2019-05-13T13:17:23-05:00 2018-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 191037341 990 2017-07-01 250967480 OHIO VALLEY HOSPITAL OHIO 4127776280 25 HECKEL ROAD MCKEES ROCKS PA 15136 JACK B NELSON V.P. FINANCE AND CFO 4127776280 2019-04-24 1 JULIUS C GREEN CPA P00350393 2159720701 50.243.90.186 2019-04-24 08:53:22 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 927F87951D03751482A9914036EE93399D911F8E 2017 2019-02-21 02:37:17Z JACK B NELSON 25 HECKEL ROAD MCKEES ROCKS PA 15136 100372436 0 X WWW.OHIOVALLEYHOSPITAL.ORG X 1906 PA TO DELIVER QUALITY, PERSONALIZED HEALTH CARE SERVICES TO OUR PATIENTS AND FAMILIES 12 11 953 94 0 1000 89497 27476 63715925 67338566 4989639 5424757 1007576 766039 69802637 73556838 18000 186540 0 0 28604700 29014804 0 0 0 42018667 44216995 70641367 73418339 -838730 138499 134345524 131605525 49884764 49172769 84460760 82432756 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 35221670 186540 60852705 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. 3571829 4025628 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. 1374952 1649386 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. 553958 810847 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. 553958 810847 40722409 1 1 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 1 0 0 0 0 0 1 1 1 0 0 1 151 0 1 953 1 1 1 0 0 0 0 1 1 0 0 0 0 X 12 11 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 PA X JACK B NELSON VP OF FINANCECFO 4127776829 25 HECKEL ROAD MCKEES ROCKS PA 15136 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 KURT R GINGRICH ESQ SECRETARY 1.00 2.00 X X 0 0 0 DAVID A CORRAL PRESIDENT, MEDICAL STAFF 1.00 2.00 X 0 0 0 S GAYE FALLETTA 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 GENE M BATTISTELLA DO VICE CHAIRMAN (TERM 9/19/17) 1.00 2.00 X 0 0 0 GARY G SAUER MD DIRECTOR 1.00 2.00 X 0 0 0 SYED T ALI PRESIDENT-ELECT, MEDICAL S 1.00 2.00 X 0 0 0 JENNIFER W BLACK DIRECTOR (TERM 9/26/17) 1.00 2.00 X 0 0 0 JANE A DIXON DIRECTOR (TERM 9/26/17) 1.00 2.00 X 0 0 0 MARK R SCHOLL DIRECTOR (TERM 9/26/17) 1.00 2.00 X 0 0 0 CYNTHIA HAINES DIRECTOR 1.00 2.00 X 0 0 0 CAROL R SIRIANNI DIRECTOR 1.00 2.00 X 0 0 0 DAVID W SCOTT PRESIDENT AND CEO (TERM 12/31/18) 40.00 2.00 X 391093 0 54856 MAUREEN HEILMANN CHIEF CLINICAL OFFICER 40.00 X 117758 0 17062 JACK NELSON VICE PRESIDENT FINANCE, CF 40.00 2.00 X 142631 0 29057 MICHAEL MILLER PRESIDENT AND CEO (START 1/1/19) 40.00 2.00 X 0 0 0 HUWAIDA MANSOUR DIRECTOR BUSINESS FIT 40.00 X 218009 0 31588 ERIC LAWLOR EXECUTIVE VICE PRESIDENT 40.00 X 176991 0 41178 CHRISTINA HARMS CRNA 40.00 X 150744 0 21842 LAJENNEPHER ZEVOLA CRNA 40.00 X 166236 0 24087 PAULETTE J BINGHAM VP PATIENT CARE SERVICES 40.00 X 156988 0 22747 NANMICHAEL DIRECTOR OF PHARMACY 40.00 X 117154 0 16975 1637604 0 259392 11 0 1 0 WASHINGTON HEALTHCARE STRATEGIES 4000 JOHNSON RD STEUBENVILLE OH 43952 HEALTH CARE PROVIDER 1518667 MAXIM HEATHCARE SERVICES 12558 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 