2026-05-15T20:57:26-05:00 2024-06-30 135565207 KPMG LLP 1735 MARKET STREET PHILADELPHIA PA 191032499 990 2023-07-01 237218917 MONONGAHELA VALLEY HOSPITAL INC MONO 7242581000 1163 COUNTRY CLUB ROAD MONONGAHELA PA 15063 DOUGLAS WINNER CFO 7242581000 2026-05-15 1 0 PHILLIP E GROFF P01247783 2672567000 2023 2025-03-06 01:10:19Z PENN HIGHLANDS MON VALLEY JOSH LAFLEUR 1163 COUNTRY CLUB ROAD MONONGAHELA PA 15063 126595636 0 X WWW.PHHEALTHCARE.ORG X 1972 PA TO ENHANCE THE HEALTH OF THE RESIDENTS OF THE MID-MONONGAHELA VALLEY AREA. 8 7 1003 20 1363830 17095 1055772 673086 121194880 124201347 -8685056 28232 935073 879374 114500669 125782039 0 0 0 0 51759956 52560870 0 0 0 74129405 80345006 125889361 132905876 -11388692 -7123837 147849590 176485013 99318282 117781447 48531308 58703566 THE MISSION OF PENN HIGHLANDS MON VALLEY IS TO ENHANCE THE HEALTH OF THE RESIDENTS OF THE MID-MONONGAHELA VALLEY AREA BY PROVIDING OUTSTANDING HEALTHCARE SERVICES. 0 0 118211733 122837517 THE HOSPITAL WORKS TO ACHIEVE ITS MISSION BY MAINTAINING SUITABLE FACILITIES WITHIN THE CARROLL TOWNSHIP, WASHINGTON COUNTY, PENNSYLVANIA VICINITY FOR THE PROVISION OF HEALTHCARE. MON VALLEY HOSPITAL HAS BEEN DEDICATED AND COMMITTED TO ALWAYS STRIVE FOR HIGH QUALITY NEEDS FOR INPATIENT AND OUT PATIENT CARE. THE MON VALLEY HOSPITAL IS DEDICATED TO HAVE UPDATED TECHNOLOGY TO CONTINUE TO PROVIDE HIGH QUALITY CARE FOR ALL PATIENT NEEDS. THE HOSPITAL CONFRONTED THE ISSUES REQUIRED TO ENHANCE THE HEALTH AND WELFARE OF THE RESIDENTS OF THE COMMUNITY BY PROVIDING QUALITY HEALTHCARE REGARDLESS OF ETHNIC BACKGROUND, AGE OR ABILITY TO PAY, ALL WHILE MAINTAINING A HIGH DEGREE OF RESPONSIVENESS TO CHANGES, PARTICULARY THE COMMUNITY. 118211733 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 101 0 1 1003 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 8 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 PA X IAN PETROSKY 7242581000 1163 COUNTRY CLUB ROAD MONONGAHELA PA 15063 PETER ADAMO PRESIDENT 38.00 2.00 X X 0 370402 16250 SP HEWIE CHAIR 1.00 1.00 X X 0 0 0 LINDA K HORRELL VICE CHAIR 1.00 1.00 X X 0 0 0 KEVIN M LEE TREASURER 1.00 1.00 X X 0 0 0 MARK D MCGINLEY SECRETARY 1.00 1.00 X X 0 0 0 BRADLEY M BASSI DIRECTOR 1.00 1.00 X 0 0 0 R CARLYN BELCZYCK DIRECTOR 1.00 1.00 X 0 0 0 DAVID T HUNTER DIRECTOR 1.00 1.00 X 0 0 0 JEFF M KOTULA DIRECTOR 1.00 1.00 X 0 0 0 RG KRISHNAN MD DIRECTOR 1.00 1.00 X 0 0 0 KURT R SALVATORI DIRECTOR 1.00 1.00 X 0 0 0 STEPHEN SHEARSON DIRECTOR (END 2/2024) 1.00 1.00 X 0 0 0 THOMAS A SIMON DIRECTOR (START 7/2023) 1.00 1.00 X 0 0 0 ADIL WAHEED ECHO PHYSICIAN 40.00 0.00 X 733910 0 19335 LUCIANA GUERRA HOSPITALIST 40.00 0.00 X 471180 0 14567 MILIND SINHA HOSPITALIST 40.00 0.00 X 345580 0 22927 MICHAEL DIETZ HOSPITALIST 40.00 0.00 X 340157 0 7722 BEHAVANI S KUNDETI HOSPITALIST 40.00 0.00 X 302888 0 13855 LOUIS PANZA FORMER PRESIDENT 49.40 9.10 X 534556 0 11832 2728271 370402 106488 81 1 1 0 JACKSON & COKER LOCUMTENENS PO BOX 2776638 ATLANTA GA 303847638 STAFFING SERVICES 527908 OSS INC PO BOX 249 WARREN OH 444820249 SECURITY SERVICE 514671 PITTSBURGH GASTROENTEROLOGY 2589 BOYCE PLAZA RD STE 5 PITTSBURGH PA 15241 GASTROENTEROLOGY 457500 AYA HEALTHCARE PO BOX 674907 DALLAS TX 752674907 NURSING AGENCY 432900 VOLPATT CONSTRUCTION 100 CASTLEVIEW RD PITTSBURGH PA 15234 CONSTRUCTION 372110 15 81107 591979 673086 NET PATIENT SERVICE RE 621110 115906512 115906512 OTHER REVENUE 621110 6989490 6931005 58485 FITNESS CENTER INCOME 710000 1305345 1305345 124201347 28232 28232 1061237 813597 247640 247640 247640 CAFETERIA 900099 503546 503546 MEDICAL RECORD 900099 71894 71894 PARKING GARAGE 900099 31817 31817 24477 24477 631734 125782039 122837517 1363830 907606 X 47441055 42222539 5218516 1200138 1068123 132015 379277 337557 41720 3540400 3150956 389444 44992 44992 38712 38712 19411292 17276050 2135242 5198 4626 572 7957072 7081794 875278 3086330 2746834 339496 12672 11278 1394 7412 6597 815 1510714 1344535 166179 8120514 7227257 893257 MEDICAL SUPPLIES & DRUG 21106032 18784368 2321664 PENN HIGHLANDS ASSESSME 17486042 15562577 1923465 MISCELLANEOUS EXPENSES 1452466 1292695 159771 LICENSES, DUES, SUBSCRI 105558 93947 11611 132905876 118211733 14694143 0 6462 8412 8597442 3815100 22084679 32600103 3640037 922751 916758 852755 242591805 166549219 48950530 76042586 11212337 426551 8479297 8071985 43962048 53744770 147849590 176485013 17576266 22212435 50396688 49864589 31345328 45704423 99318282 117781447 X 48531308 58703566 48531308 58703566 147849590 176485013 X -7123837 393365 16902730 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 227649432 159257585 68391847 5506214 4605029 901185 4324592 4324592 5111567 2686605 2424962 76042586 DUE FROM AFFILIATES 52985720 INVENTORY CONSIGNMENT 759050 53744770 DUE TO AFFILIATES 44544903 CAPITAL LEASE LIABILITY 1159520 45704423 X PART X, LINE 2: PENN HIGHLANDS MON VALLEY IS INCLUDED IN PENN HIGHLANDS HEALTHCARE'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THE FOLLOWING NARRATIVE IS THE FOOTNOTE FROM THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS: THE SYSTEM AND ITS SUBSIDIARIES HAVE GENERALLY BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THESE ENTITIES ARE SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE SYSTEM CONSOLIDATES CERTAIN ENTITIES, WHICH ARE ORGANIZED AS CORPORATIONS AND SUBJECT TO FEDERAL AND STATE INCOME TAXES ON RELATED INCOME. OTHER CONSOLIDATED AFFILIATES HAVE ELECTED TO BE TAXED AS A PARTNERSHIP UNDER PROVISIONS OF THE INTERNAL REVENUE CODE AND A SIMILAR SECTION OF THE STATE INCOME TAX LAW. THEREFORE, TAXABLE INCOME OR LOSS IS REPORTED TO THE INDIVIDUAL MEMBERS FOR INCLUSION IN THEIR RESPECTIVE TAX RETURNS. TO THE EXTENT THAT THE OPERATIONS OF THE PARTNERSHIP ENTITIES ARE RELATED TO THE SYSTEM'S TAX-EXEMPT PURPOSE, ITS INCOME WILL BE EXEMPT FROM INCOME TAXES. THE SYSTEM AND ITS SUBSIDIARIES ACCOUNT FOR UNCERTAIN TAX POSITIONS USING A TWO-STEP APPROACH FOR RECOGNIZING AND MEASURING TAX BENEFITS TAKEN, OR EXPECTED TO BE TAKEN, IN AN UNRELATED BUSINESS ACTIVITY TAX RETURN, AND DISCLOSURES REGARDING UNCERTAINTIES IN TAX POSITIONS. THE SYSTEM'S FOR-PROFIT CORPORATIONS RECOGNIZE DEFERRED TAX ASSETS AND LIABILITIES FOR THE FUTURE TAX IMPACT OF TEMPORARY DIFFERENCES BETWEEN AMOUNTS RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS AND THEIR RESPECTIVE TAX BASES, AND THE FUTURE BENEFIT OF UTILIZING AVAILABLE NET OPERATING LOSSES. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. INCOME TAXES OF THE SYSTEM'S TAX-EXEMPT, FOR-PROFIT AND PARTNERSHIP ENTITIES ARE RECORDED IN ACCRUED EXPENSES ON THE CONSOLIDATED BALANCE SHEET. 