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      <FSAudited>true</FSAudited>
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        <FinancialStatementBoth>X</FinancialStatementBoth>
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      <AuditCommittee>true</AuditCommittee>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
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        <Explanation>Other lobbying Activities: A portion of Hospital and</Explanation>
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        <Explanation>HEALTH SYSTEM ASSOCIATION OF PA (HAP) DUES ARE LOBBYING EXPENSES. ADDITIONALLY, THE ORGANIZATION RETAINS THE LAW FIRM OF BUCHANAN INGERSOLL &amp; ROONEY TO LOBBY ON THEIR BEHALF.</Explanation>
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        <Description>Interest in Assets Held by Foundations</Description>
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        <MethodOfValuation>F</MethodOfValuation>
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      <OtherSecurities>
        <Description>Other Investments</Description>
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        <MethodOfValuation>F</MethodOfValuation>
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        <MethodOfValuation>C</MethodOfValuation>
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      <OtherSecurities>
        <Description>Alternative Investments</Description>
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        <MethodOfValuation>C</MethodOfValuation>
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      <OtherLiabilities>
        <Description>Workers Comp Reserve Long Term</Description>
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      <PassiveForeignInvestCo>true</PassiveForeignInvestCo>
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      <OtherPercentage>
        <Other>X</Other>
        <FreeOtherPercentage>300.00000</FreeOtherPercentage>
      </OtherPercentage>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <DiscountedOther>
        <Other>X</Other>
        <DiscountedOtherPercentage>450.00000</DiscountedOtherPercentage>
      </DiscountedOther>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>6115653</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>6115653</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01690</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>35145690</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>21236495</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>13909195</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03850</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>41261343</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>21236495</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>20024848</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05540</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>224097</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>158448</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>65649</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>1424133</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>954758</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>469375</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00130</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>444668</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>269903</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>174765</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00050</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>2092898</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1383109</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>709789</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00200</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>43354241</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>22619604</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>20734637</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05740</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <PhysicalImprovementsAndHousing>
        <TotalCommunityBuildingExpense>3510</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>3510</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </PhysicalImprovementsAndHousing>
      <EconomicDevelopment>
        <TotalCommunityBuildingExpense>59838</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>59838</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </EconomicDevelopment>
      <CommunitySupport>
        <TotalCommunityBuildingExpense>87670</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>87670</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </CommunitySupport>
      <Other>
        <TotalCommunityBuildingExpense>6667</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>6667</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </Other>
      <Total>
        <TotalCommunityBuildingExpense>157685</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>157685</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00040</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
      <BadDebtExpenseAmount>7654951</BadDebtExpenseAmount>
      <AmountAttributableTo>3827475</AmountAttributableTo>
      <AmountReimbursedByMedicare>160532189</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>167696595</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-7164406</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostAccountingSystem>X</CostAccountingSystem>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>2</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>HERITAGE VALLEY BEAVER</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1000 DUTCH RIDGE ROAD</AddressLine1>
          <City>BEAVER</City>
          <State>PA</State>
          <ZIPCode>15009</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
        <FacilityReportingGroup>A</FacilityReportingGroup>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>2</FacilityNumber>
        <Name>
          <BusinessNameLine1>HERITAGE VALLEY SEWICKLEY</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>720 BLACKBURN ROAD</AddressLine1>
          <City>SEWICKLEY</City>
          <State>PA</State>
          <ZIPCode>15143</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
        <FacilityReportingGroup>A</FacilityReportingGroup>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>HERITAGE VALLEY BEAVER</BusinessNameLine1>
        </HospitalFacilityName>
        <CHNAConducted>true</CHNAConducted>
        <CommunityDefinition>X</CommunityDefinition>
        <CommunityDemographics>X</CommunityDemographics>
        <ExistingResources>X</ExistingResources>
        <HowDataObtained>X</HowDataObtained>
        <CommunityHealthNeeds>X</CommunityHealthNeeds>
        <OtherHealthIssues>X</OtherHealthIssues>
        <IdentifyingProcess>X</IdentifyingProcess>
        <ConsultingProcess>X</ConsultingProcess>
        <InformationGaps>X</InformationGaps>
        <NeedsAssessmentConducted>13</NeedsAssessmentConducted>
        <TakeIntoAccount>true</TakeIntoAccount>
        <OtherFacilities>true</OtherFacilities>
        <CHNAWidelyAvailable>true</CHNAWidelyAvailable>
        <OwnWebsite>X</OwnWebsite>
        <OnRequest>X</OnRequest>
        <AdoptImplementStrategy>X</AdoptImplementStrategy>
        <ExecuteImplementStrategy>X</ExecuteImplementStrategy>
        <PrioritizeHealthNeeds>X</PrioritizeHealthNeeds>
        <AllNeedsAddressed>false</AllNeedsAddressed>
        <OrganizationIncurExciseTax>false</OrganizationIncurExciseTax>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>300</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>450</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>HERITAGE VALLEY SEWICKLEY</BusinessNameLine1>
        </HospitalFacilityName>
        <CHNAConducted>true</CHNAConducted>
        <CommunityDefinition>X</CommunityDefinition>
        <ExistingResources>X</ExistingResources>
        <HowDataObtained>X</HowDataObtained>
        <CommunityHealthNeeds>X</CommunityHealthNeeds>
        <OtherHealthIssues>X</OtherHealthIssues>
        <IdentifyingProcess>X</IdentifyingProcess>
        <ConsultingProcess>X</ConsultingProcess>
        <InformationGaps>X</InformationGaps>
        <NeedsAssessmentConducted>13</NeedsAssessmentConducted>
        <TakeIntoAccount>true</TakeIntoAccount>
        <OtherFacilities>true</OtherFacilities>
        <CHNAWidelyAvailable>true</CHNAWidelyAvailable>
        <OwnWebsite>X</OwnWebsite>
        <OnRequest>X</OnRequest>
        <AdoptImplementStrategy>X</AdoptImplementStrategy>
        <ExecuteImplementStrategy>X</ExecuteImplementStrategy>
        <PrioritizeHealthNeeds>X</PrioritizeHealthNeeds>
        <AllNeedsAddressed>false</AllNeedsAddressed>
        <OrganizationIncurExciseTax>false</OrganizationIncurExciseTax>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>300</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>450</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>18</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BEAVER -CALCUTTA IMAGING &amp; LAB SERVICES</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>48462 BELL SCHOOL ROAD SUITE B</AddressLine1>
            <City>EAST LIVERPOOL</City>
            <State>OH</State>
            <ZIPCode>43920</ZIPCode>
          </Address>
