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        <Desc>THE RESIDENCE AT WILLOW LANE:THE RESIDENCE AT WILLOW LANE IS A CONTEMPORARY PERSONAL CARE SENIOR LIVING COMMUNITY THAT COMBINES ALL OF THE COMFORTS OF HOME WITH THE ACTIVITY AND SECURITY OF A SMALL COMMUNITY OF PEOPLE WHO CARE. RESIDENTS ENJOY A WIDE VARIETY OF SOCIAL ACTIVITIES IN AN ELEGANT SETTING, ALONG WITH SPECIALLY-PLANNED PROGRAMS, GOOD FOOD, FRIENDS, AND HELP FROM A CARING STAFF, TAILORED TO EACH RESIDENT'S NEEDS. AT THE RESIDENCE AT WILLOW LANE, GOOD HEALTH COMES FIRST. WILLOW LANE OFFERS SECURITY, WITH STAFF AVAILABLE 24 HOURS A DAY, AND COMFORT, WITH APARTMENTS OFFERING MANY OF THE FEATURES OF HOME.</Desc>
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        <PersonNm>RICHARD KIM MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL E LALLY MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANGELO D LUPARIELLO MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>G R ORR</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SYED T ALI MD</PersonNm>
        <TitleTxt>PRESIDENT MED STAFF</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY KENDALL RAGO MD</PersonNm>
        <TitleTxt>PRESIDENT-ELECT MED STAFF</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT ROSENBERGER</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>65.75</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRYAN J RANDALL</PersonNm>
        <TitleTxt>VICE-PRESIDENT, FINANCE &amp; CFO</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>65.75</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>409272</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35151</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL MILLER</PersonNm>
        <TitleTxt>CEO - OHIO VALLEY HOSPITAL</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>252438</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL CRATTY MD</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>423290</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29134</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JON ZAGORSKI</PersonNm>
        <TitleTxt>CHIEF INFORMATION OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>254558</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>38283</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAURIE CLEMENS</PersonNm>
        <TitleTxt>VP HUMAN RESOURCES</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>250579</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37553</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LINDA HOMYK</PersonNm>
        <TitleTxt>VP PATIENT CARE SERVICES</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>296212</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>41367</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JACK NELSON</PersonNm>
        <TitleTxt>VICE PRESIDENT FINANCE, CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>237830</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>44326</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MAUREEN M HEILMANN</PersonNm>
        <TitleTxt>CHIEF CLINICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>204536</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>38120</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ERIC LAWLOR</PersonNm>
        <TitleTxt>EXECUTIVE VP</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>272563</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>50799</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATIE MICHELINIE</PersonNm>
        <TitleTxt>NURSE ANESTHETIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>192314</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35843</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAJENNEPHER A ZEVOLA</PersonNm>
        <TitleTxt>CHIEF CRNA</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>179910</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33531</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1697595</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>2662778</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>536446</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>18</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ALLSCRIPTS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>24630 NETWORK PLACE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60673</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SOFTWARE PROVIDER</ServicesDesc>
        <CompensationAmt>1981910</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WASHINGTON HEALTHCARE STRATEGIES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>124 VALUSKA DRIVE</AddressLine1Txt>
            <CityNm>MINGO JUNCTION</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43938</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ANESTHESIA SERVICES</ServicesDesc>
        <CompensationAmt>1400000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>UPMC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 223270</AddressLine1Txt>
