FURP.ORG / PUBLIC DATA EXPLORER

HERITAGE VALLEY HEALTH SYSTEM INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HERITAGE VALLEY HEALTH SYSTEM INC (EIN 25-1801532)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-14
IRS object ID
201441349349307769
Schema version
2012v2.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-14T15:44:03-07:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CARBIS WALKER LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15700 CORPORATE DR SUITE 650AddressLine1
CityPITTSBURGHCity
StatePAState
ZIP Code15237ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN251801532EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1VALLEY MEDICAL FACILITIES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlVALLNameControl
Phone4127416600Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1720 BLACKBURN ROADAddressLine1
CitySEWICKLEYCity
StatePAState
ZIP Code15143ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBRYAN J RANDALLName
TitleVICE-PRESIDENT, FINANCE & CFOTitle
Phone4127416600Phone
Date Signed2014-05-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJEFFREY J PETRELL CPAName
Phone4126356270Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBRYAN J RANDALLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1720 BLACKBURN ROADAddressLine1
CitySEWICKLEYCity
StatePAState
ZIP Code15143ZIPCode
FieldValueIRS element (for citing)
Gross Receipts403681042GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.heritagevalley.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionTo improve the health and well-being of all people in the communities we serve.ActivityOrMissionDescription
Nbr Voting Members Governing Body23NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees3504TotalNbrEmployees
Total Nbr Volunteers170TotalNbrVolunteers
Total Gross UBI5127865TotalGrossUBI
Net Unrelated Business Txbl Income-78448NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4228814ContributionsGrantsPriorYear
Contributions Grants Current Year3590102ContributionsGrantsCurrentYear
Program Service Revenue Prior Year347210883ProgramServiceRevenuePriorYear
Program Service Revenue CY328548761ProgramServiceRevenueCY
Investment Income Prior Year7530506InvestmentIncomePriorYear
Investment Income Current Year7027706InvestmentIncomeCurrentYear
Other Revenue Prior Year15724428OtherRevenuePriorYear
Other Revenue Current Year20656377OtherRevenueCurrentYear
Total Revenue Prior Year374694631TotalRevenuePriorYear
Total Revenue Current Year359822946TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year594324GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY456551GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year199748972SalariesEtcPriorYear
Salaries Etc Current Year206267137SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year164281617OtherExpensePriorYear
Other Expenses Current Year154763874OtherExpensesCurrentYear
Total Expenses Prior Year364624913TotalExpensesPriorYear
Total Expenses Current Year361487562TotalExpensesCurrentYear
Revenues Less Expenses Prior Year10069718RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1664616RevenuesLessExpensesCY
Total Assets BOY406050371TotalAssetsBOY
Total Assets EOY411837631TotalAssetsEOY
Total Liabilities BOY219904250TotalLiabilitiesBOY
Total Liabilities EOY196879783TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY186146121NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY214957848NetAssetsOrFundBalancesEOY
Mission DescriptionTo improve the health andMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense353023069Expense
Revenue327594004Revenue
DescriptionTHE HOSPITALS COMPRISING VALLEY MEDICAL FACILITIES PROVIDE ROUTINE AND AUXILLARY MEDICAL/SURGICAL, PSYCHIATRIC, AND REHABILITATION SERVICES TO THE COMMUNITIES SERVED BY THE HOSPITALS REGARDLESS OF PATIENT'S ABILITY TO PAY. DURING THE FISCAL YEAR, THE HOSPITALS HAD 22,747 INPATIENT ADMISSIONS, 1,798 NEWBORN ADMISSIONS, AND 106,269 INPATIENT DAYS. THE FACILITIES ALSO ENCOUNTERED 101,454 EMERGENCY ROOM VISITS, 16,421 OUTPATIENT SURGERIES, 154 OPEN HEART PROCEDURES, 2,814 CARDIAC CATHETERIZATIONS AND 306,731 DIAGNOSTIC IMAGING PROCEDURES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1322707Expense
Revenue954757Revenue
DescriptionSCHOOL OF NURSING TO PROMOTE AND PROVIDE SUPPORT TO THE HOSPITALS.Description
FieldValueIRS element (for citing)
Total Program Service Expense354345776TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096148NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees3504NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members23NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonFINANCE DEPARTMENT CO VALLEY MEDICANamePerson
Telephone Number4127416600TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1420 ROUSER ROAD SUITE 201AddressLine1
CityMOON TOWNSHIPCity
StatePAState
ZIP Code15108ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployee
NORMAN F MITRY
President & CEO40.00XX571539046281
RICHARD C HOGAN MD
Director2.00X031885030205
RICHARD KIM MD
Director2.00X000
JAMES SCIBILIA MD
Director2.00X033778637371
LYNN GEORGE PHD
Director2.00X000
ELISA DITOMMASO CPA
Director2.00X000
A GARY CHACE
Secretary2.00XX000
GR ORR III
Chair2.00XX000
THOMAS R JOHNSON ESQ
Director2.00X000
REBECCA POUNDS DDS
Director2.00X000
DAVID MOTLEY
Director2.00X000
ALEXANDER VASILAKIS MD
Director2.00X054269443588
TOM LEYDIG
Director2.00X000
DENNIS PEGDEN PHD
Vice Chair2.00XX000
DAVID M RAFALKO MD
Director2X
JOHANNAH M ROBB CPA
Treasurer2XX
SCOTT M ELSTE
Director2X
LAURA A VASSAMILLET
Director2X
GARRY HOGAN
Director2X
MARY KIRSCH CPA
Director2X
THOMAS ARBOGAST ESQ
Director2X
JOAN MARSHALL ESQ
Director2X
STEPHANIE PERRY MD
Director2X27482322497
JOHN LUELLEN MD
Chief Quality Officer4037823143187X
JOHN CINICOLA MD
Chief Medical Officer4038550140738X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4418682TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1474153TotalReportableCompFrmRltdOrgs
Total Other Compensation667038TotalOtherCompensation
Number Individuals GT100 K110NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ALLSCRIPTS
24630 NETWORK PLACECHICAGOIL60673Computer Professional Services2916172
WESTERN PENNSYLVANIA ANESTHESIA ASSOC
PO BOX 643483PITTSBURGHPA15264Professional Services3567450
OHIO VALLEY PERFUSION ASSOCIATES INC
628 SCOTT RIDGE RDHARMONYPA16037Professional Services747975
EDGEWORTH DEVELOPMENT ASSOCIATES INC
PO BOX 520JOHNSTOWNPA15907Rent577678
ADVIZEX TECHNOLOGIES LLC
774019 4019 SOLUTIONS CENTERCHICAGOIL60677Professional Services729129
FieldValueIRS element (for citing)
Number Of Contractors GT100 K33NumberOfContractorsGT100K
Government Grants3297014GovernmentGrants
All Other Contributions293088AllOtherContributions
Total Contributions3590102TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenue
All other Patient Payments900099147811077348098
Medicare HMO Payments900099105691297
Medicare/Medicaid payments90009958867819
Medicaid HMO Payments90009916178568
FieldValueIRS element (for citing)
Total Program Service Revenue328548761TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2782655TotalRevenueColumn
Exclusion$2,782,655ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities48103147Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities43192257Securities
Other665839Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities4910890Securities
Other-665839Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column4245051TotalRevenueColumn
Exclusion$4,245,051ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Sale of Drugs90009947742434774243
Nursing Tuition900099759113759113
Six-Sigma Training90009955245524

