4A (Expenses $ 395481846 including grants of $ 220253) (Revenue $ 416864299)
THE HOSPITALS COMPRISING VALLEY MEDICAL FACILITIES PROVIDE ROUTINE AND AUXILIARY MEDICAL/SURGICAL, PSYCHIATRIC, AND OUTPATIENT REHABILITATION SERVICES TO THE COMMUNITIES SERVED BY THE HOSPITALS REGARDLESS OF PATIENT'S ABILITY TO PAY.DURING THE FISCAL YEAR, THE HOSPITALS HAD 16,970 INPATIENT ADMISSIONS, 6,774 OBSERVATION ADMISSIONS, 1,017 NEWBORN ADMISSIONS, AND 87,841 INPATIENT DAYS. THE FACILITIES ALSO ENCOUNTERED 95,170 EMERGENCY ROOM VISITS, 9,547 OUTPATIENT SURGERIES, 140 OPEN HEART PROCEDURES, 2,098 CARDIAC CATHETERIZATIONS AND 369,251 DIAGNOSTIC IMAGING PROCEDURES.HERITAGE VALLEY SENIOR LIVING COMMUNITY PROVIDES SENIOR LIVING CHOICES RANGING FROM INDEPENDENT LIVING, PERSONAL CARE AND MEMORY CARE. INDEPENDENT LIVING PROVIDES SENIORS WITH THEIR OWN APARTMENTS, RESTAURANT-STYLE DINING, HOUSEKEEPING AND MANY ACTIVITIES AND OTHER AMENITIES DESIGNED TO SUIT THEIR ACTIVE LIFESTYLES. THE PERSONAL CARE COMMUNITY COMBINES ALL OF THE COMFORTS OF HOME WITH THE ACTIVITY AND SECURITY OF A SMALL COMMUNITY OF CARING STAFF. RESIDENTS ENJOY A WIDE RANGE OF SOCIAL ACTIVITIES IN AN ELEGANT SETTING, ALONG WITH SPECIALLY PLANNED PROGRAMS, GOOD FOOD, FRIENDS AND 24 HOUR ASSISTANCE FROM A CARING STAFF, TAILORED TO EACH RESIDENT'S NEEDS. THE MEMORY CARE PROGRAM IS DESIGNED FOR THE SPECIFIC NEEDS OF SENIORS WITH ALZHEIMER'S OR RELATED DEMENTIA AND OFFERS A HOME-LIKE ENVIRONMENT CONDUCIVE TO BOTH EMOTIONAL HEALTH AND PHYSICIAL WELL-BEING. EVERY ROOM OF OUR PROGRAM HAS BEEN DESIGNED TO STIMULATE THE SENSES AND INVOKE A FEELING OF FAMILIARITY AND WARMTH. RESIDENTS AND THEIR FAMILIES CAN ENJOY COMFORTABLE COMMON ROOMS, AS WELL AS AN ATTRACTIVE AND SECURE OUTDOOR COURTYARD.

PART V, SECTION B
FACILITY REPORTING GROUP A

FACILITY REPORTING GROUP A CONSISTS OF:
- FACILITY 1: HERITAGE VALLEY, BEAVER, - FACILITY 2: HERITAGE VALLEY, SEWICKLEY, - FACILITY 3: HERITAGE VALLEY, KENNEDY

GROUP A-FACILITY 2 -- HERITAGE VALLEY, SEWICKLEY PART V, SECTION B, LINE 5:
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

GROUP A-FACILITY 2 -- HERITAGE VALLEY, SEWICKLEY PART V, SECTION B, LINE 6A:
THE CHNA IS COMPLETED FOR HERITAGE VALLEY, SEWICKLEY, HERITAGE VALLEY, BEAVER, AND HERITAGE VALLEY, KENNEDY.

