1889-CHS FOUNDATION INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: 1889-CHS FOUNDATION INC (EIN 23-2801799)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-02-06
IRS object ID: 201330379349300013
Schema version: 2011v1.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule D
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-02-06T07:35:12-06:00	Timestamp
Tax Period End Date	2012-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	250988255	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CARBIS WALKER LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	5700 CORPORATE DRIVE STE 650	AddressLine1
City	PITTSBURGH	City
State	PA	State
ZIP Code	15237	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	232801799	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CONEMAUGH HEALTH SYSTEM INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	CONE	NameControl
Phone	8144108271	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1086 FRANKLIN STREET	AddressLine1
City	JOHNSTOWN	City
State	PA	State
ZIP Code	15905	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	EDWARD DEPASQUALE	Name
Title	CHIEF FINANCIAL OFFICER	Title
Phone	8144105271	Phone
Date Signed	2013-01-28	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JEFFREY J PETRELL CPA	Name
PTIN	P00138808	PTIN
Phone	4126356270	Phone
Date Prepared	2013-01-28	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	SCOTT BECKER	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1086 FRANKLIN STREET	AddressLine1
City	JOHNSTOWN	City
State	PA	State
ZIP Code	15905	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	7838116	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.CONEMAUGH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1994	YearFormation
State Legal Domicile	PA	StateLegalDomicile
Activity Or Mission Description	TO SUPPORT MEMBER HOSPITALS WITHIN THE CONEMAUGH HEALTH SYSTEM AND PROVIDE COMMUNITY BENEFIT	ActivityOrMissionDescription
Nbr Voting Members Governing Body	18	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	0	TotalNbrEmployees
Total Nbr Volunteers	9	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	0	ContributionsGrantsPriorYear
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	6629144	ProgramServiceRevenuePriorYear
Program Service Revenue CY	7837679	ProgramServiceRevenueCY
Investment Income Prior Year	662	InvestmentIncomePriorYear
Investment Income Current Year	401	InvestmentIncomeCurrentYear
Other Revenue Prior Year	663	OtherRevenuePriorYear
Other Revenue Current Year	36	OtherRevenueCurrentYear
Total Revenue Prior Year	6630469	TotalRevenuePriorYear
Total Revenue Current Year	7838116	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	4773116	SalariesEtcPriorYear
Salaries Etc Current Year	5078798	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1857353	OtherExpensePriorYear
Other Expenses Current Year	2759318	OtherExpensesCurrentYear
Total Expenses Prior Year	6630469	TotalExpensesPriorYear
Total Expenses Current Year	7838116	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	0	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	0	RevenuesLessExpensesCY
Total Assets BOY	2770540	TotalAssetsBOY
Total Assets EOY	3417118	TotalAssetsEOY
Total Liabilities BOY	2578695	TotalLiabilitiesBOY
Total Liabilities EOY	2395356	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	191845	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1021762	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	TO SUPPORT MEMBER HOSPITALS WITHIN THE CONEMAUGH HEALTH SYSTEM AND PROVIDE COMMUNITY BENEFIT SERVICES.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	6511491	Expense
Revenue	7837679	Revenue