1 1 X 1 X 1 X 1 1 1 0 1 1 1126814 1126814 0.00850 23919317 18322926 5596391 0.04210 25046131 18322926 6723205 0.05060 1288373 1288373 0.00970 1288373 1288373 0.00970 26334504 18322926 8011578 0.06030 0 4374046 3590473 1336117 7812756 -6476639 X 1 1 1 1 MONONGAHELA VALLEY HOSPITAL 1163 COUNTRY CLUB ROAD MONONGAHELA PA 150631095 WWW.PHHEALTHCARE.ORG 137001 X X X PENN HIGHLANDS MON VALLEY 1 0 0 1 X X X X X X X X X 23 1 1 1 1 X WWW.PHHEALTHCARE.ORG/HEALTH-WELLNESS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT X 1 24 1 WWW.PHHEALTHCARE.ORG/HEALTH-WELLNESS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT 0 1 X 200.000000000000 300.000000000000 X X X X 1 1 X X X 1 X HTTPS://WWW.PHHEALTHCARE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-POLICY X HTTPS://WWW.PHHEALTHCARE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-POLICY X HTTPS://WWW.PHHEALTHCARE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-POLICY X X X X X X 1 X 0 X X X X X 1 X 0 0 PENN HIGHLANDS MON VALLEY PART V, SECTION B, LINE 5: COMMUNITY HEALTH NEEDS ASSESSMENTFOR THE TAX YEAR ENDED JUNE 30, 2024, PENN HIGHLANDS MON VALLEY CONTINUED TO ADDRESS THE SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN ITS 2021 CHNA AND IN WHICH THE IMPLEMENTATION STRATEGY PLAN (ISP) WAS ADOPTED FOR FISCAL YEARS 2022, 2023 AND 2024.THE 2024 CHNA PROCESS BEGAN IN JANUARY 2024, AND THE COLLECTION OF QUANTITATIVE AND QUALITATIVE DATA CONCLUDED IN JUNE 2024. AS PART OF THIS NEEDS ASSESSMENT, A VAST NUMBER OF RESIDENTS, EDUCATORS, GOVERNMENT AND HEALTHCARE PROFESSIONALS, AND HEALTH AND HUMAN SERVICES LEADERS IN THE PENN HIGHLANDS MON VALLEY SERVICE AREA PARTICIPATED IN THE STUDY. INFORMATION COLLECTED FROM LEADERS PROVIDED A DEEPER UNDERSTANDING OF COMMUNITY MATTERS, HEALTH EQUITY FACTORS, AND COMMUNITY NEEDS. PENN HIGHLANDS MON VALLEY COLLECTED COMMUNITY AND KEY INFORMANT SURVEYS, COMMUNITY STAKEHOLDER INTERVIEWS, AND FOCUS GROUP DATA TO ENGAGE AND CAPTURE THE COMMUNITY'S PERSPECTIVE.DATA TYPES SUCH AS COUNTY DEMOGRAPHICS AND CHRONIC DISEASE PREVALENCE WERE GATHERED FROM LOCAL, STATE, AND FEDERAL DATABASES TO COMPILE SECONDARY DATA.COMMUNITY SURVEYS, ALONG WITH STAKEHOLDER AND LOW-INCOME RESIDENT INTERVIEWS, WERE INITIATED TO GARNER PARTICIPATION FROM ALL MEMBERS RESIDING OR WORKING IN THE PRIMARY SERVICE AREA. THE DATA COLLECTED IDENTIFIED THE NEEDS, HIGH-RISK BEHAVIORS, BARRIERS, SOCIETAL ISSUES, AND CONCERNS OF THE UNDERSERVED AND VULNERABLE POPULATIONS. INFORMATION FROM FOCUS GROUPS WITH SENIORS AND HEALTHCARE PROFESSIONALS WHO INTERACT WITH RESIDENTS WITH CHRONIC CONDITIONS WAS INCLUDED IN THE COLLECTION PHASE.WHILE MULTIPLE STEPS MADE UP THE CHNA PROCESS, TRIPP UMBACH, A NATIONALLY RENOWNED HEALTHCARE CONSULTING FIRM, WORKED CLOSELY WITH WORKING GROUP MEMBERS TO COLLECT, ANALYZE, AND IDENTIFY THE RESULTS TO COMPLETE THE HOSPITAL'S ASSESSMENT.COMMUNITY LEADER INTERVIEWS: FROM FEBRUARY TO APRIL 2024, PENN HIGHLANDS MON VALLEY CONDUCTED 36 PHONE INTERVIEWS WITH COMMUNITY LEADERS FROM THE FOLLOWING PROFESSIONAL BACKGROUNDS GOVERNMENT LEADERS, PROFESSIONALS WITH ACCESS TO COMMUNITY HEALTH-RELATED DATA, PUBLIC HEALTH EXPERTS, REPRESENTATIVES OF UNDERSERVED POPULATIONS, AND SOCIAL SERVICE REPRESENTATIVES.PUBLIC COMMENTARY: FROM FEBRUARY TO APRIL 2024, TRIPP UMBACH SOLICITED COMMENTS FROM COMMUNITY STAKEHOLDERS RELATED TO THE FY21 CHNA AND ISP.COMMUNITY HEALTH SURVEY: FROM MARCH TO APRIL 2024, A SURVEY OF 1,254 RESIDENTS WAS CONDUCTED BY PENN HIGHLANDS MON VALLEY IN COLLABORATION WITH TRIPP UMBACH.FOCUS GROUPS: TWO FOCUS GROUPS WERE HELD REPRESENTING THE NORTHWEST AND SOUTHWEST REGIONS OF PENN HIGHLANDS HEALTHCARE. A GROUP OF NINE SENIORS REPRESENTING THE NORTHWEST REGION AND A GROUP OF SIX PROVIDERS OF RESIDENTS WITH CHRONIC CONDITIONS REPRESENTING THE SOUTHWEST REGION.LOW-INCOME RESIDENT INTERVIEWS: TRIPP UMBACH CONDUCTED 8 PHONE INTERVIEWS WITH LOW-INCOME RESIDENTS WHICH WAS CRITICAL IN UNDERSTANDING AND ADDRESSING THIS DEMOGRAPHIC'S UNIQUE HEALTH CHALLENGES.SECONDARY DATA REPORT: UTILIZING MULTIPLE PUBLICLY AVAILABLE REPORTS AT THE LOCAL, STATE, AND NATIONAL LEVEL, INFORMATION WAS GATHERED REGARDING: DISPARITIES, PUBLIC HEALTH PRIORITIES RELATED TO DISEASE PREVALENCE, SOCIOECONOMIC FACTORS, HEALTH OUTCOMES, AND HEALTH DETERMINANTS.PENN HIGHLANDS MON VALLEY WILL LEVERAGE ITS STRENGTHS, EXTENSIVE RESOURCES, AND BROAD OUTREACH CAPABILITIES TO COLLABORATE EFFECTIVELY WITH COMMUNITY PARTNERS. TOGETHER, PENN HIGHLANDS MON VALLEY WILL IDENTIFY AND IMPLEMENT THE MOST IMPACTFUL STRATEGIES TO ADDRESS THE UNIQUE HEALTH NEEDS OF THEIR COMMUNITIES. THIS CONCERTED EFFORT AIMS TO ENHANCE OVERALL HEALTH, ADDRESS URGENT HEALTH NEEDS, AND IMPROVE THE WELL-BEING OF RESIDENTS WITHIN THEIR SERVICE AREAS. THE CAREFUL PRIORITIZATION OF IDENTIFIED NEEDS WILL SHAPE AND DRIVE COMMUNITY HEALTH IMPROVEMENT INITIATIVES, ENSURING THAT THE PENN HIGHLANDS MON VALLEY EFFORTS BENEFIT THE RESIDENTS THEY SERVE. PENN HIGHLANDS MON VALLEY PART V, SECTION B, LINE 6A: CHNA CONDUCTED WITH OTHER HOSPITALFACILITIES:- PENN HIGHLANDS CONNELLSVILLE- PENN HIGHLANDS CLEARFIELD- PENN HIGHLANDS DUBOIS- PENN HIGHLANDS ELK- PENN HIGHLANDS HUNTINGDON- PENN HIGHLANDS MON VALLEY- PENN HIGHLANDS STATE COLLEGE- PENN HIGHLANDS TYRONE PENN HIGHLANDS MON VALLEY PART V, SECTION B, LINE 6B: - TRIPP UMBACH, A HEALTHCARE CONSULTING FIRM. PENN HIGHLANDS MON VALLEY PART V, SECTION B, LINE 11: FOR THE TAX YEAR ENDED JUNE 30, 2024, PENN HIGHLANDS MON VALLEY ADDRESSED THE SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN ITS 2021 CHNA AND IN WHICH THE IMPLEMENTATION STRATEGY PLAN WAS ADOPTED FOR FISCAL YEARS 2022, 2023 AND 2024. THE 2024 CHNA WILL BE EFFECTIVE FOR FISCAL YEARS 2025, 2026, AND 2027.SENIOR LEADERS FROM PENN HIGHLANDS MON VALLEY REVIEWED THE PREVIOUS IMPLEMENTATION STRATEGY PLAN AND REFINED AND REINFORCED KEY STRATEGIES. THEY PRIORITIZED SPECIFIC INITIATIVES AND EXPLORED WAYS TO SUSTAIN AND ENHANCE SERVICES FOR THE BROADER COMMUNITY THROUGH THE UPDATED PLAN. SENIOR LEADERSHIP FROM PENN HIGHLANDS HEALTHCARE AND PENN HIGHLANDS MON VALLEY CONTRIBUTED TO THE CHNA/ISP WORKING GROUP. MOVING FORWARD, SENIOR LEADERS WILL REGULARLY EVALUATE THE STRATEGY PLAN, MAKING ADJUSTMENTS AS NEEDED TO BETTER ALIGN WITH THE COMMUNITY'S EVOLVING HEALTH NEEDS.THE 2024 CHNA FOR PENN HIGHLANDS MON VALLEY HIGHLIGHTED THE FOLLOWING COMMUNITY NEEDS:- ACCESS TO CARE- BEHAVIORAL HEALTH; AND- CHRONIC DISEASES/CONDITIONSPENN HIGHLANDS MON VALLEY SUMMARY OF IMPLEMENTATION STRATEGY:PENN HIGHLANDS MON VALLEY HAS COMPLETED AN IMPLEMENTATION STRATEGY THAT ADDRESSES THE HOSPITAL'S IMPLEMENTATION STRATEGY TO MEET THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THIS CHNA. THE FOLLOWING IS A SUMMARY OF THAT SEPARATE, MORE COMPREHENSIVE IMPLEMENTATION STRATEGY REPORT.THE ISP REPORT AIMS TO IDENTIFY THE GOALS, OBJECTIVES, AND STRATEGIES THAT PENN HIGHLANDS MON VALLEY WILL USE TO ADDRESS THE HEALTH PRIORITIES IDENTIFIED IN THE RECENT CHNA. THE FINDINGS FROM THE CHNA WILL OUTLINE ACTIONABLE STEPS THAT HEALTHCARE ORGANIZATIONS AND THEIR COMMUNITY PARTNERS WILL TAKE TO IMPROVE HEALTH OUTCOMES. THE ISP REPORT DETAILS STRATEGIES, RESOURCES, AND PARTNERSHIPS NECESSARY TO TACKLE THE MOST PRESSING HEALTH ISSUES, ENSURING THE PROPOSED INITIATIVES ARE IMPACTFUL. TO ACCESS A COPY OF THE FULL IMPLEMENTATION STRATEGY PLAN, PLEASE GO TO HTTPS://WWW.PHHEALTHCARE.ORG/HEALTH-WELLNESS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.CHNA SIGNIFICANT HEALTH NEED: ACCESS TO CAREGOAL: IMPROVE ACCESS TO CARE FOR PENN HIGHLANDS MON VALLEY SERVICE AREA RESIDENTS.OBJECTIVES:1. OFFER WALK-IN MAMMOGRAMS EVERY WEEKDAY FOR WOMEN WITH AND WITHOUT A PRESCRIPTION.2. SCREENING/SERVICES ARE AVAILABLE AT PENN HIGHLANDS MON VALLEY FOR THE PARTICIPANTS AT THE DUCOEUR BREAST CANCER WALK.3. MAINTAIN THE BREAST IMAGING CENTER OF EXCELLENCE