GROUP A-FACILITY 2 -- HERITAGE VALLEY, SEWICKLEY PART V, SECTION B, LINE 11:
VALLEY MEDICAL FACILITIES HAS DEVELOPED AN IMPLEMENTATION PLAN TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED THROUGH ITS CHNA. AS WITH MOST HEATH CARE FACILITIES, VALLEY MEDICAL FACILITIES HAS LIMITED FINANCIAL RESOURCES TO ADDRESS ALL ISSUES.

GROUP A-FACILITY 1 -- HERITAGE VALLEY, BEAVER PART V, SECTION B, LINE 5:
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

GROUP A-FACILITY 1 -- HERITAGE VALLEY, BEAVER PART V, SECTION B, LINE 6A:
THE CHNA IS COMPLETED FOR HERITAGE VALLEY, SEWICKLEY, HERITAGE VALLEY, BEAVER, AND HERITAGE VALLEY, KENNEDY.

GROUP A-FACILITY 1 -- HERITAGE VALLEY, BEAVER PART V, SECTION B, LINE 11:
VALLEY MEDICAL FACILITIES HAS DEVELOPED AN IMPLEMENTATION PLAN TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED THROUGH ITS CHNA. AS WITH MOST HEATH CARE FACILITIES, VALLEY MEDICAL FACILITIES HAS LIMITED FINANCIAL RESOURCES TO ADDRESS ALL ISSUES.

GROUP A-FACILITY 3 -- HERITAGE VALLEY, KENNEDY PART V, SECTION B, LINE 5:
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

GROUP A-FACILITY 3 -- HERITAGE VALLEY, KENNEDY PART V, SECTION B, LINE 6A:
THE CHNA IS COMPLETED FOR HERITAGE VALLEY, SEWICKLEY, HERITAGE VALLEY, BEAVER, AND HERITAGE VALLEY, KENNEDY.

GROUP A-FACILITY 3 -- HERITAGE VALLEY, KENNEDY PART V, SECTION B, LINE 11:
VALLEY MEDICAL FACILITIES HAS DEVELOPED AN IMPLEMENTATION PLAN TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED THROUGH ITS CHNA. AS WITH MOST HEATH CARE FACILITIES, VALLEY MEDICAL FACILITIES HAS LIMITED FINANCIAL RESOURCES TO ADDRESS ALL ISSUES.

PART I, LINE 3C:
THE FOLLOWING EXPLANATIONS ARE RELEVANT TO ALL HOSPITALS OF THE ORGANIZATION: HERITAGE VALLEY, BEAVER, HERITAGE VALLEY, SEWICKLEY AND HERITAGE VALLEY, KENNEDY. THE ORGANIZATION PROVIDES CHARITY CARE TO QUALIFYING INDIVIDUALS AND FAMILIES BASED ON A SLIDING SCALE USING FEDERAL HEALTH & HUMAN SERVICES POVERTY GUIDELINES. ACCOUNTING FOR FAMILY SIZE AT 300% OF THE POVERTY LEVEL FOR FREE CARE, A 75% DISCOUNT FOR FAMILIES AT 350%, A 50% DISCOUNT FOR FAMILIES AT 400% AND A 25% DISCOUNT FOR FAMILIES AT 450%.

PART I, LINE 7:
THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED WAS BASED ON THE ORGANIZATION'S COST ACCOUNTING SYSTEM.

PART I, LINE 7G:
SUBSIDIZED HEALTH SERVICES INCLUDE BEHAVIORAL HEALTH, FAMILY PRACTICE CLINIC AND RETAIL MEDICINE SERVICES IN THE COMMUNITIES WE SERVE TO MEET THE INSTITUTE FOR HEALTHCARE IMPROVEMENT'S TRIPLE AIM GOAL OF PATIENT ACCESS, LOWER COST AND POPULATION HEALTH MANAGEMENT, SUPPORTED BY SEVERAL PROVISIONS IN THE AFFORDABLE CARE ACT.