TEMP AGENCY 1280396 UPMC EMERGENCY MEDICAL INC 2 HOT METAL STREET PITTSBURGH PA 15203 HEALTH CARE PROVIDER 1051109 PT UNLIMITED INC 1638 TIFFANY RIDGE DRIVE PITTSBURGH PA 15241 HEALTH CARE PROVIDER 930284 ARAMARK 201 WOOD ST PITTSBURGH PA 15222 FOOD AND HOUSEKEEPING SERVICES 795477 74 3780 1000 22696 27476 PATIENT REVENUE 621400 60505829 60505829 NURSING/ASSISTED LIVING 623000 6484122 6484122 NURSING ENTRANCE FEES 611600 348615 348615 67338566 1063101 1063101 818689 603532 215157 215157 215157 30535683 5400 26158927 20500 4376756 -15100 4361656 4361656 55724 3780 32639 23085 23085 CAFETERIA 722210 209307 209307 DISCOUNTS & REBATES 900099 150903 150903 HOUSEKEEPING 900099 64404 64404 103183 103183 527797 73556838 67338566 0 6190796 X 186540 186540 1024140 568198 455942 24425446 13550744 10874702 37408 20754 16654 1442080 800696 641384 2085730 1157174 928556 1907635 1058366 849269 299427 166124 133303 428435 237698 190737 16342 16342 152219 152219 12575277 6976829 5598448 467658 259459 208199 841890 467085 374805 4739234 2629352 2109882 56666 31439 25227 1490922 827171 663751 5057508 2805932 2251576 1057351 586624 470727 BAD DEBT 2551403 1415532 1135871 PATIENT SUPPLIES 10950709 6075511 4875198 MEDICAID ASSESSMENT 837305 464541 372764 EDUCATION & RECRUITING 316376 175527 140849 470638 261113 209525 73418339 40722409 32695930 0 4350 3450 924320 527421 5203341 5374404 1008158 1072132 1065020 1310105 139880808 87700241 54553426 52180567 45727922 42748944 2095730 2061955 23763257 26326547 134345524 131605525 18802238 18818642 23816841 23329583 7052483 6712987 213202 311557 49884764 49172769 X 82778225 80870005 1682535 1562751 84460760 82432756 134345524 131605525 X 138499 -3136104 969601 X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 16342 16342 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 88195707 46848368 41347339 51016111 40851873 10164238 576344 576344 52180567 DEFERRED FINANCING COSTS 248448 DUE FROM AFFILIATES 25947270 OTHER ASSETS 130829 26326547 DERIVATIVE FINANCIAL INSTRUMENTS 46780 THIRD PARTY SETTLEMENTS 264777 311557 X PART X, LINE 2: MANAGEMENT ANNUALLY REVIEWS TAX POSITIONS AND HAS DETERMINED THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS. TOAST TO THE COMMUNITY 59504 3780 55724 4158 21519 2818 840 3304 59504 3780 55724 4158 21519 2818 840 3304 32639 23085 1 1 1 X 1 X 1 1 1 0 1 1 239582 239582 0.00340 6208537 3421711 2786826 0.03930 6331 5548 783 0.00000 6454450 3427259 3027191 0.04270 62850 7533 55317 0.00080 817387 880 816507 0.01150 4475390 4369034 106356 0.00150 1475 1475 0.00000 5357102 4377447 979655 0.01380 11811552 7804706 4006846 0.05650 2057 2057 0.00000 6243 6243 0.00010 8300 8300 0.00010 1 817367 13326920 12177300 1149620 X 1 1 1 1 OHIO VALLEY HOSPITAL 25 HECKEL ROAD MCKEES ROCKS PA 15136 X X X X OHIO VALLEY HOSPITAL 1 0 0 1 X X X X X X X X 15 1 0 0 1 X OHIOVALLEYHOSPITAL.ORG/PATIENTS-VISITORS/2016-COMMUNITY-HEALTH-NEEDS-ASSESS X 1 15 1 