2012-03-09T13:45:51-06:00 2011-06-30 CARBIS WALKER LLP 5700 CORPORATE DRIVE STE 650 PITTSBURGH PA 15237 990 2010-07-01 232801799 CONEMAUGH HEALTH SYSTEM INC CONE 8144108271 1086 FRANKLIN STREET JOHNSTOWN PA 15905 EDWARD DEPASQUALE 8144105271 2012-03-02 1 JEFFREY J PETRELL CPA 4126356270 2012-03-01 2010 2016-02-24 21:20:13Z SCOTT BECKER 1086 FRANKLIN STREET JOHNSTOWN PA 15905 6630469 0 X WWW.CONEMAUGH.ORG X 1994 PA TO SUPPORT MEMBER HOSPITALS WITHIN THE CONEMAUGH HEALTH SYSTEM AND PROVIDE COMMUNITY BENEFIT 17 8 0 8 0 0 0 0 6971063 6629144 602 662 1449 663 6973114 6630469 0 0 0 0 5111026 4773116 0 0 0 1862088 1857353 6973114 6630469 0 0 5195610 2770540 3149851 2578695 2045759 191845 X TO SUPPORT MEMBER HOSPITALS WITHIN THE CONEMAUGH HEALTH SYSTEM AND PROVIDE COMMUNITY BENEFIT SERVICES. 0 0 5374318 6629144 CONEMAUGH HEALTH SYSTEM (CHS) IS A PHYSICIAN-LED, PROFESSIONALLY MANAGED HEALTH SYSTEM SERVING A FIVE COUNTY REGION OF WEST CENTRAL PENNSYLVANIA. CONEMAUGH'S NETWORK OF AWARD-WINNING HOSPITALS, A MULTI-SPECIALTY INTEGRATED PHYSICIAN GROUP, OUTPATIENT CENTERS, AND OTHER PROVIDERS HAVE HELPED SHAPE NUMEROUS NATIONALLY RECOGNIZED CLINICAL PROGRAMS AND SERVICES. THIS INCLUDES A HEALTHGRADES RANKING AMONG THE TOP FIVE PERCENT IN THE NATION FOR CLINICAL EXCELLENCE. CHS MAINTAINS A STEADFAST COMMITMENT TO QUALITY THAT MOTIVATES EVERY MEMBER OF ITS TEAM TO STRIVE FOR ITS VISION OF EXCELLENCE. EVERY PATIENT. EVERY TIME. THIS INCLUDES PROVIDING OPPORTUNITIES TO RESTORE, RECLAIM, OR AID PERSONS EXPERIENCING PHYSICAL, COGNITIVE, MENTAL, OR EMOTIONAL DISABILITIES. CHS IS COMMITTED TO PROVIDING COMMUNITY HEALTH EDUCATION AND PUBLIC AWARENESS TO THE COMMUNITIES IT SERVES. CHS SPONSORS FREE HEALTH SCREENINGS AND FREE HEALTH EDUCATION SEMINARS. A MONTHLY CALENDAR IS PUBLISHED IN NEWSPAPERS THROUGHOUT THE REGION INVITING THE COMMUNITY TO ATTEND FREE INFORMATIONAL AND SUPPORT SESSIONS CATERING TO ALL AGE AND DEMOGRAPHIC GROUPS. CHS OFFERS MORE THAN 17 SUPPORT GROUPS TO PROVIDE EDUCATION, NETWORKING, AND OPEN FORUMS ON NUMEROUS TOPICS INCLUDING DIABETES, EPILEPSY, STROKE, AND SUICIDE. DURING FISCAL YEAR 2011, CHS SPONSORED PROGRAMS INCLUDING FREE MANUAL BREAST EXAMS AND OSTEOPOROSIS SCREENINGS, HEART RISK ASSESSMENTS, VASCULAR SCREENINGS, A CANCER AWARENESS AND PREVENTION HEALTH FAIR, HEART HEALTH LECTURES AND A HEART HEALTH FAIR, FREE PROSTATE SCREENINGS, AND SKIN CANCER SCREENINGS. IN ADDITION, A CAMPAIGN WAS UNDERTAKEN TO RAISE AWARENESS ABOUT DIABETES, AND ALLOW FOR PARTICIPATION IN NUMEROUS GENERAL HEALTH AND WELLNESS FAIRS THROUGHOUT THE COMMUNITY. SEVERAL HEALTH SCREENINGS WERE ALSO HELD WHICH TARGETED HIGH SCHOOL STUDENTS AND THEIR FAMILIES TO TRY TO RAISE AWARENESS ABOUT THE IMPORTANCE OF EXERCISE AND MAKING HEALTHY CHOICES.