2020-07-13T14:53:44-05:00 2019-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2018-07-01 250967480 OHIO VALLEY HOSPITAL OHIO 4127776280 25 HECKEL ROAD MCKEES ROCKS PA 15136 ROBERT M ROSENBERGER CFO 4127776280 2020-07-05 1 KERRI N BOGDA CPA P00760402 7177404863 23.130.16.102 2020-07-05 23:44:02 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 AE0C272A69DD34E2EDF3B6A185DE1CF90EACE8A4 2018 2020-11-19 02:30:22Z MICHAEL MILLER 25 HECKEL ROAD MCKEES ROCKS PA 15136 90940213 0 X WWW.OHIOVALLEYHOSPITAL.ORG X 1906 PA TO DELIVER QUALITY, PERSONALIZED HEALTH CARE SERVICES TO OUR PATIENTS AND FAMILIES 11 11 1041 106 0 0 27476 17478 67338566 64783802 5424757 4210857 766039 607002 73556838 69619139 186540 269660 0 0 29014804 32539442 0 0 0 44216995 44450345 73418339 77259447 138499 -7640308 131605525 112075734 49172769 41643920 82432756 70431814 X OHIO VALLEY HOSPITAL'S MISSION IS TO DELIVER QUALITY, PERSONALIZED HEALTH CARE SERVICES TO OUR PATIENTS AND FAMILIES IN A CARING MANNER, AND TO PROVIDE EDUCATIONAL PROGRAMS FOR FUTURE HEALTH CARE PROFESSIONALS. 0 0 40069896 269660 58214168 THE HOSPITAL:SINCE ITS BEGINNING, OHIO VALLEY HAS NURTURED A COMMITMENT TO PROVIDE THE COMMUNITY WITH A PERSONALIZED APPROACH TO HIGH QUALITY HEALTH CARE. THIS DEDICATION HAS ESTABLISHED THE FOUNDATION FOR THE HOSPITAL TO GROW AND MEET THE COMMUNITY'S HEALTH CARE NEEDS WITH EXPANDED SERVICES, NEW PROGRAMS, ADVANCED TECHNOLOGY AND EDUCATION. WITH ITS CLOSE PROXIMITY TO THE CITY OF PITTSBURGH, THE HOSPITAL HAS THE UNIQUE ADVANTAGE OF A MEDICAL STAFF WHOSE SPECIALISTS PRACTICE AT BOTH THE HOSPITAL AS WELL AS TERTIARY-CARE HOSPITALS LOCATED IN THE CITY.FOR OUR COMMUNITY WE PROVIDE PROGRAMS AND SERVICE TO IMPROVE THE QUALITY OF LIFE: PROGRAMS SUCH AS: DIABETES AWARENESS AND PREVENTION. WE OFFER NUTRITION SERVICES, INCLUDING INPATIENT AND OUTPATIENT DIETITIAN HELP, AND A DIABETES PROGRAM FOR THOSE SUFFERING FROM DIABETIC HEALTH CONCERNS. THIS INCLUDES A SUPPORT GROUP MEETING, AS WELL AS PERSONAL NUTRITION COACHING AND OUR LIVING WELL WITH DIABETES PROGRAM. WE HOLD A COMMUNITY EVENT, NOW IN ITS 11TH YEAR, CALLED DIABETES DAY, WHICH OFFERS MATERIALS, FOOD DEMONSTRATIONS, LECTURES, AND FREE HEALTH SCREENINGS TO COMMUNITY MEMBERS WHO MAY HAVE DIABETES OR WHO ARE INTERESTED IN IMPROVING THEIR HEALTH. WE ALSO WORK WITH FOCUS ON RENEWAL TO HOLD A VARIETY OF HEALTHY HABITS FOOD COURSES FOR INDIVIDUALS, SUCH AS A STEEL CHEF COURSE. WE ALSO HOLD AND OFFER CPR AND FIRST AID CLASSES, AN ANNUAL 5K COMMUNITY RACE (NOW IN ITS 38TH YEAR), ALZHEIMER AND PARKINSON'S CLASSES, FREE BLOOD PRESSURE SCREENINGS, BLOOD SCREENINGS, LIFELINE, A VOLUNTEER SERVICES PROGRAM, AND OUR SENIORITY PROGRAM. WE SPONSOR THE YMCA'S HEALTHY HABITS AFTER-SCHOOL INITIATIVE AS WELL.OUR SENIORITY PROGRAM MEETS MONTHLY AND GETS INVOLVED WITH OTHER COMMUNITY GROUPS, LIKE THE FOCUS ON RENEWAL GROUP, AND THE WESTERN AREA YMCA IN ORDER TO HAVE NEW ACTIVITIES AND LECTURES FOR OUR ATTENDEES TO GET INVOLVED WITH. WE SEND OUT A TRI-ANNUAL NEWSLETTER WITH LOCAL HOSPITAL