4A (Expenses $ 117750392 including grants of $ 0) (Revenue $ 123680949)
"THE HOSPITAL WORKS TO ACHIEVE ITS MISSION BY MAINTAINING SUITABLE FACILITIES WITHIN THE CARROLL TOWNSHIP, WASHINGTON COUNTY, PENNSYLVANIA VICINITY FOR THE PROVISION OF HEALTH CARE. ADDITIONALLY, MONONGAHELA VALLEY HOSPITAL HAS ALWAYS ENCOURAGED PROGRESS AND FLEXIBILITY TO MEET THE CHANGING NEEDS OF OUR PATIENTS AND ALL RESIDENTS OF THE COMMUNITIES IN THE MID-MON VALLEY. THE HOSPITAL CONFRONTED THE ISSUES REQUIRED TO ENHANCE THE HEALTH AND WELFARE OF THE RESIDENTS OF THE MID-MON VALLEY BY PROVIDING QUALITY HEALTH CARE REGARDLESS OF ETHNIC BACKGROUND, AGE OR ABILITY TO PAY, ALL THE WHILE MAINTAINING A HIGH DEGREE OF RESPONSIVENESS TO CHANGES, PARTICULARLY THOSE OF THE COMMUNITY. IN OUR EFFORT TO FULFILL OUR MISSION OF SERVING THE COMMUNITY, THE HOSPITAL COMMITTED TO SERVE ALL MEMBERS OF ITS COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY, THROUGH VARIOUS MEANS:CARE PROVIDED TO PERSONS COVERED BY GOVERNMENT PROGRAMS (I.E., MEDICARE AND MEDICAID) AT BELOW COST, CHARITY CARE, AND HEALTH EDUCATION PROGRAMS AND ACTIVITIES TO INFORM AND SUPPORT THE COMMUNITY.THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, CLINICS, COMMUNITY EDUCATION PROGRAMS, HEALTH SCREENINGS, COUNSELING SERVICES, SCHOOL PROGRAMS AND A VARIETY OF OTHER SUPPORT ACTIVITIES. SEE THE FOLLOWING SUMMARY OF COMMUNITY SUPPORT SERVICES AND PROGRAMS PROVIDED BY MONONGAHELA VALLEY HOSPITAL DURING THE FISCAL YEAR 2021.DURING FISCAL 2021 AND DESPITE THE COVID-19 PANDEMIC, MONONGAHELA VALLEY HOSPITAL PROVIDED CARE FOR 9,025 ADULT AND PEDIATRIC INPATIENT ADMISSIONS AND OBSERVATIONS AND OVER 244,000 OUTPATIENT VISITS WHICH INCLUDES 24,841 PATIENTS RECEIVING CARE THROUGH OUR 24-HOUR EMERGENCY ROOM. MEDICARE AND MEDICAID PATIENTS CONSTITUTED 63.0% OF OUR PATIENTS DURING FISCAL YEAR 2021.THE HOSPITAL'S COST OF THE COMMUNITY SUPPORT PROGRAMS AND MEDICAL ASSISTANCE SHORTFALLS DURING FISCAL 2021 WAS NEARLY $4,423,000. IN ADDITION, THE HOSPITAL PROVIDED $4,164,468 OF CHARITY CARE.ALSO DURING FISCAL YEAR 2021, MONONGAHELA VALLEY HOSPITAL, INC., WROTE OFF NEARLY $4,000,000 OF CHARGES FOR UNINSURED AND UNDERINSURED INDIVIDUALS AND OTHERS. THESE INDIVIDUALS FROM OUR COMMUNITY WERE UNABLE TO PAY THOSE CHARGES AND DID NOT QUALIFY FOR ASSISTANCE FROM ANY GOVERNMENT OR CHARITY CARE PROGRAM.SUMMARY OF COMMUNITY SUPPORT PROGRAMSFISCAL YEAR ENDED JUNE 30, 2021THE HOSPITAL SPONSORS A ""LIFELINE"" FIRST RESPONDER PROGRAM. THIS PROGRAM ENABLES OVER 75 INDIVIDUALS WITHIN OUR COMMUNITY TO LIVE INDEPENDENTLY, WHILE GIVING THEM THE SECURITY OF KNOWING THEY CAN GET MEDICAL ASSISTANCE IMMEDIATELY IF REQUIRED.THE HOSPITAL PROVIDED NEARLY 180 EDUCATIONAL PROGRAMS SERVICING APPROXIMATELY 383 INDIVIDUALS. SUBJECTS INCLUDED: CONTINUING EDUCATION, PARAMEDIC TRAINING, CPR TRAINING, INFECTION CONTROL AND PEDIATRIC PROGRAMS. HEALTH SCREENINGS WERE PROVIDED TO VARIOUS SEGMENTS OF OUR SERVICE AREA. THESE SERVICES WERE PROVIDED THROUGH EMPLOYERS, LOCAL SOCIAL ORGANIZATIONS, AND HEALTH FAIRS. OVER 11,300 COMMUNITY RESIDENTS WERE SERVED THROUGH THESE PROGRAMS. THE SERVICES PROVIDED INCLUDE: IMMUNIZATIONS, BLOOD PRESSURE SCREENINGS, PULMONARY FUNCTION TESTS, DIABETES RISK SCREENINGS, CANCER SCREENINGS, GLUCOSE AND CHOLESTEROL SCREENINGS, HEARING SCREENINGS, BONE DENSITY SCREENINGS, HEALTH FAIRS, ETC. THESE TYPES OF PROGRAMS ARE PROVIDED AT MINIMAL COST TO THE COMMUNITY.THE HOSPITAL ALSO PROVIDED NEARLY 3 COMMUNITY HEALTH PROGRAMS WITH NEARLY 27 PARTICIPANTS. PROGRAMS INCLUDED: CPR, AIDS AWARENESS, ARTHRITIS AWARENESS, DIABETES PROGRAM, SMOKING CESSATION COUNSELING, INFECTION PREVENTION, CHILDBIRTH PREPARATION CLASSES, ETC.MONONGAHELA VALLEY HOSPITAL PROVIDED 1 SCHOOL PROGRAM TO AREA SCHOOL DISTRICTS WHICH INCLUDE: RINGGOLD, MONESSEN, CHARLEROI, YOUGH, FRAZIER, BENTWORTH, CALIFORNIA, BETH CENTER AND BELLE VERNON. PRESENTATIONS WERE MADE TO OVER 150 STUDENTS AND TEACHERS. PROGRAMS PROVIDED INCLUDE: AIDS AWARENESS, INFECTION PREVENTION, CONFLICT RESOLUTIONS, TEEN PREGNANCY, NICO-TEEN SMART, NUTRITION AND HOSPITAL TOURS.THE HOSPITAL PROVIDED OUTREACH PROGRAMS FOR NEARLY 5,300 ELDERLY AND INDIGENT RESIDENTS OF THE MID-MON VALLEY COMMUNITY DURING FISCAL YEAR 2021. PROGRAMS INCLUDE: DIABETES MANAGEMENT, STRESS MANAGEMENT, DEPRESSION, AND TRANSPORTATION SERVICES.THE HOSPITAL PROVIDED OVER $115,000 OF FINANCIAL SUPPORT TO THE LOCAL EMS PROVIDERS BY SUPPLYING THEIR AMBULANCES WITH REPLACEMENT ITEMS THAT WERE USED DURING TRANSPORT OF OVER 7,970 PATIENTS.MONONGAHELA VALLEY HOSPITAL ALSO PARTICIPATES IN AND SPONSORS MANY COMMUNITY PROGRAMS SUCH AS SCOUTING FOR FOOD, UNITED WAY, PLUS SEVERAL OTHER PROGRAMS WITHIN THE MID-MON VALLEY.NUMEROUS PATIENT BROCHURES ARE PUBLISHED TO INCREASE PATIENT AWARENESS OF POTENTIAL HEALTH RISKS.THIS SUMMARY IS JUST THAT, A SUMMARY OF OUR PROGRAMS GEARED TO COMMUNITY SERVICE. MONONGAHELA VALLEY HOSPITAL AND OUR EMPLOYEES PROVIDE COUNTLESS HOURS PROMOTING COMMUNITY HEALTH AWARENESS; THIS SUMMARY REPRESENTS A PORTION OF THAT EFFORT. DUE TO THE COVID-19 PANDEMIC, SOME OF OUR PROGRAMS WERE CANCELED OR REDUCED TO PROVIDE FOR SOCIAL DISTANCING."

MONONGAHELA VALLEY HOSPITAL, INC.
PART V, SECTION B, LINE 5: IN ACCORDANCE WITH THE AFFORDABLE CARE ACT, EVERY THREE YEARS, MONONGAHELA VALLEY HOSPITAL HAS CONTRACTED WITH AN INDEPENDENT ORGANIZATION TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THIS STUDY HELPS THE HOSPITAL IDENTIFY AND ANALYZE THE COMMUNITY'S HEALTH NEEDS AND THE ASSETS THAT ARE AVAILABLE IN THE COMMUNITY. THE CHNA THEN ENABLES MVH TO PRIORITIZE, PLAN AND ACT ON IDENTIFIED NEEDS. THE MOST RECENT STUDY WAS CONDUCTED IN 2018. FOR THE STUDY, MONONGAHELA VALLEY HOSPITAL PARTNERED WITH WASHINGTON HEALTH SYSTEM TO SECURE THE SERVICES OF LRF CONSULTING, LLC, TO MANAGE THE CHNA IN ACCORDANCE WITH THE INTERNAL REVENUE SERVICE GUIDELINES. IN PERFORMING THE STUDY, REPRESENTATIVES FROM BOTH HOSPITALS MET WITH LRF CONSULTING TO DEFINE THE COMMUNITIES FOR THE JOINT CHNA. ZIP CODES SPANNED FOUR COUNTIES INCLUDING WASHINGTON, WESTMORELAND, GREENE AND FAYETTE. DATA WAS COLLECTED USING TWO PRIMARY SOURCES HOSPITAL DISCHARGE DATA FROM 2016-2017 AND AN OCTOBER 2018 MAILED SURVEY TO THE DEFINED ZIP CODES. THE MAILED SURVEY CONTAINED AN OPEN-ENDED QUESTION THAT ASKED RESPONDENTS TO INDICATE WHAT HEALTH ISSUE WAS MOST IMPORTANT IN THE COMMUNITY. THIS INFORMATION WAS USED IN PRIORITIZATION OF HEALTH NEEDS.