PART I, LN 7 COL(F):
DIFFERENCES BETWEEN AMOUNTS REIMBURSED AND NORMAL BILLING RATES ARE CHARGED TO PROVISIONS FOR CONTRACTUAL ALLOWANCES AS A REDUCTION TO NET PATIENT SERVICE REVENUE. ACCOUNTS RECEIVABLE ARE FURTHER REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE ORGANIZATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF PATIENT SERVICE REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF PATIENT SERVICE REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE ORGANIZATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXIST FOR PART OF THE BILL, THE ORGANIZATION RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES OR THE DISCOUNTED RATES ACCORDING TO THE ORGANIZATION'S CHARITY CARE POLICY AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. HERITAGE VALLEY IS IN FULL COMPLIANCE WITH THE 501(R) REGULATIONS.

PART III, LINE 2:
BAD DEBT EXPENSE AT COST WAS DETERMINED BASED ON THE COST TO CHARGE RATIO UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES APPLIED TO THE BAD DEBT EXPENSE FOR THE FISCAL YEAR.

PART III, LINE 8:
THE ORGANIZATION BELIEVES THE ENTIRE SHORTFALL OF REIMBURSEMENT VERSUS COST SHOULD BE CONSIDERED COMMUNITY BENEFIT SINCE IT RESULTS IN A LOSS THEREFORE LESSENING GOVERNMENT BURDEN. COSTS ASSOCIATED WITH THE SHORTFALL WERE DETERMINED FROM THE ORGANIZATION'S COST ACCOUNTING SYSTEM.

PART III, LINE 9B:
WITHIN THE ORGANIZATION'S BAD DEBT/COLLECTION POLICY, THERE IS REFERENCE TO THE FACT THAT PATIENTS ARE PROVIDED SEVERAL OPTIONS, ONE OF WHICH BEING THE APPLICATION FOR CHARITY CARE IN SATISFYING THE OUTSTANDING BALANCE OF THEIR ACCOUNT. IF THE PATIENT PURSUES CHARITY CARE, THERE IS A SEPARATE POLICY DETAILING THE STEPS REQUIRED TO QUALIFY FOR CHARITY CARE.

PART VI, LINE 2:
THE ORGANIZATION IS COMMITTED TO THE PEOPLE IT SERVES AND THE COMMUNITIES THEY LIVE IN. HEALTHY COMMUNITIES LEAD TO LOWER HEALTH CARE COSTS, ROBUST COMMUNITY PARTNERSHIPS, AND AN OVERALL ENHANCED QUALITY OF LIFE. THE CHNA FINAL SUMMARY REPORT SERVES AS A COMPILATION OF THE OVERALL FINDINGS OF EACH RESEARCH COMPONENT.

