MONONGAHELA VALLEY HOSPITAL INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- MONONGAHELA VALLEY HOSPITAL INC (EIN 23-7218917)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-15
- IRS object ID
- 201231369349300048
- Schema version
- 2010v3.4
- 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 B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-15T07:52:13-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237218917 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONONGAHELA VALLEY HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MONO | NameControl |
| Phone | 7242581000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1163 COUNTRY CLUB ROAD | AddressLine1 |
| City | MONONGAHELA | City |
| State | PA | State |
| ZIP Code | 15063 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DANIEL F SIMMONS | Name |
| Title | SENIOR VICE PRESIDENT/TREASUSER | Title |
| Phone | 7242581106 | Phone |
| Date Signed | 2012-05-11 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JEFFREY J PETRELL CPA | Name |
| Phone | 4126356270 | Phone |
| Date Prepared | 2012-05-11 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DANIEL F SIMMONS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1163 COUNTRY CLUB ROAD | AddressLine1 |
| City | MONONGAHELA | City |
| State | PA | State |
| ZIP Code | 15063 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 123762877 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MONVALLEYHOSPITAL.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1972 | YearFormation |
| State Legal Domicile | PA | StateLegalDomicile |
| Activity Or Mission Description | THE MISSION OF MONONGAHELA VALLEY HOSPITAL IS TO ENHANCE THE HEALTH OF THE RESIDENTS OF THE MID-MONONGAHELA VALLEY AREA BY PROVIDING OUTSTANDING HEALTHCARE SERVICES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1175 | TotalNbrEmployees |
| Total Nbr Volunteers | 179 | TotalNbrVolunteers |
| Total Gross UBI | 2157690 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 150113 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 785043 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 291103 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 110639023 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 119782206 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1519340 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2349847 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 672389 | OtherRevenuePriorYear |
| Other Revenue Current Year | 667397 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 113615795 | TotalRevenuePriorYear |
| Total Revenue Current Year | 123090553 | 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 | 58974862 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 61993880 | 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 | 52370310 | OtherExpensePriorYear |
| Other Expenses Current Year | 59387130 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 111345172 | TotalExpensesPriorYear |
| Total Expenses Current Year | 121381010 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2270623 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1709543 | RevenuesLessExpensesCY |
| Total Assets BOY | 112325037 | TotalAssetsBOY |
| Total Assets EOY | 123975279 | TotalAssetsEOY |
| Total Liabilities BOY | 46435802 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 48707780 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 65889235 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 75267499 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE MISSION OF MONONGAHELA VALLEY HOSPITAL IS TO ENHANCE THE HEALTH OF THE RESIDENTS OF THE MID-MONONGAHELA VALLEY AREA BY PROVIDING OUTSTANDING HEALTHCARE SERVICES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 108045929 | Expense |
| Revenue | 117452397 | Revenue |
| Description | MONONGAHELA VALLEY HOSPITAL'S PRIME MISSION IS TO ENHANCE THE HEALTH OF THE RESIDENTS OF THE MID-MON VALLEY AREAS. THE HOSPITAL WORKS TO ACHIEVE ITS MISSION BY MAINTAINING SUITABLE FACILITIES WITHIN CARROLL TOWNSHIP, WASHINGTON COUNTY, PENNSYLVANIA VICINITY FOR THE PROVISION OF HEALTH CARE. ADDITIONALLY, MONONGAHELA VALLEY HOSPITAL HAS ALWAYS ENCOURAGED PROGRESS AND FLEXIBILITY TO MEET THE CHANGING NEEDS OF OUR PATIENTS AND ALL RESIDENTS OF THE COMMUNITIES IN THE MID-MON VALLEY. THE HOSPITAL CONFRONTED THE ISSUES REQUIRED TO ENHANCE THE HEALTH AND WELFARE OF THE RESIDENTS OF THE MID-MON VALLEY BY PROVIDING QUALITY HEALTH CARE REGARDLESS OF ETHNIC BACKGROUND, AGE OR ABILITY TO PAY, ALL THE WHILE MAINTAINING A HIGH DEGREE OF RESPONSIVENESS TO CHANGES, PARTICULARLY THOSE OF THE COMMUNITY. IN OUR EFFORT TO FULFILL OUR MISSION OF SERVING THE COMMUNITY, THE HOSPITAL COMMITTED TO SERVE ALL MEMBERS OF ITS COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY, THROUGH VARIOUS MEANS:CARE PROVIDED TO PERSONS COVERED BY GOVERNMENT PROGRAMS (I.E., MEDICARE AND MEDICAID) AT BELOW COST, CHARITY CARE, AND HEALTH EDUCATION PROGRAMS AND ACTIVITIES TO INFORM AND SUPPORT THE COMMUNITY.THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, CLINICS, COMMUNITY EDUCATION PROGRAMS, HEALTH SCREENINGS, COUNSELING SERVICES, SCHOOL PROGRAMS AND A VARIETY OF OTHER SUPPORT ACTIVITIES. SEE THE FOLLOWING SUMMARY OF COMMUNITY SUPPORT SERVICES AND PROGRAMS PROVIDED BY MONONGAHELA VALLEY HOSPITAL DURING THE FISCAL YEAR 2011.DURING FISCAL 2011, MONONGAHELA VALLEY HOSPITAL PROVIDED CARE FOR 12,511 ADULT AND PEDIATRIC INPATIENT ADMISSIONS AND OBSERVATIONS AND OVER 273,000 OUTPATIENT VISITS WHICH INCLUDES 33,980 PATIENTS RECEIVING CARE THROUGH OUR 24-HOUR EMERGENCY ROOM. MEDICARE AND MEDICAID PATIENTS CONSTITUTED 53.4% OF OUR PATIENTS DURING FISCAL YEAR 2011. THE HOSPITAL'S COST OF THE COMMUNITY SUPPORT PROGRAMS AND MEDICAL ASSISTANCE SHORTFALLS DURING FISCAL 2011 WAS NEARLY $6,109,000. IN ADDITION, THE HOSPITAL PROVIDED $1,709,460 OF CHARITY CARE.ALSO DURING FISCAL YEAR 2011, MONONGAHELA VALLEY HOSPITAL, INC., WROTE OFF NEARLY $9,197,000 OF CHARGES FOR UNINSURED AND UNDERINSURED INDIVIDUALS AND OTHERS. THESE INDIVIDUALS FROM OUR COMMUNITY WERE UNABLE TO PAY THOSE CHARGES AND DID NOT QUALIFY FOR ASSISTANCE FROM ANY GOVERNMENT OR CHARITY CARE PROGRAM.SUMMARY OF COMMUNITY SUPPORT PROGRAMSFISCAL YEAR ENDED JUNE 30, 2011THE HOSPITAL