MONONGAHELA VALLEY HOSPITAL, INC.
PART V, SECTION B, LINE 6A: WASHINGTON HEALTH SYSTEM

MONONGAHELA VALLEY HOSPITAL, INC.
PART V, SECTION B, LINE 6B: LRF CONSULTING, LLC

MONONGAHELA VALLEY HOSPITAL, INC.
"PART V, SECTION B, LINE 11: THE CHNA IDENTIFIED HEALTH-RELATED CONCERNS PERTAINING TO MORTALITY, MORBIDITY, CLINICAL CARE, SOCIAL/ECONOMIC FACTORS AND THE PHYSICAL ENVIRONMENT. OF THOSE IDENTIFIED, 10 WERE FLAGGED AS UNDERPERFORMING ESTABLISHED BASELINES AND TARGETS. THESE INCLUDED: COLORECTAL CANCER, MAMMOGRAPHY/BREAST CANCER, DIABETES, STROKE, DRUG DEATHS, LUNG CANCER, COPD, OBESITY, NUTRITION, ALCOHOL/TOBACCO USE.WHEN MONONGAHELA VALLEY HOSPITAL'S PLANNING AND OUTREACH COMMITTEE MET TO REVIEW THE FINDINGS, THEY ACKNOWLEDGED THAT ALL 10 IDENTIFIED HEALTH NEEDS WERE IMPORTANT, BUT DETERMINED THAT DURING THE NEXT THREE YEARS THE HOSPITAL SHOULD PREFERENTIALLY ADDRESS THE FOLLOWING NEEDS: COLORECTAL CANCER DEATHS, MAMMOGRAPHY/BREAST CANCER, DIABETES DEATHS, STROKE DEATHS, COLORECTAL CANCER.MONONGAHELA VALLEY HOSPITAL'S CHARLES L. AND ROSE SWEENEY MELENYZER PAVILION AND REGIONAL CANCER CENTER OFFERS ONE OF THE MOST PROGRESSIVE PROGRAMS FOR CANCER PREVENTION, DIAGNOSIS, TREATMENT AND EDUCATION IN SOUTHWESTERN PENNSYLVANIA.COLORECTAL CANCER, WHICH AFFECTS THE COLON AND RECTUM, HAS MANY MONIKERS COLON CANCER, RECTAL CANCER AND BOWEL CANCER. ACCORDING TO THE AMERICAN CANCER SOCIETY (ACS), THE LIFETIME RISK OF DEVELOPING COLORECTAL CANCER IS ABOUT 1 IN 23 (4.3%) FOR MEN AND 1 IN 25 (4.0%) FOR WOMEN. IN THE UNITED STATES, IT IS THE THIRD LEADING CAUSE OF CANCER-RELATED DEATHS IN ADULTS. THE ACS ESTIMATES THAT IN 2022 THERE WILL BE 106,180 NEW CASES OF COLON CANCER AND 44,850 NEW CASES OF RECTAL CANCER. RESEARCHERS HAVE IDENTIFIED MANY RISK FACTORS THAT MAY INCREASE A PERSON'S CHANCE OF DEVELOPING COLORECTAL CANCER INCLUDING: OBESITY, SEDENTARY BEHAVIORS SUCH AS LACK OF PHYSICAL ACTIVITY, DIETS HIGH IN RED/PROCESSED MEATS, LOW BLOOD LEVELS OF VITAMIN D, SMOKING AND MODERATE TO HEAVY ALCOHOL CONSUMPTION. PEOPLE CAN REDUCE THEIR RISK OF COLORECTAL CANCER BY ALTERING THEIR LIFESTYLES TO LOWER THE RISK FACTORS. IN ADDITION, REGULAR COLORECTAL CANCER SCREENING IS ONE OF THE MOST POWERFUL TOOLS FOR PREVENTING COLORECTAL CANCER. FROM WHEN ABNORMAL CELLS START TO GROW INTO POLYPS, IT TYPICALLY TAKES 10 TO 15 YEARS TO DEVELOP INTO COLORECTAL CANCER. WITH REGULAR SCREENING, MOST POLYPS CAN BE DETECTED AND REMOVED BEFORE THEY BECOME CANCEROUS. SCREENING ALSO CAN FIND COLORECTAL CANCER EARLIER WHEN IT IS SMALLER AND EASIER TO TREAT. EACH SPRING, MONONGAHELA VALLEY HOSPITAL CONDUCTS FREE COLORECTAL CANCER SCREENINGS. MEMBERS OF THE COMMUNITY RECEIVE KITS THAT THEY USE AND RETURN TO THE HOSPITAL FOR TESTING. A DISTINGUISHED PANEL OF THE HOSPITAL'S HEALTH CARE PROFESSIONALS PROVIDES INFORMATION DURING THE PRESENTATION. PARTICIPANTS ALSO RECEIVE FREE TAKE-HOME COLORECTAL SCREENING KITS TO TEST FOR BLOOD IN THE STOOL. DUE TO THE COVID-19 PANDEMIC AND THE HIGH INCIDENCE OF POSITIVE CASES IN WASHINGTON COUNTY, THE EVENT WAS NOT HELD FOR THE PAST TWO YEARS. DESPITE THE PANDEMIC, THE HOSPITAL HOSTED ITS ANNUAL ONCOLOGY SYMPOSIUM ON JUNE 30, 2021 TO PROVIDE PROGRAMMING THAT ADDRESSED MANY DIFFERENT TYPES OF CANCER. PHYSICIANS RECEIVED 4.0 CONTINUING MEDICAL EDUCATION (CME) HOURS AND NURSES WILL RECEIVED 4.0 CONTINUING EDUCATION UNITS (CEU) FOR ATTENDING.ANOTHER BOOST TO MONONGAHELA VALLEY HOSPITAL'S COLORECTAL CANCER PROGRAM WAS THE ADDITION OF DR. LOWELL SHINN TO ITS MEDICAL STAFF. DR. SHINN EARNED HIS UNDERGRADUATE DEGREE AT WEST VIRGINIA UNIVERSITY AND MEDICAL DEGREE FROM MARSHALL UNIVERSITY. HE COMPLETED HIS FELLOWSHIP IN INTERNAL MEDICINE AND MEDICAL ONCOLOGY AT WAKE FOREST UNIVERSITY. PRIOR TO JOINING MONONGAHELA VALLEY HOSPITAL, HE SERVED AS THE DIRECTOR OF MEDICAL ONCOLOGY AT SCHIFFLER CANCER CENTER AT WHEELING HOSPITAL. DURING HIS CAREER. HE IS BOARD CERTIFIED BY THE AMERICAN BOARD OF INTERNAL MEDICINE WITH A SUBSPECIALTY OF MEDICAL ONCOLOGY.MAMMOGRAPHY/BREAST CANCERTHE AMERICAN CANCER SOCIETY REPORTS THAT THE AVERAGE RISK OF A U.S. WOMAN DEVELOPING BREAST CANCER SOMETIME IN HER LIFETIME IS NEARLY 13%. SINCE 2007, BREAST CANCER DEATH RATES HAVE BEEN STEADY IN WOMEN AGE 50 AND YOUNGER, BUT HAVE CONTINUED TO DECREASE IN OLDER WOMEN. THE DECREASE IS ATTRIBUTED TO FINDING BREAST CANCER EARLIER THROUGH SCREENING AND INCREASED AWARENESS AS WELL AS BETTER TREATMENTS. MONONGAHELA VALLEY HOSPITAL OFFERS 3-D MAMMOGRAPHY, WHICH IS ALSO KNOWN AS DIGITAL BREAST TOMOSYNTHESIS, THAT IS MORE EFFECTIVE IN DETECTING INVASIVE BREAST CANCER AT ITS EARLY STAGES THAN TRADITIONAL TWO-DIMENSIONAL MAMMOGRAMS. THE 3-D MAMMOGRAM CAPTURES A SERIES OF CONSECUTIVE IMAGES FROM DIFFERENT ANGLES ACROSS THE ARC OF THE BREAST TO PRODUCE THREE-DIMENSIONAL SLICE IMAGES. THE SLICES ENABLE RADIOLOGISTS TO EXAMINE BREAST TISSUE ONE LAYER AT A TIME INSTEAD OF VIEWING ALL OF THE LAYERS TOGETHER AS A FLAT IMAGE. AN ABNORMALITY THAT IS HIDDEN BEHIND TISSUE IN ONE IMAGE MAY BE VISIBLE IN ANOTHER IMAGE AT A SLIGHTLY DIFFERENT ANGLE. THERE ARE OTHER BENEFITS OF 3-D TOMOSYNTHESIS. RADIOLOGISTS CAN TARGET THE SIZE, SHAPE AND PRECISE LOCATION OF A SUSPICIOUS IMAGE. IN ADDITION, WOMEN EXPERIENCE FEWER CALLBACKS FOR ADDITIONAL IMAGES WHICH IN TURN REDUCES ANXIETY. SINCE THE TISSUE LAYERS ARE SHOWN INDEPENDENTLY, SUSPICIOUS LESIONS THAT MAY CAUSE CONCERN ON TRADITIONAL 2-D MAMMOGRAMS CAN BE RULED OUT AS BENIGN OR NON-CANCEROUS. ADDITIONAL BENEFITS INCLUDE FEWER UNNECESSARY BIOPSIES AND ADDITIONAL TESTS, AND A GREATER LIKELIHOOD OF DETECTING MULTIPLE BREAST TUMORS.THE HOSPITAL ALSO HAS TAKEN STEPS TO MAKE MAMMOGRAMS CONVENIENT FOR EVERYONE. MVH OFFERS WALK-IN MAMMOGRAMS EVERY DAY OF THE WEEK AT THE HOSPITAL AND AT HEALTHPLEX IMAGING LOCATED IN THE MONONGAHELA VALLEY HOSPITAL HEALTHPLEX. THE FACILITY ALSO OFFERS ""BRING A FRIEND"" FRIDAYS WERE WOMEN CAN GO WITH THEIR FRIENDS AND EACH ONE OF THEM CAN HAVE MAMMOGRAMS. MONONGAHELA VALLEY HOSPITAL HAS BEEN DESIGNATED A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR). BY AWARDING FACILITIES THE STATUS OF A BREAST IMAGING CENTER OF EXCELLENCE, THE ACR RECOGNIZES BREAST IMAGING CENTERS THAT HAVE EARNED ACCREDITATION IN MAMMOGRAPHY, STEREOTACTIC BREAST BIOPSY AND BREAST ULTRASOUND (INCLUDING ULTRASOUND-GUIDED BREAST BIOPSY). BREAST IMAGING CENTER OF EXCELLENCE DESIGNATION INDICATES THAT MONONGAHELA VALLEY HOSPITAL'S PATIENTS RECEIVE THE SAME HIGH LEVEL OF DIAGNOSTIC IMAGING SERVICES AS PEOPLE WHO GO TO SOME OF THE COUNTRY'S MOST RENOWNED HEALTH CENTER. IN ADDITION, MVH OFFERS A CONTINUUM OF CARE FROM IMAGING AND DIAGNOSIS THROUGH THE LATEST ADVANCEMENTS IN THERAPIES. MONONGAHELA VALLEY HOSPITAL'S MAMMOGRAPHY DEPARTMENT PASSED THE MAMMOGRAPHY QUALITY STANDARDS ACT (MQSA) INSPECTION. THE MQSA REQUIRES MAMMOGRAPHY FACILITIES ACROSS THE NATION TO MEET UNIFORM QUALITY STANDARDS TO ASSURE EARLY BREAST CANCER DETECTION.IN ADDITION, MONONGAHELA VALLEY HOSPITAL HAS BEEN NAMED ONE OF AMERICA'S BEST MAMMOGRAM IMAGING CENTERS BY THE WOMEN'S CHOICE AWARD, A TRUSTED REFERRAL SOURCE FOR THE BEST IN HEALTH CARE. THE WOMEN'S CHOICE AWARD REPORTS, ""KNOWING WHERE TO GO FOR THE BEST MAMMOGRAM WILL REDUCE YOUR RISK OF A FALSE POSITIVE OR THE POSSIBILITY OF MISSING CANCERS. BY LETTING WOMEN KNOW WHICH IMAGING CENTERS IN THEIR AREA ARE AMONG AMERICA'S BEST FOR MAMMOGRAMS, WE ARE ABLE TO REDUCE RISK BY HELPING THEM MAKE BETTER DECISIONS AND SMARTER HEALTH CARE CHOICES."" THE LIST OF 1,605 AWARD WINNERS, INCLUDING MONONGAHELA VALLEY HOSPITAL, REPRESENTS IMAGING CENTERS THAT CARRY THE BREAST IMAGING CENTER OF EXCELLENCE (BICOE) SEAL FROM THE AMERICAN COLLEGE OF RADIOLOGY AND ARE ACCREDITED FOR MAMMOGRAMS (MAP).EACH YEAR, NEARLY 400 PEOPLE PARTICIPATE IN THE MVH/LOIS ORANGE DUCOEUR BREAST CANCER WALK. THE ONE- OR TWO-MILE WALK, WHICH IS HELD ON THE STREETS OF CHARLEROI, INCLUDES A WELCOME FROM DR. NATALIE FURGIUELE, DIRECTOR OF MVH'S BREAST CARE CENTER, INFORMATION TABLES, A SURVIVORS' LAP, CHINESE AUCTION, COSTUME CONTESTS AND MORE. IN ADDITION TO RAISING AWARENESS OF EARLY DETECTION AND THE DIAGNOSTIC SERVICES AND BREAST CANCER THERAPIES AVAILABLE AT MONONGAHELA VALLEY HOSPITAL, THE EVENT GENERATES MORE THAN $14,000 FOR THE HOSPITAL'S BREAST CANCER PROGRAM. DUE TO THE COVID-19 PANDEMIC, THE EVENT COULD NOT BE HELD IN THE FALL OF 2021; HOWEVER TO INCREASE AWARENESS OF BREAST CANCER IN OCTOBER 2021, A VIRTUAL EVENT WALK/RUN WAS HELD. IN ADDITION, MONONGAHELA VALLEY HOSPITAL SPONSORS AN ANNUAL EVENT TO EDUCATE AND SCREEN WOMAN FOR BREAST CANCER. EACH OCTOBER, THE HOSPITAL HOSTS A FREE BREAST SCREENING AND EDUCATION EVENT AND DURING THE FISCAL YEAR. NATALIE FURGIUELE-IRACKI, M.D., WHO IS A BREAST SURGEON, ADDRESSES THE AUDIENCE. FOLLOWING THE OPTIONAL PHYSICAL BREAST EXAMS BY MEMBERS OF THE HOSPITAL'S MEDICAL STAFF, A MAMMOGRAM WILL BE SCHEDULED FOR ANY WOMAN WHO HAS AN ABNORMAL FINDING DURING THE SCREENING. ROUTINE YEARLY MAMMOGRAMS MAY ALSO BE SCHEDULED FOR WOMEN WHO HAVE A FAMILY HISTORY OF BREAST CANCER, WHO FALL INTO A HIGH-RISK CATEGORY, AND WHO HAVE NEVER HAD A BASELINE MAMMOGRAM OR WHO MEET THE RECOMMENDED AGE GUIDELINES."