OHIOVALLEYHOSPITAL.ORG/PATIENTS-VISITORS/2016-COMMUNITY-HEALTH-NEEDS-ASSESS 0 1 X 200.000000000000 250.000000000000 X X X X X 1 1 X X X 1 X HTTPS://OHIOVALLEYHOSPITAL.ORG/PATIENTS-VISITORS/PRICE-OF-SERVICE/PATIENT-F X HTTPS://OHIOVALLEYHOSPITAL.ORG/PATIENTS-VISITORS/PRICE-OF-SERVICE/CHARITY-C X HTTPS://OHIOVALLEYHOSPITAL.ORG/PATIENTS-VISITORS/PRICE-OF-SERVICE/PATIENT-F 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 THREE 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.GOAL 1: IMPROVE HEALTH STATUS THROUGH CHRONIC DISEASE AND CARE MANAGEMENT ACROSS THE CONTINUUM, ESPECIALLY AS IT RELATES TO DIABETES, CARDIOVASCULAR DISEASE AND MENTAL HEALTH. IN ORDER TO ACCOMPLISH THIS GOAL OVH IS IMPLEMENTING A NUMBER OF PRIORITY PROGRAM & INITIATIVES. THESE INCLUDE:1. CONTINUE OFFERING DIABETES PROGRAMS TO THE COMMUNITY A. ANNUAL DIABETES DAY (OFFERS SPEAKERS, FREE HEALTH SCREENINGS, INCLUDING: BONE DENSITY SCANS, FOOT SCREENINGS, BLOOD GLUCOSE, BLOOD PRESSURE, HEIGHT, WEIGHT, BODY MASS INDEX, BODY FAT ANALYSIS AND A1C TESTING, AND OFFER DIABETIC INFORMATION THROUGH VENDORS) B. LIVING WELL WITH DIABETES CLASSES C. DIABETES SUPPORT GROUP D. PRE-DIABETES CLASSES IN PARTNERSHIP WITH THE WESTERN AREA YMCA E. CONTINUE TO PROMOTE WOUND CARE HEALTH FOR THOSE PERSONS WITH DIABETES2. PROMOTE CHRONIC DISEASE MANAGEMENT SERVICES TO INCREASE UTILIZATION: A. NUTRITION PROGRAMS B. DIABETES PROGRAMS C. CARDIAC REHAB PROGRAMS D. PULMONARY REHAB E. CONTINUE TO PROVIDE EDUCATIONAL MATERIALS (INCLUDING INFORMATION GUIDE ON VARIOUS CHRONIC DISEASES) AT HEALTH FAIRS AND OTHER PUBLIC EVENTS F. GEROPSYCH AND OUTPATIENT PSYCH3. CONTINUE TO OFFER HEALTH/WELLNESS ACTIVITIES A. ANNUAL COMMUNITY 5K B. CONTINUE OFFERING NUTRITION AND HEALTHY EATING CLASSES C. INVESTIGATE PARTNERSHIPS WITH THE WESTERN AREA YMCA REGARDING NUTRITION AND EXERCISE PROGRAMS D. CONTINUE FUNDING OF WESTERN AREA YMCA AFTER SCHOOL NUTRITION PROGRAM4. INSTITUTE SMOKING CESSATION PROGRAM A. SMOKING CESSATION CLASSES FOR EMPLOYEES AND THE COMMUNITY B. TRANSITION OVH CAMPUS TO A SMOKE-FREE CAMPUS5. CONTINUE TO WORK ON KEEPING THE READMISSION RATES FOR CHRONIC DISEASE LOW FROM YEAR TO YEAR6. CONTINUE TO OFFER THE FOLLOWING CHRONIC DISEASE EDUCATION CLASSES A. CARDIAC REHAB CLASSES B. PULMONARY REHAB CLASSES C. SENIORITY GROUP MONTHLY MEETINGS7. CONTINUE TO OFFER POPULATION HEALTH PROVIDER MEETINGS8. CONTINUE OVH'S HEALTH CARE AT HOME PARTNERSHIP9. PROMOTE AND INCREASE MENTAL HEALTH SERVICES A. INVESTIGATE BECOMING A CENTER OF EXCELLENCE FOR MENTAL HEALTH AND NUTRITION B. CONTINUE WORKING WITH THE MENTAL HEALTH PROVIDER GROUP C. INVESTIGATE PARTNERING WITH A DESIGNATED COLLABORATING ORGANIZATION - CHARTIERS AND MERCY BEHAVIORAL HEALTH (CREATE A REFERRAL SYSTEM FOR THOSE PATIENTS NOT SERVED BY OVH) D. CONTINUE TO LEND SUPPORT FOR MENTAL HEALTH AWARENESS WEEK E. CONTINUE TO PARTICIPATE IN MENTAL HEALTH HEALTH FAIRSGOAL 2: INCREASE EDUCATION AND AWARENESS OF SERVICES PROVIDED BY OVH