            <CityNm>PITTSBURGH</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15251</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>832917</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ARAMARK CORPORATION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 978839</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75398</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ANCILLARY SERVICE PROVIDER</ServicesDesc>
        <CompensationAmt>821263</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MAXIM HEALTHCARE SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>12558 COLLECTIONS CENTER DRIVE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60673</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TEMPORARY STAFFING</ServicesDesc>
        <CompensationAmt>804468</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>82</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>34970</AllOtherContributionsAmt>
      <TotalContributionsAmt>34970</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>43275733</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>43275733</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>NURSING/ASSISTED LIVING</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>6203407</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6203407</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>NURSING ENTRANCE FEES</Desc>
        <BusinessCd>611600</BusinessCd>
        <TotalRevenueColumnAmt>366779</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>366779</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>49845919</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1571003</TotalRevenueColumnAmt>
        <ExclusionAmt>1571003</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>954347</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>948846</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>5501</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>5501</TotalRevenueColumnAmt>
        <ExclusionAmt>5501</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>89750</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>769166</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-769166</SecuritiesAmt>
        <OtherAmt>89750</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-679416</TotalRevenueColumnAmt>
        <ExclusionAmt>-679416</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>COVID RELIEF FUNDS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1371617</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1371617</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA</Desc>
        <BusinessCd>722210</BusinessCd>
        <TotalRevenueColumnAmt>181450</TotalRevenueColumnAmt>
        <ExclusionAmt>181450</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>DISCOUNTS &amp; REBATES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>113013</TotalRevenueColumnAmt>
        <ExclusionAmt>113013</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>140235</TotalRevenueColumnAmt>
        <ExclusionAmt>140235</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>1806315</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>52584292</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>51217536</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1331786</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>221490</TotalAmt>
        <ProgramServicesAmt>221490</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1249025</TotalAmt>
        <ManagementAndGeneralAmt>1249025</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>24357276</TotalAmt>
        <ProgramServicesAmt>14102597</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10254679</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>446278</TotalAmt>
        <ProgramServicesAmt>247684</ProgramServicesAmt>
        <ManagementAndGeneralAmt>198594</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2251162</TotalAmt>
        <ProgramServicesAmt>1358295</ProgramServicesAmt>
        <ManagementAndGeneralAmt>892867</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1836158</TotalAmt>
        <ProgramServicesAmt>1019068</ProgramServicesAmt>
        <ManagementAndGeneralAmt>817090</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>2083490</TotalAmt>
        <ProgramServicesAmt>1156337</ProgramServicesAmt>
        <ManagementAndGeneralAmt>927153</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>435081</TotalAmt>
        <ProgramServicesAmt>241470</ProgramServicesAmt>
        <ManagementAndGeneralAmt>193611</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>14865597</TotalAmt>
        <ProgramServicesAmt>8250406</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6615191</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>216851</TotalAmt>
        <ProgramServicesAmt>120352</ProgramServicesAmt>
        <ManagementAndGeneralAmt>96499</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>195431</TotalAmt>
        <ProgramServicesAmt>108464</ProgramServicesAmt>
        <ManagementAndGeneralAmt>86967</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>1353966</TotalAmt>
        <ProgramServicesAmt>751451</ProgramServicesAmt>
        <ManagementAndGeneralAmt>602515</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>2087052</TotalAmt>
        <ProgramServicesAmt>1684923</ProgramServicesAmt>