PART VI, LINE 3:
"THE ORGANIZATION IS COMMITTED TO ASSISTING ALL SELF PAY PATIENTS IN APPLYING FOR STATE MEDICAID. CURRENTLY THE ORGANIZATION ENGAGES A THIRD PARTY SERVICE TO INTERVIEW AND COMPLETE THE MEDICAID APPLICATION ON ALL PATIENTS ADMITTED WITH NO HEALTH INSURANCE. DURING THE APPLICATION PROCESS, PATIENTS ARE MADE AWARE OF THE CHARITY CARE PROGRAM IN THE EVENT THEY ARE DENIED STATE MEDICAID. THE FINANCIAL INFORMATION OBTAINED DURING THIS PROCESS IS USED IN DETERMINING IF THE PATIENTS QUALIFY FOR THE CHARITY CARE PROGRAM. IF THE PATIENT IS DENIED FOR MEDICAID, THEY RECEIVE MONTHLY STATEMENTS REFLECTING THE OUTSTANDING BALANCE OWED. THE ORGANIZATION MAKES THE PATIENTS AWARE OF THE CHARITY CARE PROGRAM ON THE BACK SIDE OF ALL SELF PAY PATIENTS STATEMENTS. THE STATEMENT DIRECTS ALL INQUIRIES REGARDING CHARITY CARE TO THE PATIENT ACCOUNTING DEPARTMENT. THE PATIENTS ARE PROVIDED WITH THE GUIDELINES OF THE PROGRAM AT THE POINT THEY CONTACT PATIENT ACCOUNTING. THE PHONE CALL USUALLY RESULTS IN THE APPLICATION ALONG WITH THE CURRENT GUIDELINES BEING MAILED TO THE PATIENT FOR COMPLETION. IN ADDITION, TO THE SELF PAY STATEMENTS NOTIFYING PATIENTS OF THE CHARITY CARE PROGRAM, THE PROGRAM IS ALSO INCLUDED ON THE ORGANIZATION WEBSITE AND GIVES THE PATIENT THE OPTION OF PRINTING THE CHARITY CARE APPLICATION DIRECTLY FROM THE WEBSITE. ALSO, REFERENCE TO THE CHARITY CARE PROGRAM IS INCLUDED IN THE ""PATIENT GUIDE"" WHICH IS PROVIDED TO ALL PATIENTS ADMITTED."