NEWS AND COMMUNITY ORGANIZATION INFORMATION. WE ALSO DO A LOT OF HEALTH FAIRS WITH OUR NURSING STUDENTS AND SOME OF OUR ANCILLARY SERVICES, RANGING FROM HIGH SCHOOLS WHERE WE PROVIDE INFORMATION TO TEACHERS ON SOME OF OUR AVAILABLE SERVICES, TO FLU SHOT CLINICS ORGANIZED BY LOCAL REPRESENTATIVES. PLEASE SEE THE ATTACHED YEAR 2 OF OUR CHNA TO LEARN MORE ABOUT THE PROGRAMS LISTED ABOVE.FOR OUR PATIENTS, WE PROVIDE PERSONALIZED HEALTH CARE SERVICE IN A FRIENDLY, CARING, AND COST-EFFECTIVE MANNER. SERVICES SUCH AS: AN ACUTE REHABILITATION UNIT, OCCUPATIONAL MEDICINE, CARDIAC REHABILITATION, CARDIOLOGY SERVICES, CRITICAL CARE, EMERGENCY DEPARTMENT, LABORATORY, MEDICAL/SURGICAL UNIT, IMC/ICU UNIT, NUCLEAR MEDICINE, PULMONARY REHABILITATION, RESPIRATORY SERVICES, SLEEP LAB, WILLOW BROOK GEROSPYCHIATRIC INPATIENT UNIT, PAIN TREATMENT CENTER, ORTHOPEDIC SERVICES WITH A KNEE AND HIP JOINT PROGRAM THAT RECEIVED A BLUE CROSS DISTINCTION CENTER PLUS RATING, REHABILITATION SERVICES INCLUDING PHYSICAL THERAPY, PILATES, OSTEOPOROSIS TREATMENT, LYMPHEDEMA THERAPY, A BALANCE CENTER, AND OCCUPATIONAL THERAPY, RADIOLOGY SERVICES INCLUDING CT SCANS (AND A BRAND NEW LOW-DOSE CT SCANNER), MAMMOGRAPHY, AND X-RAY, LABORATORY SERVICES WITH OUR CAP-ACCREDITED PROGRAM, INPATIENT AND OUTPATIENT SURGICAL SERVICES, TWO WOUND CARE CENTERS WITH HYPERBARIC OXYGEN THERAPY CHAMBERS AVAILABLE. OUR PROGRAM WAS RECENTLY GIVEN THE HEALOGICS CENTER OF DISTINCTION AWARD. IN 2016, THE WOUND CARE CENTER HAD A PATIENT SATISFACTION RATE ABOVE 92% AND A WOUND HEALING RATE OF MORE THAN 93%! FOR OUR STUDENTS WE PROVIDE THE ENVIRONMENT FOR THE EDUCATION OF FUTURE HEALTH CARE PROFESSIONALS THROUGH A SOLID CLINICAL AND THEORETICAL BACKGROUND. THE SCHOOL OF NURSING PROVIDES A THEORETICAL AND CLINICAL ENVIRONMENT WHERE PROSPECTIVE NURSES WILL BE CHALLENGED AND MOTIVATED TO ACHIEVE THEIR BEST. THE SCHOOL OF RADIOGRAPHY STRIVES TO MEET THE NEEDS OF THE COMMUNITIES IT SERVES BY OFFERING A PROGRAM THAT DEVELOPS COMPETENT AND PROFESSIONAL FUTURE RADIOLOGICAL TECHNOLOGISTS. IN 1901, THE SCHOOL OF NURSING WAS INAUGURATED WITH SIX STUDENTS ENROLLED IN A THREE YEAR COURSE. THEIR FIRST STUDENT GRADUATED IN 1904. THE HOSPITAL AND THE SCHOOL OPERATED IN THIS ORIGINAL FACILITY UNTIL THE HOSPITAL WAS REPLACED BY NEWER FACILITIES IN A NEARBY LOCATION, WHICH OPENED IN 1949. THE SCHOOL RECEIVED A NEW FACILITY IN 1956. OUR SCHOOL OF RADIOGRAPHY OPENED IN 1963, AND CELEBRATED ITS 50TH COMMENCEMENT IN 2015. HISTORICAL PERSPECTIVE:AFTER ITS RELOCATION TO KENNEDY TOWNSHIP IN 1949, THE HOSPITAL FACILITIES HAD A CAPACITY OF 130 BEDS AND 35 BASSINETS. EXTENSIVE FACILITY IMPROVEMENTS AND EQUIPMENT ACQUISITION PROJECTS HAVE BEEN COMPLETED, AND NEW PROGRAMS INITIATED, SINCE THEN IN THE YEARS INDICATED BELOW:- 1963 EXPANSION OF THE HOSPITAL FACILITIES FEATURING THE ADDITION OF 21 NEW BEDS AND NEW OPERATING ROOMS, AND THE RELOCATION OF ANCILLARY DEPARTMENTS TO FACILITATE GROWTH OF OUTPATIENT SERVICES- 1978 ADDITION TO THE HOSPITAL FACILITIES FEATURING IMPROVEMENT TO OUTPATIENT