LEHIGH VALLEY HOSPITAL - SCHUYKILL: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- LEHIGH VALLEY HOSPITAL - SCHUYKILL (EIN 23-1352202)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-12
- IRS object ID
- 202231329349300013
- Schema version
- 2020v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-12T06:34:53-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 231352202 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEHIGH VALLEY HOSPITAL - SCHUYLKILL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LEHI | BusinessNameControlTxt |
| Phone | 4848840130 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 MACK BLVD PO BOX 4000 | AddressLine1Txt |
| City | ALLENTOWN | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 181054000 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBERT THOMAS | PersonNm |
| Person Title | ASSISTANT TREASURER | PersonTitleTxt |
| Phone | 4848840130 | PhoneNum |
| Signature | 2022-05-11 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ROBERT | PersonFirstNm |
| Person Last | THOMAS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LAWRENCE RIDDLES MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 MACK BLVD PO BOX 4000 | AddressLine1Txt |
| City | ALLENTOWN | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 181054000 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $142,233,267 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.LVHN.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2008 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | TO MAKE A POSITIVE DIFFERENCE IN THE SCOPE AND QUALITY OF HEALTHCARE FOR THE SCHUYLKILL COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 1112 | TotalEmployeeCnt |
| Total Volunteers | 8 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $19,687 | PYContributionsGrantsAmt |
| CY Contributions Grants | $28,551 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $133,390,250 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $140,636,823 | CYProgramServiceRevenueAmt |
| PY Investment Income | $152,016 | PYInvestmentIncomeAmt |
| CY Investment Income | $22,791 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,000,678 | PYOtherRevenueAmt |
| CY Other Revenue | $760,688 | CYOtherRevenueAmt |
| PY Total Revenue | $134,562,631 | PYTotalRevenueAmt |
| CY Total Revenue | $141,448,853 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $63,497,942 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $58,512,706 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $68,626,131 | PYOtherExpensesAmt |
| CY Other Expenses | $63,735,566 | CYOtherExpensesAmt |
| PY Total Expenses | $132,124,073 | PYTotalExpensesAmt |
| CY Total Expenses | $122,248,272 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,438,558 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $19,200,581 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $138,637,357 | TotalAssetsBOYAmt |
| Total Assets EOY | $123,931,422 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $138,543,980 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $104,559,488 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $93,377 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $19,371,934 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | LEHIGH VALLEY HOSPITAL - SCHUYLKILL'S MISSION IS TO MAKE A POSITIVE DIFFERENCE IN THE SCOPE AND QUALITY OF HEALTHCARE AVAILABLE FOR THE SCHUYLKILL COUNTY COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $108,490,307 | ExpenseAmt |
| Revenue | $140,741,285 | RevenueAmt |
| Desc | LEHIGH VALLEY HOSPITAL - SCHUYLKILL (LVH-S), THROUGH THE COMBINED EFFORTS OF ITS HIGHLY QUALIFIED MEDICAL STAFF, EMPLOYEES, AND VOLUNTEERS, OFFERS A BROAD RANGE OF HEALTHCARE SERVICES TO THE RESIDENTS OF SCHUYLKILL COUNTY, PA.INPATIENT HEALTHCARE SERVICES ARE PROVIDED IN MATERNITY, PEDIATRIC, ACUTE AND CRITICAL CARE, ACUTE INPATIENT REHABILITATION UNIT AND BEHAVIORAL HEALTH SERVICES. LVH-S HAD OVER 6,300 ACUTE ADMISSIONS WITH 38,845 DAYS OF INPATIENT CARE. THERE WERE OVER 25,000 EMERGENCY DEPARTMENT VISITS DURING THE YEAR. LVH-S PROVIDES THE ONLY INPATIENT BEHAVIORAL HEALTH SERVICES IN THE COUNTY. THIS SERVICE TO A VERY VULNERABLE, OFTEN UNDER OR UNINSURED POPULATION CONTINUES MEET A CRITICAL COMMUNITY NEED. ON AVERAGE 118 PATIENTS PER-DAY USED OUR INPATIENT SERVICES. ADDITIONAL WE SERVE ANOTHER VULNERABLE POPULATION WITH OUR DRUG AND ALCOHOL COUNSELING CENTER. THIS CENTER HAS NEARLY 6,200 PATIENT VISITS PER YEAR AND IS THE ONLY HOSPITAL-BASED PROGRAM IN SCHUYLKILL COUNTY TO PROVIDE MEDICAL ASSISTED THERAPY (MAT) TO PATIENTS.LVH-S PROVIDES A WIDE ARRAY OF DIAGNOSTIC AND TREATMENT PROGRAMS INCLUDING A HOSPITAL-BASED HOME HEALTH DEPARTMENT, PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES, OCCUPATIONAL MEDICINE, AS WELL AS CT, MRI, MAMMOGRAPHY, ULTRASOUND, DEXA SCAN, NUCLEAR MEDICINE, AND OTHER IMAGING TECHNOLOGIES. WITH A HIGH INCIDENCE OF DIABETES AND VASCULAR DISEASE WE SERVE OUR COMMUNITY WITH INTERVENTIONAL RADIOLOGY, WOUND CARE AND HYPERBARIC MEDICINE. THE INDUSTRA-MED PROGRAM OF THE MEDICAL CENTER PROVIDED OCCUPATIONAL AND INDUSTRIAL HEALTH SERVICES TO OVER 200 OF THE REGION'S EMPLOYERS. THE OUTPATIENT DEPARTMENTS OF THE HOSPITAL SAW OVER 88,000 PATIENT VISITS.THE MEDICAL CENTER PROVIDES MANY COMMUNITY OUTREACH AND EDUCATIONAL PROGRAMS THROUGHOUT THE YEAR AS WELL AS SCREENINGS, EVENTS, AND HEALTH FAIR PARTICIPATION. THROUGH A PARTNERSHIP WITH A LOCAL AREA ON AGING GROUP (DIAKON), LVH-S PROVIDES FREE FLU SHOTS TO THE VULNERABLE SENIOR CITIZEN POPULATION. WITH