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Tomorrowbelongs tothe peoplewho preparefor it today.— African Proverb

Iplay the drums. They are theoldest and most universalmusical instruments and thebasic design has remainedpractically unchanged for

thousands of years. Drummersprovide the rhythmic foundationfor a band. Billy Joel once said,“Historically, musicians know whatit is like to be outside the norm —walking the high wire without asafety net. Our experience is notso di8erent from those who marchto the beat of di8erent drummers.”At Monongahela Valley Hospital,we march to our own beat — wechallenge the norm.Look all around us. The second

decade of the 21st century is a toughtime to live. The unemployment ratecontinues to climb nationally, but inWashington and surrounding countiesit’s been declining by only between3- and 5-tenths of a percent over lastyear. In fact, MVH is continually hiring— for good jobs. Last year we receivednearly 3,600 applications. We marchto our own beat.Local hospital consolidators are

battling each other over which healthplans they will accept. MVH acceptseveryone. We are not going to makethe people in our community choosewho will provide their medical care

based on which companies providetheir health insurance. We march toour own beat.While hospitals all around us are

eliminating services and even closing,MVH is expanding our services andenhancing our facilities. In 2011, we

initiated a $25 million constructionproject that will provide:� Four new state-of-the-artoperating suites� Image Guided Radiation andHigh Dose Radiation therapiesright here in the Mon Valley so thatpeople with cancer can receivetheir care with convenient access� Additional space on the 6rst7oor of the Charles L. & RoseSweeney Melenyzer Pavilion and

Louis J. Panza Jr.observes the$25 millionconstruction projectfrom the hospital’sskywalk area.

MESSAGE TO THE COMMUNITY

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While hospitalsall around usare eliminatingservices andeven closing,MVH is expandingour servicesand enhancingour facilities.

Regional Cancer Center for therelocation of our Center forWound Management to providemore convenient outpatient careto people who su8er from non-healing woundsIn the pages that follow, we

outline how everything we do has astrategic purpose. You will learn thatwe established an O:ce of FundDevelopment this past year to helpus manage a capital campaign witha goal of raising $2.5 million for theconstruction project. We havesuccessfully been recruiting young,talented physicians and fellows inkey specialties that meet the ever-changing needs of the community.In addition, for the 6rst time weventured into retail medicine byopening a walk-in medical centerto provide non-urgent diagnosisand treatment inside the FinleyvilleGiant Eagle.Yes, we march to our own beat

and continue to have a focus onthe future.

Louis J. Panza Jr.President and CEO

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It takes dedicated leadershipwith a de6ned vision toe8ectively guide an organizationas progressive as MonongahelaValley Hospital. During Fiscal

Year 2010-2011, we were privilegedto again have an enthusiastic anddevoted group of men and womenwho volunteered their time toserve on the Board of Trustees ofMonongahela Valley Hospital, Inc.who included: pictured above,Front Row (top to bottom) —Richard A. Barcelona; Charles F. Muia;Louis J. Panza Jr., President andCEO; Dana Caruso Slagle; and R.Carlyn Belczyk, Vice Chairman; BackRow (top to bottom) — Joseph U.

FOCUS ONEXECUTIVE LEADERSHIP

Frye; Daniel F. Simmons, Treasurer;William J. Miller Jr.; Michal Lementowski,M.D.; John D. Fry, Chairman; Je8 M.Kotula, Secretary; Carl Crawley Jr;and Alan R. Guttman.Also serving on the Hospital’s Board

of Trustees below were (left to right ) —Angelo Armenti Jr., Ph.D; S.P. Hewie,M.D.; and Robert J. Jenkins Jr., M.D.

Mon-Vale Health Resources, Inc.Board of DirectorsJohn D. Fry, ChairmanR. Carlyn Belczyk, CPA, CVA, Vice ChairmanJe8 M. Kotula, SecretaryLouis J. Panza Jr., President/CEODaniel F. Simmons, Treasurer**Angelo Armenti Jr., Ph.D.Patrick BallonRichard A. Barcelona, Immediate Past ChairmanLillian C. BeattieAndrew G. BuryJames J. Connolly, D.D.S.Walter R. Cox, M.D.Carl Crawley Jr.Carol Ann DomanJoseph U. FryeHenry R. GlanemanJames C. GrechAlan R. GuttmanS.P. Hewie, M.D.William D. Hope Jr., V.M.D.David T. HunterJe8rey D. ImbresciaRobert J. Jenkins Jr., M.D.*R.G. Krishnan, M.D.Michal Lementowski, M.D.Ronald L. Lombard, D.Ed.Anthony M. Lombardi***William J. Miller Jr.Charles F. MuiaKaren L. QuintoDana Caruso SlagleCharles E. Stacey, Ph.D.Steven J. SukalCharles W. Zubritsky, III

Emeritus Board MembersAldo L. BartolottaWilliam R. Boyles*G. Edwin MathenyC.L. Melenyzer* (Honorary)George R. Sweeney IIRobert R. Urban, M.D.Joseph M. Young, M.D.

* Deceased** Non-Voting Member*** President/CEO Emeritus

Dr. Armenti Dr. Hewie Dr. Jenkins

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In spring 2011, Monongahela Valley Hospital’sStrategic Foundation Planning Committeeestablished the O:ce of Fund Development tosupport our $25 million construction project andmanage the fundraising campaign. MVH enlisted

support from two highly respected members of ourcommunity to be co-chairmen of the Campaign:Richard A. Barcelona and Joseph U. Frye. BothMr. Barcelona and Mr. Frye are past Hospital BoardChairmen of our Health System and o8er unparalleledexperience in the business community — inMonongahela Valley and in surrounding areas.Mr. Barcelona and Mr. Frye have a deep passion for thehospital and bring strong leadership to the campaign.

Richard A. Barcelona and Joseph U. FryeCo-Chair Capital Campaign

Inspecting the construction site are (left to right)Louis J. Panza Jr., Richard A. Barcelona and Joseph U. Frye.