          <FacilityType>Laboratory and Imaging</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BEAVER - HERITAGE VALLEY DIAGNOSTIC CENTER - ELLWOOD CITY</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1677 STATE ROUTE 65</AddressLine1>
            <City>ELLWOOD CITY</City>
            <State>PA</State>
            <ZIPCode>16117</ZIPCode>
          </Address>
          <FacilityType>Diagnostic Center, Convenient Care</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BEAVER - HERITAGE VALLEY DIAGNOSTIC CENTER - HOPEWELL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>5000 INDUSTRIAL BOULEVARD</AddressLine1>
            <City>ALIQUIPPA</City>
            <State>PA</State>
            <ZIPCode>15001</ZIPCode>
          </Address>
          <FacilityType>Diagnostic Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BEAVER - WOMEN'S HEALTH CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>200 PLEASANT DRIVE</AddressLine1>
            <City>ALIQUIPPA</City>
            <State>PA</State>
            <ZIPCode>15001</ZIPCode>
          </Address>
          <FacilityType>Imaging Services</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BEAVER - FAMILY PRACTICE CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1125 7TH AVENUE</AddressLine1>
            <City>BEAVER FALLS</City>
            <State>PA</State>
            <ZIPCode>15010</ZIPCode>
          </Address>
          <FacilityType>Residency Program</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BEAVER - HERITAGE VALLEY SIGNATURE REHAB</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1030 BEANER HOLLOW ROAD</AddressLine1>
            <City>BEAVER</City>
            <State>PA</State>
            <ZIPCode>15009</ZIPCode>
          </Address>
          <FacilityType>Rehabilitation Services</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BEAVER - SIGNATURE REHAB - HOPEWELL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>3000 INDUSTRIAL BLVD</AddressLine1>
            <City>ALIQUIPPA</City>
            <State>PA</State>
            <ZIPCode>15001</ZIPCode>
          </Address>
          <FacilityType>Rehabilitation Services</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BEAVER - HERITAGE VALLEY BADEN - LAB (PHLEBOTOMY)</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>220 OHIO RIVER BLVD</AddressLine1>
            <City>BADEN</City>
            <State>PA</State>
            <ZIPCode>15005</ZIPCode>
          </Address>
          <FacilityType>Laboratory Services</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SEWICKLEY - HERITAGE VALLEY HEALTH CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>935 THORN RUN ROAD</AddressLine1>
            <City>MOON TWP</City>
            <State>PA</State>
            <ZIPCode>15108</ZIPCode>
          </Address>
          <FacilityType>Laboratory and Imaging, and Rehab, and Convenient Care</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>HERITAGE VALLEY ROBINSON TOWNSHIP</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>6521 STEUBENVILLE PIKE</AddressLine1>
            <City>PITTSBURGH</City>
            <State>PA</State>
            <ZIPCode>15205</ZIPCode>
          </Address>
          <FacilityType>Laboratory and Imaging</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SEWICKLEY- HERITAGE VALLEY REHABILITATION SERVICES - WEST ALLEGHENY SIGNATU</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>300 PENN LINCOLN DRIVE</AddressLine1>
            <City>IMPERIAL</City>
            <State>PA</State>
            <ZIPCode>15126</ZIPCode>
          </Address>
          <FacilityType>Rehabilitation Services</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SEWICKLEY - HERITAGE VALLEY HEALTH SYSTEM EDGEWORTH SQUARE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>111 HAZEL LANE</AddressLine1>
            <City>SEWICKLEY</City>
            <State>PA</State>
            <ZIPCode>15143</ZIPCode>
          </Address>
          <FacilityType>Behavioral Health Services</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>HERITAGE VALLEY SURGERY CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1600 CORAOPOLIS HEIGHTS ROAD SUITE</AddressLine1>
            <City>MOON TOWNSHIP</City>
            <State>PA</State>
            <ZIPCode>15108</ZIPCode>
          </Address>
          <FacilityType>Diagnostic Imaging, Surgery Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>HERITAGE VALLEY CHIPPEWA</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2580 CONSTITUTION BLVD</AddressLine1>
            <City>CHIPPEWA</City>
            <State>PA</State>
            <ZIPCode>15010</ZIPCode>
          </Address>
          <FacilityType>Laboratory and Imaging, and Rehab, and Convenient Care</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>HERITAGE VALLEY CRANBERRY TOWNSHIP</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1185 FREEDOM ROAD</AddressLine1>
            <City>CRANBERRY TOWNSHIP</City>
            <State>PA</State>
            <ZIPCode>16066</ZIPCode>
          </Address>
          <FacilityType>Laboratory Services</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>HERITAGE VALLEY LABORATORY DRAW SITE - HOPEWELL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2032 BRODHEAD ROAD</AddressLine1>
            <City>ALIQUIPPA</City>
            <State>PA</State>
            <ZIPCode>15001</ZIPCode>
          </Address>
          <FacilityType>Laboratory Services</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>HERITAGE VALLEY LABORATORY DRAW SITE - LEETSDALE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>QUAKER VILLAGE SHOPPING CENTER</AddressLine1>
            <City>LEETSDALE</City>
            <State>PA</State>
            <ZIPCode>15056</ZIPCode>
          </Address>
          <FacilityType>Laboratory Services</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>HERITAGE VALLEY LABORATORY DRAW SITE - SHARON ROAD BEAVER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>605 SHARON ROAD</AddressLine1>
            <City>BEAVER</City>
            <State>PA</State>
            <ZIPCode>15009</ZIPCode>
          </Address>
          <FacilityType>Laboratory Services</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Explanation>The Following explanations are relevant to both hospitals</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>of the Organization:</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Heritage Valley, Beaver</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Heritage Valley, Sewickley</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt I Line 3c</Identifier>
        <Explanation>Part 1. Line 3C: The Organization provides charity care to</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>qualifying individuals and families based on a sliding scale using</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Federal Health &amp; Human Services Poverty Guidelines. Accounting for family</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>size at 300% of the poverty level for free care, a 75% discount for</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>families at 350%, a 50% discount for families at 400%</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>and a 25% discount for families at 450%</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt I Line 6a</Identifier>
        <Explanation>Part 1 Line 6a See below Section VI about Community Benefit Report results.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt I Line 7g</Identifier>
        <Explanation>Part 1 Line 7g Family Medicine &amp; Family Planning Clinic Subsidy</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt I Line 7</Identifier>
        <Explanation>The costing methodology used to calculate the amounts reported on</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part 1, Line 7 was based on the Organization's cost accounting system.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt III Line 2</Identifier>
        <Explanation>Bad debt expense at cost was determined based on the cost to charge ratio under</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Generally Accepted Accounting Principles applied to the bad debt expense for the fiscal year.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt III Line 8</Identifier>
        <Explanation>The Organization believes the entire shortfall of reimbursement</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>versus cost ($7,164,406) should be considered community benefit</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>since it results in a loss therefore lessening government burden. Costs associated with</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>the shortfall were determined from the Organization's cost accounting system.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt III Line 9b</Identifier>
        <Explanation>Within the Organization's bad debt/collection policy, there is</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>reference to the fact that patients are provided several options,</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>one of which being the application for Charity Care in satisfying the</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>outstanding balance of their account. If the patient pursues Charity</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Care, there is a separate policy detailing the steps</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>required to qualify for Charity Care.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt V Sec B 3</Identifier>