THE CHALLENGES OF COVID, LVH-S STOOD UP A VACCINATION CLINIC THAN RAN 7 DAYS PER WEEK. THIS CLINIC PROVIDED THOUSANDS OF VACCINATIONS AT NO COST TO OUR COMMUNITY. ADDITIONALLY, WE PROVIDED MOBILE VACCINE CLINICS TO SERVE THE ELDERLY/SHUT-IN COMMUNITY MEMBERS THROUGH A PARTNERSHIP WITH THE SCHUYLKILL COUNTY HOUSING AUTHORITY. FINALLY, THROUGH PARTNERSHIP WITH OTHER ORGANIZATIONS (SCHOOLS AND COUNTY FAIR) WE PROVIDED VACCINATIONS AT LOCATIONS MORE CONVENIENT TO OUR COMMUNITY MEMBERS.ON SEPTEMBER 16, 2016, LEHIGH VALLEY HEALTH NETWORK (LVHN) AND SCHUYLKILL HEALTH SYSTEM MERGED, WITH LVHN BECOMING THE PARENT ORGANIZATION OF SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET DBA LEHIGH VALLEY HOSPITAL - SCHUYLKILL SOUTH JACKSON STREET; SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET DBA LEHIGH VALLEY HOSPITAL - SCHUYLKILL EAST NORWEGIAN STREET; SCHUYLKILL HEALTH SYSTEM MEDICAL GROUP, INC. DBA LEHIGH VALLEY PHYSICIAN GROUP SCHUYLKILL; SCHUYLKILL REHABILITATION CENTER, INC. DBA LEHIGH VALLEY HEALTH NETWORK REHABILITATION CENTER SCHUYLKILL; AND SCHUYLKILL HEALTH SYSTEM DEVELOPMENT CORPORATION DBA LEHIGH VALLEY HEALTH NETWORK DEVELOPMENT CORPORATION - SCHUYLKILL.IN ADDITION, SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET AND SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET MERGED EFFECTIVE JUNE 1, 2018. UNDER THE MERGER, SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET IS THE SURVIVING ORGANIZATION. EFFECTIVE UPON MERGER, SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET CHANGED ITS LEGAL NAME TO LEHIGH VALLEY HOSPITAL - SCHUYLKILL. | Desc |
| Total Program Service Expenses | $108,490,307 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 75 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1112 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4848840130 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 MACK BLVD PO BOX 4000 | AddressLine1Txt |
| City | ALLENTOWN | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 181054000 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| ANTHONY BARAN | |||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| DEBRA C BLASCHAK | |||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| JEANNE BOYER PORTER | |||||||||
| VICE CHAIRPERSON/TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| HARRY CIAVARELLA | |||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| DOUGLAS CRESWELL | |||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| DIANE DOYNE | |||||||||
| ASSISTANT SECRETARY | 40.00 | 0.00 | $67,033 | $0 | $21,376 | Yes (X) | |||
| ANTOINETTE EVERDALE | |||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| DARNELL FURER | |||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD GONZALEZ | |||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS L KENNEDY ESQ | |||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM E KIRWAN CPA ESQ | |||||||||
| CHAIRPERSON/TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| THOMAS MARCHOZZI | |||||||||
| ASSISTANT TREASURER | 3.00 | 57.00 | $0 | $996,180 | $37,017 | Yes (X) | |||
| AMRIT P NARULA MD | |||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM J REPPY | |||||||||
| TRUSTEE | 40.00 | 3.00 | Yes (X) | $449,239 | $0 | $8,550 | |||
| LAWRENCE RIDDLES MD | |||||||||
| PRESIDENT/TRUSTEE | 40.00 | 1.00 | Yes (X) | $533,951 | $0 | $33,274 | Yes (X) | ||
| FRANKLIN K SCHOENEMAN | |||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| E LORI SMITH | |||||||||
| TREASURER/TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JONATHAN TARSON | |||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| TIMOTHY F TWARDZIK | |||||||||
| SECRETARY/TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| DIANE BORIS | |||||||||
| VP, FINANCE | 18.00 | 22.00 | $151,982 | $0 | $22,024 | Yes (X) | |||
| SUE CURRY | |||||||||
| VP, PATIENT CARE SERVICES | 18.00 | 22.00 | $218,931 | $0 | $25,842 | Yes (X) | |||
| THOMAS V WHALEN MD MMM | |||||||||
| FORMER TRUSTEE | 0.00 | $0 | $1,323,758 | $44,785 | Yes (X) | ||||
| CYNTHIA M SCHAFFER | |||||||||
| REGISTERED NURSE | 40.00 | $199,857 | $0 | $28,113 | Yes (X) | ||||
| JOSHUA M LECH | |||||||||
| REGISTERED NURSE | 40.00 | $177,620 | $0 | $12,436 | Yes (X) | ||||
| GREGORY J IEZZI | |||||||||
| REGISTERED NURSE | 40.00 | $167,001 | $0 | $32,956 | Yes (X) | ||||
| GAIL A WOOD | |||||||||
| REGISTERED NURSE | 40.00 | $163,154 | $0 | $20,177 | Yes (X) | ||||
| ROBERT G KARETSKY | |||||||||
| DIRECTOR, PHARMACY | 40.00 | $163,405 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,292,173 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,319,938 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $286,550 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 75 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| INTEGRATED MEDICAL GROUP PC | |||||
| 82 TUNNEL ROAD | POTTSVILLE | PA | 179013869 | PHYSICIAN STAFFING | $2,538,786 |
| AAA ANESTHESIA ASSOCIATES LLC | |||||
| PO BOX 639447 | CINCINNATI | OH | 452639447 | PHYSICIAN STAFFING | $1,914,060 |
| EMERGENCY PHYSICIAN ASSOCIATES | |||||
| PO BOX 634850 | CINCINNATI | OH | 452634850 | PHYSICIAN STAFFING | $1,835,685 |
| MORRISON HEALTHCARE | |||||
| 400 NORTHRIDGE RD STE 600 | SANDY SPRINGS | GA | 303503354 | DIETARY SERVICES | $1,088,528 |
| HORIZON HEALTH | |||||
| PO BOX 840839 | DALLAS | TX | 752840839 | PHYSICIAN STAFFING | $907,419 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 21 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $28,551 | AllOtherContributionsAmt |
