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        <BookValueAmt>67555980</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>3462059</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1316258</DepreciationAmt>
        <BookValueAmt>2145801</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>301565773</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>214817446</DepreciationAmt>
        <BookValueAmt>86748327</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>13919613</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4073748</DepreciationAmt>
        <BookValueAmt>9845865</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>168581780</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>Interest in Assets Held by Foundations</Desc>
        <BookValueAmt>10637315</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Other Investments</Desc>
        <BookValueAmt>416252</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Common Trust</Desc>
        <BookValueAmt>11738925</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Alternative Investments</Desc>
        <BookValueAmt>7034110</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>29826602</TotalBookValueSecuritiesAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Accrued pensions and other long term liabilities</Desc>
        <Amt>57502788</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Workers Comp Reserve Long Term</Desc>
        <Amt>1888473</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>59391261</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>367864211</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>367864211</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>308728</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>308728</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>368172939</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>349653930</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>349653930</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>11</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>11</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>349653941</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XI, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Other Adjustments- Restricted Fund Income</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt X, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>VMF 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. VMF does not have any material uncertain positions as of June 30, 2015 and 2014.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XII, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Rounding adjustment.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt V, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD DESIGNATED ASSETS ARE UNRESTRICTED FUNDS UNDER THE CONTROL OF THE BOARD OF DIRECTORS. THE MAJORITY OF THESE FUNDS ARE HELD IN THE MASTER TRUST. THE REMAINING FUNDS ARE IN THE CHECKING AND MONEY MARKET ACCOUNTS. ALL INTEREST, REALIZED GAINS/LOSSES, AND UNREALIZED GAINS/LOSSES ASSOCIATED WITH THESE FUNDS REMAIN AS BOARD DESIGNATED FUNDS. DONOR RESTRICTED SPECIFIC PURPOSE FUNDS ARE COMPOSED OF BOTH TEMPORARY AND PERMANENTLY RESTRICTED FUNDS. ALL FUNDS EARN INTEREST, REALIZED GAINS/LOSSES, AND UNREALIZED GAINS/LOSSES. INTEREST CAN BE RESTRICTED BY THE DONOR, IN WHICH CASE IT REMAINS IN THE FUND. THE DONOR DETERMINES THE INTEREST CLASSIFICATION AT THE TIME OF THE DONATION. THE MAJORITY OF THE FUNDS ARE HELD IN THE MASTER TRUST WITH THE REMAINDER BEING IN THE CHECKING ACCOUNT OR MONEY MARKET ACCOUNTS. FUNDS HELD BY HERITAGE VALLEY SEWICKLEY FOUNDATION: CARDIOLOGY FUND -RESTRICTED FOR CARDIOLOGY/CARDIAC REHAB BUT OTHERWISE UNRESTRICTED. CHAPLAIN FUND - RESTRICTED TO USE FOR THE CHAPLAINCY PROGRAM BUT OTHERWISE UNRESTRICTED. CRITICAL CARE FUND - RESTRICTED TO CRITICAL CARE BUT OTHERWISE UNRESTRICTED. CAPITAL PROJECT FUND - TO BE USED TO FUND PURCHASES OF ITEMS DESIGNATED THROUGH APPROVED HERITAGE VALLEY SEWICKLEY CAPITAL BUDGET. MARGARET M. DICK SCHOLARSHIP FUND - RESTRICTED ENDOWMENT. INCOME ONLY TO BE USED TO FUND FULL-TIME FIRST YEAR STUDENTS ENROLLED IN HERITAGE VALLEY SEWICKLEY (HVS) SCHOOL OF NURSING. EMERGENCY DEPARTMENT FUND - FOR EMERGENCY DEPARTMENT USE TO BENEFIT CHILDREN AT MEDICAL DIRECTOR'S DISCRETION AND FOR FUNDING EMERGENCY DEPARTMENT PROGRAM &amp; EQUIPMENT NEEDS. EQUIPMENT FUND - RESTRICTED FOR EQUIPMENT PURCHASES. IRWIN S. TERNER MEMORIAL EYE GLASS FUND - RESTRICTED TO PURCHASE OF EYEGLASSES FOR THOSE THAT ARE UNABLE TO PAY. REFERRALS TO ACCESS THIS FUND MUST BE SENT TO CASE MANAGEMENT OF HVS FOR EVALUATION OF PATIENT'S NEEDS. OPTHALMOLOGISTS ON STAFF PROVIDE GLASSES AT COST. EYE SURGERY EQUIPMENT FUND - EQUIPMENT NEEDS OF EYE DEPARTMENT. FREE CARE FUND (CHARITY CARE) - TO PAY FOR PRESCRIPTION DRUGS FOR QUALIFIED NEEDY PATIENTS TO A MAXIMUM OF $5,000 PER YEAR; AND TO PAY FOR SERVICES FOR QUALIFIED NEEDY AS ASSESSED BY CASE MANAGEMENT. (CURRENTLY TRANSFERRING 10% PER YEAR FOR HVS CHARITY CARE.) THOMAS R. HAVRILLA SCHOOL OF RADIOLOGY SCHOLARSHIP FUND - ESTABLISHED BY BRIGHTON RADIOLOGY ASSOCIATES IN MEMORY OF THEIR FRIEND AND COLLEAGUE TO ENCOURAGE INDIVIDUALS TO PURSUE CAREERS IN RADIOLOGY &amp; EMPLOYMENT AT VMF AND AFFILIATES. INCOME EARNED WILL BE USED ANNUALLY TO PROVIDE FINANCIAL ASSISTANCE TO THE TOP ACADEMIC STUDENT COMPLETING THEIR 1ST YEAR OF TRAINING TO ASSIST THEM WITH 2ND YEAR TUITION COSTS. MACFARLANE SCHOLARSHIP FUND - RESTRICTED ENDOWMENT. ANNUAL INTEREST ONLY TO BE USED FOR $1,500 SCHOLARSHIPS FOR THE HVS SCHOOL OF NURSING STUDENTS WHO DEMONSTRATE FINANCIAL NEED AND SUPERIOR CLINICAL PERFORMANCE AS DETERMINED BY THE ADMINISTRATOR AND FACULTY OF THE SCHOOL. HITCHAK SCHOLARSHIP - ESTABLISHED WITH $11,000 GIFT FROM HITCHAK FAMILY MEMBERS TO ENDOW A SCHOLARSHIP FOR GRADUATE NURSING STUDENTS. MATERNAL AND INFANT CHILD CARE FUND - RESTRICTED FOR USE OF MATERNITY AND INFANT CHILD CARE BUT OTHERWISE UNRESTRICTED. E. THORNE MCKALLIP PROFESSIONAL NURSING DEVELOPMENT FUND - RESTRICTED FUND INCOME EARNED BENEFITS MEMBERS OF HVS NURSING STAFF IN THEIR PROFESSIONAL DEVELOPMENT, EXCLUDING FORMAL EDUCATION PREPARATION: * INITAL NURSING CERTIFICATION FEE * NURSING RECERTIFICATION CONTINUING EDUCATION CREDITS * FEES FOR LOCAL CONTINUING EDUCATION * OUT-OF-STATE CONTINUING EDUCATION (FEES, TRANSPORTATION, ACCOMODATIONS) * IN-HOUSE EDUCATION. ONCOLOGY FUND - RESTRICTED FOR USE FOR INPATIENT ONCOLOGY SERVICES OTHERWISE UNRESTRICTED. OR/LAB - RESTRICTED ENDOWMENT. RESTRICTED TO USE FOR THE BENEFIT OF THE OPERATING ROOMS AND THE LABORATORY, BUT OTHERWISE UNRESTRICTED. RUST FOUNDATION BOOK LOAN - RESTRICTED FOR USE FOR LOW INTEREST LOANS FOR SCHOOL OF NURSING STUDENTS TO PROVIDE FINANCIAL ASSISTANCE FOR BOOKS. SCHOOL OF NURSING FUND - RESTRICTED TO USE FOR THE CAPITAL AND/OR OPERATING NEEDS FOR THE HERITAGE VALLEY SCHOOL OF NURSING AND FINANCIAL ASSISTANCE FOR ITS