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 AT MEMORIAL MEDICAL CENTER CONTINUES TO BE ENHANCED BY ITS: LEVEL 1 REGIONAL RESOURCE TRAUMA PROGRAM AND LEVEL 3 NEONATAL INTENSIVE CARE UNIT WITH AERO MEDICAL TRANSPORT SERVICE; NUMEROUS NATIONALLY RANKED CLINICAL PROGRAMS INCLUDING CARDIOLOGY, CARDIAC SURGERY, NEUROSURGERY, ORTHOPEDIC SURGERY, VASCULAR SURGERY, PULMONARY, AND CRITICAL CARE; COMMITMENT TO EDUCATIONAL EXCELLENCE INCLUDING EIGHT MEDICAL RESIDENCY PROGRAMS, A PHARM D RESIDENCY, SCHOOL OF NURSING, SCHOOLS OF ALLIED HEALTH, AND A MEDICAL SKILLS LEARNING CENTER WHICH IS ONE OF ONLY 58 ACCREDITED CENTERS WORLDWIDE; TECHNOLOGY ADVANCEMENTS CURRENTLY BEING IMPLEMENTED, INCLUDING A PHARMACY ROBOT AND PHYSICIAN ORDER ENTRY INFORMATION TECHNOLOGY SYSTEM; STATE OF THE ART CARDIAC CATHETERIZATION LABS, MINIMALLY INVASIVE OPERATING SUITES, VASCULAR OPERATING ROOMS, INTERVENTIONAL RADIOLOGY LABS, AND IMAGING EQUIPMENT INCLUDING A 128-SLICE CT AND PET/CT, WHICH ARE AVAILABLE WITHIN THE HEALTH SYSTEM AND RELATED ENTITIES. MEMORIAL MEDICAL CENTER'S LEE CAMPUS SERVES AS A CONVENIENT LOCATION FOR A NUMBER OF IMPORTANT PROGRAMS AND SERVICES INCLUDING THE WOUND HEALING CENTER, THE CONEMAUGH DIABETES INSTITUTE, THE LEE AMBULATORY SURGERY CENTER FOR SAME DAY SURGERY, AND THE SLEEP DISORDERS CENTER. THE LEE CAMPUS ALSO PROVIDES A HOST OF OUTPATIENT LABORATORY AND IMAGING SERVICES FOR THE COMMUNITY. A LARGE COMMUNITY ROOM IS USED BY NUMEROUS COMMUNITY ORGANIZATIONS FOR MEETINGS AND EVENTS. MINERS MEDICAL CENTER IS A 30-BED COMMUNITY HOSPITAL SERVING RURAL NORTHERN CAMBRIA COUNTY AND SURROUNDING AREAS. IT IS THE REGION'S SOLE HOSPITAL, SPECIALIZING IN FAMILY AND PRIMARY CARE, AND PROVIDES 24-HOUR EMERGENCY CARE, LABORATORY SERVICES, AND MANY PHYSICIAN 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 24-HOUR EMERGENCY CARE AND A NUMBER OF OUTPATIENT SERVICES AND PHYSICIAN SPECIALISTS.CHS ALSO INCLUDES THE 115 PHYSICIANS OF CONEMAUGH PHYSICIAN GROUP WITH PRACTICE OFFICE LOCATIONS IN CAMBRIA, SOMERSET, BEDFORD, INDIANA, AND WESTMORELAND COUNTIES.CHS IS AN ACTIVE MEMBER OF THE COMMUNITY AND AN ADVOCATE FOR THE HEALTH, WELL BEING, AND ECONOMIC STRENGTH OF THE REGION. CHS ADMINISTRATORS HAVE TEAMED UP WITH THE UNITED WAY OF THE LAUREL HIGHLANDS OVER THE PAST FEW YEARS TO IDENTIFY COMMUNITY NEEDS. THIS YEAR, CHS INVESTED NEARLY 1,000 HOURS OF WORK INTO A COMMUNITY NEEDS ANALYSIS FOR CAMBRIA AND SOMERSET COUNTIES. THIS INCLUDED DOZENS OF INTERVIEWS OF AREA LEADERS, HEALTHCARE PROFESSIONALS, EDUCATORS, CLERGY, AND SOCIAL SERVICE PROFESSIONALS. THE FINDINGS HAVE BEEN SHARED WITH THE BOARDS OF CONEMAUGH HEALTH SYSTEM, THE UNTIED WAY OF THE LAUREL HIGHLANDS, AND OVER 20 HUMAN SERVICES AGENCIES. THE FINAL REPORT WILL BE SHARED WITH COMMUNITY LEADERS AND A CONDENSED HIGHLIGHT VERSION WILL BE RELEASED TO THE MEDIA. THE UNITED WAY HAS BEGUN TO REDIRECT FUNDING TO KEY AREAS OF NEED INCLUDING: PROGRAMS TO HELP CHILDREN STAY IN SCHOOL TO INCREASE THEIR POTENTIAL TO BE