InSeptember 2010, to further our mission toenhance the health of the residents of the mid-Mon Valley and secure our market presence inthe edges of our marketing area, MonongahelaValley Hospital entered into an agreement with

Charleroi-based ImageRadiology Group (IRG)to manage a variety ofdiagnostic services at IRG’slocations in McMurray andWhite Oak.These two locations,

which will add nearly 15,000medical imaging outpatientprocedures annually, have

IRG Open House

capabilities that include 1.5 T High Field Ultra Short MRI,Ultrasound, Walk-In X-ray, CT Scan, Echocardiogramand Bone Density testing. The McMurray site alsoincludes C-Arm and Open MRI among its services.The sta8 of both locations welcomed members of

their communities toopen houses and healthfairs in spring 2011.While touring thefacilities, guests hadan opportunity toparticipate in healthscreenings and viewinnovative diagnosticimaging equipment.

Prashant Gosai, IRG’s vice president, shows Carl Crawley Jr.an X-ray during one of the Open House events.

SPOTLIGHT ONLEADERSHIP SUPPORT

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When residents of theMon Valley need medicalcare, they place theirtrust in the more than225 physicians a:liated

with Monongahela Valley Hospital. Thesededicated physicians bring outstanding medicalcare in more than 40 specialties to thiscommunity. This past year, the Medical Sta8grew by 22 new members with appointmentsin the specialties of cardiology, physicalmedicine and rehabilitation, medical imaging,teleradiography, internal medicine, nephrology,emergency medicine, podiatry, colo-rectalsurgery, ophthalmology, otolaryngology andinfectious disease.In 2010-2011, Monongahela Valley Hospital’s

Medical Sta8 was led by a focused anddedicated team of physicians including R.G.Krishnan, M.D., President; Walter R. Cox, M.D.,

FOCUS ONTHE MEDICAL STAFF

Vice President; Richard A. Young, D.P.M.,Secretary-Treasurer; and Ronald A. Lutes, D.O.,Immediate Past President.Members of the Medical Sta8 Executive

Committee pictured above include:Front —Walter R. Cox, M.D. Center (left to right)— Scott L. Baron, M.D.; Surinder K. Aneja, M.D.;Charles N. Lebovitz, M.D.; L. Douglas Pepper,M.D.; Nirmal D. Kotwal, M.D.; Brenda L. Walther,M.D.; and Dennis J. Mateya, M.D. Back Row(left to right) — Richard A. Young, D.P.M.;Abdul S. Chaudry, M.D.; John A. Holets, M.D.;Ronald A. Lutes, D.O.; Thad Osowski, M.D.;Gene W. Manzetti, M.D.; and Sanat Shro8, M.D.Members of the Medical Sta8 Executive

Committee pictured right (top to bottom)are — R.G. Krishnan, M.D.; Shobha Asthana, M.D.;Stephen A. Bowser, M.D.; Ambaram V. Chauhan,M.D.; and James A. Solan, M.D.

Dr. Krishnan

Dr. Asthana

Dr. Bowser

Dr. Chauhan

Dr. Solan

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Meeting prior to the 5rst fellowship lecture are (left to right)Jaytinder S. Sandhu, D.P.M.; William T. DeCarbo, D.P.M.; SamMendicino, D.P.M., the keynote speaker; and Mark H. Ho7auer, D.P.M.

SPOTLIGHT ONEDUCATION AND INNOVATION

Nationally, nearly 20 percent of all physiciansare over the age of 65, while atMonongahela Valley Hospital the rate isapproximately 10 percent. Our ability torecruit and retain new, young physicians

to our Hospital is a testament to the diverse medicalservices that we o8er and our continued commitmentto providing the residents of the Mon Valley with thehighest level of quality health care.

Mark H. Ho9auer, D.P.M. is a foot and ankle specialistwho performs surgery at Monongahela Valley Hospital.Dr. Ho9auer also serves as Director of the Mon Valley

Fellowship Program established by The Greater PennsylvaniaEducation Foundation to enhance skills and knowledgeacquired during residency training with advanced surgicaleducation in the areas of Reconstructive Surgery of the Footand Ankle, Diabetic Limb Salvage and Lower Extremity TraumaManagement. The program o8ers a unique opportunity to workwith expert surgeons dedicated to education, research andcommunity outreach.Twenty years ago, when Dr. Ho9auer was training, he had to

seek fellowships in Germany and Switzerland because the typeof specialized training he was pursuing was not available in theUnited States. Today, Monongahela Valley Hospital is one ofonly a select few hospitals nationwide that o8ers a fellowshipin foot and ankle surgery. Jaytinder S. Sandhu, D.P.M. is our 6rstfellow who is enhancing his surgical skills by learning experttechniques from Dr. Ho9auer and William P. DeCarbo, D.P.M.Working together, the two physicians have created a

quarterly Fellowship Lecture Series for podiatrists, orthopedicsurgeons and medical sta8 from the tri-state area. Our expertsright here in the Mon Valley are teaching physicians tomorrow’sadvanced techniques today.

Visions for Tomorrow

Howard Goldberg, M.D., and Edward Sta6ord, M.D., are twoof the newest physicians appointed to the MonongahelaValley Hospital medical sta6. Cutting the ribbon to celebratethe opening of Washington ENT’s new o8ce in SpartanMedical Facility are (left to right) Patrick Alberts, senior vicepresident and chief operating o8cer, MVH; Dr. Sta6ord;Dr. Goldberg; and Louis J. Panza Jr., president and CEO, MVH.

Monongahela Valley Hospital uses many e8ectiveapproaches in the 6ght against cancer. MohsenIsaac, M.D., director of radiation oncology at

MVH and clinical assistant professor at Temple UniversitySchool of Medicine, is one of the few physicians whoutilizes an innovative technique to treat high-risk patientswith early stage, non-small cell lung cancer.Dr. Isaac implants low-dose radioactive iodine seeds

permanently into the lungs of people with Stage 1 lungcancer who have limited heart/lung function to reducerecurrences.This new radiation therapy technique not only allows

less loss of the lung, but may preserve more lung functionwith less breathing problems.In April 2011, Dr. Isaac presented his experience using

this procedure at the American Brachytherapy Society’sannual meeting in San Diego.

Innovative Treatment

MVH’s Radiation Oncology Department is implementing manyadvanced therapies for people with cancer. Dr. Mohsen Isaac standsbeside the linear accelerator that is used for radiation therapy andthe new device (front) that provides high dose radiation therapy.

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Fiscal Year 2010-2011 proved tobe another remarkable 12 monthsin Monongahela Valley Hospital’squest for medical excellence inpatient care. Throughout the

year, MVH successfully:� Trained more than 150 members of ourmedical sta8 to use the new ComputerizedProvider Order Entry (CPOE) system, whichis required by the Information SystemsMeaningful Use Act, allowing physiciansto enter patient orders directly into thecomputer system and thus eliminating thepossibility of human transcription errors

FOCUS ON QUALITY PATIENT CARE� Implemented the next phase of ourcomputer system with digital cardiologythat enables images to be forwarded toother hospitals or physicians’ o:cesseamlessly and be easily viewed fromcomputer terminals throughout the hospital� Continued our Percutaneous CoronaryIntervention (PCI) Angioplasty Programin partnership with The Johns HopkinsMedical Center� Began our 26th year of providing regionalcancer care including Radiation Therapyand Medical Oncology

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Monongahela Valley Hospital’s 5rst 5ve hospitalistsinclude: seated (left to right) Mauzyed Ahmed, M.D. andBharat Bhushan, M.D., Standing (left to right) HarshitSeth, M.D.; Benjamin Martin, M.D., chief hospitalist;and Catalin Florita, M.D.

SPOTLIGHT ONHOSPITALISTS

MVHintroduced a hospitalist program thatprovides a new standard of care forinpatients. Hospitalists are physicians who

specialize in inpatient care and practice within thehospital on a 24/7 basis 365 days a year. This newprogram o8ers many advantages to the community.Hospitalists:� O8er clinical experience, knowledge of hospitalprocedures and increased accessibility to patientswhich ultimately enhances patient safety� Act as care facilitators by keeping diagnostic testsand rehabilitative procedures moving in order to reducehospital stays, free up beds and reduce admission waittimes for new patients� Coordinate all of the inpatients’ care and are the mainsource of communication to the patients, primary carephysicians and sub specialists which ultimately reduceserrors by unifying communications� Free area physicians frommaking hospital rounds thusenabling them to spend more uninterrupted time intheir o:ces with outpatients

SPOTLIGHT ONMEDICAL IMAGING

During Fiscal Year 2010-2011 Monongahela Valley Hospital’s MedicalImaging Department dedicated a new area speci6cally to servewomen requiring mammography procedures. The Hospital created

a conveniently located, woman-centric environment that provides patientsand physicians with the most advanced technology for the diagnosis ofbreast cancer. Residents of the Mon Valley and surrounding areas nowhave access to digital mammography and stereotactic biopsy — state-of-the-art equipment that reduces examination time and decreases theradiation dosage.The equipment enables information to be stored electronically as well as

transmitted, analyzed and manipulated in a number of ways that are notpossible with traditional 6lms. The new service truly provides MVH patientswith a complete mammograpy program.

Shown above is MVH’s new digitalmammography unit with stereotacticbiopsy capability.

Photographcourtesy

ofGEHealthcare

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Monongahela ValleyHospital keepspace with changingtrends anddemographics.

Today, younger adults are relying onretail medicine outlets versus primarycare physicians for their medicalneeds. In Fiscal Year 2010-2011,

FOCUS ON RETAIL MEDICINEMVH entered into a partnership withGiant Eagle in Finleyville to openour 6rst retail medical center.Healthy Directions Exclusively atGiant Eagle is an appointment-freewalk-in site that provides diagnosesand treatments for non-urgentillnesses and conditions. A 6rst in thegreater Pittsburgh region for both

partners, Healthy Directions issta8ed by certi6ed registered nursepractitioners under the directionof MVH-a:liated physicians.For nearly 20 years the local

community has trusted the sta8 ofHealthy Directions in Finleyville toprovide basic health screeningsand education programs to helpthem stay well. The new medicalcenter’s expanded services includeevaluations and treatment, physicalexaminations, immunizations, onsitediagnostic testing, laboratory testingand education.

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In spring 2011, Monongahela Valley Hospital tooka giant leap into securing the Hospital’s futurein the community by establishing the O:ce ofFund Development. The mission of this 501(c)(3)organization is to help enhance the health of

the residents of the mid-Monongahela Valley areathrough charitable contributions. The O:ce has two keyfunctions — to plan, manage and implement a $2.5 millioncapital campaign to support MVH's $25 millionconstruction project and to direct the Hospital's annual

fundraising campaign.The O:ce of Fund Development is

under the professional direction ofSara Schumacher. Ms. Schumacher isresponsible for all fundraising activitiesincluding the Capital Campaign andthe Annual Campaign. She brings tothe Hospital nearly a decade of healthcare fundraising experience.

FOCUS ON DEVELOPMENTMVH is very fortunate to have

Jack Robinson, a long-time supporter,serving as the director of the CapitalCampaign and assisting Ms. Schumacherin planning and structuring the CapitalCampaign. Mr. Robinson served onthe Board of Directors of Mon-Vale HealthResources, Inc. and the Board ofTrustees for Monongahela Valley

Hospital and has a respected reputation in the Mon Valleyand surrounding areas that he earned while in leadershiproles in the banking industry.The Capital Campaign, which kicked o8 early in 2011-2012,

is under the leadership of two dedicated board members,Richard A. Barcelona and Joseph U. Frye, who are servingas co-chairmen. Working together, the leadership and sta8of the O:ce of Fund Development are demonstrating theimportance of the Hospital’s expansion project and the vitaleconomic impact we have on the community.Mrs. Schumacher

Mr. Robinson

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AtMonongahela Valley Hospital, we are planning fortomorrow today. In the spring of 2011, we broke groundfor a $25 million Master Facility Plan which allows thehospital to remain on the cutting edge in the deliveryof medical care. This expansion project is adding

16,000 square feet to our campus and builds on our strengths inwound care, surgery and cancer treatment.This is one of the biggest renovation and expansion projects in our

history since the construction of the new hospital in 1976. And it is atrue community project. We are building for the community and withthe community’s continuing support.Three areas of concentration include:

� Construction of four new 600-square-foot surgical suites on the6rst 7oor of the Hospital and expansion of existing surgical suitesand the post-anesthesia care unit for optimal surgical care, patientrecovery and privacy� Upgrading cancer treatment through expansion of our RadiationTherapy Unit with a new vault which has walls constructed of 6 to8 feet of concrete and the addition of new higher dose ImageGuided Radiation Therapy (IGRT) equipment within the Charles L.and Rose Sweeney Melenyzer Pavilion� Relocation of the Wound Care Program including the HyperbaricOxygen Therapy units to the 6rst 7oor of the Sweeney MelenyzerPavilion to provide greater convenience for outpatient careIn addition, infrastructure upgrades, which will maximize utility

e:ciency and reduce costs, are part of the plan — the 6rst time thatthese systems will be improved since the hospital opened in 1978.This ambitious Master Facility Plan perpetuates MVH’s history of

progress. It is yet another tangible example of our commitment toimpact the health and the economies of the communities we serve.

FOCUS ON GROWTH

3D Rendering of CompletedRenovation and Expansion

Lifting soil during groundbreaking ceremonies inApril 2011 are (left to right) Washington CountyCommissioner Larry Maggi, Dr. R.G. Krishnan,U.S. Rep. Tim Murphy, Louis J. Panza Jr., and BoardMembers R. Carlyn Belczyk and Je6 Kotula.

Several phases of construction, which began in spring of 2011 and will continueuntil completion in July 2012, are shown above and on the opposite page.

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Radiation Therapy

Surgical Suites

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Monongahela Valley Hospital’scommitment to enhancing thehealth of the residents of themid-Mon Valley and our questfor excellence are unwavering.

During Fiscal Year 2010-2011, many di8erentorganizations recognized our accomplishmentsthrough the following awards and public recognition:� MVH has been raising and maintaining ourpatient satisfaction scores. In June 2011,we ranked number one in patient satisfactionin Western Pennsylvania and were in the90th percentile in the nation based on nearly20,000 surveys returned to Press GaneyAssociates, the industry’s recognized leaderin health care performance improvement.� MVH was one of only nine hospitals in the nationto receive the Outstanding Partnership — 2011Excellence in Action Award. The Hospital,and its partner, the Southwestern PennsylvaniaArea Agency on Aging, Inc., received this honorfor working together in conjunction with QualityInsights of Pennsylvania to promote communityliving by supporting individuals and familiespost-hospital discharge. This is important notonly as a quality care issue, but in the future itwill impact Hospital reimbursement.� The Joint Commission again awarded MVHspecial Inpatient Certi6cation of our OrthopedicPrograms for hip surgery and knee surgery.This certi6cation acknowledges the Hospital’scomprehensive approach to orthopedic surgerywhich signi6es high-quality outcomes.

FOCUS ON EXCELLENCE

� The national research 6rm of Health Gradesrecognized MVH for superior clinical performancein Joint Replacements for 2011.� The Washington County Chamber of Commercerecognized Monongahela Valley Hospital withthe Best Place to Work — Large Employer inWashington County award.� The American Heart Association again designatedMVH as a Fit Friendly Corporation for our e8orts inhelping our employees maintain a healthy lifestyle.� For the third consecutive year, in early Fiscal Year2010-2011 when The Valley Independent issued itsValley Favorite roster, our health system, includingthe Hospital and every one of our a:liatedbusinesses were listed as a Valley Favorite.

Leslie Grenfell, executive director, Southwestern PennsylvaniaArea Agency on Aging, Inc., (left) and Donna Ramusivich, seniorvice president, MVH, accept the Excellence in Action awardsfrom Brian Duke, Pennsylvania Secretary of Aging.

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At Monongahela Valley Hospital, 12 nurses were nominated by their peers for the2011 Cameos of Caring® Award. These nurses have reputations for providing quality patientcare and demonstrating leadership abilities. The 2011 Cameos of Caring nominees included:Front Row (left to right) — Mariaelena Perowski, RN, Emergency Department; Rose Stankovich,RN, 7-East; and Annette Necciai, RN, Center for Wound Management. Back Row (left to right) —Jan Whiten, RN, 5-West; Susan Silbaugh, RN, 6-East; Jeanette Weeks, RN, 7-West; Linda Kishel,RN, 6-West; Raffaline Champ, RN, Post Anesthesia Care Unit; Kristen Walters, RN, 5-East;Doug Meyers, RN, Operating Room; and Mary Beth Cope, RN, SameDay Surgery. Missing isGay Janotta, RN, Cardiac Care Unit.

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Mariaelena Perowski

SPOTLIGHT ON AWARDS

CAMEOS OF CARING®

THE PROTIN AWARD

Julie Trinkala

Mariaelena Perowski, RN, CCRN, PHRN,Emergency Department, wants to helppeople get well quickly and has spent

the last 21 of her 29 years as a full-time nurseproviding emergency care to residents of themid-Mon Valley. She is the recipient of theprestigious Cameos of Caring® Award, whichrecognizes nurses who demonstrate excellencein nursing care, serve as advocates for patientsand their families and embody the essenceof the nursing profession.Mrs. Perowski is certi6ed in Neonatal Advanced

Life Support and Trauma Nurse Care Curriculumand is a National Institutes of Health Stroke ScaleProvider. She also serves as a nurse educatorteaching Pediatric Advanced Life Support andAdvanced Cardiac Life Support. In addition, she isa preceptor and mentor for new MVH employeesand college nursing students.

Julie Trinkala, a housekeeper,was honored for her strongwork ethic and commitment

to the goals and ideals of our healthcare system as the 2011 recipientof the Edward J. Protin MemorialAward at MVH — one of theHospital’s most prestigious honors.Upon accepting the award, Ms.Trinkala, whose career at thehospital spans more than 19 years,said, “I just love to help people.”

Louis J. Panza, Jr., President andCEO of Monongahela Valley Hospital,emphasized that Trinkala, “certainlymeets the criteria for this honor —for many reasons.“In addition to leading by example,”

Panza said, “Julie makes MVH abetter place. She brightens the dayand has that special ability to makeeveryone smile.”The Protin Award was established

in 1981 to perpetuate the memoryof the late Edward J. Protin, formerpresident of the hospital’s Board ofTrustees and a longtime communityleader in the mid-Monongahela Valley.

SPOTLIGHT ONTHE ANNUAL GALA

AMexican Fiesta was the theme of the 23rd AnnualGala sponsored by the Mon-Vale Health ResourcesFund Development Committee which netted

$129,000. At the end of Fiscal Year 2011, fundraising bythe Committee totaled $4,669,574 since its inception in1988. The aggregate 6gure includes:Pathways Promoting Progress In Health ......$ 794,189The 6rst 23 Galas ......................................................$2,307,028Hearts That Care........................................................$ 288,607Community CampaignsRegional Cancer Center Expansion ................$ 536,144Emergency Department Expansion ................$ 734,606

The Fund Development Committee was formed toassist and advise the MVHR Board of Directors in thesolicitation and disbursement of charitable contributions.

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AsMonongahela Valley Hospital continues to move forward, theHospital is committed to providing high-quality medical care thatmeets the needs of the community and acts as an economicstimulator for the mid-Mon Valley. The community supports MVHthrough the Annual Gala and with personal and corporate gifts.

FOCUS ON GIVING

Pure Gold entertained the guests for an evening of dancing.

S.P. Hewie, M.D., chairwoman of theMon-Vale Health Resources FundDevelopment Committee is enjoyingthe President’s Reception withPatrick J. Alberts, MVH’s senior vicepresident and chief operating officer(center), and Raymond A. Volpatt Sr.,chairman of Volpatt Construction.

Ron Quinto (left) and his wife, Karen L. Quinto, a member of Mon-ValeHealth Resources, Inc. Board of Directors, and R. G. Krishnan, M.D.,president of Monongahela Valley Hospital’s Medical Staff are in afestive mood at the Gala 23 Cantina.

GALA 23

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SPOTLIGHT ONTHE AUXILIARY OFMON-VALE HEALTH RESOURCES, INC.

William Shakespeare wrote, “I can no other answer make,but thanks, and thanks.” Simply saying “thank you”seems so inadequate to the many volunteers who give

of their time to work shoulder-to-shoulder with MVH employeesto make Monongahela Valley Hospital a great place to give andreceive medical care. Our volunteers are at the hospital every daygreeting patients and visitors as they enter the lobby or ride theelevator or need a snack in the Gift Shop. MVH’s dedicatedvolunteers organize and sta8 a variety of events from hot pretzelsales to the annual Strawberry Festival.During the Hospital’s 33rd annual celebration dedicated to the

members of the Auxiliary of Mon-Vale Health Resources, Inc.,members of the Auxiliary presented two checks to the Hospitaltotaling $90,000. When combined with the funds the Auxiliarydonated to the hospital for its annual gala and for the VolunteenScholarship, the Auxiliary’s 2011 donation totaled $91,500. The 2011gift brings the Auxiliary’s total donation to the hospital to morethan $3 million during the past 33 years.

Ruthann Dulovich, recordingtreasurer and gift shopchairperson, presents aplaque to Aaron Sutch,the Volunteen Scholarshiprecipient.Pictured are the Auxilians who were recognized for their milestone volunteer

hours at their annual dinner include: Front Row (left to right) — memberswith 2,500 hours Betty Chabalka, Jean Haddad, Judy Bruce and John Gilmore.Back Row (left to right) — Barbara Ferguson, Faye Hefner, Bonnie Matyas,Judy George and Peggy Pireaux, all with 1,000 hours; and membersrecognized for 500 hours are Ruth Antonelli and Kathleen Mancinelli.

Ruth Antonelli, president of the Auxiliaryof Mon-Vale Health Resources, Inc., (left)and Betty Chabalka, historian, help advertisethe Auxiliary’s annual Ice Cream Social.

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SPOTLIGHT ONBENEVOLENCE

JohnM. “Jack”Brandon, M.D.,epitomized the

true characteristics ofbenevolence — kindand charitable acts —in many ways duringhis life. These includeda commitment to themedical profession andbeing a friend and benefactor of MonongahelaValley Hospital during his 38 years of service withour health system. Dr. Brandon joined the medicalsta8 at the former Charleroi-Monessen Hospitalin 1971 and one year later became a:liated withMonongahela Valley Hospital, which was formed onJuly 1, 1972 as the result of a full consolidation ofCharleroi-Monessen Hospital and Memorial Hospitalof Monongahela. He served as medical director ofthe Laboratory at the hospitals from 1971 to 1994,when he retired. But even as an Emeritus member ofthe medical sta8, he remained active and committedto our ideals and goals. Among the many programshe supported in displaying his benevolence werethe major expansions of the Charles L. and RoseSweeney Melenyzer Pavilion and Regional CancerCenter and the Emergency Department as well asthe covered walkway linking the Cancer Centerto the hospital. He also donated a valuable collectionof medical books and journals to the medical sta8.Dr. Brandon’s passion for helping others beyondthe traditional clinical setting of his profession alsowas exempli6ed as he raised money for and donatedto a number of causes including his church, animalshelters and the Leukemia and Lymphoma Societyof Western Pennsylvania. A veteran of the U.S. ArmyAir Corps, he served on the MVH Medical Sta8Executive Committee as chairman and co-chairmanof the Mon Valley Blood Council and on the Board ofDirectors of Mon Valley Community Health Center.In 2008 Dr. Brandon was honored with the RoseAward for Dimensions in Philanthropy at thehospital’s annual Gala. Upon his death at age 81on April 4, 2009, Dr. Brandon bequeathed a verygenerous monetary gift to Monongahela ValleyHospital. Like the thousands of others, including hisfellow physicians, who bene6tted in many ways fromDr. Brandon’s presence on this earth, we are gratefulfor his friendship and service.

Dr. Brandon

SPOTLIGHT ON BENEFACTORS

The following list represents contributions of $500or more by individuals or organizations, or designatedas “In Memory Of” or “In Honor Of,” made to our Health

System’s fund-raising efforts during Fiscal Year 2010-2011.We are deeply grateful to all who are acknowledged below.

Advacare Home Services, Inc.Aethon, Inc.Mr. and Mrs. Patrick AlbertsIn Honor of Maliklal AlviAMCOMO:ce SystemsSurinder K. Aneja, M.D.Anova Home Healthcare ServicesApria HealthcareAshcraft Records Storage&Management

Auxiliary of Mon-Vale HealthResources, Inc.

Badzik Printing Service, Inc.Baptist Leadership GroupBill Merletti Brace Company, Inc.Biotronics, Inc.Estate of John M. Brandon, M.D.In Memory of Anne H. BrnaBuchanan Ingersoll & Rooney PCCarbis Walker LLPCentimark CorporationColonial Acceptance CompanyConsolidated Graphic CommunicationsDr. and Mrs. Edgar C. CorderoDr. and Mrs. Chito M. CrudoDavidW. Jones CompanyDevine Medical Practice ConsultingDonora Downtown CommitteeE.J. Burns Construction, Inc.Elekta, Inc.Elizabeth, Mark & Matthew PecarchikEmployees of Monongahela ValleyHospital

Gateway Health Plan, LPGeneral Industries General ContractorsEstate of Eunice GilesNorman & Florence GolombEndowment Fund

Gordon Food ServiceGreat Lakes Advisors, Inc.H.L. Thomas, Inc.Highmark Blue Cross Blue ShieldHighway Appliance CompanyHoward Hanna Simon Real EstateIn Memory of Thomas and Anne HudakIHC Risk Solutions MarltonImaging Associates of GreaterPittsburgh LLC

International Brotherhood ofElectrical Workers

InterTECH Security LLCIRG DiagnosticIn Memory of Robert J. Jenkins, Jr., M.D.Jordan Food ServiceJoseph's Nursery & Garden CenterK & L Gates LLPKeytex Energy Solutions, LLCKFMR Katz Ferraro McMurtry, PCDr. and Mrs. R.G. Krishnan & FamilyLimbach CompanyLincoln Financial GroupLois Orange Ducoeur MemorialBreast Cancer AwarenessWalk

M. Rashilla & CompanyMarsh USA, Inc.In Memory of Judge Mark E. MascaraFrom His Parents,Frank & Dolores Mascara

McKesson CorporationMedical Rehabilitation, Inc.Medical Sta8 ofMonongahela Valley Hospital

Mino DesignMJS Medical Physics, Inc.Mon Valley Anesthesia AssociatesMon Valley AIDS Task Force, Inc.Mon Valley Care CenterMon Valley CommunityFederal Credit Union

Mon Valley Diagnostics, LLCMon Valley Pathology Associates Ltd.Chuck MuiaNorman C. Ray TrustOSPTA@ Home, LLCOSPTA, Inc.Owens & MinorIn Honor and Loving Memory ofIole G. Paglia

Peacock, Keller and Ecker, LLPIn Memory of Linda Petras, CRNAPittsburgh Transportation GroupPNC BankPsychiatric Care Systems, P.C.Quality Reimbursement Services, Inc.Quest Diagnostics, Inc.Radon Medical Imaging CorporationReinhart Food ServiceIn Loving Memory ofFrancis “Gooch” Rongaus

Rose Plastic USA, LPRyerson Healthcare ConsultantsSaint Jude Medical Cardiac RhythmManagement Division

Schneider's Dairy, Inc.Dr. and Mrs. Rajesh C. ShahShared Health Services, Inc.Siemens CommunicationsSiemens Medical Solutions USA, Inc.Smith NephewOrthopedicsIn Loving Memory of James F. Totedo& Dennis & Billy

TruWin Risk Management, Inc.Dr. Peter J. TuckerU.S. Security Associates, Inc.United Medical ProductsUPMC Health PlanDr. and Mrs. Oscar UrreaVEBH ArchitectsVITAS Innovative Hospice Care& VITAS Palliative Care Solutions

Volpatt Construction CompanyWells Canning & AssociatesWest Penn Radiation OncologyAssociates, P.C.

19

Financial Highlights June 30, 2011 and 2010

LIABILITIES AND NET ASSETS 2011 2010Current Liabilities:Current maturities of long-term debt $ 1,018,312 $ 2,325,830Accounts payable 5,713,779 3,315,387Accrued salaries and expenses 7,704,931 5,930,380Estimated amounts due to third party payors – – – – 812,103

Total current liabilities 14,437,022 12,383,700

Long-Term Debt:Revenue bonds 23,730,000 14,578,250Loans payable 1,482,479 4,376,110

Total long-term debt 25,212,479 18,954,360

Net pension liability 10,346,283 14,316,049Other long-term liabilities 2,576,953 3,099,775

Total liabilities 52,572,737 48,753,884

Net Assets:Unrestricted net assets 90,844,140 80,956,469Temporarily restricted net assets 2,880 63,828Permanently restricted net assets 159,000 159,000

Total net assets 91,006,020 81,179,297

TOTAL LIABILITIES AND NET ASSETS $143,578,757 $129,933,181____________ ____________

2011 2010Admissions* 12,511 12,389

Patient Days* 52,427 53,300

Percent Occupancy* 77.3% 80.2%

Average Length of Stay* 4.2 4.3

Bed Complement 210 210

*Includes Adult, Pediatric & Observations

2011 2010Ancillary VisitsInpatient 207,963 208,478Outpatient 268,209 248,296Total Ancillary Visits 476,172 456,774_ _____ _ _____

Total Average Full-timeEmployee Equivalent 1,223 1,147

Total Employees PerAdjusted Occupied Bed 2.9 2.9

Statistical Highlights June 30, 2011 and 2010

ASSETS 2011 2010Current Assets:Cash and cash equivalents $ 20,003,862 $ 14,195,253Short-term investments 140,000 4,533,706Assets limited as to use required for current liabilities – – – – 153,888Accounts receivable, patients (less allowance for uncollectibleaccounts of $1,956,382 in 2011 and $1,448,249 in 2010) 10,152,439 8,742,360

Accounts receivable, other 2,356,049 1,987,602Estimated amounts due from third-party payors 1,129,696 – – – –Inventories 2,414,487 1,896,167Prepaid expenses 2,586,410 2,697,774

Total current assets 38,782,943 34,206,750

Assets Limited as to Use:Board designated funded depreciation 43,108,196 39,664,544Endowment fund 159,000 159,000Funds held by Trustees:Revenue bonds:Construction fund 3,317,367 – – – –Debt service reserve fund – – – – 1,975,011Bond funds – – – – 153,888

Total held by trustees 3,317,367 2,128,899

Total assets limited as to use 46,584,563 41,952,443Less assets limited as to use required for current liabilities – – – – (153,888)

Noncurrent assets limited as to use 46,584,563 41,798,555

Property, Buildings and Equipment 160,104,716 148,790,502Less accumulated depreciation (108,493,670) (100,594,525)

Property, buildings and equipment, net 51,611,046 48,195,977

Other Assets:Unamortized debt issuance costs 360,251 251,149Pledges receivable (less allowance for uncollectible amountsof $1,120 in 2011 and $4,997 in 2010) 2,880 12,850

Other 1,587,180 1,920,296Investments, other 4,649,894 3,547,604

Total other assets 6,600,205 5,731,899

TOTAL ASSETS $143,578,757 $129,933,181____________ ____________

20

OUR HEALTH SYSTEM IS ...MONONGAHELAVALLEY HOSPITAL1163 Country Club RoadMonongahela, PA 15063724-258-1000Monongahela Valley Hospital isa 210-bed health care facilitywith a 225-member Medical Sta8representing more than 40 medicalspecialties. MVH has a reputationfor continuously introducing thelatest technology in cancerdiagnosis and treatment, woundcare and diagnostic radiology.The Hospital’s Regional CancerCenter is the second largestprivately owned cancer centerin the Greater Pittsburgh area.MVH is the largest employer inthe mid-Monongahela Valley andthe second largest employer inWashington County.

HEALTHY DIRECTIONSEXCLUSIVELY AT GIANT EAGLE3701 Route 88Finleyville, PA 15332724-348-6699Certi6ed Registered NursePractitioners under the directionof MVH-a:liated physiciansprovide convenient walk-indiagnosis and treatment fornon-urgent medical care topeople ages 18 months and older.

IMAGERADIOLOGYGROUP (IRG)A joint venture between MVHand IRG Diagnostics, these twoimaging sites provide a varietyof diagnostic services such asUltrasound, CT scans and MRI.

IRG Diagnostic McMurray4198Washington Road,McMurray, PA 15317724-942-5144

IRG Diagnostics White Oak2002 LincolnWay —Oak Park MallWhite Oak, PA 15131412-267-5150

MON-VALE HealthPLEXWillowPointe PlazaRostraver, PA 15012This facility includes:

Monongahela Valley Hospital’sCenter for Fitness and Health724-379-5100One of the most clinically orientedand medically advanced 6tnessfacilities in this region, the Centercombines state-of-the-art 6tnessequipment and programs withcomprehensive medicaldiagnostics, therapeutics andrehabilitation services.

MVHOccupational Health ProgramSuite 210724-379-1940The program o8ers a rangeof services including pre-employment physicals, work-related injury evaluation andtreatment, laboratory testing, andalcohol, drug and TB testing foremployers and their employees.

HealthPLEX ImagingSuite 170724-379-1900This outpatient diagnostic centero8ers mammography andultrasound services, diagnosticradiology and bone densityscreenings by appointment.

Dr. Dean Ornish ProgramFor Reversing Heart DiseaseSuite 220724-379-1960This program combines exercise,stress management and nutritioncounseling to improvecardiovascular 6tness.

MVH Cardiac and PulmonaryRehabilitationSuite 200724-379-1920Services include monitoredexercise, behavior modi6cationand education to reduce the riskof additional coronary problemsafter cardiac surgery or aheart attack and for pre-andpost-transplant patients.

THE RESIDENCE AT HILLTOPPersonal Care Community210 Route 837Monongahela, PA 15063724-258-8940The Residence provides services forindividuals of all ages who requireassistance in such activities asbathing, dressing, dining andmedication management but whodo not require skilled medical care.Valley Outpatient Rehabilitation(VOR) physical and occupationaltherapy services also are availableon site for RAH residents.

MONONGAHELA MEDICALSUPPLY COMPANY (MMSC)Anthony M. Lombardi EducationConference CenterSuite 1041163 Country Club RoadMonongahela, PA 15063724-258-CARE (2273)A partnership between Mon-ValeMultiphasics, Inc. and Albert GallatinServices Corporation, MMSC rentsand sells durable medicalequipment and oxygen for thecare of patients at home and inextended care facilities.

CENTER FOR CHILDREN'SREHABILITATION1029 Country Club RoadSuite 202, Monongahela, PA 15063724-258-2971The Center provides specializedservices to meet the rehabilitationneeds of children, adolescents andyoung adults, ages birth to 21.

MON VALLEY CARE CENTER724-310-1111and SPARTAN MEDICAL FACILITY724-483-2760200 Stoops DriveMonongahela, PA 15063Mon Valley Care Center o8ersservices for individuals requiringskilled/extended care and assisted

living services. Spartan MedicalFacility is an ambulatory surgerycenter and professional o:cecomplex. Both facilities areoperated by Spartan Health LP,a partnership between CPSRAssociates, Inc., Monongahela ValleyHospital, Inc. and Mon-ValeNon Acute Care Services, Inc.

TITAN SOUTHWESTERNAMBULATORYSURGERY CENTER500 Lewis Run RoadPittsburgh, Pennsylvania 15236412-466-0600MVH, Titan, which is a nationalambulatory surgery center operator,and participating surgeons ownthis surgery center.

VALE-U-HEALTH, INC.Suite 230Mon-Vale HealthPLEXWillowPointe PlazaRostraver, PA 15012724-379-4011The Monongahela Valley PhysicianHospital Organization, Inc. providesaccess to a range of cost-e8ectivehealth care services and bene6tsthrough contractual arrangementswith insurers, managed careorganizations and employers.

VALLEY OUTPATIENTREHABILITATION (VOR)Operating as a partnership betweenOrthopedic and Sports MedicalPhysical Therapy Associates andthe MVHR subsidiary, Mon-ValeMultiphasics, VOR has three sites:

VOR at Monongahela1027 Country Club RoadMonongahela, PA 15063724-258-6211

VOR at SpeersVista One Professional CenterSuite 205, Charleroi, PA 15022724-489-8111

VOR at RostraverMon-Vale HealthPLEXSuite 110, Rostraver, PA 15012724-379-7130Areas of specialization includeAquatic Therapy (Rostraver only),Industrial Rehabilitation,Occupational Therapy, PhysicalTherapy and Speech Therapy.

monvalleyhospital.com

Author James Womack wrote, “Commitmentunlocks the doors of imagination, allows vision,and gives us the ‘right stu7’ to turn our dreamsinto reality.” During Fiscal Year 2010-2011,Mon-Vale Health Resources, Inc. and the

Mon Valley community sadly lost Louis S. Ferretti, D.D.S.,Francis J. Hertzog, M.D. and Robert J. Jenkins, M.D. — threemen whose commitment and vision helped shape ourhealth system.

Louis S. Ferretti, D.D.S.Dr. Ferretti, who practiced dentistry in Donora for morethan 60 years, was 89 when he passed away June 10, 2011.His 52-year a8liation with our health system began when hewas appointed to the Dental Sta7 at the former Charleroi-Monessen Hospital in 1959. At Charleroi-Monessen Hospitalhe was a member of the Executive Committee of theDental Sta7 for several years. He was an Emeritus memberof the Medical Sta7 at Monongahela Valley Hospital at thetime of his death. Dr. Ferretti also was a charter memberof the Mid-Monongahela Valley Dental Society that wasformed in April 1957. The organization was comprised ofdentists in Belle Vernon, Charleroi, Donora, Monessen andMonongahela, and, Dr. Ferretti served as chairman ofthe Donora Committee. He was active with numerouscommunity organizations, including the Donora Rotary Club,where he was a past president and chairman of variouscommittees; Our Lady of the Valley Parish in Donora;Donora Elks Lodge 1265; Donora Public Library; theCommunity Task Force of the Donora Chamber ofCommerce; and the Washington County Chapter of theAmerican Cancer Society. He also served as a dentist forthe Donora and Ringgold school districts for many years.Dr. Ferretti was an avid supporter of the PittsburghSymphony Orchestra and anyone entering his o8ce at208 Fifth Street in Donora was treated to the soothingsounds of the Symphony.

Francis J. Hertzog, M.D.Dr. Hertzog passed away September 25,2010 in Monongahela Valley Hospital.Born Feb. 15, 1935 in Shamokin, he wasa graduate of St. Edward's High Schooland St. Vincent College, Latrobe. Heearned his doctorate from Je7ersonMedical School in Philadelphia and servedas a physician with the U.S. Army for

several years. Dr. Hertzog began his medical career as anintern at Geisinger Hospital in Danville and completed his

residency at Presbyterian Hospital, now part of UPMC.Following his residency, Dr. Hertzog specialized in surgeryand emergency medicine. He was a surgeon and emergencyroom physician in Conemaugh Memorial Hospital,Johnstown, and the Washington Hospital. Dr. Hertzogserved as the Emergency Room director for South Side,St. Clair and McKeesport hospitals. He was on sta7 as anEmergency Department physician at Monongahela ValleyHospital from 1988 until the time of his death. A memberof the National Ri6e Association, Dr. Hertzog enjoyed thetheater, opera, Shakespeare and classical music, as well asboating and gardening.

Robert J. Jenkins Jr., M.D.Dr. Jenkins, who specialized in internalmedicine, died June 13, 2011 at theage of 67. He began his a8liation withMVH at the former Memorial Hospitalof Monongahela in 1971. At the time ofhis death, he was an Emeritus memberof the Medical Sta7 at MonongahelaValley Hospital. In pursuing a career

in medicine Dr. Jenkins perpetuated a family legacy inmedicine — one that his son carries on today. A 1966graduate of the University of Pittsburgh with a Bachelorof Science degree, Dr. Jenkins earned his Medical Degreefrom the University of Pittsburgh School of Medicine in1970. He completed his internship at The Mercy Hospitalin Pittsburgh and served his residency in internal medicineat West Penn Hospital in Pittsburgh. At MonongahelaValley Hospital, he was active with Medical Sta7 initiatives.He served on the Tissues and Credentials, Strategic LongRange Planning and Network committees. Dr. Jenkinswas elected to the Board of Directors of Mon-Vale HealthResources, Inc. in January 1992 and was named to theMonongahela Valley Hospital Board of Trustees inAugust 1992. As a board member, he was actively involvedwith numerous committees and was highly respected forbringing a physician’s viewpoint to programs and projectsthat bene5ted our health system, patients and families.Dr. Jenkins was a veteran of the U.S. Army Reserve andwas a member of Westminster Presbyterian Church inUpper St. Clair, the Pittsburgh Council for Men, the FrogsClub in Pittsburgh and the South Hills Branch of theU.S. Power Squadron. His hobbies included collectingelectric train sets, woodworking, giving wooden spoonshe crafted to neighbors and friends, skiing, scuba diving,boating, water-skiing, spelunking and motorcycle riding.

IN MEMORIAM

Accreditations� The Joint Commission: Accreditation for Hospitals� The Joint Commission: Disease Specific Certification in the Management of Joint Replacement — Hip� The Joint Commission: Disease Specific Certification in the Management of Joint Replacement — Knee� The Joint Commission: Advanced Disease Specific Certification for Inpatient Diabetes Care� Commonwealth of Pennsylvania Department of Health� American College of Radiology

• Mammographic Imaging — Committee on Mammography• PET Imaging and Nuclear Medicine — Committee on Nuclear Medicine Accreditation• MRI – Committee on MRI Accreditation• Ultrasound Imaging (OB/GYN, general and vascular) — Committee on Ultrasound Accreditation

� Commission on Cancer of the American College of Surgeons as a Community HospitalComprehensive Cancer Program

� American Association of Blood Banks� Pennsylvania Department of Health, Division of Emergency Medical Services� Department of Health and Human Services, Health Care Financing Administration,

Clinical Laboratory Improvement Amendments (CLIA) Accreditation� College of American Pathologists (CAP) Accreditation for Laboratory Services� Intersocietal Commission for the Accreditation of Echocardiography Laboratories (ICAEL):

adult transesophageal and adult transthoracic� Allegheny General Hospital — Western Pennsylvania Hospital Medical Education Consortium's

Foot and Ankle Residency Program� Clinical Affiliate with the Excela Health School of Anesthesia Certifications� American Association for Respiratory Care designation for Quality Respiratory Care Recognition� American Diabetes Association Education Recognition Certificate for quality diabetes

self-management education programs at Monongahela Valley Hospital and at the Center forFitness and Health at Mon-Vale HealthPLEX

� Blue Cross and Blue Shield Association Blue Distinction Center for Hip and Knee Replacement

Memberships� American Hospital Association� Hospital and HealthSystems Association of Pennsylvania� Hospital Council of Western Pennsylvania� Association of Community Cancer Centers� The Pittsburgh Regional Healthcare Initiative (PRHI)� VHA Inc.

Participations� Western Pennsylvania Health Preceptorship Program (Medical School Students)� State Board of Nurse Examiners (Nursing Education)� State Board of Pharmacy (Extern Program)

By official adoption of the Board of Directors of Mon-Vale Health Resources, Inc., the corporation and its subsidiaries are in full compliance with Title VI of the Civil Rights Act of 1964and the Pennsylvania Human Relations Act. The corporation employs and provides patient care without regard to race, creed, sex, color, national origin or handicap.

OurMission is to enhancethe health of the residents ofthemid-Monongahela Valley area.