| Noncash Contributions | $3,500 | NoncashContributionsAmt |
| Total Contributions | $28,551 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| INPATIENT REVENUE | 621990 | $71,180,547 | $71,180,547 |
| OUTPATIENT REVENUE | 621400 | $60,120,543 | $60,120,543 |
| HHS COVID REVENUE | 621990 | $8,569,686 | $8,569,686 |
| SCHOOL OF NURSING | 611600 | $766,047 | $766,047 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $140,636,823 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $29,941 | TotalRevenueColumnAmt |
| Exclusion | $29,941 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $914,428 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $777,264 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $137,164 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $137,164 | TotalRevenueColumnAmt |
| Exclusion | $137,164 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $7,150 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$7,150 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$7,150 | TotalRevenueColumnAmt |
| Exclusion | -$7,150 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| GIFT SHOP SALES | 900099 | $91,264 | $91,264 |
| CONTRACT REVENUE | 900099 | $13,198 | $13,198 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $519,062 | TotalRevenueColumnAmt |
| Exclusion | $519,062 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $623,524 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $141,448,853 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $140,741,285 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $679,017 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,113,423 | TotalAmt |
| Program Services | $1,113,423 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,645,452 | TotalAmt |
| Program Services | $44,673,173 | ProgramServicesAmt |
| Management And General | $1,972,279 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $649,318 | TotalAmt |
| Program Services | $545,969 | ProgramServicesAmt |
| Management And General | $103,349 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,435,343 | TotalAmt |
| Program Services | $6,385,351 | ProgramServicesAmt |
| Management And General | $49,992 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,669,170 | TotalAmt |
| Program Services | $3,611,527 | ProgramServicesAmt |
| Management And General | $57,643 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,508,189 | TotalAmt |
| Program Services | $11,487,094 | ProgramServicesAmt |
| Management And General | $21,095 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,553 | TotalAmt |
| Program Services | $5,086 | ProgramServicesAmt |
| Management And General | $2,467 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $391,365 | TotalAmt |
| Program Services | $384,111 | ProgramServicesAmt |
| Management And General | $7,254 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $274,101 | TotalAmt |
| Program Services | $206,414 | ProgramServicesAmt |
| Management And General | $67,687 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,847,503 | TotalAmt |
| Program Services | $3,343,908 | ProgramServicesAmt |
| Management And General | $503,595 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $179,422 | TotalAmt |
| Program Services | $179,175 | ProgramServicesAmt |
| Management And General | $247 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,515 | TotalAmt |
| Program Services | $17,485 | ProgramServicesAmt |
| Management And General | $30 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,508,280 | TotalAmt |
| Management And General | $2,508,280 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,357,960 | TotalAmt |
| Program Services | $2,564,782 | ProgramServicesAmt |
| Management And General | $3,793,178 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,268,957 | TotalAmt |
| Program Services | $1,161,693 | ProgramServicesAmt |
| Management And General | $107,264 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $19,419,709 | $19,511,034 | -$91,325 |
| BAD DEBT EXPENSE | $5,657,838 | $5,116,022 | $541,816 |
| CONTRACT PERSONNEL | $5,096,846 | $5,092,934 | $3,912 |
| PURCHASED SERVICES | $2,730,279 | $2,639,624 | $90,655 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,470,049 | TotalAmt |
| Program Services | $451,502 | ProgramServicesAmt |
| Management And General | $4,018,547 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,248,272 | TotalAmt |
| Program Services | $108,490,307 | ProgramServicesAmt |
| Management And General | $13,757,965 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,305 | BOYAmt |
| EOY | $3,995 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $982,050 | BOYAmt |
| EOY | $780,140 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,539,353 | BOYAmt |
| EOY | $12,418,240 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,845,629 | BOYAmt |
| EOY | $1,558,818 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,576,699 | BOYAmt |
| EOY | $1,406,188 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $74,535,025 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $25,886,349 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,727,295 | BOYAmt |
| EOY | $48,648,676 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,411,710 | BOYAmt |
| EOY | $7,741,346 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,123 | BOYAmt |
| EOY | $6,125 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,921,505 | BOYAmt |
| EOY | $2,839,824 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $227,414 | BOYAmt |