SPONSORS A "LIFELINE" FIRST RESPONDER PROGRAM. THIS PROGRAM ENABLES OVER 300 INDIVIDUALS WITHIN OUR COMMUNITY TO LIVE INDEPENDENTLY, WHILE GIVING THEM THE SECURITY OF KNOWING THEY CAN GET MEDICAL ASSISTANCE IMMEDIATELY IF REQUIRED.THE HOSPITAL PROVIDED NEARLY 260 EDUCATIONAL PROGRAMS SERVICING APPROXIMATELY 2,050 INDIVIDUALS. SUBJECTS INCLUDED: CONTINUING EDUCATION, PARAMEDIC TRAINING, CPR TRAINING, INFECTION CONTROL AND PEDIATRIC PROGRAMS. HEALTH SCREENINGS WERE PROVIDED TO VARIOUS SEGMENTS OF OUR SERVICE AREA. THESE SERVICES WERE PROVIDED THROUGH EMPLOYERS, LOCAL SOCIAL ORGANIZATIONS, AND HEALTH FAIRS. NEARLY 7,230 COMMUNITY RESIDENTS WERE SERVED THROUGH THESE PROGRAMS. THE SERVICES PROVIDED INCLUDE: IMMUNIZATIONS, BLOOD PRESSURE SCREENINGS, PULMONARY FUNCTION TESTS, DIABETES RISK SCREENINGS, CANCER SCREENINGS, GLUCOSE AND CHOLESTEROL SCREENINGS, HEARING SCREENINGS, BONE DENSITY SCREENINGS, HEALTH FAIRS, ETC. THESE TYPES OF PROGRAMS ARE PROVIDED AT MINIMAL COST TO THE COMMUNITY.THE HOSPITAL ALSO PROVIDED OVER 65 COMMUNITY HEALTH PROGRAMS WITH OVER 2,050 PARTICIPANTS. PROGRAMS INCLUDED: CPR, AIDS AWARENESS, ARTHRITIS AWARENESS, DIABETES PROGRAM, SMOKING CESSATION COUNSELING, INFECTION PREVENTION, CHILDBIRTH PREPARATION CLASSES, ETC.THE HOSPITAL PROVIDED COUNSELING SERVICES TO OVER 425 INDIVIDUALS DURING THE FISCAL YEAR ENDED JUNE 30, 2011. PROGRAMS INCLUDED: CANCER, DIABETES, LUPUS, ARTHRITIS, SCHIZOPHRENIA, STROKE AND CAREGIVERS SUPPORT GROUPS.MONONGAHELA VALLEY HOSPITAL PROVIDED OVER 10 SCHOOL PROGRAMS TO NINE AREA SCHOOL DISTRICTS WHICH INCLUDE: RINGGOLD, MONESSEN, CHARLEROI, YOUGH, FRAZIER, BENTWORTH, CALIFORNIA, BETH CENTER AND BELLE VERNON. PRESENTATIONS WERE MADE TO NEARLY 775 STUDENTS AND TEACHERS. PROGRAMS PROVIDED INCLUDE: AIDS AWARENESS, INFECTION PREVENTION, CONFLICT RESOLUTIONS, TEEN PREGNANCY, NICO-TEEN SMART, NUTRITION AND HOSPITAL TOURS.THE HOSPITAL PROVIDED OUTREACH PROGRAMS FOR OVER 6,500 ELDERLY AND INDIGENT RESIDENTS OF THE MID-MON VALLEY COMMUNITY DURING FISCAL YEAR 2011. PROGRAMS INCLUDE: DIABETES MANAGEMENT, STRESS MANAGEMENT, DEPRESSION, AND TRANSPORTATION SERVICES.THE HOSPITAL PROVIDED OVER $53,600 OF FINANCIAL SUPPORT TO THE LOCAL EMS PROVIDERS BY SUPPLYING THEIR AMBULANCES WITH REPLACEMENT ITEMS THAT WERE USED DURING PATIENT TRANSPORT.MONONGAHELA VALLEY HOSPITAL ALSO PARTICIPATES AND SPONSORS MANY COMMUNITY PROGRAMS SUCH AS SCOUTING FOR FOOD, UNITED WAY, PLUS SEVERAL OTHER PROGRAMS WITHIN THE MID-MON VALLEY.NUMEROUS PATIENT BROCHURES ARE PUBLISHED TO INCREASE PATIENT AWARENESS OF POTENTIAL HEALTH RISKS.THIS SUMMARY IS JUST THAT, A SUMMARY OF OUR PROGRAMS GEARED TO COMMUNITY SERVICE. MONONGAHELA VALLEY HOSPITAL AND OUR EMPLOYEES PROVIDE COUNTLESS HOURS PROMOTING COMMUNITY HEALTH AWARENESS; THIS SUMMARY REPRESENTS A PORTION OF THAT EFFORT. | Description |
| Total Program Service Expense | 108045929 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| 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 | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | 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 | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| 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 | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 127 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1175 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| 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 |
| Form8899 Filed | 0 | Form8899Filed |
| Form1098 C Filed | 0 | Form1098CFiled |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Taxable Distributions | 0 | TaxableDistributions |
| Distribution To Donor | 0 | DistributionToDonor |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | 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 | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| 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 | MONONGAHELA VALLEY HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7242581000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1163 COUNTRY CLUB ROAD | AddressLine1 |
| City | MONONGAHELA | City |
| State | PA | State |
| ZIP Code | 150631095 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 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 |
|---|---|---|---|---|---|---|---|
| JOHN D FRY | |||||||
| CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | |
| R CARLYN BELCZYK | |||||||
| VICE CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | |
| JEFF M KOTULA | |||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | |
| LOUIS J PANZA JR | |||||||
| PRESIDENT AND CEO | 55.90 | X | X | 360809 | 0 | 34576 | |
| ANGELO ARMENTI JR PHD | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| RICHARD A BARCELONA | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| CARL CRAWLEY JR | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| JOSEPH U FRYE | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| ALAN R GUTTMAN | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| S P HEWIE MD | |||||||
| TRUSTEE | 10.00 | X | 30000 | 0 | 0 | ||
| ROBERT J JENKINS JR MD | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| MICHAL LEMENTOWSKI MD | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| WILLIAM J MILLER JR | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| CHARLES MUIA | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| DANA CARUSO SLAGLE | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| DANIEL F SIMMONS | |||||||
| SR. VICE PRES/TREASURER | 58.60 | X | 164910 | 0 | 28442 | ||
| PATRICK J ALBERTS | |||||||
| SR. VICE PRES/COO | 52.50 | X | 151572 | 0 | 19187 | ||
| ELAINE S GELB | |||||||
| OCC HEALTH PHYSICIAN | 40.00 | 212471 | 0 | 12578 | X | ||
| MARY BETH ELLIOT | |||||||
| CRNA | 40.00 | 153159 | 0 | 13147 | X | ||
| CAROL STARK | |||||||
| CRNA | 40.00 | 149774 | 0 | 27139 | X | ||
| MELISSA A COOPER | |||||||
| CRNA | 40.00 | 145493 | 0 | 26923 | X | ||
| JACINTA A BALDINI | |||||||
| CRNA | 40.00 | 144939 | 0 | 27139 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1513127 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 189131 | TotalOtherCompensation |
| Number Individuals GT100 K | 27 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| QDI QUEST DIAGNOSTICS | |||||