PART II, COMMUNITY BUILDING ACTIVITIES:
COMMUNITY HEALTH EDUCATION & OUTREACH MATERNAL & CHILD HEALTH STAFF AT HERITAGE VALLEY, SEWICKLEY AND BEAVER -CONDUCTED OVER 42 SESSIONS OF DIFFERENT PRENATAL EDUCATION TOPICS, INCLUDING CLASSES FOR NEW DADS AND GRANDPARENTS. GAVE HOSPITAL TOURS TO SIBLINGS. ALSO PROVIDED SUPPORT GROUPS FOR PREGNANCY LOSS AND NEW MOTHERS. STAFF OF THE COMMUNITY HEALTH SERVICES DEPARTMENT PARTICIPATED IN HEALTH EVENTS THAT INCLUDES FREE SCREENINGS, HEALTH EDUCATION TABLES AND PRESENTATIONS TO THE GENERAL COMMUNITY. THESE FREE SCREENINGS ARE USED TO INFLUENCE INDIVIDUALS TO TAKE A GREATER ROLE IN THEIR HEALTH. CAR SEATS ARE RENTED AT DISCOUNTED RATES TO PARENTS IN NEED FOR SAFE TRANSPORT OF NEWBORNS. FAMILY MEDICINE RESIDENTS PROVIDED FREE SPORTS/SCHOOL PHYSICALS, AND PROVIDE HEALTH EDUCATIONAL TALKS ON SMOKING CESSATION AND SEX EDUCATION. *THE HOSPITAL DIVISION LABORATORY PROVIDED 235 LEGAL ALCOHOL TESTS FOR AREA POLICE DEPARTMENTS AT A TESTING COST OF $3,000. MANAGEMENT AND STAFF FROM SEVERAL DEPARTMENTS PARTICIPATED IN LOCAL SCHOOL CAREER DAYS. COMMUNITY-BASED CLINICAL SERVICES *THE FAMILY MEDICINE CLINIC (BEAVER FALLS) CONDUCTS FREE PHYSICALS FOR THE FOSTER GRANDPARENT PROGRAM. DONATIONS TO NOT-FOR-PROFIT ORGANIZATIONS *PAYMENTS TO LOCAL MUNICIPALITIES (IN LIEU OF TAXES) - $216,900. *THE ORGANIZATION SPONSORED EVENTS HELD BY THE COMMUNITY NOT-FOR-PROFIT ORGANIZATIONS AND DONATED $205,701 TO THESE ORGANIZATIONS (NET OF VALUE RECEIVED). *THE ORGANIZATION ALSO DONATED $50,000 TO LOCAL FOOD BANKS TO ASSIST IN THE PURCHASE OF FOOD SUPPLIES AND EQUIPMENT. SUBSIDIZED HEALTH SERVICES: THE ORGANIZATION IS COMMITTED TO OFFERING A ROBUST RANGE OF SERVICES TO MEET COMMUNITY NEEDS; THEREFORE SOME SERVICES SUCH AS EMERGENCY DEPARTMENT SERVICES, FAMILY PRACTICE CLINIC AND MATERNAL/CHILD HEALTH SERVICES ARE OPERATED WITH SIGNIFICANT SUBSIDIES. MEDICAL STAFF PRIVILEGES: IN GENERAL, THE BEAVER, SEWICKLEY, AND KENNEDY CAMPUSES HAVE AN OPEN MEDICAL STAFF AND PRIVILEGES ARE GRANTED TO QUALIFIED PHYSICIANS WHO MEET ESTABLISHED CRITERIA. THERE ARE, HOWEVER, CERTAIN DEPARTMENTS AND/OR SERVICES THAT ARE CLOSED DUE TO CONTRACTUAL ARRANGEMENTS WITH THIRD PARTY PROVIDERS. FIVE DEPARTMENTS ARE CLOSED. THE DEPARTMENT OF EMERGENCY MEDICINE AND HOSPITALIST SERVICES ARE CLOSED TO PHYSICIANS WHO ARE EMPLOYED BY THE ORGANIZATION, AND TO PHYSICIANS OTHERWISE CONTRACTED BY THE ORGANIZATION. FOR THE DEPARTMENTS OF RADIOLOGY, PATHOLOGY AND ANESTHESIOLOGY, THE ORGANIZATION HAS EXCLUSIVE CONTRACTS WITH THE CONTRACTING PHYSICIAN GROUPS, AND THUS PRIVILEGES IN THESE DEPARTMENTS ARE LIMITED TO THOSE PHYSICIANS WHO HAVE A CONTRACTUAL RELATIONSHIP WITH THE GROUP. IN ADDITION, THE ORGANIZATION HAS EXCLUSIVE CONTRACTS WITH THIRD PARTY PROVIDERS FOR THE PROVISION OF TELEMEDICINE STROKE SERVICES AT EACH OF THE CAMPUSES. QUALITY IMPROVEMENTS IN PATIENT CARE: HERITAGE VALLEY IS A JOINT COMMISSION ACCREDITED HOSPITAL COMPLIANT WITH THE NATIONAL PATIENT SAFETY GOALS AND CMS'S INPATIENT QUALITY REPORTING PROGRAM. THE SYSTEM HAS RECEIVED PRIMARY STROKE CERTIFICATION WHICH RECOGNIZES COMPLIANCE TO THE AMERICAN HEART ASSOCIATION'S STROKE STANDARDS. PERFORMANCE IMPROVEMENT INITIATIVES ARE ONGOING IN THE AREAS OF INFECTION CONTROL, PATIENT SAFETY AND THE CUSTOMER EXPERIENCE. ADDITIONALLY, HERITAGE VALLEY HAS DEVELOPED A ROBUST POPULATION HEALTH STRATEGY THAT INCLUDES A TEAM OF REGISTERED NURSES THAT ACT AS PRACTICE-BASED CARE MANAGERS WORKING TO CLOSE GAPS IN PATIENT CARE OUTSIDE THE HOSPITAL. THE POPULATION HEALTH TEAM HAS REALIZED YEAR-OVER-YEAR IMPROVEMENT IN CMS'S STAR RATINGS AND HEDIS SCORES. THE POPULATION HEALTH TEAM FOCUSES ON ENSURING PATIENTS ARE SEEING THEIR PHYSICIAN AND GETTING THE APPROPRIATE ANNUAL SCREENINGS IN AN EFFORT TO AVOID THE NEED FOR ACUTE HEALTH CARE SERVICES. THE PERFORMANCE IMPROVEMENT INITIATIVE EMPLOYED BY THE HOSPITAL ENSURES QUALITY HEALTH CARE WHEN THE PATIENT NEEDS INPATIENT CARE. THE COMBINATION OF HOSPITAL AND POPULATION HEALTH QUALITY PROMOTE HEALTH IN THE COMMUNITIES WE SERVE.

PART VI, LINE 4:
VALLEY MEDICAL FACILITIES IS PART OF THE HIGHLY COMPETITIVE PITTSBURGH, PENNSYLVANIA HEALTH CARE ENVIRONMENT. SEVERAL OF THE HOSPITALS ARE INTERNATIONALLY RECOGNIZED.VALLEY MEDICAL FACILITIES HAS HOSPITALS IN BEAVER, SEWICKLEY, AND KENNEDY TOWNSHIP, PENNSYLVANIA. THE ORGANIZATION DEFINED ITS SERVICE AREA BASED ON AN ANALYSIS OF THE GEOGRAPHIC AREAS OF RESIDENCE OF CUSTOMERS. THE ORGANIZATION'S PRIMARY SERVICE AREA IS CONSIDERED TO BE BEAVER COUNTY, PENNSYLVANIA AND THE FOLLOWING MUNICIPALITIES WITHIN ALLEGHENY COUNTY, PENNSYLVANIA: ALEPPO TOWNSHIP, BELL ACRES BOROUGH, CARNEGIE BOROUGH, CORAOPOLIS BOROUGH, CORLISS (A NEIGHBORHOOD IN THE CITY OF PITTSBURGH), CRAFTON BOROUGH, CRESCENT TOWNSHIP, EDGEWORTH BOROUGH, FINDLAY TOWNSHIP, GLEN OSBORNE BOROUGH, GLENFIELD BOROUGH, HAYSVILLE BOROUGH, HEIDELBERG BOROUGH, KENNEDY TOWNSHIP, LEET TOWNSHIP, LEETSDALE BOROUGH, MCKEES ROCKS BOROUGH, MOON TOWNSHIP, NEVILLE TOWNSHIP, NORTH FAYETTE TOWNSHIP, OAKDALE BOROUGH, SEWICKLEY BOROUGH, SEWICKLEY HEIGHTS BOROUGH, AND SEWICKLEY HILLS BOROUGH.THE TOTAL POPULATION OF THE HOSPITALS' PRIMARY SERVICE AREA IS ESTIMATED TO BE 318,560 AS OF 2020.SELECTED DEMOGRAPHIC AND BEHAVIORAL RISK FINDINGS: THE PRIMARY SERVICE AREA (BEAVER COUNTY AND THE ABOVE LISTED AREAS OF ALLEGHENY COUNTY) DECREASED IN POPULATION BY APPROXIMATELY 0.7% BETWEEN 2010 AND 2020. THE MEDIAN AGE IN EACH OF THE 3 SERVICE AREAS (BEAVER COUNTY, SEWICKLEY/MOON, AND KENNEDY/MCKEES ROCKS) IS HIGHER THAN THE STATE AND NATIONAL AVERAGES. THE SEWICKLEY/MOON AREA HAS THE HIGHEST MEDIAN AGE OF 51.1 YEARS WHILE THE KENNEDY/MCKEES ROCKS AREA HAS THE LOWEST MEDIAN AGE OF 40.4 YEARS. ALSO IN ALL 3 SERVICE AREAS, THE 65 YEARS AND OLDER GROUP MAKE UP A LARGER PERCENTAGE OF THE POPULATION THAN THE STATE AND NATIONAL AVERAGES, RANGING FROM 18.5% TO 22.6% COMPARED TO THE STATE AVERAGE OF 18.3% AND THE NATIONAL AVERAGE OF 16.0%. IN ALL 3 SERVICE AREAS, OVER 20% OF INDIVIDUALS WHO ARE OVER 65 TO 74 YEARS OF AGE HAVE A DISABILITY, WITH 40% OF THOSE OVER 75 HAVING A DISABILTY. THE LEADING CAUSES OF DEATH IN BOTH BEAVER AND ALLEGHENY COUNTIES IN 2015 THROUGH 2019 WERE HEART DISEASE AND CANCER. IN 2017 THROUGH 2019, BEAVER COUNTY HAS AN ADULT OBESITY RATE OF 34% AND ALLEGHENY COUNTY HAD A 30% OBESITY RATE. ON 2017 THROUGH 2019, BEAVER COUNTY HAD A RATE OF ADULTS DIAGNOSED WITH DIABETES OF 8.0%, WHICH WAS LOWER THAN PREVIOUS YEARS. MEDICALLY UNDERSERVED AREAS IN THE PRIMARY SERVICE AREA INCLUDE: BEAVER FALLS (PART), BRIDGEWATER, ALIQUIPPA (PART), CORAOPOLIS (PART) AND MCKEES ROCKS (PART).