AND ANCILLARY DEPARTMENTS, AND THE ADDITION OF ANOTHER 27 BEDS- 1987 INSTALLATION OF A CT SCANNER IN THE RADIOLOGY DEPARTMENT- 1988 OPENING OF THE MEDICAL OFFICE BUILDING - 1987 - 1992 EXTENSIVE RENOVATIONS TO VARIOUS PATIENT FLOORS, THE NUCLEAR MEDICINE DEPARTMENT AND THE MAIN ENTRANCE AND LOBBY- 1992 OPENING OF A 25,000 SQUARE-FOOT ADDITION TO THE SOUTH WING OF THE HOSPITAL FACILITIES WHICH PROVIDED SPACE FOR A CRITICAL CARE SUITE, CARDIOLOGY DEPARTMENT, RESPIRATORY THERAPY DEPARTMENT AND CARDIAC REHABILITATION UNIT. - 1992 OPENING OF THE WOUND CARE CENTER FOR THE SPECIALIZED TREATMENT OF CHRONIC WOUNDS, ONE OF THE FIRST PROGRAMS OF THIS TYPE IN WESTERN PENNSYLVANIA - 1994 EXTENSIVE RENOVATIONS TO THE HOSPITAL FACILITIES' SECOND FLOOR WHICH PROMOTED THE CONSOLIDATION OF OUTPATIENT REGISTRATION AND NUMEROUS OUTPATIENT PROGRAM IN A SINGLE LOCATION READILY ACCESSIBLE BY ELEVATED WALKWAY FROM THE MEDICAL OFFICE BUILDING, AND EXTENSIVE UPGRADES TO THE REHABILITATION SERVICES DEPARTMENT, THE LABORATORY AND THE RADIOLOGY DEPARTMENT. - 1997 COMPLETE REDESIGN OF THE EMERGENCY DEPARTMENT, INCLUDING THE INTERIOR PATIENT CARE AREAS, AS WELL AS THE EXTERIOR AMBULANCE AND AUTOMOBILE ACCESS ROADWAY. - 1999 CLOSURE OF THE HOSPITAL'S TRANSITIONAL (SUB-ACUTE) CARE UNIT TO MAKE WAY FOR A 15-BED INPATIENT REHABILITATION UNIT, WHICH WAS SUBSEQUENTLY EXPANDED TO 16 BEDS. - 2001 ESTABLISHMENT OF A CARDIAC CATHETERIZATION LABORATORY (THE 'CATH LAB') WITH NEW EQUIPMENT. - 2001 OPENING OF THE HOSPITAL'S PAIN TREATMENT CENTER - 2003 OPENING OF THE HOSPITAL'S PULMONARY HEALTH CENTER - 2010 OPENING OF THE WILLOW BROOK GEROPSYCHIATRIC UNIT- 2014 WE ADDED ROBOTIC-ASSISTED SURGERY WITH FIREFLY TECHNOLOGY.- 2015 REOPENING OF OUR ARU UNIT ON OUR NEWLY RENOVATED 3RD FLOOR; THIS WAS MOVED FROM OUR 5TH FLOOR AT THAT TIME.- 2016 WE TURNED OUR 5TH FLOOR INTO OUR ORTHOPEDIC UNIT, WITH A FOCUS ON OUR KNEE AND HIP JOINT PROGRAM. IT OFFERS PRIVATE ROOMS AND A LOW PATIENT-TO-NURSE RATIO. WE ALSO HAVE A NEW GYM FOR PHYSICAL AND OCCUPATIONAL THERAPY. WE ALSO OFFER A CLASS PRIOR TO THE SURGERY THAT WALKS PATIENTS THROUGH WHAT THEY CAN EXPECT BEFORE, DURING, AND AFTER THEIR SURGERY, AS WELL AS DURING THEIR RECOVERY. - 2016 WE CELEBRATED OUR 35TH ANNUAL OVH AND KENNEDY TOWNSHIP 5K, WITH 187 REGISTERED RUNNERS, AND MORE THAN 60 LOCAL VOLUNTEERS.- 2016 OUR RADIOLOGY DEPARTMENT BEGAN WORKING WITH A NEW LOW-DOSE RADIATION SCANNER. DESIGNED TO MAKE THE IMAGING PROCESS SAFER AND FASTER FOR PATIENTS, ITS IMPROVED IMAGE QUALITY AIDS OUR RADIOLOGISTS AND PHYSICIANS IN THEIR DIAGNOSIS. THE SCANNER ALSO ALLOWS US TO PERFORM NEW SERVICES SUCH AS A CTA OF THE HEART AND LUNG CANCER SCREENINGS. OUR DOSE REDUCTION SOFTWARE THAT REDUCES RADIATION EXPOSURE BY AN AVERAGE OF 38%.IN THE FISCAL YEAR 2018, OVH CURRENTLY HAS 124 BEDS, INCLUDING 16 REHABILITATION AND 21 GEROPSYCHIATRIC BEDS. 1861280 0 3903606 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. 