| EOY | $1,003,560 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,395,274 | BOYAmt |
| EOY | $47,524,510 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $138,637,357 | BOYAmt |
| EOY | $123,931,422 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,749,901 | BOYAmt |
| EOY | $10,295,822 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,543,456 | BOYAmt |
| EOY | $55,452,699 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,250,623 | BOYAmt |
| EOY | $38,810,967 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $138,543,980 | BOYAmt |
| EOY | $104,559,488 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$6,025,602 | BOYAmt |
| EOY | $11,688,674 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,118,979 | BOYAmt |
| EOY | $7,683,260 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,377 | BOYAmt |
| EOY | $19,371,934 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $138,637,357 | BOYAmt |
| EOY | $123,931,422 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $19,200,581 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $1,564,280 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$1,486,304 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $0 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $0 | TotalLobbyingExpendituresAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | LEHIGH VALLEY HOSPITAL - SCHUYLKILL IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE HOSPITAL & HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA (HAP). A PERCENTAGE OF THE DUES PAID TO THESE ORGANIZATIONS GOES TOWARDS LOBBYING EFFORTS. THEIR MISSION IS TO ADVANCE THE HEALTH OF INDIVIDUALS AND COMMUNITIES TO LEAD, REPRESENT, AND SERVE HEALTH CARE PROVIDER ORGANIZATIONS THAT ARE ACCOUNTABLE TO THE COMMUNITY AND COMMITTED TO HEALTH IMPROVEMENT. THE MEMBERSHIP DUES FOR AHA AND HAP ARE PAID BY LEHIGH VALLEY HOSPITAL, INC. THEREFORE, THE LOBBYING PORTION OF THE DUES ARE REFLECTED ON THE LEHIGH VALLEY HOSPITAL, INC. FORM 990, SCHEDULE C. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,340,004 | OtherCostOrOtherBasisAmt |
| Book Value | $3,340,004 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $48,350,810 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,209,406 | DepreciationAmt |
| Book Value | $33,141,404 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,727,400 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,078,821 | DepreciationAmt |
| Book Value | $9,648,579 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,116,811 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,598,122 | DepreciationAmt |
| Book Value | $2,518,689 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $48,648,676 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| GOODWILL | $46,619,695 |
| SERP INVESTMENT | $149,844 |
| DEFERRED COMP INSURANCE | $754,971 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $47,524,510 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)
| DescDesc | AmtAmt |
|---|---|
| OBLIGATION UNDER CAPITAL LEASE | $108,335 |
| DUE TO AFFILIATES | $11,476,180 |
| ACCRUED PENSION LIABILITY | $2,330,995 |
| DEFERRED REVENUE | $20,120,139 |
| ESTIMATED MALPRACTICE LIABILITY | $1,755,237 |
| SERP LIABILITY | $149,844 |
| DEFERRED COMP INSURANCE | $754,971 |
| PA SALES TAX PAYABLE | -$3,458 |
| CURRENT PORTION 3RD PARTY DEBT | $567,303 |
| LONG TERM PORTION 3RD PARTY DEBT | $436,056 |
| LONG-TERM PAYROLL TAXES | $1,115,365 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $38,810,967 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | LVHN, ITS HOSPITALS, AND OTHER SUBSIDIARIES ARE GENERALLY EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, EXCEPT FOR TAX IMPOSED ON UNRELATED BUSINESS INCOME. THE MOST RECENT DETERMINATION LETTER, RECEIVED BY THE ORGANIZATION, IS DATED MAY 1, 2014. LVHN AND ITS SUBSIDIARIES ACCOUNT FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740. THE ORGANIZATION'S FOR-PROFIT COMPONENTS RECOGNIZE DEFERRED TAX ASSETS AND LIABILITIES FOR THE FUTURE TAX IMPACT OF TEMPORARY DIFFERENCES BETWEEN AMOUNTS RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS AND THEIR RESPECTIVE TAX BASES AND THE FUTURE BENEFIT OF UTILIZATION NET OPERATING LOSS CARRYFORWARDS. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. INCOME TAXES OF THE ORGANIZATION'S TAX-EXEMPT AND FOR-PROFIT COMPONENTS ARE NOT MATERIAL TO THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $372,853 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $372,853 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00320 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,031,461 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,750,414 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,281,047 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03670 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,404,314 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,750,414 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,653,900 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03990 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $160,055 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $160,055 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $47,820 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $47,820 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,488,323 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,488,323 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02130 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $34,262 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $34,262 