DESIGNATION AND CONTINUE TO PASS THE ANNUAL MAMMOGRAPHY QUALITY STANDARDS ACT (MQSA) INSPECTION.4. PROVIDE EDUCATION AND EARLY DETECTION AND TREATMENT OF PROSTATE CANCER BY PROVIDING PSA LAB DRAW AND DIGITAL RECTAL EXAM (DRE).5. CONTINUE TO OFFER AND EXPAND TRANSPORTATION TO RESIDENTS WHO NEED SHUTTLE/VAN SERVICES.PENN HIGHLANDS MON VALLEY'S AVAILABLE RESOURCES INCLUDE, PENN HIGHLANDS HEALTH PLEX IMAGING, PENN HIGHLANDS HEALTHCARE (PHH) DEPARTMENT OF MARKETING AND COMMUNICATIONS (MAR-COM), PHH MAR-COM SOUTHWEST REGION, OFFICE OF FUND DEVELOPMENT, DUCOEUR BREAST CANCER WALK COMMITTEE, OUTPATIENT MAMMOGRAPHY STAFF, PHH RADIOLOGISTS, PHH PHYSICS DEPARTMENT, PENN HIGHLANDS MON VALLEY IMAGING, PENN HIGHLANDS MON VALLEY ONCOLOGY DEPARTMENT, PENN HIGHLANDS MON VALLEY LAB SERVICES DEPARTMENT, PENN HIGHLANDS MON VALLEY UROLOGY DEPARTMENT, AND PENN HIGHLANDS MON VALLEY OUTPATIENT SERVICES.CHNA SIGNIFICANT HEALTH NEED: BEHAVIORAL HEALTHGOAL: INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES WITH A FOCUS ON DEVELOPING BEST PRACTICES TO IDENTIFY, TREAT, AND REFER PATIENTS PRESENTING WITH BEHAVIORAL HEALTH.OBJECTIVE:1. IMPLEMENT TELEHEALTH IN THE ED FOR OUR CENTRAL INTAKE. ALL PSYCHIATRIC PATIENTS WILL BE SEEN BY A MENTAL HEALTH PROVIDER PRIOR TO ADMISSION.2. IMPLEMENT TELEHEALTH FOR PSYCHIATRIC CONSULTS FOR IN-HOUSE PATIENTS.PENN HIGHLANDS MON VALLEY'S AVAILABLE RESOURCES INCLUDE, EMERGENCY DEPARTMENT AND BEHAVIORAL HEALTH DEPARTMENT.CHNA SIGNIFICANT HEALTH NEED: CHRONIC DISEASES/CONDITIONSGOAL: EXPAND AWARENESS AND SERVICES TO PROMOTE PREVENTIVE HEALTH AND WELLNESS THROUGHOUT THE COMMUNITY.OBJECTIVE:1. CONTINUE TO CONDUCT A SATISFACTION SURVEY ON DIABETES EDUCATION.2. MAINTAIN THE JOINT COMMISSION CERTIFICATION FOR INPATIENT DIABETES MANAGEMENT.3. DEVELOP STRATEGIES TO INCREASE ATTENDANCE AT DIABETES SUPPORT GROUPS.4. CONTINUE THE STROKE TELEMEDICINE PROGRAM.5. PROVIDE DIAGNOSTIC SCREENINGS TO IDENTIFY PEOPLE AT RISK FOR STROKE.6. PROVIDE GENERAL STROKE SUPPORT AND EDUCATION.7. DEVELOP AN SDOH SCREENING TOOL IN THE ELECTRONIC HEALTH RECORD TO TRACK RESPONSES TO QUESTIONS.8. SCREEN INPATIENTS 18 YEARS OR OLDER FOR HEALTH-RELATED SOCIAL NEEDS.9. PROVIDE AND DOCUMENT COMMUNITY RESOURCES GIVEN TO PATIENTS TO ASSIST WITH IDENTIFIED NEEDS.10. IMPLEMENT NETLEARNING TO EDUCATE STAFF ON SDOH AND HOW IT IMPACTS PATIENTS.11. IMPLEMENT A RESOURCE-SHARING ELEMENT AS PART OF THE PATIENT'S DISCHARGE ORDERS EFFORTS.PENN HIGHLANDS MON VALLEY'S AVAILABLE RESOURCES INCLUDE, PENN HIGHLANDS MON VALLEY (PHMV) CERTIFIED DIABETES CARE & EDUCATION SPECIALISTS (CDCES), JOINT COMMISSION DISEASE-SPECIFIC CERTIFICATION, PHMV STAFF, PHYSICIANS AND APPS, QUALITY & RISK MANAGEMENT, PENN HIGHLANDS HEALTHCARE (PHH) DEPARTMENT OF MARKETING AND COMMUNICATIONS (MAR-COM), PHH MAR-COM SOUTHWEST REGION, PHMV'S STROKE CARE COORDINATOR, PHMV'S ED PHYSICIANS & STAFF, PHMV'S STROKE DEPARTMENT, PHMV EDUCATION OUTREACH, SOCIAL WORKERS, CASE MANAGERS, NURSES, TRAINING AND EDUCATION, AND INFORMATION SYSTEMSPENN HIGHLANDS MON VALLEY'S COLLABORATIVE PARTNERS INCLUDE, DIABETES SUPPORT GROUP PARTICIPANTS AND AMERICAN HEART ASSOCIATION.SIGNIFICANT HEALTH NEEDS NOT ADDRESSED:THE ISP IS NOT MEANT TO PROVIDE AN EXHAUSTIVE LIST OF HOW PENN HIGHLANDS MON VALLEY ADDRESSES THE COMMUNITY'S NEEDS. INSTEAD, IT HIGHLIGHTS SPECIFIC ACTIONS THE HOSPITAL COMMITS TO PURSUING AND TRACKING IN RESPONSE TO THE IDENTIFIED PRIORITIES. WHILE THE ISP LISTS INTERNAL AND EXTERNAL PARTNERS, NUMEROUS CLINICAL DEPARTMENTS WILL COLLABORATE ON THESE EFFORTS. THEIR INVOLVEMENT MAY INCLUDE PARTICIPATION IN CLINICAL PROGRAMS AND PROTOCOLS OR CONTRIBUTING TO EDUCATIONAL OUTREACH BY SHARING KNOWLEDGE INDIVIDUALLY OR AS A TEAM, ALL WITH THE GOAL OF ADDRESSING THE COMMUNITY'S HEALTH NEEDS. PENN HIGHLANDS MON VALLEY PART V, SECTION B, LINE 16J: OTHER METHODS OF PUBLICIZING THE FAP:PENN HIGHLANDS MON VALLEY PUBLICIZES ITS FINANCIAL ASSISTANCE POLICY (FAP) THROUGH A PROACTIVE SYSTEM OF DIRECT PATIENT ENGAGEMENT AND INTERNAL REFERRALS.1. DIRECT FINANCIAL COUNSELING: THE PRIMARY METHOD INVOLVESONE-ON-ONE DISCUSSIONS BETWEEN PATIENTS AND TRAINED FINANCIAL COUNSELORS. THIS PROCESS BEGINS DURING REGISTRATION, WHERE PATIENTS ARE INFORMED OF POTENTIAL ASSISTANCE. COUNSELORS THEN WORK DIRECTLY WITH UNINSURED AND UNDERINSURED INDIVIDUALS TO EXPLAIN THE POLICY, DETERMINE PRESUMPTIVE ELIGIBILITY, AND PROVIDE HANDS-ON HELP WITH THE APPLICATION.2. HOSPITAL-WIDE STAFF REFERRAL PROCESS: ALL HOSPITAL STAFF WHO INTERACT WITH PATIENTS - INCLUDING NURSES, SOCIAL WORKERS, CASE MANAGERS, AND CHAPLAINS - ARE TRAINED ON THE FAP'S AVAILABILITY. THEY ARE INSTRUCTED TO REFER ANY PATIENT EXPRESSING FINANCIAL CONCERNS TO A FINANCIAL REPRESENTATIVE, ENSURING THAT INFORMATION ABOUT THE FAP IS DISSEMINATED THROUGH MULTIPLE TOUCHPOINTS DURING A PATIENT'S CARE JOURNEY. PENN HIGHLANDS MON VALLEY PART V, SECTION B, LINE 20E: IN ADDITION TO THE EFFORTS LISTED IN LINES 20A THROUGH 20D, THE HOSPITAL'S POLICY IS TO PROVIDE FURTHER ASSISTANCE TO PATIENTS WITH INCOMPLETE FINANCIAL ASSISTANCE APPLICATIONS. WHEN AN APPLICATION LACKS REQUIRED INFORMATION, A FINANCIAL REPRESENTATIVE WILL NOT ONLY FOLLOW UP WITH THE PATIENT BUT WILL ALSO ATTEMPT, WHERE APPLICABLE, TO OBTAIN THE MISSING INFORMATION FROM THIRD-PARTY SOURCES TO HELP COMPLETE THE ELIGIBILITY DETERMINATION. THIS PROACTIVE STEP IS TAKEN TO MINIMIZE THE BURDEN ON THE PATIENT AND TO ENSURE EVERY REASONABLE EFFORT IS MADE BEFORE ANY FURTHER COLLECTION ACTIVITY IS CONSIDERED. 12 1 - SPARTAN HEALTH SURGICENTER LLC 200 STOOPS DRIVE MONONGAHELA PA 15063 OUTPATIENT SURGERY CENTER 2 - HEALTHPLEX IMAGING 800 PLAZA DRIVE BELLE VERNON PA 15012 OUTPATIENT RADIOLOGY CENTER 3 - CENTER FOR CHILDREN'S REHABILITATION 1029 COUNTRY CLUB ROAD MONONGAHELA PA 15063 CHILDREN'S REHABILITATION CENTER 4 - MVH OCCUPATIONAL HEALTH 800 PLAZA DRIVE BELLE VERNON PA 15012 OCCUPATIONAL HEALTH SERVICES 5 - MVH CARDIAC AND PULMONARY REHABILITATION 800 PLAZA DRIVE BELLE VERNON PA 15012 CARDIO-PULMONARY REHABILITATION 6 - MVH CALIFORNIA BLOOD DRAW CENTER 371 SKYLINE DRIVE CALIFORNIA PA 15419 BLOOD DRAW CENTER 7 - MVH MONONGAHELA BLOOD DRAW CENTER 447 WEST MAIN STREET MONONGAHELA PA 15063 BLOOD DRAW CENTER 8 - ROSTRAVER IMAGING 100 PEASANT VILLAGE LANE BELLE VERNON PA 15012 OUTPATIENT RADIOLOGY CENTER 9 - MVH CENTER FOR FITNESS AND HEALTH 800 PLAZA DRIVE BELLE VERNON PA 15012 FITNESS FACILITY 10 - CALIFORNIA IMAGING 371 SKYLINE DRIVE CALIFORNIA PA 15419 OUTPATIENT RADIOLOGY CENTER 11 - SOUTHWESTERN AMBULATORY SURGERY CENTER 500 LEWIS RUN ROAD PITTSBURGH PA 15236 OUTPATIENT SURGERY CENTER 12 - HEALTHPLEX BLOOD DRAW CENTER 800 PLAZA DRIVE BELLE VERNON PA 15012 BLOOD DRAW CENTER PART I, LINE 7: COSTS ARE CALCULATED AS A PERCENTAGE OF GROSS CHARGES. THE PERCENTAGE IS CALCULATED FROM THE TOTAL FACILITY GROSS CHARGES AND EXPENSES. PART I, LN 7 COL(F): THE PERCENT OF TOTAL EXPENSES ON SCHEDULE H, PART I, LINE 7, COLUMN (F), WAS CALCULATED USING TOTAL EXPENSES ON FORM 990, PART IX, LINE 25, COLUMN (A). PART III, LINE 2: BAD DEBT EXPENSE:THE HOSPITAL HAS ADOPTED THE REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2024. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. PART III, LINE 3: BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE:THE SYSTEM HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES SUCH AS COPAYS AND DEDUCTIBLES. THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS THE SYSTEM EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THOSE PATIENTS. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE FOR FINANCIAL REPORTING. LINE 3 REPORTS THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS FROM THE INTERNAL FINANCIAL STATEMENTS. BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING POVERTY LIMIT DEMOGRAPHIC INFORMATION OBTAINED THROUGH THE US CENSUS BUREAU. PART III, LINE 4: BAD DEBT EXPENSE FOOTNOTE:THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBE BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE, THAT NOTE CAN BE FOUND ON PAGE 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: THE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THE FISCAL YEAR COST-TO-CHARGE RATIO WAS UTILIZED TO CALCULATE THE COST. SERVING PATIENTS WITH GOVERNMENT BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD TO WHICH TAX EXEMPT HOSPITALS ARE HELD. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. PART III, LINE 9B: PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE PROCESSED THROUGH THOSE PROGRAMS AND ARE NOT SUBMITTED FOR COLLECTION. MONONGAHELA VALLEY HOSPITAL WILL ASSIST PATIENTS WITH COMPLETING THEIR APPLICATIONS FOR FINANCIAL ASSISTANCE, CHARITY CARE, OR MEDICAID. PART VI, LINE 2: NEEDS ASSESSMENT:IN ADDITION TO THE CHNA THAT WAS COMPLETED IN JUNE 2024, THE ORGANIZATION RECEIVES INFORMATION FROM COMMUNITY MEMBERS ON THE BOARD AND FROM THE LOCAL AUXILIARY. WE ALSO MEET FROM TIME TO TIME WITH COMMUNITY MEMBERS TO ADDRESS CERTAIN NEEDS AS THEY ARISE. WE ARE ALWAYS OPEN TO LISTENING TO ANY CONCERNS OF COMMUNITY MEMBERS AND/OR ORGANIZATIONS. PART VI, LINE 3: PATIENT EDUCATION ELIGIBILITY FOR ASSISTANCE:THE CHARITY CARE POLICY, IN ITS ENTIRETY, APPEARS ON THE HOSPITAL WEBSITE. THE ASSOCIATED ELIGIBILITY FORM IS OBTAINABLE HERE AS WELL. THE SELF-PAY COLLECTION PROCESS PROVIDES FOR A CHARITY CARE APPLICATION AND EXPLANATION LETTER TO BE SENT ON EVERY OUTSTANDING PATIENT ACCOUNT FOR WHICH THERE IS NOT A PAYMENT MADE SUBSEQUENT TO THE INITIAL STATEMENT BEING RECEIVED. THERE ARE ALSO SIGNS POSTED IN CERTAIN AREAS OF THE HEALTH CENTER WHICH PROMOTE THE EXISTENCE OF THE CHARITY CARE POLICY AND DIRECT INTERESTED INDIVIDUALS ACCORDINGLY. PART VI, LINE 4: COMMUNITY INFORMATION:THE ORGANIZATION PROVIDES SERVICES TO RESIDENTS OF ALL AGES IN WASHINGTON, WESTMORELAND, FAYETTE, AND GREENE COUNTIES AND THE SURROUNDING AREAS. THE COUNTIES HAVE A COMBINED POPULATION OF APPROXIMATELY 728,000. ADULTS OVER AGE 65 REPRESENT ABOUT 21% OF THE POPULATION IN WASHINGTON COUNTY, ABOUT 23% OF THE POPULATION IN WESTMORELAND COUNTY, ABOUT 22% OF THE POPULATION IN FAYETTE COUNTY, AND ABOUT 19% OF THE POPULATION IN GREENE COUNTY. THE AVERAGE HOUSEHOLD INCOME IS APPROXIMATELY $74,000 IN WASHINGTON COUNTY, APPROXIMATELY $69,000 IN WESTMORELAND COUNTY, APPROXIMATELY $55,000 IN FAYETTE COUNTY, AND APPROXIMATELY $66,000 IN GREENE COUNTY. PART VI, LINE 5: MONONGAHELA VALLEY HOSPITAL'S COMMUNITY RELATIONS DEPARTMENT SERVES AS AN OUTREACH ARM OF THE HOSPITAL. A STAFF OF TWO FULL-TIME AND ONE PART-TIME EMPLOYEES USES VARIOUS COMMUNICATIONS METHODS TO INFORM THE COMMUNITY ABOUT THE INPATIENT AND OUTPATIENT SERVICES AVAILABLE. IN KEEPING WITH THE HOSPITAL'S MISSION, THE DEPARTMENT WORKS WITH THE PROFESSIONAL MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, DIETITIANS, THERAPISTS, ETC. TO PRODUCE PUBLICATIONS AND CREATE FREE COMMUNITY PROGRAMMING THAT EDUCATES RESIDENTS ABOUT A VARIETY OF HEALTH AND WELLNESS TOPICS. THE DEPARTMENT ALSO SCHEDULES MANY FREE HEALTH SCREENINGS THROUGHOUT THE YEAR AT THE HOSPITAL AND COMMUNITY SITES. BROCHURES ARE PUBLISHED TO EDUCATE THE COMMUNITY ON HEALTH-RELATED TOPICS. EXAMPLES INCLUDE BUT ARE NOT LIMITED TO PHYSICIAN RACK CARDS THAT FEATURE BIOGRAPHICAL INFORMATION ON THE DOCTORS, AND DISEASE AND SERVICE SPECIFIC MATERIALS SUCH AS "ONE EXCELLENT HOSPITAL: THREE GREAT OUTPATIENT DIAGNOSTIC FACILITIES," "MYMVHRECORD PERSONAL PORTAL AND "BREAST BIOPSY: WHAT YOU SHOULD KNOW."SUPPORT GROUPS- SUPPORT GROUPS CAN BE GREAT RESOURCES FOR PEOPLE WHO SHARE A COMMON DISORDER, SUCH AS CANCER OR DIABETES. THE GROUPS MEET REGULARLY TO DISCUSS THEIR EXPERIENCES, SHARE IDEAS AND PROVIDE EMOTIONAL SUPPORT TO EACH OTHER AND THEIR LOVED ONES. A SUPPORT GROUP CAN HELP SOME PEOPLE COPE BETTER AND FEEL LESS ISOLATED. WHILE THEY ARE NOT INTENDED TO REPLACE STANDARD MEDICAL CARE, SUPPORT GROUPS CAN BE VALUABLE MEANS TO HELP PEOPLE COPE. LISTED BELOW ARE THE VARIOUS SUPPORT GROUPS OFFERED BY MONONGAHELA VALLEY HOSPITAL. ALZHEIMER'S SUPPORT GROUP - THIS FREE SUPPORT GROUP IS DESIGNED TO HELP THE FAMILY MEMBERS, FRIENDS, AND CAREGIVERS OF THOSE SUFFERING FROM ALZHEIMER'S DISEASE AND OTHER FORM OF DEMENTIA. DIABETES SUPPORT GROUP - THIS SUPPORT PROGRAM IS FREE FOR PEOPLE WITH DIABETES, THEIR FAMILIES AND CAREGIVERS. OSTOMY SUPPORT GROUP. THIS SUPPORT GROUP IS FREE AND OPEN TO ALL PERSONS WITH OSTOMIES AND THEIR FAMILIES AND FRIENDS. PROSTATE CANCER SUPPORT GROUP - ALL PROSTATE CANCER PATIENTS, FAMILIES AND CAREGIVERS ARE INVITED TO ATTEND THIS FREE SUPPORT GROUP. SUICIDE BEREAVEMENT SUPPORT GROUP - THE FREE INFORMAL GROUP MEETINGS ARE LED BY A LICENSED PSYCHOLOGIST WHO HAS EXTENSIVE PROFESSIONAL EXPERIENCE HELPING THOSE TOUCHED BY SUICIDE. WEIGHT LOSS AND WELLNESS SUPPORT GROUP. THIS SUPPORT GROUP HELPS EDUCATE, INFORM AND PROVIDE A WELL-ROUNDED FOUNDATION OF KNOWLEDGE FOR LONG-TERM SUCCESS OF THOSE WHO HAVE HAD WEIGHT-LOSS SURGERY.CLASSESMONONGAHELA VALLEY HOSPITAL TYPICALLY OFFERS CLASSES TO THE COMMUNITY LISTED BELOW ARE THE CLASSES THAT ARE PART OF THE HOSPITAL'S COMMUNITY PROGRAMMING. AMERICAN HEART ASSOCIATION FRIENDS AND FAMILY CPRTHIS COURSE IS FOR PEOPLE WHO DO NOT NEED A CERTIFICATION CARD FOR A JOB. CONTENT INCLUDES AN ORIENTATION TO CPR FOR ADULTS, CHILDREN AND INFANTS, CHOKING AND USE OF AN AED. CLASSES MEET ONE TUESDAY OF EVERY MONTH WITH ALTERNATING DAY AND EVENING CLASSES. THERE IS A NOMINAL FEE. AMERICAN HEART ASSOCIATION/HEARTSAVER CPR/AEDHEARTSAVER: ADULT, CHILD AND INFANT CPR AND AED CLASSES ARE OFFERED AT THE HOSPITAL. CLASSES MEET ONE TUESDAY EACH MONTH WITH ALTERNATING DAY AND EVENING CLASSES. THERE IS A MINIMAL FEE TO PARTICIPATE.BETTER BREATHERS CLUBMONONGAHELA VALLEY HOSPITAL SPONSORS THESE CLASSES TO ASSIST PEOPLE WHO SUFFER FROM BREATHING DISORDERS SUCH AS CHRONIC OBSTRUCTIVE PULMONARY DISEASE, ASTHMA AND OTHERS. SMOKE FREE FOR LIFETHE COMMUNITY CARE NETWORK OFFERS SMOKE-FREE FOR LIFE, A FOUR-WEEK COURSE THAT IS BROKEN DOWN INTO FOUR, TWO HOUR COURSE. IT IS DESIGNED TO HELP PARTICIPANTS DEVELOP STRATEGIES TO QUIT SMOKING, PREVENT RELAPSE AS WELL AS TO RECEIVE POSITIVE SUPPORT IN A COMFORTABLE ENVIRONMENT. DIABETES EDUCATION PROGRAMSOPEN TO ALL PEOPLE WITH DIABETES, FREE CLASSES ARE HELD MONTHLY. TOPICS INCLUDE: "MANAGING YOUR DIABETES AND "ADVANCED CARBOHYDRATE COUNTING." IS WEIGHT LOSS SURGERY RIGHT FOR YOU? EACH MONTH, HIRAM GONZALEZ, M.D., A SURGEON AT MONONGAHELA VALLEY HOSPITAL, DISCUSSES MVH'S WEIGHT CONTROL AND WELLNESS