673654 0 1818045 WILLOW HEIGHTS INDEPENDENT LIVING:WILLOW HEIGHTS INDEPENDENT LIVING IS A UNIQUE RESIDENCE FOR INDEPENDENT SENIOR LIVING, WHERE SENIORS WILL FIND A VARIETY OF ACTIVITIES AND AMENITIES DESIGNED TO SUIT THEIR ACTIVE LIFESTYLES, ALL IN AN INVITING ATMOSPHERE OF COMFORT AND COMMUNITY. THE RESIDENTS ALSO ENJOY ENTERTAINING FAMILY AND FRIENDS, WHETHER IN THEIR OWN APARTMENT OR AT ONE OF THE MANY PARLORS, PATIOS OR ENTERTAINMENT AREAS SPECIFICALLY DESIGNED WITH FUN IN MIND. WITH A HOST OF ACTIVITIES, SOCIAL EVENTS, SERVICES AND AMENITIES, WILLOW HEIGHTS TRULY BRINGS NEW MEANING TO SENIOR LIVING. 313109 0 847983 PATHWAYS AT THE WILLOWS, A MEMORY CARE COMMUNITY:PATHWAYS AT THE WILLOWS IS AN EXCEPTIONAL OPTION FOR SENIORS WITH MEMORY IMPAIRMENTS, ONE THAT PROVIDES MAXIMUM COMFORT FOR RESIDENTS, AND PEACE OF MIND FOR FAMILIES. THE PATHWAYS PROGRAM OFFERS A STATE-OF-THE-ART RESIDENCE DESIGNED FOR THE SPECIFIC NEEDS OF SENIORS WITH ALZHEIMER'S OR RELATED DEMENTIA. OUR MEMORY CARE RESIDENCE HAS BEEN DESIGNED TO CREATE MEANINGFUL AND PERSONAL ROUTINES BASED ON EACH RESIDENT'S LIFE STORY AND HISTORY. OUR PATHWAYS PROGRAM OFFERS A HOME-LIKE ENVIRONMENT CONDUCIVE TO BOTH YOUR EMOTIONAL HEALTH AND WELL-BEING. EVERY ROOM AT PATHWAYS HAS BEEN DESIGNED TO STIMULATE THE SENSES AND INVOKE A FEELING OF FAMILIARITY AND WARMTH. 313109 0 847983 42917939 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 152 0 1041 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 11 11 0 1 1 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 PA X LINDA SCHAEFER 4127416600 420 ROUSER RD STE 201 MOON TOWNSHIP PA 15108 MARK S BRENNAN CHAIRMAN 1.00 2.00 X X 0 0 0 CRAIG A RIPPOLE VICE CHAIRMAN 1.00 2.00 X X 0 0 0 MICHAEL P DICLEMENTE TREASURER 1.00 2.00 X X 0 0 0 DAVID W SCOTT SECRETARY (START 01/2019) 1.00 2.00 X X 0 0 0 DAVID W SCOTT PRESIDENT (UNTIL 12/18) 1.00 2.00 X X 447267 0 83360 KURT R GINGRICH ESQ SECRETARY (UNTIL 9/18) 1.00 2.00 X X 0 0 0 S GAYE FALLETTA DIRECTOR 1.00 2.00 X 0 0 0 RICHARD KIM MD DIRECTOR 1.00 2.00 X 0 0 0 MICHAEL E LALLY MD DIRECTOR 1.00 2.00 X 0 0 0 ANGELO D LUPARIELLO MD DIRECTOR 1.00 2.00 X 0 0 0 NORMAN F MITRY DIRECTOR 1.00 2.00 X 0 0 0 G R ORR DIRECTOR 1.00 2.00 X 0 0 0 SYED T ALI MD PRESIDENT MED STAFF 1.00 2.00 X 0 0 0 MARY KENDALL RAGO MD PRESIDENT-ELECT MED STAFF 1.00 2.00 X 0 0 0 DAVID A CORRAL PRESIDENT MED STAFF (UNTIL 9/18) 1.00 2.00 X 0 0 0 CYNTHIA HAINES DIRECTOR (UNTIL 9/18) 1.00 2.00 X 0 0 0 GARY G SAUER MD DIRECTOR (UNTIL 9/18) 1.00 2.00 X 0 0 0 CAROL SIRIANNI DIRECTOR (UNTIL 9/18) 1.00 2.00 X 0 0 0 MICHAEL MILLER PRESIDENT/CEO (START 1/1/19) 38.00 2.00 X 0 0 0 JACK NELSON VICE PRESIDENT FINANCE, CFO 40.00 2.00 X 154677 0 28828 MAUREEN M HEILMANN CHIEF CLINICAL OFFICER 40.00 0.00 X 123238 0 22969 ERIC LAWLOR EXECUTIVE VP 40.00 0.00 X 190442 0 35494 KATIE MICHELINIE NURSE ANESTHETIST 40.00 0.00 X 176193 0 32838 LAJENNEPHER A ZEVOLA CHIEF CRNA 40.00 0.00 X 168246 0 31357 CHRISTIANA HARMS NURSE ANESTHETIST 40.00 0.00 X 155590 0 28998 MICHAEL NAN ASSOCIATE VP 40.00 0.00 X 124598 0 23222 1540251 0 287066 25 0 1 0 EMERGENCY RESOURCE MANAGEMENT INC PO BOX 223270 