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,730,460 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,730,460 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02340 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,134,774 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,750,414 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,384,360 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06330 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,947,165 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $851,856 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $36,238,783 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $39,089,221 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,850,438 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 SCHUYLKILL HEALTH SYSTEM MEDICAL MALL LP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | RENTAL | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.40280 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.10380 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEHIGH VALLEY HOSPITAL - SCHUYLKILL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 420 SOUTH JACKSON STREET | AddressLine1Txt |
| City | POTTSVILLE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.LVHN.ORG | WebsiteAddressTxt |
| State License | 421001 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEHIGH VALLEY HOSPITAL - SCHUYLKILL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://WWW.LVHN.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORTS | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.LVHN.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORTS | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.LVHN.ORG/FINANCIAL-SERVICES/GET-FINANCIAL-ASSISTANCE | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.LVHN.ORG/FINANCIAL-SERVICES/GET-FINANCIAL-ASSISTANCE | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.LVHN.ORG/FINANCIAL-SERVICES/GET-FINANCIAL-ASSISTANCE | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Other Actions | Yes (X) | PermitOtherActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| LEHIGH VALLEY HOSPITAL - SCHUYLKILL | PART V, SECTION B, LINE 5: FOR THE PURPOSES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), LVHN DEFINES THE COMMUNITY IT SERVES AS ALL INDIVIDUALS LIVING WITHIN THE COUNTIES THAT CONTAIN OUR HOSPITAL CAMPUSES. LVHN IS REQUIRED TO PRODUCE A CHNA HEALTH PROFILE FOR EACH OF OUR LICENSED FACILITIES IN ORDER TO ADDRESS THE LOCAL CONTEXT OF THE DIFFERENT COMMUNITIES WE SERVE.IT IS WELL DOCUMENTED THAT THE CLINICAL CARE PROVIDED TO COMMUNITY MEMBERS ONLY ACCOUNTS FOR A SMALL PORTION OF AN INDIVIDUAL'S OVERALL HEALTH. THERE ARE MANY OTHER FACTORS THAT OCCUR OUTSIDE THE DOCTOR'S OFFICE AND HOSPITAL WALLS THAT INFLUENCE HEALTH BEYOND MEDICAL CARE. THEY INCLUDE:- SOCIAL AND ECONOMIC FACTORS, SUCH AS EDUCATION, EMPLOYMENT, AND SOCIAL SUPPORT- PHYSICAL ENVIRONMENT FACTORS, SUCH AS HOUSING, TRANSPORTATION, AND AIR QUALITY- HEALTH BEHAVIORS, SUCH AS SMOKING, DRINKING, DIET, AND EXERCISETHEREFORE, THE CHNA HEALTH PROFILE PROVIDES INFORMATION ABOUT HEALTH CARE AS WELL AS OTHER HEALTH FACTORS FOLLOWED BY HEALTH OUTCOMES. THERE ARE TWO TYPES OF DATA INCLUDED IN THE CHNA HEALTH PROFILES. THE FIRST TYPE IS QUANTITATIVE DATA, OR NUMBERS AND STATISTICS ABOUT THE OVERALL POPULATION IN THE COMMUNITY. THESE STATISTICS COME FROM A VARIETY OF LOCAL, STATE AND NATIONAL SOURCES INCLUDING THE CENSUS, THE CENTER FOR DISEASE CONTROL, THE DEPARTMENT OF EDUCATION, AND THE CENTERS FOR MEDICAID AND MEDICARE SERVICES. A MAJORITY OF THESE DATA POINTS ARE COMPILED TOGETHER THROUGH A PLATFORM CALLED THE CARES ENGAGEMENT NETWORK HEALTH PLAN TOOL, WHICH LVHN USES AS THE STARTING POINT FOR ITS CHNA HEALTH PROFILES, ADDING OTHER KEY STATE AND LOCAL DATA SOURCES TO THE DATA PROVIDED THROUGH THIS HEALTH REPORT.IN ADDITION, NON-PROFIT HOSPITAL SYSTEMS ARE REQUIRED TO OBTAIN INPUT FROM INDIVIDUALS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING THOSE WITH PUBLIC HEALTH EXPERTISE AND THE VULNERABLE POPULATIONS. LVHN CHOSE TO OBTAIN THIS INPUT THROUGH FOCUS GROUPS AND INTERVIEWS WITH COMMUNITY MEMBERS AND LEADERS. THIS TYPE OF DATA IS REFERRED TO AS QUALITATIVE DATA. WE PARTNERED WITH AN EXTERNAL COMMUNITY COLLABORATOR FOR EACH CAMPUS WHO HAS EXPERIENCE IN QUALITATIVE DATA COLLECTION TO CONDUCT THESE FOCUS GROUPS AND INTERVIEWS ON LVHN'S BEHALF. THIS PROCESS PROVIDED COMMUNITY MEMBERS WITH AN INDEPENDENT AND OBJECTIVE OPPORTUNITY TO IDENTIFY AND SHARE THEIR PERSONAL EXPERIENCES AND PERSPECTIVE ON THE MOST PRESSING HEALTH NEEDS FACING THEIR COMMUNITY AS WELL AS WHERE THEY WOULD LIKE LVHN TO FOCUS ITS ATTENTION. IN SCHUYLKILL COUNTY, WHICH CONTAINS LEHIGH VALLEY HOSPITAL - SCHUYLKILL, THE PARTNER WAS SCHUYLKILL VISION, A SMALL NON-PROFIT, COMMUNITY ORGANIZING GROUP IN THE COUNTY. FIVE FOCUS GROUPS AND FIVE INTERVIEWS WERE CONDUCTED BETWEEN JUNE AND AUGUST 2018 WITH A TOTAL OF 73 PARTICIPANTS IN SCHUYLKILL COUNTY.DEMOGRAPHICS:GENDER: 67% FEMALE, 33% MALEAVERAGE AGE: 48; AGE RANGE: 17-82RACE: 83.7% WHITE, 16.2% OTHERETHNICITY: 65% NON-HISPANIC, 35% HISPANIC (OF ANY RACE)EDUCATION: 37% SOME COLLEGE OR HIGHER, 35% HIGH SCHOL DIPLOMA OR G.E.D., 21% LESS THAN HIGH SCHOOLEMPLOYMENT: 40% EMPLOYED, 21% HOMEMAKER, 26% RETIRED OR NOT EMPLOYED |