Description	THE CONEMAUGH HEALTH SYSTEM (CHS) SERVES OVER A HALF-MILLION PATIENTS EACH YEAR THROUGH THE CONEMAUGH PHYSICIAN GROUP AND MEDICAL STAFF, THREE HOSPITALS, SPECIALTY CLINICS, AND OUTPATIENT FACILITIES. CHS IS THE LARGEST HEALTHCARE PROVIDER IN WEST CENTRAL PENNSYLVANIA WITH 4,500+ EMPLOYEES AND 350 PHYSICIANS. CHS, PHYSICIAN LED AND PROFESSIONALLY MANAGED, MAINTAINS A STEADFAST COMMITMENT TO QUALITY THAT MOTIVATES EVERY MEMBER OF ITS TEAM TO STRIVE FOR ITS VISION OF EXCELLENCE. EVERY PATIENT. EVERY TIME. HEALTH EDUCATION AND SCREENING EVENTS CONTINUE TO BE A BIG PART OF THE HEALTH SYSTEM'S YEARLY COMMUNITY OUTREACH. SCREENINGS THIS YEAR INCLUDED OSTEOPOROSIS, PROSTATE AND BREAST CANCER, DIABETES, AND HIGH BLOOD PRESSURE. IN ADDITION, CAR SEAT CLINICS WERE HELD TO HELP PARENTS IN THE REGION ENSURE THAT THEIR CHILDREN ARE SAFELY BUCKLED UP. THE CONEMAUGH HEALTH SYSTEM'S FLAGSHIP TEACHING HOSPITAL, 545-BED MEMORIAL MEDICAL CENTER, HAS BEEN REPEATEDLY RECOGNIZED AS A HEALTHGRADES DISTINGUISHED HOSPITAL WITH CLINICAL OUTCOMES IN THE TOP FIVE PERCENT IN THE NATION. CLINICAL QUALITY WITHIN CHS CONTINUES TO BE ENHANCED BY: CONEMAUGH PHYSICIAN GROUP, A MULTI-SPECIALTY GROUP WITH OVER 115 PHYSICIANS COMMITTED TO QUALITY AND EXCEPTIONAL PATIENT OUTCOMES; ONE TERTIARY MEDICAL CENTER, TWO COMMUNITY HOSPITALS, INPATIENT REHABILITATION, HOME HEALTH, AND HOSPICE SERVICES; A COMMITMENT TO EDUCATIONAL EXCELLENCE INCLUDING EIGHT MEDICAL RESIDENCY PROGRAMS, A PHARMD RESIDENCY, AN EMS FELLOWSHIP PROGRAM, SCHOOL OF NURSING, SCHOOLS OF ALLIED HEALTH, AND A MEDICAL SKILLS LEARNING CENTER WHICH IS ONE OF ONLY 58 ACCREDITED CENTERS WORLDWIDE; LEVEL 1 REGIONAL RESOURCE TRAUMA PROGRAM AND LEVEL 3 NEONATAL INTENSIVE CARE UNIT WITH AEROMEDICAL TRANSPORT SERVICE; NUMEROUS NATIONALLY RANKED CLINICAL PROGRAMS INCLUDING CARDIOLOGY, ORTHOPEDICS, WOMEN'S HEALTH, MATERNITY, PULMONARY CARE, GASTROINTESTINAL CARE, APPENDECTOMY, AND CRITICAL CARE; TECHNOLOGY ADVANCEMENTS CURRENTLY BEING IMPLEMENTED INCLUDE A PHARMACY ROBOT, ROBOT ASSISTED SURGERY TECHNOLOGY, AND PHYSICIAN ORDER ENTRY INFORMATION TECHNOLOGY SYSTEM; STATE OF THE ART CARDIAC CATHETERIZATION LABS, MINIMALLY INVASIVE OPERATING SUITES, VASCULAR ORS, INTERVENTIONAL RADIOLOGY LABS, AND IMAGING EQUIPMENT INCLUDING A 128-SLICE CT AND PET/CT ARE AVAILABLE WITHIN THE HEALTH SYSTEM AND RELATED ENTITIES; AN AGGRESSIVE STRATEGIC PLANNING PROCESS THAT HELPS SHAPE A SUCCESSFUL FUTURE FOR THE HEALTH SYSTEM AND THE REGION; AND RECOGNITION AS AN IMS TOP 100 INTEGRATED HEALTHCARE NETWORK FOR 2012 (WWW.IMSHEALTH.COM). IN ADDITION TO ITS MAIN CAMPUS, MEMORIAL MEDICAL CENTER'S LEE CAMPUS SERVES THE COMMUNITY IN DOWNTOWN JOHNSTOWN PROVIDING A WIDE VARIETY OF OUTPATIENT SERVICES INCLUDING LABORATORY, IMAGING, SAME DAY SURGERY, AND WOUND HEALING. IN ADDITION, THE LEE CAMPUS HOUSES THE CONEMAUGH DIABETES INSTITUTE, THE SLEEP DISORDERS CENTER, AND THE INPATIENT CRICHTON REHABILITATION CENTER AND TRANSITIONAL CARE UNIT, WHICH THIS YEAR WAS NAMED TO US NEWS AND WORLD REPORT'S BEST NURSING HOMES LIST. THE LEE CAMPUS PROVIDES A LARGE COMMUNITY ROOM FOR PUBLIC USE AS WELL AS A LOCATION FOR SPIRITUAL NEEDS. MEETING ROOMS AT THE LEE CAMPUS ARE ALSO USED FOR AREA NON-PROFITS AND COMMUNITY GROUPS INCLUDING ORGANIZATIONS THAT HELP PEOPLE WITH DRUG AND ALCOHOL PROBLEMS. MINERS MEDICAL CENTER IS A 30-BED FULLY RENOVATED COMMUNITY HOSPITAL SERVING RURAL NORTHERN CAMBRIA COUNTY AND SURROUNDING AREAS. IT IS THE REGION'S SOLE HOSPITAL AND SPECIALIZES IN FAMILY AND PRIMARY CARE. IT ALSO PROVIDES INPATIENT MEDICAL, SURGICAL, AND INTENSIVE CARE SERVICES; COMPREHENSIVE OUTPATIENT SERVICES; 24/7 EMERGENCY DEPARTMENT; 24/7 LABORATORY; ONSITE PHARMACY; OPERATING SUITE FOR SHORT OR MINOR PROCEDURES; RADIOLOGY SERVICES, INCLUDING MOBILE MRI AND CT SCANS, DIGITAL MAMMOGRAPHY, AND ULTRASOUND; PATHOLOGY SERVICES; PHYSICAL THERAPY; RESPIRATORY THERAPY; OB/GYN OUTPATIENT CARE; AND NUMEROUS SPECIALTY SERVICES. MEYERSDALE MEDICAL CENTER SERVES A RURAL AREA IN SOUTHWESTERN PENNSYLVANIA'S HISTORIC SOMERSET COUNTY. SPECIALIZING IN FAMILY AND PRIMARY CARE, IT IS A STATE-DESIGNATED CRITICAL CARE ACCESS HOSPITAL AND HAS BEEN DEEMED A NECESSARY HEALTH CARE PROVIDER BY THE COMMONWEALTH OF PENNSYLVANIA. IT PROVIDES 20 BEDS FOR INPATIENT AND OUTPATIENT CARE; 24/7 EMERGENCY