SUCCESSFUL; DRUG AND ALCOHOL PROGRAMS; AND MENTAL HEALTH PROGRAMS. CONEMAUGH AND THE UNITED WAY WILL PERIODICALLY MEASURE COMMUNITY IMPACT.IN ADDITION TO PROVIDING THE COMMUNITY NEEDS REPORT, VARIOUS CHS LEADERS HAVE SERVED IN MANY ROLES FOR THE UNITED WAY INCLUDING CHAIRMAN OF THE BOARD, CHAIRMAN OF THE COMMUNITY IMPACT COMMITTEE, AND PARTICIPATION IN THE LOANED EXECUTIVE PROGRAM. SENIOR LEADERS AND DIRECTORS THROUGHOUT THE HEALTH SYSTEM ARE ALSO ENCOURAGED TO SERVE ON OTHER COMMUNITY BOARDS AND ORGANIZATIONS. SOME OF THOSE REPRESENTED INCLUDE THE AMERICAN RED CROSS, THE LEUKEMIA AND LYMPHOMA SOCIETY, THE JOHNSTOWN SYMPHONY, WOMEN'S HELP CENTER, JUNIOR ACHIEVEMENT, LAUREL HIGHLANDS FOOD PANTRY, AND THE GREATER JOHNSTOWN YMCA. 5374318 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 17 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X EDWARD DEPASQUALE 8144108271 1086 FRANKLIN STREET JOHNSTOWN PA 15905 X JAMES HARGREAVES 2.00 X X 0 0 0 RON VICKROY 2.00 X X 0 0 0 JAMES CASCIO 2.00 X X 0 0 0 KIM CRAIG 2.00 X X 0 0 0 HAROLD ASHCRAFT MD 2.00 X 0 0 0 KRISTIN BRANT MD 2.00 X 0 0 0 ROBERT A GLEASON JR 2.00 X 0 0 0 WILLIAM HAUGER MD 2.00 X 0 363242 37555 ADIB KHOUZAMI MD 2.00 X 0 1153176 32945 BRIAN LIEB DO 2.00 X 0 235862 30681 SAMUEL MCCLURE 2.00 X 0 0 0 ROBERTA REAM 2.00 X 0 0 0 JOHN SARACENA 2.00 X 0 0 0 SALLY SARGENT 2.00 X 0 0 0 PATRICIA SEROTKIN 2.00 X 0 0 0 MICHAEL SMITH 2.00 X 0 0 0 SCOTT BECKER 53.00 X X 1236437 0 42969 DAVID CARLSON DO 20.00 X 678102 0 30611 EDWARD DEPASQUALE 22.00 X 538638 0 35167 JOSEPH DADO 20.00 X 442586 0 16131 JOHN MORYKEN 20.00 X 321458 0 26692 MARY YORK 30.00 X 246850 0 20321 LOUIS SCIULLO 50.00 X 116615 83295 11260 3580686 1835575 284332 6 0 1 0 BKD LLP PO BOX 1178 LOUISVILLE KY 40201 ACCOUNTING SERVICES 344625 BUCHANAN INGERSOLL ROONEY PC 301 GRANT STREET PITTSBURGH PA 15219 LEGAL SERVICES 249114 YAFFE & CO INC 49 WASHINGTON AVE SUITE 700 TOWSON MD 21204 CONSULTING SERVICES 116597 3 MANAGEMENT FEES 561000 6629144 6629144 6629144 662 662 INTEREST-OFFICER LOAN 900099 663 663 663 6630469 6629144 0 1325 2680469 2573250 107219 1229344 485340 744004 32245 11668 20577 831058 617464 213594 350009 350009 338985 338985 359958 346713 13245 210386 199328 11058 68805 43644 25161 107488 55337 52151 38893 37453 1440 66983 60935 6048 5898 5080 818 DUES & SUBSCRIPTIONS 117631 61520 56111 PURCHASED SERVICES 45278 40553 4725 RELOCATION 21050 21050 125989 125989 6630469 5374318 1256151 0 118448 200986 1052489 116497 13771 2858 1206000 192740 136571 209652 169019 18031 40633 3800131 1066995 5195610 2770540 1521895 1139921 508623 1119333 1438774 3149851 2578695 X 2045759 191845 2045759 191845 5195610 2770540 X 0 -1853914 X X 0 1 1 X 0 X X X X 0 0 0 MEYERSDALE MEDICAL CENTER 251002946 3 0 1 1 13800 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 5 13800 209652 169019 40633 40633 INVESTMENT IN PHHP 7500 INVESTMENT