PROGRAM, INCLUDING BARIATRIC SURGERY, DURING FREE EDUCATION SESSIONS. DR. GONZALEZ EXPLAINS THE THREE TYPES OF BARIATRIC SURGERY MVH OFFERS. THE SURGERY IS A WEIGHT REDUCTION OPTION FOR PEOPLE STRUGGLING TO LOSE 100 POUNDS OR MORE. HEALTH SCREENINGSMONONGAHELA VALLEY HOSPITAL OFFERS FREE HEALTH SCREENINGS AS STAND-ALONE EVENTS OR TO COMPLEMENT EDUCATIONAL PROGRAMS. BELOW ARE SOME OF THE SCREENINGS THAT ARE TYPICALLY HELD AT THE HOSPITAL AND OFF-CAMPUS LOCATIONS. PROSTATE CANCERASIDE FROM NON-MELANOMA SKIN CANCER, PROSTATE CANCER IS THE MOST COMMON CANCER AMONG MEN IN THE UNITED STATES. IT IS ALSO ONE OF THE LEADING CAUSES OF CANCER DEATH AMONG MEN OF ALL RACES. ABOUT 1 MAN IN 9 WILL BE DIAGNOSED WITH PROSTATE CANCER DURING HIS LIFETIME. PROSTATE CANCER DEVELOPS MAINLY IN OLDER MEN. ABOUT 6 CASES IN 10 ARE DIAGNOSED IN MEN AGED 65 OR OLDER, AND IT IS RARE BEFORE AGE 40. THE AVERAGE AGE AT THE TIME OF DIAGNOSIS IS ABOUT 66. MONONGAHELA VALLEY HOSPITAL HOSTS A FREE PROSTATE EDUCATION AND SCREENING PROGRAM. ATTENDEES LEARNED ABOUT THE IMPORTANCE OF EARLY DETECTION AND HAD THE OPTION TO RECEIVE AN EXAM BY MVH'S MEDICAL STAFF ALONG WITH A PROSTATE SPECIFIC ANTIGEN (PSA) BLOOD TEST. THE PROGRAM IS INTENDED FOR MEN AGES 50-75 WHO DID NOT ALREADY HAVE A DIAGNOSIS OF PROSTATE PROBLEMS.BREAST CANCERTHE COMMUNITY RELATIONS DEPARTMENT HELPS COORDINATE MONONGAHELA VALLEY HOSPITAL'S ANNUAL BREAST CANCER EDUCATION AND SCREENING LUNCHEON WHICH IS HELD IN OCTOBER IN THE ANTHONY M. LOMBARDI EDUCATION CONFERENCE CENTER. APPROXIMATELY 100 WOMEN AND MEN ATTENDED THE EVENT. DURING THE PROGRAM, DR. NATALIE FURGIUELE DISCUSSES MAMMOGRAMS AND THE LATEST BREAST CANCER TREATMENT OPTIONS AVAILABLE. FOLLOWING THE PRESENTATIONS, GUESTS HAVE THE OPPORTUNITY TO HAVE BREAST SCREENINGS OR SCHEDULE THEIR MAMMOGRAMS.COLORECTAL CANCERTHE AMERICAN CANCER SOCIETY RECOMMENDS MEN AND WOMEN AT AGE 50 SHOULD BEGIN TESTING FOR COLORECTAL CANCER. EARLY DETECTION LEADS TO EASIER TREATMENT AND IMPROVED SURVIVAL. MONONGAHELA VALLEY HOSPITAL ALWAYS OFFERS A FREE COLORECTAL CANCER EDUCATION AND SCREENING PROGRAM EACH MARCH. MULTIPHASIC BLOOD SCREENINGMONONGAHELA VALLEY HOSPITAL SPONSORS A SEMI-ANNUAL MULTIPHASIC BLOOD SCREENING THAT IS OPEN TO THE PUBLIC. ON EACH BLOOD SAMPLE, 37 INDIVIDUAL TESTS ARE PERFORMED THAT CAN REVEAL ANEMIA, LUNG DISEASE, DIABETES, LEUKEMIA, HIGH CHOLESTEROL, BLOOD DISORDERS AND MUCH MORE. ADDITIONAL SCREENINGS, INCLUDING THYROID STIMULATING HORMONE (TSH) AND PROSTATIC SPECIFIC ANTIGEN (PSA) ARE OFFERED. PART VI, LINE 5 (CONTINUED 1): BLOOD DRAW CENTERSTHE WALK-IN LABS/MEDICAL CENTERS LOCATED IN MONOGAHELA, FINLEYVILLE, CALIFORNIA AND ROSTRAVER OFFERED THE DAILY DRAW A 37-FUNCTION MULTIPHASIC BLOOD ANALYSIS THAT COULD BE PERFORMED ANY WEEKDAY FROM 7 A.M. TO 3 P.M. WITHOUT AN APPOINTMENT. THE TEST CAN REVEAL A GREAT DEAL ABOUT A PERSON'S HEALTH RANGING FROM CHRONIC CONDITIONS TO HIDDEN ILLNESSES. AMONG THE 37 TESTS PERFORMED INCLUDE THOSE THAT SCREEN FOR IRON DEFICIENCIES, LIPIDS, AND CARDIAC RISKS AS WELL AS KIDNEY AND LIVER FUNCTION. THE RESULTS ARE SENT DIRECTLY TO THE PERSON'S PHYSICIAN.HEALTH FAIRS AND EXPOSWHILE THE HOSPITAL TYPICALLY PARTICIPATES IN MANY COMMUNITY HEALTH FAIRS AND SCREENINGS THROUGHOUT THE YEAR, INNOVATIONS IN MEDICINETHROUGHOUT A NORMAL YEAR, A VARIETY OF MONTHLY INNOVATIONS IN MEDICINE PROGRAMS ARE OFFERED FREE TO THE PUBLIC AT THE HOSPITAL. THE POPULAR PROGRAMS PROVIDE MEDICAL EDUCATION AND AN OPPORTUNITY FOR LOCAL RESIDENTS TO MEET PHYSICIANS AFFILIATED WITH THE HOSPITAL. COMMUNITY TALKSTHE HOSPITAL'S EMPLOYEES PRESENT EDUCATIONAL PROGRAMS TO VARIOUS GROUPS THROUGHOUT THE COMMUNITY. HEALTH EDUCATION PROGRAMS/COMMUNITY INITIATIVESPEOPLE WHO LIVE IN THE COMMUNITIES IN MONONGAHELA VALLEY HOSPITAL'S SERVICE AREA RELY ON THE HOSPITAL FOR EDUCATION, GUIDANCE AND ASSISTANCE IN MANY HEALTH RELATED AREAS. LISTED BELOW ARE SPECIAL CLASSES, PROGRAMS AND INITIATIVES THAT WERE OFFERED TO THE COMMUNITY.CHILD REGISTRYTHE CHILD REGISTRY PROGRAM, WHICH IS UNDER THE DIRECTION OF THE COMMUNITY RELATIONS DEPARTMENT, USES THE AUXILIARY OF MON-VALE HEALTH RESOURCES, INC. TO GO INTO 14 ELEMENTARY SCHOOLS LOCATED IN MVH'S SERVICE AREA TO FINGERPRINT KINDERGARTEN STUDENTS SO THAT IN THE EVENT THE CHILD SHOULD EVER BE LOST, POSITIVE IDENTIFICATION CAN BE MADE. BARIATRIC CLASSESMORE THAN 35 PERCENT OF ADULTS ARE OBESE. OBESITY CAN REDUCE BOTH LIFE EXPECTANCY AND QUALITY OF LIFE. OBESITY CAN LEAD TO TYPE 2 DIABETES, CORONARY ARTERY DISEASE, HIGH BLOOD PRESSURE, STROKE AND ARTHRITIS. SOME OF THESE CONDITIONS CAN BE CONTROLLED OR EVEN CURED BY TREATING OBESITY. MONONGAHELA VALLEY HOSPITAL OFFERS INFORMATION SESSIONS ON MINIMALLY INVASIVE BARIATRIC SURGERY TO TREAT OBESITY. CANDIDATES FOR BARIATRIC SURGERY ARE THOSE WHO NEED TO LOSE MORE THAN 100 POUNDS, WHICH IS ALMOST 10 PERCENT OF ALL ADULTS. DR. HIRAM GONZALEZ, WHO PERFORMS THE BARIATRIC SURGERY, LEADS THE SESSIONS.MEDICAL STAFF SYMPOSIUMEACH FALL, THE HOSPITAL HOSTS A MEDICAL STAFF SYMPOSIUM.DRUG TAKE BACK EVENTSMONONGAHELA VALLEY HOSPITAL PARTNERS WITH THE CARROLL TOWNSHIP POLICE DEPARTMENT TO HELP KEEP DRUGS OFF OF THE STREETS DURING NATIONAL DRUG TAKE BACK DAY. THE HOSPITAL SERVED AS A COLLECTION SITE ENABLING THE POLICE DEPARTMENT TO COLLECT BOXES CONTAINING PRESCRIPTION AND OVER-THE COUNTER MEDICATIONS AT JUST ONE OF THE EVENTS. THE DRUGS RANGED FROM CONTROLLED SUBSTANCES TO STEROID CREAMS.MVH/LOIS ORANGE DUCOEUR BREAST CANCER WALK. THIS EVENT SUPPORTS THE PREVENTION, EARLY DETECTION AND TREATMENT OF BREAST CANCER AT MVH. ANNUAL BREAST CANCER EDUCATION AND SCREENING LUNCHEON. MORE THAN 100 WOMEN TYPICALLY ATTENDED THE HOSPITAL'S ANNUAL BREAST CANCER EDUCATION AND SCREENING LUNCHEON IN OCTOBER. NATALIE FURGIUELE, M.D., F.A.C.S., WHO SPECIALIZES IN BREAST SURGERY, PRESENTS AN INFORMATIVE PROGRAM ON THE BENEFITS OF EARLY DIAGNOSIS ALONG WITH THE THERAPIES OFFERED TO TREAT BREAST CANCER. FOLLOWING THE OPTIONAL PHYSICAL BREAST EXAMS BY MEMBERS OF THE HOSPITAL'S MEDICAL STAFF, MAMMOGRAMS ARE SCHEDULED FOR WOMEN WHO HAD ABNORMAL FINDINGS DURING THE SCREENING. NATIONAL HEALTH CARE DECISIONS DAYMONONGAHELA VALLEY HOSPITAL HAS ALWAYS PARTICIPATED IN NATIONAL HEALTH CARE DECISIONS DAY. THE HOSPITAL HAS BEEN AMONG NATIONAL, STATE AND COMMUNITY ORGANIZATIONS LEADING A MASSIVE EFFORT TO HIGHLIGHT THE IMPORTANCE OF ADVANCE HEALTH CARE DECISION-MAKING. COMMUNITY BLOOD DRIVESSEVERAL TIMES A YEAR, MONONGAHELA VALLEY HOSPITAL HOSTS BLOOD DRIVES IN COOPERATION WITH THE AMERICAN RED CROSS TO COLLECT BLOOD FROM EMPLOYEES AND MEMBERS OF THE COMMUNITY. RINGGOLD STUDENT MENTORINGHEALTH CARE IS CONSTANTLY CHANGING WITH ADVANCEMENTS IN TECHNOLOGY AND EVIDENCE-BASED PRACTICES. AS A COMMUNITY HEALTH SYSTEM, MONONGAHELA VALLEY HOSPITAL HAS RESPONSIBILITY TO NOT ONLY PROVIDE CONTINUING EDUCATION TO OUR STAFF BUT TO PROVIDE MEANINGFUL EXPERIENCES TO STUDENTS. MVH HAS BEEN HELPING TO PREPARE THE MEDICAL PROFESSIONALS OF TOMORROW TODAY. IN 2019, THE HOSPITAL PARTNERED WITH RINGGOLD SCHOOL DISTRICT TO INTRODUCE A MEDICAL MENTORING PROGRAM. THE PROGRAM IS OPEN TO JUNIORS AND SENIORS WHO ARE INTERESTED IN HEALTH CARE CAREERS. THE STUDENTS ARE IMMERSED IN A LEARNING EXPERIENCE THAT PROVIDES SIGNIFICANT