        <Explanation>The Organization led a comprehensive Community Health Needs Assessment (CHNA)</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>to evaluate the health needs of individuals living in the hospital service</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>area including Beaver County and the selected municipalities located</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>within Allegheny County beginning in 2012. The Organization contracted with</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>reputable consulting firms to assist in completing the assessment.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>The purpose of the assessment was to gather information</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>about local health needs and health behaviors.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>The assessment examined a variety of indicators including risky health behaviors</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>(physical inactivity, tobacco use) and chronic health conditions (diabetes, heart disease).</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>The completion of the CHNA enabled The Organization</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>to take an in-depth look at its greater community. The findings from</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>the assessment were utilized by The Organization to prioritize public health</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>issues and develop a community health implementation plan focused on meeting community needs.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 2</Identifier>
        <Explanation>The Organization is committed to the people it serves and the communities they live in.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Healthy communities lead to lower health care costs, robust community partnerships,</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>and an overall enhanced quality of life. The CHNA Final Summary Report serves</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>as a compilation of the overall findings of each research component.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Research Components</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>*Secondary Statistical Data Profile of Beaver County and the selected municipalities</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>located within Allegheny County</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>*Household Telephone Survey with 403 Community residents</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>*Key Informant Interviews with 10 Community stakeholders</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>*Focus Group Discussions with 10 providers and 28 Community residents</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>---Key Informant Interviews---</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>A survey was conducted by the consultants which included ten "Key Informants"</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>from the area. Key informants were defined as Community stakeholders with expert knowledge</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>including public health and health care professionals, social service providers, non-profit leaders,</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>business leaders, faith-based organizations, and other area authorities.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>A total of 10 telephone interviews were conducted by the consultants during</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>November 2012 to January 2013. It is important to note that the results reflect the perceptions of</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>some community leaders, but may not necessarily represent all community representatives. To</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>supplement the information gathered during the interviews, the consultants also</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>conducted two focus group sessions with key informants.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>In April of 2013, 2 focus groups were held with other key informants totaling</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>ten people and another group participated in a prioritization of the health needs identified</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>through the Needs Assessment process.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 3</Identifier>
        <Explanation>The Organization is committed to assisting all self pay</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>patients in applying for State Medicaid. Currently the Organization</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>engages a third party service to interview and complete the Medicaid</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>application on all patients admitted with no health insurance.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>During the application process, patients are made aware of the Charity care</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Program in the event they are denied State Medicaid. the financial</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>information obtained during this process is used in determining if the</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>patients qualify for the Charity Care Program.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>If the patient is denied for Medicaid, they receive monthly statements</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>reflecting the outstanding balance owed. The Organization makes the</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>patients aware of the Charity Care Program on the back side of all self pay</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>patients statements. The statement directs all inquiries regarding Charity</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Care to the Patient Accounting Department. the patients are provided with</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>the guidelines of the program at the point they contact Patient Accounting.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>This phone call usually results in the application along with the current</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>guidelines being mailed to the patient for completion.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>In addition, reference to the Charity Care Program is included in the</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>"Patient Guide" which is provided to all patients admitted.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>The Organization defined their current service area based on an analysis of the</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>geographic area where individuals utilizing The Organization health services</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>reside. The Organization's primary service area is considered to be the Beaver</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>County and the following municipalities located within Allegheny County:</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Aleppo Township</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Bell Acres Borough</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Coraopolis Borough</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Crescent Township</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Edgeworth Borough</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Findlay Township</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Glen Osborne Borough</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Glenfield Borough</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Haysville Borough</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Leet Township</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Leetsdale Borough</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Moon Township</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Neville Township</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>North Fayette Township</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Oakdale Borough</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Sewickley Borough</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Sewickley Heights Borough</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Sewickley Hills Borough</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Selected Demographic &amp; Behavioral Risk Factor Findings</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>* Beaver County experienced a 5.8% decline in population between 2000</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>and 2010, which was the opposite of both state and national trends.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>* In 2010, Beaver County had a higher percentage of individuals that</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>were age 45+ than both Pennsylvania and nationwide.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>* Allegheny County has a higher portion of individuals that have received a</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Bachelor's degree or higher when compared to state and national averages.