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column15117497TotalRevenueColumn
Related Or Exempt Function Income1190332RelatedOrExemptFunctionIncome
Exclusion$13,927,165ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue20656377TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column359822946TotalRevenueColumn
Related Or Exempt Function Income330150108RelatedOrExemptFunctionIncome
Unrelated Business Revenue5127865UnrelatedBusinessRevenue
Exclusion$20,954,871ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total456551Total
Program Services456551ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4952060Total
Program Services0ProgramServices
Management And General4952060ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total158487342Total
Program Services157426844ProgramServices
Management And General1060498ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total9778235Total
Program Services9778235ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total22474800Total
Program Services22474800ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total10574700Total
Program Services10448172ProgramServices
Management And General126528ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total506791Total
Program Services208104ProgramServices
Management And General298687ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total245860Total
Program Services245860ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total19013Total
Program Services0ProgramServices
Management And General19013ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total217064Total
Program Services217064ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1283029Total
Program Services1283029ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3872816Total
Program Services3872103ProgramServices
Management And General713ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4600469Total
Program Services4546675ProgramServices
Management And General53794ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total449234Total
Program Services424059ProgramServices
Management And General25175ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total123936Total
Program Services123936ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total2762883Total
Program Services2762883ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total26828396Total
Program Services26828396ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Medical and other Supplies5447187554424576472990
other outside services29498222291392833589390
drugs139124331391243300

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total15971853Total
Program Services15772773ProgramServices
Management And General199080ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total361487562Total
Program Services354345776ProgramServices
Management And General7141786ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY5406794BOY
EOY2265908EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5108633BOY
EOY4737144EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY252474BOY
EOY266608EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY39078150BOY
EOY52384850EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY6635486BOY
EOY6390283EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY8533067BOY
EOY13220558EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis441171879LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec270528969LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY163789077BOY
EOY170642910EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY140035609BOY
EOY122434793EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY36569476BOY
EOY38945683EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY641605BOY
EOY548894EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY406050371BOY
EOY411837631EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY44181873BOY
EOY56472218EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY67147739BOY
EOY64646069EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY10203610BOY
EOY10290553EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY98371028BOY
EOY65470943EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY219904250BOY
EOY196879783EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY171133804BOY
EOY199734928EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY8655317BOY
EOY9012161EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6357000BOY
EOY6210759EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY186146121BOY
EOY214957848EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY406050371BOY
EOY411837631EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1664616ReconcilationRevenueExpenses
Reconciliation Unrealized Invest3902111ReconciliationUnrealizedInvest
Reconcilation Donated Services125644ReconcilationDonatedServices
Reconcilation Other Changes26448588ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii
Public Support Total1700PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Pertcentage1700PublicSupportPertcentage170
Public Support Total5090PublicSupportTotal509
Public Support Percentage5090PublicSupportPercentage509
Investment Income Percentage0InvestmentIncomePercentage

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteerstrueVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$19,013GrantsOtherOrganizationsAmount
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$55,309DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB74322TotalLobbyingExpendituresIIB

Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)

IdentifierIdentifierExplanationExplanation
Pt II-B Line 1iOther lobbying Activities: A portion of Hospital and
HEALTH SYSTEM ASSOCIATION OF PA (HAP) DUES ARE LOBBYING EXPENSES. ADDITIONALLY, THE ORGANIZATION RETAINS THE LAW FIRM OF BUCHANAN INGERSOLL & ROONEY TO LOBBY ON THEIR BEHALF.