MONONGAHELA VALLEY HOSPITAL, INC.
PART V, SECTION B, LINE 16J: DUE TO THE HOSPITAL'S MINORITY POPULATIONS NOT MEETING THE REQUIRED 5% THRESHOLD, THE HOSPITAL DOES NOT HAVE THE FAP, FAP APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY TRANSLATED INTO ANY OTHER LANGUAGES BESIDES ENGLISH. HOWEVER, THEY DO PROVIDE PROFESSIONAL TRANSLATION SERVICES BY PHONE AS NEEDED. THE CHARITY/UNCOMPENSATED CARE POLICY (MVH CARE POLICY) IS PUBLISHED IN THE LOCAL NEWSPAPERS ANNUALLY. SEE SCHEDULE H, PART VI, SUPPLEMENTAL INFORMATION, LINE 3.

PART V, SECTION B, LINE 4
THE CHNA WAS LAST CONDUCTED DURING THE ORGANIZATION'S 2018 TAX YEAR, WHICH IS EQUIVALENT TO ITS FISCAL YEAR ENDED JUNE 30, 2019. THE IMPLEMENTATION STRATEGY WAS ALSO ADOPTED DURING THAT SAME FISCAL YEAR.

PART V, SECTION B, LINE 11 (CONTINUED 1)
THE EVENT WAS NOT HELD IN 2021 DUE TO THE HIGH INCIDENCE OF POSITIVE COVID-19 CASES IN WASHINGTON COUNTY AND SURROUNDING AREAS.STROKETHE ACRONYM F.A.S.T. (FACIAL DROOPING, ARM WEAKNESS, SPEECH DIFFICULTIES AND TIME) IS IMPORTANT TO REMEMBER IN TERMS OF STROKE CARE. KNOWING THE WARNING SIGNS OF A STROKE MAY BE THE DIFFERENCE BETWEEN RECOVERY, DISABILITY AND DEATH. ACCORDING TO THE CENTERS FOR DISEASE CONTROL AND PREVENTION, IN 2018, 1 IN EVERY 6 DEATHS FROM CARDIOVASCULAR DISEASE WAS DUE TO STROKE. SOMEONE IN THE U.S. HAS A STROKE EVERY 40 SECONDS. EVERY FOUR MINUTES, SOMEONE DIES OF STROKE. NEARLY 87% OF STROKES ARE ISCHEMIC STROKES, IN WHICH BLOOD FLOW TO THE BRAIN IS BLOCKED. WHEN A STROKE IS OCCURRING, TIME EQUALS BRAIN. PATIENTS EXPERIENCING A STROKE MUST BE RAPIDLY ASSESSED BY BOTH EMERGENCY MEDICINE PHYSICIANS AND NEUROLOGISTS. PROMPT TREATMENT CAN SAVE BRAIN FUNCTION AND REDUCE STROKE-RELATED DISABILITY. ACCORDING TO DATA COLLECTED BY THE AMERICAN HEART ASSOCIATION, THE BEST CARE IS DELIVERED WHEN A STROKE-TRAINED NEUROLOGIST IS AVAILABLE AT THE PATIENT'S BEDSIDE OR VIA TELEMEDICINE. MONONGAHELA VALLEY HOSPITAL IMPLEMENTED A STROKE TELEMEDICINE PROGRAM THAT GIVES PATIENTS ACCESS TO HIGHLY SKILLED STROKE EXPERTS AT THE UNIVERSITY OF PITTSBURGH MEDICAL CENTER (UPMC) WITHOUT LEAVING THE MONONGAHELA VALLEY. A TEAM OF STROKE-TRAINED NEUROLOGISTS FROM UPMC ARE AVAILABLE AROUND THE CLOCK FOR TELEMEDICINE CONSULTATIONS. A SECURE VIDEO MONITORING SYSTEM PROVIDES A REAL-TIME CONNECTION BETWEEN MONONGAHELA VALLEY HOSPITAL'S EMERGENCY DEPARTMENT STAFF AND UPMC'S NEUROLOGISTS AND ENDOVASCULAR NEUROSURGEONS.THE HOSPITAL ALSO OFFERS TWO, 64-SLICE CT SCANNERS WHICH CAN CAPTURE IMAGES OF A BEATING HEART IN FIVE HEARTBEATS AND CAN PERFORM A WHOLE BODY TRAUMA SCAN IN TEN SECONDS. THIS DIAGNOSTIC POWER ENABLES THE PERFORMANCE OF CT ANGIOGRAPHY, AS WELL AS RAPID TESTS FOR ER STROKE AND CHEST PAIN.WHEN A STROKE IS OCCURRING, TIME EQUALS BRAIN. PEOPLE IN THE MID-MONONGAHELA VALLEY SHOULD FEEL SECURE IN KNOWING THAT THEY CAN RECEIVE EXCELLENT CARE THAT MEETS OR EXCEEDS THE AMERICAN HEART ASSOCIATION STANDARDS AT MONONGAHELA VALLEY HOSPITAL FROM THE MEDICAL PROFESSIONALS THEY KNOW AND TRUST. IN TERMS OF ACCREDITATIONS, THE HOSPITAL ALSO EARNED THE JOINT COMMISSION'S DISEASE SPECIFIC CERTIFICATION FOR PRIMARY STROKE CARE CENTER. ACHIEVEMENT OF PRIMARY STROKE CENTER DEMONSTRATES THAT MVH'S STROKE PROGRAM MEETS CRITICAL ELEMENTS OF PERFORMANCE TO ACHIEVE LONG-TERM SUCCESS IN IMPROVING OUTCOMES FOR STROKE PATIENTS.FOR THE SEVENTH CONSECUTIVE YEAR, MONONGAHELA VALLEY HOSPITAL EARNED THE AMERICAN HEART ASSOCIATION'S GET WITH THE GUIDELINES STROKE GOLD PLUS AWARD AND RECOGNITION ON THE TARGET STROKE HONOR ROLL FOR EXCELLENCE IN STROKE CARE. THESE HONORS PLACE MVH AMONG AN ELITE GROUP OF HOSPITALS RECOGNIZED BY THE AMERICAN HEART ASSOCIATION/ AMERICAN STROKE ASSOCIATION. THE AWARD RECOGNIZES THE HOSPITAL'S COMMITMENT TO PROVIDING THE MOST APPROPRIATE STROKE TREATMENT ACCORDING TO NATIONALLY RECOGNIZED, RESEARCH-BASED GUIDELINES. MVH ALSO CONTINUOUSLY RECEIVES THE WOMEN'S HEALTH AWARD AS ONE OF AMERICA'S BEST STROKE CENTERS. THIS AWARD SIGNIFIES THAT MVH IS IN THE TOP 9% OF 4,910 HOSPITALS OFFERING STROKE CARE SERVICES. THE HOSPITAL OFFERS A STROKE SUPPORT GROUP FOR PATIENTS AND CAREGIVERS TO SHARE, LEARN AND GROW WITH PEOPLE WHO CAN PERSONALLY RELATE TO THE CHALLENGES AND STRUGGLES THEY FACE ON A DAILY BASIS DEALING WITH STROKE AND THE AFTER EFFECTS. HOWEVER, THE SUPPORT GROUP HAS NOT BEEN ABLE TO MEET DUE TO THE COVID-19 PANDEMIC.THE MULTIPHASIC BLOOD SCREENING, WHICH TESTS THE BLOOD FOR 37DIFFERENT CONDITIONS HELPS MEMBERS OF THE COMMUNITY LEARN IF THEY ARE AT RISK FOR STROKES. THE HOSPITAL HELD A MULTIPHASIC SCREENING ON MARCH 27, 2021 THAT WAS ATTENDED BY MORE THAN 100 PEOPLE.DIABETES DIABETES CONTINUES TO BE A MAJOR HEALTH CONCERN IN THE UNITED STATES. ACCORDING TO THE AMERICAN DIABETES ASSOCIATION, IN 2018 APPROXIMATELY 34.2 MILLION AMERICANS, OR 10.5% OF THE POPULATION, HAD DIABETES. OF THE 34.2 MILLION ADULTS WITH DIABETES, 25.8 MILLION WERE DIAGNOSED AND 7.3 MILLION WERE UNDIAGNOSED. NEARLY 1.5 MILLION AMERICANS ARE DIAGNOSED WITH DIABETES EVERY YEAR. DIABETES INCREASES A PERSON'S RISK FOR MANY SERIOUS HEALTH PROBLEMS INCLUDING NEUROPATHY, STROKE, KIDNEY DISEASE, HIGH BLOOD PRESSURE, KETOACIDOSIS AND BLINDNESS. IN THE UNITED STATES, DIABETES REMAINS THE 7TH LEADING CAUSE OF DEATH. MONONGAHELA VALLEY HOSPITAL IS COMMITTED TO THE MISSION OF ENHANCING THE HEALTH OF THE RESIDENTS OF THE MID MONONGAHELA VALLEY. THE HOSPITAL OFFERS THE CLINICAL NUTRITION AND DIABETES DEPARTMENT WHICH FOCUSES ON PROVIDING HIGH QUALITY OUTPATIENT AND INPATIENT DIABETES MANAGEMENT AND EDUCATION, AS WELL AS DIABETES PREVENTION EDUCATION. THE DEPARTMENT PROVIDES COMMITTED CERTIFIED DIABETES EDUCATORS, PHYSICIANS, NURSES, DIETITIANS AND PROFESSIONAL STAFF WHO WORK WITH PATIENTS TO BETTER UNDERSTAND AND MANAGE DIABETES. MVH'S DIABETIC SELF-MANAGEMENT PROGRAM IS RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION AS MEETING THE NATIONAL STANDARDS FOR EDUCATION. THE MVH CLINICAL NUTRITION AND DIABETES STAFF ALSO COORDINATES DIABETES EDUCATION AND CARE WITH ALL OTHER MONONGAHELA VALLEY HOSPITAL SERVICES INCLUDING: HUMAN SERVICES, CENTER FOR WOUND MANAGEMENT, EMERGENCY SERVICES AND SAME DAY SURGERY. MONONGAHELA VALLEY HOSPITAL WAS ONLY THE SECOND HOSPITAL IN PENNSYLVANIA AND ONLY THE 21ST IN THE NATION TO ACHIEVE THE JOINT COMMISSION CERTIFICATION FOR INPATIENT DIABETES MANAGEMENT. THE JOINT COMMISSION'S CERTIFICATE OF DISTINCTION FOR INPATIENT DIABETES CARE RECOGNIZES HOSPITALS THAT MAKE EXCEPTIONAL EFFORTS TO FOSTER BETTER OUTCOMES ACROSS ALL INPATIENT SETTINGS. THE JOINT COMMISSION AND THE AMERICAN DIABETES ASSOCIATION HAVE IDENTIFIED THAT THE MOST SUCCESSFUL INPATIENT DIABETES PROGRAMS POSSESS THE FOLLOWING CRITICAL ATTRIBUTES: SPECIFIC STAFF EDUCATION REQUIREMENTS WRITTEN BLOOD GLUCOSE MONITORING PROTOCOLS PLANS FOR THE TREATMENT OF HYPOGLYCEMIA AND HYPERGLYCEMIA DATA COLLECTION OF INCIDENCES OF HYPOGLYCEMIA PATIENT EDUCATION ON SELF-MANAGEMENT OF DIABETES AN IDENTIFIED PROGRAM CHAMPION OR PROGRAM CHAMPION TEAMIN 2019, MONONGAHELA VALLEY HOSPITAL RECEIVED RECERTIFICATION BY THE JOINT COMMISSION WITH ITS RESPECTED GOLD SEAL OF APPROVAL FOR ITS ADVANCED INPATIENT DIABETES MANAGEMENT PROGRAM. TO ACHIEVE RECERTIFICATION, MVH DEMONSTRATED COMPLIANCE WITH THE JOINT COMMISSION'S NATIONAL STANDARDS FOR HEALTH CARE QUALITY AND SAFETY IN DISEASE-SPECIFIC CARE. THE RECERTIFICATION AWARD RECOGNIZES MVH'S DEDICATION TO CONTINUOUS COMPLIANCE WITH THE JOINT COMMISSION'S STATE-OF-THE- ART STANDARDS.THE MVH DIABETIC OUTPATIENT EDUCATION PROGRAMS WORK TO CREATE A CARE PLAN SPECIFICALLY TAILORED TO INDIVIDUAL NEEDS AND INCLUDES GROUP DIABETES EDUCATION CLASSES AND INDIVIDUAL COUNSELING ON A WIDE VARIETY OF TOPICS BLOOD SUGAR MONITORING, INSULIN AND ORAL MEDICATION SELF-MANAGEMENT SKILLS, NUTRITION COUNSELING AND MEAL PLANNING, EXERCISE AND STRESS MANAGEMENT. THE AMERICAN DIABETES ASSOCIATION RECOGNIZES MONONGAHELA VALLEY HOSPITAL'S OUTPATIENT DIABETES EDUCATION PROGRAM AS MEETING THE NATIONAL STANDARDS FOR DIABETES SELF- MANAGEMENT EDUCATION AND HAS SINCE 1999. MONONGAHELA VALLEY HOSPITAL OFFERS A DIABETES SUPPORT GROUP THAT IS FREE FOR PEOPLE WITH DIABETES, THEIR FAMILIES AND CAREGIVERS. DUE TO THE COVID-19 PANDEMIC, THE SUPPORT GROUP HAS NOT BEEN MEETING.