        <ManagementAndGeneralAmt>402129</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>64218</TotalAmt>
        <ProgramServicesAmt>35641</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28577</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>775829</TotalAmt>
        <ProgramServicesAmt>430585</ProgramServicesAmt>
        <ManagementAndGeneralAmt>345244</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>4839863</TotalAmt>
        <ProgramServicesAmt>2686124</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2153739</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>1089414</TotalAmt>
        <ProgramServicesAmt>604625</ProgramServicesAmt>
        <ManagementAndGeneralAmt>484789</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>6489324</TotalAmt>
        <ProgramServicesAmt>3601575</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2887749</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DRUGS</Desc>
        <TotalAmt>1404229</TotalAmt>
        <ProgramServicesAmt>779347</ProgramServicesAmt>
        <ManagementAndGeneralAmt>624882</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>745876</TotalAmt>
        <ProgramServicesAmt>413961</ProgramServicesAmt>
        <ManagementAndGeneralAmt>331915</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FOOD</Desc>
        <TotalAmt>718941</TotalAmt>
        <ProgramServicesAmt>399012</ProgramServicesAmt>
        <ManagementAndGeneralAmt>319929</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1530149</TotalAmt>
        <ProgramServicesAmt>750669</ProgramServicesAmt>
        <ManagementAndGeneralAmt>779480</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>69256700</TotalAmt>
        <ProgramServicesAmt>38964076</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30292624</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>3450</BOYAmt>
        <EOYAmt>3450</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>420893</BOYAmt>
        <EOYAmt>2088710</EOYAmt>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>OHIO VALLEY HOSPITAL QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND, THEREFORE, IS EXEMPT FROM INCOME TAX ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2020 AND 2019.</ExplanationTxt>
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        <FormAndLineReferenceDesc>OHIO VALLEY HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: TO GUIDE THIS ASSESSMENT, THE HOSPITAL'S LEADERSHIP TEAM FORMED A STEERING COMMITTEE THAT CONSISTED OF HOSPITAL AND COMMUNITY AGENCIES WHO REPRESENTED THE BOARD INTERESTS OF THE LOCAL REGION. THESE INCLUDED REPRESENTATIVES WHO UNDERSTOOD THE NEEDS AND ISSUES RELATED TO VARIOUS UNDERREPRESENTED GROUPS INCLUDING MEDICALLY UNDERSERVED POPULATIONS, LOW-INCOME PERSONS, MINORITY GROUPS, AND THOSE WITH CHRONIC DISEASE AND MENTAL HEALTH NEEDS, INDIVIDUALS WITH EXPERTISE IN PUBLIC HEALTH, AND INTERNAL PROGRAM MANAGERS. THE OVH STEERING COMMITTEE MET TWO TIMES TO PROVIDE GUIDANCE ON THE VARIOUS COMPONENTS OF THE CHNA. THE STAFF, STEERING COMMITTEE MEMBERS AND CONSULTING TEAM MADE SIGNIFICANT EFFORTS TO ENSURE THAT THE ENTIRE PRIMARY SERVICE TERRITORY, ALL SOCIO-DEMOGRAPHIC GROUPS AND ALL POTENTIAL NEEDS, ISSUES AND UNDERREPRESENTED POPULATIONS WERE CONSIDERED IN THE ASSESSMENT. THIS WAS ACCOMPLISHED BY IDENTIFYING FOCUS GROUPS AND KEY STAKEHOLDERS THAT REPRESENTED THE VARIOUS SUBGROUPS IN THE COMMUNITY. IN ADDITION, THE PROCESS INCLUDED PUBLIC HEALTH PARTICIPATION AND INPUT, THROUGH EXTENSIVE USE OF THE PA HEALTH DEPARTMENT AND CENTERS FOR DISEASE CONTROL DATA.</ExplanationTxt>
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        <FormAndLineReferenceDesc>OHIO VALLEY HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: OHIO VALLEY HOSPITAL (OVH) IS COMMITTED TO ACHIEVING THE "TRIPLE AIM": IMPROVED HEALTH THROUGH BETTER QUALITY OF CARE AT LOWER COSTS. TO THAT END, TO ADDRESS THE NEEDS OF THE COMMUNITY, OVH IDENTIFIED AND APPROVED BY THE OVH BOARD OF DIRECTORS TO BE ADDRESSED OVER THE NEXT THREE YEARS ARE: DIABETES, CARDIOVASCULAR DISEASE, TRANSPORTATION FOR SELF/HEALTHCARE WORKERS, KNOWLEDGE OF ALL SERVICES IN THE AREA, MENTAL HEALTH, SMOKING, AND EATING HABITS/ACCESS TO HEALTHY FOODS. AN IMPLEMENTATION COMMITTEE MADE UP OF HOSPITAL ADMINISTRATORS AND SERVICE LINE MANAGERS REVIEWED THE SEVEN PRIORITIES AND CREATED TWO OVERALL IMPLEMENTATION GOALS, GROUPING THE PRIORITIES INTO APPROPRIATE AND COMMON AREAS. WITHIN THOSE TWO GOALS ARE SPECIFIC IMPLEMENTATION EFFORTS, EITHER EXISTING OR TO BE DEVELOPED, WHICH THE HOSPITAL WILL BUDGET FOR, MANAGE, IMPLEMENT AND EVALUATE AND REPORT ON OVER THE NEXT THREE YEARS ARE: CHRONIC DISEASE (INCLUDING DIABETES, CARDIOVASCULAR DISEASE, AND RESPIRATORY DISEASE), MENTAL HEALTH (INCLUDING SUBSTANCE ABUSE DISORDER), ACCESS TO QUALITY HEALTH CARE, AND OVERWEIGHT/OBESITY. AN IMPLEMENTATION COMMITTEE MADE UP OF HOSPITAL ADMINISTRATORS AND SERVICE LINE MANAGERS REVIEWED THE FOUR PRIORITIES AND CREATED THE FOLLOWING FIVE IMPLEMENTATION GOALS, GROUPING THE PRIORITIES INTO APPROPRIATE AND COMMON AREAS.GOAL ONE: REDUCE RISK FACTORS FOR DIABETES AND PRE-DIABETES AND IMPROVE MANAGEMENT OF CHRONIC DISEASE THROUGH HEALTHY LIFESTYLE CHOICES; GOAL TWO: REDUCE RISK