DEPARTMENT; OR FOR SHORT OR MINOR PROCEDURES; RADIOLOGY SERVICES, INCLUDING MOBILE MRI, CT SCANS, AND DIGITAL MAMMOGRAPHY; PATHOLOGY SERVICES; PHYSICAL THERAPY; RESPIRATORY THERAPY; ULTRASOUND; CARDIAC REHABILITATION; OB/GYN OUTPATIENT CARE; STEP-DOWN SWING UNIT; AND MEDSTAR MEDICAL HELICOPTER TRANSPORTATION. MANY PHYSICIAN SPECIALISTS ALSO PROVIDE SERVICES AT THIS LOCATION. CHS IS PROVIDED WITH DIVERSE AND DEDICATED LEADERSHIP FROM ITS BOARD OF TRUSTEES. THE BOARD IS COMPRISED OF A WIDE VARIETY OF VOLUNTEERS INCLUDING AREA BUSINESS LEADERS, EDUCATORS, PROFESSIONALS, AND PHYSICIANS, SOME AFFILIATED WITH THE CONEMAUGH HEALTH SYSTEM AND OTHERS INDEPENDENT. VALUABLE INPUT ALSO COMES FROM ITS PATIENT ADVISORY COMMITTEE. THIS GROUP MEETS REGULARLY WITH HEALTH SYSTEM OFFICIALS TO PROVIDE INPUT AND SUGGESTIONS ON A WIDE VARIETY OF TOPICS INCLUDING WAYFINDING, PATIENT CARE ISSUES, MARKETING, AND SERVICE EXCELLENCE. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO CLOSE TO 400 PHYSICIANS THROUGHOUT A WIDE GEOGRAPHIC REGION IN BOTH PRIMARY CARE AND SPECIALTY FIELDS. IN FISCAL YEAR 2012, CHS ADDED A NUMBER OF NEW PROGRAMS AND TECHNOLOGY TO BENEFIT THE PEOPLE OF THE REGION. SOME OF THESE ADVANCEMENTS INCLUDED: THE IMPLEMENTATION OF $2.8 MILLION WORTH OF NEW DIGITAL MAMMOGRAPHY EQUIPMENT; A NEW DA VINCI SYSTEM FOR ROBOT-ASSISTED SURGERY; A NEW WOUND HEALING CENTER LOCATION AT MINERS MEDICAL CENTER; UPGRADES TO THE PULMONARY FUNCTION TESTING LAB AT MEYERSDALE MEDICAL CENTER; EQUIPMENT TO PERFORM A THIRD TYPE OF WEIGHT LOSS SURGERY - GASTRIC SLEEVE BYPASS; AND TWO NEW HUMAN PATIENT SIMULATORS FOR CLINICAL TRAINING PROGRAMS, ONE A TODDLER VERSION AND THE OTHER AN INFANT. IN ADDITION, A NEW ONLINE BILL PAYMENT SYSTEM WAS INTRODUCED FOR PATIENTS AND AN EMS FELLOWSHIP BEGAN. ALSO, WORK CONTINUED ON IMPLEMENTATION OF ELECTRONIC MEDICAL RECORDS FOR CONEMAUGH PHYSICIAN GROUP PRACTICES. CHS, AS THE REGION'S LARGEST EMPLOYER, CONTINUES TO BE AN AVID SUPPORTER OF COMMUNITY ORGANIZATIONS AND INITIATIVES. THROUGH THE CONEMAUGH CARING PROGRAM, CHS AND ITS EMPLOYEES PROVIDED A WIDE VARIETY OF BENEFITS TO THE COMMUNITY THROUGH THE DONATION OF TIME, TALENT, FUNDING, AND OTHER NEEDED ITEMS. MONTHLY DRIVES ARE HELD FOR LOCAL CHARITIES. EACH MONTH THE ORGANIZATION ASKS EMPLOYEES TO DONATE TO VARIOUS CAUSES, PLACING NEEDED ITEMS IN BOXES LOCATED IN EIGHT LOCATIONS THROUGHOUT THE HEALTH SYSTEM. ITEMS COLLECTED INCLUDE CANNED GOODS FOR FOOD PANTRIES, COATS AND HATS FOR DELIVERY BY THE SALVATION ARMY, TOYS FOR TOTS, ITEMS FOR ANIMALS AT THE HUMANE SOCIETY, AND BACK TO SCHOOL ITEMS FOR NEEDY CHILDREN. CHS EMPLOYEES ARE VERY GENEROUS IN THEIR GIVING TO THIS PROGRAM. ANOTHER PART OF THE PROGRAM REVOLVED AROUND COMMUNITY SERVICE. FOR THE PAST THREE YEARS DURING THE MONTH OF JUNE, CHS EMPLOYEES HAVE VOLUNTEERED AT VARIOUS ORGANIZATIONS THROUGHOUT THE COMMUNITY AS PART OF THE CONEMAUGH SPIRIT OF CARING DAYS. EMPLOYEES SIGN UP BASED UPON THEIR INTERESTS AND VOLUNTEER INDIVIDUALLY, AS A GROUP, OR AS A DEPARTMENT. VOLUNTEER OPPORTUNITIES VARY FROM PHYSICAL TO NON-PHYSICAL, INDOOR OR OUTDOOR, AND INCLUDE CLEANING, PAINTING, GARDENING, WORKING WITH CHILDREN, CLERICAL, AND MORE. OVER 25 ORGANIZATIONS THROUGHOUT THE COMMUNITY BENEFIT FROM THE VOLUNTEERING FROM OVER 300 EMPLOYEES. IN ADDITION TO THE VOLUNTEERING, THESE ORGANIZATIONS ARE ALSO INVITED TO A ONE-DAY EVENT IN THE ATRIUM OF MEMORIAL MEDICAL CENTER TO SHOWCASE THEIR ORGANIZATIONS AND PROVIDE INFORMATION TO CHS STAFF ON VOLUNTEER OPPORTUNITIES THAT ARE AVAILABLE THROUGHOUT THE YEAR. CHS CONTINUES TO BE A GENEROUS FINANCIAL CONTRIBUTOR TO VARIOUS NON-PROFIT PROGRAMS AND COMMUNITY EVENTS TAKING PLACE THROUGHOUT ITS REGION. IN FISCAL YEAR 2012, CHS MADE DONATIONS TOTALING MORE THAN $140-THOUSAND DOLLARS. MORE THAN 100 COMMUNITY ORGANIZATIONS AND EVENTS BENEFIT FROM THIS SUPPORT; SOME EXAMPLES INCLUDE YOUTH ATHLETIC TEAMS, AREA ARTISTIC VENUES, AND OTHER NON-PROFITS LIKE THE AMERICAN CANCER SOCIETY, MARCH OF DIMES, AND ALZHEIMER'S ASSOCIATION. IN ADDITION TO FINANCIAL DONATIONS, GIFTS ARE ALSO PROVIDED AND WHEN POSSIBLE, IN-KIND DONATIONS OF MARKETING SERVICES, ADVERTISING AND BILLBOARD SPACE, AND PRINTING ARE PROVIDED.	Description