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 BAD DEBT EXPENSE OF $3,999,858 INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN A WAS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE OF TOTAL EXPENSES.

PART III, LINE 2:
THE ORGANIZATION'S BAD DEBT EXPENSE IS BASED ON CHARGES POSTED TO BAD DEBTS, GROSSED UP WITH OUR 501(R) DISCOUNT PERCENTAGE, RECALCULATED TO COST USING A COST-TO-CHARGE RATIO.

PART III, LINE 3:
THE PORTION OF BAD DEBT INCLUDED AS COMMUNITY BENEFIT IS CALCULATED AS A PERCENTAGE OF BAD DEBT FROM SELF-PAY INDIVIDUALS MULTIPLIED BY THE APPROVAL PERCENTAGE OF THE ORGANIZATION'S CHARITY CARE APPLICATIONS.

PART III, LINE 4:
PATIENT ACCOUNTS RECEIVABLE ARE STATED AT THE ESTIMATED AMOUNT THE HOSPITAL EXPECTS TO COLLECT. THE HOSPITAL PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS EQUAL TO THE ESTIMATED UNCOLLECTIBLE AMOUNTS. THE HOSPITAL'S ESTIMATE IS BASED ON HISTORICAL COLLECTION EXPERIENCE ANALYZED BY MAJOR PAYOR SOURCE AND REVIEW OF THE CURRENT STATUS OF PATIENT ACCOUNTS RECEIVABLE. THIS DATA IS REGULARLY REVIEWED TO EVALUATE THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THERE HAS BEEN NO SIGNIFICANT CHANGE TO THE AMOUNTS OR METHODS USED TO CALCULATE THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND INSURED PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES), AN ALLOWANCE IS CALCULATED AT THE TIME OF SERVICE ON THE AMOUNT DUE (AFTER ANY DISCOUNTS) BASED ON THE HOSPITAL'S HISTORICAL EXPERIENCE AND INDUSTRY PRACTICES, 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) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.THE HOSPITAL GRANTS CREDIT TO PATIENTS, SUBSTANTIALLY ALL OF WHOM ARE LOCAL RESIDENTS. THE HOSPITAL GENERALLY DOES NOT REQUIRE COLLATERAL OR OTHER SECURITY IN EXTENDING CREDIT; HOWEVER, IT ROUTINELY OBTAINS ASSIGNMENT OF (OR IS OTHERWISE ENTITLED TO RECEIVE) PATIENTS' BENEFITS RECEIVABLE UNDER THEIR HEALTH INSURANCE PROGRAMS, PLANS OR POLICIES.

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 4:
MONONGAHELA VALLEY HOSPITAL IS A COMMUNITY RESOURCE FOR PEOPLE IN THREE COUNTIES THAT INCLUDE WASHINGTON, WESTMORELAND AND FAYETTE. BELOW IS 2020 DEMOGRAPHIC INFORMATION. WASHINGTON COUNTY 2020 POPULATIONTOWN/CITY/BOROUGH, 2020 POPULATION, MEDIAN HOUSEHOLD INCOME, PEOPLE BELOW THE POVERTY LINEALLENPORT 550 $42,321 6.2%BEALLSVILLE 510 $69,821 7.51%BENTLEYVILLE 2,441 $46,938 4.1%CALIFORNIA 6,347 $37,091 22.2%CARROLL TOWNSHIP 5,496 $61,429 7.2%CENTERVILLE 3,163 $67,310 5.4%CHARLEROI 3,953 $34,866 24.3.%COAL CENTER 134 $43,125 29.9%DAISYTOWN 332 $52,188 11.1%DEEMSTOWN 792 $52,917 N/ADENBO 137* N/A N/ADONORA 4,598 $33,620 25.6%DUNLEVY 412 $41,563 19.9%EAST BETHLEHEM 2,030 $32,895 22.2%ELCO 286 $30,179 23.4ELRAMA 351 $78,456 N/AELLSWORTH 6797 $39,750 20.2%FALLOWFIELD 4,193 $67,683 5.4%FINLEYVILLE 282 $32,188 9.2%FREDERICKTOWN 552 $30,341 31.0%GASTONVILLE 2,459 $53,191 9.7%MILLSBORO 472 $31,875 22.0%MONONGAHELA 4,138 $48,986 9.4%NEW EAGLE 2,349 $43,387 13.8%NORTH CHARLEROI 1,351 $44,010 18.7%RICHEYVILLE 788 $38,898 N/AROSCOE 772 $50,893 10.5%SPEERS 1,067 $70,060 9.0%STOCKDALE 388 $44,044 9.3%UNION TOWNSHIP 5,729 N/A N/ANOTE: THE SOURCE WAS CENSUS REPORTER.WESTMORELAND COUNTYTOWN/CITY/BOROUGH, 2020 POPULATION, MEDIAN HOUSEHOLD INCOME, PEOPLE BELOW THE POVERTY LINEBELLE VERNON 916 $28,500 15.5%MONESSEN 7,344 $43,823 15.7%PRICEDALE 111 N/A N/AROSTRAVER TWP. 11,062 $74,386 6.5%SUTERSVILLE 451 $49,318 17.2%WEBSTER 154 $85,956 N/AWEST NEWTON 2,646 $40,878 17.2%NOTE: THE SOURCE WAS CENSUS REPORTER.FAYETTE COUNTYTOWN/CITY/BOROUGH, 2020 POPULATION, MEDIAN HOUSEHOLD INCOME, PEOPLE BELOW THE POVERTY LINEFAYETTE CITY 502 $38,125 16.3%NEWELL 586 $68,676 5.1%PERRYOPOLIS 1,790 $60,234 14.3%STAR JUNCTION 274 $39,70050 53.3%NOTE: THE SOURCE WAS CENSUS REPORTER.THE COMMUNITIES IN CLOSEST PROXIMITY TO THE HOSPITAL ARE CARROLL TOWNSHIP, CHARLEROI, MONESSEN AND MONONGAHELA, WHICH ARE AMONG SOME OF THE LARGEST POPULATED COMMUNITIES. ADDITIONAL 2020 DEMOGRAPHICS FOR THESE COMMUNITIES ARE LISTED BELOW. CARROLL TOWNSHIPMONONGAHELA VALLEY HOSPITAL IS PHYSICALLY SITUATED IN CARROLL TOWNSHIP. THE CENSUS REPORTER LISTS THE POPULATION AS 5,496 WITH THE MEDIAN AGE OF 51.6. THE MEDIAN INCOME FOR A HOUSEHOLD IN THE TOWNSHIP WAS $61,429. CHARLEROITHE POPULATION OF CHARLEROI IS 3,953. THE CENSUS LISTS THE MEDIAN AGE AS 37.5. THE MEDIAN HOUSEHOLD INCOME WAS $34,866. MONESSENTHE POPULATION OF MONESSEN IS 7,344. THE MEDIAN AGE IS LISTED AS 46.3 AND THE MEDIAN HOUSEHOLD INCOME IS $43,823. MONONGAHELAMONONGAHELA IS ONE OF ONLY TWO CITIES IN WASHINGTON COUNTY AND THE SECOND SMALLEST CITY IN PENNSYLVANIA. THE POPULATION IS COMPRISED OF 4,138 PEOPLE. IN MONONGAHELA, THE MEDIAN AGE IS 40.7 AND THE MEDIAN INCOME IS $48,986.