FACTORS FOR CARDIOVASCULAR AND RESPIRATORY HEALTH ISSUES THROUGH HEALTHY LIFESTYLE CHOICES;GOAL THREE: PROMOTE AND INCREASE IN MENTAL HEALTH AND SUBSTANCE ABUSE DISORDER SERVICES TO INCREASE THE PERCENTAGE OF RESIDENTS WHO ACCESS SERVICES;GOAL FOUR: INCREASE EDUCATION AND AWARENESS OF SERVICES PROVIDED BY OHIO VALLEY HOSPITAL TO ITS PRIMARY SERVICE AREA, AS WELL AS IMPROVED ACCESS TO OHIO VALLEY HOSPITAL SERVICES; GOAL FIVE: TO INCREASE THE PERCENTAGE OF OHIO VALLEY HOSPITAL SERVICE AREA RESIDENTS THAT ARE AT A HEALTHY WEIGHT, THROUGH EATING A HEALTHY DIET AND REGULAR PHYSICAL ACTIVITY.NOTE: OBJECTIVES RELATED TO EACH GOAL AND EXISTING COMMUNITY ASSETS AND RESOURCES ARE LISTED ON PAGES 4 THROUGH 6 OF THE DOCUMENT CHNA IMPLEMENTATION STRATEGY, OHIO VALLEY AT THE FOLLOWING LINK:HTTPS://WWW.HERITAGEVALLEY.ORG/PAGES/HVK-CHNA-2019 AND 2019 IMPLEMENTATION STRATEGY BUTTON</ExplanationTxt>
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            <BusinessNameLine1Txt>1 - OHIO VALLEY PRIMARY CARE CENTER</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>1308 FIFTH AVENUE</AddressLine1Txt>
            <CityNm>CORAPOLIS</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15108</ZIPCd>
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          <FacilityTxt>PROFESSIONAL SERVICE</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
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          <USAddress>
            <AddressLine1Txt>556 PINE HOLLOW ROAD</AddressLine1Txt>
            <CityNm>KENNEDY TOWNSHIP</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15136</ZIPCd>
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          <FacilityTxt>WOUND AND PAIN CLINIC</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - OVGH MT NEBO</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>107 MOUNT NEBO POINT COMMONS</AddressLine1Txt>
            <CityNm>PITTSBURGH</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15237</ZIPCd>
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          <FacilityTxt>WOUND AND PAIN CLINIC</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
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          <USAddress>
            <AddressLine1Txt>15 HECKEL ROAD</AddressLine1Txt>
            <CityNm>MCKEES ROCKS</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15136</ZIPCd>
          </USAddress>
          <FacilityTxt>ASSISTED LIVING</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>5 - THE RESIDENCE AT WILLOW HEIGHTS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>32 HECKEL ROAD</AddressLine1Txt>
            <CityNm>MCKEES ROCKS</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15136</ZIPCd>
          </USAddress>
          <FacilityTxt>INDEPENDENT LIVING</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>6 - PATHWAYS MEMORY CARE UNIT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>30 HECKEL ROAD</AddressLine1Txt>
            <CityNm>MCKEES ROCKS</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15136</ZIPCd>
          </USAddress>
          <FacilityTxt>MEMORY CARE RESIDENCE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>7 - HEALTH CENTER AT MOB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>25 HECKEL ROAD</AddressLine1Txt>
            <CityNm>MCKEES ROCKS</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15136</ZIPCd>
          </USAddress>
          <FacilityTxt>PROFESSIONAL SERVICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>8 - HATTMAN DRIVE OUTPATIENT GEROPSYCHIATRIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>8 HATTMAN DRIVE</AddressLine1Txt>
            <CityNm>CORAPOLIS</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15108</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT GEROPSYCHIATRIC OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3C:</FormAndLineReferenceDesc>
        <ExplanationTxt>OHIO VALLEY HOSPITAL USES FEDERAL POVERTY GUIDELINES AS A BASIS FOR ELIGIBILITY TO QUALIFY FOR FREE AND DISCOUNTED CARE. CURRENTLY THESE RATES ARE 200% FOR FREE CARE AND 300% FOR DISCOUNTED SERVICES USING A SLIDING SCALE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNTS WERE DERIVED FROM OUR MEDICARE COST REPORT, USING OUR MEDICARE COST TO CHARGE RATIO FOR FISCAL YEAR ENDING JUNE 30, 2020. THE EDUCATION DEPARTMENT DIRECT EXPENSES WERE DIVIDED BY TOTAL EDUCATION DEPARTMENT TO CALCULATE THE INDIRECT EXPENSES.THE GENERAL SERVICES COST CENTERS DIRECT EXPENSES WERE DIVIDED BY TOTAL EXPENSES OF THAT COST CENTER TO CALCULATE INDIRECT EXPENSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL PROMOTES THE HEALTH OF THE COMMUNITY BY IDENTIFYING NEEDS, CONSTRUCTING FACILITIES, AND STARTING NEW PROGRAMS. THIS INCLUDES MEMORY CARE AND GEROPSYCHIATRIC PROGRAMS THAT HELP OUR COMMUNITY AND IMPROVE PATIENT CARE. THE HOSPITAL EXTENDS MEDICAL PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN OUR COMMUNITY.OVH CONTINUES TO BE INVOLVED WITH MANY COMMUNITY-BASED ORGANIZATIONS. THIS INCLUDES THE GREATER ARE MCKEES ROCKS ROTARY, FOCUS ON RENEWAL, THE STO-ROX FAMILY HEALTH CENTER, ROBINSON TOWNSHIP LIBRARY, THE WESTERN AREA YMCA, PARKWAY WEST ROTARY, THE MCKEES ROCKS COMMUNITY DEVELOPMENT CENTER, AND