IN RRG 324563 457(F) DEFERRED COMPENSATION CONTRIBUTION 734932 1066995 457(F) DEFERRED COMPENSATION 734932 SEVERANCE LIABILITY 16818 DUE TO MEMORIAL MEDICAL CENTER 659813 DUE TO GOOD SAMARITAN MEDICAL CENTER 11540 DUE TO CONEMAUGH HEALTH INITIATIVES, INC. 10359 DUE TO MEYERSDALE MEDICAL CENTER 4675 DUE TO CONEMAUGH HOUSING, INC. 637 1438774 X 0 1 X X X X X 1 1 0 0 0 1 1 0 0 WILLIAM HAUGER MD 0 333778 0 23132 0 6332 0 24381 0 13174 0 400797 0 0 ADIB KHOUZAMI MD 0 649000 0 500228 0 3948 0 21842 0 11103 0 1186121 0 0 BRIAN LIEB DO 0 180666 0 32025 0 23171 0 17670 0 13011 0 266543 0 0 SCOTT BECKER 571461 0 210076 0 454900 0 13224 0 29745 0 1279406 0 204798 0 DAVID CARLSON DO 400722 0 86056 0 191324 0 12606 0 18005 0 708713 0 103693 0 EDWARD DEPASQUALE 313637 0 66488 0 158513 0 18798 0 16369 0 573805 0 98604 0 JOSEPH DADO 254066 0 53829 0 134691 0 13099 0 3032 0 458717 0 80488 0 JOHN MORYKEN 203678 0 32762 0 85018 0 15189 0 11503 0 348150 0 47184 0 MARY YORK 109968 0 0 0 136882 0 11963 0 8358 0 267171 0 24750 0 LOUIS SCIULLO 83336 59525 8782 6272 24497 17498 5458 3899 1110 793 123183 87987 11184 0 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 DURING THE YEAR TOTALING $73,906. IN ADDITION, HER 457(F) PLAN BALANCE OF $44,258 WAS RECOGNIZED AS TAXABLE INCOME. THE CONEMAUGH HEALTH SYSTEM'S 457(F) EXECUTIVE COMPENSATION PROGRAM WAS TERMINATED DECEMBER 10,2010 RESULTING IN A TAXABLE EVENT. ON THAT DATE, EACH PARTICIPANT'S ENTIRE ACCOUNT BALANCE WAS RECOGNIZED AS TAXABLE INCOME PER IRS REGULATIONS. THESE AMOUNTS, WHICH ARE INCLUDED ON THE 990 CORE FORM AND SCHEDULE J AS REPORTABLE COMPENSATION ARE AS FOLLOWS: $430,918 FOR SCOTT BECKER; $180,982 FOR DAVID CARLSON, DO; $148,478 FOR EDWARD DEPASQUALE; $130,649 FOR JOSEPH DADO; $78,414 FOR JOHN MORYKEN; AND $31,868 FOR LOUIS SCIULLO. PLEASE NOTE THAT THESE AMOUNTS LESS ALL APPLICABLE TAXES, WHICH HAVE BEEN REMITTED UPON THE PLAN'S TERMINATION, WILL NOT BE DISTRIBUTED TO THE PARTICIPANTS UNTIL 1 YEAR AND 1 DAY AFTER THE TERMINATION DATE HAS PASSED. PART I, LINE 6 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. SUPPLEMENTAL INFORMATION PART III PART II, COLUMN (F): PAST CONTRIBUTIONS MADE TO THE 457(F) PLAN ARE INCLUDED AS REPORTABLE COMPENSATION IN THE CURRENT YEAR DUE TO THE PLAN'S TERMINATION. AMOUNTS SHOWN REPRESENT CONTRIBUTIONS THAT WERE RECOGNIZED AS DEFERRED COMPENSATION ON PAST FORM 990S. DAVID CARLSON DO HOUSING LOAN X 31010 2858 0 1 1 2858 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, 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 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 15 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 C, LINE 19 ALL REQUESTS FOR THIS INFORMATION ARE HANDLED BY THE CHS MARKETING/PUBLIC RELATIONS DEPARTMENT. FORM 990, PART VI, 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. 