AND IMPACTFUL INSIGHT INTO THE HEALTH CARE ENVIRONMENT, PROFESSIONS AND SUPPORT SYSTEM THAT MVH PROVIDES. THE STUDENTS WORK THROUGHOUT THE HOSPITAL IN MANY DEPARTMENTS RANGING FROM RESPIRATORY CARE AND MEDICAL IMAGING TO THE LAB AND THE ORTHOPEDIC INSTITUTE. SIMULATION CENTERMVH TOOK CONTINUING EDUCATION TO A HIGHER LEVEL WITH THE OPENING OF A NEW SIMULATION EDUCATION CENTER. THE CENTER FEATURES MANIKINS, JOINTED MODELS OF THE HUMAN BODY USED FOR MEDICAL TRAINING, WHICH CAN REPLICATE A VARIETY OF PATIENT SYMPTOMS AND CONDITIONS. THE REALISTIC MANIKIN'S DIGITAL SCREEN EYES CAN BLINK, DROOP, BECOME BLOODSHOT OR JAUNDICE. THE MANIKINS ARE PHYSIOLOGICALLY BASED AND CAN RESPOND AUTOMATICALLY TO TREATMENTS AND SIMULATE CRITICAL INTERVENTIONS SUCH AS MECHANICAL VENTILATOR MANAGEMENT. THE CENTER ENABLES THE HOSPITAL TO DEVELOP MEANINGFUL LEARNING EXPERIENCES FOR STUDENTS AS WELL AS ADVANCED-DEGREE NURSES THAT ENHANCE PATIENT SAFETY. THE TECHNOLOGY ALLOWS MVH'S STAFF TO CREATE MEDICAL SCENARIOS THAT INCREASE SELF-CONFIDENCE AND COMPETENCE IN CRITICAL THINKING, CLINICAL DECISION MAKING AND SKILL DEVELOPMENT AMONG OUR MEDICAL TEAMS. THE SIMULATOR CENTER IS AN AMERICAN HEART ASSOCIATION TRAINING CENTER. IT FOLLOWS THE INTERNATIONAL NURSING ASSOCIATION FOR CLINICAL SIMULATION AND LEARNING STANDARDS OF BEST PRACTICE TO DEVELOP POSITIVE LEARNING EXPERIENCES. COMPASSIONATE CARECOMPASSIONATE CARE IS THE HALLMARK OF MONONGAHELA ALLEY HOSPITAL. ACCORDING TO A DELOITTE SURVEY OF HEALTH CARE CONSUMERS, PERSONALIZED CARE INCLUDING CLEAR COMMUNICATION AND SENSITIVITY IS A KEY HEALTH CARE PRIORITY. THE STAFF AT MONONGAHELA VALLEY HOSPITAL DELIVERS PATIENT-CENTERED CARE THE TYPE OF ATTENTION EVERYONE WANTS FOR THEIR OWN MOTHERS. HIGH-QUALITY AND PERSONALIZED CARE ULTIMATELY LEAD TO INCREASED SAFETY, MORE POSITIVE OUTCOMES AND GREATER PATIENT SATISFACTION.PATIENT AND FAMILY COUNCIL. MONONGAHELA VALLEY HOSPITAL ESTABLISHED THE PATIENT AND FAMILY ADVISORY COUNCIL {PAFC) TO HELP ENSURE THAT THE HOSPITAL PROVIDES A POSITIVE HEALTH AND WELLNESS EXPERIENCE. IN ITS TWO YEARS IN EXISTENCE, THE PAFC HAS HELPED TO ENHANCE THE QUALITY OF THE HEALTH CARE EXPERIENCE FOR PATIENTS AND THEIR FAMILY MEMBERS. SOME MEMBERS OF THE COUNCIL VOLUNTEER IN THE EMERGENCY DEPARTMENT TO HELP EASE ANXIETY AND KEEP PATIENTS INFORMED AS THEY WAIT FOR TEST RESULTS AND THE DOCTOR'S DIAGNOSIS. OTHER MEMBERS OF THE COUNCIL VOLUNTEER THEIR SPECIFIC SKILLS ON THE UNITS OR SIMPLY VISIT WITH PATIENTS. PART VI, LINE 5 (CONTINUED 2): COMMUNITY CARE NETWORKTHE COMMUNITY CARE NETWORK (CCN), WAS DEVELOPED TO HELP PEOPLE RECEIVE THE BEST HEALTH CARE POSSIBLE THROUGH A COMPREHENSIVE SERIES OF CARE COORDINATION AND EDUCATIONAL STRATEGIES THAT SUPPORT EACH PHYSICIAN'S CARE PLANS. THE CCN ENABLES STAFF TO BEGIN CARE COORDINATION DURING HOSPITALIZATION FOR PATIENTS IN NEED ESPECIALLY THOSE WITH CHALLENGING CONDITIONS OR CIRCUMSTANCES THAT RESULT IN READMISSIONS OR MULTIPLE EMERGENCY ROOM VISITS. THE CCN IS TRULY A COMMUNITY EFFORT; AND, IT IS PROVIDED COMPLETELY FREE OF CHARGE. IN ITS DEVELOPMENT, THE MULTIDISCIPLINARY MEDICAL TEAM WORKS TOGETHER WITH OTHER COMMUNITY AGENCIES TO UTILIZE ALL AVAILABLE RESOURCES TO TAKE MEDICAL FOLLOW-UP CARE TO A NEW LEVEL. THE TEAM, UNDER DIRECT MEDICAL SUPERVISION, HELPS TO ENSURE THAT PEOPLE ARE FOLLOWING TREATMENT PLANS AND ACTUALLY TAKING PRESCRIBED MEDICATIONS. THE CCN ALSO FOCUSES ON ELIMINATING MISSED APPOINTMENTS WITH PCPS AND SPECIALISTS. WITH EMPHASIS ON EARLY DETECTION, IN-HOME MONITORING CAN BE PROVIDED TO HELP IDENTIFY CHANGES IN SYMPTOMS EARLY ON WHICH COULD ELIMINATE UNNECESSARY READMISSIONS.FAITH-BASED VIRTUAL HEALTH COACHESON JANUARY 30, 2021, SEVEN PEOPLE REPRESENTING FIVE CHURCHES IN CHARLEROI, DONORA, MONESSEN AND MONONGAHELA COMPLETED A THREE-SESSION TRAINING COURSE TO BECOME THE COMMUNITY CARE NETWORK'S FIRST FAITH-BASED VIRTUAL HEALTH COACHES. AS COACHES, THE MEN AND WOMEN ARE SERVING AS LIAISONS BETWEEN THE LOCAL AFRICAN-AMERICAN COMMUNITY AND MONONGAHELA VALLEY HOSPITAL. IN THEIR ROLE, THE COACHES WILL CONDUCT PHONE VISITS WITH MEMBERS OF THEIR CHURCH COMMUNITIES TO PROVIDE COUNSEL AND SUPPORT ON HEALTHY LIFESTYLE BEHAVIORS AND WHEN TO SEEK MEDICAL ATTENTION FOR SYMPTOMS. THEY ALSO ACT AS TRUSTED SOURCES WITHIN THEIR CONGREGATIONS AS THE PEOPLE WITH THE KNOWLEDGE OF WHO TO CALL FOR SCIENTIFIC-BASED HEALTH AND WELLNESS ANSWERS. THE FAITH-BASED COACHING PROGRAM GREW FROM A SERIES OF MEETINGS THAT BEGAN IN 2018 WITH THE HARVEST BRUNCH AND FELLOWSHIP GATHERING. DURING THE EVENT, MVH LEADERSHIP AND PHYSICIANS MET WITH PASTORS, FIRST LADIES AND MEMBERS OF LOCAL CHURCHES TO INTRODUCE THE CHURCH COMMUNITY TO THE HEALTH AND WELLNESS OPPORTUNITIES OFFERED BY MVH. DURING SUBSEQUENT MEETINGS WITH THE CHURCH COMMUNITY, THE COACHING PROGRAM DEVELOPED.POSITIVE ACTION HEALTHY LIFESTYLES SERIESSTUDENTS IN GRADES 6-8 WHO ATTEND MONESSEN MIDDLE SCHOOL HAD AN OPPORTUNITY TO PARTICIPATE IN THE "POSITIVE ACTION HEALTHY LIFESTYLES SERIES" OFFERED BY MONONGAHELA VALLEY HOSPITAL'S COMMUNITY CARE NETWORK IN COOPERATION WITH CALIFORNIA UNIVERSITY OF PENNSYLVANIA, COMMUNITIES THAT CARE, THE MONESSEN POSITIVE ACTION COMMUNITY TEAM IN PARTNERSHIP WITH MONESSEN MIDDLE SCHOOL AND THE MONESSEN PUBLIC LIBRARY. THE PROGRAM CONSISTS OF MONTHLY PROGRAMS FROM OCTOBER THROUGH MAY THAT ADDRESS A RANGE OF TOPICS FROM "MAINTAINING A HEALTHY LIFESTYLE" TO "DEPRESSION, ANXIETY AND SUICIDE PREVENTION. "THE SERIES KICKED OFF ON OCTOBER 12, 2021 WITH "YOUR PERSONAL AND FAMILY HEALTH : THE NEED FOR CHANGE AND PERSONAL CHALLENGES." CHAD VORDERBUREGGEN, FITNESS DIRECTOR AT THE CENTER FOR FITNESS AND HEALTH, DISCUSSED WHAT IT MEANS TO BE HEALTHY, HOW TO TRAIN AND EAT HEALTHY AND THE CHALLENGES YOUTH FACE.PROMOTIONEVERY MONTH, THE HOSPITAL'S COMMUNITY RELATIONS DEPARTMENT PUBLISHES A "LIVING WELL" CALENDAR THAT IS DISTRIBUTED IN ALL OF THE WAITING ROOMS IN THE HOSPITAL. IT ALSO IS SENT TO THE LOCAL DAILY AND MONTHLY NEWSPAPERS WHERE IT IS PUBLISHED IN ITS ENTIRETY FREE OF CHARGE. THE CALENDAR IS ALSO POSTED AT THE HOSPITAL'S WEBSITE. DEPENDING ON THE NATURE OF THE EVENT, HEALTH FAIRS, SCREENINGS, INNOVATIONS IN MEDICINE AND VARIOUS SPECIAL EVENTS ARE PROMOTED THROUGH NEWS RELEASES, NEWSPAPER AND TELEVISION ADVERTISING, SOCIAL MEDIA INCLUDING FACEBOOK TWITTER AND INSTAGRAM, LINKS ON THE HOSPITAL'S WEBSITE, ON THE MARQUEE AT THE ENTRANCE TO THE HOSPITAL ON ROUTE 88, ON TELEPHONE ON-HOLD ANNOUNCEMENTS, ON LED SCREENS THROUGHOUT THE HOSPITAL AND THROUGH DIRECT MAIL. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM:MONONGAHELA VALLEY HOSPITAL IS PART OF PENN HIGHLANDS HEALTHCARE (PHH, SYSTEM). PHH IS A NOT-FOR-PROFIT CORPORATION ORGANIZED TO COORDINATE AND MANAGE THE INTEGRATION OF THE DELIVERY OF HEALTHCARE SERVICES TO THE NORTH CENTRAL PENNSYLVANIA AREA. THE SYSTEM INCLUDES THE CONSOLIDATED FINANCIAL STATEMENTS OF PENN HIGHLANDS HEALTHCARE, PENN HIGHLANDS DUBOIS, PENN HIGHLANDS ELK, PENN HIGHLANDS CLEARFIELD, PENN HIGHLANDS CONNELLSVILLE, PENN HIGHLANDS HUNTINGDON, PENN HIGHLANDS MON VALLEY AND PENN HIGHLANDS TYRONE. PHH OPERATES 9 HOSPITAL FACILITIES ACROSS PENNSYLVANIA, EACH OF WHICH IS THE LARGEST EMPLOYER IN ITS HOMETOWN. THE SYSTEM ALSO INCLUDES A VARIETY OF OTHER AFFILIATES THAT SUPPORT ITS EXEMPT MISSION, SUCH AS NURSING HOMES, HOME CARE AGENCIES, MEDICAL EQUIPMENT SUPPLIERS, PHARMACIES, ETC. PART VI, LINE 7, LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: PA X 1 1 1 1 0 0 0 0 0 1 0 ADIL WAHEED ECHO PHYSICIAN 705896 0 0 0 28014 0 8250 0 11085 0 753245 0 0 0 LOUIS PANZA FORMER PRESIDENT 122779 0 0 0 411777 0 9900 0 1932 0 546388 0 0 0 LUCIANA GUERRA HOSPITALIST 471180 0 0 0 0 0 3197 0 11370 0 485747 0 0 0 PETER ADAMO PRESIDENT 0 370402 0 0 0 0 0 16250 0 0 0 386652 0 0 MILIND SINHA HOSPITALIST 345580 0 0 0 0 0 7565 0 15362 0 368507 0 0 0 MICHAEL DIETZ HOSPITALIST 339307 0 0 0 850 0 7565 0 157 0 347879 0 0 0 BEHAVANI S KUNDETI HOSPITALIST 291263 0 0 0 11625 0 7529 0 6326 0 316743 0 0 0 PART I, LINE 1A OFFICERS RECEIVE A TAX INDEMNIFICATION/GROSS-UP PAYMENT AS PART OF THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). AMOUNTS PAID ARE CALCULATED PER THE PLAN DOCUMENT AND HAVE BEEN INCLUDED AS TAXABLE WAGES OF EACH PARTICIPANT. PART I, LINE 3 PENN HIGHLANDS HEALTHCARE, INC. (PHH), A RELATED ORGANIZATION, DETERMINES THE COMPENSATION OF THE CEO. PHH USES THE FOLLOWING METHODS TO DETERMINE THE COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4A LOUIS J. PANZA RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $369,346 IN THE 2023 CALENDAR YEAR. PART I, LINE 4B LOUIS PANZA PARTICIPATES IN A 457(F) PLAN CONTAINING EXCESS EMPLOYER CONTRIBUTIONS OVER THE 457(F) LIMIT. DURING CALENDAR YEAR 2023, THERE WERE NO INDIVIDUAL CONTRIBUTIONS TO THE PLAN AND NO DISTRIBUTIONS FROM THE PLAN. PART I, LINE 7: THE ORGANIZATION PROVIDED DISCRETIONARY BONUSES TO THE REPORTABLE INDIVIDUALS ON PART VII, SECTION A TO THE EXTENT BONUSES WERE PAID BY THE FILING ORGANIZATION. DISCRETIONARY BONUSES ARE APPROVED BY THE BOARD. A HOSPITAL AUTHORITY OF THE CITY OF DUBOIS 251718944 263804DD5 2021-11-03 50660170 REFUND 2016 AND 2018 BONDS AND BUILDING ACQ. 0 0 0 A 245000 50660170 660170 50000000 2021 1 0 1 0 A 0 1 1 1 0 0 0 0 A 0 1 0 0 1 0 0 0 0 A 0 SCHEDULE K, PART III, LINE 2, COLUMN A: THE HOSPITAL LEASES SPACE IN THE BUILDING TO PRIVATE ENTITIES, INCLUDING THE SOCIAL SECURITY ADMINISTRATION. APPROXIMATELY, 15.29% OF THE FACILITY IS LEASED TO THIRD PARTIES, INCLUDING THE SOCIAL SECURITY ADMINISTRATION. ACCORDINGLY, THE HOSPITAL BORROWED A PORTION OF THE COST OF THE FACILITY, APPROXIMATELY 20%, WITH A TAXABLE LOAN. AS SUCH, THERE IS NO PRIVATE USE ASSOCIATED WITH THE PORTIONS OF THE FACILITY FINANCED WITH TAX-EXEMPT BONDS. BOND COUNSEL REVIEWED THE LEASES AND MANAGEMENT CONTRACTS NOTED ON ITEM # 3A WHEN ESTABLISHING THE PERCENTAGES FINANCED ON A TAX-EXEMPT VS TAXABLE BASIS. SCHEDULE K, PART III, LINE 9, PART IV, LINE 7, PART V: THE ORGANIZATION IS A CONSCIENTIOUS AND PRUDENT TAXPAYER THAT FOLLOWS ALL SAFE HARBOR REGULATIONS CONCERNING ITS TAX-EXEMPT DEBT. IT HAS NOT CREATED WRITTEN POLICIES DUE TO THE RELATIVELY UNCOMMON PRACTICE OF USING DEBT, HOWEVER, IT IS VERY AWARE OF ITS RESPONSIBILITIES AND IS CAREFUL TO MEET THEM. MCGINLEY MAINTENANCE INC TRUSTEE MARK MCGINLEY 147876 SEE PART V 0 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE DRAFT FORM 990 IS REVIEWED BY THE CFO AND THE SYSTEM CONTROLLER. AFTER ALL SUGGESTED CHANGES FROM THE CFO AND SYSTEM CONTROLLER ARE MADE, THE UPDATED DRAFT FORM 990 IS PROVIDED FOR REVIEW TO THE FULL BOARD. ANY QUESTIONS OR COMMENTS FROM THE BOARD ARE ADDRESSED BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY: PENN HIGHLANDS HEALTHCARE, INC. (PHH), MAINTAINS A CONFLICT OF INTEREST POLICY WHICH APPLIES TO ALL SUBSIDIARIES. THE CONFLICT OF INTEREST POLICY APPLIES TO BOARD MEMBERS, OFFICERS, EXECUTIVE EMPLOYEES, AND ANY OTHER MANAGER OR SUPERVISOR EXERCISING SUBSTANTIAL INFLUENCE OVER OPERATIONS. EACH COVERED PERSON WILL PROMPTLY AND FULLY DISCLOSE ALL MATERIAL FACTS OF EVERY ACTUAL OR POTENTIAL DUAL INTEREST EXISTING AT THE TIME WHEN HE/SHE BECOMES A COVERED PERSON, AND ANNUALLY THROUGH EACH PHH SYSTEM ENTITY'S DISCLOSURE STATEMENT, WHICH REQUESTS DISCLOSURE OF RELATIONSHIPS, INVESTMENTS, AND TRANSACTIONS THAT MAY LEAD TO AN ACTUAL CONFLICT OF INTEREST. ALL COMPLETED DISCLOSURE STATEMENTS WILL BE PROVIDED TO THE PHH GOVERNANCE/NOMINATING COMMITTEE. THIS COMMITTEE, IN CONSULTATION WITH THE CHAIRPERSON OR VICE CHAIRPERSON OF EACH PHH SYSTEM ENTITY'S BOARD, SHALL EVALUATE THE COMPLETED DISCLOSURE STATEMENTS AND DETERMINE IF THERE ARE ANY CONFLICTS THAT ARE SO PERVASIVE AS TO RENDER ANY COVERED PERSON INELIGIBLE FOR SERVICE. THE CHAIRPERSON OF EACH PHH SYSTEM ENTITY'S BOARD WILL DISCLOSE TO THE FULL BOARD OF SAID PHH SYSTEM ENTITY ALL DUAL INTERESTS REPORTED TO HIM OR HER UNDER THE POLICY AND WILL ALSO MAKE THE DISCLOSURE STATEMENTS OF ALL COVERED PERSONS AVAILABLE TO DIRECTORS AT ANY TIME DURING THE YEAR. IF A POTENTIAL DUAL INTEREST ARISES AS A RESULT OF A CONTEMPLATED PHH SYSTEM ENTITY BOARD (OR COMMITTEE) ACTION, THE CHAIRPERSON OF SAID PHH SYSTEM ENTITY'S BOARD OR THE INTERESTED PERSON SHALL, OR ANY OTHER DIRECTOR MAY, RAISE THE QUESTION OF THE INTERESTED PERSON'S DUAL INTEREST. THE DISINTERESTED MEMBERS OF THE PHH SYSTEM ENTITY'S BOARD (OR COMMITTEE) WILL EVALUATE THE DISCLOSURES AND THE MATERIAL FACTS RELATING TO THE TRANSACTION, ARRANGEMENT, OR POLICY GIVING RISE TO THE DUAL INTEREST TO DETERMINE WHETHER THEY INVOLVE ACTUAL CONFLICTS OF INTEREST AND MAY ATTEMPT TO DEVELOP ALTERNATIVES TO REMOVE THE CONFLICT FROM THE TRANSACTION, ARRANGEMENT, OR POLICY. A COVERED PERSON WHO HAS A DUAL INTEREST SHALL NOT BE PRESENT FOR OR SHALL LEAVE ANY PORTION OF A MEETING AT WHICH A PHH SYSTEM ENTITY'S BOARD (OR COMMITTEE) IS VOTING TO DETERMINE WHETHER A CONFLICT EXISTS, BUT MAY BE PRESENT PRIOR TO THE VOTE TO MAKE A PRESENTATION TO SAID BOARD (OR COMMITTEE), TO DISCLOSE ADDITIONAL FACTS, OR TO RESPOND TO QUESTIONS. IF A PHH SYSTEM ENTITY'S BOARD (OR COMMITTEE DETERMINES THAT AN ACTUAL CONFLICT OF INTEREST EXISTS, THE INTERESTED PERSON SHALL BE SO ADVISED AND THE CHAIRPERSON OF A PHH SYSTEM ENTITY'S BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE OR DIRECT MANAGEMENT TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, IF THIS HAS NOT ALREADY BEEN DONE. ANY INTERESTED PERSON WHO HAS AN ACTUAL CONFLICT OF INTEREST WITH RESPECT TO THE TRANSACTION OR ARRANGEMENT DOES NOT PARTICIPATE IN AND IS NOT PRESENT FOR THE VOTE REGARDING ANY SUCH TRANSACTION OR ARRANGEMENT. IF AN INDIVIDUAL WHOSE COMPANY OR EMPLOYER HAS A BUSINESS RELATIONSHIP WITH A PHH SYSTEM ENTITY, BUT THE INDIVIDUAL DOES NOT HAVE AN ACTUAL CONFLICT OF INTEREST WITH RESPECT TO THIS BUSINESS RELATIONSHIP, THE INDIVIDUAL MAY NONETHELESS VOLUNTARILY RECUSE HIM/HERSELF FROM VOTING ON ANY MATTERS RELATED TO THE RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 15 THE PENN HIGHLANDS HEALTHCARE (PHH) EXECUTIVE COMPENSATION COMMITTEE CONSULTS WITH THE HEALTHCARE CONSULTING FIRM, YAFEE & COMPANY TO OBTAIN COMPARABLE DATA TO MAKE RECOMMENDATIONS TO THE BOARD OF DIRECTORS REGARDING EXECUTIVE COMPENSATION. THE PENN HIGHLANDS HEALTHCARE BOARD OF DIRECTORS IS ACUTELY AWARE OF THE HEIGHTENED PUBLIC SCRUTINY OF EXECUTIVE COMPENSATION AND THE NEED TO CONSIDER REGULATORY COMPLIANCE WHEN SETTING EXECUTIVE PAY. COMPENSATION REVIEWS ARE DONE ON