Total Program Service Expense	6511491	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	0	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Info In Schedule O Part V	X	InfoInScheduleOPartV
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	0	NumberOfEmployees
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	18	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	PA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	EDWARD DEPASQUALE	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	8144108271	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1086 FRANKLIN STREET	AddressLine1
City	JOHNSTOWN	City
State	PA	State
ZIP Code	15905	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
JAMES HARGREAVES
CHAIRMAN	2.00	X	X	0	0	0
RON VICKROY
VICE CHAIRMAN	2.00	X	X	0	0	0
JAMES CASCIO
TREASURER	2.00	X	X	0	0	0
KIM CRAIG
SECRETARY	2.00	X	X	0	0	0
HAROLD ASHCRAFT MD
TRUSTEE	2.00	X		0	0	0
DOUGLAS BELL
TRUSTEE	2.00	X		0	0	0
KRISTIN BRANT MD
TRUSTEE	2.00	X		0	0	0
ROBERT A GLEASON JR
TRUSTEE	2.00	X		0	0	0
WILLIAM HAUGER MD
TRUSTEE	2.00	X		0	385025	37181
ADIB KHOUZAMI MD
TRUSTEE	2.00	X		0	1096838	32624
BRIAN LIEB DO
TRUSTEE	2.00	X		0	304885	35111
FRANK QUITONI
TRUSTEE	2.00	X		0	0	0
ROBERTA REAM
TRUSTEE	2.00	X		0	0	0
JOHN SARACENA
TRUSTEE	2.00	X		0	0	0
SALLY SARGENT
TRUSTEE	2.00	X		0	0	0
PATRICIA SEROTKIN
TRUSTEE	2.00	X		0	0	0
MICHAEL SMITH
TRUSTEE	2.00	X		0	0	0
SCOTT BECKER
TRUSTEE, CHIEF EXECUTIVE OFFICER	49.50	X	X	1087604	0	34890
EDWARD DEPASQUALE
CHIEF FINANCIAL OFFICER	22.00		X	461804	0	30569
DAVID CARLSON DO
CHIEF MEDICAL OFFICER	20.00		X	562770	0	26848
JOSEPH DADO
CHIEF INFORMATION OFFICER	18.00		X	364292	0	16140
JOHN MORYKEN
VP BUSINESS DEVELOP & GOVT RELATIONS	20.00		X	290094	0	28379
WESLEY SCHMIDT
VP HUMAN RESOURCES	22.00		X	187897	0	7495
DIANE PRINGLE
CORPORATE COMPLIANCE OFFICER	15.00			102560	0	7265	X
MARY YORK
FORMER CHIEF LEARNING OFFICER	0.00			110994	0	387		X
LOUIS SCIULLO
FORMER VP SPECIAL PROJECTS	0.00			0	157291	13603		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3168015	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1944039	TotalReportableCompFrmRltdOrgs
Total Other Compensation	270492	TotalOtherCompensation
Number Individuals GT100 K	8	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
BKD LLP
PO BOX 1178	LOUISVILLE	KY	40201	ACCOUNTING SERVICES	333750
BUCHANAN INGERSOLL ROONEY PC
301 GRANT STREET	PITTSBURGH	PA	15219	LEGAL SERVICES	307841
YAFFE & CO INC
49 WASHINGTON AVE SUITE 700	TOWSON	MD	21204	CONSULTING SERVICES	173459

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	3	NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	MANAGEMENT FEES	Description
Business Code	561000	BusinessCode
Total Revenue Column	7837679	TotalRevenueColumn
Related Or Exempt Function Income	7837679	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	7837679	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	401	TotalRevenueColumn
Exclusion	$401	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	INTEREST-OFFICER LOAN	Description
Business Code	900099	BusinessCode
Total Revenue Column	36	TotalRevenueColumn
Exclusion	$36	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	36	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	7838116	TotalRevenueColumn
Related Or Exempt Function Income	7837679	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$437	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2860594	Total
Program Services	2746170	ProgramServices
Management And General	114424	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	1387541	Total
Program Services	616226	ProgramServices
Management And General	771315	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	43486	Total
Program Services	12681	ProgramServices