PART VI, LINE 5:
INVESTMENT IN FACILITIES AND EQUIPMENT *THE ORGANIZATION HAS A SIGNIFICANT CAPITAL BUDGET OF APPROXIMATELY $39 MILLION ANNUALLY, PRIMARILY FUNDED BY OPERATING MARGINS. THE FOUNDATION SUPPORTS FACILITY ENHANCEMENTS AND EQUIPMENT PURCHASES. THE FOUNDATION SUPPORTS INITIATIVES SUCH AS THE NURSING EDUCATION AND SIMULATION CENTER AND DIAGNOSTIC EQUIPMENT. MEDICAL EDUCATION *THE ORGANIZATION SERVES AS A SITE FOR NUMEROUS HEALTH AND ADMINISTRATIVE/PROFESSIONAL INTERNSHIPS AND ADMINISTRATING NURSING STUDENTS FROM CERTAIN TECHNICAL AND COMMUNITY COLLEGES & UNIVERSITIES, WHO USE THE ORGANIZATION AS A SITE FOR CLINICAL TRAINING WITH NO TUITION OR MONETARY REIMBURSEMENT. COORDINATION OF THESE UNPAID INTERNSHIPS REQUIRES MULTIPLE HOURS OF STAFF TIME, VALUED AT $18,977. THE ORGANIZATION HAS A FAMILY PRACTICE RESIDENCY PROGRAM IN BEAVER FALLS, WITH AN ASSOCIATED CLINIC. THE AFFILIATED FOUNDATION OFFERS NURSING SCHOOL SCHOLARSHIPS AND MEDICAL STUDENT SCHOLARSHIPS. ADDITIONALLY, HERITAGE VALLEY KENNEDY HAS A 19-MONTH RN DIPLOMA PROGRAM. THIS PROGRAM IS FULLY ACCREDITED BY THE PENNSYLVANIA STATE BOARD OF NURSING (PASBON) AND BY THE ACCREDITATION COMMISSION FOR EDUCATION IN NURSING. IT IS ALSO APPROVED BY THE DEPARTMENT OF EDUCATION. HERITAGE VALLEY KENNEDY ALSO HAS A 24-MONTH SCHOOL OF RADIOGRAPHY PROGRAM. STUDENTS WHO SUCCESSFULLY COMPLETE THE PROGRAM ARE AWARDED A CERTIFICATE IN RADIOLOGIC TECHNOLOGY AND AS ASSOCIATE DEGREE IN HEALTH SCIENCE WITH A CONCENTRATION IN RADIOLOGIC TECHNOLOGY FROM LA ROCHE COLLEGE. THEY ARE THEN ELIGIBLE TO TAKE THE NATIONAL CERTIFICATION EXAMINATION ADMINISTERED BY THE AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS (ARRT).COMMUNITY HEALTH SERVICES *COMMUNITY HEALTH SERVICES IS A ROBUST SET OF PROGRAMS AND SERVICES THAT FOCUS ON FAMILIES AND INDIVIDUALS SUFFERING FROM CHRONIC ILLNESSES. THE BENEFITS OF THESE PROGRAM ARE DEMONSTRATED THROUGH CLINICAL OUTCOMES THAT RELATE TO HEALTHY LIVING AND IMPROVED FUNCTIONING. *PEDIATRIC ASTHMA, *DIABETES, *PREGNANCY HEALTH SERVICES (DESIGNED FOR HIGH-RISK PREGNANCIES), *CHILDHOOD OBESITY, *LIFESMART (PRE-DIABETES/OBESITY), *COMMUNITY OUTREACH SERVICES, *NUTRITIONAL COUNSELING. THESE SERVICES ARE SUPPORTED THROUGH GRANTS FROM THE FOUNDATIONS.THE FOUNDATION ALSO SUPPORTS THE BEAVER CAMPUS BY REIMBURSING HERITAGE VALLEY BEAVER FOR BUILDING SYSTEMS AND CAPITAL PROJECTS FROM THE FORMER BEAVER FOUNDATION UNRESTRICTED FUNDS, TO ADDRESS THE AGING INFRASTRUCTURE OF THE BEAVER CAMPUS.