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 VALLEY MEMORIAL HOSPITAL - 4 MEYERSDALE COMMUNITY HOSPITAL - 1 MINERS HOSPITAL - 1 GOOD SAMARITAN MEDICAL CENTER - 0.3 CONEMAUGH HEALTH FOUNDATION - 3.5 CONEMAUGH HOUSING, INC. - 0.2 CONEMAUGH HEALTH INITIATIVES - 7 EDWARD DEPASQUALE, CFO: 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 VALLEY MEMORIAL HOSPITAL - 10 MEYERSDALE COMMUNITY HOSPITAL - 4 MINERS HOSPITAL - 4 GOOD SAMARITAN MEDICAL CENTER - 0.5 CONEMAUGH HEALTH FOUNDATION - 0.5 CONEMAUGH HOUSING, INC. - 1 CONEMAUGH HEALTH INITIATIVES - 10 JOSEPH DADO, CIO: CONEMAUGH VALLEY MEMORIAL HOSPITAL - 16 MEYERSDALE COMMUNITY HOSPITAL - 2 MINERS HOSPITAL - 2 GOOD SAMARITAN MEDICAL CENTER - 1 CONEMAUGH HEALTH FOUNDATION - 1 CONEMAUGH HEALTH INITIATIVES - 8 MARY YORK, CLO: CONEMAUGH VALLEY MEMORIAL HOSPITAL - 15 MEYERSDALE COMMUNITY HOSPITAL - 2 MINERS HOSPITAL - 2 GOOD SAMARITAN MEDICAL CENTER - 1 JOHN MORYKEN, VP: CONEMAUGH VALLEY MEMORIAL HOSPITAL - 10 MEYERSDALE COMMUNITY HOSPITAL - 1 MINERS HOSPITAL - 1 CONEMAUGH HEALTH INITIATIVES - 8 LOUIS SCIULLO, VP: CONEMAUGH VALLEY MEMORIAL HOSPITAL - 50 TRANSFERRED TO THIS RELATED ORGANIZATION DURING AUGUST 2010. WILLIAM HAUGER, MD: CONEMAUGH VALLEY MEMORIAL HOSPITAL - 12 CONEMAUGH HEALTH INITIATIVES - 50 ADIB KHOUZAMI, MD: CONEMAUGH HEALTH INITIATIVES - 65 BRIAN LIEB, DO: MEMORIAL MEDICAL CENTER - 1.5 MINERS HOSPITAL - 1 CONEMAUGH HEALTH INITIATIVES - 59 CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -1,840,114. SUPPORT TO MEYERSDALE MEDICAL CENTER 13,800 FORM 990, PART XI, LINE 2: THE ORGANIZATION'S FINANCIAL STATEMENTS FOR THE FISCAL YEAR ENDING JUNE 30, 2011 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. GOOD SAMARITAN MEDICAL CENTER 1020 FRANKLIN STREET JOHNSTOWN PA 15905 250965428 HEALTH CARE 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 HEALTH CARE SERVICES PA 501C(3) 3 CONEMAUGH HEALTH SYSTEM INC 1 MINERS HOSPITAL DBA MINERS MEDICAL CENTER 290 HAIDA AVENUE HASTINGS PA 16646 250977902 HEALTH CARE SERVICES PA 501C(3) 3 CONEMAUGH HEALTH SYSTEM INC 1 MEYERSDALE COMMUNITY HOSPITAL DBA MEYERSDALE MEDICAL CENTER 200 HOSPITAL DRIVE MEYERSDALE PA 15552 251002946 HEALTH CARE 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 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 CONEMAUGH HEALTH INITIATIVES INC DBA CONEMAUGH PHYSICIAN GP 1086 FRANKLIN STREET JOHNSTOWN PA 15905 251658283 PHYSICIAN SERVICES PA CONEMAUGH HEALTH SYSTEM INC C -10566833 10842088 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 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 CONEMAUGH HEALTH INITIATIVES P 829944 FAIR MARKET VALUE CONEMAUGH VALLEY MEMORIAL HOSPITAL P 4835637 FAIR MARKET VALUE MINERS HOSPITAL P 225847 FAIR MARKET VALUE MEYERSDALE COMMUNITY HOSPITAL P 130367 FAIR MARKET VALUE GOOD SAMARITAN MEDICAL CENTER P 88748 FAIR MARKET VALUE CONEMAUGH VALLEY MEMORIAL HOSPITAL J 107488 FAIR MARKET VALUE