TO ITS PRIMARY SERVICE AREA, AS WELL AS IMPROVED ACCESS TO OVH SERVICES. IN ORDER TO ACCOMPLISH THIS GOAL, OVH IS IMPLEMENTING A NUMBER OF PRIORITY PROGRAMS INCLUDING:1. INCREASE AWARENESS OF ACCESS TO OVH MEDICAL CAMPUS THROUGH OVH'S TRANSPORTATION VANS A. PURCHASE 1 ADDITIONAL TRANSPORTATION VAN2. RESEARCH WHAT OUTSIDE MATERIALS FOR HEALTH ARE GIVEN/OFFERED TO PATIENTS UPON DISCHARGE FROM THE EMERGENCYDEPARTMENT A. CREATE EDUCATION FOLDERS WITH OVH INFORMATION AND INFORMATION OF SHARED RESOURCES B. CREATE A PATIENT INFORMATION GUIDE OF ALL SERVICES AVAILABLE IN THE PRIMARY SERVICE AREA3. CONTINUE TO PARTICIPATE IN COMMUNITY HEALTH FAIRS BY OFFERING A TRACKING PROGRAM IN OVH'S COMPUTER SYSTEM AND CREATING TESTING CARDS FOR PARTICIPANTS TO KEEP TRACK OF THEIR READINGS FROM TEST TO TEST FOR ITEMS LIKE FLU SHOTS, BONE DENSITY TESTS AND BLOOD PRESSURE SCREENING4. INVESTIGATE BECOMING A CERTIFIED MEDICAL HOME5. ADD AN EDUCATION PIECE TO EMPLOYEE ORIENTATION FOCUSING ON SERVICES OFFERED BY THE HOSPITAL TO BETTER EQUIP EMPLOYEES TO UNDERSTAND AND REFER TO OVH SERVICES6. CONTINUE WORKING WITH THE ROTARY THROUGH THE WILLOWS AND OVH TO PROMOTE HEALTH CARE INITIATIVES7. CONTINUE TO OFFER HEALTH CARE INFORMATION AND SPEAKERS TO RESIDENTS OF WILLOWS8. EXPAND PRIMARY CARE TO PROMOTE NUTRITION, SMOKING CESSATION AND PSYCHOLOGICAL SCREENINGSWHILE THERE ARE MANY PRIORITIES BEING ADDRESSED BY OVH'S NEEDS ASSESSMENT, THERE WERE OTHER HEALTH INDICATORS THAT WERE NOT CONSIDERED A HIGH PRIORITY AND SUBSEQUENTLY ARE NOT ADDRESSED THROUGH THESE IMPLEMENTATION STRATEGIES BECAUSE THEY ARE ALREADY BEING ADDRESSED BY THE HOSPITAL, EXISTING COMMUNITY ASSETS, NECESSARY RESOURCES TO MEET THESE NEEDS ARE LACKING, OR THESE NEEDS FALL OUTSIDE OF THE OVH MISSION. THESE INDICATORS INCLUDE: COPD/CHRONIC BRONCHITIS, CEREBROVASCULAR DISEASE, LUNG CANCER, ACCESS TO PATIENT ADVOCATE, ALZHEIMER'S DISEASE, PRESCRIPTION DRUG AND ALCOHOL MISUSE/ABUSE/MORTALITY, ARTHRITIS, PNEUMONIA, MEDICATION MANAGEMENT, ASTHMA, COLORECTAL CANCER, PROSTATE CANCER, SHORT-TERM HOME HEALTH ASSISTANCE, AFFORDABILITY OF HEALTH CARE INCLUDING INSURANCE COSTS, CO-PAYS, AND DEDUCTIBLES, COMMUNICATION BETWEEN DOCTORS, SPECIALISTS, INSURANCE COMPANIES, HEALTH/INSURANCE LITERACY, MELANOMA/SKIN CANCER, AT-HOME RISK ASSESSMENTS, FALLS, SUICIDE, HIV TESTING, PRE-APPROVAL WAIT TIME, ACCESSIBILITY OF DOCTOR'S OFFICE, COMMUNICATION BETWEEN HOME HEALTH WORKERS, PATIENT, AND FAMILY, TOBACCO USE DURING PREGNANCY, TEEN PREGNANCY AND BIRTH OUTCOMES, BREASTFEEDING, AUTO ACCIDENTS AND FIREARMS. OTHER NONHEALTHCARE INDICATORS NOTED WERE RELATED TO POVERTY, UNEMPLOYMENT AND LACK OF JOBS, WHILE THE HOSPITAL OFFERS NUMEROUS HEALTH AND WELLNESS PROGRAMS ADDRESSING THE FINANCIAL NEEDS OF OVH'S SERVICE AREA RESIDENTS, ADDRESSING THESE SPECIFIC ITEMS IS OUTSIDE OF THE SCOPE OF THE MISSION OF THE HOSPITAL. 