PART VI, LINE 6:
"THE ORGANIZATION IS A WHOLLY OWNED SUBSIDIARY OF HERITAGE VALLEY HEALTH SYSTEM, INC. AND PROVIDES INPATIENT AND OUTPATIENT HEALTH CARE AND RELATED SERVICES TO THE RESIDENTS OF BEAVER COUNTY, PA, AND NORTHWESTERN ALLEGHENY COUNTY, PA, AND THE SURROUNDING AREAS THROUGH ITS THREE ACUTE CARE HOSPITALS: HERITAGE VALLEY, BEAVER, HERITAGE VALLEY, SEWICKLEY AND HERITAGE VALLEY, KENNEDY. THE ORGANIZATION IS PART OF AN INDEPENDENT, COMMUNITY-BASED HEALTH SYSTEM, UNAFFILIATED WITH ANY OTHER HEALTH CARE SYSTEM. THE ROLES OF THE ORGANIZATION AND ITS AFFILIATED FOUNDATION ARE DOCUMENTED ELSEWHERE IN THIS FORM. EMPLOYEES OF THE HEALTH SYSTEM'S PHYSICIAN CORPORATIONS ALSO WORK HARD TO PROMOTE THE HEALTH OF THE PATIENTS IN OUR COMMUNITIES. WE OFFER WALK-IN CARE 7 DAYS A WEEK AT OUR CONVENIENTCARE CLINICS ALLOWING PATIENTS TO SEEK CARE WHEN AND WHERE IT IS CONVENIENT FOR THEM. THESE SAME CLINICS OFFER DISCOUNTED SERVICES SUCH AS FLU CLINIC FRIDAYS DURING THE SEASON WHERE IT'S MOST CRITICAL FOR PATIENTS TO RECEIVE THESE VACCINES. OUR PRIMARY CARE OFFICES NOW HAVE INTEGRATED PATIENT DASHBOARDS THAT DISPLAY THE PREVENTIVE AND RECOMMENDED WELL SERVICES THAT PATIENTS ARE ENCOURAGED TO RECEIVE. WHETHER SCHEDULING FREE ANNUAL WELLNESS EXAMS OR RECOMMENDING PREVENTIVE SCREENINGS (IE. MAMMOGRAMS, COLORECTAL SCREENINGS, ETC.) AND IMMUNIZATIONS, OUR PHYSICIANS AND PHYSICIAN PRACTICE STAFF WORK WITH THE PATIENTS TO CLOSE THESE ""GAPS"" IN CARE AND IMPROVE THE PATIENT'S CHANCE OF STAYING WELL."