Management And General	30805	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	787177	Total
Program Services	576318	ProgramServices
Management And General	210859	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	543928	Total
Program Services	543928	ProgramServices

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	416412	Total
Program Services	416412	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	505063	Total
Program Services	456483	ProgramServices
Management And General	48580	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	327706	Total
Program Services	327706	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	51650	Total
Program Services	48069	ProgramServices
Management And General	3581	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	93350	Total
Program Services	74000	ProgramServices
Management And General	19350	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	104892	Total
Program Services	54661	ProgramServices
Management And General	50231	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	43041	Total
Program Services	41926	ProgramServices
Management And General	1115	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	69184	Total
Program Services	56340	ProgramServices
Management And General	12844	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	261510	Total
Program Services	261283	ProgramServices
Management And General	227	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
DUES & SUBSCRIPTIONS	125096	69360	55736
PURCHASED SERVICES	47525	40348	7177
RELOCATION	4153	4153

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	165808	Total
Program Services	165427	ProgramServices
Management And General	381	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	7838116	Total
Program Services	6511491	ProgramServices
Management And General	1326625	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	200986	BOY
EOY	9181	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	116497	BOY
EOY	286916	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	2858	BOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	1206000	BOY
EOY	1206000	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	136571	BOY
EOY	92258	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	668663	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	328316	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	40633	BOY
EOY	340347	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1066995	BOY
EOY	1482416	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	2770540	BOY
EOY	3417118	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	1139921	BOY
EOY	1615946	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	1438774	BOY
EOY	779410	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	2578695	BOY
EOY	2395356	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	191845	BOY
EOY	1021762	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	191845	BOY
EOY	1021762	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2770540	BOY
EOY	3417118	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	0	ReconcilationRevenueExpenses
Reconcilation Other Changes	829917	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	X	SupportingOrganization509a3
Supporting Org509a3 Type1	X	SupportingOrg509a3Type1
Certification Checkbox	X	CertificationCheckbox
Written IRS Determination	X	WrittenIRSDetermination
Contrib By Controlling Individual	0	ContribByControllingIndividual
Contribution By Related Party	0	ContributionByRelatedParty
Contrib By35 Controlled Entity	0	ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (5 entries)

EINEIN	Type Of OrganizationTypeOfOrganization	Listed In Governing DocListedInGoverningDoc	Supported Organization NotifiedSupportedOrganizationNotified	Organized In USOrganizedInUS	AmountAmount
MEYERSDALE MEDICAL CENTER
251002946	3	0	1	1	$13,800
CONEMAUGH VALLEY MEMORIAL HOSPITAL
250965307	3	0	0	1	$0
MINERS MEDICAL CENTER
250977902	3	0	0	1	$0
GOOD SAMARITAN MEDICAL CENTER
250965428	3	0	0	1	$0
CONEMAUGH HEALTH FOUNDATION
251719695	11	0	0	1	$0