THE AIRPORT ARE CHAMBER OF COMMERCE, INCLUDING THE CHOICES PROGRAM.SOME OF THE SERVICES PROVIDED SOLELY BY OVH ARE: AND EMERGENCY DEPARTMENT OPEN TO ALL PERSONS REGARDLESS OF RACE, COLOR, SEX OR CREED, OR ABILITY TO PAY. OPERATES AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS, DIABETIC EDUCATION AND TRAINING, SAFE HAVEN, ORTHOPEDIC EDUCATION PROGRAMS, CONTINUOUS EDUCATION PROGRAMS FOR EMTS AND PARAMEDICS, INDEPENDENT, ASSISTED AND MEMORY CARE UNITS, CARDIAC REHAB AND OCCUPATIONAL REHAB AND MEDICINE. ADDITIONALLY, OHIO VALLEY HOSPITAL HAS A 19-MONTH RN DIPLOMA PROGRAM. THIS PROGRAM IS FULLY ACCREDITED BY THE PENNSYLVANIA STATE BOARD OF NURSING (PASBON) AND BY THE ACCREDITATION COMMISSION FOR EDUCATION IN NURSING. IT IS ALSO APPROVED BY THE DEPARTMENT OF EDUCATION. WE ALSO HAVE A 24-MONTH SCHOOL OF RADIOGRAPHY PROGRAM. STUDENTS WHO SUCCESSFULLY COMPLETE THE PROGRAM ARE AWARDED A CERTIFICATE IN RADIOLOGIC TECHNOLOGY AND AS ASSOCIATE DEGREE IN HEALTH SCIENCE WITH A CONCENTRATION IN RADIOLOGIC TECHNOLOGY FROM LA ROCHE COLLEGE. THEY ARE THEN ELIGIBLE TO TAKE THE NATIONAL CERTIFICATION EXAMINATION ADMINISTERED BY THE AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS (ARRT).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT WAS CALCULATED USING THE MEDICARE COST TO CHARGE RATIOS IN ORDER TO REPORT AT COST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT ACCOUNTS RECEIVABLE RECOGNIZED PRIOR TO JULY 1, 2018, WERE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. HERITAGE VALLEY ANALYZED ITS PAST HISTORY AND IDENTIFIED TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF PATIENT SERVICE REVENUE TO ESTIMATE AN APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. UNDER THE PROVISIONS OF ASC 606, WHICH WE ADOPTED EFFECTIVE JULY 1, 2018, ACCOUNT RECEIVABLE ARE RECOGNIZED WHEN WE HAVE AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME. FOR PATIENTS ACCOUNTS RECEIVABLE SUBSEQUENT TO THE ADOPTION OF ASC 606, THE ESTIMATED UNCOLLECTIBLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT ACCOUNT RECEIVABLE RATHER THAN AN ALLOWANCE FOR DOUBTFUL ACCOUNTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNTS WERE TAKEN DIRECTLY FROM THE MEDICARE COST REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL PATIENTS PRESENTING WITH NO INSURANCE OR LIMITED COVERAGE ARE PROVIDED WITH THE GUIDELINES FOR THE OHIO VALLEY CARE PROGRAM. PATIENTS CAN QUALIFY FOR FREE CARE BASED ON THE INFORMATION THEY PROVIDE.IF A PATIENT IS PLACED INTO A BAD DEBT STATUS THEY MAY STILL ESTABLISH INDIGENCE AT ANY TIME AND BE COMPATIBLE WITH THE OHIO VALLEY CARE PROGRAM POLICY AND PROCEDURE GUIDELINES. DOCUMENTATION SUPPORTING THE DETERMINATION WILL INCLUDE NOTES ON THE PATIENT'S ACCOUNT IN OUR PATIENT ACCOUNTING SYSTEM AND OTHER INFORMATION THAT CAN BE RETRIEVED AS NEEDED TO SUPPORT THE INDIGENCE STATUS OF THE PATIENT OR RESPONSIBLE PARTY.IF AN ACCOUNT QUALIFIES FOR INDIGENCE THE DEBT MAY BE DEEMED UNCOLLECTIBLE WITHOUT APPLYING ANY FURTHER COLLECTION EFFORTS. THERE WILL NOT BE ANY OTHER LEGAL SOURCE OF RESPONSIBILITY FOR PAYMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>OHIO VALLEY HOSPITAL PARTNERED WITH STRATEGY SOLUTIONS, INC TO FACILITATE THE FIRST YEAR OF THEIR COMMUNITY HEALTH NEEDS ASSESSMENT. TOGETHER, THEY TOOK THE IMPLEMENTATION STRATEGIES DESIGNED BY THE CHNA STEERING COMMITTEE IN 2016 AND MET TO EVALUATE THE PROGRESS MADE UNDER EACH GOAL AND INITIATIVE. ATTACHED IS THE DOCUMENTATION OF THE MEETING, WHICH ALSO INCORPORATES ALL OF THE STATISTICS AND INFORMATION ON HOW EACH GOAL, OBJECTIVE, INITIATIVE, IMPLEMENTATION STRATEGY, AND ACCOMPLISHMENT HAS PROGRESSED DURING YEAR ONE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHARITY CARE POLICY (OHIO VALLEY CARES) AND FINANCIAL ASSISTANCE CONTACT INFORMATION IS AVAILABLE IN THE ADMISSION AREA, THE EMERGENCY ROOM, OUTPATIENT REGISTRATION AND OTHER AREAS OF THE ORGANIZATION IN WHICH PATIENT ARE LIKELY TO BE PRESENT. INTERPRETATION SERVICES ARE AVAILABLE FOR NON-ENGLISH SPEAKING INDIVIDUALS.OHIO VALLEY HOSPITAL (OVH) PROVIDES FINANCIAL COUNSELING TO THOSE IN NEED. OUR POLICY FOR THE PURPOSE OF PROVIDING INPATIENT AND/OR OUTPATIENT SERVICES TO THE INDIGENT STATES:THE FINANCIAL COUNSELOR WILL IDENTIFY PATIENTS AND/OR GUARANTORS THAT MAY QUALIFY FOR CHARITY CARE RELIEF IN ADDITION TO DISCUSSING THE ALTERNATIVE OF PUBLIC ASSISTANCE.THERE ARE TWO (2) OUTSIDE VENDORS THAT ARE AVAILABLE TO ASSIST PATIENTS IN THE APPLICATION PROCESS FOR PUBLIC ASSISTANCE.THE FINANCIAL COUNSELOR WILL CONDUCT A PRIVATE INTERVIEW WITH THE PATIENT AND/OR GUARANTOR AND DISCUSS THE CHARITY ALTERNATIVE AND PARAMETERS.THE FINANCIAL COUNSELOR WILL DISTRIBUTE THE CHARITY CARE APPLICATION AND ASSIST IN ITS COMPLETION AS NECESSARY. THEY WILL FURTHER REQUEST:1. THE MOST RECENT IRS TAX RETURN AND W-2 PROOF OF NON-FILING STATUS2. COPIES OF THE APPLICANTS MOST RECENT PAY STUBS, IF APPROPRIATE3. DENIAL NOTICE RECEIVED FROM MEDICAL ASSISTANCE, IF APPROPRIATETHE FINANCIAL COUNSELOR WILL REFER THE COMPLETED CHARITY CARE APPLICATION AND ANY/ALL ATTACHMENTS TO THE DIRECTOR OF PATIENT FINANCIAL SERVICES FOR REVIEW AND PROCESSING OF THE REQUEST.THE FINANCIAL COUNSELOR WILL ENTER COMMENTS THAT CONVEY