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance252962000BeginningOfYearBalance
Contributions2107000Contributions
Investment Earnings Or Losses6856000InvestmentEarningsOrLosses
Grants Or Scholarships39000GrantsOrScholarships
Other Expenditures16594000OtherExpenditures
Administrative Expenses1875000AdministrativeExpenses
End Of Year Balance243417000EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance284583000BeginningOfYearBalance
Contributions4416000Contributions
Investment Earnings Or Losses-26958000InvestmentEarningsOrLosses
Grants Or Scholarships1087000GrantsOrScholarships
Other Expenditures6712000OtherExpenditures
Administrative Expenses1280000AdministrativeExpenses
End Of Year Balance252962000EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance259195000BeginningOfYearBalance
Contributions4906000Contributions
Investment Earnings Or Losses27943000InvestmentEarningsOrLosses
Grants Or Scholarships21000GrantsOrScholarships
Other Expenditures5978000OtherExpenditures
Administrative Expenses1462000AdministrativeExpenses
End Of Year Balance284583000EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance240777000BeginningOfYearBalance
Contributions4160000Contributions
Investment Earnings Or Losses28999000InvestmentEarningsOrLosses
Grants Or Scholarships21000GrantsOrScholarships
Other Expenditures13230000OtherExpenditures
Administrative Expenses1490000AdministrativeExpenses
End Of Year Balance259195000EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance284125000BeginningOfYearBalance
Contributions846000Contributions
Investment Earnings Or Losses-38472000InvestmentEarningsOrLosses
Grants Or Scholarships21000GrantsOrScholarships
Other Expenditures4884000OtherExpenditures
Administrative Expenses817000AdministrativeExpenses
End Of Year Balance240777000EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.93700BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.02600PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.03700TermEndowmentEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2285807OtherCostOrOtherBasis
Book Value2285807BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis145091196OtherCostOrOtherBasis
Depreciation81930530Depreciation
Book Value63160666BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3083759OtherCostOrOtherBasis
Depreciation640298Depreciation
Book Value2443461BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis272718537OtherCostOrOtherBasis
Depreciation184133035Depreciation
Book Value88585502BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis17992580OtherCostOrOtherBasis
Depreciation3825106Depreciation
Book Value14167474BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings170642910TotalOfBookValueLandBuildings

Other Securities OtherSecurities (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
Interest in Assets Held by Foundations9926921F
Other Investments202850F
Commingled Funds21103045C
Alternative Investments7712867C
FieldValueIRS element (for citing)
Total Of Book Value Securities38945683TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Accrued pensions and other long term liabilities$62,710,234
Workers Comp Reserve Long Term$2,760,709
FieldValueIRS element (for citing)
Total Of Amounts65470943TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt359245303TotRevenueEtcAuditedFinclStmt
Revenue Subtotal359245303RevenueSubtotal
Other Revenues Not Included577643OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt577643RevenueNotRptdOnFinStmt
Total Revenue Per Form990359822946TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt361334162TotExpensesEtcAuditedFinclStmt
Expenses Subtotal361334162ExpensesSubtotal
Other Expenses Not Included153400OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt153400ExpensesNotRptdOnFinStmt
Total Expenses Per Form990361487562TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (6 entries)

IdentifierIdentifierExplanationExplanation
Pt X Line 2VMF qualifies as a tax-exempt organization under Section 501(c)(3) of
THE INTERNAL REVENUE CODE (THE "CODE") AND, THERFORE, IS EXEMPT FROM INCOME TAX ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. VMF DOES NOT HAVE ANY MATERIAL UNDERTAIN TAX POSITIONS AS OF JUNE 30, 2013 AND 2012.
Pt XII Line 4bOther Adjustments: Restricted Fund Expenses
Pt XI Line 4bOther Adjustments: Restricted Fund Income
Pt V Line 4Board 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

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral AmericaRegion
Type Of Activities ConductedInvestmentsTypeOfActivitiesConducted
Total Expenditures7713000TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Amount Spent7713000SubtotalAmountSpent
Total Amount Spent7713000TotalAmountSpent
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CotruePassiveForeignInvestCo
Foreign PartnershiptrueForeignPartnership
Boycott CountriesfalseBoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
IdentifierPt I Line 2Identifier
ExplanationValley Medical Facilities Inc. does not make grants outside the United States.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage300.00000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage450.00000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense6115653TotalCommunityBenefitExpense
Net Community Benefit Expense6115653NetCommunityBenefitExpense
Percent Of Total Expense0.01690PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense35145690TotalCommunityBenefitExpense
Direct Offsetting Revenue21236495DirectOffsettingRevenue
Net Community Benefit Expense13909195NetCommunityBenefitExpense
Percent Of Total Expense0.03850PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense41261343TotalCommunityBenefitExpense
Direct Offsetting Revenue21236495DirectOffsettingRevenue
Net Community Benefit Expense20024848NetCommunityBenefitExpense
Percent Of Total Expense0.05540PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense224097TotalCommunityBenefitExpense
Direct Offsetting Revenue158448DirectOffsettingRevenue
Net Community Benefit Expense65649NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense1424133TotalCommunityBenefitExpense
Direct Offsetting Revenue954758DirectOffsettingRevenue
Net Community Benefit Expense469375NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense444668TotalCommunityBenefitExpense
Direct Offsetting Revenue269903DirectOffsettingRevenue
Net Community Benefit Expense174765NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense2092898TotalCommunityBenefitExpense
Direct Offsetting Revenue1383109DirectOffsettingRevenue
Net Community Benefit Expense709789NetCommunityBenefitExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense43354241TotalCommunityBenefitExpense
Direct Offsetting Revenue22619604DirectOffsettingRevenue
Net Community Benefit Expense20734637NetCommunityBenefitExpense
Percent Of Total Expense0.05740PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense3510TotalCommunityBuildingExpense
Net Community Building Expense3510NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense59838TotalCommunityBuildingExpense
Net Community Building Expense59838NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense87670TotalCommunityBuildingExpense
Net Community Building Expense87670NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense6667TotalCommunityBuildingExpense
Net Community Building Expense6667NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense157685TotalCommunityBuildingExpense
Net Community Building Expense157685NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$7,654,951BadDebtExpenseAmount
Amount Attributable To3827475AmountAttributableTo
Amount Reimbursed By Medicare160532189AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare167696595CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-7164406MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost Accounting SystemXCostAccountingSystem
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities2NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalEr24 HoursEr24HoursFacility Reporting GroupFacilityReportingGroup
HERITAGE VALLEY BEAVER
11000 DUTCH RIDGE ROADBEAVERPA15009XXXXA
HERITAGE VALLEY SEWICKLEY
2720 BLACKBURN ROADSEWICKLEYPA15143XXXA