8 1 - HEALTH CENTER AT CORAOPOLIS 1308 FITH AVENUE CORAOPOLIS PA 15108 PROFESSIONAL SERVICE 2 - PROFESSIONAL SERVICE 556 PINE HOLLOW ROAD KENNEDY TOWNSHIP PA 15136 WOUND AND PAIN CLINIC 3 - HEALTH CENTER AT MT NEBO COMMONS 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, 2018. 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 $2,551,403 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 ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE CORPORATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CORPORATION ANALYZES CONTRACTUAL AMOUNTS DUE AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND INSURED PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES, THE CORPORATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE BILLED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE CORPORATION'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS WAS 62% OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2018 AND 55% OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2017. IN ADDITION, THE CORPORATION'S SELF-PAY ACCOUNT WRITE-OFFS (NET OF RECOVERIES) WERE APPROXIMATELY $2,396,000 IN 2018 AND $1,566,000 IN 2017. THE INCREASES WERE DUE TO A SHIFT IN THE PERCENTAGE OF SELF-PAY ACCOUNTS RECEIVABLE AGED GREATER THAN 90 DAYS AND AN INCREASED EXPOSURE TO SELF-PAY BALANCES FROM HIGH DEDUCTIBLE THIRD-PARTY INSURANCE PLANS. THE CORPORATION HAS NOT CHANGED ITS FINANCIAL ASSISTANCE POLICY IN 2018 OR 2017. THE CORPORATION DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR DOUBTFUL ACCOUNTS FROM THIRD-PARTY PAYORS, NOR DID IT HAVE SIGNIFICANT WRITE-OFFS FROM THIRD-PARTY PAYORS. 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: 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. TWENTY-FIVE PERCENT OF THE MEMBERS OF THE BOARD OF DIRECTORS LIVE IN THE HOSPITAL'S PRIMARY SERVICE AREA. THE HOSPITAL'S EMERGENCY DEPARTMENT IS OPEN 24 HOURS PER DAY. PAIN AND WOUND CARE DEPARMENTS SERVE THE COMMUNITY IN TWO SITES OFF THE HOSPITAL CAMPUS.THE HOSPITAL CEO, CFO, AUDITOR, HUMAN RESOURCES VP, AND EXECUTIVE VP MAKE RECOMMENDATIONS TO THE BOARD ON IMPROVEMENTS IN PATIENT CARE. AN EXAMPLE OF THIS WOULD BE OUR ORTHOPEDIC CENTER. ANY "SURPLUS" FUNDS ARE USED FOR PATIENT CARE ENHANCEMENTS, EXEMPLIFIED BY ALL OF THE CONSTRUCTION OVH HAS UNDERTAKEN IN RECENT YEARS. PART VI, LINE 6: OHIO VALLEY HOSPITAL IS A FREE-STANDING, INDEPENDENT, NOT-FOR-PROFIT ACUTE CARE HOSPITAL. THE 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. FORM 990, PART VI, LINE 7: PENNSYLVANIA 0 STUDENT NURSE SCHOLARSHIPS 16 186540 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 AND CEO OF THE HOSPITAL. X X X 0 0 0 0 0 1 0 0 0 DAVID W SCOTT PRESIDENT AND CEO (TERM 12/31/18) 378593 0 0 0 12500 0 10600 0 44256 0 445949 0 0 0 JACK NELSON VICE PRESIDENT FINANCE, CF 142631 0 0 0 0 0 6839 0 22218 0 171688 0 0 0 HUWAIDA MANSOUR DIRECTOR BUSINESS FIT 218009 0 0 0 0 0 13000 0 18588 0 249597 0 0 0 ERIC LAWLOR EXECUTIVE VICE PRESIDENT 176991 0 0 0 0 0 18000 0 23178 0 218169 0 0 0 CHRISTINA HARMS CRNA 150744 0 0 0 0 0 11101 0 10741 