ANY AND ALL ACTIONS TAKEN IN THE NOTES FEATURE OF THE HOSPITAL PATIENT ACCOUNTING SYSTEM.THE DIRECTOR OF PATIENT FINANCIAL SERVICES WILL DETERMINE THE CHARITY CARE ELIGIBILITY BASED ON FEDERAL POVERTY GUIDELINES AND:1. INCOME LEVEL2. FAMILY SIZE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>OVH IS PART OF THE HIGHLY COMPETITIVE PITTSBURGH, PENNSYLVANIA HEALTH CARE ENVIRONMENT. MANY OF THE HOSPITALS ARE INTERNATIONALLY RECOGNIZED. OVH SERVES A MIX OF FIFTEEN SMALL, URBAN AND SUBURBAN COMMUNITIES IN ITS PRIMARY SERVICE AREA.OVH IS LOCATED IN MCKEES ROCKS, PENNSYLVANIA WHICH IS ITS PRIMARY SERVICE AREA. OVH ALSO SERVES SURROUNDING COMMUNITIES WHICH INCLUDE: KENNEDY TWP, ROBINSON TOWNSHIP, MOON TOWNSHIP, CRAFTON, CORLISS, NORTH FAYETTE, MCDONALD, CORAOPLIS, SEWICKLEY, BELLEVUE, AVONWORTH, AND OHIO TOWNSHIP. THE COMMUNITIES MENTIONED ABOVE PROVIDE A LARGE CROSS SECTION OF SOCIO-ECONOMIC CLASSES AND A WIDE RANGE OF ETHNIC AND CULTURAL DIVERSITY AS WELL.THE TOTAL POPULATION OF THE HOSPITALS SERVICE AREA IS ESTIMATED TO BE 140,260 WITH LITTLE GROWTH FROM THE 2010 CENSUS, ALTHOUGH THE POPULATION IS EXPECTED TO INCREASE SLIGHTLY OVER THE NEXT SEVERAL YEARS.AT THE TIME OF THE HOSPITALS COMMUNITY NEEDS ASSESSMENT 30.3% OF THE ADULT POPULATION WAS OVERWEIGHT AND 28.1% WERE CONSIDERED OBESE, WHICH IS UNDER THE HEALTH PEOPLE 2020 GOAL OF 30.6%.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>OHIO VALLEY GENERAL HOSPITAL HAS AN OPEN MEDICAL STAFF AND ITS BOARD OF DIRECTORS IS COMPRISED OF COMMUNITY MEMBERS. AT THIS TIME THE HOSPITAL DOES NOT HAVE SURPLUS FUNDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>OHIO VALLEY HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES. THE HOSPITAL ALSO OPERATES THE RESIDENCE AT WILLOW LANE, AN 84-BED PERSONAL CARE FACILITY, WILLOW HEIGHTS INDEPENDENT LIVING, A 65-BED INDEPENDENT LIVING FACILITY, WILLOW BROOK, A 21-BED GEROPSYCHIATRIC UNIT, PATHWAYS, A 16-BED MEMORY CARE UNIT, AND A 16-BED ACUTE REHABILITATION UNIT ON ITS CAMPUS. IN ADDITION, THE HOSPITAL CONTROLS OHIO VALLEY MEDICAL SERVICES, INC., AND OHIO VALLEY PROFESSIONAL SERVICES, INC. WHOSE PRINCIPAL PURPOSES ARE TO PROVIDE VARIOUS HEALTHCARE SERVICES TO PATIENTS OF THE HOSPITAL. OHIO VALLEY HOSPITAL ALSO PROVIDES WOUND CARE, PAIN MANAGEMENT, AND PRIMARY CARE SERVICES AT AFFILIATED PRACTICES AT VARIOUS OFF SITE LOCATIONS.EFFECTIVE JANUARY 1, 2019, HERITAGE VALLEY HEALTH SYSTEM, INC. BECAME THE SOLE MEMBER OF OHIO VALLEY HOSPITAL AND SUBSIDIARIES. HERITAGE VALLEY MANAGES AND OPERATES A PRIMARY CARE-BASED INTEGRATED DELIVERY SYSTEM SERVING THE RESIDENTS OF BEAVER COUNTY, PA; NORTHWESTERN ALLEGHENY COUNTY, PA; SOUTHERN LAWRENCE COUNTY, PA; EASTERN OHIO; AND THE SURROUNDING AREAS. THE INTEGRATED DELIVERY SYSTEM INCLUDES THREE ACUTE CARE HOSPITALS (HERITAGE VALLEY, BEAVER; HERITAGE VALLEY, SEWICKLEY; AND OHIO VALLEY) AND PHYSICIAN PRACTICES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>0</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>STUDENT NURSE SCHOLARSHIPS</GrantTypeTxt>
        <RecipientCnt>35</RecipientCnt>
        <CashGrantAmt>221490</CashGrantAmt>
        <ValuationMethodUsedDesc>CASH</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>FUNDS ARE BUDGETED AND BUDGETS ARE APPROVED BY THE BOARD ON AN ANNUAL BASIS. ALL AMOUNTS DISBURSED ARE APPROVED BY THE PRESIDENT/CEO OF THE HOSPITAL.</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDS ARE BUDGETED AND BUDGETS ARE APPROVED BY THE BOARD ON AN ANNUAL BASIS. ALL AMOUNTS DISBURSED ARE APPROVED BY THE PRESIDENT/CEO OF THE HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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        <PersonNm>NORMAN F MITRY</PersonNm>
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        <PersonNm>DAVID W SCOTT</PersonNm>
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        <PersonNm>MICHAEL MILLER</PersonNm>
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        <PersonNm>LAURIE CLEMENS</PersonNm>
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        <PersonNm>LINDA HOMYK</PersonNm>
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        <PersonNm>JACK NELSON</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MAUREEN M HEILMANN</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ERIC LAWLOR</PersonNm>
        <TitleTxt>EXECUTIVE VP</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KATIE MICHELINIE</PersonNm>
        <TitleTxt>NURSE ANESTHETIST</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LAJENNEPHER A ZEVOLA</PersonNm>
        <TitleTxt>CHIEF CRNA</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>HERITAGE VALLEY HEALTH SYSTEM'S BOARD OF DIRECTORS HAS APPOINTED AN EXECUTIVE COMPENSATION COMMITTEE TO REVIEW THE SALARIES FOR THE ORGANIZATION'S CEO AND OTHER SENIOR MANAGEMENT OFFICIALS. AS PART OF THE REVIEW, THE EXECUTIVE COMPENSATION COMMITTEE ENGAGED AN OUTSIDE CONSULTING FIRM TO REVIEW THE BASE SALARIES OF THE SENIOR MANAGEMENT TEAM INCLUDING THE CEO IN COMPARISON TO THE MARKET TO ENSURE REASONABLENESS OF COMPENSATION. MARKET ADJUSTMENTS ARE MADE ACCORDINGLY IN INSTANCES WHERE DATA SUPPORTED SUCH CHANGES FOR THIS PERIOD. BONUSES ARE PAID IN ACCORDANCE WITH AN INCENTIVE COMPENSATION PLAN WHICH WAS DEVELOPED AND APPROVED BY THE BOARD OF DIRECTORS SEVERAL YEARS AGO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT: ERIN FROHNHOFER - $97,640 NICOLE GARCIA - $136,774 ERIC LAWLOR - $22,505 DAVID W. SCOTT - $371,159</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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          <BusinessNameLine1Txt>ALLEGHENY COUNTY HOSPITAL DEVELOPMENT AUTHORITY</BusinessNameLine1Txt>