| LEHIGH VALLEY HOSPITAL - SCHUYLKILL | PART V, SECTION B, LINE 6A: LVHN HAS PRODUCED FOUR CHNA HEALTH PROFILES FOR OUR FOUR DIFFERENT LEHIGH VALLEY HOSPITAL CAMPUSES: LEHIGH VALLEY HOSPITAL - CEDAR CREST, 17TH STREET, AND MUHLENBERG, LEHIGH VALLEY HOSPITAL - SCHUYLKILL, LEHIGH VALLEY HOSPITAL - HAZLETON, AND LEHIGH VALLEY HOSPITAL - POCONO. FOR LEHIGH VALLEY HOSPITAL - CEDAR CREST, 17TH STREET, AND MUHLENBERG, THE COMMUNITY IS DEFINED AS LEHIGH AND NORTHAMPTON COUNTIES (ALSO KNOWN AS THE LEHIGH VALLEY). WE ADDITIONALLY ASSESSED HEALTH NEEDS WITHIN THE CITY OF ALLENTOWN TO REFLECT THE URBAN COMMUNITY SURROUNDING OUR 17TH STREET CAMPUS. FOR LEHIGH VALLEY HOSPITAL - SCHUYLKILL, THE HEALTH PROFILE PRESENTS THE HEALTH NEEDS OF COMMUNITY MEMBERS IN SCHUYLKILL COUNTY. FOR LEHIGH VALLEY HOSPITAL - HAZLETON, THE CHNA HEALTH PROFILE PROVIDES INFORMATION ABOUT THE HEALTH NEEDS FOR LUZERNE COUNTY WITH SPECIFIC INFORMATION ABOUT THE CITY OF HAZLETON WHERE IT WAS AVAILABLE. FINALLY, FOR LEHIGH VALLEY HOSPITAL - POCONO, THE COMMUNITY IS DEFINED AS RESIDENTS WITHIN MONROE COUNTY.WITHIN THE ENTIRE GEOGRAPHIC POPULATION THAT MAKES UP THE COMMUNITIES WE SERVE, WE PLACE A GREATER EMPHASIS ON INCLUDING INDIVIDUALS IN THE COMMUNITY WHO ARE EXPERIENCING HEALTH DISPARITIES TO A GREATER EXTENT OR WHO ARE AT-RISK FOR NEGATIVE HEALTH OUTCOMES AS A RESULT OF THE SOCIAL AND ENVIRONMENTAL FACTORS INFLUENCING THEIR HEALTH. |
| LEHIGH VALLEY HOSPITAL - SCHUYLKILL | PART V, SECTION B, LINE 6B: BELOW IS A SUMMARY OF THE ORGANIZATIONS REPRESENTED IN THE SCHUYLKILL COUNTY FOCUS GROUPS AND INTERVIEW AS WELL AS A SUMMARY OF THE DEMOGRAPHICS OF THOSE WHO PARTICIPATED. RESIDENTS, INCLUDING THOSE FROM LOW-INCOME POPULATIONS, WERE ALSO INCLUDED IN THE FOCUS GROUPS AND INTERVIEW IN EACH COUNTY.ORGANIZATIONS REPRESENTED:DIAKON SENIOR CENTERDIVINE MERCY CATHOLIC CHURCHINTERFAITH HEALTH NETWORKMINERSVILLE FEDERALLY QUALIFIED HEALTH CENTERNEW RINGGOLD COMMUNITY FIRE COMPANY NURSE FAMILY PARTNERSHIPPOTTSVILLE AREA SCHOOL DISTRICTSCHUYLKILL COMMUNITY ACTIONSCHUYLKILL COUNTY MENTAL HEALTHST. PETER'S UCC CHURCH |
| LEHIGH VALLEY HOSPITAL - SCHUYLKILL | PART V, SECTION B, LINE 7D: OUR COMMUNITY HEALTH NEEDS ASSESSMENT IS ALSO AVAILABLE UPON REQUEST. |
| LEHIGH VALLEY HOSPITAL - SCHUYLKILL | PART V, SECTION B, LINE 11: PRIORITY AREA: ACCESS TO CARE FOR VULNERABLE POPULATIONSLVHN'S 2019 CHNA HIGHLIGHTED VULNERABLE POPULATIONS THAT CONTINUE TO EXPERIENCE BARRIERS TO ACCESS TO CARE INCLUDING: OUR VETERAN POPULATION, WHO MAKE UP APPROXIMATELY 11% OF THE POPULATION IN SCHUYLKILLMEMBERS OF OUR COMMUNITY WITHOUT HEALTH INSURANCE REPRESENT 8% OF THE TOTAL POPULATION IN SCHUYLKILL. THROUGH THE FOCUS GROUPS DISCUSSIONS, COMMUNITY MEMBERS IN ALL COUNTIES EXPRESSED STRESS AROUND THE INCREASING COST OF HEALTHCARE, CRITICAL MEDICATIONS, AND THE STRUGGLE OF BALANCING COST WITH COMPETING BASIC NEEDS. THEY ACKNOWLEDGED THAT THE LACK OF HEALTH INSURANCE OR ABILITY TO PAY FOR MEDICATIONS OFTEN RESULTED IN LIMITING THE USE OF THE HEALTHCARE SYSTEM OR ADDRESSING CHRONIC CONDITIONS. TRANSPORTATION WAS ALSO ACKNOWLEDGED AS ANOTHER BARRIER TO CARE, PARTICULARLY IN THE MORE RURAL SCHUYLKILL AND MONROE COUNTIES. THESE INPUTS FROM THE COMMUNITY ALIGN WITH LVHN'S MISSION OF ADDRESSING THE HEALTH NEEDS FOR ALL MEMBERS OF OUR COMMUNITY AND, THEREFORE, WAS PRIORITIZED WITHIN THE IMPLEMENTATION PLAN AS DISCUSSED BELOW.MEDICATION ASSISTANCETO ADDRESS THE RISING CONCERN ABOUT THE COST OF MEDICATIONS, LVHN'S INTEGRATED CARE COORDINATION TEAM WORKS TO GET PATIENTS DIRECTLY CONNECTED TO PRESCRIPTION DISCOUNT PROGRAMS, THEREBY, REDUCING THE COST BURDEN ON THE PATIENT. IN FY20, PATIENTS FROM 40 LVPG PRACTICES ACROSS ALL 5 COUNTIES RECEIVED THIS SERVICE. THE INTEGRATED CARE COORDINATION TEAM ADDRESSED A TOTAL OF 3,386 CASES TOTALING $5,788,040 IN PRESCRIPTION ASSISTANCE. THE TEAM ADDRESSED 3,023 CASES IN FY21 TOTALING $6,161,747.62.CONNECTION TO HEALTH INSURANCE & FINANCIAL ASSISTANCELEHIGH VALLEY HEALTH NETWORK PROVIDES DIRECT LINKAGES TO RESOURCES AIMED AT ASSISTING UNINSURED PATIENTS IN GETTING INSURANCE COVERAGE, AS WELL AS A ROBUST FINANCIAL ASSISTANCE PROGRAM, CREATING ADDITIONAL ACCESS TO HEALTHCARE FOR VULNERABLE POPULATIONS.THE PATHS PROGRAM AT LVHN HELPS DETERMINE THE ELIGIBILITY FOR INSURANCE FOR UNDERINSURED AND UNINSURED PATIENTS, AS QUICKLY AS POSSIBLE. PATHS REPRESENTATIVES ARE EMBEDDED IN MULTIPLE AREAS IN OUR HOSPITALS, WORKING ALONGSIDE LVHN STAFF. THIS HELPS EXPEDITE THE REFERRAL PROCESS QUICKLY AND EFFICIENTLY AS PATHS COLLEAGUES CAN CONNECT DIRECTLY WITH PATIENTS, AND COUNTY OFFICES TO EXPEDITE PAPERWORK THAT IS REQUIRED AND IF NEEDED FACILITATE IN-PERSON INTERACTIONS. ON AVERAGE, BETWEEN 75% AND 90% OF APPLICATIONS THAT ARE ELIGIBLE ARE APPROVED. IN FY20, THIS RESULTED IN OVER $17 MILLION IN PAYMENTS FROM THE STATE OF PENNSYLVANIA AND SURROUNDING STATES. IN FY21, THE PATHS PROGRAM RESULTED IN OVER $30 MILLION IN PAYMENTS, NEARLY DOUBLING TOTALS FROM THE PREVIOUS FISCAL YEAR. IN ADDITION TO THE PATHS PROGRAM, LVHN PROVIDES FINANCIAL ASSISTANCE TO PATIENTS WHO ARE NOT ABLE TO COVER THE COST OF THEIR HEALTH CARE. IN FY20, LVH-SCHUYLKILL RECEIVED 960 APPLICATIONS WITH A 7-DAY AVERAGE TO TURN AROUND AN APPLICATION APPROVAL. IN FY21, THERE WERE 204 APPLICATIONS WITH A 50% APPROVAL RATE WITH A 5-DAY TURNAROUND TIME.PRIORITY AREA: HEALTH PROMOTION AND PREVENTIONIN THE 2019 LVHN CHNA FOCUS GROUPS, PARTICIPANTS ASKED FOR A GREATER PRESENCE IN THE COMMUNITY FROM HEALTH CARE SYSTEMS IN THE PLACES WHERE PEOPLE MOST FREQUENTLY LIVE, WORK, AND PLAY. COMMUNITY MEMBERS IN ALL 5 COUNTIES CALLED FOR ADDITIONAL CARE IN THEIR NEIGHBORHOODS, INCLUDING FOLLOW-UPS AT HOME, SERVICES AT SCHOOLS AND SENIOR CENTERS WHERE PEOPLE ARE LOCATED, AND OUTREACH AND EDUCATION ABOUT AVAILABLE RESOURCES. FOCUS