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. DUE TO THE COVID-19 PANDEMIC, COMMUNITY PROGRAMMING WAS SUSPENDED DURING 2021. VACCINE CLINICSIN MID-DECEMBER 2020, DURING A PERIOD WHEN THE HOSPITAL HAD THE HIGHEST CENSUS OF INPATIENT COVID-19 PATIENTS, THE TIDE OF THE PANDEMIC BEGAN TO CHANGE WHEN MONONGAHELA VALLEY HOSPITAL WAS THE FIRST HEALTH SYSTEM IN WASHINGTON COUNTY AND ONE OF ONLY TWO HEALTH SYSTEMS IN WESTERN PENNSYLVANIA TO RECEIVE THE COVID VACCINE. IMMEDIATELY, THE STAFF BEGAN TO AGGRESSIVELY VACCINATE FRONTLINE PERSONNEL, BOTH IN THE HOSPITAL AND IN THE COMMUNITY, AND THEN SWIFTLY STARTED IMMUNIZING SOME OF THE MOST VULNERABLE PEOPLE IN THE COMMUNITY. DURING JANUARY AND FEBRUARY 2021, THE WAITING LIST FOR OUR PUBLIC VACCINATION CLINICS TOPPED 30,000 PEOPLE. STAFFED BY OUR REGISTERED NURSES, RETIRED NURSES AND PHYSICIANS, VISITING NURSES AND NURSING STUDENTS, THE CLINICS WERE ADMINISTERING NEARLY 1,000 VACCINES A DAY THREE DAYS PER WEEK. THE ENTIRE MID-MON VALLEY COMMUNITY SUPPORTED THE HOSPITAL'S VACCINATION EFFORTS. SCHOOL DISTRICTS OFFERED THEIR GYMNASIUMS AND FIRE DEPARTMENTS OPENED THEIR SOCIAL HALLS TO MONONGAHELA VALLEY HOSPITAL. WITHIN MONTHS, EVERYONE WHO WANTED THE VACCINE RECEIVED THEIR IMMUNIZATIONS.BROCHURES 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. ALL SUPPORT GROUP MEETINGS WERE SUSPENDED DURING 2021 DUE TO THE COVID-19 PANDEMIC.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. BETTER BREATHERS CLUB. THE BETTER BREATHERS CLUB IS FREE AND OPEN TO ALL ADULTS AND THEIR FRIENDS, FAMILY OR CAREGIVERS WHO WANT TO LEARN OR SHARE INFORMATION ABOUT LIVING WELL WITH BREATHING ISSUES. LOCATIONS AND TIMES VARY.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 GROUPSUICIDE 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 BUT HAD TO SUSPEND ALL COMMUNITY EDUCATIONAL PROGRAMMING DUE TO THE COVID-19 PANDEMIC. LISTED BELOW ARE THE CLASSES THAT WERE PART OF THE HOSPITAL'S COMMUNITY PROGRAMMING PRIOR TO THE PANDEMIC. AMERICAN HEART ASSOCIATION FRIENDS AND FAMILY CPR. THIS 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/AED. HEARTSAVER: 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 CLUB. MONONGAHELA 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 LIFE. THE 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 PROGRAMS. OPEN 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. HOWEVER, MOST OF THESE SCREENINGS WERE NOT HELD IN 2021 DUE TO THE HIGH RATE OF COVID-19 CASES IN WASHINGTON COUNTY AND SURROUNDING AREAS.PROSTATE CANCER. ASIDE 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 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 CANCER. THE 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 CANCER. THE 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 SCREENING. MONONGAHELA 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 7, REPORTS FILED WITH STATES
PA

PART VI, LINE 5 (CONTINUED 1)
"BLOOD DRAW CENTERSTHE WALK-IN LABS/MEDICAL CENTERS LOCATED IN MONONGAHELA, 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, FOR THE SAFETY OF THE COMMUNITY, NONE WERE HELD IN 2021 DUE TO THE COVID-19 PANDEMIC 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. DURING THE FISCAL YEAR, ONLY ONE PROGRAM WAS OFFERED. IN MID-JUNE, DR. KENNETH SZEKLEY, A FAMILY PRACTICE PHYSICIAN, PRESENTED A TALK TITLED ""LIFE AFTER THE VACCINE: LONG-TERM CONSEQUENCES OF COVID."" THE TALK FOCUSED ON THE SAFETY OF THE VACCINE.COMMUNITY TALKSTHE HOSPITAL'S EMPLOYEES PRESENT EDUCATIONAL PROGRAMS TO VARIOUS GROUPS THROUGHOUT THE COMMUNITY. DUE TO THE PANDEMIC, NO TALKS WERE SCHEDULED DURING 2021.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 REGISTRY. THE 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. THE PROGRAM HAS BEEN PLACED ON-HOLD BECAUSE IT HAS NOT BE SAFE FOR THE AUXILIARY TO RESUME ITS SERVICE AND AT THE START OF THE 2021 SCHOOL YEAR, 5-YEAR-OLD CHILDREN COULD NOT RECEIVE THE VACCINE MAKING IT EVEN MORE UNSAFE FOR VOLUNTEERS TO BE AROUND THEM.BARIATRIC CLASSES. MORE 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 BUT THEY HAVE NOT BEEN HELD IN PERSON DUE TO THE COVID-19 PANDEMIC.MEDICAL STAFF SYMPOSIUM. EACH FALL, THE HOSPITAL HOSTS A MEDICAL STAFF SYMPOSIUM. DUE TO THE HIGH NUMBER OF COVID-19 CASES IN THE REGION, THE SYMPOSIUM WAS NOT HELD IN 2021.DRUG TAKE BACK EVENTS. ON APRIL 24 AND OCTOBER 23, MONONGAHELA VALLEY HOSPITAL PARTNERED 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. ""KISS CANCER GOODBYE"" WAS THE THEME OF THE 2021 VIRTUAL MVH/LOIS ORANGE DUCOEUR BREAST CANCER WALK WHICH WAS HELD IN OCTOBER 2021. THE EVENT SUPPORTED 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. THE EVENT WAS NOT HELD IN 2021 DUE TO THE COVID-19 PANDEMIC.NATIONAL HEALTH CARE DECISIONS DAY. MONONGAHELA 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. THE EVENT WAS NOT HELD IN APRIL 2021 DUE TO THE COVID PANDEMIC. COMMUNITY BLOOD DRIVES. SEVERAL 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. BLOOD DRIVES WERE NOT HELD IN 2021 DUE TO THE COVID-19 PANDEMIC.RINGGOLD STUDENT MENTORING. HEALTH CARE IS CONSTANTLY CHANGING WITH ADVANCEMENTS IN TECHNOLOGY AND EVIDENCE-BASED PRACTICES. AS A COMMUNITY HEALTH SYSTEM, MONONGAHELA VALLEY HOSPITAL HAS A 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. THE PROGRAM HAS BEEN SUSPENDED DUE TO COVID-19. SIMULATION CENTER. MVH 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 CARE. COMPASSIONATE CARE IS THE HALLMARK OF MONONGAHELA VALLEY 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. THE VOLUNTEERS SUSPENDED THEIR SERVICE DUE TO THE COVID-19 PANDEMIC."

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IN 2021, MONONGAHELA VALLEY HOSPITAL (MVH) MARKED ITS 43TH ANNIVERSARY. THE ROOTS OF THIS PROGRESSIVE HEALTH SYSTEM WERE FORMED MORE THAN 120 YEARS AGO BY TWO COMMUNITY HOSPITALS. IN 1902, J.B. FINLEY DONATED PROPERTY FOR THE HOSPITAL IN WHAT IS NOW NEW EAGLE AND ON DECEMBER 18, 1902 MEMORIAL HOSPITAL OF MONONGAHELA OPENED. CHARLEROI-MONESSEN HOSPITAL WAS ORIGINALLY CHARTERED AS THE MONESSEN HOSPITAL IN 1909, AND BY MID MAY OF THAT YEAR, ALL 20 BEDS IN THE NEW HOSPITAL WERE OCCUPIED. BUT SINCE THE ORIGINAL CHARTER WAS ISSUED IN WESTMORELAND COUNTY AND THE SITE CHOSEN FOR THE HOSPITAL WAS IN NORTH CHARLEROI IN WASHINGTON COUNTY, A NEW CHARTER WAS GRANTED BY THE WASHINGTON COUNTY COURT ON JANUARY 13, 1913 AND THE NAME WAS CHANGED TO THE CHARLEROI-MONESSEN HOSPITAL. WITH THE CONTINUED GROWTH OF THE MID-MONONGAHELA VALLEY CAME THE NEED FOR LARGER HOSPITALS. INITIAL EFFORTS TO CONSOLIDATE THE HOSPITALS BEGAN IN 1969 AS BOTH HOSPITALS FACED SIMILAR PROBLEMS. FACILITIES WERE INADEQUATE TO MEET THE NEEDS OF THE COMMUNITY AND THE REQUIREMENTS OF MODERN MEDICAL PRACTICE AND THE LANDLOCKED STRUCTURES ALLOWED NO ROOM FOR EXPANSION. DUPLICATION OF MANPOWER, FACILITIES AND SERVICES HAD BECOME A COSTLY BURDEN. THERE WAS A CRITICAL NEED FOR A TOTAL COMMUNITY HEALTH CARE EFFORT, NOT ONLY TO CARE FOR THE SICK BUT TO ENCOURAGE GOOD HEALTH PRACTICES AND PREVENTIVE MEDICINE. BOTH HOSPITAL ASSOCIATIONS CAME TOGETHER AND CREATED A CONSOLIDATION PLAN THAT INCLUDED CONSOLIDATED BYLAWS. ON JULY 1, 1972, THE PENNSYLVANIA DEPARTMENT OF WELFARE APPROVED CONSOLIDATION OF THE HOSPITALS AND PLANS FOR CONSTRUCTION OF A NEW HOSPITAL TO BETTER SERVE THE NEEDS OF RESIDENTS OF THE MID-MONONGAHELA VALLEY WERE PREPARED. GROUND WAS BROKEN FOR CONSTRUCTION OF THE NEW MONONGAHELA VALLEY HOSPITAL ON MAY 17, 1976. THE NEW FACILITY WAS OFFICIALLY DEDICATED ON SEPTEMBER 24, 1978. HIGH-QUALITY HEALTH CARE IS ONE OF THE FACTORS THAT IS OFTEN USED TO ASSESS A REGION'S LIVABILITY. MVH'S PATIENT- AND FAMILY-CENTERED, INNOVATIVE APPROACHES TO MEDICAL CARE HELP TO MAKE WASHINGTON AND WESTMORELAND COUNTIES DESIRABLE PLACES TO LIVE. PLUS, MVH OFFERS SOME MEDICAL THERAPIES AND SERVICES THAT ARE NOT PROVIDED AT NEIGHBORING FACILITIES AND THUS ATTRACTS VISITORS FROM SURROUNDING REGIONS. RESIDENTS OF THE MON VALLEY AND SURROUNDING AREAS DO NOT HAVE TO TRAVEL TO LARGER CITIES WITH TEACHING HOSPITALS FOR MEDICAL CARE BECAUSE THEY CAN RECEIVE CUTTING EDGE, EXPERT CARE FROM THEIR COMMUNITY HOSPITAL. IN 2010, MONONGAHELA VALLEY HOSPITAL WAS RANKED IN THE TOP 1 PERCENTILE AMONG ALL OF THE NATION'S HEALTH CARE ORGANIZATIONS IN PATIENT SATISFACTION BY PRESS GANEY. IN 2013, JOHNS HOPKINS MEDICINE ARMSTRONG INSTITUTE FOR PATIENT SAFETY AND QUALITY RANKED MVH AMONG THE TOP THREE MEDIUM-SIZED HOSPITALS IN THE NATION FOR NURSE COMMUNICATION, DOCTOR COMMUNICATION, STAFF RESPONSIVENESS AND PAIN MANAGEMENT. THE ACCOLADES CONTINUED IN EARLY 2014 WHEN, FOR THE SECOND CONSECUTIVE YEAR, THE HOSPITAL ACHIEVED THE HEALTHGRADES' OUTSTANDING PATIENT EXPERIENCE AWARD. ONLY 10 PERCENT OF ALL HOSPITALS IN THE UNITED STATES RECEIVED THIS AWARD.WHILE THERE HAVE BEEN MANY INDUSTRY-WIDE CHANGES IN HEALTH CARE IN THE 40 YEARS SINCE MONONGAHELA VALLEY HOSPITAL WAS FORMED, ONE WITH A SIGNIFICANT IMPACT IS THE CHANGE FROM PROVIDING CARE LARGELY ON AN INPATIENT BASIS TO AN OUTPATIENT-BASED SETTING IN WHICH PROVIDERS ARE CONCERNED WITH KEEPING PATIENTS HEALTHY AND AT HOME, WHILE OFFERING APPROPRIATE SERVICES WHEN INPATIENT CARE IS NEEDED. AS THIS SHIFT FROM INPATIENT TO OUTPATIENT CARE IS OCCURRING, MONONGAHELA VALLEY HOSPITAL IS STRENGTHENING OUR ROLE IN THE COMMUNITY.MONONGAHELA VALLEY HOSPITAL'S MISSION IS TO ENHANCE THE HEALTH OF THE RESIDENTS OF THE MID-MONONGAHELA VALLEY AREAS REGARDLESS OF ETHNIC BACKGROUND, AGE, OR ABILITY TO PAY, ALL THE WHILE MAINTAINING A HIGH DEGREE OF RESPONSIVENESS TO CHANGES, PARTICULARLY THOSE OF THE COMMUNITY. THE HOSPITAL WORKS TO ACHIEVE ITS MISSION BY MAINTAINING SUITABLE FACILITIES WITHIN CARROLL TOWNSHIP, WASHINGTON COUNTY AND ROSTRAVER TOWNSHIP, WESTMORELAND COUNTY, AND OTHER SITES IN THE SOUTHWESTERN PENNSYLVANIA VICINITY FOR THE PROVISION OF HEALTH CARE. ADDITIONALLY, MONONGAHELA VALLEY HOSPITAL HAS ALWAYS ENCOURAGED PROGRESS AND FLEXIBILITY TO MEET THE CHANGING NEEDS OF OUR PATIENTS AND ALL RESIDENTS OF THE COMMUNITIES IN THE MID-MONONGAHELA VALLEY.THE MVH COMMUNITY HEALTH NEEDS ASSESSMENT CONSIDERED A WIDE VARIETY OF DATA FROM PRIMARY AND SECONDARY SOURCES THAT ARE BOTH QUALITATIVE AND QUANTITATIVE IN NATURE IN ORDER TO OBTAIN A DIVERSITY OF PERSPECTIVES THAT WAS REQUIRED. THE HEALTH CARE NEEDS OF A COMMUNITY ARE A COMPLEX INTERPLAY BETWEEN PERSONAL BEHAVIORS AND SOCIAL DETERMINANTS. TO EVALUATE EFFECTIVELY, CONSIDERATION WAS GIVEN TO THE POPULATION'S DEMOGRAPHIC AND SOCIOECONOMIC STATUS COUPLED WITH THE HEALTH SYSTEM'S RESOURCES AND POLICIES. A DESCRIPTION OF THOSE FACTORS, ALONG WITH PERSPECTIVES FROM THE COMMUNITY, HELPS TELL US THE STORY OF OUR COMMUNITY'S HEALTH. INFORMATION WAS USED FROM GROUPS COMPRISED OF INDIVIDUAL PHYSICIANS AND PHYSICIAN GROUPS FROM THE HOSPITAL'S MEDICAL STAFF, THE HOSPITAL'S EXECUTIVE AND STRATEGIC PLANNING COMMITTEES, REPRESENTATIVES FROM THE HOSPITAL'S BOARD OF DIRECTORS AND BOARD OF TRUSTEES, AND VARIOUS DISEASE-SPECIFIC COMMITTEES INCLUDING THE HOSPITAL'S TUMOR BOARD AND A CARDIAC ADVISORY COMMITTEE TO ASSESS COMMUNITY NEEDS AND RECOMMEND STRATEGIES TO ADDRESS THESE HEALTH CARE NEEDS.THE HOSPITAL PROVIDED THESE GROUPS WITH INFORMATION RELATED TO THE INCIDENCE AND PREVALENCE OF DISEASE IN THE SERVICE AREA, PREVENTABLE QUALITY INDICATORS, PATTERNS OF ACCESSING HEALTH CARE SERVICES AND USE RATES.SOME INFORMATION AND PARTICIPANTS INCLUDED IN OUR ASSESSMENT WERE:PROVIDER PANELSDISEASE STATES OF PATIENTS SEEN BY THEIR PRIMARY CARE PROVIDERCLINICAL PERFORMANCE METRICS FOR OUR POPULATIONS OF PATIENTS WITH CHRONIC DISEASECLINICAL DECISION SUPPORT CARE TEAMS AT THE POINT OF CAREPATIENT REGISTRIES EVALUATION OF REPORTS FROM COMMUNITY, LOCAL, STATE, AND FEDERAL GOVERNMENT AGENCIES REVIEW OF HOSPITAL-GENERATED STATISTICAL INFORMATION ASSESSMENT OF INFORMATION SOLICITED FROM PATIENTS THROUGH PATIENT SATISFACTION SURVEYS ONGOING ADMINISTRATIVE STAFF PLANNING SESSIONSLEADING CAUSES OF DEATH SUCH AS CANCER, HEART DISEASE, VIOLENCE AND HIGHWAY FATALITIESPRIORITY HEALTH ISSUES SUCH AS TEEN PREGNANCY, HIGH BLOOD PRESSURE, HEART DISEASE, CANCER, STROKE, DIABETES AND OBESITYPRIORITY RISK FACTORS SUCH AS ALCOHOL AND DRUG ABUSE, LACK OF PHYSICAL ACTIVITY, USE OF TOBACCO PRODUCTS, ENVIRONMENTAL CONCERNS AND CRIMELEADING FACTORS AFFECTING FAMILIES SEEKING MEDICAL TREATMENT SUCH AS LACK OF INSURANCE AND INABILITY TO PAYGENERAL PATIENT CONCERNS SUCH AS LACK OF TRANSPORTATION, MEDICINE AND FOODENVIRONMENTAL CONCERNS SUCH AS RECYCLING SERVICES, PROPER TRASH DISPOSAL, CLEAN AIR, PEST CONTROL AND ANIMAL CONTROLEDUCATIONAL OPPORTUNITIES FOR INFORMATION ABOUT ALCOHOL/DRUG ABUSE, TEEN PREGNANCY PREVENTION AND PHYSICAL ACTIVITYREVIEW OF CURRENT INDUSTRY JOURNALS, PERIODICALS AND NEWSLETTERS ANALYSIS OF TRENDS IDENTIFIED IN HEALTH CARE JOURNALS AND PERIODICALSMONONGAHELA VALLEY HOSPITAL HAS COMPLETED THEIR FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT DURING THE FISCAL YEAR ENDED JUNE 30, 2019. SEE SCHEDULE H, PART V, SECTION B FOR ADDITIONAL INFORMATION ON THE COMMUNITY HEALTH NEEDS ASSESSMENT.

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"MVH OPERATES AS A NOT-FOR-PROFIT HOSPITAL AND IS REIMBURSED FOR CARE PROVIDED TO PATIENTS WHO ARE MEMBERS OF COMMERCIAL HEALTH PLANS, MEDICARE, MEDICAID AND THOSE WHO SELF PAY. IN ADDITION, MONONGAHELA VALLEY HOSPITAL PROVIDES MEDICAL SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. WHILE THE AFFORDABLE CARE ACT EXTENDED MEDICAID COVERAGE TO MANY LOW-INCOME INDIVIDUALS, THERE ARE STILL PEOPLE IN THE COMMUNITY WHO ARE NOT COVERED BY INSURANCE OR GOVERNMENT PROGRAMS AND LACK THE ABILITY TO PAY FOR MEDICAL SERVICES. THE HENRY J. KAISER FAMILY FOUNDATION, WHICH PROVIDES INFORMATION ON NATIONAL HEALTH ISSUES, REPORTS THAT UNINSURED ADULTS SAID THEY REMAINED UNINSURED BECAUSE THE COST OF COVERAGE WAS TOO HIGH. MANY PEOPLE DO NOT HAVE ACCESS TO COVERAGE THROUGH A JOB AND SOME PEOPLE ARE INELIGIBLE FOR FINANCIAL ASSISTANCE FOR COVERAGE. THE KAISER FOUNDATION WROTE, ""HEALTH INSURANCE MAKES A DIFFERENCE IN WHETHER AND WHEN PEOPLE GET NECESSARY MEDICAL CARE, WHERE THEY GET THEIR CARE, AND ULTIMATELY, HOW HEALTHY THEY ARE. UNINSURED ADULTS ARE FAR MORE LIKELY THAN THOSE WITH INSURANCE TO POSTPONE HEALTH CARE OR FORGO IT ALTOGETHER. THE CONSEQUENCES CAN BE SEVERE, PARTICULARLY WHEN PREVENTABLE CONDITIONS OR CHRONIC DISEASES GO UNDETECTED"" MONONGAHELA VALLEY HOSPITAL ESTABLISHED CHARITY CARE AND FINANCIAL AID POLICIES AND PRACTICES THAT ARE CONSISTENT WITH ITS MISSION AND VALUES AS WELL AS WITH FEDERAL AND STATE LAWS. THESE POLICIES AND PRACTICES TAKE INTO ACCOUNT EACH INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER MEDICAL CARE AS WELL AS THE HOSPITAL'S FINANCIAL ABILITY TO PROVIDE CARE.MONONGAHELA VALLEY HOSPITAL MAINTAINS THAT CONCERN OVER A HOSPITAL BILL WILL NEVER PREVENT ANY INDIVIDUAL FROM RECEIVING EMERGENCY HEALTH SERVICES REGARDLESS OF THEIR ABILITY TO PAY. MVH COMMUNICATES THIS MESSAGE CLEARLY TO PATIENTS AND THE COMMUNITY. THIS MESSAGE IS COMMUNICATED THROUGHOUT THE HOSPITAL AND IN THE COMMUNITY VIA THE FOLLOWING SOURCES:NOTICES ARE LOCATED AT THE ENTRANCE TO MONONGAHELA VALLEY HOSPITAL'S EMERGENCY DEPARTMENT AND THROUGH THE DOORS OF THE TREATMENT AREA THAT ANNOUNCE:ATTENTION PATIENTS:IF YOU HAVE A MEDICAL EMERGENCY OR ARE IN LABOR, YOU HAVE THE RIGHT TO RECEIVE WITHIN THIS FACILITY AN APPROPRIATE SCREENING, NECESSARY STABILIZATION TREATMENTS (FOR YOU AND YOUR UNBORN BABY) AND APPROPRIATE TRANSFER TO ANOTHER FACILITY EVEN IF YOU CANNOT PAY OR DO NOT HAVE INSURANCE. YOU ARE ENTITLED TO MEDICARE OR MEDICAID. EACH YEAR, MVH PUBLISHES A PUBLIC NOTICE, IN THE FORM OF A PAID DISPLAY AD IN THE MON VALLEY INDEPENDENT NEWSPAPER ANNOUNCING THE HOSPITAL'S CHARITY CARE POLICY. THE MON VALLEY INDEPENDENT HAS THE LARGEST CIRCULATION OF THE LOCAL PAPERS IN THE MID-MON VALLEY. THE AD IS TYPICALLY PUBLISHED DURING THE THIRD OR FOURTH WEEK OF JANUARY. IT STATED:MONONGAHELA VALLEY HOSPITAL, A NOT-FOR-PROFIT ORGANIZATION, PROVIDES UNCOMPENSATED SERVICES TO PATIENTS WHO DO NOT QUALIFY FOR ASSISTANCE FROM VARIOUS THIRD-PARTY AGENCIES. THESE CHARITABLE FUNDS ARE ALLOCATED TO INPATIENT AND OUTPATIENT SERVICES FOR FULL OR PARTIAL BENEFITS.THE CHARITY CARE PROGRAM OF MONONGAHELA VALLEY HOSPITAL AUGMENTS ITS COMMITMENT TO ENHANCE THE HEALTH OF THE RESIDENTS OF THE MID-MON VALLEY AREA. IF YOU ARE UNABLE TO RESOLVE YOUR DEBT, OR NEED MEDICAL CARE AND DO NOT HAVE ASSISTANCE FROM THIRD-PARTY AGENCIES OR THE FUNDS TO PAY FOR THE CARE AND BELIEVE THAT YOU MAY QUALIFY FOR CHARITY CARE, PLEASE CALL MONONGAHELA VALLEY HOSPITAL'S OFFICE OF FINANCIAL COUNSELING AND COLLECTIONS AT 724-258-1188. AN APPLICATION WITH ALL APPROPRIATE ATTACHMENTS MAY BE FILED WITH MONONGAHELA VALLEY HOSPITAL AND IF APPROVED, WILL BE VALID FOR UP TO ONE YEAR FROM DATE OF APPROVAL. FOLLOWING THE PUBLICATION OF THE AD, THE HOSPITAL RECEIVES A NOTARIZED DOCUMENT ATTESTING TO THE DATE THAT THE AD WAS PUBLISHED. MONONGAHELA VALLEY HOSPITAL'S ""FINANCIAL ASSISTANCE POLICY"" IS POSTED AT THE HOSPITAL'S WEBSITE, HTTP://WWW.MONVALLEYHOSPITAL.COM/CHARITYCARE.ASP, THAT STATES:MONONGAHELA VALLEY HOSPITAL OFFERS FREE FINANCIAL COUNSELING TO PATIENTS WHO ARE IN NEED OF ASSISTANCE TO RESOLVE THEIR DEBT. THERE ARE SEVERAL PROGRAMS AVAILABLE TO THE PUBLIC THROUGH VARIOUS THIRD PARTY AGENCIES INCLUDING, BUT NOT LIMITED TO, THE MEDICAL ASSISTANCE PROGRAM.MONONGAHELA VALLEY HOSPITAL ALSO PROVIDES UNCOMPENSATED SERVICES TO PATIENTS WHO DO NOT QUALIFY FOR ASSISTANCE FROM THE ABOVE MENTIONED THIRD PARTIES. THESE CHARITABLE FUNDS ARE ALLOCATED TO PATIENTS RECEIVING BOTH INPATIENT AND OUTPATIENT SERVICES. IF YOU ARE UNABLE TO RESOLVE YOUR DEBT OR NEED HOSPITAL SERVICES AND CANNOT AFFORD THESE SERVICES, PLEASE CALL MONONGAHELA VALLEY HOSPITAL'S OFFICE OF FINANCIAL COUNSELING AND COLLECTION AT 724-258-1188.MONONGAHELA VALLEY HOSPITAL'S MANAGER OF FINANCIAL COUNSELING AND COLLECTIONS CAN ANSWER QUESTIONS AND PROVIDE ADDITIONAL INFORMATION AND APPROPRIATE APPLICATIONS.THE PATIENT RIGHTS, WHICH ARE DISPLAYED THROUGHOUT THE HOSPITAL AND ONLINE AT THE HOSPITAL'S WEBSITE, OUTLINE ALL OF THE PATIENTS' RIGHTS INCLUDING THE STATEMENT:AS ADOPTED MANY YEARS AGO AND REAFFIRMED YEARLY BY THE BOARD OF TRUSTEES, A PATIENT HAS THE RIGHT TO MEDICAL AND NURSING SERVICES WITHOUT DISCRIMINATION BASED UPON RACE, COLOR, RELIGION, SEX, SEXUAL PREFERENCE, NATIONAL ORIGIN OR SOURCE OF PAYMENT.THE DOCUMENT ALSO STATES:THE PATIENT HAS A RIGHT TO FULL INFORMATION AND COUNSELING ON THE AVAILABILITY OF KNOWN FINANCIAL RESOURCES FOR HEALTH CARE.AS OUTLINED IN THIS DOCUMENT, MVH'S FINANCIAL AID POLICIES ARE CLEAR AND UNDERSTANDABLE AND IN LANGUAGE APPROPRIATE TO THE COMMUNITIES AND PATIENTS SERVED. THE MESSAGE IS COMMUNICATED IN A MANNER THAT IS DIGNIFIED. MVH'S DEBT COLLECTION POLICIES, BY BOTH HOSPITAL STAFF AND EXTERNAL COLLECTION AGENCIES, REFLECT THE MISSION AND VALUES OF THE HOSPITAL AND ARE MONITORED CAREFULLY TO AVOID UNINTENDED CONSEQUENCES. IN ADDITION, MONONGAHELA VALLEY HOSPITAL'S OFFICE OF FINANCIAL COUNSELING AND COLLECTIONS ASSISTS PATIENTS IN OBTAINING HEALTH INSURANCE COVERAGE FROM PRIVATELY AND PUBLICLY FUNDED SOURCES WHENEVER POSSIBLE. THE HOSPITAL'S SOCIAL SERVICE, EDUCATION AND COMMUNITY RELATIONS DEPARTMENTS ENJOY A COLLABORATIVE RELATIONSHIP WITH SOUTHWESTERN PENNSYLVANIA HUMAN SERVICES, INC. (SPHS), WHICH IS LOCATED IN CHARLEROI, PENNSYLVANIA. THROUGH THIS COLLABORATION, INFORMATION IS SHARED THAT CAN BE USED TO IDENTIFY FUNDING SOURCES TO ASSIST PATIENTS WHO ARE IN NEED OF MEDICAL CARE BUT DO NOT HAVE THE ABILITY TO PAY. THE 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 TEAM OF PHYSICIANS, REGISTERED NURSES, DIETITIANS, SOCIAL WORKERS, COUNSELORS AND HEALTH COACHES PARTNERS WITH POST-ACUTE CARE, MENTAL HEALTH, HOSPICE AND PALLIATIVE CARE PROVIDERS AS WELL AS ELDER COMMUNITIES, RELIGIOUS AND SPIRITUAL ORGANIZATIONS AND VOLUNTEERS TO ENSURE A SEAMLESS CONTINUITY OF CARE. THE CCN IS TRULY A COMMUNITY EFFORT; AND, IT IS PROVIDED COMPLETELY FREE OF CHARGE. THE TEAM HELPS TO ENSURE THAT PEOPLE ARE FOLLOWING TREATMENT PLANS AND ACTUALLY TAKING THEIR 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."

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MON-VALE HEALTH RESOURCES, INC. IS THE PARENT COMPANY OF MONONGAHELA VALLEY HOSPITAL AND VARIOUS OTHER BUSINESSES THAT PROVIDE HEALTH CARE SERVICES AND MEDICAL PRODUCTS. UNITS INCLUDE THE 200-BED ACUTE CARE HOSPITAL, SKILLED NURSING HOME, ASSISTED LIVING FACILITY, OUTPATIENT REHABILITATION AND MEDICAL IMAGING SERVICES, A DURABLE MEDICAL EQUIPMENT PROVIDER, AMBULATORY SURGERY CENTERS, A PHYSICIAN HOSPITAL ORGANIZATION AND PHYSICIAN PRACTICE MANAGEMENT SERVICES. THE MISSION OF MON-VALE HEALTH RESOURCES, INC. IS TO ENHANCE THE HEALTH OF THE RESIDENTS OF THE MID-MONONGAHELA VALLEY AREA. LISTED BELOW ARE THE VARIOUS UNITS THAT MAKE UP THE HEALTH SYSTEM. THE HOSPITAL BECAME PART OF PENN HIGHLANDS HEALTHCARE ON OCTOBER 1, 2021.MONONGAHELA VALLEY HOSPITAL1163 COUNTRY CLUB ROAD, MONONGAHELA, PA 15063, 724-258-1000MONONGAHELA VALLEY HOSPITAL IS A 200-BED HEALTH CARE FACILITY WITH A 225-MEMBER MEDICAL STAFF REPRESENTING MORE THAN 40 MEDICAL SPECIALTIES. MVH HAS A REPUTATION FOR CONTINUOUSLY INTRODUCING THE LATEST TECHNOLOGY IN CANCER DIAGNOSIS AND TREATMENT, WOUND CARE AND DIAGNOSTIC RADIOLOGY. THE HOSPITAL'S REGIONAL CANCER CENTER IS THE SECOND LARGEST PRIVATELY OWNED CANCER CENTER IN THE GREATER PITTSBURGH AREA. MVH IS THE LARGEST EMPLOYER IN THE MID-MONONGAHELA VALLEY AND THE THIRD LARGEST EMPLOYER IN WASHINGTON COUNTY. BLOOD DRAW CENTER MONONGAHELA 447 WEST MAIN STREET, MONONGAHELA, PA 15063, 724-310-3410A PUBLIC BLOOD DRAW SITE IN MONONGAHELA TO OFFER LOCAL RESIDENTS GREATER CONVENIENCE. ALL BLOOD DRAWS ARE PERFORMED BY A MONONGAHELA VALLEY HOSPITAL PHLEBOTOMIST AND PROCESSED IN THE HOSPITAL'S LAB.CENTER FOR CHILDREN'S REHABILITATION1029 COUNTRY CLUB ROAD, SUITE 202, MONONGAHELA, PA 15063, 724-258-2971THE CENTER PROVIDES SPECIALIZED SERVICES TO MEET THE REHABILITATION NEEDS OF CHILDREN, ADOLESCENTS AND YOUNG ADULTS, AGES BIRTH TO 21. ELKONSON DIALYSIS, LLC (DAVITA KIDNEY CARE)350 TRI COUNTY LANE, BELLE VERNON, PA 15012, 800-424-6589MONONGAHELA VALLEY HOSPITAL IS A LIMITED PARTNER IN THIS BUSINESS WHICH PROVIDES INTEGRATEDCARE TO HELP PEOPLE MANAGE KIDNEY DISEASE.MEDICAL SUPPLY COMPANY (MMSC)ANTHONY M. LOMBARDI EDUCATION CONFERENCE CENTER, SUITE 104,1163 COUNTRY CLUB ROAD, MONONGAHELA, PA 15063, 724-258-CARE (2273)MONONGAHELA MEDICAL SUPPLY COMPANY RENTS AND SELLS DURABLE MEDICAL EQUIPMENT AND OXYGEN FOR THE CARE OF PATIENTS AT HOME AND IN EXTENDED CARE FACILITIES.MON VALLEY CARE CENTER200 STOOPS DRIVE, MONONGAHELA, PA 15063, 724-310-1111MON VALLEY CARE CENTER OFFERS SERVICES FOR INDIVIDUALS REQUIRING SKILLED/EXTENDED CARE AND PERSONAL CARE SERVICES. MONONGAHELA VALLEY HOSPITAL FOUNDATION1163 COUNTRY CLUB ROAD, MONONGAHELA, PA 15063, 724-258-1657THE MONONGAHELA VALLEY HOSPITAL FOUNDATION OPERATES AS THE HOSPITAL'S PRIMARY FUNDRAISING ENTITY. IT SEEKS GRANTS AND CONTRIBUTIONS TO ASSIST WITH FUNDING THE VARIOUS PROJECTS AND NEEDS OF THE HOSPITAL.MONONGAHELA VALLEY HOSPITAL HEALTHPLEX800 PLAZA DRIVE, ROSTRAVER, PA 15012THIS FACILITY INCLUDES:MONONGAHELA VALLEY HOSPITAL'S CENTER FOR FITNESS AND HEALTH724-379-5100ONE OF THE MOST CLINICALLY ORIENTED AND MEDICALLY ADVANCED FITNESS FACILITIES IN THIS REGION, THE CENTER COMBINES STATE-OF-THE-ART FITNESS EQUIPMENT AND PROGRAMS WITH COMPREHENSIVE MEDICAL DIAGNOSTICS, THERAPEUTICS AND REHABILITATION SERVICES.MVH OCCUPATIONAL HEALTH PROGRAM SUITE 210, 724-379-1940THIS PROGRAM OFFERS A RANGE OF SERVICES INCLUDING PRE-EMPLOYMENT PHYSICALS, WORK-RELATED INJURY EVALUATION AND TREATMENT, LABORATORY TESTING, AND ALCOHOL, DRUG AND TB TESTING FOR EMPLOYERS AND THEIR EMPLOYEES.HEALTHPLEX IMAGING SUITE 170, 724-379-1900THIS OUTPATIENT DIAGNOSTIC CENTER OFFERS ULTRASOUND AND 3D MAMMOGRAPHY AND SERVICES, DIAGNOSTIC RADIOLOGY, AND BONE DENSITY SCREENINGS.MVH CARDIAC AND PULMONARY REHABILITATION SUITE 200, 724-379-1920SERVICES INCLUDE MONITORED EXERCISE, BEHAVIOR MODIFICATION AND EDUCATION TO REDUCE THE RISK OF ADDITIONAL CORONARY PROBLEMS AFTER CARDIAC SURGERY OR A HEART ATTACK AND FOR PRE-AND POST-TRANSPLANT PATIENTS.MONONGAHELA VALLEY HOSPITAL OUTPATIENT CENTER CALIFORNIA371 SKYLINE DRIVE, CALIFORNIA, PA 15419THIS FACILITY INCLUDES: BLOOD DRAW CENTER CALIFORNIASUITE 100, 724-258-1664A PUBLIC BLOOD DRAW SITE IN CALIFORNIA TO OFFER LOCAL RESIDENTS GREATER CONVENIENCE. ALL BLOOD DRAWS ARE PERFORMED BY A MONONGAHELA VALLEY HOSPITAL PHLEBOTOMIST AND PROCESSED IN THE HOSPITAL'S LAB.CALIFORNIA IMAGING SUITE 100, 724-258-1664THIS OUTPATIENT DIAGNOSTIC CENTER OFFERS CT SCANS, MRI, ULTRASOUND, X-RAY, BONE DENSITY SCREENINGS AND BLOOD DRAWS. PHYSICIAN PRACTICES SUITES 200 AND 300PHYSICIANS FROM THE PRIMARY CARE PRACTICES AND SPECIALTY PRACTICES ALSO SEE PATIENTS AT THIS LOCATION.MON-VALE CLINICAL PROFESSIONALS, INC.1163 COUNTRY CLUB ROAD, MONONGAHELA, PA 15063, 724-379-4011 EXT. 2303SYSTEM-AFFILIATED COMPANY PROVIDING NON-PHYSICIAN CLINICAL SERVICES. MON-VALE PRIMARY CARE PRACTICES, INC.1163 COUNTRY CLUB ROAD, MONONGAHELA, PA 15063, 724-370-4011 EXT. 2303SYSTEM-AFFILIATED PRIMARY CARE PRACTICES.MON-VALE PROFESSIONAL SERVICES, INC.1163 COUNTRY CLUB ROAD, MONONGAHELA, PA 15063, 724-379-4011 EXT. 2303A MANAGEMENT SERVICE ORGANIZATION THAT PROVIDES ADMINISTRATIVE, FINANCIAL AND CLINICAL OVERSIGHT FOR SYSTEM-OWNED PRACTICES.MON-VALE SPECIALTY PRACTICES, INC.1163 COUNTRY CLUB ROAD, MONONGAHELA, PA 15063, 724-370-4011 EXT. 2303SYSTEM-AFFILIATED PRIMARY CARE PRACTICES.THE RESIDENCE AT HILLTOP PERSONAL CARE COMMUNITY210 ROUTE 837, MONONGAHELA, PA 15063, 724-258-8940THE RESIDENCE PROVIDES SERVICES FOR INDIVIDUALS OF ALL AGES WHO REQUIRE ASSISTANCE IN SUCH ACTIVITIES AS BATHING, DRESSING, DINING AND MEDICATION MANAGEMENT BUT WHO DO NOT REQUIRE SKILLED MEDICAL CARE.ROSTRAVER IMAGINGPEASANT VILLAGE PROFESSIONAL PLAZA, 100 PEASANT VILLAGE LANE, BELLE VERNON, PA 15012, 724-929-6736AN OUTPATIENT DIAGNOSTIC IMAGING CENTER THAT OFFERS OPEN AND CLOSED MRIS, CT SCANS, ULTRASOUND IMAGING VASCULAR AND X-RAYS.SOUTHWESTERN AMBULATORY SURGERY CENTER500 LEWIS RUN ROAD, PITTSBURGH, PENNSYLVANIA 15236, 412-466-0600MONONGAHELA VALLEY HOSPITAL, A NATIONAL AMBULATORY SURGERY CENTER OPERATOR AND PARTICIPATING SURGEONS OWN THIS SURGERY CENTER.SPARTAN MEDICAL FACILITY200 STOOPS DRIVE, MONONGAHELA, PA 15063, 724-483-2760MONONGAHELA VALLEY HOSPITAL AND PARTICIPATING PHYSICIANS OWN AND OPERATE THIS AMBULATORY SURGERY CENTER.VALE-U-HEALTH, INC.SUITE 230, MON-VALE HEALTHPLEX, WILLOWPOINTE PLAZA,ROSTRAVER, PA 15012, 724-379-4011THE MONONGAHELA VALLEY PHYSICIAN HOSPITAL ORGANIZATION, INC. AND NETWORK PROVIDES RESIDENTS OF THE MONONGAHELA VALLEY WITH ACCESS TO A RANGE OF HIGH-QUALITY, COST-EFFECTIVE HEALTH CARE PROVIDERS, SERVICES AND BENEFITS THROUGH CONTRACTUAL ARRANGEMENTS WITH MANAGED CARE ORGANIZATIONS, GOVERNMENT AND PRIVATE INSURERS AND PARTICIPATING PROVIDERS. VALE-U-HEALTH REGIONAL HEALTH INFORMATION ORGANIZATION (VUH RHIO)SUITE 230, MON-VALE HEALTHPLEX, WILLOWPOINTE PLAZA,ROSTRAVER, PA 15012, 724-379-4011VUH RHIO IS A LOCAL HEALTH INFORMATION EXCHANGE WHICH ENABLES MONONGAHELA VALLEY HOSPITAL, ITS MEDICAL STAFF AND OTHER LOCAL, REGIONAL AND STATEWIDE PROVIDERS TO ACCESS AND SHARE A PATIENT'S VITAL CLINICAL INFORMATION AT THE POINT-OF-CARE DELIVERY. VALLEY HEALTH ADMINISTRATIVE INSURANCE AGENCYMONONGAHELA VALLEY HOSPITAL HEALTHPLEX, SUITE 230, ROSTRAVER TOWNSHIP, PA 15012, 724-379-4011A FULL-SERVICE AGENCY SPECIALIZING IN SELF- AND FULL-FUNDED GROUP HEALTH AND LIFE BENEFITS AS WELLAS DENTAL, VISION, STD AND LTD COVERAGE. TRADITIONAL AND INNOVATIVE BENEFIT PACKAGES ARE OFFERED FOR SMALL AND LARGE EMPLOYERS.VALLEY OUTPATIENT REHABILITATION (VOR)VOR OPERATES FOUR SITES AS A PARTNERSHIP BETWEEN ORTHOPEDIC AND SPORTS PHYSICAL THERAPY ASSOCIATES AND THE MVHR SUBSIDIARY, MON-VALE MULTIPHASICS.VOR AT MONONGAHELA1027 COUNTRY CLUB ROAD, MONONGAHELA, PA 15063, 724-258-6211VOR AT ROSTRAVERMON-VALE HEALTHPLEX, SUITE 110, 800 PLAZA DRIVE,ROSTRAVER, PA 15012, 724-379-7130AREAS OF SPECIALIZATION INCLUDE AQUATIC THERAPY (ROSTRAVER ONLY), INDUSTRIAL REHABILITATION, OCCUPATIONAL THERAPY, PHYSICAL THERAPY AND SPEECH THERAPY.

PART VI, LINE 5 (CONTINUED 2)
"COMMUNITY CARE NETWORK. THE 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 COACHES. ON 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 SERIES. STUDENTS 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, WWW.MONVALLEYHOSPITAL.COM. THE CALENDAR HAS NOT BEEN PUBLISHED SINCE THE BEGINNING OF THE PANDEMIC BECAUSE MOST OF THE PROGRAMMING, CLASSES AND SUPPORT GROUPS HAVE BEEN SUSPENDED. 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."