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        <BondIssuerEIN>251327925</BondIssuerEIN>
        <BondIssuedDt>2019-12-12</BondIssuedDt>
        <IssuePriceAmt>19455000</IssuePriceAmt>
        <PurposeDesc>REFUNDING OF OUTSTANDING 2005A GROSS REVENUE BONDS</PurposeDesc>
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        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
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      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceedsAmt>19455000</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>170904</IssuanceCostsFromProceedsAmt>
        <SubstantialCompletionYr>2019</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
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        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>1</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
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        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BYLAWS WERE AMENDED TO REFLECT THE MERGER OF OHIO VALLEY HOSPITAL INTO THE HERITAGE VALLEY HEALTH SYSTEM.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A DRAFT OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE (IRS).</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EVERY YEAR, THE BOARD OF DIRECTORS OF OHIO VALLEY HOSPITAL DISTRIBUTES TO ITS DIRECTORS AND KEY HOSPITAL MANAGEMENT THE CONFLICT OF INTEREST POLICY. EACH RECIPIENT MUST LIST ANY POSSIBLE CONFLICT, SIGN AND RETURN THE CONFLICT STATEMENT. INCLUDED IN THE POLICY IS SPECIFIC LANGUAGE REGARDING THE CONDUCT OF THE INDIVIDUAL WITH THE POTENTIAL CONFLICT. PERSONS IN QUESTION ARE REQUIRED ANNUALLY TO COMPLETE THE CONFLICT OF INTEREST QUESTIONNAIRE. ANY POTENTIAL CONFLICTS ARE REVIEWED BY THE CHAIRMAN OF THE BOARD FOR POSSIBLE ACTION. A LIST OF ANNUAL PAYMENTS MADE TO THE DISCLOSED ENTITIES IS MAINTAINED BY THE HOSPITAL'S PRESIDENT'S OFFICE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>HERITAGE VALLEY HEALTH SYSTEM'S BOARD OF DIRECTORS HAS APPOINTED AN EXECUTIVE COMPENSATION COMMITTEE TO REVIEW THE SALARIES FOR THE ORGANIZATION'S CEO AND OTHER SENIOR MANAGEMENT OFFICIALS. AS PART OF THE REVIEW, THE EXECUTIVE COMPENSATION COMMITTEE ENGAGED AN OUTSIDE CONSULTING FIRM TO REVIEW THE BASE SALARIES OF THE SENIOR MANAGEMENT TEAM INCLUDING THE CEO IN COMPARISON TO THE MARKET TO ENSURE REASONABLENESS OF COMPENSATION. MARKET ADJUSTMENTS ARE MADE ACCORDINGLY IN INSTANCES WHERE DATA SUPPORTED SUCH CHANGES FOR THIS PERIOD. BONUSES ARE PAID IN ACCORDANCE WITH AN INCENTIVE COMPENSATION PLAN WHICH WAS DEVELOPED AND APPROVED BY THE BOARD OF DIRECTORS SEVERAL YEARS AGO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 1,258,614. MANAGEMENT AND GENERAL EXPENSES 1,009,159. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,267,773. TEMPORARY HELP: PROGRAM SERVICE EXPENSES 2,784,802. MANAGEMENT AND GENERAL EXPENSES 2,232,860. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,017,662. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 1,810,612. MANAGEMENT AND GENERAL EXPENSES 1,451,752. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,262,364. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,396,378. MANAGEMENT AND GENERAL EXPENSES 1,921,420. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,317,798.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>PENSION OBLIGATION ADJUSTMENTS -5,228,000. OTHER 1,769,000. NET ASSETS RELEASED -121,609.</ExplanationTxt>
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          <BusinessNameLine1Txt>HERITAGE VALLEY HEALTH SYSTEM FOUNDATION</BusinessNameLine1Txt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>WORKERS COMPENSATION TRUST FUND</BusinessNameLine1Txt>
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          <AddressLine1Txt>25 HECKEL ROAD 4TH FLOOR</AddressLine1Txt>
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          <CityNm>BEAVER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15009</ZIPCd>
        </USAddress>
        <EIN>821646033</EIN>
        <PrimaryActivitiesTxt>CLINICALLY INTEGRATED NETWORK</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11C</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HERITAGE VALLEY HEALTH SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OVH PROFESSIONAL LIABILITY SELF-INSURANCE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>25 HECKEL ROAD 4TH FLOOR</AddressLine1Txt>
          <CityNm>MCKEES ROCKS</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15136</ZIPCd>
        </USAddress>
        <EIN>251619844</EIN>