GROUP PARTICIPANTS ALSO SAID THEY ARE GENERALLY UNAWARE OF WHEN OR WHERE VARIOUS LVHN SCREENING EVENTS OR SERVICES ARE AVAILABLE. THIS RANKED IN THE TOP THREE HEALTH CARE PRIORITIES THAT COMMUNITY MEMBERS WANTED TO SEE ADDRESSED. AS SUCH, LVHN LEADERSHIP PRIORITIZED THIS AS AN ISSUE THAT HAD SIGNIFICANT MAGNITUDE, CAPACITY, AND ALIGNMENT. THEREFORE, LVHN COMMITTED TO PROMOTE FREE AND LOW-COST SCREENINGS FOR CHRONIC CONDITIONS AND CANCER SCREENINGS IN NEIGHBORHOODS WHERE VULNERABLE POPULATIONS ARE LOCATED IN ORDER TO INCREASE UTILIZATION OF THESE SERVICES AND EARLY DETECTION.THE ZIP CODE WHERE AN INDIVIDUAL RESIDES CAN BE A SIGNIFICANT INFLUENCER OF HEALTH OUTCOMES. IN ORDER TO FOCUS HEALTH PROMOTION AND PREVENTION EFFORTS, LVHN DETERMINED WHICH ZIP CODES REPRESENT THE VULNERABLE POPULATIONS WITHIN EACH OF THE 5 COUNTIES OUR PATIENTS RESIDE. THIS WAS DEFINED BY A METRIC OF 15% OR MORE OF THE POPULATION LIVING BELOW THE POVERTY LINE AND HAS LESS THAN A HIGH SCHOOL EDUCATION. IN ADDITION, LVHN SERVES A SUBSTANTIAL MEDICAID POPULATION IN THESE ZIP CODES. THE FOLLOWING AREAS HAVE BEEN IDENTIFIED: SCHUYLKILL (LVH-S) - 17976, 17948, 18237IN FY20 AND FY21 ACROSS THE REGION, LVHN WAS ABLE TO PROMOTE HEALTH OR PROVIDE HEALTHCARE SCREENINGS IN THE FOLLOWING WAYS:PREVENTATIVE HEALTH SCREENINGS & SERVICESLVHN ALSO HAD A VARIETY OF SCREENING OPPORTUNITIES, INCLUDING FOR BREAST CANCER. IN FY20, A TOTAL OF 1865 MAMMOGRAMS WERE COMPLETED THROUGH LVHN'S MAMMOGRAM COACH. THE BREAKDOWN BY COUNTY IS PROVIDED BELOW, WITH 2% OF THE MAMMOGRAMS PROVIDED IN SCHUYLKILL COUNTY ON THE MAMMOGRAM COACH FOR PATIENTS FROM THE TARGET ZIP CODES. SCHUYLKILL COUNTY SCREENING = 141 FOLLOW-UP IMAGING = 21 CANCERS FOUND = 1IN FY21, A TOTAL OF 1,840 MAMMOGRAMS WERE COMPLETED THROUGH LVHN'S MAMMOGRAM COACH. THE BREAKDOWN FOR SCHUYLKILL COUNTY IS PROVIDED BELOW WITH 183 MAMMOGRAMS WERE COMPLETED IN SCHUYLKILL COUNTY, 4% OF WHICH WERE FOR PATIENTS FROM THE TARGET ZIP CODES. SCHUYLKILL COUNTY SCREENING = 183 FOLLOW-UP IMAGING = 25 CANCERS FOUND = 1HEALTH PROMOTION & HEALTH FAIRSAT LVH-SCHUYLKILL, VIA LVHN'S SUPPORT OF SCHUYLKILL COUNTY VISION, DOZENS OF FREE COMMUNITY HEALTH PROMOTION EVENTS AND ONLINE SESSIONS WERE HELD IN FY20 & 21. IN FY20, ALMOST 2,200 COMMUNITY MEMBERS WERE ENGAGED IN THE FIRST HALF OF THE FISCAL YEAR THROUGH FREE COMMUNITY HEALTH PROMOTION EVENTS. THESE EVENTS WERE PAUSED DURING THE PANDEMIC AND RESUMED IN FY21. THESE INCLUDED:JULY 2020: - WALK AUDITS IN SCHUYLKILL HAVEN - AUDITS WERE CONDUCTED TO GAUGE THE SAFETY OF A WALKING ROUTE IN SCHUYLKILL HAVEN- EVENING WALKING GROUPS IN PARTNERSHIP WITH ASHLAND PUBLIC LIBRARYOCTOBER 2020: - REINTRODUCTION OF WALKWORKS WALKING ROUTES IN MAHANOY CITY AND SHENANDOAH.NOVEMBER AND DECEMBER 2020: - THE HOLIDAY CHALLENGE - A NORTH CAROLINA STATE UNIVERSITY AND NC DIVISION OF PUBLIC HEALTH PROGRAM THAT RUNS DURING THE HOLIDAY SEASON. WEEKLY EMAILS ARE SENT OUT TO REGISTERED PARTICIPANTS WITH HEALTH INFORMATION TO HELP MAINTAIN NOT GAIN DURING THE HOLIDAY SEASON. SCHUYLKILL COUNTY'S VISION PARTNERS WITH THE PROGRAM AND PROVIDES LOCAL RESOURCES AND OPPORTUNITIES TO PARTICIPANTS REGISTERED THROUGH VISION.DECEMBER 2020: - INAUGURAL WALK ON THE 100TH WALKWORKS WALKING ROUTE IN PENNSYLVANIAJANUARY AND FEBRUARY 2021: - VIRTUAL SCAVENGER HUNT WITH NUTRITION AND PHYSICAL ACTIVITY MISSIONSFEBRUARY 2021: - WINTERIZING YOUR SELF CARE ROUTINE WEBINAR - INCLUDED SELF-CARE STRATEGIES SUCH AS INCREASED FRUITS AND VEGETABLES, WALKING AND OTHER EXERCISES, AND IMPORTANCE OF SLEEP AND HYDRATIONMARCH & APRIL 2021:- VIRTUAL SCAVENGER HUNT WITH NUTRITION AND PHYSICAL ACTIVITY MISSIONSAPRIL 2021: - MOVE MORE MONTH CHALLENGE - A VIRTUAL CHALLENGE THAT ENCOURAGES PARTICIPANTS TO MOVE MORE DURING THE MONTH OF APRILMAY 2021: - HEALTH EQUITY TOUR WITH YMCA - DISTRIBUTED INFORMATION ON WALKING, WALKING ROUTES, OUTDOOR MAPS, AND IMPORTANCE OF MOVEMENTMAY/JUNE 2021: - SCHUYLKILL HAVEN & MAHANOY CITY COMMUNITY GARDEN WITH 20 PARTICIPANTSJUNE 2021: - VIRTUAL SCAVENGER HUNT WITH NUTRITION AND PHYSICAL ACTIVITY MISSIONS. - HEALTHY SCHUYLKILL SUMMER GET OUTDOORS BACKPACK PROGRAM LAUNCHED - THE BACKPACKS INCLUDE INFORMATION ON WALKING, MAPS, NUTRITIOUS SNACKS, AND GADGETS TO GET KIDS OUTDOORS (AUDUBON BOOKS, BINOCULARS, MAGNIFY GLASS, ETC.) |
| LEHIGH VALLEY HOSPITAL - SCHUYLKILL | PART V, SECTION B, LINE 18E: COLLECTION ACTIVITIES ARE LIMITED TO HOSPITAL SENDING FOUR STATEMENTS REQUESTING PAYMENT. THE STATEMENTS INCLUDE INFORMATION ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, SOLICITING THE PATIENT'S PARTICIPATION IN THE FINANCIAL ASSISTANCE PROGRAM. |
| PART V, SECTION B, LINE 11 (CONTINUATION A) | PRIORITY AREA: INCLUSION AND DIVERSITYCOMMUNITY MEMBERS EXPRESSED FEEDBACK REGARDING ISSUES OF INCLUSION AND DIVERSITY AMONG LVHN'S STAFF AND SERVICES. PATIENTS AND COMMUNITY MEMBERS STRESSED THE NEED FOR LIVE INTERPRETATION SERVICES, TO ALLOW THEM TO INTERACT WITH THEIR PROVIDERS IN THEIR NATIVE LANGUAGE AND A WARM RECEPTION IN A CULTURALLY APPROPRIATE MANNER. THE TABLE SHOWS THAT THE HISPANIC POPULATION IS 3% OF THE TOTAL POPULATION, HIGHLIGHTING THE NEED FOR COMPREHENSIVE LANGUAGE SUPPORT AND CULTURAL AWARENESS ACROSS THE NETWORK. THE COMMUNITY MENTIONED THESE ISSUES MULTIPLE TIMES IN FOCUS GROUPS. LVHN LEADERSHIP AGREED, RANKING INCLUSION AND DIVERSITY RELATED ISSUES AS ONE THAT WOULD HAVE A MODERATE IMPACT ON OVERALL HEALTH, BUT IT ALIGNED WITH OVERALL ORGANIZATIONAL GOALS AND WAS AN INITIATIVE WE HAVE THE CAPACITY TO ADDRESS. SCHUYLKILL COUNTY IS INHABITED BY 146K PEOPLE