STUDENTS BUT OTHERWISE UNRESTRICTED. SCHOOL OF NURSING ALUMNI FUND - BALANCE OF $1,000 FOR 10 YEARS TO PROVIDE AN ANNUAL GRADUATION GIFT OF $100-$200, AS DETRMINED BY FACULTY OF SCHOOL. $500 TO BE SET ASIDE FOR 5 YEARS FOR THE RE-ESTABLISHMENT OF AN ACTIVE ALUMNAE ASSOCIATION. AFTER 2015, MONEY WILL THEN BE IN THE GENERAL FUND FOR SCHOOL OF NURSING. MONEY IS UTILIZED FOR SPEAKERS FOR STUDENTS AND GRADUATES, AS DETERMINED BY DIRECTOR OF SCHOOL OF NURSING AND ONE ALUMNA. DR. SIDNEY SELKOVITZ ENDOWED FUND - PERMANENTLY RESTRICTED ENDOWED FUND TO BENEFIT HVS. PRINCIPAL WILL REMAIN INTACT FOR PERPETUITY &amp; INTEREST INCOME USED ANNUALLY TO FURTHER THE GOOD WORK OF HVS. THE FUND WILL BE AVAILABLE FOR ADDITIONAL GIFTS FOR FAMILY, FRIENDS, &amp; FORMER PATIENTS WHO WISH TO PAY TRIBUTE TO DR. SELKOVITZ. SPEECH THERAPY FUND - RESTRICTED TO SPEECH PATHOLOGY BUT OTHERWISE UNRESTRICTED. ELIZABETH S. STANDISH SCHOLARSHIP FUND - RESTRICTED ENDOWMENT. INCOME ONLY TO BE USED ANNUALLY TO PROVIDE SCHOLARSHIP FOR NEEDY STUDENT OF HIGH SCHOLASTIC STANDING ENROLLED IN HVS'S SCHOOL OF NURSING AND ITS FACULTY. ( CURRENTLY PROVIDES $2,000 SCHOLARSHIP EACH YEAR). STAUNTON CLINIC FUND - RESTRICTED TO USE FOR STAUNTON CLINIC BUT OTHERWISE UNRESTRICTED. TEMPORARY RESTRICTED FUND - TEMPORARY HOLD FOR AUXILIARY AND UNIQUE BOUTIQUE DONATIONS UNTIL FUNDS USED FOR ASSIGNED PROJECTS; AND FORMERLY USED TO HOLD FOUNDERS SOCIETY DONATIONS (PRIOR TO 2000). ALSO TEMPORARY HOLD FOR STAUNTON FARMS ELECTRONIC HEALTH RECORD GRANT. COMMUNITY HEALTH SERVICES FUND - PEDIATRIC ASTHMA PROGRAM; DIABETES PROGRAM; LIFESMART PROGRAM; PREGNANCY HEALTH SERVICES PROGRAM; COMMUNITY ADVANCED ILLNESS PROGRAM; PEDIATRIC OBESITY PROGRAM. MEDICAL STAFF SCHOLARSHIP FUND - TO AWARD ANNUAL COLLEGE SCHOLARSHIPS TO LOCAL RESIDENTS PURSUING A HEALTHCARE EDUCATION. ROY F. JOHNS, JR. FAMILY ENDOWMENT FUND - RESTRICTED ENDOWMENT. ANNUAL INCOME TO BE USED TO PROVIDE UNRESTRICTED SUPPORT TO THE HERITAGE VALLEY SEWICKLEY FOUNDATION. FUNDS HELD BY HERITAGE VALLEY BEAVER FOUNDATION: CARDIOLOGY FUND - PURPOSE: RESTRICTED FOR CARDIOLOGY/CARDIAC CATHETERIZATION NEEDS FOR HERITAGE VALLEY BEAVER, BUT OTHERWISE UNRESTRICTED. CENTER CIVIC WOMEN'S CLUB FUND - PURPOSE: RESTRICTED FUND ESTABLISHED IN 1999 BY CENTER CIVIC WOMEN'S CLUB TO HELP COVER EXPENSES NOT REIMBURSED BY INSURANCE FOR COSMETIC ITEMS (WIGS, TURBANS, PROSTHESES, ETC.) FOR BEAVER COUNTY WOMEN RECEIVING CANCER TREATMENT THROUGH A HERITAGE VALLEY HOSPITAL - HVB OR HVS. HERITAGE VALLEY BEAVER FOUNDATION ADMINISTERS THE FUND. ( INCLUDES CRITERIA FOR ELIGIBILITY) CANCER TREATMENT CENTER BENEVOLENT FUND - PURPOSE: TO BE USED TO ASSIST PATIENTS WHO HAVE EXHAUSTED THEIR PERSONAL RESOURCES TO BATTLE CANCER BY ASSISTING WITH TRANSPORTATION, MEDICATION OR EQUIPMENT NEEDS. ALLOCATIONS ARE BASED ON RECOMMENDATIONS FROM HOSPITAL CASE MANAGERS AND CANCER TREATMENT CENTER NURSING. RESTRICTIONS: PHARMACY STAFF MUST BE NOTIFIED WHEN PRESCRIPTION FUNDING IS REQUIRED AND THE MEDICATION WILL BE PROVIDED AT A COST WITH A SEPARATE BILL SENT TO THE FOUNDATION. DEVELOPMENT FUND - RESTRICTED FOR EQUIPMENT AND BUILDING (CAPITAL) NEEDS FOR HVB. COMMUNITY HEALTH SERVICES FUND - PREGNANCY HEALTH SERVICES PROGRAM; DIABETES PROGRAM/ LIFESMART PROGRAM; COMMUNITY ADVANCE ILLNESS PROGRAM; PEDIATRIC ASTHMA PROGRAM. EMERGENCY DEPARTMENT FUND - TO PROVIDE FUNDING FOR EQUIPMENT AND PROGRAM NEEDS FOR HVB EMERGENCY DEPARTMENT. EQUIPMENT FUND - TO PROVIDE FUNDING FOR EQUIPMENT NEEDS FOR HVB. FREE CARE FUND - TO REIMBURSE HVB FOR FREE CARE PROVIDED TO PATIENTS TREATED; TO ASSIST WITH PRESCRIPTION DRUGS FOR QUALIFIED NEEDY PATIENTS TO A MAXIMUM OF $5,000 PER YEAR OR TO PAY FOR SERVICES FOR QUALIFIED NEEDY AS ASSESSED BY CASE MANAGEMENT DIRECTOR. LABOR &amp; DELIVERY FUND - RESTRICTED FOR USE OF HVB MATERNITY AND INFANT CHILD CARE. MEDICAL STAFF FUND - FUNDS ARE TO BE USED FOR PATIENT CARE PURPOSES ONLY, SUBJECT TO THE MEDICAL STAFF'S ENDORSEMENT. PEDIATRICS FUND - RESTRICTED FOR USE OF HVB PEDIATRIC UNIT FOR EQUIPMENT AND PROGRAMS. MEDICAL STAFF SCHOLARSHIP FUND - TO AWARD ANNUAL COLLEGE SCHOLARSHIPS TO LOCAL RESIDENTS PURSUING A HEALTHCARE EDUCATION. ONCOLOGY FUND - TO PROVIDE FUNDING FOR EQUIPMENT AND PROGRAM NEEDS FOR HVB INPATIENT ONCOLOGY, HVB SATELLITE FACILITIES PROVIDING ONCOLOGY SERVICES, AND ONCOLOGY SERVICES THROUGH THE UNIVERSITY OF PITTSBURGH MEDICAL CENTER/VALLEY MEDICAL FACILITIES CANCER CENTER, BEAVER CAMPUS. TEMPORARILY RESTRICTED FUND - AUXILIARY DONATIONS USED FOR ASSIGNED PROJECTS. ORR FAMILY EDUCATION ENDOWMENT - RESTRICTED ENDOWMENT. ANNUAL INCOME ONLY TO BE USED FOR HVB NURSING AND CLINICAL STAFF FOR PROFESSIONAL DEVELOPMENT AND EDUCATION. O'LEARY FAMILY EDUCATION ENDOWMENT - RESTRICTED ENDOWMENT. ANNUAL INCOME TO BE USED TO PROVIDE UNRESTRICTED SUPPORT TO THE HERITAGE VALLEY BEAVER FOUNDATION. PERMANENTLY RESTRICTE</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="00000005" softwareId="14000261">
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Central America</RegionTxt>
        <TypeOfActivitiesConductedTxt>Investments</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>7034000</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalSpentAmt>7034000</SubtotalSpentAmt>
      <TotalSpentAmt>7034000</TotalSpentAmt>
      <TransferToForeignCorpInd>false</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>false</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>true</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>true</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>true</ForeignPartnershipInd>
      <BoycottCountriesInd>false</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Valley Medical Facilities does not make grants outside the United States.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
    <IRS990ScheduleH documentId="00000006" softwareId="14000261">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <FreeCareOthPercentageGrp>
        <OtherInd>X</OtherInd>
        <FreeCareOtherPct>300.00000</FreeCareOtherPct>
      </FreeCareOthPercentageGrp>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <DiscountedCareOthPercentageGrp>
        <OtherInd>X</OtherInd>
        <DiscountedCareOtherPct>450.00000</DiscountedCareOtherPct>
      </DiscountedCareOthPercentageGrp>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>true</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>false</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>7512064</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>7512064</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02150</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>36922618</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>26496672</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>10425946</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02980</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>44434682</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>26496672</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>17938010</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.05130</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>200699</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>117886</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>82813</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00020</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
        <TotalCommunityBenefitExpnsAmt>30343</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>30343</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00010</TotalExpensePct>
      </HealthProfessionsEducationGrp>
      <SubsidizedHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>407246</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>229975</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>177271</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00050</TotalExpensePct>
      </SubsidizedHealthServicesGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>638288</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>347861</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>290427</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00080</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>45072970</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>26844533</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>18228437</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.05210</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <PhysicalImprvAndHousingGrp>
        <TotalCommunityBenefitExpnsAmt>4737</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>4737</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </PhysicalImprvAndHousingGrp>
      <EconomicDevelopmentGrp>
        <TotalCommunityBenefitExpnsAmt>96624</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>96624</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00030</TotalExpensePct>
      </EconomicDevelopmentGrp>
      <CommunitySupportGrp>
        <TotalCommunityBenefitExpnsAmt>141965</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>141965</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00040</TotalExpensePct>
      </CommunitySupportGrp>
      <OtherCommuntityBuildingActyGrp>
        <TotalCommunityBenefitExpnsAmt>7618</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>7618</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </OtherCommuntityBuildingActyGrp>
      <TotalCommuntityBuildingActyGrp>
        <TotalCommunityBenefitExpnsAmt>250944</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>250944</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00070</TotalExpensePct>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>false</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>7632295</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>3816146</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>162607820</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>167964036</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-5356216</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostAccountingSystemInd>X</CostAccountingSystemInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>2</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>Heritage Valley Beaver</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>1000 Dutch Ridge Road</AddressLine1Txt>
          <CityNm>Beaver</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15009</ZIPCd>
        </USAddress>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>2</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>Heritage Valley Sewickley</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>720 Blackburn Road</AddressLine1Txt>
          <CityNm>Sewickley</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15143</ZIPCd>
        </USAddress>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>Heritage Valley Beaver</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <InformationGapsInd>X</InformationGapsInd>
        <CHNAConductedYr>13</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>www.heritagevalley.org/pages/community-health-needs-assessment</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>14</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>www.heritagevalley.org/pages/community-health-needs-assessment</StrategyWebsiteURLTxt>
        <StrategyAttachedInd>false</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>3.00000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>4.50000000</FPGFamilyIncmLmtDscntCarePct>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>www.heritagevalley.org</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>www.heritagevalley.org</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>www.heritagevalley.org</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <FAPNoticeDisplayedInd>X</FAPNoticeDisplayedInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <FAPNotifiedUponAdmissionInd>X</FAPNotifiedUponAdmissionInd>
        <FAPNotifiedAllPatientsInd>X</FAPNotifiedAllPatientsInd>
        <DocumentedEligDeterminationInd>X</DocumentedEligDeterminationInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <OtherMethodUsedInd>X</OtherMethodUsedInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>Heritage Valley Sewickley</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <InformationGapsInd>X</InformationGapsInd>
        <CHNAConductedYr>13</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>true</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>www.heritagevalley.org/pages/community-health-needs-assessment</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>14</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>www.heritagevalley.org/pages/community-health-needs-assessment</StrategyWebsiteURLTxt>
        <StrategyAttachedInd>false</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>3.00000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>4.50000000</FPGFamilyIncmLmtDscntCarePct>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <OtherMethodInd>X</OtherMethodInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <FAPNotifiedUponAdmissionInd>X</FAPNotifiedUponAdmissionInd>
        <FAPNotifiedAllPatientsInd>X</FAPNotifiedAllPatientsInd>
        <DocumentedEligDeterminationInd>X</DocumentedEligDeterminationInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <OtherMethodUsedInd>X</OtherMethodUsedInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Heritage Valley, Beaver Pt V Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization led a Comprehensive Community Health Needs Assessment (CHNA) to evaluate the health needs of individuals living in the hospital service area including Beaver County and the selected municipalities located within Allegheny County beginning in 2012. The Organization contracted with reputable consulting firms to assist in completing the assessment. The purpose of the assessment was to gather information about local health needs and health behaviors. The assessment examined a variety of indicators including risky health behaviors (physical inactivity, tobacco use) and chronic health conditions (diabetes, heart disease). The completion of the CHNA enabled the Organization to take an in-depth look at its greater community. The findings from the assessment were utilized by the Organization to prioritize public health issues and develop a community health implementation plan focused on meeting community needs.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Heritage Valley, Beaver Pt V Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>Heritage Valley Sewickley</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Heritage Valley, Beaver Pt V Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>Heritage Valley Beaver</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Heritage Valley, Beaver Pt V Line 19d</FormAndLineReferenceDesc>
        <ExplanationTxt>Uninsured individuals are expected to pay the equivalent of the Medicaid DRG case rate payment for inpatient accounts and 45% of charges for outpatient accounts.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Heritage Valley, Sewickley Pt V Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization led a Comprehensive Community Health Needs Assessment (CHNA) to evaluate the health needs of individuals living in the hospital service area including Beaver County and the selected municipalities located within Allegheny County beginning in 2012. The Organization contracted with reputable consulting firms to assist in completing the assessment. The purpose of the assessment was to gather information about local health needs and health behaviors. The assessment examined a variety of indicatiors including risky health behaviors (physical inactivity, tobacco use) and chronic health conditions (diabetes, heart disease). The completion of the CHNA enabled the Organization to take an in-depth look at its greater community. The findings from the assessment were utilized by the Organization to prioritize public health issues and develop a community health implementation plan focused on meeting community needs.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Heritage Valley, Sewickley Pt V Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>Heritage Valley Sewickley</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Heritage Valley, Sewickley Pt V Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>Heritage Valley Beaver</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Heritage Valley, Sewickley Pt V Line 19d</FormAndLineReferenceDesc>
        <ExplanationTxt>Uninsured individuals are expected to pay the equivalent of the Medicaid DRG case rate payment for inpatient accounts and 45% of charges for outpatient accounts.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>26</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BEAVER -Calcutta Imaging &amp; Lab Services</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>48462 Bell School Road Suite B</AddressLine1Txt>
            <CityNm>East Liverpool</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43920</ZIPCd>
          </USAddress>
          <FacilityTxt>Heart &amp; Vascular, Laboratory and Imaging</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BEAVER - Heritage Valley Diagnostic Center - Ellwood City</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1677 State Route 65</AddressLine1Txt>
            <CityNm>Ellwood City</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>16117</ZIPCd>
          </USAddress>
          <FacilityTxt>Laboratory, Diagnostic Center, Convenient Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BEAVER - Heritage Valley Diagnostic Center - Hopewell</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5000 Industrial Boulevard</AddressLine1Txt>
            <CityNm>Aliquippa</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15001</ZIPCd>
          </USAddress>
          <FacilityTxt>Diagnostic Center, Laboratory</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BEAVER - Women's Health Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>200 Pleasant Drive</AddressLine1Txt>
            <CityNm>Aliquippa</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15001</ZIPCd>
          </USAddress>
          <FacilityTxt>Imaging Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BEAVER - Family Practice Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1125 7th Avenue</AddressLine1Txt>
            <CityNm>Beaver Falls</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15010</ZIPCd>
          </USAddress>
          <FacilityTxt>Residency Program, Laboratory</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BEAVER - Heritage Valley Signature Rehab</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1030 Beaner Hollow Road</AddressLine1Txt>
            <CityNm>Beaver</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15009</ZIPCd>
          </USAddress>
          <FacilityTxt>Rehabilitation Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BEAVER - Signature Rehab - Hopewell</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3000 Industrial Blvd</AddressLine1Txt>
            <CityNm>Aliquippa</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15001</ZIPCd>
          </USAddress>
          <FacilityTxt>Rehabilitation Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BEAVER - Heritage Valley Baden - Lab</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>220 Ohio River Blvd</AddressLine1Txt>
            <CityNm>Baden</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15005</ZIPCd>
          </USAddress>
          <FacilityTxt>Laboratory Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SEWICKLEY - Heritage Valley Health Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>935 Thorn Run Road</AddressLine1Txt>
            <CityNm>Moon Twp</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15108</ZIPCd>
          </USAddress>
          <FacilityTxt>Heart &amp; Vascular, Laboratory and Imaging, and Rehab</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Heritage Valley Robinson Township</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6521 Steubenville Pike</AddressLine1Txt>
            <CityNm>Pittsburgh</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15205</ZIPCd>
          </USAddress>
          <FacilityTxt>Laboratory and Imaging</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SEWICKLEY- Heritage Valley Rehabilitation Services - West Allegheny Signatu</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>400 Penn Lincoln Drive</AddressLine1Txt>
            <CityNm>Imperial</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15126</ZIPCd>
          </USAddress>
          <FacilityTxt>Rehabilitation Services, Behavioral Health Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SEWICKLEY - Heritage Valley Health System Edgeworth Square</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>111 Hazel Lane</AddressLine1Txt>
            <CityNm>Sewickley</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15143</ZIPCd>
          </USAddress>
          <FacilityTxt>Behavioral Health Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Heritage Valley Surgery Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1600 Coraopolis Heights Road Suite</AddressLine1Txt>
            <CityNm>Moon Township</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15108</ZIPCd>
          </USAddress>
          <FacilityTxt>Surgery Center, Cancer Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Heritage Valley Chippewa</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2580 Constitution Blvd</AddressLine1Txt>
            <CityNm>Chippewa</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15010</ZIPCd>
          </USAddress>
          <FacilityTxt>Laboratory and Imaging, and Rehab, and Convenient Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Heritage Valley Edgeworth</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>100 Hazel Lane</AddressLine1Txt>
            <CityNm>Sewickley</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15143</ZIPCd>
          </USAddress>
          <FacilityTxt>Laboratory Services, Diagnostic &amp; Imaging, Rehab, Convenient Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Heritage Valley Laboratory Draw Site - Hopewell</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2032 Brodhead Road</AddressLine1Txt>
            <CityNm>Aliquippa</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15001</ZIPCd>
          </USAddress>
          <FacilityTxt>Laboratory Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Heritage Valley Laboratory Draw Site - Leetsdale</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>Quaker Village Shopping Center</AddressLine1Txt>
            <CityNm>Leetsdale</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15056</ZIPCd>
          </USAddress>
          <FacilityTxt>Heart &amp; Vascular</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Heritage Valley Laboratory Draw Site - Sharon Road Beaver</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>605 Sharon Road</AddressLine1Txt>
            <CityNm>Beaver</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15009</ZIPCd>
          </USAddress>
          <FacilityTxt>Heart &amp; Vascular, Laboratory Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Heritage Valley Convenient Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>16280 Dresden Avenue</AddressLine1Txt>
            <CityNm>East Liverpool</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43920</ZIPCd>
          </USAddress>
          <FacilityTxt>Convenient Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Heritage Valley Convenient Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3942 Brodhead Road</AddressLine1Txt>
            <CityNm>Monaca</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15061</ZIPCd>
          </USAddress>
          <FacilityTxt>Convenient Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Edgeworth Surgery Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>301 Ohio River Blvd</AddressLine1Txt>
            <CityNm>Sewickley</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15143</ZIPCd>
          </USAddress>
          <FacilityTxt>Surgery Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Staunton Clinic Bellevue</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>612 Lincoln Ave</AddressLine1Txt>
            <CityNm>Bellevue</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15202</ZIPCd>
          </USAddress>
          <FacilityTxt>Behavioral Health Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Staunton Clinic Wexford</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>119 VIP Drive</AddressLine1Txt>
            <CityNm>Wexford</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15090</ZIPCd>
          </USAddress>
          <FacilityTxt>Behavioral Health Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Heritage Valley Lab- Ambridge</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1155 Merchant St</AddressLine1Txt>
            <CityNm>Ambridge</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15003</ZIPCd>
          </USAddress>
          <FacilityTxt>Laboratory Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Heritage Valley West Allegheny</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>300 Penn Lincoln Dr</AddressLine1Txt>
            <CityNm>Imperial</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15126</ZIPCd>
          </USAddress>
          <FacilityTxt>Diagnostic and Imaging, Laboratory, Convenient Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Heritage Valley Cranberry</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1185 Freedom Road</AddressLine1Txt>
            <CityNm>Cranberry Twp</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>16066</ZIPCd>
          </USAddress>
          <FacilityTxt>Heart &amp; Vascular</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 3c</FormAndLineReferenceDesc>
        <ExplanationTxt>The Following explanations are relevant to both hospitals of the Organization: Heritage Valley, Beaver and Heritage Valley, Sewickley. The Organization provides Charity Care to qualifying individuals and families based on a sliding scale using Federal Health &amp; Human Services Poverty Guidelines. Accounting for family size at 300% of the poverty level for free care, a 75% discount for families at 350%, a 50% discount for families at 400% and a 25% discount for families at 450%.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>see below Section VI about Community Benefit Report results.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 7g</FormAndLineReferenceDesc>
        <ExplanationTxt>Family Medicine &amp; Family Planning Clinic Subsidy.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>The costing methodology used to calculate the amounts reported was based on the Organization's cost accounting system.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt III Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Bad debt expense at cost was determined based on the cost to charge ratio under Generally Accepted Accounting Principles applied to the bad debt expense for the fiscal year.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt III Line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization believes the entire shortfall of reimbursement versus cost ($5,356,216) should be considered community benefit since it results in a loss therefore lessening government burden. Costs associated with the shortfall were determined from the Organization's cost accounting system.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt III Line 9b</FormAndLineReferenceDesc>
        <ExplanationTxt>Within the Organization's bad debt/collection policy, there is reference to the fact that patients are provided several options, one of which being the application for Charity Care in satisfying the outstanding balance of their account. If the patient pursues Charity Care, there is a separate policy detailing the steps required to qualify for Charity Care.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt II</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVE SUMMARY - DURING FISCAL 2015, THE ORGANIZATION PARTICIPATED IN OVER 100 ACTIVITIES PROVIDING COMMUNITY BENEFIT. A SELECTION OF THESE ACTIVITIES INCLUDED: *PARTICIPATED IN 72 (SEVENTY-TWO) HEALTH FAIRS/EDUCATION SESSIONS PROVIDING FREE SCREENINGS &amp; HEALTH INFORMATION. *PRESENTED HEALTH &amp; WELLNESS INFORMATION, INCLUDING MENTAL HEALTH ISSUES, AT VARIOUS SCHOOL &amp; COMMUNITY GROUP EVENTS. *SPONSORED 7 (SEVEN) MONTHLY SUPPORT GROUPS AND WORKING WITH 4(FOUR) OTHER MONTHLY SUPPORT GROUPS. *PROV</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt III Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>DIFFERENCES BETWEEN AMOUNTS REIMBURSED AND NORMAL BILLING RATES ARE CHARGED TO PROVISIONS FOR CONTRACTUAL ALLOWANCES AS A REDUCTION TO NET PATIENT SERVICE REVENUE. ACCOUNTS RECEIVABLE ARE FURTHER REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE ORGANIZATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF PATIENT SERVICE REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISIO</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS COMMITTED TO THE PEOPLE IT SERVES AND THE COMMUNITES THEY LIVE IN. HEALTHY COMMUNITIES LEAD TO LOWER HEALTH CARE COSTS, ROBUST COMMUNITY PARTNERSHIPS, AND AN OVERALL ENHANCED QUALITY OF LIFE. THE CHNA FINAL SUMMARY REPORT SERVES AS A COMPILATION OF THE OVERALL FINDINGS OF EACH RESEARCH COMPONENT. RESEARCH COMPONENTS-- *SECONDARY STATISTICAL DATA PROFILE OF BEAVER COUNTY AND THE SELECTED MUNICIPALITIES LOCATED WITHIN ALLEGHENY COUNTY. *HOUSEHOLD TELEPHONE SURVEY WITH 403 COMMU</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS COMMITTED TO ASSISTING ALL SELF PAY PATIENTS IN APPLYING FOR STATE MEDICAID. CURRENTLY THE ORGANIZATION ENGAGES A THIRD PARTY SERVICE TO INTERVIEW AND COMPLETE THE MEDICAID APPPLICATION ON ALL PATIENTS ADMITTED WITH NO HEALTH INSURANCE. DURING THE APPLICATION PROCESS, PATIENTS ARE MADE AWARE OF THE CHARITY CARE PROGRAM IN THE EVENT THEY ARE DENIED STATE MEDICAID. THE FINANCIAL INFORMATION OBTAINED DURING THIS PROCESS IS USED IN DETERMINING IF THE PATIENTS QUALIFY FOR THE CHAR</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DEFINED THEIR CURRENT SERVICE AREA BASED ON AN ANALYSIS OF THE GEOGRAPHIC AREA WHERE INDIVIDUALS UTILIZING THE ORGANIZATION HEALTH SERVICES RESIDE. THE ORGANIZATION'S PRIMARY SERVICE AREA IS CONSIDERED TO BE THE BEAVER COUNTY AND THE FOLLOWING MUNICIPALITIES LOCATED WITHIN ALLEGHENY COUNTY: *ALEPPO TOWNSHIP, *BELL ACRES BOROUGH, *CORAOPOLIS BOROUGH, *CRESCENT TOWNSHIP, *EDGEWORTH BOROUGH, *FINDLAY TOWNSHIP, *GLEN OSBORNE BOROUGH, *GLENFIELD BOROUGH, *HAYSVILLE BOROUGH, *LEET TOW</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY HEALTH EDUCATION &amp; OUTREACH *MATERNAL &amp; CHILD HEALTH STAFF AT HERITAGE VALLEY, SEWICKLEY-CONDUCTED OVER 30 (THIRTY)SESSIONS OF DIFFERENT PRENATAL EDUCATION TOPICS AND ALSO PROVIDED SUPPORT GROUPS FOR PREGNANCY LOSS AND NEW MOTHERS. *MATERNAL CHILD HEALTH STAFF AT HERITAGE VALLEY, BEAVER-CONDUCTED 12 (TWELVE) SESSIONS OF TWO PRENATAL EDUCATION TOPICS. *STAFF OF THE COMMUNITY HEALTH SERVICES DEPARTMENT PARTICIPATED IN 72 (SEVENTY-TWO) HEALTH FAIRS/EDUCATION SESSIONS, PROVIDING HEALTH INF</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS A WHOLLY OWNED SUBSIDIARY OF HERITAGE VALLEY HEALTH SYSTEM, INC. AND PROVIDES INPATIENT AND OUTPATIENT HEALTH CARE AND RELATED SERVICES TO THE RESIDENTS OF BEAVER COUNTY, PA, AND NORTHWESTERN ALLEGHENY COUNTY, PA, AND THE SURROUNDING AREAS THROUGH ITS TWO ACUTE CARE HOSPITALS: HERITAGE VALLEY, BEAVER AND HERITAGE VALLEY, SEWICKLEY. THE ORGANIZATION IS PART OF AN INDEPENDENT, COMMUNITY-BASED HEALTH SYSTEM, UNAFFILIATED WITH ANY OTHER HEALTH CARE SYSTEM. THE ROLES OF THE ORGANI</ExplanationTxt>
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    </IRS990ScheduleH>
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      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <Total501c3OrgCnt>0</Total501c3OrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Tuition Reimbursement</GrantTypeTxt>
        <RecipientCnt>24</RecipientCnt>
        <CashGrantAmt>85590</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Educational Assistance</GrantTypeTxt>
        <RecipientCnt>117</RecipientCnt>
        <CashGrantAmt>216015</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Educational Assistance is granted to active, eligible full-time and part-time employees. Current and future educational, training and staffing needs of the Organization are taken into consideration when granting educational assistance. The grade report for employees receiving educational assistance must show a grade of "C" or better for Undergraduate and a "B" or better for Graduate level courses.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Tuition Reimbursement is provided to candidates employed as RNs by the Organization who are enrolled in the Penn State BSN Program. The recipient must be in good employment standing, and must submit proof of grades with at least a 2.0 GPA and invoice for tuition. Recipients are bound to certain employment stipulations, and if obligations are not met, the payment may be pro-rated.</ExplanationTxt>
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      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NORMAN F MITRY</PersonNm>
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        <DeferredCompensationFlngOrgAmt>17030</DeferredCompensationFlngOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES SCIBILIA MD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL MALKOWSKI MD</PersonNm>
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        <PersonNm>JOHN LUELLEN MD</PersonNm>
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        <PersonNm>SHARON LOFTUS ESQ</PersonNm>
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        <DeferredCompensationFlngOrgAmt>14430</DeferredCompensationFlngOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRYAN J RANDALL</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN CINICOLA MD</PersonNm>
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        <NontaxableBenefitsFilingOrgAmt>27337</NontaxableBenefitsFilingOrgAmt>
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        <PersonNm>SHAYLA CAMMARATA MD</PersonNm>
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        <DeferredCompensationFlngOrgAmt>14430</DeferredCompensationFlngOrgAmt>
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        <PersonNm>RONALD D LECKEY MD</PersonNm>
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        <DeferredCompensationFlngOrgAmt>17030</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>27757</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>450144</TotalCompensationFilingOrgAmt>
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        <PersonNm>MATTHEW WHEELER MD</PersonNm>
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        <BonusFilingOrganizationAmount>15000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>60360</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14430</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>28050</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>472988</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JUSTIN DOSCH MD</PersonNm>
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        <DeferredCompensationFlngOrgAmt>14430</DeferredCompensationFlngOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EDWIN PAGE MD</PersonNm>
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        <DeferredCompensationFlngOrgAmt>17030</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>25351</NontaxableBenefitsFilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>CEO social membership dues at Club are paid by the Organization.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>The Hospital Authority of the County of Beaver</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>251247712</BondIssuerEIN>
        <CUSIPNum>074863FX4</CUSIPNum>
        <BondIssuedDt>2012-01-19</BondIssuedDt>
        <IssuePriceAmt>72496375</IssuePriceAmt>
        <PurposeDesc>Refund Issue Dated 08/4/1998</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>11420000</RetiredAmt>
        <TotalProceedsAmt>72496375</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>840042</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>71656333</OtherSpentProceedsAmt>
        <CurrentRefundingInd>true</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other</FormAndLineReferenceDesc>
        <ExplanationTxt>Part II, Column A, Line 11: the other spent proceeds relate to the refunding proceeds of the issue.</ExplanationTxt>
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      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>LINDA MARSHALLRN</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>sister in law of Board member</RelationshipDescriptionTxt>
        <TransactionAmt>37793</TransactionAmt>
        <TransactionDesc>Registered Nurse for Hospital</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IV Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Linda Marshall is sister-in-law of VMF board member, Joan Marshall. Linda worked for Heritage Valley, Sewickley as an R.N.</ExplanationTxt>
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    <IRS990ScheduleO documentId="00000011" softwareId="14000261">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Heritage Valley Health System is the sole member of the Valley Medical Facilities.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>the Sole Member, Heritage Valley Health System, appoints the members of the governing body.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>the Sole Member, Heritage Valley Health System, acting by and through its Board of Directors have exclusive power to: 1. Elect all members to the Corporations's Board of Directors, with right to revoke the elected Directors, with or without cause; 2. Amend or approve amendments to the Corporations's Articles of Incorporation or Bylaws: 3. Approve any voluntary dissolution, merger or consolidation of the Corporation; and 4. Approve the creation or acquisition of any subsidiary or affiliate.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>A draft of the completed Form 990 and all associated forms is made available electronically to all Board of Directors Members and Senior management for review and comment prior to filing with the Internal Revenue Service (IRS). The Board of Directors has delegated the responsibility for review and approval of the Form 990 to the Finance Committee of the Board, which meets, reviews, and approves the Form 990 prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>All employees, including management are required to sign an acknowledgment after reviewing our Conflict of Interest Policy on an annual basis documenting an understanding of its contents. Employees sign this statement during annual mandatory education training. Any potential conflicts are referred to the appropriate Vice President and Human Resources to confirm and resolve the conflict. Other Potentially Interested Parties, such as Board Members, and Officers sign a statement annually which affirms such person has received a copy of the Conflict of Interest Policy, has read and understands the policy, has agreed to comply with the policy, and understands that the Organization is a charitable organization and that in order to maintain its Federal Tax Exemption it must engage primarily in activities which accomplish one or more of its tax exempt purposes. The Chairperson of the Board members are familiar with potential conflicts.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>Based on operational performance, there were no increases provided to the Organization's CEO or CFO. In addition, there was no review conducted by independent persons.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>Based on operational performance, there were no increases provided to other members of the Senior Management Team with the exception of one individual who received an adjustment and bonus for retention purposes.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization publishes condensed financial statements for public use on its website www.heritagevalley.org. Governing documents and policies, including conflicts of interest, are made available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XI</FormAndLineReferenceDesc>
        <ExplanationTxt>Other changes in net assets. Changes in restricted net assets. Pension obligation adjustment.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XII, Line 2c</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization has a committee that assumes responsibility for oversight of audit, review, or compilation of its financial statement and selection of an independent accountant.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24f</FormAndLineReferenceDesc>
        <ExplanationTxt>TELEPHONE 638619. 638619. POSTAGE AND SHIPPING 179501. 179501. FEES, ADMIN AND OTHER 7067898. 6970052. 97846. DUES 291783. 186735. 105048. EQUIPMENT RENTAL AND MAINTENACE 9912452. 9912364. 88.</ExplanationTxt>
      </SupplementalInformationDetail>
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          <BusinessNameLine1Txt>Heritage Valley Sewickley Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>420 Rouser Road</AddressLine1Txt>
          <CityNm>Moon Township</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15108</ZIPCd>
        </USAddress>
        <EIN>251801533</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11C</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Heritage Valley Health System</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Heritage Valley Beaver Foundation</BusinessNameLine1Txt>
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          <AddressLine1Txt>420 Rouser Road</AddressLine1Txt>
          <CityNm>Moon Township</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15108</ZIPCd>
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        <EIN>251441516</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11C</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Heritage Valley Health System</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Heritage Valley Health System Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1000 Dutch Ridge Road</AddressLine1Txt>
          <CityNm>Beaver</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15009</ZIPCd>
        </USAddress>
        <EIN>251441518</EIN>
        <PrimaryActivitiesTxt>PARENT SUPPORTING ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11C</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Valley Medical Facilities Inc Workers Compensation Trust Fund</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>420 Rouser Road</AddressLine1Txt>
          <CityNm>Moon Township</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15108</ZIPCd>
        </USAddress>
        <EIN>251463381</EIN>
        <PrimaryActivitiesTxt>Provide Worker's Compensation Benefits</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11C</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Valley Medical Facilities Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Hospitality Shop of Sewickley Valley</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>720 Blackburn Road</AddressLine1Txt>
          <CityNm>Sewickley</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15143</ZIPCd>
        </USAddress>
        <EIN>251012989</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11c</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Heritage Valley Health System</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>The Medical Center Auxiliary</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1000 Dutch Ridge Road</AddressLine1Txt>
          <CityNm>Beaver</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15009</ZIPCd>
        </USAddress>
        <EIN>251383145</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11c</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Heritage Valley Health System</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Valley Health System Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>420 Rouser Road</AddressLine1Txt>
          <CityNm>Moon Township</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15108</ZIPCd>
        </USAddress>
        <EIN>251801534</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11c</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Heritage Valley Health System</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Consolidated Supply Chain Services</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>420 Rouser Road</AddressLine1Txt>
          <CityNm>Moon Township</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15108</ZIPCd>
        </USAddress>
        <EIN>271055405</EIN>
        <PrimaryActivitiesTxt>Group Purchasing</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Heritage Valley Health System</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.00000</OwnershipPct>
      </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>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Heritage Valley Health System</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.00000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Tri-State Obstetrics &amp; Gynecology</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>420 Rouser Road</AddressLine1Txt>
          <CityNm>Moon Township</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15108</ZIPCd>
        </USAddress>
        <EIN>251776052</EIN>
        <PrimaryActivitiesTxt>PHYSICIAN PRACTICE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Heritage Valley Health System</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <OwnershipPct>0.00000</OwnershipPct>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Heritage Valley Pediatrics Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>420 Rouser Road</AddressLine1Txt>
          <CityNm>Moon Township</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15108</ZIPCd>
        </USAddress>
        <EIN>251775950</EIN>
        <PrimaryActivitiesTxt>PHYSICIAN PRACTICE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Heritage Valley Health System</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <OwnershipPct>0.00000</OwnershipPct>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Heritage Valley Medical Group Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>420 Rouser Road</AddressLine1Txt>
          <CityNm>Moon Township</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15108</ZIPCd>
        </USAddress>
        <EIN>251775949</EIN>
        <PrimaryActivitiesTxt>PHYSICIAN PRACTICE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Heritage Valley Health System</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <OwnershipPct>0.00000</OwnershipPct>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Tri-State Gynecology Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>420 Rouser Road Suite 201</AddressLine1Txt>
          <CityNm>Moon Township</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15108</ZIPCd>
        </USAddress>
        <EIN>841647473</EIN>
        <PrimaryActivitiesTxt>PHYSICIAN PRACTICE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Heritage Valley Health System</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <OwnershipPct>0.00000</OwnershipPct>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Heritage Valley Insurance Company</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>PO Box 1051</AddressLine1Txt>
          <CityNm>Grand Cayman</CityNm>
          <CountryCd>CJ</CountryCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>PROFESSIONAL LIABILITY CAPTIVE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Heritage Valley Health System</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <OwnershipPct>0.00000</OwnershipPct>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Medical Center Beaver PA Inc Workers Compensation Trust Fund</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>r</TransactionTypeTxt>
        <InvolvedAmt>900000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>