PITTSBURGH PA 15251 ER PHYSICIAN PROVIDER 1704750 WASHINGTON HEALTHCARE STRATEGIES 4000 JOHNSON RD STEUBENVILLE OH 43952 ANESTHESIA SERVICE 1400000 ALLSCRIPTS 305 CHURCH AT NORTH HILL STREET RALEIGH NC 27609 SOFTWARE PROVIDER 1242473 MAXIM HEALTHCARE SERVICES 12558 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 TEMP AGENCY 1163081 ARAMARK CORPORATION PO BOX 978839 DALLAS TX 753988839 FOOD AND HOUSEKEEPING SERVICE 886837 81 3553 1500 12425 17478 PATIENT REVENUE 621400 57916989 57916989 NURSING/ASSISTED LIVING 623000 6569634 6569634 NURSING ENTRANCE FEES 611600 297179 297179 64783802 933145 933145 864689 859705 4984 4984 4984 23673097 20395385 3277712 3277712 3277712 59801 3553 65984 -6183 -6183 CAFETERIA 722210 248273 248273 DISCOUNTS & REBATES 900099 186712 186712 HOUSEKEEPING 900099 70714 70714 102502 102502 608201 69619139 64783802 0 4817859 X 269660 269660 860339 477321 383018 26549017 14729535 11819482 32055 17784 14271 2680167 1486971 1193196 2417864 1341444 1076420 2265207 1256749 1008458 662824 367738 295086 482613 267756 214857 6364 6364 112710 112710 12172558 6753400 5419158 294678 163489 131189 760644 422009 338635 2678159 1485857 1192302 59653 33096 26557 1308221 725808 582413 4604552 2554630 2049922 2045055 1134607 910448 PATIENT SUPPLIES 10665820 5917453 4748367 BAD DEBT 2251886 1249358 1002528 MEDICAID ASSESSMENT 1298780 720570 578210 EQUIPMENT RENTAL 1132022 628052 503970 1648599 914652 733947 77259447 42917939 34341508 0 3450 3450 527421 420893 5374404 5068430 1072132 933942 1310105 1249889 46813339 2477497 52180567 44335842 42748944 30607014 2061955 2067245 26326547 27389029 131605525 112075734 18818642 18907151 23329583 21820000 6712987 284905 311557 631864 49172769 41643920 X 80870005 69021124 1562751 1410690 82432756 70431814 131605525 112075734 X -7640308 -2885692 162981 -1637921 X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 6364 6364 0 PART II-B, LINE 1: CRANMER CONSULTANTS HAVE BEEN RETAINED TO LOBBY THE CONGRESS OF THE UNITED STATES AND VARIOUS FEDERAL AGENCIES ON BEHALF OF OHIO VALLEY HOSPITAL. CRANMER CONSULTING MAINTAINS THE APPROPRIATE LOBBYING REGISTRATIONS WITH THE U.S. SENATE AND U.S. HOUSE COMMITTEES ON ETHICS. SPECIFICALLY, THIS GROUP SEEKS AND SECURES FUNDING FOR OHIO VALLEY THROUGH CONGRESSIONALLY DIRECTED SPENDING INITIATIVES, FOR VARIOUS CAPITAL PROJECTS, TECHNOLOGICAL UPGRADES AND PROGRAMMATIC NEEDS. OHIO VALLEY HOSPITAL BELONGS TO THE HEALTHCARE COUNCIL OF WESTERN PENNSYLVANIA AND THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA. WE ALSO BELONG TO THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THE ANNUAL DUES FOR THESE ORGANIZATIONS IS USED FOR LOBBYING FEDERAL AND STATE AGENCIES IN MATTERS OF HEALTH CARE REGULATORY ISSUES. 92646 92646 33827314 1085790 32741524 12009436 1391707 10617729 883943 883943 44335842 DUE FROM AFFILIATES 27308844 OTHER ASSETS 80185 27389029 THIRD PARTY SETTLEMENTS 631864 631864 X PART X, LINE 2: OHIO VALLEY HOSPITAL QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND, THEREFORE, ARE 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, 2019 AND 2018. WINE TASTING 63354 3553 59801 28791 24354 4372 650 7817 63354 3553 59801 28791 24354 4372 650 7817 65984 -6183 1 1 1 X 1 X 1 1 1 0 1 1 229480 229480 0.00310 7133983 3278360 3855623 0.05140 0 7363463 3278360 4085103 0.05450 792564 73239 719325 0.00960 6345767 4380099 1965668 0.02620 6500 6500 0.00010 7144831 4453338 2691493 0.03590 14508294 7731698 6776596 0.09040 168 11052 950 10102 0.00010 168 11052 950 10102 0.00010 1 817333 11734985 11687241 47744 X 1 1 1 1 OHIO VALLEY HOSPITAL 25 HECKEL ROAD MCKEES ROCKS PA 15136 X X X OHIO VALLEY HOSPITAL 1 0 0 1 X X X X X X X X X 18 1 0 0 1 X HERITAGEVALLEY.ORG/PAGES/HVK-CHNA-2019 X 1 18 1 HERITAGEVALLEY.ORG/PAGES/HVK-CHNA-2019 0 1 X 200.000000000000 250.000000000000 X X X X X 1 1 X X X 1 X HERITAGEVALLEY.ORG/PAGES/FINANCIAL-ASSISTANCE X HERITAGEVALLEY.ORG/PAGES/FINANCIAL-ASSISTANCE X HERITAGEVALLEY.ORG/PAGES/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X 1 X 0 0 OHIO VALLEY HOSPITAL 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. OHIO VALLEY HOSPITAL 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 8 1 - OHIO VALLEY PRIMARY CARE CENTER 1308 FITH AVENUE CORAOPOLIS PA 15108 PROFESSIONAL SERVICE 2 - PROFESSIONAL SERVICE 556 PINE HOLLOW ROAD KENNEDY TOWNSHIP PA 15136 WOUND AND PAIN CLINIC 3 - OVGH MT NEBO 107 MOUNT NEBO POINT COMMONS PITTSBURGH PA 15237 WOUND AND PAIN CLINIC 4 - THE RESIDENCE AT WILLOW LANE 15 HECKEL ROAD MCKEES ROCKS PA 15136 ASSISTED LIVING 5 - THE RESIDENCE AT WILLOW HEIGHTS 32 HECKEL ROAD MCKEES ROCKS PA 15136 INDEPENDENT LIVING 6 - PATHWAYS MEMORY CARE UNIT 30 HECKEL ROAD MCKEES ROCKS PA 15136 MEMORY CARE RESIDENCE 7 - HEALTH CENTER AT MOB 25 HECKLE ROAD MCKEES ROCKS PA 15136 PROFESSIONAL SERVICE 8 - HATTMAN DRIVE OUTPATIENT GEROPSYCHIATRIC 8 HATTMAN DRIVE CORAOPOLIS PA 15136 OUTPATIENT GEROPSYCHIATRIC OFFICE PART I, LINE 3C: 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 250% AND 300% FOR DISCOUNTED SERVICES USING A SLIDING SCALE. PART I, LINE 7: AMOUNTS WERE DERIVED FROM OUR MEDICARE COST REPORT, USING OUR MEDICARE COST TO CHARGE RATIO FOR FISCAL YEAR ENDING JUNE 30, 2019. 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 PART I, LN 7 COL(F): THE AMOUNT OF BAD DEBT EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN A THAT WAS REMOVED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN SCHEDULE H, PART I, LINE 7, COLUMN (F) WAS $2,251,886. PART II, COMMUNITY BUILDING ACTIVITIES: 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 AREA 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 AREA CHAMBER OF COMMERCE, INCLUDING THE CHOICES PROGRAM.SOME OF THE SERVICES PROVIDED SOLELY BY OVH ARE: AN 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 AN 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). PART III, LINE 2: BAD DEBT WAS CALCULATED USING THE MEDICARE COST TO CHARGE RATIOS IN ORDERTO REPORT AT COST. PART III, LINE 4: 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 PROVISON 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. PART