0 172586 0 0 0 LAJENNEPHER ZEVOLA CRNA 166236 0 0 0 0 0 5117 0 18970 0 190323 0 0 0 PAULETTE J BINGHAM VP PATIENT CARE SERVICES 156988 0 0 0 0 0 9506 0 13241 0 179735 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 01728AZG4 2003-05-29 9319477 CAPITAL IMPROVEMENTS & EQUIPMENT FOR SCHOOL OF NURSING 0 0 0 B ALLEGHENY COUNTY HOSPITAL DEVELOPMENT AUTHORITY 251327925 01728AB88 2005-04-21 23500623 CONSTRUCTION OF MED SURG & OB GYN WING 0 0 0 C MOON INDUSTRIAL DEVELOPMENT AUTHORITY 251398575 2011-02-23 9500000 REFUNDING OF 1998 AND 2001 BONDS 0 0 0 A 8080000 9145000 159428 8985572 2003 0 0 1 1 B 1695000 23870000 1004091 376938 23493062 2008 0 0 1 1 C 2565000 9500000 9500000 2011 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 B 0 0 0 0 1 0 0 C 0 0 0 0 1 0 0 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 1 1 HUNTINGDON BANK 8.700000000000 0 0 0 0 1 A 1 B 1 C 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: ALLEGHENY COUNTY HOSPITAL DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 05/01/2013 ISSUER NAME: ALLEGHENY COUNTY HOSPITAL DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/01/2015 ISSUER NAME: MOON INDUSTRIAL DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 02/23/2011 PATRICIA SAUER WIFE OF BOARD MEMBER GARY SAUER 9925 COMPENSATION FROM THE ORGANIZATION 0 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 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 1,622,809. MANAGEMENT AND GENERAL EXPENSES 1,302,198. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,925,007. TEMPORARY HELP: PROGRAM SERVICE EXPENSES 1,261,335. MANAGEMENT AND GENERAL EXPENSES 1,012,139. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,273,474. CONSULTING FEES: PROGRAM SERVICE EXPENSES 332,010. MANAGEMENT AND GENERAL EXPENSES 266,416. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 598,426. CONTRACT AGREEMENTS: PROGRAM SERVICE EXPENSES 2,433,463. MANAGEMENT AND GENERAL EXPENSES 1,952,694. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,386,157. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,327,212. MANAGEMENT AND GENERAL EXPENSES 1,065,001. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,392,213. FORM 990, PART XI, LINE 9: PENSION LIABILITY ADJUSTMENT 803,179. CHANGE IN FAIR VALUE OF DERIVATIVE 166,422. 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 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 -720343 154913 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 -2240612 1627138 1.00000 1 EMBROOKE INCORPORATED 366 HELEN STREET MCKEES ROCK PA 15136 300008536 AMBULANCE SERVICES PA OHIO VALLEY HOSPITAL C -176614 2606354 0.87500 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 OHIO VALLEY PROFESSIONAL SERVICES INC B 50000 APPRAISAL OHIO VALLEY MEDICAL SERVICES INC R 2193089 CASH OHIO VALLEY MEDICAL SERVICES INC S 734367 CASH OHIO VALLEY PROFESSIONAL SERVICES INC R 5936265 CASH OHIO VALLEY PROFESSIONAL SERVICES INC S 2034545 CASH EMBROOKE Q 235925 CASH