Field	Value	IRS element (for citing)
Total Number Of Supported Orgs	5	TotalNumberOfSupportedOrgs
Sum Of Amounts	13800	SumOfAmounts

Schedule D IRS990ScheduleD

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	668663	OtherCostOrOtherBasis
Depreciation	328316	Depreciation
Book Value	340347	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	340347	TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescription	Book ValueBookValue
INVESTMENT IN PHHP	7500
INVESTMENT IN RRG	1168280
NON COMPETE COVENANTS (NET)	306636

Field	Value	IRS element (for citing)
Total Book Value Other Assets	1482416	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	DUE TO MEMORIAL MEDICAL CENTER	Description
Amount	$779,410	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	779410	TotalOfAmounts

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	0	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	1	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	1	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
WILLIAM HAUGER MD
0	298343	0	35796	0	50886	0	23820	0	13361	0	422206	0	0
ADIB KHOUZAMI MD
0	614000	0	440689	0	42149	0	21842	0	10782	0	1129462	0	0
BRIAN LIEB DO
0	213678	0	66349	0	24858	0	21978	0	13133	0	339996	0	0
SCOTT BECKER
599642	0	346114	0	141848	0	15971	0	18919	0	1122494	0	0	0
EDWARD DEPASQUALE
331734	0	109370	0	20700	0	19187	0	11382	0	492373	0	0	0
DAVID CARLSON DO
414185	0	128589	0	19996	0	12867	0	13981	0	589618	0	0	0
JOSEPH DADO
265102	0	87025	0	12165	0	13371	0	2769	0	380432	0	0	0
JOHN MORYKEN
214091	0	60892	0	15111	0	17009	0	11370	0	318473	0	0	0
WESLEY SCHMIDT
140412	0	29786	0	17699	0	0	0	7495	0	195392	0	0	0
MARY YORK
0	0	0	0	110994	0	387	0	0	0	111381	0	0	0
LOUIS SCIULLO
0	149113	0	5914	0	2264	0	12500	0	1103	0	170894	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation
PART I, LINE 1A	SOCIAL CLUB DUES ARE PAID FOR THE ORGANIZATION'S CEO. UNDER THE OVERSIGHT OF THE EXECUTIVE COMPENSATION COMMITTEE, IT HAS ALWAYS BEEN THE ORGANIZATION'S PRACTICE TO PAY THESE DUES FOR THE CEO AS THE SOCIAL CLUB IS PRIMARILY USED TO BENEFIT THE ORGANIZATION.
PART I, LINES 4A-B	MARY YORK RECEIVED SEVERANCE PAYMENTS OF $110,994. THE CONEMAUGH HEALTH SYSTEM'S 457(F) EXECUTIVE COMPENSATION PROGRAM WAS TERMINATED DECEMBER 10, 2010. PER IRS REGULATIONS, EACH PARTICIPANT'S ENTIRE ACCOUNT BALANCE WAS RECOGNIZED AS TAXABLE INCOME ON THAT DATE AND ALL APPLICABLE TAXES WERE REMITTED. HOWEVER, THESE NET ACCOUNT BALANCES WERE NOT PERMITTED TO BE DISTRIBUTED TO THE PARTICIPANTS UNTIL DECEMBER 11, 2011, OR 1 YEAR AND 1 DAY AFTER THE TERMINATION DATE. ON THAT DATE, EACH PARTICIPANT ALSO RECEIVED ANY ADDITIONAL AMOUNTS EARNED ON THE ACCOUNT BALANCES DURING THIS WAITING PERIOD. THESE EARNINGS, WHICH WERE RECOGNIZED AS TAXABLE INCOME AND ARE INCLUDED IN THE REPORTABLE COMPENSATION SHOWN, ARE AS FOLLOWS: SCOTT BECKER $7,682; DAVID CARLSON, DO $1,154; EDWARD DEPASQUALE $2,212; JOSEPH DADO $87; JOHN MORYKEN $424; AND LOUIS SCIULLO $449.
PART I, LINE 6	SCOTT BECKER, DAVID CARLSON, DO, EDWARD DEPASQUALE, JOSEPH DADO, JOHN MORYKEN, AND WESLEY SCHMIDT RECEIVED A BONUS FROM THE CONEMAUGH HEALTH SYSTEM. LOUIS SCIULLO 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. PART I, LINE 6B: WILLIAM HAUGER, MD, ADIB KHOUZAMI, MD AND BRIAN LIEB, DO RECEIVED BONUSES 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 THEN DISTRIBUTED TO THE PHYSICIAN BASED ON A CONTRACTUAL PERCENTAGE AND CAP. TOTAL PHYSICIAN COMPENSATION IS ANNUALLY CHECKED FOR REASONABLENESS AGAINST IRS GUIDELINES.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

ExplanationExplanation	Return ReferenceReturnReference	IdentifierIdentifier
FORM 990, PART V, LINE 2A: CONEMAUGH HEALTH SYSTEM'S (CHS) EMPLOYEE WAGES ARE PROCESSED BY CONEMAUGH VALLEY MEMORIAL HOSPITAL D/B/A MEMORIAL MEDICAL CENTER (MMC), A RELATED 501(C)(3) ORGANIZATION. THE W2S ARE FILED BY MMC (EIN 25-0965307) ON BEHALF OF CHS. ALL CHS WAGES THAT ARE PROCESSED BY MMC ARE REFLECTED ON THE 990 AS REPORTABLE COMPENSATION FROM CHS.