III, LINE 8: THE AMOUNTS WERE TAKEN DIRECTLY FROM THE MEDICARE COST REPORT. NO SHORTFALL NOTED. PART III, LINE 9B: 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 OF INDIGENCE WILL BE AVAILABLE UPON REQUEST. THE DOCUMENTATION 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. PART VI, LINE 2: 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. PART VI, LINE 3: 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 SIZEAN ALTERNATIVE METHOD IS TO HAVE ALL SELF PAY ACCOUNTS AND BALANCES AFTER INSURANCE PROCESSED THROUGH A PRESUMPTIVE CHARITY CARE ANALYSIS TOOL TO DETERMINE ELIGIBILITY BASED ON OVH GUIDELINES OR IN ACCORDANCE WITH FORM 990 SCHEDULE H LANGUAGE. PART VI, LINE 4: 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, CORAOPOLIS, 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.IN 2015 THE PITTSBURGH METROPOLITAN AREA HAD AN OVERALL UNEMPLOYMENT RATE OF 5.6% WHICH WAS HIGHER THAN THE NATIONAL AVERAGE OF 4.9%.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%. PART VI, LINE 5: 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 PART VI, LINE 6: 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 ALLEGHEYN 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. FORM 990, PART VI, LINE 7: PENNSYLVANIA 0 STUDENT NURSE SCHOLARSHIPS 39 269660 CASH PART I, LINE 2: 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. X X X 0 0 0 0 0 1 0 0 0 DAVID W SCOTT PRESIDENT (UNTIL 12/18) 447267 0 0 0 0 0 0 0 83360 0 530627 0 0 0 JACK NELSON VICE PRESIDENT FINANCE, CFO 154677 0 0 0 0 0 0 0 28828 0 183505 0 0 0 ERIC LAWLOR EXECUTIVE VP 190442 0 0 0 0 0 0 0 35494 0 225936 0 0 0 KATIE MICHELINIE NURSE ANESTHETIST 176193 0 0 0 0 0 0 0 32838 0 209031 0 0 0 LAJENNEPHER A ZEVOLA CHIEF CRNA 168246 0 0 0 0 0 0 0 31357 0 199603 0 0 0 CHRISTIANA HARMS NURSE ANESTHETIST 155590 0 0 0 0 0 0 0 28998 0 184588 0 0 0 PART I, LINE 6 THERE IS A PERFORMANCE BASED COMPONENT OF THE CEO'S COMPENSATION. THIS COMPONENT IS BASED ON THE CEO BEING RATED AS "MEETING BOARD EXPECTATIONS AND THE CEO'S ATTAINMENT OF PERFORMANCE GOALS SET BY THE COMMITTEE. THE PERFORMANCE GOALS ARE BASED ON YEAR OVER YEAR IMPROVEMENT IN BOTH THE HOSPITAL'S NET OPERATING INCOME AND THE HOSPITAL'S OVERALL QUALITY AND PATIENT SATISFACTION SCORES. A ALLEGHENY COUNTY HOSPITAL DEVELOPMENT AUTHORITY 251327925 01728AB88 2005-04-21 23500623 CONSTRUCTION OF MED SURG AND OB-GYN WING 0 0 0 A 2050000 23870000 1004091 376938 23493062 2008 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 A 0 0 0 1 0 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: ALLEGHENY COUNTY HOSPITAL DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/01/2015 FORM 990, PART VI, SECTION A, LINE 3 REHABCARE GROUP INC. HAS BEEN CONTRACTED TO MANAGE THE ACUTE REHAB UNIT OF THE HOSPITAL. TELECARE CORPORATION HAS BEEN CONTRACTED TO MANAGE THE HOSPITALS GERIATRIC PSYCHIATRIC UNIT OF THE HOSPITAL. NATIONAL HEALING HAS BEEN CONTRACTED TO MANAGE THE HOSPITAL'S WOUND HEALING FACILITIES. ALL THREE GROUPS RESPONSIBILITIES INCLUDE DEPARTMENTAL BUDGETING, STAFFING, OFFICE MANAGEMENT, AS WELL AS PATIENT SCHEDULING, CARE, AND BILLING FOR THE FACILITY. FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS WERE AMENDED TO REFLECT THE MERGER OF OHIO VALLEY HOSPITAL INTO THE HERITAGE VALLEY HEALTH SYSTEM. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE (IRS). FORM 990, PART VI, SECTION B, LINE 12C 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. FORM 990, PART VI, SECTION B, LINE 15 THE HOSPITAL UTILIZES THE HEALTHCARE COUNCIL OF WESTERN PA'S SALARY SURVEY IN DETERMINING COMPENSATION FOR OFFICERS AND KEY EMPLOYEES, IN ORDER TO ENSURE COMPENSATION DOES NOT EXCEED FAIR MARKET VALUE. THE BOARD OF DIRECTORS COMPENSATION COMMITTEE APPROVES ALL SALARY INCREASES FOR THE CEO, CFO, EXECUTIVE VP, HR VP, AND NURSING VP. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,801,595. MANAGEMENT AND GENERAL EXPENSES 1,445,661. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,247,256. TEMPORARY HELP: PROGRAM SERVICE EXPENSES 818,042. MANAGEMENT AND GENERAL EXPENSES 656,424. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,474,466. CONSULTING FEES: PROGRAM SERVICE EXPENSES 388,248. MANAGEMENT AND GENERAL EXPENSES 311,544. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 699,792. CONTRACT AGREEMENTS: PROGRAM SERVICE EXPENSES 2,248,513. MANAGEMENT AND GENERAL EXPENSES 1,804,283. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,052,796. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,497,002. MANAGEMENT AND GENERAL EXPENSES 1,201,246. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,698,248. FORM 990, PART XI, LINE 9: PENSION LIABILITY ADJUSTMENT -1,637,921. OVH PROFESSIONAL LIABILITY SELF INSURANCE 25 HECKEL ROAD MCKEES ROCK PA 15136 251619844 PROVIDES MALPRACTICE INSURANCE TO THE HOSPITAL PA 501(C)(3) LINE 12B, II OHIO VALLEY HOSPITAL 1 OVH WORKER COMPENSATION SELF INSURANCE TRUST 25 HECKEL ROAD MCKEES ROCK PA 15136 251619842 FOR THE HOSPITAL TO COVER ITS WORKERS COMPENSATION CLAIMS PA 501(C)(3) LINE 12B, II OHIO VALLEY HOSPITAL 1 HERITAGE VALLEY HEALTH SYSTEM INC 1000 DUTCH RIDGE ROAD BEAVER PA 15009 251441518 PARENT SUPPORTING ORGANIZATION PA 501(C)(3) LINE 12C, III-FI N/A 0 OHIO VALLEY MEDICAL SERVICES INC 25 HECKEL ROAD MCKEES ROCK PA 15136 205830183 PROVIDES SURGERY AND ANESTHESIA SERVICES TO PATIENTS PA OHIO VALLEY HOSPITAL C -392462 115388 1.00000 1 OHIO VALLEY ANESTHESIA PAIN MANAGEMENT INC 25 HECKEL ROAD MCKEES ROCK PA 15136 205696032 PROVIDES PAIN MANAGMENT SERVICES TO PATIENTS PA OHIO VALLEY HOSPITAL C 1.00000 1 OHIO VALLEY PROFESSIONAL SERVICES INC 25 HECKEL ROAD MCKEES ROCK PA 15136 205689859 EXTENSION OF THE HOSPITAL TO PROVIDE HEALTH SERVICES TO THE COMMUNITY PA OHIO VALLEY HOSPITAL C -1999359 1953700 1.00000 1 EMBROOKE INCORPORATED 366 HELEN STREET MCKEES ROCK PA 15136 300008536 AMBULANCE SERVICES PA OHIO VALLEY HOSPITAL C -228336 2254656 0.87500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 OHIO VALLEY MEDICAL SERVICES INC R 1999402 CASH OHIO VALLEY PROFESSIONAL SERVICES INC R 392464 CASH