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

CHNA ConductedCHNAConductedCommunity DefinitionCommunityDefinitionCommunity DemographicsCommunityDemographicsExisting ResourcesExistingResourcesHow Data ObtainedHowDataObtainedCommunity Health NeedsCommunityHealthNeedsOther Health IssuesOtherHealthIssuesIdentifying ProcessIdentifyingProcessConsulting ProcessConsultingProcessInformation GapsInformationGapsNeeds Assessment ConductedNeedsAssessmentConductedTake Into AccountTakeIntoAccountOther FacilitiesOtherFacilitiesCHNA Widely AvailableCHNAWidelyAvailableOwn WebsiteOwnWebsiteOn RequestOnRequestAdopt Implement StrategyAdoptImplementStrategyExecute Implement StrategyExecuteImplementStrategyPrioritize Health NeedsPrioritizeHealthNeedsAll Needs AddressedAllNeedsAddressedOrganization Incur Excise TaxOrganizationIncurExciseTaxEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresAvailable On RequestAvailableOnRequestActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
HERITAGE VALLEY BEAVER
trueXXXXXXXXX13truetruetrueXXXXXfalsefalsetruetrue300true450trueXtruetrueXtruefalsetrueXfalsefalse
HERITAGE VALLEY SEWICKLEY
trueXXXXXXXX13truetruetrueXXXXXfalsefalsetruetrue300true450trueXtruetrueXtruefalsetrueXfalsefalse

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities18NumberOfOtherFacilities

Other Facilities OtherFacilities (18 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
BEAVER -CALCUTTA IMAGING & LAB SERVICES
48462 BELL SCHOOL ROAD SUITE BEAST LIVERPOOLOH43920Laboratory and Imaging
BEAVER - HERITAGE VALLEY DIAGNOSTIC CENTER - ELLWOOD CITY
1677 STATE ROUTE 65ELLWOOD CITYPA16117Diagnostic Center, Convenient Care
BEAVER - HERITAGE VALLEY DIAGNOSTIC CENTER - HOPEWELL
5000 INDUSTRIAL BOULEVARDALIQUIPPAPA15001Diagnostic Center
BEAVER - WOMEN'S HEALTH CENTER
200 PLEASANT DRIVEALIQUIPPAPA15001Imaging Services
BEAVER - FAMILY PRACTICE CENTER
1125 7TH AVENUEBEAVER FALLSPA15010Residency Program
BEAVER - HERITAGE VALLEY SIGNATURE REHAB
1030 BEANER HOLLOW ROADBEAVERPA15009Rehabilitation Services
BEAVER - SIGNATURE REHAB - HOPEWELL
3000 INDUSTRIAL BLVDALIQUIPPAPA15001Rehabilitation Services
BEAVER - HERITAGE VALLEY BADEN - LAB (PHLEBOTOMY)
220 OHIO RIVER BLVDBADENPA15005Laboratory Services
SEWICKLEY - HERITAGE VALLEY HEALTH CENTER
935 THORN RUN ROADMOON TWPPA15108Laboratory and Imaging, and Rehab, and Convenient Care
HERITAGE VALLEY ROBINSON TOWNSHIP
6521 STEUBENVILLE PIKEPITTSBURGHPA15205Laboratory and Imaging
SEWICKLEY- HERITAGE VALLEY REHABILITATION SERVICES - WEST ALLEGHENY SIGNATU
300 PENN LINCOLN DRIVEIMPERIALPA15126Rehabilitation Services
SEWICKLEY - HERITAGE VALLEY HEALTH SYSTEM EDGEWORTH SQUARE
111 HAZEL LANESEWICKLEYPA15143Behavioral Health Services
HERITAGE VALLEY SURGERY CENTER
1600 CORAOPOLIS HEIGHTS ROAD SUITEMOON TOWNSHIPPA15108Diagnostic Imaging, Surgery Center
HERITAGE VALLEY CHIPPEWA
2580 CONSTITUTION BLVDCHIPPEWAPA15010Laboratory and Imaging, and Rehab, and Convenient Care
HERITAGE VALLEY CRANBERRY TOWNSHIP
1185 FREEDOM ROADCRANBERRY TOWNSHIPPA16066Laboratory Services
HERITAGE VALLEY LABORATORY DRAW SITE - HOPEWELL
2032 BRODHEAD ROADALIQUIPPAPA15001Laboratory Services
HERITAGE VALLEY LABORATORY DRAW SITE - LEETSDALE
QUAKER VILLAGE SHOPPING CENTERLEETSDALEPA15056Laboratory Services
HERITAGE VALLEY LABORATORY DRAW SITE - SHARON ROAD BEAVER
605 SHARON ROADBEAVERPA15009Laboratory Services

Form990 Schedule H Part VI Form990ScheduleHPartVI (342 entries)