| 16410 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | LAB SERVICES | 713755 |
| SIEMENS MEDICAL SOLUTIONS | |||||
| P O BOX 7777 N 3580 | PHILADELPHIA | PA | 19175 | COMPUTER SERVICES | 669871 |
| VEBH ARCHITECTS | |||||
| 470 WASHINGTON ROAD | PITTSBURGH | PA | 15228 | ARCHITECTURAL SERVICES | 659774 |
| VALE-U-HEALTH INC | |||||
| 800 PLAZA DRIVE | BELLE VERNON | PA | 15012 | HEALTH PLAN MANAGEMENT | 495368 |
| MEDICAL INFORMATION TECHNOLOGY | |||||
| P O BOX 74569 | CHICAGO | IL | 60696 | COMPUTER SERVICES | 393989 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 22 | NumberOfContractorsGT100K |
| All Other Contributions | 291103 | AllOtherContributions |
| Total Contributions | 291103 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| PATIENT SERVICE REVENU | 621990 | 117452397 | 117452397 | ||
| MEDICAL LABORATORY | 621500 | 2157690 | 2157690 | ||
| PARKING GARAGE INCOME | 812930 | 172119 | $172,119 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 119782206 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2163314 | TotalRevenueColumn |
| Exclusion | $2,163,314 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 242704 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 9951 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 232753 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 232753 | TotalRevenueColumn |
| Exclusion | $232,753 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 846242 | Securities |
| Other | 2664 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 657651 | Securities |
| Other | 4722 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 188591 | Securities |
| Other | -2058 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 186533 | TotalRevenueColumn |
| Exclusion | $186,533 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| CAFETERIA INCOME | 722210 | 358244 | $358,244 |
| MEDICAL RECORD TRANSCR | 621990 | 76400 | $76,400 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 434644 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 123090553 | TotalRevenueColumn |
| Related Or Exempt Function Income | 117452397 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 2157690 | UnrelatedBusinessRevenue |
| Exclusion | $3,189,363 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 650326 | Total |
| Program Services | 588293 | ProgramServices |
| Management And General | 62033 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44224759 | Total |
| Program Services | 37944096 | ProgramServices |
| Management And General | 6280663 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3204997 | Total |
| Program Services | 2884497 | ProgramServices |
| Management And General | 320500 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10608049 | Total |
| Program Services | 9547244 | ProgramServices |
| Management And General | 1060805 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3305749 | Total |
| Program Services | 2838525 | ProgramServices |
| Management And General | 467224 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 170974 | Total |
| Management And General | 170974 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 75000 | Total |
| Management And General | 75000 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3129354 | Total |
| Program Services | 3129354 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 140908 | Total |
| Program Services | 124459 | ProgramServices |
| Management And General | 16449 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 846868 | Total |
| Program Services | 846868 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6340990 | Total |
| Program Services | 5694938 | ProgramServices |
| Management And General | 646052 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2026674 | Total |
| Program Services | 1824007 | ProgramServices |
| Management And General | 202667 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| UNREAL BUS INCOME TAX | 30599 | 30599 | 0 |
| SUPPLIES | 31658548 | 28261285 | 3397263 |
| BAD DEBT | 9196922 | 9196922 | 0 |
| EQUIPMENT RENTAL | 2382783 | 1979758 | 403025 |
| UTILITIES | 1812577 | 1631319 | 181258 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1574933 | Total |
| Program Services | 1523765 | ProgramServices |
| Management And General | 51168 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 121381010 | Total |
| Program Services | 108045929 | ProgramServices |
| Management And General | 13335081 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11231891 | BOY |
| EOY | 15473090 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10580783 | BOY |
| EOY | 12605701 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1888475 | BOY |
| EOY | 2407301 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2171485 | BOY |
| EOY | 2094889 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 147313248 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 102087100 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41733997 | BOY |
| EOY | 45226148 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40953093 | BOY |
| EOY | 42391822 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3765313 | BOY |
| EOY | 3776328 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 112325037 | BOY |
| EOY | 123975279 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9409404 | BOY |
| EOY | 11002608 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15518250 | BOY |
| EOY | 23730000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4407478 | BOY |
| EOY | 1393522 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17100670 | BOY |
| EOY | 12581650 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 46435802 | BOY |
| EOY | 48707780 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 65825407 | BOY |
| EOY | 75264619 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63828 | BOY |
| EOY | 2880 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 65889235 | BOY |
| EOY | 75267499 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 112325037 | BOY |
| EOY | 123975279 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1709543 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 7668721 | 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 | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $47,019 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $18,981 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 66000 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF OTHER LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1I: | ReturnReference |
