2024-05-14T12:35:36-05:00 2023-06-30 390859910 BAKER TILLY US LLP 20 STANWIX STREET PITTSBURGH PA 15222 990 2022-07-01 251619844 OHIO VALLEY HOSPITAL PROFESSIONAL LIABILITY SELF INSURANCE OHIO 4127416600 25 HECKEL ROAD MCKEES ROCKS PA 15136 GARRETT RICHARDSON ASSOCIATE VP, FINANCE 4127416600 2024-04-25 1 GARRETT RICHARDSON 999009999 1 JEFFREY J PETRELL P00138808 4126976400 2024-04-25 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z NORMAN F MITRY 720 BLACKBURN ROAD SEWICKLEY PA 15143 178416 0 X WWW.HERITAGEVALLEY.ORG X 1989 PA PROVIDES MALPRACTICE INSURANCE TO VALLEY MEDICAL FACILITIES. 19 16 0 16 0 0 115000 135000 0 0 12190 38190 0 0 127190 173190 0 0 0 0 0 0 0 0 0 385947 267747 385947 267747 -258757 -94557 2125818 2037722 0 0 2125818 2037722 PROVIDES MALPRACTICE INSURANCE TO VALLEY MEDICAL FACILITIES. 0 0 55000 PROVIDES A PRUDENT AND ECONOMICAL WAY FOR VALLEY MEDICAL FACILITIES TO COVER ITS MALPRACTICE CLAIMS. 55000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 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 19 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X LINDA SCHAEFER 4127497021 25 HECKEL ROAD 4TH FLOOR MCKEES ROCKS PA 15136 NORMAN F MITRY PRESIDENT & CEO 1.00 65.75 X X 0 760654 42768 SCOTT M ELSTE CHAIR 2.00 2.00 X X 0 0 0 SUSAN PAONE DHA VICE-CHAIR 2.00 2.00 X X 0 0 0 BOB TERWILLIGER SECRETARY 2.00 2.00 X X 0 0 0 ELISA DITOMMASO CPA TREASURER 2.00 2.00 X X 0 0 0 LYNN GEORGE PHD EMERITUS BOARD CHAIR 2.00 2.00 X 0 0 0 FRED CLERICI DIRECTOR 2.00 2.00 X 0 0 0 MICHAEL MALKOWSKI MD DIRECTOR/PHYSICIAN 2.00 41.25 X 0 571473 35861 KEVIN FLANNERY DIRECTOR 2.00 2.00 X 0 0 0 THOMAS LEYDIG DIRECTOR 2.00 2.00 X 0 0 0 JEFFREY HEIN MD DIRECTOR/PHYSICIAN 2.00 40.00 X 0 632270 35723 ROGER DAVIS EDD DIRECTOR 2.00 2.00 X 0 0 0 CHARLES KELLY ESQ DIRECTOR 2.00 2.00 X 0 0 0 RICHARD BOWERS MD DIRECTOR 2.00 2.00 X 0 0 0 KAREN JEROME-ZAPADKA MD DIRECTOR 2.00 2.00 X 0 0 0 MARK BRENNAN DIRECTOR 2.00 2.00 X 0 0 0 MICHAEL DICLEMENTE DIRECTOR 2.00 2.00 X 0 0 0 DIANA KOZLINA-PERETIC DNP DIRECTOR 2.00 2.00 X 0 0 0 SRIDHAR TAYUR PHD DIRECTOR 2.00 2.00 X 0 0 0 SHARON LOFTUS ESQ ASST. SECRETARY 2.00 40.00 X 0 282031 34869 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 2970758 168130 0 1 1 0 0 135000 135000 43416 43416 5226 -5226 -5226 -5226 173190 0 0 38190 204857 204857 7890 7890 BENEFIT PAYMENTS 55000 55000 267747 55000 212747 0 2125818 2037722 2125818 2037722 0 0 X 2125818 2037722 2125818 2037722 2125818 2037722 -94557 6461 0 X 0 1 X 1 0 X X 1 VALLEY MEDICAL FACILITIES INC 251801532 3 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 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 JEFFREY HEIN MD DIRECTOR/PHYSICIAN 0 200000 0 395720 0 36550 0 12200 0 23523 0 667993 0 0 MICHAEL MALKOWSKI MD DIRECTOR/PHYSICIAN 0 360000 0 196123 0 15350 0 12200 0 23661 0 607334 0 0 ROBERT ROSENBERGER FORMER CFO 0 287831 0 0 0 214209 0 5757 0 572 0 508369 0 0 SHARON LOFTUS ESQ ASST. SECRETARY 0 281981 0 0 0 50 0 18269 0 16600 0 316900 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 B, LINE 11B A DRAFT OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE (IRS). FORM 990, PART VI, SECTION B, LINE 12C ALL EMPLOYEES, INCLUDING MANAGEMENT ARE REQUIRED TO SIGN AN ACKNOWLEDGMENT AFTER REVIEWING OUR CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS DOCUMENTING AN UNDERSTANDING OF ITS CONTENTS. EMPLOYEES SIGN THIS STATEMENT DURING ANNUAL MANDATORY EDUCATION TRAINING. ANY POTENTIAL CONFLICTS ARE REFERRED TO THE APPROPRIATE VICE PRESIDENT AND HUMAN RESOURCES TO CONFIRM AND RESOLVE THE CONFLICT. OTHER POTENTIALLY INTERESTED PARTIES, SUCH AS BOARD MEMBERS, AND OFFICERS SIGN A STATEMENT ANNUALLY WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX EXEMPT PURPOSES. THE CHAIRPERSON OF THE BOARD MEMBERS IS FAMILIAR WITH POTENTIAL CONFLICTS. 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 ORGANIZATION PUBLISHES CONDENSED FINANCIAL STATEMENTS FOR PUBLIC USE ON ITS WEBSITE WWW.HERITAGEVALLEY.ORG. GOVERNING DOCUMENTS AND POLICIES, INCLUDING CONFLICTS OF INTEREST, ARE MADE AVAILABLE UPON REQUEST. 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