ExplanationExplanationIdentifierIdentifier
The Following explanations are relevant to both hospitals
of the Organization:
Heritage Valley, Beaver
Heritage Valley, Sewickley
Part 1. Line 3C: The Organization provides charity care toPt I Line 3c
qualifying individuals and families based on a sliding scale using
Federal Health & 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%
Part 1 Line 6a See below Section VI about Community Benefit Report results.Pt I Line 6a
Part 1 Line 7g Family Medicine & Family Planning Clinic SubsidyPt I Line 7g
The costing methodology used to calculate the amounts reported onPt I Line 7
Part 1, Line 7 was based on the Organization's cost accounting system.
Bad debt expense at cost was determined based on the cost to charge ratio underPt III Line 2
Generally Accepted Accounting Principles applied to the bad debt expense for the fiscal year.
The Organization believes the entire shortfall of reimbursementPt III Line 8
versus cost ($7,164,406) 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.
Within the Organization's bad debt/collection policy, there isPt III Line 9b
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.
The Organization led a comprehensive Community Health Needs Assessment (CHNA)Pt V Sec B 3
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.
The Organization is committed to the people it serves and the communities they live in.Pt VI Line 2
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 Community residents
*Key Informant Interviews with 10 Community stakeholders
*Focus Group Discussions with 10 providers and 28 Community residents
---Key Informant Interviews---
A survey was conducted by the consultants which included ten "Key Informants"
from the area. Key informants were defined as Community stakeholders with expert knowledge
including public health and health care professionals, social service providers, non-profit leaders,
business leaders, faith-based organizations, and other area authorities.
A total of 10 telephone interviews were conducted by the consultants during
November 2012 to January 2013. It is important to note that the results reflect the perceptions of
some community leaders, but may not necessarily represent all community representatives. To
supplement the information gathered during the interviews, the consultants also
conducted two focus group sessions with key informants.
In April of 2013, 2 focus groups were held with other key informants totaling
ten people and another group participated in a prioritization of the health needs identified
through the Needs Assessment process.
The Organization is committed to assisting all self payPt VI Line 3
patients in applying for State Medicaid. Currently the Organization
engages a third party service to interview and complete the Medicaid
application 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 Charity Care Program.
If the patient is denied for Medicaid, they receive monthly statements
reflecting the outstanding balance owed. The Organization makes the
patients aware of the Charity Care Program on the back side of all self pay
patients statements. The statement directs all inquiries regarding Charity
Care to the Patient Accounting Department. the patients are provided with
the guidelines of the program at the point they contact Patient Accounting.
This phone call usually results in the application along with the current
guidelines being mailed to the patient for completion.
In addition, reference to the Charity Care Program is included in the
"Patient Guide" which is provided to all patients admitted.
The Organization defined their current service area based on an analysis of thePt VI Line 4
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 Township
Leetsdale Borough
Moon Township
Neville Township
North Fayette Township
Oakdale Borough
Sewickley Borough
Sewickley Heights Borough
Sewickley Hills Borough
Selected Demographic & Behavioral Risk Factor Findings
* Beaver County experienced a 5.8% decline in population between 2000
and 2010, which was the opposite of both state and national trends.
* In 2010, Beaver County had a higher percentage of individuals that
were age 45+ than both Pennsylvania and nationwide.
* Allegheny County has a higher portion of individuals that have received a
Bachelor's degree or higher when compared to state and national averages.
* In 2010, a lower percentage of children and families lived in poverty within
Allegheny County (7.8%) and Beaver County (11.1%) than both the state of
Pennsylvania (12.4%) and the nation (13.8%).
* Beaver County has a higher percentage of mothers who smoked
during pregnancy than the state of Pennsylvania.
* The leading causes of death for both Allegheny and Beaver Counties were heart
disease and cancer in 2010. The top three sites for cancer deaths were Lung &
Bronchus, Colon & Rectum, and Female Breast.
* In 2009, over a quarter of the population in Beaver County were obese and /or
physically inactive. Given the higher than state average of persons diagnosed with
diabetes in Beaver County that same year, this statistic is particularly concerning.
Medically Underserved Areas (MUAs)
MUAs in the Organization's primary service area include:
* Beaver Falls (part)
* Bridgewater
* Aliquippa (part)
* Coraopolis
Heritage Valley Beaver and Heritage Valley Sewickley conducted the Needs Assessment
jointly. Where possible, information about each hospital's service area was described
separately. The Implementation Plans for each hospital were separate, but coordinated.
Executive Summary - During Fiscal 2013, the OrganizationPt II
participated in over one hundred activities providing community benefit.
A selection of these activities included:
*Participated in sixty-five (65) major health fairs providing free
screenings & health information.
*Presented health & wellness information, including mental health
issues, at various school & community group events.
*Sponsored seven (7) monthly support groups and working with four (4)
other monthly support groups.
*Provided manikins to local first responder organizations for CPR
Certification activities.
*Day of caring participants - value of donated time - $9,337.
*Participated in local school career days.
*Provided free clinical services or donating medical equipment to
several community not-for-profit organizations.
The organization also subsidizes various programs that benefit both the
health and well being of the patients in the communities we serve and the
students seeking to further their education in the health services field.
Examples of these programs include:
* Family Medicine and Family Planning Clinics
* School of Nursing
COMMUNITY HEALTH EDUCATION & OUTREACHPt VI Line 5
*Maternal & Child health staff at Heritage Valley, Sewickley-conducted
over thirty (30) sessions of different prenatal education topics
and also provided support groups for pregnancy loss and new mothers.
*Staff of the Community Health Services Department participated in
fifty-four (54) health fairs/education sessions.
*Car Seats are rented at discounted rates to parents in
need for safe transport of newborns.
*Family Medicine Residents provided free physicals and provided
health education on smoking avoidance and sex education.
* The Hospital Division Laboratory provided four hundred eighty six (486) legal alcohol test for area
police departments and also assisted with student high school projects and community health fairs.
*Womens's Health Center staff performed approximately seven-hundred twenty-five
(725) osteoporosis health screenings at twenty two (22) community
events or for patients and visitors at the Women's Health Center.
*The Sterile Processing Department lends manikins to local
fire departments, EMS units and police for CPR certification activities.
*School of Nursing faculty and staff provided over two
hundred eighty four (284) hours of community service at
twenty-six (26) events.
*Management and staff from several departments participated in
local school career days.
*Heritage Valley-Beaver Laboratory services worked with
high school students on science fair projects.
*Community groups use the conference center/education center
at the hospitals for meetings; the pro-rated facility
cost of these meetings was $5,833.
COMMUNITY-BASED CLINICAL SERVICES
*The Family Medicine Clinic (Beaver Falls) conducts free
physicals for the foster grandparent program.
*The Laboratory provided legal alcohol tests for area police departments at a testing cost of
$4,617 and also spent $75 in supply costs for assisting with student high
school projects and community health fairs for a total expense of $4,692.
HEALTHCARE SUPPORT SERVICES
*The Organization sponsors or works directly with seven (7) support
groups that meet monthly at an Organization hospital or in the
community; the Organization is involved in another four (4) support groups
that meet monthly in various community settings.
DONATIONS TO NOT-FOR-PROFIT ORGANIZATIONS
*Payments to local municipalities (in lieu of taxes) - $59,838
*Donation of a parcel of land on the Beaver Campus for the
Brighton Township Volunteer Fire Department at a cost of $3,510.
*The Organization sponsored events held by community
not-for-profit organizations and donated $70,000 to these
organizations (net of value received.)
* Donation to Cameos of Caring - $2,500.
* Donation of two (2) vehicles to the Make a Wish Foundation - $1,975
MEDICAL EDUCATION
*---SCHOOL OF NURSING SUBSIDY - $441,068
The Organization serves as a site for numerous health
and adminstrative/professional internships and administrating nursing
students from Community College of Beaver County, Robert Morris
University and Kent State University who use the Organization as a site for clinical
training with no tuition or monetary reimbursement. Coordination
of these unpaid internships requires approximately 750 hours
of staff time, valued at $28,307.
SUBSIDIZED HEALTH SERVICES
*Family Medicine Clinic & Family Planning Clinic (Beaver Falls)
- $174,765 loss. (excluding estimated Medicaid &
Medicare underpayments separately reported)
*Nutritional Counseling Services are subsidized - $65,649
The Organization is committed to offering a robust range of services to meet community
needs; therefore some services such as Emergency Department services &
Maternal/Child Health services are operated with significant subsidies.
MEDICAL STAFF PRIVILEGES
In general, both the Beaver and Sewickley campuses have an open medical staff and
privileges are granted to qualified physicians who meet established criteria. There
are, however, certain departments and/or services that are closed due to contractual
arrangements with third party providers. Four departments are closed. The emergency
room department is closed to physicians who are employed by the Organization,
and to physicians otherwise contracted by the Organization. For
the departments of radiology, pathology and anesthesiology, the Organization
has exclusive contracts with the contracting physician groups, and thus,
privileges in these departments are limited to those physicians who have a contractual
relationship with the group. In addition, the Organization has an exclusive
contract with a third party provider for the provision of hospitalist services at the
Beaver campus and has exclusive contracts with third party providers for the provision
of telemedicine stroke services at each of the campuses.
Quality Improvements in Patient Care
Quality, Patient Safety, and Customer Satisfaction are defined as strategic
imperatives in our the Organization. Compliance with National Patient Safety Goals
exceeds 98% and CMS Core Measure compliance exceeds exceeds 99%. Core Measures are actively managed
with enhanced reporting and engagement of nursing and physician staff. Performance improvement
initiatives are ongoing in the areas of infection control, patient safety, and the
customer experience. A renewed focus on service excellence culminated in the
recruitment of the Organization's first Manager of Customer Experience.
Consistent year-over-year improvement is being demonstrated on the Organizations balanced
scorecard across all facets of Quality, Safety, and Customer Satisfaction.
INVESTMENTS IN FACILITIES AND EQUIPMENT
---The Organization has a significant capital budget, of approximately $30
million annually, primarily funded by operating margins.
---Both foundations support facility enhancements and equipment purchases.
The Sewickley Valley Hospital Foundation supports initiatives
such as the purchase of Cardiology and Operating Room equipment.
Renovations of the Maternity Ward and educational equipment
for the School of Nursing.
Heritage Valley Beaver Foundation supports initiatives such as
the purchase of cardiology and pediatric equipment.
Renovations to the Education Center and a Van for the Clinic.
MEDICAL EDUCATION
The Organization has a Family Practice Residency Program in Beaver Falls,
with an associated clinic, and a School of Nursing in Moon Township. Both
affiliated foundations offer Nursing School scholarships.
COMMUNITY HEALTH SERVICES
Community Health Services is a robust set of programs and services that focus
on families and individuals suffering from chronic illnesses.
The benefits of these programs are demonstrated through
clinical outcomes that relate to healthy living and improved functioning:
---Pediatric Asthma
---Diabetes
---Pregnancy Health Services (Designed for high-risk pregnancies)
---Community Advanced Illness (Palliative care for end of life services).
---Childhood obesity
---LifeSmart (pre-diabetes/obesity)
---Smoking Cessation
---Community Outreach Services
---Community Crisis Counseling
These services are supported through Grants from the Foundations.
Part VI Line 7: The Organization is a wholly owned subsidiary ofPt VI Line 6
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 Organization and its affiliated foundations are
documented elsewhere in this form. The contracted physician practices
also participate in community health improvement efforts. Several
physicians participated in the diabetes clinical program and several
have met certain criteria to be identified under the NCQA's diabetes
physician recognition program. Also, one of the senior pediatricians
in Tri-State Pediatric Associates is a champion for the
Organization's childhood obesity program.
Uninsured individuals are expected to pay the equivalentPt V Sec B 19d
of the Medicaid DRG case rate payment for inpatient accounts
and 45% of charges for outpatient accounts.
Heritage Valley SewickleyPt V Sec B 4
Heritage Valley BeaverPt V Sec B 4
Maximum amount charged to Inpatients is Medical Assistance Rates.Pt V Sec B 20d
Maximum amount charged to Outpatients is 45% of total charges.
RATIONALE FOR COMMUNITY HEALTH NEEDS NOT ADDRESSEDPt V Sec B 7
It is understood that in order to be the most effective and make the greatest impact,
that not all community needs can be addressed at once. The Organization will continue to provide excellent
quality of care and health literacy education to meet the wide array of health needs present
among county residents. To allocate resources in an effort to impact the most pressing needs,
the five key priority areas were identified.
It is important to emphasize the criteria-driven approach that went into the selection
of the priority issues. While the seriousness of the issue and ability to impact
were the primary criteria for the quantitative ratings, additional criteria were
included in the group discussion. These included the availability of proven best
practices and prevention strategies, existing expertise and resources around
any particular issue, and the opportunity for collective community buy-in or support
to rally around a health priority. As a result, the Organization and its partners
are confident that the prioritization process was a systematic, democratic, and thorough
course of action.
In total, nine key needs/themes were identified following the interpretation of the CHNA findings.
A rationale for exclusion of the four issues not included in the final
prioritized list of community needs is detailed below.
Behavioral Health: The Organization currently provides both inpatient and
outpatient behavioral health services to the community in collaboration with the County and
other local providers that specialize in specific community-based supports, such as
housing, case management, family support, respite care ,etc.
Resource constraints do not permit expansion of these efforts.
Drug and Alcohol Abuse: While the Organization will continue to provide supportive services to
the community, as appropriate, however other providers specialize in this care and are better
suited to address the initiatives related to drug and alcohol abuse in the community.
Maternal Health: The Organization has many successful programs related to prenatal
and maternal health which will continue to be offered to the community.
Community Sustainability: The Organization will continue to support environmental
responsibility and will encourage safe neighborhoods.
The Organization does not have the resources or expertise needed to influence this need.
Differences between amounts reimbursed and normal billing rates are charged toPt III Line 4
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 collectibiilty 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 provision for bad debts. Management regularly reviews data about these major payor
sources of patient service revenue in evaluating the sufficiency of the allowance
for doubtful accounts. For receivables associated with services provided to patients
who have third-party coverage, the Organization analyzes contractually due amounts
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 patients with deductible and copayment balances due for which
third-party coverage exists for part of the bill, the Organization records a 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 standard rates
or the discounted rates according to the Organization's charity care policy and the amounts actually
collected after all reasonable collection efforts have been exhausted is charged off
against the allowance for doubtful accounts.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained
Total Nbr Of501 C3 And Govt Grants0TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII (4 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrantMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
Tuition Reimbursement2167781FMVN/A
Educational Assistance88226370FMVN/A
Loan Forgiveness39000FMVN/A
PHEAA/PELL Grants79153400FMVN/A

Form990 Schedule I Part IV Form990ScheduleIPartIV (20 entries)

IdentifierIdentifierExplanationExplanation
Pt I Line 2Educational 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.
Pt I Line 2Loan Forgiveness - Scholarships are provided to individuals who are entering or those who are
presently enrolled in Nursing School to obtain their RN License. The
applicant mut submit proof of acceptance into Nursing School, copies of
invoices, and proof of final grades maintaining at least a 2.0 GPA.
Scholarship recipients are contractually bound to certain employment
stipulations and if these obligations are not met, the scholarship must be repaid.
Pt I Line 2Tuition Reimbursement - Provided to candidates employed as RNs by the
Organization who are enrolled in the Penn State BSN Program. The
receipient 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.
Pt I Line 2Pell is title IV funds provided by the Dept. of Education.
PHEAA is state grant funds provided by PA.
All funds are credited to student accounts.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
NORMAN F MITRY
562116942331147602686
RICHARD C HOGAN MD
311350750018815337665
JAMES SCIBILIA MD
33763615025662363448
ALEXANDER VASILAKIS MD
4999994269528918571612
STEPHANIE PERRY MD
2523232250011700286523
JOHN LUELLEN MD
371664656730961409192
JOHN CINICOLA MD
380000550128357413858
DANIEL BROOKS MD
276322470528730309757
SHARON LOFTUS ESQ
274039588915008294936
BRUCE E EDWARDS
263846507629000297922
DAVID W CARLETON
249040432738249291616
BRYAN J RANDALL
329212514530940365297
THOMAS PANGBURN MD
3420252142730939394391
RONALD D LECKEY MD
2914082876230877351047
MICHAEL BARTON MD
2268785670130827314406
DAVID THIMONS DO
407446930826953443707
EDWIN PAGE
2606132124229014310869

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1THE HOSPITAL AUTHORITY OF THE COUNTY OF BEAVERBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN251247712IssuerEIN
CUSIP Number074863FX4CUSIPNumber
Date Issued2012-01-19DateIssued
Issue Price72496375IssuePrice
Description Of PurposeRefund Issue Dated 08/4/1998DescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired5855000AmountRetired
Total Proceeds72496375TotalProceeds
Issuance Costs From Proceeds840042IssuanceCostsFromProceeds
Other Spent Proceeds71656333OtherSpentProceeds
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiled
Rebate Not Due YettrueRebateNotDueYet
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Written Proc To Monitor ReqstrueWrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective ActiontrueProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

ExplanationExplanation
Part II, Column A, Line 11: The other spent proceeds relate to the
refunding proceeds of the issue.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonLINDA MARSHALLRNNamePerson
FieldValueIRS element (for citing)
Relationshipsister in law of Board memberRelationship
Amount Of Transaction34793AmountOfTransaction
Description Of TransactionRegistered Nurse for HospitalDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV (2 entries)

IdentifierIdentifierExplanationExplanation
Part IV Line 1Linda Marshall is sister in law of VMF board member Joan Marshall
Linda worked for Heritage Valley, Sewickley as an R.N.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (57 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 6Heritage Valley Health System is the sole member of Valley Medical Facilities
Pt VI, Line 7athe Sole Member, Heritage Valley Health System, appoints the members of the governing body.
Pt VI, Line 7bthe Sole Member, Heritage Valley Health System, acting by and through its Board of Directors
have exclusive power to:
1. Elect all members to the Corporation's Board of Directors,
with right to remove the elected Directors, with or without cause;
2. Amend or approve amendments to the Corporation's
Articles of Incorporation or Bylaws;
3. Approve any voluntary dissolution, merger or consolidation of the Corpoartion; and
4. Approve the creation or acquisition of any subsidiary or affiliate.
Pt VI, Line 11bA 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.
Pt VI, Line 12cCertain non-merit employees with job responsibilities
that provide an opportunity to influence business decisions are required
to sign the Conflict of Interest form annually. These Conflict of Interest
statements are reviewed annually by the Department Director and System
Director for Corporate Compliance to determine if a conflict exists.
Form 990, Part IX, Line 24fTELEPHONE 1179012. 1179012. 0. 0. POSTAGE AND SHIPPING 282034. 282034. 0. 0. FEES, ADMIN AND OTHER 4941758. 4831456. 110302. 0. DUES 238423. 149738. 88685. 0. EQUIPMENT RENTAL AND MAINTENACE 9330626. 9330533. 93. 0.
Any potential conflicts are referred to the appropriate Vice President and
Human Resources to confirm and resolve the conflict.
For Merit Employees, Conflict of Interest statements are reviewed annually by
the Department Manager, Vice President or CEO. Any potential conflicts are
managed by the CEO.
Other Potentially Interested Parties, such as Board Members, Officers and
Highly Compensated employees 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 reviews annually a summary of the disclosure
statements so that the Board Members are familiar with potential conflicts.
Pt VI, Line 12cSection B Line 14- The Organization has a record retention policy which
provides for the retention of business and medical records, including destruction.
Pt VI, Line 15aBased on operational performance, there were no increases
Pt VI, Line 15bprovided to the Organization's CEO or other members of
the Senior Management Team during this timeframe.
In addition, there was no review conducted by independent persons.
Pt VI, Line 19The 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.
Pt XILine #5. Other changes in net assets. Changes in restricted net assets.
Pension obligation adjustment
Pt XII, Line 2cThe Organization has a committee that assumes
responsibility for oversight of audit, review, or compilation of its
financial statement and selection of an independent accountant.
.
Pt VI, Line 2Mary Kirsch, CPA, Board Member of the Organization
is a Senior Financial Manager of Simio, LLC
of which Dennis Pedgen, another Board Member of the Organization
owns more than 35%.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
HERITAGE VALLEY SEWICKLEY FOUNDATION
420 ROUSER ROADMOON TOWNSHIPPA15108251801533FUNDRAISINGPA501(c)311CHERITAGE VALLEY HEALTH SYSTEMfalse
HERITAGE VALLEY BEAVER FOUNDATION
420 ROUSER ROADMOON TOWNSHIPPA15108251441516FUNDRAISINGPA501(C)311CHERITAGE VALLEY HEALTH SYSTEMfalse
HERITAGE VALLEY HEALTH SYSTEM INC
1000 DUTCH RIDGE ROADBEAVERPA15009251441518PARENT SUPPORTING ORGPA501(C)311CNAfalse
VALLEY MEDICAL FACILITIES INC WORKERS COMPENSATION TRUST FUND
420 ROUSER ROADMOON TOWNSHIPPA15108251463381Provide Worker's Compensation BenefitsPA501(C)311CVALLEY MEDICAL FACILITIES INCtrue
HOSPITALITY SHOP OF SEWICKLEY VALLEY
720 BLACKBURN ROADSEWICKLEYPA15143251012989FUNDRAISINGPA501(c)311cHERITAGE VALLEY HEALTH SYSTEMfalse
THE MEDICAL CENTER AUXILIARY
1000 DUTCH RIDGE ROADBEAVERPA15009251383145FUNDRAISINGPA501(c)311cHERITAGE VALLEY HEALTH SYSTEMfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
CONSOLIDATED SUPPLY CHAIN SERVICES
420 ROUSER ROADMOON TOWNSHIPPA15108271055405Group PurchasingPAHERITAGE VALLEY HEALTH SYSTEMexcluded from taxfalsefalse0.00000
HEALTHCARE SOFTWARE COLLABORATIVE LLC
720 BLACKBURN ROADSEWICKLEYPA15143300475268Information TechnologiesPAHERITAGE VALLEY HEALTH SYSTEMexcluded from taxfalsefalse0.00000
EDGEWORTH COMMONS GROUP LLC
725 CHERRINGTON PARKWAY SUITE 200MOON TOWNSHIPPA15108020713415Surgery CenterPAHERITAGE VALLEY HEALTH SYSTEMexcluded from taxfalsefalse0.00000

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityPercentage OwnershipPercentageOwnershipControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
TRI-STATE OBSTETRICS & GYNECOLOGY
420 ROUSER ROADMOON TOWNSHIPPA15108251776052PHYSICIAN PRACTICEPAHERITAGE VALLEY HEALTH SYSTEMC0.00000false
HERITAGE VALLEY PEDIATRICS INC
420 ROUSER ROADMOON TOWNSHIPPA15108251775950PHYSICIAN PRACTICEPAHERITAGE VALLEY HEALTH SYSTEMC0.00000false
HERITAGE VALLEY MEDICAL GROUP INC
420 ROUSER ROADMOON TOWNSHIPPA15108251775949PHYSICIAN PRACTICEPAHERITAGE VALLEY HEALTH SYSTEMC0.00000
TRI-STATE GYNECOLOGY INC
420 ROUSER ROAD SUITE 201MOON TOWNSHIPPA15108841647473PHYSICIAN PRACTICEPAHERITAGE VALLEY HEALTH SYSTEMC0.00000
HERITAGE VALLEY INSURANCE COMPANY
PROFESSIONAL LIABILITY CAPTIVEHERITAGE VALLEY HEALTH SYSTEMC0.00000PO BOX 1051GRAND CAYMANCJCJ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg