2024-05-14T12:34:59-05:00 2023-06-30 390859910 BAKER TILLY US LLP 20 STANWIX STREET PITTSBURGH PA 15222 990 2022-07-01 251383145 THE MEDICAL CENTER AUXILIARY MEDI 4127497021 1000 DUTCH RIDGE ROAD BEAVER PA 150099727 GARRETT RICHARDSON ASSOCIATE VP, FINANCE 4127497021 2024-04-25 1 GARRETT RICHARDSON 999009999 0 JEFFREY J PETRELL P00138808 4126976400 2024-04-25 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z HERITAGE VALLEY BEAVER AUXILIARY NORMAN F MITRY 720 BLACKBURN ROAD SEWICKLEY PA 15143 524868 0 X N/A X 1995 PA TO PROMOTE VOLUNTEER SERVICES AT HERITAGE VALLEY BEAVER, A DIVISION OF VALLEY MEDICAL FACILITIES, INC. AND TO RAISE FUNDS FOR THIS SAME ORGANIZATION. 22 22 0 36 0 0 425 1322 0 0 10694 1 204228 263846 215347 265169 43503 56020 0 0 0 0 0 0 1626 143897 122769 187400 178789 27947 86380 191191 283021 27782 33232 163409 249789 TO PROMOTE VOLUNTEER SERVICES AT HERITAGE VALLEY BEAVER, A DIVISION OF VALLEY MEDICAL FACILITIES, INC. AND TO RAISE FUNDS FOR THIS SAME ORGANIZATION. 0 0 134287 56020 HERITAGE VALLEY BEAVER AUXILIARY OPERATES A GIFT AND COFFEE SHOP AT HERITAGE VALLEY BEAVER, A DIVISION OF VALLEY MEDICAL FACILITIES, INC. WHICH SERVES PRIMARILY HOSPITAL EMPLOYEES & PATIENTS. YEARLY PROFITS FROM OPERATIONS ARE DONATED TO THE FUNDRAISING ARM OF THE HOSPITAL, HERITAGE VALLEY HEALTH SYSTEM FOUNDATION FOR CAPITAL PROJECTS AT HERITAGE VALLEY BEAVER. THE AUXILIARY VOLUNTEERED 5,462 HOURS THIS YEAR. FOR FISCAL YEAR 2023, $56,020 WAS DONATED TO HERITAGE VALLEY HEALTH SYSTEM FOUNDATION. 134287 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 22 22 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 PA X LINDA SCHAEFER 4127497021 25 HECKEL ROAD 4TH FLOOR MCKEES ROCKS PA 15136 PATRICIA KISIO PRESIDENT 14.00 0.50 X X 0 0 0 DAWN SINGLETON VICE PRESIDENT 6.00 X X 0 0 0 MARLENE AIKENS RECORDING SECRETARY 6.00 X X 0 0 0 DEBI BREIT-ADAMS CORRESPONDING SECRETARY 6.00 X X 0 0 0 JUDY BARBARO TREASURER 6.00 X X 0 0 0 BARB FINK ASSISTANT TREASURER 6.00 X X 0 0 0 SHIRLEY FLICK DIRECTOR 0.10 X 0 0 0 FLORENCE KARKOFF DIRECTOR 0.10 X 0 0 0 TRUDY FORSYTHE DIRECTOR 6.00 X 0 0 0 JOELE ALLEN DIRECTOR 0.10 X 0 0 0 JANET BENEDICT DIRECTOR 0.10 X 0 0 0 JOANNE BISH DIRECTOR 0.10 X 0 0 0 MARY ANN BOLLAND DIRECTOR 0.10 X 0 0 0 ANDREA BORGHI DIRECTOR 0.10 X 0 0 0 VALERIE BORSJE DIRECTOR 0.10 X 0 0 0 JANICE HOFFMAN DIRECTOR 0.10 X 0 0 0 RUTH ANNE HOSCHAR DIRECTOR 0.10 X 0 0 0 MARY MASSIRONI DIRECTOR 0.10 X 0 0 0 SUSAN O'DELL DIRECTOR 0.10 X 0 0 0 SALLY ROSEPINK DIRECTOR 0.10 X 0 0 0 SHIRLEY RYND DIRECTOR 0.10 X 0 0 0 NORMAN F MITRY PRESIDENT & CEO 2.00 64.75 X 0 760654 42768 GARRETT RICHARDSON ASSOCIATE VP, FINANCE 2.00 40.00 X 0 222290 12580 ROBERT ROSENBERGER FORMER CFO 0.00 0.00 X 0 502040 6329 0 1484984 61677 0 1 1 0 0 1322 1322 1 1 523545 259699 263846 263846 265169 263846 0 1 56020 56020 95281 52405 42876 4061 4061 2344 2344 PAPER SUPPLIES 19265 19265 AUXILIARY EXPENSES 1626 1626 OFFICE SUPPLIES 192 192 178789 134287 42876 1626 137939 169340 22016 27133 15419 15419 52127 38654 15817 13473 0 57656 191191 283021 27782 33232 27782 33232 X 162251 248631 1158 1158 163409 249789 191191 283021 86380 0 X 0 0 0 X X 1 VALLEY MEDICAL FACILITIES INC 251801532 3 1 56020 0 1 56020 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 PART IV, SECTION D, LINE 3: THE ORGANIZATION SUPPORTS THE NAMED ORGANIZATION BY RAISING OF MONIES THAT GOES TO SUPPORT THE HOSPITAL. THE ORGANIZATION SUGGESTED IDEAS OF ITEMS THE MONIES RAISED WERE TO BE USED FOR. VARIOUS REMODELS OF DIFFERENT DEPARTMENTS HAVE BEEN DONE WITH THE MONIES. PART IV, SECTION E, LINE 2A: THE ORGANIZATION SUPPORTS VALLEY MEDICAL FACILITIES. RECENT MONIES RAISED FROM A YEARLY CHARITY BALL FUNDRAISER AND THE INCOME FROM THE HOSPITAL GIFT AND COFFEE SHOP HAVE BEEN USED TO REMODEL DIFFERENT DEPARTMENTS IN THE HOSPITAL. PART IV, SECTION E, LINE 2B: THE ORGANIZATION SUPPORTS THE NAMED ORGANIZATION BY RAISING OF MONIES THAT GOES TO SUPPORT THE HOSPITAL. 1158 1158 1158 1158 1158 1158 1158 1158 1158 1158 1.00000 0 0 52127 38654 13473 13473 INTERCOMPANY 57656 57656 PART V, LINE 4: TEMPORARILY RESTRICTED NET ASSETS ARE COMPRISED OF CONTRIBUTIONS RECEIVED IN MEMORY OF AUXILIARY MEMBERS WHO HAVE PASSED AWAY. THESE FUNDS ARE TO BE USED FOR THE MEMORIAL GARDEN OR TO PURCHASE EQUIPMENT FOR THE GIFT/COFFEE SHOP. 1 HERITAGE VALLEY HEALTH SYSTEM FOUNDATION 25 HECKEL ROAD 4TH FLOOR MCKEES ROCKS PA 15136 251801534 501(C)(3) 0 56020 BOOK CAPITAL PROJECTS OF HERITAGE VALLEY BEAVER 1 PART I, LINE 2: THE AUXILIARY BOARD MEETS WITH THE CEO OF HOSPITAL AND DIRECTOR OF FOUNDATION TO ASSESS THE NEEDS OF THE HOSPITAL FOR CAPITAL EQUIPMENT /RENOVATIONS TO FURTHER THE EXEMPT PURPOSE OF THE HOSPITAL. 1 0 0 0 0 0 0 0 0 NORMAN F MITRY PRESIDENT & CEO 0 744104 0 0 0 16550 0 25980 0 16788 0 803422 0 0 ROBERT ROSENBERGER FORMER CFO 0 287831 0 0 0 214209 0 5757 0 572 0 508369 0 0 GARRETT RICHARDSON ASSOCIATE VP, FINANCE 0 192240 0 25000 0 5050 0 11867 0 713 0 234870 0 0 PART I, LINE 3 HERITAGE VALLEY HEALTH SYSTEM'S BOARD OF DIRECTORS HAS APPOINTED AN EXECUTIVE COMPENSATION COMMITTEE TO REVIEW THE SALARIES FOR THE ORGANIZATION'S CEO AND OTHER SENIOR MANAGEMENT OFFICIALS. AS PART OF THE REVIEW, THE EXECUTIVE COMPENSATION COMMITTEE ENGAGED AN OUTSIDE CONSULTING FIRM TO REVIEW THE BASE SALARIES OF THE SENIOR MANAGEMENT TEAM INCLUDING THE CEO IN COMPARISON TO THE MARKET TO ENSURE REASONABLENESS OF COMPENSATION. MARKET ADJUSTMENTS ARE MADE ACCORDINGLY IN INSTANCES WHERE DATA SUPPORTED SUCH CHANGES FOR THIS PERIOD. BONUSES ARE PAID IN ACCORDANCE WITH AN INCENTIVE COMPENSATION PLAN WHICH WAS DEVELOPED AND APPROVED BY THE BOARD OF DIRECTORS SEVERAL YEARS AGO. PART I, LINE 4A ROBERT ROSENBERGER, FORMER CFO - $179,808 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS APPROXIMATELY 92 MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A ONLY ACTIVE MEMBERS ARE PERMITTED TO VOTE, HOLD OFFICE OR SERVE AS A CHAIRPERSON OF A COMMITTEE. FORM 990, PART VI, SECTION A, LINE 7B THE BOARD OF DIRECTORS MAKE RECOMMENDATIONS TO THE MEMBERSHIP. THE BOARD CONSISTS OF THE EXECUTIVE COMMITTEE PLUS THE CHAIRPERSONS OR CO-CHAIRPERSON OF EACH STANDING COMMITTEE. FORM 990, PART VI, SECTION B, LINE 11B THE ADMINISTRATION OF VALLEY MEDICAL FACILITIES, INC. REVIEWS THE DOCUMENTATION COMPILED BY THEIR FINANCE STAFF BASED ON INFORMATION PROVIDED BY HERITAGE VALLEY BEAVER AUXILIARY OFFICERS. THE COMPLETED RETURN IS REVIEWED WITH THE AUXILIARY. FORM 990, PART VI, SECTION B, LINE 12C HERITAGE VALLEY BEAVER AUXILIARY DOES NOT HAVE A WRITTEN CONFLICT OF INTEREST POLICY, BUT IT IS IN THEIR BY-LAWS THAT IF A CONFLICT OF INTEREST EXISTS, THE MEMBER SHOULD ABSTAIN FROM VOTING. THE AUXILIARY HAS ACCEPTED THE WHISTLEBLOWER POLICY AND RETENTION POLICY OF THE PARENT ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15 HERITAGE VALLEY HEALTH SYSTEM'S BOARD OF DIRECTORS HAS APPOINTED AN EXECUTIVE COMPENSATION COMMITTEE TO REVIEW THE SALARIES FOR THE ORGANIZATION'S CEO AND OTHER SENIOR MANAGEMENT OFFICIALS. AS PART OF THE REVIEW, THE EXECUTIVE COMPENSATION COMMITTEE ENGAGED AN OUTSIDE CONSULTING FIRM TO REVIEW THE BASE SALARIES OF THE SENIOR MANAGEMENT TEAM INCLUDING THE CEO IN COMPARISON TO THE MARKET TO ENSURE REASONABLENESS OF COMPENSATION. MARKET ADJUSTMENTS ARE MADE ACCORDINGLY IN INSTANCES WHERE DATA SUPPORTED SUCH CHANGES FOR THIS PERIOD. BONUSES ARE PAID IN ACCORDANCE WITH AN INCENTIVE COMPENSATION PLAN WHICH WAS DEVELOPED AND APPROVED BY THE BOARD OF DIRECTORS SEVERAL YEARS AGO. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND THE FINANCIAL STATEMENTS ARE AVAILABLE TO MEMBERS AND THE ADMINISTRATION OF VALLEY MEDICAL FACILITIES, INC., THE AFFILIATED ORGANIZATION THAT IS SUPPORTED THROUGH VOLUNTEERING AND FUNDRAISING. HERITAGE VALLEY HEALTH SYSTEM INC 1000 DUTCH RIDGE ROAD BEAVER PA 15009 251441518 PARENT SUPPORTING ORG PA 501(C)3 11C N/A 0 VALLEY MEDICAL FACILITIES INC 720 BLACKBURN ROAD SEWICKLEY PA 15143 251801532 HOSPITAL PA 501(C)3 3 HERITAGE VALLEY HEALTH SYSTEM 0 HOSPITALITY SHOP OF SEWICKLEY VALLEY 720 BLACKBURN ROAD SEWICKLEY PA 15143 251012989 FUNDRAISING PA 501(C)3 11C HERITAGE VALLEY HEALTH SYSTEM 0 HERITAGE VALLEY HEALTH SYSTEM FOUNDATION 25 HECKEL ROAD 4TH FLOOR MCKEES ROCK PA 15136 251801534 FUNDRAISING PA 501(C)3 11C HERITAGE VALLEY HEALTH SYSTEM 0 WORKERS COMPENSATION TRUST FUND 25 HECKEL ROAD 4TH FLOOR MCKEES ROCK PA 15136 251463381 WORKERS COMPENSATION PA 501(C)3 11C VALLEY MEDICAL FACILITIES INC 0 HERITAGE VALLEY HEALTHCARE NETWORK LLC 1000 DUTCH RIDGE ROAD BEAVER PA 15009 814233618 CLINICALLY INTEGRATED NETWORK PA 501(C)3 11C HERITAGE VALLEY HEALTH SYSTEM 0 HERITAGE VALLEY HEALTHCARE NETWORK ACO LLC 1000 DUTCH RIDGE ROAD BEAVER PA 15009 821646033 CLINICALLY INTEGRATED NETWORK PA 501(C)3 11C HERITAGE VALLEY HEALTH SYSTEM 0 OVH PROFESSIONAL LIABILITY SELF-INSURANCE 25 HECKEL ROAD 4TH FLOOR MCKEES ROCK PA 15136 251619844 MALPRACTICE INSURANCE PA 501(C)3 12B, II VALLEY MEDICAL FACILITIES INC 0 OVH WORKER COMPENSATION SELF-INSURANCE TRUST 25 HECKEL ROAD 4TH FLOOR MCKEES ROCK PA 15136 251619842 WORKERS COMPENSATION PA 501(C)3 12B, II VALLEY MEDICAL FACILITIES INC 0 CONSOLIDATED SUPPLY CHAIN SERVICES LLC 25 HECKEL ROAD 4TH FLOOR MCKEES ROCK PA 15136 271055405 GROUP PURCHASING PA HERITAGE VALLEY HEALTH SYSTEM RELATED 0 0 EDGEWORTH COMMONS GROUP LLC 725 CHERRINGTON PARKWAY SUITE 200 MOON TOWNSHIP PA 15108 020713415 SURGERY CENTER PA HERITAGE VALLEY HEALTH SYSTEM RELATED 0 0 BEAVER VALLEY AMBULATORY SURGERY CENTER LLC 1030 BEANER HOLLOW ROAD BEAVER PA 15009 822918272 SURGERY CENTER PA HERITAGE VALLEY HEALTH SYSTEM RELATED 0 0 TRI-STATE OBSTETRICS & GYNECOLOGY 25 HECKEL ROAD 4TH FLOOR MCKEES ROCK PA 15136 251776052 PHYSICIAN PRACTICE PA N/A C 0 HERITAGE VALLEY PEDIATRICS INC 25 HECKEL ROAD 4TH FLOOR MCKEES ROCK PA 15136 251775950 PHYSICIAN PRACTICE PA N/A C 0 HERITAGE VALLEY MULTISPECIALTY GROUP INC 25 HECKEL ROAD 4TH FLOOR MCKEES ROCK PA 15136 251775949 PHYSICIAN PRACTICE PA N/A C 0 TRI-STATE GYNECOLOGY INC 25 HECKEL ROAD 4TH FLOOR MCKEES ROCK PA 15136 841647473 PHYSICIAN PRACTICE PA N/A C 0 HERITAGE VALLEY INSURANCE COMPANY PO BOX 1051 GRAND CAYMAN CJ 251441518 PROFESSIONAL LIABILITY CAPTIVE CJ N/A C 0 EMBROOKE INCORPORATED 25 HECKEL ROAD 4TH FLOOR MCKEES ROCK PA 15136 300008536 AMBULANCE SERVICES PA N/A C 0 KBS ANESTHESIA INC 25 HECKEL ROAD 4TH FLOOR MCKEES ROCK PA 15136 834184731 PROVIDES MEDICAL SERVICES PA N/A C 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0