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>* In 2010, a lower percentage of children and families lived in poverty within</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Allegheny County (7.8%) and Beaver County (11.1%) than both the state of</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Pennsylvania (12.4%) and the nation (13.8%).</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>* Beaver County has a higher percentage of mothers who smoked</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>during pregnancy than the state of Pennsylvania.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>* The leading causes of death for both Allegheny and Beaver Counties were heart</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>disease and cancer in 2010. The top three sites for cancer deaths were Lung &amp;</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Bronchus, Colon &amp; Rectum, and Female Breast.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>* In 2009, over a quarter of the population in Beaver County were obese and /or</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>physically inactive. Given the higher than state average of persons diagnosed with</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>diabetes in Beaver County that same year, this statistic is particularly concerning.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Medically Underserved Areas (MUAs)</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>MUAs in the Organization's primary service area include:</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>* Beaver Falls (part)</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>* Bridgewater</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>* Aliquippa (part)</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>* Coraopolis</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Heritage Valley Beaver and Heritage Valley Sewickley conducted the Needs Assessment</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>jointly. Where possible, information about each hospital's service area was described</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>separately. The Implementation Plans for each hospital were separate, but coordinated.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>Executive Summary - During Fiscal 2013, the Organization</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>participated in over one hundred activities providing community benefit.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>A selection of these activities included:</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>*Participated in sixty-five (65) major health fairs providing free</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>screenings &amp; health information.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>*Presented health &amp; wellness information, including mental health</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>issues, at various school &amp; community group events.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>*Sponsored seven (7) monthly support groups and working with four (4)</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>other monthly support groups.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>*Provided manikins to local first responder organizations for CPR</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Certification activities.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>*Day of caring participants - value of donated time - $9,337.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>*Participated in local school career days.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>*Provided free clinical services or donating medical equipment to</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>several community not-for-profit organizations.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>The organization also subsidizes various programs that benefit both the</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>health and well being of the patients in the communities we serve and the</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>students seeking to further their education in the health services field.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Examples of these programs include:</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>* Family Medicine and Family Planning Clinics</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>* School of Nursing</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 5</Identifier>
        <Explanation>COMMUNITY HEALTH EDUCATION &amp; OUTREACH</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>*Maternal &amp; Child health staff at Heritage Valley, Sewickley-conducted</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>over thirty (30) sessions of different prenatal education topics</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>and also provided support groups for pregnancy loss and new mothers.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>*Staff of the Community Health Services Department participated in</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>fifty-four (54) health fairs/education sessions.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>*Car Seats are rented at discounted rates to parents in</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>need for safe transport of newborns.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>*Family Medicine Residents provided free physicals and provided</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>health education on smoking avoidance and sex education.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>* The Hospital Division Laboratory provided four hundred eighty six (486) legal alcohol test for area</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>police departments and also assisted with student high school projects and community health fairs.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>*Womens's Health Center staff performed approximately seven-hundred twenty-five</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>(725) osteoporosis health screenings at twenty two (22) community</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>events or for patients and visitors at the Women's Health Center.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>*The Sterile Processing Department lends manikins to local</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>fire departments, EMS units and police for CPR certification activities.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>*School of Nursing faculty and staff provided over two</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>hundred eighty four (284) hours of community service at</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>twenty-six (26) events.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>*Management and staff from several departments participated in</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>local school career days.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>*Heritage Valley-Beaver Laboratory services worked with</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>high school students on science fair projects.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>*Community groups use the conference center/education center</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>at the hospitals for meetings; the pro-rated facility</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>cost of these meetings was $5,833.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>COMMUNITY-BASED CLINICAL SERVICES</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>*The Family Medicine Clinic (Beaver Falls) conducts free</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>physicals for the foster grandparent program.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>*The Laboratory provided legal alcohol tests for area police departments at a testing cost of</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>$4,617 and also spent $75 in supply costs for assisting with student high</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>school projects and community health fairs for a total expense of $4,692.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>HEALTHCARE SUPPORT SERVICES</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>*The Organization sponsors or works directly with seven (7) support</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>groups that meet monthly at an Organization hospital or in the</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>community; the Organization is involved in another four (4) support groups</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>that meet monthly in various community settings.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>DONATIONS TO NOT-FOR-PROFIT ORGANIZATIONS</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>*Payments to local municipalities (in lieu of taxes) - $59,838</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>*Donation of a parcel of land on the Beaver Campus for the</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Brighton Township Volunteer Fire Department at a cost of $3,510.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>*The Organization sponsored events held by community</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>not-for-profit organizations and donated $70,000 to these</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>organizations (net of value received.)</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>* Donation to Cameos of Caring - $2,500.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>* Donation of two (2) vehicles to the Make a Wish Foundation - $1,975</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>MEDICAL EDUCATION</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>*---SCHOOL OF NURSING SUBSIDY - $441,068</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>The Organization serves as a site for numerous health</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>and adminstrative/professional internships and administrating nursing</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>students from Community College of Beaver County, Robert Morris</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>University and Kent State University who use the Organization as a site for clinical</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>training with no tuition or monetary reimbursement. Coordination</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>of these unpaid internships requires approximately 750 hours</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>of staff time, valued at $28,307.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>SUBSIDIZED HEALTH SERVICES</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>*Family Medicine Clinic &amp; Family Planning Clinic (Beaver Falls)</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>- $174,765 loss. (excluding estimated Medicaid &amp;</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Medicare underpayments separately reported)</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>*Nutritional Counseling Services are subsidized - $65,649</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>The Organization is committed to offering a robust range of services to meet community</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>needs; therefore some services such as Emergency Department services &amp;</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Maternal/Child Health services are operated with significant subsidies.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>MEDICAL STAFF PRIVILEGES</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>In general, both the Beaver and Sewickley campuses have an open medical staff and</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>privileges are granted to qualified physicians who meet established criteria. There</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>are, however, certain departments and/or services that are closed due to contractual</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>arrangements with third party providers. Four departments are closed. The emergency</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>room department is closed to physicians who are employed by the Organization,</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>and to physicians otherwise contracted by the Organization. For</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>the departments of radiology, pathology and anesthesiology, the Organization</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>has exclusive contracts with the contracting physician groups, and thus,</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>privileges in these departments are limited to those physicians who have a contractual</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>relationship with the group. In addition, the Organization has an exclusive</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>contract with a third party provider for the provision of hospitalist services at the</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Beaver campus and has exclusive contracts with third party providers for the provision</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>of telemedicine stroke services at each of the campuses.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Quality Improvements in Patient Care</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Quality, Patient Safety, and Customer Satisfaction are defined as strategic</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>imperatives in our the Organization. Compliance with National Patient Safety Goals</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>exceeds 98% and CMS Core Measure compliance exceeds exceeds 99%. Core Measures are actively managed</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>with enhanced reporting and engagement of nursing and physician staff. Performance improvement</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>initiatives are ongoing in the areas of infection control, patient safety, and the</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>customer experience. A renewed focus on service excellence culminated in the</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>recruitment of the Organization's first Manager of Customer Experience.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Consistent year-over-year improvement is being demonstrated on the Organizations balanced</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>scorecard across all facets of Quality, Safety, and Customer Satisfaction.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>INVESTMENTS IN FACILITIES AND EQUIPMENT</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>---The Organization has a significant capital budget, of approximately $30</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>million annually, primarily funded by operating margins.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>---Both foundations support facility enhancements and equipment purchases.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>The Sewickley Valley Hospital Foundation supports initiatives</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>such as the purchase of Cardiology and Operating Room equipment.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Renovations of the Maternity Ward and educational equipment</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>for the School of Nursing.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Heritage Valley Beaver Foundation supports initiatives such as</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>the purchase of cardiology and pediatric equipment.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Renovations to the Education Center and a Van for the Clinic.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>MEDICAL EDUCATION</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>The Organization has a Family Practice Residency Program in Beaver Falls,</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>with an associated clinic, and a School of Nursing in Moon Township. Both</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>affiliated foundations offer Nursing School scholarships.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>COMMUNITY HEALTH SERVICES</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Community Health Services is a robust set of programs and services that focus</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>on families and individuals suffering from chronic illnesses.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>The benefits of these programs are demonstrated through</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>clinical outcomes that relate to healthy living and improved functioning:</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>---Pediatric Asthma</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>---Diabetes</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>---Pregnancy Health Services (Designed for high-risk pregnancies)</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>---Community Advanced Illness (Palliative care for end of life services).</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>---Childhood obesity</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>---LifeSmart (pre-diabetes/obesity)</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>---Smoking Cessation</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>---Community Outreach Services</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>---Community Crisis Counseling</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>These services are supported through Grants from the Foundations.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 6</Identifier>
        <Explanation>Part VI Line 7: The Organization is a wholly owned subsidiary of</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Heritage Valley Health System, Inc. and provides inpatient and</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>outpatient health care and related services to the residents of Beaver</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>County, PA, and Northwestern Allegheny County, PA, and the surrounding</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>areas through its two acute care hospitals: Heritage Valley, Beaver</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>and Heritage Valley,Sewickley.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>The Organization is part of an independent, community-based</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>health system, unaffiliated with any other health care system.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>The roles of the Organization and its affiliated foundations are</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>documented elsewhere in this form. The contracted physician practices</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>also participate in community health improvement efforts. Several</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>physicians participated in the diabetes clinical program and several</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>have met certain criteria to be identified under the NCQA's diabetes</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>physician recognition program. Also, one of the senior pediatricians</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>in Tri-State Pediatric Associates is a champion for the</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Organization's childhood obesity program.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt V Sec B 19d</Identifier>
        <Explanation>Uninsured individuals are expected to pay the equivalent</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>of the Medicaid DRG case rate payment for inpatient accounts</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>and 45% of charges for outpatient accounts.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt V Sec B 4</Identifier>
        <Explanation>Heritage Valley Sewickley</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt V Sec B 4</Identifier>
        <Explanation>Heritage Valley Beaver</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt V Sec B 20d</Identifier>
        <Explanation>Maximum amount charged to Inpatients is Medical Assistance Rates.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Maximum amount charged to Outpatients is 45% of total charges.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt V Sec B 7</Identifier>
        <Explanation>RATIONALE FOR COMMUNITY HEALTH NEEDS NOT ADDRESSED</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>It is understood that in order to be the most effective and make the greatest impact,</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>that not all community needs can be addressed at once. The Organization will continue to provide excellent</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>quality of care and health literacy education to meet the wide array of health needs present</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>among county residents. To allocate resources in an effort to impact the most pressing needs,</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>the five key priority areas were identified.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>It is important to emphasize the criteria-driven approach that went into the selection</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>of the priority issues. While the seriousness of the issue and ability to impact</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>were the primary criteria for the quantitative ratings, additional criteria were</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>included in the group discussion. These included the availability of proven best</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>practices and prevention strategies, existing expertise and resources around</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>any particular issue, and the opportunity for collective community buy-in or support</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>to rally around a health priority. As a result, the Organization and its partners</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>are confident that the prioritization process was a systematic, democratic, and thorough</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>course of action.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>In total, nine key needs/themes were identified following the interpretation of the CHNA findings.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>A rationale for exclusion of the four issues not included in the final</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>prioritized list of community needs is detailed below.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Behavioral Health: The Organization currently provides both inpatient and</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>outpatient behavioral health services to the community in collaboration with the County and</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>other local providers that specialize in specific community-based supports, such as</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>housing, case management, family support, respite care ,etc.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Resource constraints do not permit expansion of these efforts.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Drug and Alcohol Abuse: While the Organization will continue to provide supportive services to</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>the community, as appropriate, however other providers specialize in this care and are better</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>suited to address the initiatives related to drug and alcohol abuse in the community.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Maternal Health: The Organization has many successful programs related to prenatal</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>and maternal health which will continue to be offered to the community.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Community Sustainability: The Organization will continue to support environmental</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>responsibility and will encourage safe neighborhoods.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>The Organization does not have the resources or expertise needed to influence this need.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt III Line 4</Identifier>
        <Explanation>Differences between amounts reimbursed and normal billing rates are charged to</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>provisions for contractual allowances as a reduction to net patient service</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>revenue. Accounts receivable are further reduced by an allowance for doubtful</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>accounts. In evaluating the collectibiilty of accounts receivable,</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>the Organization analyzes its past history and identifies trends for each of its major payor</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>sources of patient service revenue to estimate the appropriate allowance for doubtful</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>accounts and provision for bad debts. Management regularly reviews data about these major payor</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>sources of patient service revenue in evaluating the sufficiency of the allowance</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>for doubtful accounts. For receivables associated with services provided to patients</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>who have third-party coverage, the Organization analyzes contractually due amounts</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>and provides an allowance for doubtful accounts and a provision for bad debts, if</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>necessary. For receivables associated with self-pay patients, which includes both</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>patients without insurance and patients with deductible and copayment balances due for which</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>third-party coverage exists for part of the bill, the Organization records a provision for bad</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>debts in the period of service on the basis of its past experience, which</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>indicates that many patients are unable or unwilling to pay the portion of</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>their bill for which they are financially responsible. The difference between the standard rates</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>or the discounted rates according to the Organization's charity care policy and the amounts actually</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>collected after all reasonable collection efforts have been exhausted is charged off</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>against the allowance for doubtful accounts.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="00000007" softwareId="12000225">
      <RecordsMaintained>true</RecordsMaintained>
      <TotalNbrOf501C3AndGovtGrants>0</TotalNbrOf501C3AndGovtGrants>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>Tuition Reimbursement</TypeOfGrant>
        <NumberOfRecipients>21</NumberOfRecipients>
        <AmountOfCashGrant>67781</AmountOfCashGrant>
        <MethodOfValuation>FMV</MethodOfValuation>
        <DescriptionOfNonCashAssistance>N/A</DescriptionOfNonCashAssistance>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>Educational Assistance</TypeOfGrant>
        <NumberOfRecipients>88</NumberOfRecipients>