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, 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 11
THE ORGANIZATION AND ALL SUBSIDIARIES ARE GOVERNED BY A 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 CHS 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 CHS 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 HAS DEVELOPED.	FORM 990, PART VI, SECTION B, LINE 12C
CHS MANAGES THE DETERMINATION OF COMPENSATION FOR ITS EXECUTIVES AS WELL AS THE EXECUTIVES OF ALL ITS SUBSIDIARIES. 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. CHS HAS ALSO ESTABLISHED AN EXECUTIVE COMPENSATION COMMITTEE TO REVIEW AND RECOMMEND THE COMPENSATION DECISIONS MADE. THIS COMMITTEE REPORTS DIRECTLY TO THE BOARD.	FORM 990, PART VI, SECTION B, LINE 15
ALL REQUESTS FOR THIS INFORMATION ARE HANDLED BY THE CHS MARKETING/PUBLIC RELATIONS DEPARTMENT.	FORM 990, PART VI, SECTION C, LINE 19
FORM 990, PART VI, SECTION B, LINES 12A, 13, AND 14: ALL APPLICABLE POLICY QUESTIONS HAVE BEEN ANSWERED YES SINCE ALL POLICIES HAVE BEEN APPROVED BY THE HEALTH SYSTEM'S BOARD.
FORM 990, PART VII, SECTION A, LINE 1A, COLUMN B: IN ADDITION TO THE HOURS DEVOTED TO THE FILING ORGANIZATION SHOWN IN PART VII, THE FOLLOWING OFFICERS AND TRUSTEES ALSO DEVOTED HOURS TO RELATED ORGANIZATIONS DURING THE YEAR. THE HOURS SHOWN REPRESENT THE AVERAGE NUMBER OF HOURS PER WEEK. SCOTT BECKER, CEO: CONEMAUGH HEALTH SYSTEM - 49.5 CONEMAUGH VALLEY MEMORIAL HOSPITAL - 4 MEYERSDALE COMMUNITY HOSPITAL - 1 MINERS HOSPITAL - 1 GOOD SAMARITAN MEDICAL CENTER - 0.3 CONEMAUGH HEALTH FOUNDATION - 4 CONEMAUGH HOUSING, INC. - 0.2 CONEMAUGH HEALTH INITIATIVES - 10 EDWARD DEPASQUALE, CFO: CONEMAUGH HEALTH SYSTEM - 22 CONEMAUGH VALLEY MEMORIAL HOSPITAL - 14 MEYERSDALE COMMUNITY HOSPITAL - 1 MINERS HOSPITAL - 1 GOOD SAMARITAN MEDICAL CENTER - 1 CONEMAUGH HEALTH FOUNDATION - 0.5 CONEMAUGH HOUSING, INC. - 0.5 CONEMAUGH HEALTH INITIATIVES - 10 DAVID CARLSON, DO, CMO: CONEMAUGH HEALTH SYSTEM - 20 CONEMAUGH VALLEY MEMORIAL HOSPITAL - 10 MEYERSDALE COMMUNITY HOSPITAL - 4 MINERS HOSPITAL - 4 GOOD SAMARITAN MEDICAL CENTER - 0.5 CONEMAUGH HEALTH FOUNDATION - 1 CONEMAUGH HOUSING, INC. - 1 CONEMAUGH HEALTH INITIATIVES - 10 JOSEPH DADO, CIO: CONEMAUGH HEALTH SYSTEM - 18 CONEMAUGH VALLEY MEMORIAL HOSPITAL - 10 MEYERSDALE COMMUNITY HOSPITAL - 4 MINERS HOSPITAL - 4 GOOD SAMARITAN MEDICAL CENTER - 1 CONEMAUGH HEALTH FOUNDATION - 1 CONEMAUGH HEALTH INITIATIVES - 12 JOHN MORYKEN, VP: CONEMAUGH HEALTH SYSTEM - 20 CONEMAUGH VALLEY MEMORIAL HOSPITAL - 10 MEYERSDALE COMMUNITY HOSPITAL - 1 MINERS HOSPITAL - 1 CONEMAUGH HEALTH INITIATIVES - 8 WESLEY SCHMIDT, VP: CONEMAUGH HEALTH SYSTEM - 22 CONEMAUGH VALLEY MEMORIAL HOSPITAL - 18 MEYERSDALE COMMUNITY HOSPITAL - 4 MINERS HOSPITAL - 4 CONEMAUGH HEALTH INITIATIVES - 4 DIANE PRINGLE: CONEMAUGH HEALTH SYSTEM - 15 CONEMAUGH VALLEY MEMORIAL HOSPITAL - 20 MEYERSDALE COMMUNITY HOSPITAL - 4 MINERS HOSPITAL - 4 CONEMAUGH HEALTH INITIATIVES - 5 WILLIAM HAUGER, MD: CONEMAUGH HEALTH SYSTEM - 2 CONEMAUGH VALLEY MEMORIAL HOSPITAL - 21 CONEMAUGH HEALTH INITIATIVES - 50 ADIB KHOUZAMI, MD: CONEMAUGH HEALTH SYSTEM - 2 CONEMAUGH VALLEY MEMORIAL HOSPITAL - 2 CONEMAUGH HEALTH INITIATIVES - 65 BRIAN LIEB, DO: CONEMAUGH HEALTH SYSTEM - 2 MEMORIAL MEDICAL CENTER - 1.5 MINERS HOSPITAL - 1 CONEMAUGH HEALTH INITIATIVES - 59