| Explanation | A PORTION OF THE HOSPITAL'S DUES TO THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA (HAP), HOSPITAL COUNCIL, AND VARIOUS OTHER ASSOCIATIONS ARE USED FOR LOBBYING. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 291092 | OtherCostOrOtherBasis |
| Book Value | 291092 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 72283440 | OtherCostOrOtherBasis |
| Depreciation | 49504193 | Depreciation |
| Book Value | 22779247 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 66369452 | OtherCostOrOtherBasis |
| Depreciation | 49987650 | Depreciation |
| Book Value | 16381802 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8369264 | OtherCostOrOtherBasis |
| Depreciation | 2595257 | Depreciation |
| Book Value | 5774007 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 45226148 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| OTHER LONG TERM LIABILITIES/ACCRUALS | $2,235,367 |
| NET PENSION LIABILITY | $10,346,283 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 12581650 | TotalOfAmounts |
| Total Revenue | 123090553 | TotalRevenue |
| Total Expenses | 121381010 | TotalExpenses |
| Excess Or Deficit For Year | 1709543 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 1467115 | NetUnrealizedGLOnInvestments |
| Other | $6,201,606 | OtherAmount |
| Total Adjustments | 7668721 | TotalAdjustments |
| Excess Or Deficit Per FS | 9378264 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 120698424 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 43710 | OtherRevenues |
| Revenue Not Rptd F990 | 43710 | RevenueNotRptdF990 |
| Revenue Subtotal | 120654714 | RevenueSubtotal |
| Other Revenues Not Included | 2435839 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 2435839 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 123090553 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 120358983 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 43707 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 43707 | ExpensesNotRptdF990 |
| Expenses Subtotal | 120315276 | ExpensesSubtotal |
| Other Expenses Not Included | 1065734 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 1065734 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 121381010 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE HOSPITAL ADOPTED THE STANDARD FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A HOSPITAL'S CONSOLIDATED FINANCIAL STATEMENTS THAT PRESCRIBES A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. THE STANDARD ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. MANAGEMENT HAS DETERMINED THAT THE ADOPTION OF THE STANDARD DID NOT HAVE A MATERIAL EFFECT ON THE CONSOLIDATED FINANCIAL STATEMENTS. THE HOSPITAL'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN OPERATING EXPENSES. THERE WERE NO INTEREST OR PENALTIES RECOGNIZED ON THE CONSOLIDATED STATEMENTS OF OPERATIONS AS A RESULT OF THE ADOPTION. GENERALLY, TAX RETURNS FOR YEARS ENDED JUNE 30, 2008, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | TEMPORARILY RESTRICTED GRANTS AND DONATIONS 697,758. TEMPORARILY RESTRICTED NET ASSETS RELEASED FROM RESTRICTIONS -758,705. PROPERTY PLANT & EQUIPMENT PURCHASED WITH GRANTS AND DONATIONS 546,895. CHANGE IN NET FUNDED PENSION 5,715,658. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 9,951. SUBSIDIARY INCOME 33,759. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | DONATIONS 121,941. INVESTMENT INCOME 2,313,898. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 9,951. SUBSIDIARY EXPENSES 33,756. | |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | LOSS ON DEBT REFINANCING 1,065,734. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 0 | AmountsBudgetedForCharityCare |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1171 | PersonsServed |
| Total Community Benefit Expense | 535745 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 535745 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00480 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 19409 | PersonsServed |
| Total Community Benefit Expense | 15181045 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10351048 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4829997 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04310 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 20580 | PersonsServed |
| Total Community Benefit Expense | 15716790 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10351048 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5365742 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04790 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 346 | NumberOfActivitiesOrPrograms |
| Persons Served | 17020 | PersonsServed |
| Total Community Benefit Expense | 326536 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 326536 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00290 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 258 | NumberOfActivitiesOrPrograms |
| Persons Served | 2047 | PersonsServed |
| Total Community Benefit Expense | 751597 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 751597 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00670 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 31 | PersonsServed |
| Total Community Benefit Expense | 270313 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 223768 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 46545 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2614 | PersonsServed |
| Total Community Benefit Expense | 54453 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 54453 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 604 | NumberOfActivitiesOrPrograms |
| Persons Served | 21712 | PersonsServed |
| Total Community Benefit Expense | 1402899 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 223768 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1179131 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01050 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 604 | NumberOfActivitiesOrPrograms |
| Persons Served | 42292 | PersonsServed |
| Total Community Benefit Expense | 17119689 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10574816 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6544873 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05840 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $2,882,315 | BadDebtExpenseAmount |
| Amount Attributable To | 1203655 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 10351048 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 15181045 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -4829997 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONONGAHELA VALLEY HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1163 COUNTRY CLUB ROAD | AddressLine1 |
| City | MONONONGAHELA | City |
| State | PA | State |
| ZIP Code | 150631095 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONONGAHELA VALLEY HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 8 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (8 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| SPARTAN HEALTH SURGICENTER LLC | ||||
| 100 STOOPS DRIVE | MONONONGAHELA | PA | 15063 | OUTPATIENT SURGERY CENTER |
| HEALTHPLEX IMAGING | ||||
| 800 PLAZA DRIVE | BELLE VERNON | PA | 15012 | OUTPATIENT RADIOLOGY CENTER |
| CENTER FOR CHILDREN'S REHABILITATION | ||||
| 1029 COUNTRY CLUB ROAD | MONONONGAHELA | PA | 15063 | CHILDREN'S REHABILITATION CENTER |
| MVH OCCUPATIONAL HEALTH | ||||
| 800 PLAZA DRIVE | BELLE VERNON | PA | 15012 | OCCUPATIONAL HEALTH SERVICES |
| MVH CARDIO-PULMONARY REHAB | ||||
| 800 PLAZA DRIVE | BELLE VERNON | PA | 15012 | CARDIO-PULMONARY REHABILITATION |
| HEALTHY DIRECTIONS AT GIANT EAGLE | ||||
| 3701 ROUTE 88 | FINLEYVILLE | PA | 15332 | INFORMATION RESOURCE CENTER |
| MCMURRAY IRG DIAGNOSTIC | ||||
| 4198 WASHINGTON ROAD | MCMURRAY | PA | 15317 | OUTPATIENT RADIOLOGY CENTER |
| WHITE OAK IRG DIAGNOSTIC | ||||
| 2002 LINCOLN WAY | WHITE OAK | PA | 15131 | OUTPATIENT RADIOLOGY CENTER |
Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)
| ExplanationExplanation |
|---|
| PART I, LINE 7: COSTS ARE CALCULATED AS A PERCENT OF GROSS CHARGES. THE PERCENTAGE IS CALCULATED FROM THE TOTAL FACILITY GROSS CHARGES AND EXPENSES. |
| PART I, LINE 7G: INCLUDED IN SUBSIDIZED HEALTH SERVICES IS THE BLUE CROSS SPECIAL CARE PROGRAM. THIS PROGRAM IS PROVIDED TO INDIVIDUALS WHO DO NOT QUALIFY FOR MEDICAID BUT ARE WITHIN SPECIFIC LOW INCOME CRITERIA. OUR PAYMENTS FROM BLUE CROSS ARE DISCOUNTED FROM OUR NORMAL CONTRACTED RATES. |
| PART I, L7 COL(F): THE BAD DEBT EXPENSE OF 9,196,922 INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN A WAS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE OF TOTAL EXPENSES. |
| PART III, LINE 4: EXCERPT FROM FINANCIAL STATEMENTS: "THE HOSPITAL PROVIDED SERVICES TO INDIVIDUALS FOR WHICH PAYMENTS WERE NOT RECEIVED. THESE CHARGES HAVE BEEN DETERMINED UNCOLLECTABLE BY MANAGEMENT AND ARE RECORDED ON THE STATEMENTS OF OPERATION AS PROVISION FOR BAD DEBTS."BAD DEBT AT COST IS CALCULATED AS A PERCENT OF GROSS CHARGES. THE PERCENTAGE IS CALCULATED FROM THE TOTAL FACILITY GROSS CHARGES AND EXPENSES. |
| PART III, LINE 9B: PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE PROCESSED THROUGH THOSE PROGRAMS AND ARE NOT SUBMITTED FOR COLLECTION. MONONGAHELA VALLEY HOSPITAL WILL ASSIST PATIENTS WITH COMPLETING THEIR APPLICATIONS FOR FINANCIAL ASSISTANCE, CHARITY CARE, OR MEDICAID. |
| SPECIFIC COMMUNITY ACTIVITIES INCLUDE BUT ARE NOT LIMITED TO:- MVHR ANNUAL REPORT O HARD COVER EDITION O NEWSPAPER INSERT EDITION- ANNUAL CANCER CARE REPORT - PHYSICIAN REFERRAL SERVICE- OUTPATIENT VAN TRANSPORTATION SERVICE- MONTHLY INNOVATIONS PHYSICIAN INFORMATION PROGRAMS- WEBSITE/INTERNET OFFERING - DETAILED HEALTH INFORMATION LIBRARY - TELEPHONE ON HOLD EVENT MESSAGES - PATIENT AND VISITOR INFORMATION GUIDE- WEEKLY AND MONTHLY COMMUNITY CALENDAR - FLIER - IN LOCAL NEWSPAPERS- BONE DENSITY SCREENINGS- PARTICIPATION IN OR SPONSORSHIP OF MANY COMMUNITY HEALTH SCREENINGS- READY TO QUIT? - TOBACCO SEMINARS - 2 MULTIPHASIC BLOOD SCREENINGS- DR. DEAN ORNISH PROGRAM FOR REVERSING HEART DISEASE- I CAN COPE CANCER SCREENING- PROSTATE CANCER SCREENING- BREAST CANCER SCREENING - COLORECTAL CANCER SCREENING - HEALTHY DIRECTIONS MONTHLY EVENTS- 55 ALIVE DRIVING SEMINARS- JUST ASK US - MVH INSURANCE ASSISTANCE- DIABETES EDUCATION- MOM'S SHOWER- LEADERSHIP WASHINGTON COUNTY PARTICIPATION- VIDEO ANNOUNCEMENT BOARD ON RT. 88- VARIOUS PATIENT EDUCATION BROCHURES- MEMBERSHIP IN VARIOUS CHAMBERS OF COMMERCE- MEMBERSHIP IN VARIOUS ROTARIES PARTICIPATION- MEMBERSHIP IN VARIOUS LOCAL, REGIONAL, STATE AND NATIONAL BOARDS AND ORGANIZATIONS |
| PART VI, LINE 2: MONONGAHELA VALLEY HOSPITAL'S PRIME MISSION IS TO ENHANCE THE HEALTH OF THE RESIDENTS OF THE MID-MONONGAHELA VALLEY AREAS REGARDLESS OF ETHNIC BACKGROUND, AGE OR ABILITY TO PAY, ALL THE WHILE MAINTAINING A HIGH DEGREE OF RESPONSIVENESS TO CHANGES, PARTICULARLY THOSE OF THE COMMUNITY. THE HOSPITAL WORKS TO ACHIEVE ITS MISSION BY MAINTAINING SUITABLE FACILITIES WITHIN CARROLL TOWNSHIP, WASHINGTON COUNTY AND ROSTRAVER TOWNSHIP, WESTMORELAND COUNTY, AND OTHER SITES IN THE SOUTHWESTERN PENNSYLVANIA VICINITY FOR THE PROVISION OF HEALTH CARE. ADDITIONALLY, MONONGAHELA VALLEY HOSPITAL HAS ALWAYS ENCOURAGED PROGRESS AND FLEXIBILITY TO MEET THE CHANGING NEEDS OF OUR PATIENTS AND ALL RESIDENTS OF THE COMMUNITIES IN THE MID-MONONGAHELA VALLEY.THE MVH COMMUNITY HEALTH NEEDS ASSESSMENT CONSIDERED A WIDE VARIETY OF DATA FROM PRIMARY AND SECONDARY SOURCES THAT ARE BOTH QUALITATIVE AND QUANTITATIVE IN NATURE IN ORDER TO OBTAIN A DIVERSITY OF PERSPECTIVES THAT WAS REQUIRED. THE HEALTH CARE NEEDS OF A COMMUNITY ARE A COMPLEX INTERPLAY BETWEEN PERSONAL BEHAVIORS AND SOCIAL DETERMINANTS. TO EVALUATE EFFECTIVELY, CONSIDERATION WAS GIVEN TO THE POPULATION'S DEMOGRAPHIC AND SOCIOECONOMIC STATUS COUPLED WITH THE HEALTH SYSTEM'S RESOURCES AND POLICIES. A DESCRIPTION OF THOSE FACTORS, ALONG WITH PERSPECTIVES FROM THE COMMUNITY, HELPS TELL US THE STORY OF OUR COMMUNITY'S HEALTH.INFORMATION WAS USED FROM GROUPS COMPRISED OF INDIVIDUAL PHYSICIANS AND PHYSICIAN GROUPS FROM THE HOSPITALS' MEDICAL STAFF, THE HOSPITAL'S EXECUTIVE AND STRATEGIC PLANNING COMMITTEES, REPRESENTATIVES FROM THE HOSPITAL'S BOARD OF DIRECTORS AND BOARD OF TRUSTEES, AND VARIOUS DISEASE-SPECIFIC COMMITTEES INCLUDING THE HOSPITAL'S TUMOR BOARD AND A CARDIAC ADVISORY COMMITTEE TO ASSESS COMMUNITY NEEDS AND RECOMMEND STRATEGIES TO ADDRESS THESE HEALTH CARE NEEDS.THE HOSPITAL PROVIDED THESE GROUPS WITH INFORMATION RELATED TO THE INCIDENCE AND PREVALENCE OF DISEASE IN THE SERVICE AREA, PREVENTABLE QUALITY INDICATORS, PATTERNS OF ACCESSING HEALTH CARE SERVICES AND USE RATES.SOME INFORMATION AND PARTICIPANTS INCLUDED IN OUR ASSESSMENT WERE:- PROVIDER PANELS- DISEASE STATES OF PATIENTS SEEN BY THEIR PRIMARY CARE PROVIDER- CLINICAL PERFORMANCE METRICS FOR OUR POPULATIONS OF PATIENTS WITH CHRONIC DISEASE- CLINICAL DECISION SUPPORT CARE TEAMS AT THE POINT OF CARE- PATIENT REGISTRIES - EVALUATION OF REPORTS FROM COMMUNITY, LOCAL, STATE, AND FEDERAL GOVERNMENT AGENCIES - REVIEW OF HOSPITAL GENERATED STATISTICAL INFORMATION - ASSESSMENT OF INFORMATION SOLICITED FROM PATIENTS THROUGH PATIENT SATISFACTION SURVEYS - ONGOING ADMINISTRATIVE STAFF PLANNING SESSIONS- LEADING CAUSES OF DEATH SUCH AS CANCER, HEART DISEASE, VIOLENCE AND HIGHWAY FATALITIES- PRIORITY HEALTH ISSUES SUCH AS TEEN PREGNANCY, HIGH BLOOD PRESSURE, HEART DISEASE, CANCER, STROKE, DIABETES AND OBESITY- PRIORITY RISK FACTORS SUCH AS ALCOHOL AND DRUG ABUSE, LACK OF PHYSICAL ACTIVITY, USE OF TOBACCO PRODUCTS, ENVIRONMENTAL CONCERNS AND CRIME- LEADING FACTORS AFFECTING FAMILIES SEEKING MEDICAL TREATMENT SUCH AS LACK OF INSURANCE AND INABILITY TO PAY- GENERAL PATIENT CONCERNS SUCH AS LACK OF TRANSPORTATION, MEDICINE AND FOOD- ENVIRONMENTAL CONCERNS SUCH AS RECYCLING SERVICES, PROPER TRASH DISPOSAL, CLEAN AIR, PEST CONTROL AND ANIMAL CONTROL- EDUCATIONAL OPPORTUNITIES FOR INFORMATION ABOUT ALCOHOL/DRUG ABUSE, TEEN PREGNANCY PREVENTION AND PHYSICAL ACTIVITY- REVIEW OF CURRENT INDUSTRY JOURNALS, PERIODICALS AND NEWSLETTERS - ANALYSIS OF TRENDS IDENTIFIED IN HEALTH CARE JOURNALS AND PERIODICALS |
| PART VI, LINE 3: MVH CHARITY CARE GUIDELINES FOLLOW FIVE KEY PRINCIPLES:1. CONCERN OVER A HOSPITAL BILL WILL NEVER PREVENT ANY INDIVIDUAL FROM RECEIVING EMERGENCY HEALTH SERVICES. MVH COMMUNICATES THIS MESSAGE CLEARLY TO PROSPECTIVE PATIENTS AND TO LOCAL COMMUNITY SERVICE AGENCIES, AND MAKES IT CLEAR THAT EMERGENCY SERVICES WILL BE PROVIDED WITHOUT REGARD TO ABILITY TO PAY.2. MVH WILL ASSIST PATIENTS IN OBTAINING HEALTH INSURANCE COVERAGE FROM PRIVATELY AND PUBLICLY FUNDED SOURCES WHENEVER APPROPRIATE.3. MVH HAS CHARITY CARE AND FINANCIAL AID POLICIES AND PRACTICES THAT ARE CONSISTENT WITH ITS MISSIONS AND VALUES, AND WITH FEDERAL AND STATE LAW, AND THAT TAKES INTO ACCOUNT EACH INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER CARE, AS WELL AS THE HOSPITAL'S FINANCIAL ABILITY TO PROVIDE THE CARE. 4. FINANCIAL AID POLICIES ARE CLEAR, UNDERSTANDABLE, AND COMMUNICATED IN A MANNER THAT IS DIGNIFIED AND IN LANGUAGES APPROPRIATE TO THE COMMUNITIES AND PATIENTS SERVED. THESE POLICIES ARE MADE READILY AVAILABLE TO PROSPECTIVE AND CURRENT PATIENTS AND TO THE COMMUNITY AT LARGE VIA PUBLISHED NEWSPAPER NOTICES, BROCHURES AND HANDOUTS, WRITTEN POLICIES AND STAFF TRAINING. 5. MVH DEBT COLLECTION POLICIES, BY BOTH HOSPITAL STAFF AND EXTERNAL COLLECTION AGENCIES, REFLECT THE MISSION AND VALUES OF THE HOSPITAL AND ARE MONITORED CAREFULLY TO AVOID UNINTENDED CONSEQUENCES. MVH CHARITY CARE NOTICE STATES:CHARITY CARE NOTICEMONONGAHELA VALLEY HOSPITAL OFFERS FREE FINANCIAL COUNSELING TO PATIENTS WHO ARE IN NEED OF ASSISTANCE TO RESOLVE THEIR DEBT. THERE ARE SEVERAL PROGRAMS AVAILABLE TO THE PUBLIC THROUGH VARIOUS THIRD PARTY AGENCIES INCLUDING, BUT NOT LIMITED TO, THE MEDICAL ASSISTANCE PROGRAM. MONONGAHELA VALLEY HOSPITAL ALSO PROVIDES UNCOMPENSATED SERVICES TO PATIENTS WHO DO NOT QUALIFY FOR ASSISTANCE FROM THE ABOVE-MENTIONED THIRD PARTIES. THESE CHARITABLE FUNDS ARE ALLOCATED TO PATIENTS RECEIVING BOTH INPATIENT AND OUTPATIENT SERVICES. IF YOU ARE UNABLE TO RESOLVE YOUR DEBT OR NEED HOSPITAL SERVICES AND CANNOT AFFORD THESE SERVICES, PLEASE CALL MONONGAHELA VALLEY HOSPITAL'S OFFICE OF FINANCIAL COUNSELING AND COLLECTION AT 724-258-1188. MONONGAHELA VALLEY HOSPITAL'S MANAGER OF FINANCIAL COUNSELING AND COLLECTIONS CAN ANSWER QUESTIONS AND PROVIDE ADDITIONAL INFORMATION AND APPROPRIATE APPLICATIONS. |
| PART VI, LINE 4: MONONGAHELA VALLEY HOSPITAL SERVICE AREACITY COUNTY ZIP HOUSEHOLDS POPULATIONBELLE VERNON WESTMORELAND 15012 7515 16808CHARLEROI WASHINGTON 15022 5660 11658COURTNEY WASHINGTON 15029 DONORA WASHINGTON 15033 3007 5768MONESSEN WESTMORELAND 15062 4471 8678MONONGAHELA WASHINGTON 15063 5502 12275NEW EAGLE WASHINGTON 15067 1073 2272PRICEDALE WESTMORELAND 15072 48 111WEBSTER WESTMORELAND 15087 85 174VAN VOORHIS WASHINGTON 15366 ALLENPORT WASHINGTON 15412 130 290COAL CENTER WASHINGTON 15423 861 2042DUNLEVY WASHINGTON 15432 193 397ELCO WASHINGTON 15434 146 362FAYETTE CITY FAYETTE 15438 1004 2430ROSCOE WASHINGTON 15477 449 901STOCKDALE WASHINGTON 15483 323 664WICKHAVEN FAYETTE 15492 24 56BUNOLA WASHINGTON 15020 163 382ELRAMA WASHINGTON 15038 137 291SUTERSVILLE WESTMORELAND 15083 350 801WEST NEWTON WESTMORELAND 15089 3287 7672BEALLSVILLE WASHINGTON 15313 167 377BENTLEYVILLE WASHINGTON 15314 1709 3771ELLSWORTH WASHINGTON 15331 528 1083FINLEYVILLE WASHINGTON 15332 3230 7549FREDERICKTOWN WASHINGTON 15333 1085 2390GASTONVILLE WASHINGTON 15336 MILLSBORO WASHINGTON 15348 138 295RICHEYVILLE WASHINGTON 15358 340 734CALIFORNIA WASHINGTON 15419 1718 4331DAISYTOWN WASHINGTON 15427 493 1162DENBO WASHINGTON 15429 82 137NEWELL FAYETTE 15466 232 551PERRYOPOLIS FAYETTE 15473 1611 3691STAR JUNCTION FAYETTE 15482 379 788 PATIENT DEMOGRAPHICSPATIENT SEX % INPATIENTS FEMALE 58%MALE 42%PATIENT AGE % OF TOTAL % OF TOTAL DISCHARGES DAYSLESS THAN 1 YEAR 0.00% 0.00%01-04 0.00% 0.00%05-09 0.05% 0.01%10-14 0.05% 0.03%15-17 0.60% 0.34%18-20 1.26% 0.79%21-24 1.79% 1.22%25-34 4.27% 3.47%35-44 7.07% 5.39%45-49 5.26% 4.55%50-54 6.40% 5.63%55-59 7.81% 7.45%60-64 7.96% 7.88%65-74 16.07% 17.32%75-84 21.82% 23.92%85 AND OVER 19.59% 22.00%65 AND OVER 57.48% 63.24% |
| PART VI, LINE 6: MONONGAHELA VALLEY HOSPITAL STRIVES TO ENHANCE THE HEALTH OF THE RESIDENTS OF THE MID-MONONGAHELA VALLEY BY RECRUITING AND RETAINING SOME OF THE HIGHEST-SKILLED PHYSICIANS IN WESTERN PENNSYLVANIA; APPLYING SURPLUS FUNDING TO PATIENT CARE, EDUCATION AND RESEARCH; AND TAKING DIRECTION FROM AN ACTIVE AND OBJECTIVE GOVERNING BOARD.CREDENTIALINGMONONGAHELA VALLEY HOSPITAL FOLLOWS PROPER CREDENTIALING PROCEDURES AND GRANTS PRIVILEGES CAUTIOUSLY; A THOROUGH REVIEW AND INVESTIGATION OF A PHYSICIAN'S BACKGROUND HELPS TO ENSURE PATIENT SAFETY AND REDUCES THE RISK OF FUTURE LIABILITY. MVH EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS MARKET AREA FOR ALL OF ITS DEPARTMENTS. CURRENTLY, MVH HAS A 225-MEMBER MEDICAL STAFF REPRESENTING MORE THAN 40 SPECIALTIES. SURPLUS FUNDINGMONONGAHELA VALLEY HOSPITAL'S SUCCESS IS BASED ON THE PRINCIPLE OF PROVIDING PATIENTS AND THEIR FAMILIES WITH THE HIGH-QUALITY AND COMPASSIONATE MEDICAL CARE. THIS BELIEF RESULTED IN THE HOSPITAL'S DISTINCTION OF BEING RANKED NUMBER ONE IN PATIENT SATISFACTION IN WESTERN PENNSYLVANIA BY PRESS-GANEY', THE NATIONAL SURVEY FIRM. MVH USES SURPLUS FUNDS FOR IMPROVEMENTS IN PATIENT CARE BY ENHANCING ITS INFRASTRUCTURE THROUGH FACILITY RENOVATION AND IMPROVEMENTS, THE PURCHASE OF NEW MEDICAL EQUIPMENT AND HARDWARE/SOFTWARE UPGRADES.IN 2011, THE HOSPITAL BEGAN A $25 MILLION CONSTRUCTION PROJECT THAT WILL UPGRADE SURGICAL CAPACITY BY PROVIDING FOUR NEW OPERATING SUITES, EXPANDING THE POST-ANESTHESIA CARE UNIT, PROVIDING A NEW LINEAR ACCELERATOR THAT OFFERS EXTERNAL BEAM RADIATION THERAPY FOR PATIENTS WITH CANCER AS WELL AS A VAULT TO HOUSE THIS EQUIPMENT; AND UPGRADING THE HVAC AND OTHER HOSPITAL SUPPORT SYSTEMS. THIS FORWARD THINKING HAS ITS ROOTS IN PAST IMPROVEMENTS AND FACILITY UPGRADES. MAJOR IMPROVEMENTS INCLUDE:1983 - MULTI-LEVEL PARKING FACILITY AND CENTRAL PLAZA CONSTRUCTED.1985 - THE CHARLES L. AND ROSE SWEENEY MELENYZER PAVILION AND REGIONAL CANCER CENTER OPENED AS THE FIRST OUTPATIENT RADIATION AND ONCOLOGY FACILITY IN WASHINGTON COUNTY AND IN THE REGION.1989 - SAMEDAY SURGERY CENTER, EDUCATION CONFERENCE CENTER AND MULTI-PURPOSE OFFICE BUILDING OPENED.1992 - COMPLETION OF A MASTER FACILITY PROJECT RENOVATED AND UPDATED MANY AREAS OF THE MAIN FACILITY, INCLUDING THE SAME-DAY SURGERY UNIT, INPATIENT ONCOLOGY, EMERGENCY DEPARTMENT, INPATIENT REHABILITATION, INTENSIVE CARE, CARDIOLOGY UNIT, ALONG WITH SUPPORT SERVICE AREAS SUCH AS DIETARY, EDUCATION, MEDICAL RECORDS AND REGISTRATION. 1992 - THE OUTREACH FACILITY KNOWN AS HEALTHY DIRECTIONS OPENED IN FINLEYVILLE.1997 - THE RESIDENCE AT HILLTOP, A PERSONAL CARE FACILITY WAS COMPLETED.2000 - A NEW PROFESSIONAL BUILDING TO HOUSE PHYSICIAN OFFICES WAS CONSTRUCTED AT 1029 COUNTRY CLUB ROAD AND SATELLITE FACILITIES WERE OPENED IN THE VISTA ONE COMPLEX IN SPEERS, HOUSING A WOMEN'S HEALTH CENTER AND OCCUPATIONAL HEALTH OFFICES.2002 - MON VALLEY CARE CENTER, A 101-BED SKILLED CARE AND ASSISTED LIVING FACILITY OPENED IN PARTNERSHIP WITH CPSR ASSOCIATES, INC. 2003 - TWO STORIES ARE ADDED TO THE CANCER TREATMENT CENTER BUILDING. THE ADDITION OF THESE FLOORS PROVIDES ADDITIONAL ONCOLOGY SERVICES AND TO RELOCATED SOME ANCILLARY SERVICES FROM THE MAIN HOSPITAL BUILDING SO AS TO FACILITATE THE EXPANSION OF THE EMERGENCY DEPARTMENT.2004 - THE HEALTH SYSTEM OPENED A MEDICALLY INTEGRATED FACILITY, MON-VALE HEALTHPLEX, AT WILLOW POINT PLAZA IN ROSTRAVER TOWNSHIP. THE COMPLEX INCLUDES MONONGAHELA VALLEY HOSPITAL CENTER FOR FITNESS AND HEALTH; THE DEAN ORNISH PROGRAM FOR REVERSING HEART DISEASE; HEALTHPLEX IMAGING; THE MVH OCCUPATIONAL HEALTH PROGRAM; A CARDIOPULMONARY REHABILITATION CENTER; PHYSICIAN OFFICES, AND THE HEADQUARTERS FOR VALE-U-HEALTH, THE MONONGAHELA VALLEY PHYSICIAN HOSPITAL ORGANIZATION.2005 - SPARTAN MEDICAL FACILITY, A COMPLEX FEATURING AN AMBULATORY SURGERY CENTER AND PROFESSIONAL OFFICES OPENED IN PARTNERSHIP WITH CPSR ASSOCIATES, INC. MAJOR EXPANSION OF THE EMERGENCY DEPARTMENT DOUBLED THE CAPACITY OF THE DEPARTMENT AND INCLUDED RELOCATION OF THE LABORATORY TO THE THIRD FLOOR OF THE REGIONAL CANCER CENTER.THE HOSPITAL PROVIDES AN ARRAY OF INPATIENT AND OUTPATIENT SERVICES WITH CONTINUING IMPROVEMENTS AND EXPANSION PROJECTS TYPICAL OF A GENERAL ACUTE CARE HOSPITAL - ALL DESIGNED TO BENEFIT OUR PATIENTS AND THEIR FAMILIES, VISITORS AND THE COMMUNITY.1992 - THE HOSPITAL IMPLEMENTED CARDIAC CATHETERIZATION SERVICES. 1999 - OCCUPATIONAL HEALTH SERVICES BEGAN.2000 - A WOMEN'S HEALTH CENTER, OFFERING MAMMOGRAMS, X-RAYS, ULTRASOUNDS AND LAB SERVICES OPENED IN NOVEMBER.2001 - CARDIAC AND PULMONARY REHABILITATION SERVICES AND A SLEEP STUDY LAB OPENED IN THE SUMMER. POSITION EMISSION TOMOGRAPHY (PET) SCANNING SERVICES BEGAN IN SEPTEMBER. THE CENTER FOR DIABETES AND ENDOCRINOLOGY OPENED IN OCTOBER OFFERING THE LATEST IN DIABETES CARE. 2002 - ENTEROSTOMAL (WOUND CARE) SERVICES BEGAN IN JANUARY.2005 - A NEW, MORE POWERFUL MRI UNIT WAS INSTALLED IN THE HOSPITAL MRI SUITE IN JUNE.2006 - MVH OPENS ITS EXPANDED EMERGENCY DEPARTMENT FEATURING AN INCREASE IN THE NUMBER OF TREATMENT SUITES FROM 12 TO 24 AND MORE THAN DOUBLES THE UNIT'S SIZE FROM 7,100 SQUARE FEET TO 18,450 SQUARE FEET. 2007 - THE FIRST MODULE WAS INSTALLED FOR PACS (PICTURE ARCHIVE COMMUNICATION SYSTEM) IN MEDICAL IMAGING IN OCTOBER.2008 - AN OPEN MRI SUITE WAS CONSTRUCTED AND AN OPEN MRI UNIT PLACED WAS PLACED IN THE HEALTHPLEX IN JANUARY.2010 - THE CENTER FOR WOUND MANAGEMENT ADDED HYPERBARIC OXYGEN CHAMBERS AND TREATED ITS FIRST PATIENT IN JUNE. HOSPITAL COMPLETES CONVERSION TO ALL PRIVATE ROOMS IN JULY. IN OCTOBER, MVH ANNOUNCES IT IS JOINING WITH CHARLEROI-BASED IMAGE RADIOLOGY GROUP LP TO OFFER A VARIETY OF DIAGNOSTIC SERVICES IN MCMURRAY AND WHITE OAK.2011 - DIGITAL MAMMOGRAPHY SERVICE BEGAN IN MVH MEDICAL IMAGING IN JANUARY FOLLOWED BY STEREOTACTIC MAMMOGRAPHY PROCEDURES IN FEBRUARY. BOARD OF TRUSTEESMVH IS FORTUNATE TO HAVE A DEDICATED BOARD OF TRUSTEES WHO BRINGS STRONG LEADERSHIP TO THE HOSPITAL. THE BOARD MEMBERS WHO ALL RESIDE IN THE HOSPITAL'S SERVICE AREA AND ARE NOT AFFILIATED WITH THE HOSPITAL AS EMPLOYEES OR CONTRACTORS OF THE ORGANIZATION. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | 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 | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LOUIS J PANZA JR | |||||||||||||
| 320808 | 0 | 0 | 0 | 40001 | 0 | 18012 | 0 | 16564 | 0 | 395385 | 0 | 0 | 0 |
| DANIEL F SIMMONS | |||||||||||||
| 154814 | 0 | 0 | 0 | 10096 | 0 | 8824 | 0 | 19618 | 0 | 193352 | 0 | 0 | 0 |
| PATRICK J ALBERTS | |||||||||||||
| 147841 | 0 | 0 | 0 | 3731 | 0 | 8307 | 0 | 10880 | 0 | 170759 | 0 | 0 | 0 |
| ELAINE S GELB | |||||||||||||
| 212471 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 12578 | 0 | 225049 | 0 | 0 | 0 |
| MARY BETH ELLIOT | |||||||||||||
| 153159 | 0 | 0 | 0 | 0 | 0 | 7866 | 0 | 5281 | 0 | 166306 | 0 | 0 | 0 |
| CAROL STARK | |||||||||||||
| 149774 | 0 | 0 | 0 | 0 | 0 | 7866 | 0 | 19273 | 0 | 176913 | 0 | 0 | 0 |
| MELISSA A COOPER | |||||||||||||
| 145493 | 0 | 0 | 0 | 0 | 0 | 7866 | 0 | 19057 | 0 | 172416 | 0 | 0 | 0 |
| JACINTA A BALDINI | |||||||||||||
| 144939 | 0 | 0 | 0 | 0 | 0 | 7866 | 0 | 19273 | 0 | 172078 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 1A | OFFICERS RECEIVE A TAX INDEMNIFICATION/GROSS-UP PAYMENT AS PART OF THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). AMOUNTS PAID ARE CALCULATED PER THE PLAN DOCUMENT AND HAVE BEEN INCLUDED AS TAXABLE WAGES OF EACH PARTICIPANT. |
| PART I, LINE 4B | LOUIS J. PANZA, PRESIDENT AND CEO, PARTICIPATES IN A SECTION 457 DEFERRED COMPENSATION PLAN AND CONTRIBUTED $35,790. OTHER OFFICERS AND SELECT KEY EMPLOYEES PARTICIPATE IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP): DANIEL F. SIMMONS, SR. VICE PRESIDENT/TREASURER - $5,579 PATRICK J. ALBERTS, SR. VICE PRESIDENT/COO - $3,731 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WASHINGTON COUNTY HOSPITAL AUTHORITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 256001043 | IssuerEIN |
| CUSIP Number | 938592HP0 | CUSIPNumber |
| Date Issued | 2011-06-09 | DateIssued |
| Issue Price | 38730000 | IssuePrice |
| Description Of Purpose | REFUNDING, CURRENT & ADVANCED, AND NEW MONEY - HOSPITAL FACILITIES | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 38730000 | TotalProceeds |
| Refunding Escrow | 13433329 | RefundingEscrow |
| Issuance Costs From Proceeds | 344218 | IssuanceCostsFromProceeds |
| Capital Expenditures | 4905552 | CapitalExpenditures |
| Other Spent Proceeds | 1940082 | OtherSpentProceeds |
| Amount Unspent | 18106319 | AmountUnspent |
| Year Of Subst Completion | 2012 | YearOfSubstCompletion |
| Current Refunding | 1 | CurrentRefunding |
| Advance Refunding | 1 | AdvanceRefunding |
| Final Allocation Made | 0 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | 1 | BondCounselRoutinelyEngaged |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 1 | VariableRateIssue |
| Hedge Identified In Books And Recds | 1 | HedgeIdentifiedInBooksAndRecds |
Name Of Hedge Provider NameOfHedgeProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PNC BANK NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of Hedge | 7.000000000000 | TermOfHedge |
| Superintegrated Hedge | 0 | SuperintegratedHedge |
| Hedge Terminated | 0 | HedgeTerminated |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 1 | ExceptionToRebate |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 IS REVIEWED BY THE PRESIDENT/CEO AND THE SENIOR VICE PRESIDENT/TREASURER. IT IS PROVIDED TO THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES FOR REVIEW PRIOR TO FILING. THE FULL BOARD IS INFORMED OF THE FINANCE COMMITTEE'S FINDINGS AND A COPY IS MADE AVAILABLE FOR REVIEW. | |
| MANDATORY DISCLOSURE STATEMENT COMPLETED BY ALL TRUSTEES, OFFICERS, KEY EMPLOYEES AND MANAGERS AND REVIEWED ANNUALLY. POSSIBLE CONFLICTS ARE INVESTIGATED. SENIOR MANAGEMENT MAINTAINS VIGILANCE FOR OTHER POSSIBLE CONFLICTS THAT MAY ARISE DURING THE YEAR. | FORM 990, PART VI, SECTION B, LINE 12C | |
| THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS DATA FROM OTHER COMPARABLE FACILITIES AND OUTSIDE ORGANIZATIONS TO DETERMINE THE COMPENSATION LEVELS OF THE HOSPITAL EXECUTIVES. ALL MEMBERS OF THIS COMMITTEE ARE FROM THE BOARD OF TRUSTEES AND HAVE NO RELATIONSHIP (BUSINESS OR PERSONAL) TO THE EXECUTIVES REVIEWED. | FORM 990, PART VI, SECTION B, LINE 15 | |
| MONONGAHELA VALLEY HOSPITAL MAKES ITS FORM 990 AND 990-T AVAILABLE UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 18 | |
| MONONGAHELA VALLEY HOSPITAL MAKES OUR GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY AVAILABLE UPON REQUEST. THE HEALTH SYSTEM'S ANNUAL REPORT IS PUBLISHED EACH YEAR IN DECEMBER. BONDHOLDERS MAY ACCESS OUR FINANCIAL DATA THROUGH THE EMMA DISSEMINATION SITE. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 1,467,115. TEMPORARILY RESTRICTED GRANTS AND DONATIONS 697,758. TEMPORARILY RESTRICTED NET ASSETS RELEASED FROM RESTRICTIONS -758,705. PROPERTY PLANT & EQUIPMENT PURCHASED WITH GRANTS AND DONATIONS 546,895. CHANGE IN NET FUNDED PENSION 5,715,658. TOTAL TO FORM 990, PART XI, LINE 5: 7,668,721. | FORM 990, PART XI, LINE 5: |
| FINANCIAL OVERSIGHT COMMITTEE | MONONGAHELA VALLEY HOSPITAL HAS A FINANCE COMMITTEE COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES THAT OVERSEES THE AUDIT, FINANCIAL STATEMENTS, AND SELECTION OF THE INDEPENDENT ACCOUNTANTS. | FORM 990, PART XI, LINE 2C |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets |
|---|---|---|---|---|---|---|---|---|
| CPSR ASSOCIATES | ||||||||
| 500 LEWIS RUN ROAD STE 227 | PITTSBURGH | PA | 15122 | 251719077 | REAL ESTATE DEVELOPMENT | PA | 18287 | 1072006 |
| SPARTAN HEALTH SURGICENTER LLC | ||||||||
| 100 STOOPS DRIVE | MONONGAHELA | PA | 15063 | 251898641 | SURGERY CENTER | PA | 202884 | 1485372 |
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|
| MON-VALE HEALTH RESOURCES INC | ||||||||||
| 1163 COUNTRY CLUB ROAD | MONONGAHELA | PA | 15063 | 251426999 | PROMOTING HEALTH SERVICES | PA | 501(C)(3) | LINE 11B, II | 0 | |
| MON-VALE NON ACUTE CARE SERVICES INC | ||||||||||
| 1163 COUNTRY CLUB ROAD | MONONGAHELA | PA | 15063 | 251792434 | ASSISTED LIVING FACILITY | PA | 501(C)(3) | LINE 3 | 0 | MON-VALE HEALTH RESOURCES INC |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| MON-VALE HEALTH PLANS INC | ||||||||
| 1163 COUNTRY CLUB ROAD | MONONGAHELA | PA | 15063 | 251508835 | HEALTH CARE BENEFITS | PA | MON-VALE HEALTH RESOURCES INC | C |
| MON-VALE MULTIPHASICS INC | ||||||||
| 1163 COUNTRY CLUB ROAD | MONONGAHELA | PA | 15063 | 251464425 | HEALTH CARE MANAGEMENT/WELLNESS CENTER | PA | MON-VALE HEALTH RESOURCES INC | 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 | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | 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 | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |