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      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Pt XIII Line 4b</Identifier>
        <Explanation>Other Adjustments: Restricted Fund Expenses tax provisions of ASC 740 as of July 1, 2010. There was no material impact as a result of the adoption. VMF does not have any material uncertain tax positions. VMF does not expect a material change</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Pt XIII Line 4b</Identifier>
        <Explanation>IN THE ASC 740 UNCERTAIN TAX POSITIONS IN THE NEXT 12 MONTHS. OF THE BOARD OF DIRECTORS. THE MAJORITY OF THESE FUNDS ARE HELD IN THE MASTER TRUST. THE REMAINING FUNDS ARE IN THE CHECKING AND MONEY MARKET ACCOUNTS. ALL INTEREST, REALIZED GAINS/LOSSES, AND UNREALIZED GAINS/LOSSES ASSOCIATED WITH THESE FUNDS REMAIN AS BOARD DESIGNATED FUNDS. DONOR RESTRICTED SPECIFIC PURPOSE FUNDS ARE COMPOSED OF BOTH TEMPORARY AND PERMANENTLY RESTRICTED FUNDS. ALL FUNDS EARN INTEREST, REALIZED GAINS/LOSSES, AND UN</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="00000006" softwareId="10000104">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent400>X</Pcent400>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>6703185</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>6703185</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01770</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>34355986</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>21284424</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>13071562</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03460</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>41059171</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>21284424</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>19774747</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05230</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>202891</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>124963</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>77928</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>1441453</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>997058</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>444395</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00120</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>524730</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>400414</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>124316</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00030</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>2169074</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1522435</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>646639</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00170</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>43228245</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>22806859</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>20421386</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05400</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <PhysicalImprovementsAndHousing>
        <TotalCommunityBuildingExpense>3245</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>3245</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </PhysicalImprovementsAndHousing>
      <EconomicDevelopment>
        <TotalCommunityBuildingExpense>92885</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>92885</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </EconomicDevelopment>
      <Other>
        <TotalCommunityBuildingExpense>81319</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>81319</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </Other>
      <Total>
        <TotalCommunityBuildingExpense>177449</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>177449</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00040</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
      <BadDebtExpenseAmount>5955856</BadDebtExpenseAmount>
      <AmountAttributableTo>2977928</AmountAttributableTo>
      <AmountReimbursedByMedicare>157610121</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>163225481</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-5615360</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>
      </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>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>HERITAGE VALLEY BEAVER</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <CHNAConducted>true</CHNAConducted>
        <CommunityDefinition>X</CommunityDefinition>
        <HowDataObtained>X</HowDataObtained>
        <CommunityHealthNeeds>X</CommunityHealthNeeds>
        <NeedsAssessmentConducted>09</NeedsAssessmentConducted>
        <TakeIntoAccount>true</TakeIntoAccount>
        <OtherFacilities>true</OtherFacilities>
        <CHNAWidelyAvailable>false</CHNAWidelyAvailable>
        <AdoptImplementStrategy>X</AdoptImplementStrategy>
        <ExecuteImplementStrategy>X</ExecuteImplementStrategy>
        <AllNeedsAddressed>false</AllNeedsAddressed>
        <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>
        <PermitReportToCreditAgency>X</PermitReportToCreditAgency>
        <CollectionActivities>true</CollectionActivities>
        <ReportToCreditAgency>X</ReportToCreditAgency>
        <NotifyUponAdmission>X</NotifyUponAdmission>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>HERITAGE VALLEY SEWICKLEY</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>2</HospitalFacilityNumber>
        <CHNAConducted>true</CHNAConducted>
        <CommunityDefinition>X</CommunityDefinition>
        <HowDataObtained>X</HowDataObtained>
        <CommunityHealthNeeds>X</CommunityHealthNeeds>
        <NeedsAssessmentConducted>09</NeedsAssessmentConducted>
        <TakeIntoAccount>true</TakeIntoAccount>
        <OtherFacilities>true</OtherFacilities>
        <CHNAWidelyAvailable>false</CHNAWidelyAvailable>
        <AdoptImplementStrategy>X</AdoptImplementStrategy>
        <ExecuteImplementStrategy>X</ExecuteImplementStrategy>
        <AllNeedsAddressed>false</AllNeedsAddressed>
        <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>
        <PermitReportToCreditAgency>X</PermitReportToCreditAgency>
        <CollectionActivities>true</CollectionActivities>
        <ReportToCreditAgency>X</ReportToCreditAgency>
        <NotifyUponAdmission>X</NotifyUponAdmission>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>12</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</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>280 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>Outpatient Surgery</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SEWICKLEY - HERITAGE VALLEY OPEN MRI AND LABORATORY DRAW SITE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>ROBINSON PLAZA THREE SUITE 210B PAR</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>Psychiatric Services</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>Pt I Line 3c</Identifier>
        <Explanation>Part 1. Line 3C: The Organization provides charity care to</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt I Line 3c</Identifier>
        <Explanation>qualifying individuals and families based on a sliding scale, using</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt I Line 3c</Identifier>
        <Explanation>Federal Health &amp; Human Services Poverty Guidelines accounting for family</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt I Line 3c</Identifier>
        <Explanation>size at 300% of the poverty level for free care, a 75% discount for</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt I Line 3c</Identifier>
        <Explanation>families at 350%, a 50% discount for families at 400%</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt I Line 3c</Identifier>
        <Explanation>and a 25% discount for families at 450%</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt I Line 6a</Identifier>
        <Explanation>Part 1 Line 6a See attached Community Benefit Report.</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 III Line 4</Identifier>
        <Explanation>There is no bad debt footnote required for the financial statements</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt III Line 4</Identifier>
        <Explanation>audited by Deloitte &amp; Touche LLP. Cost of bad debts in Lines 2 and 3 is</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt III Line 4</Identifier>
        <Explanation>based on calculations of cost to charges applied to bad debt charges.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt III Line 8</Identifier>
        <Explanation>The Organization believes the entire shortfall of reimbursement</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt III Line 8</Identifier>
        <Explanation>versus cost ($5,615,360) should be considered community benefit</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt III Line 8</Identifier>
        <Explanation>since it results in a loss therefore lessening government burden. Costs associated with</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt III Line 8</Identifier>
        <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>
        <Identifier>Pt III Line 9b</Identifier>
        <Explanation>reference to the fact that patients are provided several options,</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt III Line 9b</Identifier>
        <Explanation>one of which being the application for Charity Care in satisfying the</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt III Line 9b</Identifier>
        <Explanation>outstanding balance of their account. If the patient pursues Charity</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt III Line 9b</Identifier>
        <Explanation>Care, there is a separate policy detailing the steps</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt III Line 9b</Identifier>
        <Explanation>required to qualify for Charity Care.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 2</Identifier>
        <Explanation>The Organization assesses community health care needs</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 2</Identifier>
        <Explanation>in several ways. Utilization of services, especially inpatient and</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 2</Identifier>
        <Explanation>emergency department, are reviewed at least annually to determine the top</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 2</Identifier>
        <Explanation>reasons for admission/seeking care. Available health statistics data is</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 2</Identifier>
        <Explanation>reviewed at least annually from the Pennsylvania Department of Health to</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 2</Identifier>
        <Explanation>measure the status of health conditions in Beaver and Allegheny Counties</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 2</Identifier>
        <Explanation>including data on performance compared to Healthy People in 2010.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 2</Identifier>
        <Explanation>Administration is in continuing dialogue with its Medical Staff and other</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 2</Identifier>
        <Explanation>health professionals regarding community health needs.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 2</Identifier>
        <Explanation>Periodically the organization holds a strategic planning process</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 2</Identifier>
        <Explanation>for selected service lines. Previous strategic clinical planning study</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 2</Identifier>
        <Explanation>groups have included the topics of diabetes care, breast health, emergency</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 2</Identifier>
        <Explanation>services and cardiology. In 2009, the Organization completed a</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 2</Identifier>
        <Explanation>Community Health Needs Assessment. The assessment included 600 household</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 2</Identifier>
        <Explanation>telephone surveys conducted by an area market research firm with</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 2</Identifier>
        <Explanation>additional input gathered from patients, employees, medical staff,</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 2</Identifier>
        <Explanation>citizens and management. The assessment affirmed the Organizations's</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 2</Identifier>
        <Explanation>current Community Health Services and indicated some additional areas to</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 2</Identifier>
        <Explanation>consider for expansion.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 3</Identifier>
        <Explanation>The Organization is committed to assisting all self</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 3</Identifier>
        <Explanation>pay patients in applying for State Medicaid. Currently the Organization</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 3</Identifier>
        <Explanation>engages a third party service to interview and complete the Medicaid</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 3</Identifier>
        <Explanation>application on all patients admitted with no health insurance.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 3</Identifier>
        <Explanation>During the application process, patients are made aware of the Charity Care</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 3</Identifier>
        <Explanation>Program in the event they are denied State Medicaid. The financial</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 3</Identifier>
        <Explanation>information obtained during this process is used in determining if the</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 3</Identifier>
        <Explanation>patients qualify for the Charity Care Program.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 3</Identifier>
        <Explanation>If the patient is denied for Medicaid, they receive monthly statements</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 3</Identifier>
        <Explanation>reflecting the outstanding balance owed. The Organization makes the</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 3</Identifier>
        <Explanation>patients aware of the Charity Care Program on the back side of all self pay</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 3</Identifier>
        <Explanation>patient statements. The statement directs all inquiries regarding Charity</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 3</Identifier>
        <Explanation>Care to the Patient Accounting Department. The patients are provided with</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 3</Identifier>
        <Explanation>the guidelines of the program at the point they contact Patient Accounting.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 3</Identifier>
        <Explanation>This phone call usually results in the application along with the current</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 3</Identifier>
        <Explanation>guidelines being mailed to the patient for completion.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 3</Identifier>
        <Explanation>In addition, reference to the Charity Care Program is included in the</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 3</Identifier>
        <Explanation>"Patient Guide" which is provided to all patients admitted.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>Service Area &amp; Population - the Organization serves</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>residents in the Western Pennsylvania counties of Allegheny, Beaver, Butler</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>and Lawrence; Columbiana County in Eastern Ohio; and the panhandle</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>of West Virginia. Our primary service area includes all of Beaver County,</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>Northwestern Allegheny County, Southwestern Butler County, Southern</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>Lawrence County, Eastern Columbiana County (Ohio), and Hancock and Brooke</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>Counties (West Virginia). The population in our primary service</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>area is approximately 458,000 people. The area is predominantly</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>surburban although it includes towns, boroughs and rural areas.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>Selected Demographic Statistics</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>Beaver County is emphasized as a plurality of the Organization's patients</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>are residents of this county.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>The percentage of those 65 and older ranges from a low of 15.3% in</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>Butler County to a high of 19.4% in Brooke County; Beaver County is 18.3%,</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>substantially higher than the United States average of 12.9%.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>Median household income ranges from a low of $39,004 in Columbiana</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>County to a high of $54,803 in Butler County; Beaver County is $44,557.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>substantially lower than the United States average of $50,221.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>The percentage of those below the poverty level ranges froma low of</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>8.9% in Butler County to a high of 16.4% in Columbiana County; Beaver</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>County is 11.5%, substantially lower than the United States average of 14.3%.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>Uninsured adults ranges from a low of 9% in Allegheny and Butler</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>Counties to a high of 26% in Columbiana County; Beaver County is 12%</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>In Summary, the Organization's service area is older and less affluent</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>than the United States average but the percentage at or below the poverty level is</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>lower as the National Average includes inner cities.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>In Fiscal 2010, Medicaid was 7.0 Percent of net patient revenue at the</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>Sewickley Campus and 6.4 percent at the Beaver Campus for a Weighted</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>Average of 6.6 Percent. This is typical for most suburban service areas.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>In our community health needs assessment survey, 9.3% of the adult</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>respondents stated that they did not have health insurance coverage of some</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>kind. In comparison, 13% of Pennsylvania adults reported no health</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>insurance. However, the Pennsylvania result is for adults aged 18 to 64,</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>while the needs assessment included some people over age 60, of whom only</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>4% reported not having health insurance of some kind. Rates of adults</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>without health insurance are expected to climb until unemployment levels</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>decrease when the current economic recession starts to abate.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>Medically Underserved Areas (MUAS) &amp; Medically Underserved Populations (MUPS)</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>MUAS in the Organization's primary service area include:</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>Beaver Falls (Part)</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>Bridgewater</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>Aliquippa (Part)</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>Coraopolis</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>Mars</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>MUPS in the Organizations's service area include:</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 4</Identifier>
        <Explanation>Columbiana County-Medicaid eligible population.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>Executive Summary- During Fiscal 2011, the Organization</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>participated in over ninety activities providing community benefit.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>A selection of these activities included:</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>*Participated in eight (8) major health fairs providing free</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>screenings &amp; health information.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>*Presented health &amp; wellness information, including mental health</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>issues, at various school &amp; community group events.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>*Sponsored five (5) monthly support groups and working with six (6)</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>other monthly support groups.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>*Provided manikins to local first responder organizations for CPR</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>Certification activities.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>*Day of caring participants - value of donated time - $6,916.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>*Participated in local school career days.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>*Provided free clinical services or donating medical equipment to</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>several community not-for-profit organizations.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>The organization also subsidizes various programs that benefit both the</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>health and well being of the patients in the communities we serve and the</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>students seeking to further their education in the health services field.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>Examples of these programs include:</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>Family Medicine and Family Planning Clinics</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>School of Nursing</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>COMMUNITY HEALTH EDUCATION &amp; OUTREACH</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>*Maternal &amp; Child health staff at Heritage Valley, Sewickley-conducted</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>over fifteen (15) sessions of different prenatal education topics</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>and also provided support groups for pregnancy loss and new mothers.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>*Staff of the Community Health Services Department participated in</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>forty-seven (47) health fairs/education sessions.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>*Car Seats are rented at discounted rates to parents in</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>need for safe transport of newborns.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>*Family Medicine Residents provided free physicals and provided</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>health education on smoking avoidance and sex education.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>*The Hospital Division Laboratory provided three hundred sixty eight (368) legal alcohol test for area</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>police departments and alsoassisted with student high school projects and community health fairs.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>*Womens's Health Center staff performed approximately six-hundred seventy-five</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>(675) osteoporosis health screenings at nineteen (19) community</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>events or for patients and visitors at the Women's Health Center.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>*The Sterile Processing Department lends manikins to local</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>fire departments, EMS units and police for CPR certification activities.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>*Nutrition services staff participated in twelve (12)</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>community events.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>*School of Nursing faculty and staff provided over six</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>hundred and forty (640) hours of community service at</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>twenty-five (25) events.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>*Management and staff from several departments participated in</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>local school career days; the organization was a participant</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>in the Ground Hog Job Shadow Day.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>*Heritage Valley-Beaver Laboratory services worked with</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>high school students on science fair projects.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>*Community groups use the conference center/education center</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>at the hospitals for meetings; the pro-rated facility</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>cost of these meetings was $17,939.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>COMMUNITY-BASED CLINICAL SERVICES</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>*The Family Medicine Clinic (Beaver Falls) conducts free</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>physicals for the foster grandparent program.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>*The Laboratory provided legal alcohol tests for area police departments at a testing cost of</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>$3,496 and also spent $295 in supply costs for assisting with student high</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>school projects and community health fairs for a total expense of $3,791.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>HEALTHCARE SUPPORT SERVICES</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>*The Organization sponsors or works directly with five (5) support</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>groups that meet monthly at an Organization Hospital or in the</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>community; the Organization is involved in another six (6) support groups</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>that meet monthly in various community settings.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>DONATIONS TO NOT-FOR-PROFIT ORGANIZATIONS</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>*Payments to local municipalities (in lieu of taxes) - $59,000</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>*Donation of a parcel of land on the Beaver Campus for the</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>Brighton Township Volunteer Fire Department at a cost of $3,245.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>*The Organization sponsored events held by community</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>not-for-profit organizations and donated $62,500 to these</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>organizations (net of value received.)</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>*Donation to Cameos of Caring - $5,530.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>*Donation of Various equipment and supplies valued</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>at $18,528, to third world countries.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>*Donation of an overhead projector to St. Anne School.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>MEDICAL EDUCATION</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>*---SCHOOL OF NURSING SUBSIDY - $412,897</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>The Organization serves as a site for numerous health</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>and adminstrative/professional internships and administrating nursing</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>students from Community College of Beaver County, Robert Morris</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>University and Kent State who use the Organization as a site for clinical</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>training with no tuition or monetary reimbursement. Coordination</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>of these unpaid internships requires approximately 900 hours</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>of staff time, valued at $31,498.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>SUBSIDIZED HEALTH SERVICES</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>*Family Medicine Clinic &amp; Family Planning Clinic (Beaver Falls)</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>- $124,316 loss. (excluding estimated Medicaid &amp;</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>Medicare underpayments separately reported)</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>*Nutritional Counseling Services are subsidized - $77,928</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>The Organization is committed to offering a robust range of services to meet</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>community needs; therefore some services such as Emergency Department</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>services &amp; Maternal/Child Health services are operated with significant</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>subsidies.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>MEDICAL STAFF PRIVILEGES</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>*Both the Beaver and Sewickley campuses have open medical staffs and</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>privileges are granted to qualified physicians who meet established</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>criteria.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>*Only four departments have contractual arrangements so that</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>physicians with privileges must belong to the contracting physician group:</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>Emergency Deparment, Radiology, Pathology and Anesthesia. These are 'hospital-based'</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>physician specialties and such contractual arrangements are typical. All</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>other departments are open to independent, qualified applicants.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>IMPROVEMENTS IN PATIENT CARE AND MEDICAL EDUCATION</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>*The Organization funds improvements in patient care and medical</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>education in two ways: operating margin and grants from the two affiliated</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>foundations. There are several means used by the Organization to improve</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>patient care and support medical education:</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>----Qualified improvements for patient care, including Six</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>Sigma/Lean Six Sigma methodology.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>----Investment in facilities and equipment</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>----support of medical education</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>----support of community health services</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>QUALITY IMPROVEMENTS IN PATIENT CARE</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>The Organization has trained 120 people, including several physicians, in</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>the Six Sigma/Lean Six Sigma quality improvement methodology and they have</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>completed successful projects so they are now deemed "black belts" in this</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>method. Some patient care performance highlights, as measured on the</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>Organizations' Strategic Performance Index (balanced scorecard) include:</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>*High levels of compliance to national patient safety goals</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>and CMS measures(98% and 97%, respectively).</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>*A patient fall rate of 1.8 per 1,000 patient</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>days that has declined from 2.1 in fiscal year 2008,</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>*and a hospital acquired infection index of 1.2% which has</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>decreased from 1.3% in fiscal year 2008.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>INVESTMENTS IN FACILITIES AND EQUIPMENT</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>---The Organization has a significant capital budget, of approximately $30</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>million annually, primarily funded by operating margins.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>---Both foundations support facility enhancements and equipment</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>The Heritage Valley Sewickley Foundation supports the</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>purchase of maternity and infant care equipment</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>and educational equipment for the School of Nursing.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>Heritage Valley Beaver Foundation supports the purchase of</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>cardiology and pediatric equipment.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>MEDICAL EDUCATION</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>The Organization has a family practice residency program in Beaver Falls,</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>with an associated clinic, and a School of Nursing in Moon Township. Both</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>affiliated foundations offer Nursing School scholarships.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>COMMUNITY HEALTH SERVICES</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>The Organization has a robust set of community health services</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>which include:</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>---PEDIATRIC ASTHMA</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>---DIABETES</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>---PREGNANCY HEALTH SERVICES</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>---THE COMMUNITY ADVANCED ILLNESS PROGRAM (A Palliative care</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>program for people at the end of life).</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>---A pilot program in childhood obesity operated in partnersip with the</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>Quaker Valley School District and the Sewickley Valley YMCA and has been</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>expanded to the Beaver and Rochester School Districts in Beaver County</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>in partnership with the Beaver County YMCA.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>These services are supported through Grants from the Foundations. Also</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt II</Identifier>
        <Explanation>nutritional services counseling is a program subsidized from operating funds.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 7</Identifier>
        <Explanation>Part VI Line 7: The Organization is a wholly owned subsidiary of</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 7</Identifier>
        <Explanation>Heritage Valley Health System, Inc. and provides inpatient and</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 7</Identifier>
        <Explanation>outpatient health care and related services to the residents of Beaver</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 7</Identifier>
        <Explanation>County, PA, and Northwestern Allegheny County, PA, and the surrounding</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 7</Identifier>
        <Explanation>areas through its two acute care hospitals: Heritage Valley, Beaver</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 7</Identifier>
        <Explanation>and Heritage Valley,Sewickley.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 7</Identifier>
        <Explanation>The Organization is part of an independent, community-based</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 7</Identifier>
        <Explanation>health system, unaffiliated with any other health care system.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 7</Identifier>
        <Explanation>The roles of the Organization and its affiliated foundations are</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 7</Identifier>
        <Explanation>documented elsewhere in this form. The contracted physician practices</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 7</Identifier>
        <Explanation>also participate in community health improvement efforts. Several</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 7</Identifier>
        <Explanation>physicians participated in the diabetes clinical program and several</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 7</Identifier>
        <Explanation>have met certain criteria to be identified under the NCQA's diabetes</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 7</Identifier>
        <Explanation>physician recognition program. Also, one of the senior pediatricians</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 7</Identifier>
        <Explanation>in Tri-State Pediatric Associates is a champion for the</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt VI Line 7</Identifier>
        <Explanation>Organization's childhood obesity program.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt V Sec B 3</Identifier>
        <Explanation>Community input was gathered in 2 ways. 600 telephone surveys were</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt V Sec B 3</Identifier>
        <Explanation>conducted by a research firm of adults in the service area, selected at random;</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt V Sec B 3</Identifier>
        <Explanation>83 members of the public answered a short version of the survey</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt V Sec B 3</Identifier>
        <Explanation>through the health system's website.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt V Sec B 7</Identifier>
        <Explanation>It is not possible for the Organization to address every need of the</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt V Sec B 7</Identifier>
        <Explanation>Community. See attached Community Benefit Report for a description</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt V Sec B 7</Identifier>
        <Explanation>of services provided to the Community.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt V Sec B 19d</Identifier>
        <Explanation>Uninsured individuals are expected to pay the equivalent</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt V Sec B 19d</Identifier>
        <Explanation>of the Medicare DRG case rate payment for inpatient accounts</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt V Sec B 19d</Identifier>
        <Explanation>or 45% of charges for outpatient accounts which represents</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt V Sec B 19d</Identifier>
        <Explanation>the average collection rate for Medicare 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 I Line 3c</Identifier>
        <Explanation>Part I Line 3a should be marked as Other and the percentage</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt I Line 3c</Identifier>
        <Explanation>is 300% and Part 1 Line 3b should be marked as Other and</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Pt I Line 3c</Identifier>
        <Explanation>the percentage is 450%. Software issue prevented marking correctly.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="00000007" softwareId="10000104">
      <RecordsMaintained>true</RecordsMaintained>
      <TotalNbrOf501C3AndGovtGrants>0</TotalNbrOf501C3AndGovtGrants>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>Tuition Reimbursement</TypeOfGrant>
        <NumberOfRecipients>22</NumberOfRecipients>
        <AmountOfCashGrant>120072</AmountOfCashGrant>
        <MethodOfValuation>FMV</MethodOfValuation>
        <DescriptionOfNonCashAssistance>N/A</DescriptionOfNonCashAssistance>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>Educational Assistance</TypeOfGrant>
        <NumberOfRecipients>136</NumberOfRecipients>
        <AmountOfCashGrant>296474</AmountOfCashGrant>
        <MethodOfValuation>FMV</MethodOfValuation>
        <DescriptionOfNonCashAssistance>N/A</DescriptionOfNonCashAssistance>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>Loan Forgiveness</TypeOfGrant>
        <NumberOfRecipients>5</NumberOfRecipients>
        <AmountOfCashGrant>15000</AmountOfCashGrant>
        <MethodOfValuation>FMV</MethodOfValuation>
        <DescriptionOfNonCashAssistance>N/A</DescriptionOfNonCashAssistance>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>PHEAA/PELL Grants</TypeOfGrant>
        <NumberOfRecipients>82</NumberOfRecipients>
        <AmountOfCashGrant>160729</AmountOfCashGrant>
        <MethodOfValuation>FMV</MethodOfValuation>
        <DescriptionOfNonCashAssistance>N/A2</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>
        <Identifier>Pt I Line 2</Identifier>
        <Explanation>employees. Current and future educational, training and staffing needs</Explanation>
      </Form990ScheduleIPartIV>
      <Form990ScheduleIPartIV>
        <Identifier>Pt I Line 2</Identifier>
        <Explanation>of the Organization are taken into consideration when granting educational assistance.</Explanation>
      </Form990ScheduleIPartIV>
      <Form990ScheduleIPartIV>
        <Identifier>Pt I Line 2</Identifier>
        <Explanation>The grade report for employees receiving educational assistance must show a grade of "C" or better</Explanation>
      </Form990ScheduleIPartIV>
      <Form990ScheduleIPartIV>
        <Identifier>Pt I Line 2</Identifier>
        <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>
        <Identifier>Pt I Line 2</Identifier>
        <Explanation>presently enrolled in Nursing School to obtain their RN License. The</Explanation>
      </Form990ScheduleIPartIV>
      <Form990ScheduleIPartIV>
        <Identifier>Pt I Line 2</Identifier>
        <Explanation>applicant mut submit proof of acceptance into Nursing School, copies of</Explanation>
      </Form990ScheduleIPartIV>
      <Form990ScheduleIPartIV>
        <Identifier>Pt I Line 2</Identifier>
        <Explanation>invoices, and proof of final grades maintaining at least a 2.0 GPA.</Explanation>
      </Form990ScheduleIPartIV>
      <Form990ScheduleIPartIV>
        <Identifier>Pt I Line 2</Identifier>
        <Explanation>Scholarship recipients are contractually bound to certain employment</Explanation>
      </Form990ScheduleIPartIV>
      <Form990ScheduleIPartIV>
        <Identifier>Pt I Line 2</Identifier>
        <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>
        <Identifier>Pt I Line 2</Identifier>
        <Explanation>Organization who are enrolled in the Penn State BSN Program. The</Explanation>
      </Form990ScheduleIPartIV>
      <Form990ScheduleIPartIV>
        <Identifier>Pt I Line 2</Identifier>
        <Explanation>receipient must be in good employment standing, and must submit proof of</Explanation>
      </Form990ScheduleIPartIV>
      <Form990ScheduleIPartIV>
        <Identifier>Pt I Line 2</Identifier>
        <Explanation>grades with at least a 2.0 GPA and invoice for tuition. Recipients are bound</Explanation>
      </Form990ScheduleIPartIV>
      <Form990ScheduleIPartIV>
        <Identifier>Pt I Line 2</Identifier>
        <Explanation>to certain employment stipulations, and if obligations are not met, the</Explanation>
      </Form990ScheduleIPartIV>
      <Form990ScheduleIPartIV>
        <Identifier>Pt I Line 2</Identifier>
        <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>
        <Identifier>Pt I Line 2</Identifier>
        <Explanation>PHEAA is state grant funds provided by PA.</Explanation>
      </Form990ScheduleIPartIV>
      <Form990ScheduleIPartIV>
        <Identifier>Pt I Line 2</Identifier>
        <Explanation>All funds are credited to student accounts.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="00000008">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>true</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>490002</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>9423</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>30431</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>529856</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>529513</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>RICHARD HOGAN MD</NamePerson>
        <CompBasedOnRelatedOrgs>311500</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>17256</OtherCompensationRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>13029</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>341785</TotalCompensationRelatedOrgs>
        <CompReportPrior990RelatedOrgs>329579</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JAMES SCIBILIA MD</NamePerson>
        <CompBasedOnRelatedOrgs>392562</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>400</OtherCompensationRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>22829</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>415791</TotalCompensationRelatedOrgs>
        <CompReportPrior990RelatedOrgs>415772</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ALEXANDER VASILAKIS MD</NamePerson>
        <CompBasedOnRelatedOrgs>500000</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>27054</OtherCompensationRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>22829</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>549883</TotalCompensationRelatedOrgs>
        <CompReportPrior990RelatedOrgs>493571</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>J ZDUNEK DO</NamePerson>
        <CompBasedOnRelatedOrgs>200000</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>99150</OtherCompensationRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>10012</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>309162</TotalCompensationRelatedOrgs>
        <CompReportPrior990RelatedOrgs>269408</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DANIEL BROOKS MD</NamePerson>
        <BaseCompensationFilingOrg>275000</BaseCompensationFilingOrg>
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        <TotalCompensationFilingOrg>237661</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>222776</CompReportPrior990FilingOrg>
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        <OtherCompensationFilingOrg>4230</OtherCompensationFilingOrg>
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        <OtherCompensationFilingOrg>6058</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>25777</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>241836</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>241614</CompReportPrior990FilingOrg>
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        <NamePerson>KATHY HARLEY</NamePerson>
        <BaseCompensationFilingOrg>175000</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>13462</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>22165</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>210627</TotalCompensationFilingOrg>
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        <NamePerson>LINDA HOMYK</NamePerson>
        <BaseCompensationFilingOrg>150001</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>11539</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>27956</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>189496</TotalCompensationFilingOrg>
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        <NamePerson>JOHN CINICOLA MD</NamePerson>
        <BaseCompensationFilingOrg>321923</BaseCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>11274</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>333197</TotalCompensationFilingOrg>
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        <NamePerson>JOHN LUELLEN MD</NamePerson>
        <BaseCompensationFilingOrg>348696</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>34112</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>30105</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>412913</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>383089</CompReportPrior990FilingOrg>
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        <NamePerson>THOMAS PANGBURN MD</NamePerson>
        <BaseCompensationFilingOrg>321868</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>38563</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>30105</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>390536</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>411936</CompReportPrior990FilingOrg>
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        <NamePerson>DAVID THIMONS DO</NamePerson>
        <BaseCompensationFilingOrg>355592</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>2196</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>17055</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>374843</TotalCompensationFilingOrg>
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        <NamePerson>RONALD D LECKEY MD</NamePerson>
        <BaseCompensationFilingOrg>285991</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>48647</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>30023</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>364661</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>360023</CompReportPrior990FilingOrg>
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        <NamePerson>EDWIN H PAGE MD</NamePerson>
        <BaseCompensationFilingOrg>270310</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>38433</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>28237</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>336980</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>350559</CompReportPrior990FilingOrg>
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        <NamePerson>ROSEMARY M NOLAN</NamePerson>
        <BaseCompensationFilingOrg>211539</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>130983</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>18023</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>360545</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>299057</CompReportPrior990FilingOrg>
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        <NamePerson>PETER MANOLUKAS DO</NamePerson>
        <CompBasedOnRelatedOrgs>139253</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>56425</OtherCompensationRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>5037</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>200715</TotalCompensationRelatedOrgs>
        <CompReportPrior990RelatedOrgs>295259</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>JOHN CY WRIGHT MD</NamePerson>
        <CompBasedOnRelatedOrgs>436990</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>4400</OtherCompensationRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>22829</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>464219</TotalCompensationRelatedOrgs>
        <CompReportPrior990RelatedOrgs>675881</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>GEORGE BRETT III MD</NamePerson>
        <CompBasedOnRelatedOrgs>152092</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>11170</OtherCompensationRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>212</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>163474</TotalCompensationRelatedOrgs>
        <CompReportPrior990RelatedOrgs>406878</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>JAMES S MEDITCH JR MD</NamePerson>
        <CompBasedOnRelatedOrgs>285203</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>1350</OtherCompensationRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>22829</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>309382</TotalCompensationRelatedOrgs>
        <CompReportPrior990RelatedOrgs>275481</CompReportPrior990RelatedOrgs>
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        <Identifier>Pt I Line 4a</Identifier>
        <Explanation>Former COO was paid a severance package.</Explanation>
      </Form990ScheduleJPartIII>
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      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>SEE SUPPLEMENTAL INFORMATION</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>see supplemental information</Relationship>
        <DescriptionOfTransaction>see supplemental information</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
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        <Explanation>A. Name of Interested Person</Explanation>
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        <Identifier>Part IV</Identifier>
        <Explanation>B. Relationship between interested person and the organization</Explanation>
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        <Identifier>Part IV</Identifier>
        <Explanation>C. Amount of Transaction</Explanation>
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        <Identifier>Part IV</Identifier>
        <Explanation>D. Description of Transaction</Explanation>
      </Form990ScheduleLPartV>
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        <Identifier>Part IV</Identifier>
        <Explanation>E. Sharing of Organization Revenues? (Y or N)</Explanation>
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        <Identifier>Part IV</Identifier>
        <Explanation>1. a - James Scibilia, M.D.</Explanation>
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        <Identifier>Part IV</Identifier>
        <Explanation>b - Board Director of Valley Medical Facilities</Explanation>
      </Form990ScheduleLPartV>
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        <Identifier>Part IV</Identifier>
        <Explanation>c - $0</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>d - James Scibilia is a board member of Tri-State Pediatric Associates, Inc. -</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>The listed for item C above represents payment by Valley Medical Facilities to Tri-State Pediatric Associates, Inc. for services rendered.</Explanation>
      </Form990ScheduleLPartV>
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        <Identifier>Part IV</Identifier>
        <Explanation>e - NO</Explanation>
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        <Identifier>Part IV</Identifier>
        <Explanation>2. a - J. Zdunek, D.O.</Explanation>
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        <Identifier>Part IV</Identifier>
        <Explanation>b - Board Director of Valley Medical Facilities</Explanation>
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        <Identifier>Part IV</Identifier>
        <Explanation>c - $315,252</Explanation>
      </Form990ScheduleLPartV>
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        <Identifier>Part IV</Identifier>
        <Explanation>d - J. Zdunek is a board member of Tri-State Medical Group, Inc. -</Explanation>
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        <Identifier>Part IV</Identifier>
        <Explanation>The listed for item C above represents payment by Valley Medical Facilities to Tri-State Medical Group, Inc. for services rendered.</Explanation>
      </Form990ScheduleLPartV>
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        <Identifier>Part IV</Identifier>
        <Explanation>e - NO</Explanation>
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        <Identifier>Part IV</Identifier>
        <Explanation>3. a - Richard Hogan, M.D.</Explanation>
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      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>b - Board Director of Valley Medical Facilities</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>c - $0</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>d - Richard Hogan is a board member of Sewickley Valley Medical Group, Inc. -</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>The listed for item C above represents payment by Valley Medical Facilities to Sewickley Valley Medical Group, Inc. for services rendered.</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>e - NO</Explanation>
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        <Identifier>Part IV</Identifier>
        <Explanation>4. a - Garry Hogan</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>b - Board Director of Valley Medical Facilities</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>c - $315,252</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>d - Garry Hogan is a board member of Tri-State Medical Group, Inc. -</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>The listed for item C above represents payment by Valley Medical Facilities to Tri-State Medical Group, Inc. for services rendered.</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>e - NO</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>5. a - Garry Hogan</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>b - Board Director of Valley Medical Facilities</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>c - $0</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>d - Garry Hogan is a board member of Sewickley Valley Medical Group, Inc. -</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>The listed for item C above represents payment by Valley Medical Facilities to Sewickley Valley Medical Group, Inc. for services rendered.</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>e - NO</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>6. a - Norman F. Mitry</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>b - Board Director of Valley Medical Facilities</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>c - $315,252</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>d - Norman F. Mitry is a board member of Tri-State Medical Group, Inc. -</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>The listed for item C above represents payment by Valley Medical Facilities to Tri-State Medical Group, Inc. for services rendered.</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>e - NO</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>7. a - Norman F. Mitry</Explanation>
      </Form990ScheduleLPartV>
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        <Identifier>Part IV</Identifier>
        <Explanation>b - Board Director of Valley Medical Facilities</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>c - $0</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>d - Norman F. Mitry is a board member of Sewickley Valley Medical Group, Inc. -</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>The listed for item C above represents payment by Valley Medical Facilities to Sewickley Valley Medical Group, Inc. for services rendered.</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>e - NO</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>8. a - Norman F. Mitry</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>b - Board Director of Valley Medical Facilities</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>c - $0</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>d - Norman F. Mitry is a board member of Tri-State Pediatric Associates, Inc. -</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>The listed for item C above represents payment by Valley Medical Facilities to Tri-State Pediatric Associates, Inc. for services rendered.</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>e - NO</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>9. a - Norman F. Mitry</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>b - Board Director of Valley Medical Facilities</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>c - $0</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>d - Norman F. Mitry is a board member of Tri-State Obstetrics &amp; Gynecology Associates, Inc. -</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>The listed for item C above represents payment by Valley Medical Facilities to Tri-State Obstetrics &amp; Gynecology Associates, Inc. for services rendered.</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>e - NO</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>10. a - Alexander Vasilakis, M.D.</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>b - Board Director of Valley Medical Facilities</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>c - $315,252</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>d - Alexander Vasilakis is a board member of Tri-State Medical Group, Inc. -</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>The listed for item C above represents payment by Valley Medical Facilities to Tri-State Medical Group, Inc. for services rendered.</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>e - NO</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>11. a - Mary Kirsch, CPA</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>b - Board Director of Valley Medical Facilities</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>c - $0</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>d - Mary Kirsch, CPA is a Senior Financial Manager of Simio, LLC</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>of which Dennis Pedgen, another Board Member of Valley Medical</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>Facilities, owns more than 35%.</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>e - NO</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>12. a - Marcia Ferrero</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>b - Key Employee of Valley Medical Facilities</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>c - $2,650,000</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>d - Marcia Ferrero's spouse is a board member and full partner of Western Pennsylvania</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>Anesthesia Assoc. which Valley Medical Facilities pays for services rendered.</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>Part IV</Identifier>
        <Explanation>e - NO</Explanation>
      </Form990ScheduleLPartV>
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        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>73028</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </RealEstateCommercial>
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>true</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>true</ThirdPartiesUsed>
      <Form990ScheduleMPartII>
        <Identifier>Pt I Line 32b</Identifier>
        <ReturnReference>Form 990</ReturnReference>
        <Explanation>Related corporation are the Foundations that solicit contributions</Explanation>
      </Form990ScheduleMPartII>
    </IRS990ScheduleM>
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      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>A. Name of Interested Person</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>B. Relationship between interested person and the organization</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>C. Amount of Transaction</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>D. Description of Transaction</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>1. a - James Scibilia, M.D.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>b - Board Director of Valley Medical Facilities</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>c - $0</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>d - James Scibilia is a board member of Tri-State Pediatric Associates, Inc. -</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>The listed for item C above represents payment by Valley Medical Facilities to Tri-State Pediatric Associates, Inc. for services rendered.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>e - NO</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>2. a - J. Zdunek, D.O.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>b - Board Director of Valley Medical Facilities</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>c - $315,252</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>d - J. Zdunek is a board member of Tri-State Medical Group, Inc. -</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>The listed for item C above represents payment by Valley Medical Facilities to Tri-State Medical Group, Inc. for services rendered.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>e - NO</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>3. a - Richard Hogan, M.D.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>b - Board Director of Valley Medical Facilities</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>c - $0</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>d - Richard Hogan is a board member of Sewickley Valley Medical Group, Inc. -</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>The listed for item C above represents payment by Valley Medical Facilities to Sewickley Valley Medical Group, Inc. for services rendered.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>4. a - Garry Hogan</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>b - Board Director of Valley Medical Facilities</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>c - $315,252</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>d - Garry Hogan is a board member of Tri-State Medical Group, Inc. -</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>The listed for item C above represents payment by Valley Medical Facilities to Tri-State Medical Group, Inc. for services rendered.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part IX, Line 24f</Identifier>
        <Explanation>TELEPHONE 937087. 937087. 0. 0. POSTAGE AND SHIPPING 274769. 274769. 0. 0. FEES, ADMIN AND OTHER 3623994. 3614038. 9956. 0. DUES 296418. 250557. 45861. 0.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>5. a - Garry Hogan</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>b - Board Director of Valley Medical Facilities</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>c - $0</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>d - Garry Hogan is a board member of Sewickley Valley Medical Group, Inc. -</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>The listed for item C above represents payment by Valley Medical Facilities to Sewickley Valley Medical Group, Inc. for services rendered.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>6. a - Norman F. Mitry</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>b - Board Director of Valley Medical Facilities</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>c - $315,252</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>d - Norman Mitry is a board member of Tri-State Medical Group, Inc. -</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>The listed for item C above represents payment by Valley Medical Facilities to Tri-State Medical Group, Inc. for services rendered.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>7. a - Norman F. Mitry</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>b - Board Director of Valley Medical Facilities</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>c - $0</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>d - Norman Mitry is a board member of Sewickley Valley Medical Group, Inc. -</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>The listed for item C above represents payment by Valley Medical Facilities to Sewickley Valley Medical Group, Inc. for services rendered.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>8. a - Norman F. Mitry</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>b - Board Director of Valley Medical Facilities</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>c - $0</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>d - Norman Mitry is a board member of Tri-State Pediatric Associates, Inc. -</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>The listed for item C above represents payment by Valley Medical Facilities to Tri-State Pediatric Associates, Inc. for services rendered.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>9. a - Norman F. Mitry</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>b - Board Director of Valley Medical Facilities</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>c - $0</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>d - Norman Mitry is a board member of Tri-State Obstetrics &amp; Gynecology Associates, Inc. -</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>The listed for item C above represents payment by Valley Medical Facilities to Tri-State Obstetrics &amp; Gynecology Associates, Inc. for services rendered.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>10. a - Alexander Vasilakis, M.D.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>b - Board Director of Valley Medical Facilities</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>c - $315,252</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>d - Alexander Vasilakis is a board member of Tri-State Medical Group, Inc. -</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>The listed for item C above represents payment by Valley Medical Facilities to Tri-State Medical Group, Inc. for services rendered.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>11. a - Mary Kirsch, CPA</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>b - Board Director of Valley Medical Facilities</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>c - $0</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>d - Mary Kirsch, CPA is a Senior Financial Manager of Simio, LLC</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>of which Dennis Pedgen, another board member of Valley</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>Medical Facilities, owns more than 35%.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>12. a - Marcia Ferrero</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>b - Key Employee of Valley Medical Facilities</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>c - $2,650,000</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>d - Marcia Ferrero's spouse is a board member and full partner of Western Pennsylvania</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 2</Identifier>
        <Explanation>Anesthesia Assoc. which Valley Medical Facilities pays for services rendered.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 6</Identifier>
        <Explanation>Valley Medical Facilities (VMF) is owned 100% by</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 6</Identifier>
        <Explanation>Heritage Valley Health System (The System), its Parent Company. The</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 6</Identifier>
        <Explanation>System has the right to participate in selected management decisions.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 7a</Identifier>
        <Explanation>VMF is owned 100% by Heritage</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 7a</Identifier>
        <Explanation>Valley Health System (The System), its Parent Company. The System has</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 7a</Identifier>
        <Explanation>the right to participate in selected management decisions.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 7b</Identifier>
        <Explanation>VMF is owned 100% by Heritage</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 7b</Identifier>
        <Explanation>Valley Health System (The System), its Parent Company. The System has</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-A, Line 7b</Identifier>
        <Explanation>the right to participate in selected management decisions.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 11a</Identifier>
        <Explanation>A draft of the completed Form 990 and all</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 11a</Identifier>
        <Explanation>associated forms is made available electronically to all Board of</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 11a</Identifier>
        <Explanation>Directors Members and Senior Management for review and comment prior to</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 11a</Identifier>
        <Explanation>filing with the Internal Revenue Service (IRS). The Board of Directors</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 11a</Identifier>
        <Explanation>has delegated the responsibility for review and approval of the Form 990 to the</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 11a</Identifier>
        <Explanation>Finance Committee of the Board, which meets, reviews, and approves the</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 11a</Identifier>
        <Explanation>Form 990 prior to filing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 12c</Identifier>
        <Explanation>Certain non-merit employees with job responsibilities</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 12c</Identifier>
        <Explanation>that provide an opportunity to influence business decisions are required</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 12c</Identifier>
        <Explanation>to sign the Conflict of Interest form annually. These Conflict of Interest</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 12c</Identifier>
        <Explanation>statements are reveiwed annually be the Department Director and System</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 12c</Identifier>
        <Explanation>Director for Corporate Compliance to determine if a conflict exists.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 12c</Identifier>
        <Explanation>Any potential conflicts are referred to the appropriate Vice President and</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 12c</Identifier>
        <Explanation>Human Resources to confirm and resolve the conflict.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 12c</Identifier>
        <Explanation>For Merit Employees, Conflict of Interest statements are reviewed annually by</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 12c</Identifier>
        <Explanation>the Department Manager, Vice President or CEO. Any potential conflicts are</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 12c</Identifier>
        <Explanation>managed by the CEO.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 12c</Identifier>
        <Explanation>Other Potentially Interested Parties, such as Board Members, Officers and</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 12c</Identifier>
        <Explanation>Highly Compensated employees sign a statement annually which affirms such</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 12c</Identifier>
        <Explanation>person has received a copy of the Conflict of Interest Policy, has read and</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 12c</Identifier>
        <Explanation>understands the policy, has agreed to comply with the policy, and</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 12c</Identifier>
        <Explanation>understands that the Organization is a charitable organization and that in</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 12c</Identifier>
        <Explanation>order to maintain its Federal Tax Exemption it must engage primarily in</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 12c</Identifier>
        <Explanation>activities which accomplish one or more of its tax exempt purposes. The</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 12c</Identifier>
        <Explanation>Chairperson of the Board reviews annually a summary of the disclosure</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 12c</Identifier>
        <Explanation>statements so that the Board members are familiar with potential conflicts.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 12c</Identifier>
        <Explanation>Section B Line 14- The Organization has a record retention policy which</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 12c</Identifier>
        <Explanation>provides for the retention of business and medical records, including destruction.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 15</Identifier>
        <Explanation>There was no review conducted by independent</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-B, Line 15</Identifier>
        <Explanation>persons as no increases were provided during this time period.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-C, Line 19</Identifier>
        <Explanation>The Organization publishes condensed financial</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-C, Line 19</Identifier>
        <Explanation>statements for public use on its website www.heritagevalley.org.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-C, Line 19</Identifier>
        <Explanation>Governing documents and policies, including conflicts of interest,</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI-C, Line 19</Identifier>
        <Explanation>are made available upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt XII, Line 2c</Identifier>
        <Explanation>Part XI, Line 2C - The Organization has a committee that assumes</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt XII, Line 2c</Identifier>
        <Explanation>responsibility for oversight of audit, review, or compilation of its</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt XII, Line 2c</Identifier>
        <Explanation>financial statement and selection of an independent accountant.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt XI</Identifier>
        <Explanation>Line #5. Other changes in net assets. Changes in restricted net assets.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VII, Col (E)</Identifier>
        <Explanation>Part VII Section A Estimate of Average Hours per week</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VII, Col (E)</Identifier>
        <Explanation>devoted to related organizations. See attached Document</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VII, Col (E)</Identifier>
        <Explanation>Schedule D Part XI-line 8 see supplemental attachments.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VII, Col (E)</Identifier>
        <Explanation>Schedule H part V. The last Needs Assessment was done</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VII, Col (E)</Identifier>
        <Explanation>in 2009. At that time there was not the requirement to</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VII, Col (E)</Identifier>
        <Explanation>make it available to the public. That was passed at a</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VII, Col (E)</Identifier>
        <Explanation>later date. The next Needs Assessment performed will be</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VII, Col (E)</Identifier>
        <Explanation>made available to the public.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="00000012" softwareId="10000104">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HERITAGE VALLEY SEWICKLEY FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>420 ROUSER ROAD</AddressLine1>
          <City>MOON TOWNSHIP</City>
          <State>PA</State>
          <ZIPCode>15108</ZIPCode>
        </AddressUS>
        <EIN>251801533</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)3</ExemptCodeSection>
        <PublicCharityStatus>11C</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HERITAGE VALLEY BEAVER FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>420 ROUSER ROAD</AddressLine1>
          <City>MOON TOWNSHIP</City>
          <State>PA</State>
          <ZIPCode>15108</ZIPCode>
        </AddressUS>
        <EIN>251441516</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)3</ExemptCodeSection>
        <PublicCharityStatus>11C</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HERITAGE VALLEY HEALTH SYSTEM INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1000 DUTCH RIDGE ROAD</AddressLine1>
          <City>BEAVER</City>
          <State>PA</State>
          <ZIPCode>15009</ZIPCode>
        </AddressUS>
        <EIN>251441518</EIN>
        <PrimaryActivities>PARENT SUPPORTING ORG</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)3</ExemptCodeSection>
        <PublicCharityStatus>11C</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VALLEY MEDICAL FACILITIES INC WORKERS COMPENSATION TRUST FUND</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>420 ROUSER ROAD</AddressLine1>
          <City>MOON TOWNSHIP</City>
          <State>PA</State>
          <ZIPCode>15108</ZIPCode>
        </AddressUS>
        <EIN>251463381</EIN>
        <PrimaryActivities>Provide Worker's Compensation Benefits</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)3</ExemptCodeSection>
        <PublicCharityStatus>11C</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>TRI-STATE OBSTETRICS &amp; GYNECOLOGY</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>420 ROUSER ROAD</AddressLine1>
          <City>MOON TOWNSHIP</City>
          <State>PA</State>
          <ZIPCode>15108</ZIPCode>
        </AddressUS>
        <EIN>251776052</EIN>
        <PrimaryActivity>PHYSICIAN PRACTICE</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <TypeOfEntity>C</TypeOfEntity>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>TRI-STATE PEDIATRIC ASSOCIATES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>420 ROUSER ROAD</AddressLine1>
          <City>MOON TOWNSHIP</City>
          <State>PA</State>
          <ZIPCode>15108</ZIPCode>
        </AddressUS>
        <EIN>251775950</EIN>
        <PrimaryActivity>PHYSICIAN PRACTICE</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <TypeOfEntity>C</TypeOfEntity>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SEWICKLEY VALLEY MEDICAL GROUP INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>420 ROUSER ROAD</AddressLine1>
          <City>MOON TOWNSHIP</City>
          <State>PA</State>
          <ZIPCode>15108</ZIPCode>
        </AddressUS>
        <EIN>251717258</EIN>
        <PrimaryActivity>PHYSICIAN PRACTICE</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <TypeOfEntity>C</TypeOfEntity>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HERITAGE VALLEY HEALTH 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>
        <TypeOfEntity>C</TypeOfEntity>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>TRI-STATE 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>
        <TypeOfEntity>C</TypeOfEntity>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>TRI-STATE GYNECOLOGY</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>420 ROUSER ROAD</AddressLine1>
          <City>MOON TOWNSHIP</City>
          <State>PA</State>
          <ZIPCode>15108</ZIPCode>
        </AddressUS>
        <EIN>841647473</EIN>
        <PrimaryActivity>PHYSICIAN PRACTICE</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <TypeOfEntity>C</TypeOfEntity>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <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>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HERITAGE VALLEY SEWICKLEY FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>c l</TransactionType>
        <AmountInvolved>779038</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HERITAGE VALLEY BEAVER FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>c l</TransactionType>
        <AmountInvolved>1058681</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HERITAGE VALLEY HEALTH SYSTEM INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>r</TransactionType>
        <AmountInvolved>762211</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>