NET UNREALIZED GAINS ON INVESTMENTS: 843,717. SUPPORT TO MEYERSDALE MEDICAL CENTER -13,800. TOTAL TO FORM 990, PART XI, LINE 5: 829,917.	FORM 990, PART XI, LINE 5:	CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2: THE ORGANIZATION'S FINANCIAL STATEMENTS FOR THE FISCAL YEAR ENDING JUNE 30, 2012 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
GOOD SAMARITAN MEDICAL CENTER
1020 FRANKLIN STREET	JOHNSTOWN	PA	15905	250965428	HEALTHCARE SERVICES	PA	501C(3)	3	CONEMAUGH HEALTH SYSTEM INC	1
CONEMAUGH VALLEY MEMORIAL HOSPITAL DBA MEMORIAL MEDICAL CTR
1086 FRANKLIN STREET	JOHNSTOWN	PA	15905	250965307	HEALTHCARE SERVICES	PA	501C(3)	3	CONEMAUGH HEALTH SYSTEM INC	1
MINERS HOSPITAL DBA MINERS MEDICAL CENTER
290 HAIDA AVENUE	HASTINGS	PA	16646	250977902	HEALTHCARE SERVICES	PA	501C(3)	3	CONEMAUGH HEALTH SYSTEM INC	1
MEYERSDALE COMMUNITY HOSPITAL DBA MEYERSDALE MEDICAL CENTER
200 HOSPITAL DRIVE	MEYERSDALE	PA	15552	251002946	HEALTHCARE SERVICES	PA	501C(3)	3	CONEMAUGH HEALTH SYSTEM INC	1
CONEMAUGH HEALTH FOUNDATION
1086 FRANKLIN STREET	JOHNSTOWN	PA	15905	251719695	SUPPORTS CONEMAUGH HEALTH SYSTEM	PA	501C(3)	11B	CONEMAUGH HEALTH SYSTEM INC	1
CONEMAUGH HOUSING INC
1086 FRANKLIN STREET	JOHNSTOWN	PA	15905	251606936	PROVIDES SENIOR HOUSING FACILITIES	PA	501C(3)	9	CONEMAUGH VALLEY MEMORIAL HOSPITAL	0

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner
LAUREL HIGHLANDS ADVANCED IMAGING
1450 SCALP AVENUE	JOHNSTOWN	PA	15904	251864587	DIAGNOSTIC SERVICES	PA	CONEMAUGH VALLEY MEMORIAL HOSPITAL	RELATED	0	0
GREATER JOHNSTOWN TECH PARK
1086 FRANKLIN STREET	JOHNSTOWN	PA	15905	260389121	OPERATES MULTI-TENANT COMMERCE OFFICE PARK	PA	CONEMAUGH ENTERPRISES INC	UNRELATED	0	0

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
CONEMAUGH HEALTH INITIATIVES INC DBA CONEMAUGH PHYSICIAN GP
1086 FRANKLIN STREET	JOHNSTOWN	PA	15905	251658283	PHYSICIAN SERVICES	PA	CONEMAUGH HEALTH SYSTEM INC	C	-12526188	12373923	1.00000
CONEMAUGH ENTERPRISES INC
1086 FRANKLIN STREET	JOHNSTOWN	PA	15905	202998473	ECONOMIC DEVELOPMENT	PA	CONEMAUGH VALLEY MEMORIAL HOSPITAL	C
1086 REAL ESTATE
1086 FRANKLIN STREET	JOHNSTOWN	PA	15905	251489704	REAL ESTATE	PA	CONEMAUGH HEALTH INITIATIVES	C
SINDO INC
1086 FRANKLIN STREET	JOHNSTOWN	PA	15905	251144116	COMMUNITY RENTALS	PA	CONEMAUGH HEALTH FOUNDATION	C

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
CONEMAUGH HEALTH INITIATIVES
P	1259291	FAIR MARKET VALUE
CONEMAUGH VALLEY MEMORIAL HOSPITAL
P	5533623	FAIR MARKET VALUE
MINERS HOSPITAL
P	276536	FAIR MARKET VALUE
MEYERSDALE COMMUNITY HOSPITAL
P	180728	FAIR MARKET VALUE
CONEMAUGH VALLEY MEMORIAL HOSPITAL
J	104892	FAIR MARKET VALUE