        <AmountOfCashGrant>226370</AmountOfCashGrant>
        <MethodOfValuation>FMV</MethodOfValuation>
        <DescriptionOfNonCashAssistance>N/A</DescriptionOfNonCashAssistance>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>Loan Forgiveness</TypeOfGrant>
        <NumberOfRecipients>3</NumberOfRecipients>
        <AmountOfCashGrant>9000</AmountOfCashGrant>
        <MethodOfValuation>FMV</MethodOfValuation>
        <DescriptionOfNonCashAssistance>N/A</DescriptionOfNonCashAssistance>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>PHEAA/PELL Grants</TypeOfGrant>
        <NumberOfRecipients>79</NumberOfRecipients>
        <AmountOfCashGrant>153400</AmountOfCashGrant>
        <MethodOfValuation>FMV</MethodOfValuation>
        <DescriptionOfNonCashAssistance>N/A</DescriptionOfNonCashAssistance>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIV>
        <Identifier>Pt I Line 2</Identifier>
        <Explanation>Educational Assistance is granted to active, eligible full-time and part-time</Explanation>
      </Form990ScheduleIPartIV>
      <Form990ScheduleIPartIV>
        <Explanation>employees. Current and future educational, training and staffing needs</Explanation>
      </Form990ScheduleIPartIV>
      <Form990ScheduleIPartIV>
        <Explanation>of the Organization are taken into consideration when granting educational assistance.</Explanation>
      </Form990ScheduleIPartIV>
      <Form990ScheduleIPartIV>
        <Explanation>The grade report for employees receiving educational assistance must show a grade of "C" or better</Explanation>
      </Form990ScheduleIPartIV>
      <Form990ScheduleIPartIV>
        <Explanation>for Undergraduate and a "B" or better for Graduate level courses.</Explanation>
      </Form990ScheduleIPartIV>
      <Form990ScheduleIPartIV>
        <Identifier>Pt I Line 2</Identifier>
        <Explanation>Loan Forgiveness - Scholarships are provided to individuals who are entering or those who are</Explanation>
      </Form990ScheduleIPartIV>
      <Form990ScheduleIPartIV>
        <Explanation>presently enrolled in Nursing School to obtain their RN License. The</Explanation>
      </Form990ScheduleIPartIV>
      <Form990ScheduleIPartIV>
        <Explanation>applicant mut submit proof of acceptance into Nursing School, copies of</Explanation>
      </Form990ScheduleIPartIV>
      <Form990ScheduleIPartIV>
        <Explanation>invoices, and proof of final grades maintaining at least a 2.0 GPA.</Explanation>
      </Form990ScheduleIPartIV>
      <Form990ScheduleIPartIV>
        <Explanation>Scholarship recipients are contractually bound to certain employment</Explanation>
      </Form990ScheduleIPartIV>
      <Form990ScheduleIPartIV>
        <Explanation>stipulations and if these obligations are not met, the scholarship must be repaid.</Explanation>
      </Form990ScheduleIPartIV>
      <Form990ScheduleIPartIV>
        <Identifier>Pt I Line 2</Identifier>
        <Explanation>Tuition Reimbursement - Provided to candidates employed as RNs by the</Explanation>
      </Form990ScheduleIPartIV>
      <Form990ScheduleIPartIV>
        <Explanation>Organization who are enrolled in the Penn State BSN Program. The</Explanation>
      </Form990ScheduleIPartIV>
      <Form990ScheduleIPartIV>
        <Explanation>receipient must be in good employment standing, and must submit proof of</Explanation>
      </Form990ScheduleIPartIV>
      <Form990ScheduleIPartIV>
        <Explanation>grades with at least a 2.0 GPA and invoice for tuition. Recipients are bound</Explanation>
      </Form990ScheduleIPartIV>
      <Form990ScheduleIPartIV>
        <Explanation>to certain employment stipulations, and if obligations are not met, the</Explanation>
      </Form990ScheduleIPartIV>
      <Form990ScheduleIPartIV>
        <Explanation>payment may be pro-rated.</Explanation>
      </Form990ScheduleIPartIV>
      <Form990ScheduleIPartIV>
        <Identifier>Pt I Line 2</Identifier>
        <Explanation>Pell is title IV funds provided by the Dept. of Education.</Explanation>
      </Form990ScheduleIPartIV>
      <Form990ScheduleIPartIV>
        <Explanation>PHEAA is state grant funds provided by PA.</Explanation>
      </Form990ScheduleIPartIV>
      <Form990ScheduleIPartIV>
        <Explanation>All funds are credited to student accounts.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="00000008">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>NORMAN F MITRY</NamePerson>
        <BaseCompensationFilingOrg>562116</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>9423</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>31147</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>602686</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>RICHARD C HOGAN MD</NamePerson>
        <CompBasedOnRelatedOrgs>311350</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>7500</OtherCompensationRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>18815</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>337665</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JAMES SCIBILIA MD</NamePerson>
        <CompBasedOnRelatedOrgs>337636</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>150</OtherCompensationRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>25662</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>363448</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ALEXANDER VASILAKIS MD</NamePerson>
        <CompBasedOnRelatedOrgs>499999</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>42695</OtherCompensationRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>28918</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>571612</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>STEPHANIE PERRY MD</NamePerson>
        <CompBasedOnRelatedOrgs>252323</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>22500</OtherCompensationRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>11700</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>286523</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOHN LUELLEN MD</NamePerson>
        <BaseCompensationFilingOrg>371664</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>6567</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>30961</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>409192</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOHN CINICOLA MD</NamePerson>
        <BaseCompensationFilingOrg>380000</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>5501</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>28357</NontaxableBenefitsFilingOrg>
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        <NamePerson>DAVID W CARLETON</NamePerson>
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        <NamePerson>EDWIN PAGE</NamePerson>
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    <IRS990ScheduleK documentId="00000009" softwareId="12000225">
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        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>THE HOSPITAL AUTHORITY OF THE COUNTY OF BEAVER</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>251247712</IssuerEIN>
        <CUSIPNumber>074863FX4</CUSIPNumber>
        <DateIssued>2012-01-19</DateIssued>
        <IssuePrice>72496375</IssuePrice>
        <DescriptionOfPurpose>Refund Issue Dated 08/4/1998</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
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        <BondReferenceCd>A</BondReferenceCd>
        <AmountRetired>5855000</AmountRetired>
        <TotalProceeds>72496375</TotalProceeds>
        <IssuanceCostsFromProceeds>840042</IssuanceCostsFromProceeds>
        <OtherSpentProceeds>71656333</OtherSpentProceeds>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
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      <Form990ScheduleKPartIV>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiled>false</Form8038TFiled>
        <RebateNotDueYet>true</RebateNotDueYet>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>true</WrittenProcToMonitorReqs>
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      <Form990ScheduleKPartV>
        <BondReferenceCd>A</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>true</ProcToUndertkCorrectiveAction>
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      <Form990ScheduleKPartVI>
        <Explanation>Part II, Column A, Line 11: The other spent proceeds relate to the</Explanation>
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      <Form990ScheduleKPartVI>
        <Explanation>refunding proceeds of the issue.</Explanation>
      </Form990ScheduleKPartVI>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="00000010" softwareId="12000225">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>LINDA MARSHALLRN</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>sister in law of Board member</Relationship>
        <AmountOfTransaction>34793</AmountOfTransaction>
        <DescriptionOfTransaction>Registered Nurse for Hospital</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV Line 1</Identifier>
        <Explanation>Linda Marshall is sister in law of VMF board member Joan Marshall</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Explanation>Linda worked for Heritage Valley, Sewickley as an R.N.</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="00000011" softwareId="12000225">
      <GeneralExplanation>
        <Identifier>Pt VI, Line 6</Identifier>
        <Explanation>Heritage Valley Health System is the sole member of Valley Medical Facilities</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI, Line 7a</Identifier>
        <Explanation>the Sole Member, Heritage Valley Health System, appoints the members of the governing body.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI, Line 7b</Identifier>
        <Explanation>the Sole Member, Heritage Valley Health System, acting by and through its Board of Directors</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>have exclusive power to:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>1. Elect all members to the Corporation's Board of Directors,</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>with right to remove the elected Directors, with or without cause;</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>2. Amend or approve amendments to the Corporation's</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Articles of Incorporation or Bylaws;</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>3. Approve any voluntary dissolution, merger or consolidation of the Corpoartion; and</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>4. Approve the creation or acquisition of any subsidiary or affiliate.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI, Line 11b</Identifier>
        <Explanation>A draft of the completed Form 990 and all</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>associated forms is made available electronically to all Board of</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Directors Members and Senior Management for review and comment prior to</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>filing with the Internal Revenue Service (IRS). The Board of Directors</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>has delegated the responsibility for review and approval of the Form 990 to the</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Finance Committee of the Board, which meets, reviews, and approves the</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990 prior to filing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI, Line 12c</Identifier>
        <Explanation>Certain non-merit employees with job responsibilities</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>that provide an opportunity to influence business decisions are required</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>to sign the Conflict of Interest form annually. These Conflict of Interest</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>statements are reviewed annually by the Department Director and System</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Director for Corporate Compliance to determine if a conflict exists.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part IX, Line 24f</Identifier>
        <Explanation>TELEPHONE 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Any potential conflicts are referred to the appropriate Vice President and</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Human Resources to confirm and resolve the conflict.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>For Merit Employees, Conflict of Interest statements are reviewed annually by</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>the Department Manager, Vice President or CEO. Any potential conflicts are</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>managed by the CEO.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Other Potentially Interested Parties, such as Board Members, Officers and</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Highly Compensated employees sign a statement annually which affirms such</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>person has received a copy of the Conflict of Interest Policy, has read and</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>understands the policy, has agreed to comply with the policy, and</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>understands that the Organization is a charitable organization and that in</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>order to maintain its Federal Tax Exemption it must engage primarily in</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>activities which accomplish one or more of its tax exempt purposes. The</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Chairperson of the Board reviews annually a summary of the disclosure</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>statements so that the Board Members are familiar with potential conflicts.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI, Line 12c</Identifier>
        <Explanation>Section B Line 14- The Organization has a record retention policy which</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>provides for the retention of business and medical records, including destruction.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI, Line 15a</Identifier>
        <Explanation>Based on operational performance, there were no increases</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI, Line 15b</Identifier>
        <Explanation>provided to the Organization's CEO or other members of</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>the Senior Management Team during this timeframe.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>In addition, there was no review conducted by independent persons.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI, Line 19</Identifier>
        <Explanation>The Organization publishes condensed financial</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>statements for public use on its website www.heritagevalley.org.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Governing documents and policies, including conflicts of interest,</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>are made available upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt XI</Identifier>
        <Explanation>Line #5. Other changes in net assets. Changes in restricted net assets.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Pension obligation adjustment</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt XII, Line 2c</Identifier>
        <Explanation>The Organization has a committee that assumes</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>responsibility for oversight of audit, review, or compilation of its</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>financial statement and selection of an independent accountant.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI, Line 2</Identifier>
        <Explanation>Mary Kirsch, CPA, Board Member of the Organization</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>is a Senior Financial Manager of Simio, LLC</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>of which Dennis Pedgen, another Board Member of the Organization</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>owns more than 35%.</Explanation>
      </GeneralExplanation>
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          <BusinessNameLine1>HERITAGE VALLEY SEWICKLEY FOUNDATION</BusinessNameLine1>
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          <AddressLine1>420 ROUSER ROAD</AddressLine1>
          <City>MOON TOWNSHIP</City>
          <State>PA</State>
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          <City>BEAVER</City>
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          <City>BEAVER</City>
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          <City>MOON TOWNSHIP</City>
          <State>PA</State>
          <ZIPCode>15108</ZIPCode>
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          <BusinessNameLine1>HERITAGE VALLEY HEALTH SYSTEM</BusinessNameLine1>
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        <PrimaryActivity>Surgery Center</PrimaryActivity>
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          <BusinessNameLine1>HERITAGE VALLEY HEALTH SYSTEM</BusinessNameLine1>
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          <City>MOON TOWNSHIP</City>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HERITAGE VALLEY MEDICAL GROUP INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>420 ROUSER ROAD</AddressLine1>
          <City>MOON TOWNSHIP</City>
          <State>PA</State>
          <ZIPCode>15108</ZIPCode>
        </AddressUS>
        <EIN>251775949</EIN>
        <PrimaryActivity>PHYSICIAN PRACTICE</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>HERITAGE VALLEY HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>TRI-STATE GYNECOLOGY INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>420 ROUSER ROAD SUITE 201</AddressLine1>
          <City>MOON TOWNSHIP</City>
          <State>PA</State>
          <ZIPCode>15108</ZIPCode>
        </AddressUS>
        <EIN>841647473</EIN>
        <PrimaryActivity>PHYSICIAN PRACTICE</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>HERITAGE VALLEY HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HERITAGE VALLEY INSURANCE COMPANY</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressForeign>
          <AddressLine1>PO BOX 1051</AddressLine1>
          <City>GRAND CAYMAN</City>
          <Country>CJ</Country>
        </AddressForeign>
        <PrimaryActivity>PROFESSIONAL LIABILITY CAPTIVE</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>HERITAGE VALLEY HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>false</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>