A CONTINUOUS BASIS. COMPENSATION DETERMINATIONS OF PHH EMPLOYED OFFICERS ARE MADE BY THE PHH COMPENSATION COMMITTEE. COMPENSATION DETERMINATIONS OF CERTAIN EMPLOYED OFFICERS ARE ALSO REVIEWED AND APROVED BY THE PHH COMPENSATION COMMITTEE AND SHARED WITH THE COMPENSATION COMMITTEE OR BOARD. THE COMPENSATION COMMITTEE OF PHH STRIVE TO TAKE THE STEPS NECESSARY TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER FEDERAL TAX LAW. THE PHH EXECUTIVE COMPENSATION COMMITTEES ARE RESPONSIBLE FOR (1) DETERMINING THE OVERALL TOTAL COMPENSATION STRATEGY FOR ALL THEIR RESPECTIVE CORPORATE OFFICERS, (2) APPROVING ALL COMPENSATION AND BENEFITS DECISIONS FOR CORPORATE OFFICERS, AND (3) REPORTING SUCH ACTIONS TO THE PHH BOARD ON A CONTINUOUS BASIS. IN ADDITION, THE EXECUTIVE COMPENSATION COMMITTEES, AS APPLICABLE, EXPRESSLY DETERMINE THE REASONABLENESS OF TOTAL COMPENSATION AND BENEFITS FOR ALL CORPORATE OFFICERS, AND ASSURES THAT ALL OFFICER COMPENSATION DECISIONS ARE MADE AFTER THOROUGH CONSIDERATION OF AND COMPARISON TO THE MARKET PRACTICES OF OTHER SIMILARLY SITUATED NOT-FOR-PROFIT HEALTHCARE EXECUTIVES IN COMPARABLE ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEES CONSIST OF BOARD MEMBERS WHO DO NOT HAVE MATERIAL FINANCIAL INTERESTS THAT COULD BE AFFECTED BY THE OFFICER COMPENSATION DECISIONS MADE BY THE COMMITTEES. THE COMPARABILITY DATA USED TO ASSIST THE EXECUTIVE COMPENSATION COMMITTEES IN THEIR COMPENSATION DELIBERATIONS ARE COMPILED BY AN INDEPENDENT, NATIONAL COMPENSATION CONSULTING FIRM THAT IS RETAINED BY AND REPORTS DIRECTLY TO THE EXECUTIVE COMPENSATION COMMITTEES. THE DATA COLLECTED BY THE CONSULTANT CONSISTS OF MARKET INFORMATION FOR EXECUTIVES IN FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS. THE DELIBERATIONS AND DECISIONS OF THE EXECUTIVE COMPENSATION COMMITTEES ARE CONTEMPORANEOUSLY DOCUMENTED, REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEES, AND PROVIDED TO THE BOARD OF PHH, AS APPLICABLE. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENT AVAILABILITY: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PURCHASE SERVICE: PROGRAM SERVICE EXPENSES 9,988,756. MANAGEMENT AND GENERAL EXPENSES 1,234,565. TOTAL EXPENSES 11,223,321. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 4,432,990. MANAGEMENT AND GENERAL EXPENSES 547,898. TOTAL EXPENSES 4,980,888. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 2,854,304. MANAGEMENT AND GENERAL EXPENSES 352,779. TOTAL EXPENSES 3,207,083. FORM 990, PART XI, LINE 9: INTERCOMPANY TRANSFERS WITH AFFILIATES 16,902,730. MON-VALE NON ACUTE CARE SERVICES INC 1163 COUNTRY CLUB ROAD MONONGAHELA PA 15063 251792434 HEALTHCARE PA 501(C)(3) LINE 10 PHH 1 MONONGAHELA VALLEY HOSPITAL FOUNDATION 1163 COUNTRY CLUB ROAD MONONGAHELA PA 15063 825336533 FUNDRAISING PA 501(C)(3) LINE 12B, II PHH 1 PENN HIGHLANDS HEALTHCARE PO BOX 447 DUBOIS PA 15801 320345810 MGMT SERVICES PA 501(C)(3) LINE 7 N/A 0 DUBOIS REGIONAL MEDICAL CENTER 100 HOSPITAL AVENUE DUBOIS PA 15801 251490707 HOSPITAL PA 501(C)(3) LINE 3 PHH 1 ELCO HOUSING 759 JOHNSONBURG ROAD ST MARYS PA 15857 251639115 HOUSING PA 501(C)(3) LINE 12A, I PHH 1 ELK REGIONAL PROFESSIONAL GROUP INC 763 JOHNSONBURG ROAD ST MARYS PA 15857 251875183 HEALTHCARE PA 501(C)(3) LINE 3 PHH 1 COMMUNITY NURSES HOME HEALTH & HOSPICE 757 JOHNSONBURG ROAD ST MARYS PA 15857 250996070 HEALTHCARE PA 501(C)(3) LINE 10 CNI 1 COMMUNITY NURSES INC 757 JOHNSONBURG ROAD STE 200 ST MARYS PA 15857 251623598 HEALTHCARE PA 501(C)(3) LINE 12B, II PHH 1 COMMUNITY NURSES HOME SUPPORT SERVICES 757 JOHNSONBURG ROAD ST MARYS PA 15857 251623601 HEALTHCARE PA 501(C)(3) LINE 10 CNI 1 DRMC EMPLOYEE BENEFITS PLAN TRUST 100 HOSPITAL AVENUE DUBOIS PA 15810 256332829 DRMC EMP BENE PA 501(C)(9) DRMC 1 JEFFCO HEALTH SERVICES INC 417 ROUTE 28 BROOKVILLE PA 15825 251505478 HEALTHCARE PA 501(C)(3) LINE 10 BROOKVILLE 1 JC BLAIR MEMORIAL HOSPITAL FOUNDATION 935 14TH STREET HUNTINGDON PA 16652 251881377 SUPPORT HOSP PA 501(C)(3) LINE 12A, I PHH 1 DRMC WORKERS COMPENSATION TRUST PO BOX 447 DUBOIS PA 15801 251741497 SUPPORT HOSP PA 501(C)(3) LINE 12B, II DRMC 1 HELPMATES INC 757 JOHNSONBURG RD ST MARYS PA 15857 251555968 HEALTHCARE PA 501(C)(3) LINE 10 CNI 1 PENN HIGHLANDS TYRONE 187 HOSPITAL DRIVE TYRONE PA 16686 231440116 HOSPITAL PA 501(C)(3) LINE 3 PHH 1 TYRONE REGIONAL HEALTH NETWORK FOUNDATIO 187 HOSPITAL DRIVE TYRONE PA 16686 814504606 SUPPORT PA 501(C)(3) LINE 12A, I PH TYRONE 1 HIGHLANDS HOSPITAL 401 EAST MURPHY AVENUE CONNELSVILLE PA 15425 251494705 HOSPITAL PA 501(C)(3) LINE 3 PHH 1 HIGHLANDS HOSPITAL FOUNDATION 401 EAST MURPHY AVENUE CONNELSVILLE PA 15425 843713870 SUPPORT HOSP PA 501(C)(3) LINE 12A, I PHH 1 WRC HEALTH CARE SUPPORT SERVICES 985 ROUTE 28 BROOKVILLE PA 15825 251601734 HEALTHCARE PA 501(C)(3) LINE 10 WRC SR SRVCS 1 WRC SENIOR SERVICES 985 ROUTE 28 BROOKVILLE PA 15825 251552925 HEALTHCARE PA 501(C)(3) LINE 10 DRMC 1 WRC NORTH FORK HEIGHTS 985 ROUTE 28 BROOKVILLE PA 15825 251684846 HEALTHCARE PA 501(C)(3) LINE 10 WRC SR SRVCS 1 WRC PENNSYLVANIA MEMORIAL HOME 985 ROUTE 28 BROOKVILLE PA 15825 250718600 HEALTHCARE PA 501(C)(3) LINE 10 WRC SR SRVCS 1 JC BLAIR MEMORIAL HOSPITAL 1225 WARM SPRINGS AVENUE HUNTINGDON PA 16652 231352159 HOSPITAL PA 501(C)(3) LINE 3 PHH 1 CLEARFIELD EMS 713 W FRONT ST CLEARFIELD PA 16830 251672659 EMS SERVICE PA 501(C)(3) LINE 10 PHH 1 BROOKVILLE HOSPITAL 100 HOSPITAL RD BROOKVILLE PA 15825 250984595 HOSPITAL PA 501(C)(3) LINE 3 DRMC 1 ELK REGIONAL HEALTH CENTER 763 JOHNSONBURG RD ST MARYS PA 15857 250585280 HOSPITAL PA 501(C)(3) LINE 3 PHH 1 MON-VALE MULTIPHASICS INC 1163 COUNTRY CLUB ROAD MONONGAHELA PA 15063 251464425 HEALTH CARE MANAGEMENT/WELLNESS CENTER PA N/A C 0 MON-VALE ONCOLOGY INC 1163 COUNTRY CLUB ROAD MONONGAHELA PA 15063 800703620 PHYSICIAN PRACTICE PA N/A C 0 MON-VALE PROFESSIONAL SERVICES INC 1163 COUNTRY CLUB ROAD MONONGAHELA PA 15063 800162030 HEALTH CARE MANAGEMENT PA N/A C 0 MON-VALE PRIMARY CARE INC 1163 COUNTRY CLUB ROAD MONONGAHELA PA 15063 452260948 PHYSICIAN PRACTICE PA N/A C 0 MON-VALE SPECIALTY PRACTICES INC 1163 COUNTRY CLUB ROAD MONONGAHELA PA 15063 460662192 PHYSICIAN PRACTICE PA N/A C 0 MON-VALE ORTHOPEDICS INC 1163 COUNTRY CLUB ROAD MONONGAHELA PA 15063 251483685 PHYSICIAN PRACTICE PA N/A C 0 MON-VALE PRIMARY CARE PRACTICES INC 1163 COUNTRY CLUB ROAD MONONGAHELA PA 15063 611708169 PHYSICIAN PRACTICE PA N/A C 0 MON-VALE RADIATION ONCOLOGY INC 1163 COUNTRY CLUB ROAD MONONGAHELA PA 15063 383903238 PHYSICIAN PRACTICE PA N/A C 0 MON-VALE CLINICAL PROFESSIONALS INC 1163 COUNTRY CLUB ROAD MONONGAHELA PA 15063 475215841 CRNA SERVICES PA N/A C 0 TRIVESTA CASUALTY INSURANCE INC 1163 COUNTRY CLUB ROAD MONONGAHELA PA 15063 980497488 INSURANCE SC N/A C 0 JC BLAIR MEDICAL SERVICES INC 1225 WARM SPRINGS AVENUE HUNTINGDON PA 16652 251881378 HEALTH CARE PA PHH C 0 MONONGAHELA MEDICAL SUPPLY COMPANY 1163 COUNTRY CLUB ROAD MONONGAHELA PA 15063 251486121 MEDICAL EQUIPMENT PA N/A C 0 DUBOIS MEDICAL SUPPLY PO BOX 263 DUBOIS PA 15801 251417990 MEDICAL SUPPLIES PA DRMC C 0 DUBOIS REGIONAL MEDICAL GROUP PO BOX 447 DUBOIS PA 15801 251856569 MEDICAL SERVICES PA DRMC C 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 MONONGAHELA VALLEY HOSPITAL FOUNDATION C 81107 COST