        <PrimaryActivitiesTxt>MALPRACTICE INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12B, II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OHIO VALLEY HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OVH WORKER COMPENSATION SELF-INSURANCE TRUST</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>25 HECKEL ROAD 4TH FLOOR</AddressLine1Txt>
          <CityNm>MCKEES ROCKS</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15136</ZIPCd>
        </USAddress>
        <EIN>251619842</EIN>
        <PrimaryActivitiesTxt>WORKERS COMPENSATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12B, II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OHIO VALLEY HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CONSOLIDATED SUPPLY CHAIN SERVICES</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>25 HECKEL ROAD</AddressLine1Txt>
          <CityNm>MCKEES ROCKS</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15136</ZIPCd>
        </USAddress>
        <EIN>271055405</EIN>
        <PrimaryActivitiesTxt>GROUP PURCHASING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>EDGEWORTH COMMONS GROUP LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>725 CHERRINGTON PARKWAY SUITE 200</AddressLine1Txt>
          <CityNm>MOON TOWNSHIP</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15108</ZIPCd>
        </USAddress>
        <EIN>020713415</EIN>
        <PrimaryActivitiesTxt>SURGERY CENTER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BEAVER VALLEY AMBULATORY SURGERY</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1030 BEANER HOLLOW ROAD</AddressLine1Txt>
          <CityNm>BEAVER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15009</ZIPCd>
        </USAddress>
        <EIN>822918272</EIN>
        <PrimaryActivitiesTxt>SURGERY CENTER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>OHIO VALLEY PROFESSIONAL SERVICES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>25 HECKEL ROAD 4TH FLOOR</AddressLine1Txt>
          <CityNm>MCKEES ROCKS</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15136</ZIPCd>
        </USAddress>
        <EIN>205689859</EIN>
        <PrimaryActivitiesTxt>EXTENSION OF THE HOSPITAL TO PROVIDE HEALTH SERVICES TO THE COMMUNITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OHIO VALLEY HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>-603321</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>1740838</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>EMBROOKE INCORPORATED</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>366 HELEN STREET</AddressLine1Txt>
          <CityNm>MCKEES ROCKS</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15136</ZIPCd>
        </USAddress>
        <EIN>300008536</EIN>
        <PrimaryActivitiesTxt>AMBLUANCE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OHIO VALLEY HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>-456280</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>1810965</ShareOfEOYAssetsAmt>
        <OwnershipPct>0.87500</OwnershipPct>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>TRI-STATE OBSTETRICS &amp; GYNECOLOGY</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>25 HECKEL ROAD 4TH FLOOR</AddressLine1Txt>
          <CityNm>MCKEES ROCKS</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15136</ZIPCd>
        </USAddress>
        <EIN>251776052</EIN>
        <PrimaryActivitiesTxt>PHYSICIAN PRACTICE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HERITAGE VALLEY PEDIATRICS INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>25 HECKEL ROAD 4TH FLOOR</AddressLine1Txt>
          <CityNm>MCKEES ROCKS</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15136</ZIPCd>
        </USAddress>
        <EIN>251775950</EIN>
        <PrimaryActivitiesTxt>PHYSICIAN PRACTICE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HERITAGE VALLEY MULTISPECIALTY GROUP INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>25 HECKEL ROAD 4TH FLOOR</AddressLine1Txt>
          <CityNm>MCKEES ROCKS</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15136</ZIPCd>
        </USAddress>
        <EIN>251775949</EIN>
        <PrimaryActivitiesTxt>PHYSICIAN PRACTICE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>TRI-STATE GYNECOLOGY INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>25 HECKEL ROAD 4TH FLOOR</AddressLine1Txt>
          <CityNm>MCKEES ROCKS</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15136</ZIPCd>
        </USAddress>
        <EIN>841647473</EIN>
        <PrimaryActivitiesTxt>PHYSICIAN PRACTICE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HERITAGE VALLEY INSURANCE COMPANY</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>PO BOX 1051</AddressLine1Txt>
          <ProvinceOrStateNm>GRAND CAYMAN</ProvinceOrStateNm>
          <CountryCd>CJ</CountryCd>
        </ForeignAddress>
        <EIN>251441518</EIN>
        <PrimaryActivitiesTxt>PROFESSIONAL LIABILITY CAPTIVE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>KBS ANESTHESIA INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>25 HECKEL ROAD 4TH FLOOR</AddressLine1Txt>
          <CityNm>MCKEES ROCKS</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15136</ZIPCd>
        </USAddress>
        <EIN>834184731</EIN>
        <PrimaryActivitiesTxt>PROVIDES MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>