MESSAGES AND TO PLAN PROGRAMMING. A RECENT EXAMPLE OF THIS IS A SURVEY THAT WAS CONDUCTED OF PATIENTS ASKING THEM "WHAT MAKES THE IDEAL PATIENT EXPERIENCE?" RESPONSES WERE RECEIVED FROM APPROXIMATELY 75 PATIENTS, HELPING CHS AND ITS MEMBER HOSPITALS TO CREATE IDEAL PATIENT EXPERIENCE TRAINING WHICH IS NOW UNDERWAY FOR EVERY EMPLOYEE OF CHS. VOC IS ALSO USED WITHIN LEAN SIX SIGMA PROJECTS TAKING PLACE THROUGHOUT THE HEALTH SYSTEM AS A WAY TO IMPROVE PROCESSES AND THE PATIENT EXPERIENCE. THE MARKETING DEPARTMENT ALSO REGULARLY RECEIVES FEEDBACK ON ISSUES AND HEALTH TRENDS FROM PHYSICIANS AND OTHER CLINICAL CAREGIVERS. THESE TRENDS ARE THEN ADDRESSED THROUGH MARKETING, SOCIAL MEDIA, OR MEDIA RELEASES. PART VI, LINE 3: CONEMAUGH HEALTH SYSTEM COMMUNICATES TO PATIENTS THE AVAILABILITY OF FINANCIAL ASSISTANCE UNDER FEDERAL, STATE AND LOCAL PROGRAMS, AS WELL AS THE CHARITY CARE PROGRAM, ON ITS WEBSITE, WHICH INCLUDES A DOWNLOADABLE CHARITY CARE APPLICATION AND INSTRUCTIONS. TABLE TOP BROCHURES ARE PROVIDED AT ALL POINTS OF REGISTRATION, AND BROCHURES ARE INCLUDED IN PATIENT ADMISSION PACKETS. INFORMATION ON THE AVAILABILITY OF FINANCIAL ASSISTANCE IS ALSO INCLUDED ON PATIENT STATEMENTS. ASSISTANCE IS PROVIDED TO PATIENTS TO APPLY FOR MEDICAL ASSISTANCE THROUGH A THIRD-PARTY VENDOR. A ROBUST FINANCIAL COUNSELING AND CUSTOMER SERVICE DEPARTMENT IS AVAILABLE TO HANDLE SPECIFIC PATIENT NEEDS. PART VI, LINE 4: LOCATED IN SOUTHERN SOMERSET COUNTY, MEYERSDALE MEDICAL CENTER (MYMC) IS A STATE DESIGNATED CRITICAL CARE ACCESS HOSPITAL DEEMED A NECESSARY HEALTH CARE PROVIDER BY THE COMMONWEALTH OF PENNSYLVANIA. SPECIALIZING IN FAMILY AND PRIMARY CARE, MYMC OFFERS 20 BEDS FOR INPATIENT AND OUTPATIENT CARE; 24/7 EMERGENCY DEPARTMENT; OR FOR SHORT OR MINOR PROCEDURES; RADIOLOGY SERVICES, INCLUDING MOBILE MRI, AND CT SCANS; PATHOLOGY SERVICES; PHYSICAL THERAPY; RESPIRATORY THERAPY; ULTRASOUND; WOUND HEALING; OB/GYN OUTPATIENT CARE; STEP-DOWN SWING UNIT; AND MEDSTAR MEDICAL HELICOPTER TRANSPORTATION. THROUGH ITS PARTNERSHIP WITH MEMORIAL MEDICAL CENTER (MMC), MYMC PROVIDES PATIENTS WITH ACCESS TO SPECIALISTS AND NEW TECHNOLOGIES. SPECIALTY SERVICES ARE AVAILABLE ONSITE SEVERAL TIMES A WEEK. THESE SPECIALTIES INCLUDE CARDIOLOGY, OPHTHALMOLOGY, GASTROENTEROLOGY, AND PODIATRY.WITH GENERALLY OLDER POPULATIONS, CAMBRIA AND SOMERSET COUNTIES HAVE LOWER BIRTH RATES THAN DEATH RATES WHICH WILL FURTHER REDUCE HOUSEHOLD SIZE AND RESULT IN A FURTHER INCREASE OF MEDIAN AGE OF THE POPULATION OVER TIME. MEDIAN HOUSEHOLD INCOME IN 2009 WAS $38,205 IN CAMBRIA COUNTY AND $38,712 IN SOMERSET COUNTY, WHICH ARE SIGNIFICANTLY LOWER THAN BOTH STATE AND NATIONAL AVERAGES OF $49,501 AND $50,221 RESPECTIVELY.THE CONEMAUGH HEALTH SYSTEM'S COVERAGE REGION ALSO PRESENTS SOME GEOGRAPHIC CHALLENGES DUE TO ITS MOUNTAINOUS TOPOGRAPHY AND HIGHWAY INFRASTRUCTURE. MINDFUL OF THESE CHALLENGES, THE HEALTH SYSTEM CONTINUES TO PRESENT EDUCATIONAL AND SCREENING OPPORTUNITIES TO COMMUNITIES OUTSIDE OF ITS IMMEDIATE REGION. PART VI, LINE 5: THE CONEMAUGH HEALTH SYSTEM (CHS), WHICH INCLUDES MEYERSDALE MEDICAL CENTER (MYMC), IS COMPRISED OF A MEDICAL STAFF OF ABOUT 350 PHYSICIANS REPRESENTING NUMEROUS SPECIALTIES THROUGHOUT A WIDE GEOGRAPHIC REGION. IN ADDITION, THE CONEMAUGH PHYSICIAN GROUP WITHIN CHS IS A MULTI-SPECIALTY GROUP OF MORE THAN 115 PHYSICIANS PARTICIPATING AT SITES CONVENIENTLY LOCATED ACROSS 5 COUNTIES. ALL PRIMARY CARE PHYSICIAN OFFICES ARE CONNECTED TO MYMC AND ALL CHS HOSPITALS BY AN ELECTRONIC MEDICAL RECORD SYSTEM. MYMC IS FORTUNATE TO HAVE NOT ONLY STRONG PHYSICIAN LEADERSHIP, BUT STRONG BOARD LEADERSHIP. THE BOARD IS COMPRISED OF A WIDE VARIETY OF DEDICATED LEADERS REPRESENTING DIVERSE FIELDS WHICH INCLUDES AREA BUSINESS LEADERS, EDUCATORS, AND PHYSICIANS, BOTH FROM CONEMAUGH PHYSICIAN GROUP AS WELL AS INDEPENDENT PHYSICIANS. AN ACTIVE PATIENT ADVISORY COMMITTEE CONTRIBUTES REGULAR CONSTRUCTIVE CRITICISM AND FEEDBACK REGARDING VARIOUS ASPECTS OF CARE DELIVERY INCLUDING WAY FINDING, MARKETING, AND SERVICE EXCELLENCE. IN FISCAL YEAR 2013, CHS ADDED A NUMBER OF NEW PROGRAMS AND TECHNOLOGY TO BENEFIT THE PEOPLE OF THE REGION. SOME OF THESE ADVANCEMENTS INCLUDED: STATE-OF-THE-ART COMPUTED TOMOGRAPHY (CT) SCANNER WHICH OFFERS PATIENTS FASTER, SAFER, AND MORE RELIABLE CT SCANS THAN EVER BEFORE; DA VINCI ROBOTIC ASSISTED SURGERY SYSTEM FOR GENERAL, GYNECOLOGICAL, THORACIC, AND WEIGHT LOSS SURGERY; DIGITAL MAMMOGRAPHY AT SIX CONVENIENT SITES PROVIDES EXCELLENT IMAGE QUALITY WHILE MINIMIZING THE PATIENT'S RADIATION DOSE AND EXPOSURE TIME; STATE-OF-THE-ART ELECTROPHYSIOLOGY LABORATORY OFFERING PATIENTS LOCAL DIAGNOSIS AND TREATMENT OF ABNORMAL HEART RHYTHM CONDITIONS; THE ONLY FETAL ECHOCARDIOGRAPHY LABORATORY BETWEEN PITTSBURGH AND HARRISBURG ACCREDITED BY THE INTERSOCIETAL COMMISSION FOR THE ACCREDITATION OF ECHOCARDIOGRAPHY LABORATORIES; INTERVENTIONAL RADIOLOGY CAPABILITIES NOW INCLUDE ADVANCED "C" ARMS THAT ALLOW SPECIALISTS TO VIEW IMAGES FROM TWO PLANES WHICH QUICKLY GENERATES MORE PRECISE IMAGES WITH FEWER EXPOSURES, REDUCING PATIENTS' RADIATION EXPOSURE AND SHORTENING PROCEDURE TIMES; 4G MRI CAPABILITIES OF THE NEW 48-CHANNEL MAGNETOMAERO 1.5 TESLA MRI UNIT SIGNIFICANTLY REDUCE THE TIME TO COMPLETE AN MRI PROCEDURE, WHILE PROVIDING SHARPER IMAGES THROUGH THE SOPHISTICATED TECHNOLOGY; ROBOT RX-3000HP PHARMACY SYSTEM USES BARCODE SCANNING TECHNOLOGY TO AUTOMATE THE STORAGE, PICKING, RETURNING, RESTOCKING, AND CREDITING OF MORE THAN 90% OF DAILY UNIT DOSE MEDICATIONS, PROVIDING A PATIENT SPECIFIC MEDICATION ENVELOPE WHICH PREVENTS PICKING ERRORS AND MANAGES UNIT-DOSE INVENTORY. DIGITAL MAMMOGRAPHY EQUIPMENT WAS FULLY IMPLEMENTED AT MYMC AND COMMUNITY EDUCATION AND SCREENINGS CONTINUE TO ENCOURAGE WOMEN TO TAKE ADVANTAGE OF THIS IMPORTANT SCREENING. PROMOTION OF PROGRAMS FOR THE UNINSURED AND UNDERINSURED HAS RESULTED IN MORE WOMEN SEEKING SCREENINGS THROUGH A MAMMOGRAPHY VOUCHER PROGRAM. EACH YEAR MYMC ALSO HOLDS A LARGE COMMUNITY HEALTH FAIR AT THE HOSPITAL WHICH DRAWS APPROXIMATELY 500 PEOPLE FOR HEALTH INFORMATION, MEDICAL SCREENINGS, AND EDUCATION.MYMC EMPLOYEES ARE GENEROUS WITH THEIR TIME AND TALENT. SPECIFIC EXAMPLES INCLUDE: COLLABORATION WITH THE SALVATION ARMY AND THE SALISBURY AREA FAMILY CENTER FOR THE "ANGEL TREE" PROJECT DESIGNED TO HELP UNDERPRIVILEGED FAMILIES HAVE A BRIGHTER HOLIDAY; PARTNERSHIP WITH EDWARD LIFESCIENCES AND THE MEYERSDALE AREA SCHOOL DISTRICT TO PROVIDE STUDENTS AND FAMILIES WITH A CARDIAC/DIABETES PREVENTION PROGRAM; THE MYMC RELAY FOR LIFE TEAM HOSTED "NIGHT AT THE MOVIES" WITH PROCEEDS BENEFITTING LOCAL CANCER PATIENTS; AND MYMC PRESIDENT MARY LIBENGOOD SERVES AS PRESIDENT OF THE PENNSYLVANIA RURAL HEALTH ASSOCIATION, AN ADVOCACY GROUP WITH THE GOAL OF IMPROVING AND MAINTAINING THE HEALTH OF RESIDENTS IN RURAL PENNSYLVANIA.MYMC ALSO DONATES SPACE IN ITS DINING ROOM AND CONFERENCE ROOM EACH WEEK FOR ALCOHOLIC ANONYMOUS MEETINGS. THE FACILITY IS ALSO USED FOR A MONTHLY WELL BABY CLINIC.MEYERSDALE COMMUNITY HOSPITAL FACILITY HIGHLIGHTS:LICENSED BEDS - 20BEDS IN SERVICE - 20PATIENT DAYS OF SERVICE - 1,755INPATIENT DAILY CENSUS - 4.81ADMISSIONS - 346AVERAGE LENGTH OF STAY - 5.1FULL TIME EQUIVALENT EMPLOYEES - 110VOLUNTEERS - 23PHYSICIANS:ACTIVE - 6SERVICES:EMERGENCY VISITS - 4,173SAME DAY/AMBULATORY SURGERY - 131PHYSICAL THERAPY TREATMENTS - 4,852LABORATORY TESTS -69,789RADIOLOGY DIAGNOSTIC/MAMMOGRAPHY - 6,293ULTRASOUND PROCEDURES - 1,001CT SCANS - 2,358MRI PROCEDURES - 416CARDIO/RESPIRATORY PROCEDURES - 13,538 PART VI, LINE 6: MEYERSDALE MEDICAL CENTER IS A SUBSIDIARY OF A LARGER HEALTH SYSTEM, CONEMAUGH HEALTH SYSTEM, INC. THE CONEMAUGH HEALTH SYSTEM AND ITS AFFILIATES WORK TOGETHER TO PROMOTE THE HEALTH OF THE COMMUNITIES THEY SERVE. 1 THE CHALLENGE PROGRAM INC 1910 MINNO DRIVE SUITE 100 JOHNSTOWN PA 15905 201644028 501(C)(3) 7000 GENERAL SUPPORT 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE CONEMAUGH HEALTH SYSTEM, WHICH INCLUDES MEYERSDALE COMMUNITY HOSPITAL, ANALYZES REQUESTS FOR CHARITABLE CONTRIBUTIONS AND ASSISTANCE TO OTHER ORGANIZATIONS ON AN ONGOING BASIS IN ACCORDANCE WITH INTERNAL POLICY. THE GOALS OF THE HEALTH SYSTEM ARE TO SUPPORT ORGANIZATIONS AND PROGRAMS THAT FOCUS ON COMMUNITY HEALTH AND WELLNESS, ENHANCE THE DEVELOPMENT OF AREA YOUTH, ENRICH THE LIVES AND ENHANCE THE CULTURE OF ITS REGION, AND CONTRIBUTE TO THE OVERALL GOOD OF THE COMMUNITIES IT SERVES. AMOUNTS ARE AWARDED TO THOSE THAT MEET THESE GOALS, DEMONSTRATE A CHARITABLE PURPOSE, AND PROVIDE COMMUNITY BENEFIT SERVICES. X X X X 0 0 0 0 0 1 1 0 0 NATHAN THOMAS MD 0 147503 0 1379 0 19262 0 14542 0 16382 0 199068 0 0 JAMES TRETTER DO 0 577767 0 5687 0 15711 0 22224 0 15840 0 637229 0 0 SHIBAN WARIKOO MD 0 304190 0 0 0 9264 0 11215 0 11175 0 335844 0 0 STEVEN TUCKER 0 345487 0 74409 0 24259 0 20551 0 12245 0 476951 0 0 SCOTT BECKER 0 625999 0 200000 0 48727 0 16605 0 18891 0 910222 0 0 EDWARD DEPASQUALE 0 347620 0 72561 0 21192 0 19888 0 11289 0 472550 0 0 DAVID CARLSON DO 0 424629 0 92101 0 22618 0 13386 0 14634 0 567368 0 0 JOSEPH DADO 0 274673 0 58717 0 19528 0 13900 0 2045 0 368863 0 0 MARY LIBENGOOD 141707 0 22507 0 1833 0 9644 0 10410 0 186101 0 0 0 PART I, LINE 6 MARY LIBENGOOD RECEIVED A BONUS FROM MEYERSDALE COMMUNITY HOSPITAL. SCOTT BECKER, EDWARD DEPASQUALE, DAVID CARLSON, DO, AND JOSEPH DADO RECEIVED A BONUS FROM THE CONEMAUGH HEALTH SYSTEM, A RELATED ORGANIZATION. STEVEN TUCKER RECEIVED A BONUS FROM MEMORIAL MEDICAL CENTER, A RELATED ORGANIZATION. EXECUTIVE BONUSES ARE CALCULATED AS A PERCENTAGE OF BASE SALARY. THE PERCENTAGE IS CONTINGENT ON VARIOUS FINANCIAL AND NON-FINANCIAL INCENTIVE CRITERIA, GOVERNED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF CONEMAUGH HEALTH SYSTEM. JAMES TRETTER, DO RECEIVED A BONUS FROM CONEMAUGH HEALTH INITIATIVES, A RELATED ORGANIZATION. PHYSICIAN BONUSES ARE CALCULATED ON A CASH BASIS; TAKING TOTAL CASH COLLECTIONS LESS ALL OFFICE OPERATING, PHYSICIAN AND OVERHEAD EXPENSES. ANY REMAINING AMOUNT IS DISTRIBUTED TO THE PHYSICIAN BASED ON A CONTRACTUAL PERCENTAGE, A PRACTICE REINVESTMENT CONTRIBUTION AND/OR A CAP. TOTAL PHYSICIAN COMPENSATION IS REVIEWED ANNUALLY FOR REASONABLENESS USING INDUSTRY STANDARDS AND APPLICABLE IRS GUIDELINES. KAREN MILLER FAMILY MEMBER OF MARY LIBENGOOD (OFFICER) 25698 EMPLOYMENT 0 FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF MEYERSDALE COMMUNITY HOSPITAL CONSIST OF THREE CLASSES: PERPETUAL MEMBERS, LIFE MEMBERS, AND CONEMAUGH HEALTH SYSTEM, INC. (THE CORPORATE MEMBER). FORM 990, PART VI, SECTION A, LINE 7A THE CORPORATE MEMBER OF MEYERSDALE COMMUNITY HOSPITAL, CONEMAUGH HEALTH SYSTEM, INC., HAS THE POWER TO APPROVE OR DISAPPROVE THE ELECTION OF OR REMOVAL OF MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B ALL DECISIONS OF THE GOVERNING BODY OF MEYERSDALE COMMUNITY HOSPITAL ARE SUBJECT TO APPROVAL BY ITS CORPORATE MEMBER, CONEMAUGH HEALTH SYSTEM, INC. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S BOARD OF DIRECTORS BEFORE IT IS FILED. ONCE THE FORM IS COMPLETE, BOARD MEMBERS ARE GIVEN THE OPPORTUNITY TO REVIEW THE CONTENTS OF THE FORM AND SUBMIT ANY COMMENTS OR QUESTIONS. IN ADDITION, SINCE THE ORGANIZATION IS A SUBSIDIARY WITHIN A LARGER HEALTH SYSTEM, THE FORM IS REVIEWED BY THE HEALTH SYSTEM'S MANAGER, TAX & COMPLIANCE; DIRECTOR, FINANCIAL OPERATIONS; VICE-PRESIDENT, FINANCIAL OPERATIONS; CHIEF FINANCIAL OFFICER; AND THE AUDIT AND COMPLIANCE COMMITTEE. AN EXTERNAL CPA FIRM IS ENGAGED TO REVIEW AND ELECTRONICALLY FILE THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION IS A SUBSIDIARY OF A LARGER HEALTH SYSTEM AND IS GOVERNED BY THE SYSTEM'S CONFLICT OF INTEREST POLICY, WHICH HAS BEEN APPROVED BY THE HEALTH SYSTEM'S BOARD. UNDER THIS POLICY, EVERY BOARD MEMBER IS GIVEN A COPY OF THE POLICY AS WELL AS A FORM THAT MUST BE COMPLETED ON AN ANNUAL BASIS. NO BOARD MEMBER IS APPROVED OR RE-APPOINTED UNTIL HE OR SHE HAS COMPLETED AND SIGNED THE CONFLICT OF INTEREST FORM. ONCE THE FORM IS RETURNED, IT IS REVIEWED BY THE SYSTEM'S COMPLIANCE OFFICER AND CEO. IF ANY CONFLICTS ARE DISCLOSED, THE DETAILS ARE FORWARDED TO THE BOARD CHAIR TO BE ADDRESSED. DEPENDING ON THE CONFLICT, THE BOARD MEMBER COULD BE GIVEN CERTAIN RESTRICTIONS, SUCH AS BEING PROHIBITED FROM PARTICIPATING IN CERTAIN BOARD DECISIONS. THE HEALTH SYSTEM'S AUDIT AND COMPLIANCE COMMITTEE HAS THE FINAL DECISION-MAKING REGARDING ALL CONFLICTS OF INTEREST. THROUGHOUT THE FISCAL YEAR, BOARD MEMBERS MUST NOTIFY THE BOARD CHAIR, COMPLIANCE OFFICER, AND/OR CEO IF A NEW CONFLICT OF INTEREST HAS DEVELOPED. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S PARENT, A HEALTH SYSTEM, MANAGES THE DETERMINATION OF COMPENSATION AND THE PROCESS IS OUTLINED IN ITS BY-LAWS. AN OUTSIDE CONSULTING FIRM IS UTILIZED TO ENSURE THAT EXECUTIVE COMPENSATION PACKAGES ARE FAIR AND COMPARABLE WITH SIMILAR ORGANIZATIONS. THE HEALTH SYSTEM HAS ALSO ESTABLISHED AN EXECUTIVE COMPENSATION COMMITTEE TO REVIEW AND RECOMMEND THE COMPENSATION DECISIONS MADE. THIS COMMITTEE REPORTS DIRECTLY TO THE HEALTH SYSTEM'S BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION IS PART OF A HEALTH SYSTEM AND ALL REQUESTS FOR THIS INFORMATION ARE HANDLED BY THE SYSTEM'S MARKETING/PUBLIC RELATIONS DEPARTMENT. FORM 990, PART VI, SECTION B, LINES 12A, 13, AND 14: ALL APPLICABLE POLICY QUESTIONS HAVE BEEN ANSWERED YES SINCE THE ORGANIZATION IS A SUBSIDIARY OF A LARGER HEALTH SYSTEM AND IS GOVERNED BY THE SYSTEM'S POLICIES. ALL POLICIES HAVE BEEN APPROVED BY THE HEALTH SYSTEM'S BOARD. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN CHF FAS 136 RECEIVABLE 25,512. CHANGE IN INCOME TRUSTS 28,393. MEDICAL DIRECTOR REIMBURSEMENT FROM CHS 13,800. FORM 990, PART XII, LINE 2: THE ORGANIZATION'S FINANCIAL STATEMENTS FOR THE FISCAL YEAR ENDING JUNE 30, 2013 WERE AUDITED AS PART OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS OF THE CONEMAUGH HEALTH SYSTEM, INC. AND SUBSIDIARIES. THE HEALTH SYSTEM'S AUDIT AND COMPLIANCE COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. CONEMAUGH HEALTH SYSTEM 1086 FRANKLIN STREET JOHNSTOWN PA 15905 232801799 SUPPORT MEMBER HOSPITALS PA 501(C)(3) 11A N/A 0 CONEMAUGH HEALTH FOUNDATION 1086 FRANKLIN STREET JOHNSTOWN PA 15905 251719695 SUPPORTS CONEMAUGH HEALTH SYSTEM PA 501(C)(3) 11B CONEMAUGH HEALTH SYSTEM 0 CONEMAUGH VALLEY MEMORIAL HOSPITAL DBA MEMORIAL MEDICAL CENTER 1086 FRANKLIN STREET JOHNSTOWN PA 15905 250965307 HEALTHCARE SERVICES PA 501(C)(3) 3 CONEMAUGH HEALTH SYSTEM 0 MINERS HOSPITAL DBA MINERS MEDICAL CENTER 290 HAIDA AVENUE HASTINGS PA 16646 250977902 HEALTHCARE SERVICES PA 501(C)(3) 3 CONEMAUGH HEALTH SYSTEM 0 LAUREL HIGHLANDS ADVANCED IMAGING 1450 SCALP AVENUE JOHNSTOWN PA 15904 251864587 DIAGNOSTIC SERVICES PA N/A GREATER JOHNSTOWN TECH PARK 1086 FRANKLIN STREET JOHNSTOWN PA 15905 260389121 OPERATES MULTI TENANT COMMERCE OFFICE PARK PA N/A CONEMAUGH HEALTH INITIATIVES INC 1086 FRANKLIN STREET JOHNSTOWN PA 15905 251658283 PHYSICIAN SERVICES PA N/A C 0 1086 REAL ESTATE 1086 FRANKLIN STREET JOHNSTOWN PA 15905 251489704 REAL ESTATE PA N/A C 0 CONEMAUGH ENTERPRISES INC 1086 FRANKLIN STREET JOHNSTOWN PA 15905 202998473 ECONOMIC DEVELOPMENT PA N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0