WITH THE FOLLOWING BREAKDOWN; 94.2% WHITE, 2.8% BLACK, 0.5% ASIAN, 1.1% OTHER, 1.4% MUKTIPLE, 3.4% HISPANIC, AND 96.6% NON-HISPANIC.LVHN WILL FOCUS ON TWO IMPORTANT STRATEGIES. FIRST, LVHN WILL INCREASE ACCESS TO LANGUAGE INTERPRETATION AT ALL HEALTH CARE SERVICE SITES, BUILDING ON THE ALREADY STRONG SET OF SERVICES AVAILABLE. SECOND, LVHN WILL CUSTOMIZE ROBUST COLLEAGUE EDUCATION AROUND CULTURAL AWARENESS AND INCLUSION AND DIVERSITY TO ENSURE ALL PATIENTS RECEIVE A WARM WELCOME, PARTICULARLY POPULATIONS WITH SPECIAL NEEDS AT EACH OF OUR CAMPUSES. INTERPRETER SERVICESAT EVERY LVHN CAMPUS, INTERPRETER SERVICES ARE PROVIDED TO ENSURE THAT PATIENTS ARE ABLE TO COMMUNICATE WITH CLINICIANS AND STAFF IN THEIR PREFERRED LANGUAGE. LVHN PROVIDES A COMBINATION OF LIVE INTERPRETATION WITH THE PATIENT, PHONE INTERPRETATION, AND VIDEO INTERPRETATION VIA IPAD. THIS MIXED MEDIA APPROACH OFFERS THE FASTEST RESPONSE BASED ON PATIENT NEEDS. IN FY20, 15 TRAINED MEDICAL INTERPRETER STAFF PROVIDED 602,682 MINUTES OF INTERPRETATION ACROSS ALL LVHN SITES. IN FY21, 22 TRAINED MEDICAL INTERPRETER STAFF PROVIDED 701,340 MINUTES OF INTERPRETATION DURING NEARLY 41,000 UNIQUE ENCOUNTERS ACROSS ALL LVHN SITES. AS THE COVID-19 PANDEMIC CONTINUES, VIRTUAL INTERPRETATION IS A VITAL SERVICE FOR PATIENTS. CULTURAL AWARENESS AND STAFF EDUCATIONTHE CHIEF DIVERSITY, EQUITY AND INCLUSION LIAISON OFFERS A WIDE RANGE OF EDUCATION AND TRAINING FOR LVHN STAFF, RANGING FROM GENERAL CULTURAL AWARENESS COVERED AT "CONNECTIONS" (THE ORIENTATION PROGRAM FOR ALL NEW LVHN EMPLOYEES) TO INCLUSIVE LEADERSHIP, PRECEPTOR EDUCATION, NURSE RESIDENCY, CULTURAL SENSITIVITY (GEARED TOWARD MULTIPLE SPECIALTIES), AND DIVERSITY. IN FY20, OVER 60 TRAININGS WERE HELD WITH JUST OVER 4,000 EMPLOYEES ATTENDING. IN FY21, NEARLY 50 TRAININGS WERE HELD WITH JUST OVER 4,000 EMPLOYEES ATTENDING IN TOTAL. WITH LVHN LEADERSHIP'S INCREASED STRATEGIC FOCUS ON DIVERSITY AND INCLUSION IN THE NETWORK, IT WAS IMPORTANT TO INCREASE RESOURCES IN SUPPORT OF THIS IMPORTANT WORK. ON MARCH 8, 2021, A DIVERSITY EQUITY AND INCLUSION (DEI) PROJECT MANAGER COLLEAGUE WAS BROUGHT ON STAFF. THIS IMPORTANT ROLE SUPPORTS NETWORK INITIATIVES INCLUDING THE ACTIONS AGAINST RACISM AND ADVANCING EQUITY COUNCIL, CULTURAL AWARENESS LEADERSHIP COUNCIL AND THE LGBTQ PATIENT AND FAMILY CARE EXPERIENCE PROJECT TEAM.PRIORITY AREA: SOCIAL DETERMINANTS OF HEALTHSOCIAL DETERMINANTS OF HEALTH ARE AT THE HEART OF COMMUNITY HEALTH WORK AT LVHN. DURING THE PRIMARY DATA COLLECTION PROCESS, LVHN RECEIVED COMMUNITY FEEDBACK THAT CONFIRMED THE IMPORTANCE OF ADDRESSING SOCIAL DETERMINANTS BOTH DIRECTLY AND THROUGH PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS. EXAMPLES OF SOCIAL DETERMINANTS THAT REQUIRE MULTIPLE AGENCIES AND ORGANIZATIONS WORKING TOGETHER IN A COORDINATED MANNER ARE HOUSING AND FOOD INSECURITY. BOTH WERE HIGHLIGHTED DURING COMMUNITY FOCUS GROUPS. IN ALL COUNTIES LVHN SERVES:-AN AVERAGE OF 20% OF THE POPULATIONS ARE AT RISK FOR FOOD INSECURITY. -AT LEAST A QUARTER OF THE POPULATION SPENDS MORE THAN 30% OF THEIR INCOME ON HOUSING.LVHN CHNA EXECUTIVE TEAMS RECOGNIZED THE MAGNITUDE OF HOUSING AND FOOD INSECURITY ISSUES, BUT ALSO WERE LESS CERTAIN ABOUT HEALTHCARE'S ABILITY TO HAVE AN IMPACT IN THIS AREA, PARTICULARLY BECAUSE THESE ARE NOT ISSUES THAT HEALTHCARE CAN ADDRESS ALONE. THE IMPORTANCE OF PARTNERSHIPS IN THIS AREA IS HIGHLIGHTED IN LVHN'S CHNA IMPLEMENTATION PLAN. BELOW ARE BOTH INTERNAL AND CROSS-SECTOR PARTNERSHIP EFFORTS ADDRESSING THESE ISSUES IN OUR COMMUNITIES.FOOD ACCESS THE FIRST STRATEGY TO ADDRESS SOCIAL DETERMINANTS OF HEALTH OUTLINED IN THE IMPLEMENTATION PLAN IS IMPROVE ACCESS TO HEALTHY FOOD AND REDUCE OBESITY RATES IN OUR COMMUNITIES, THROUGH IN-SCHOOL EDUCATION, PROMOTION OF HEALTHY LIFESTYLES AND COMMUNITIES, AND SUPPORT OF MOBILE MARKET FOOD DISTRIBUTION. WELLER HEALTH EDUCATION AT LEHIGH VALLEY REILLY CHILDREN'S HOSPITAL PARTNERS WITH OVER 25 SCHOOL DISTRICTS ACROSS THE HEALTH NETWORK'S EIGHT-COUNTY SERVICE AREA TO PROVIDE INTERACTIVE RESEARCH-BASED PROGRAMS THAT HELP PREVENT CHRONIC DISEASE AND IMPROVE CHILDREN'S OVERALL HEALTH, SAFETY, AND WELL-BEING. ALL PROGRAMS ARE PRESENTED BY SPECIALLY TRAINED HEALTH EDUCATORS WHO ARE EXPERTS AT CONNECTING WITH YOUNG PEOPLE AND TRANSLATING COMPLEX INFORMATION INTO EASY-TO-UNDERSTAND CONCEPTS. BETWEEN SEPTEMBER 2019 AND MARCH 2020 BEFORE THE SCHOOLS CLOSED DUE TO COVID-19, WELLER SERVED OVER 27,000 STUDENTS FROM 72 SCHOOLS IN 25 SCHOOL DISTRICTS IN SIX COUNTIES. WITH THE GENEROUS SUPPORT OF THE CARL E. AND EMILY I. WELLER FOUNDATION, CORPORATE AND FOUNDATION FUNDERS, AND IN-KIND SUPPORT FROM THE LEHIGH VALLEY REILLY CHILDREN'S HOSPITAL, PROGRAMS WERE PRESENTED FREE TO SCHOOL DISTRICTS WHERE MORE THAN 50% OF THE STUDENTS ARE ECONOMICALLY DISADVANTAGED. NUTRITION AND EXERCISE ACCOUNTED FOR 6% OF THE PROGRAMMING PROVIDED IN THE SCHOOLS. IN FY21, WELLER REACHED 30,000 STUDENTS THROUGH A VARIETY OF IN-PERSON, VIRTUAL AND ASYNCHRONOUS LEARNING OPPORTUNITIES DESIGNED TO MEET THE VARYING NEEDS OF STUDENTS AND SCHOOL DISTRICTS ACROSS OUR REGION. IN ADDITION TO DELIVERING CLASSROOM PROGRAMS EITHER IN-PERSON OR VIA REMOTE LEARNING PLATFORMS, WELLER'S TEAM HAS CREATED A VIDEO LIBRARY WITH NEARLY 40 ASYNCHRONOUS LESSONS THAT RANGE FROM DEALING WITH PANDEMIC-INDUCED STRESS, ANXIETY AND FATIGUE, TO SCHOOL DISTRICT CURRICULUM-BASED CONTENT ON MENTAL HEALTH, SUBSTANCE USE DISORDER PREVENTION, HEALTHY RELATIONSHIPS, AND NUTRITION AND FITNESS. THE PROGRAMS ARE PROVIDED AT NO COST TO THE SCHOOLS AND LVHN IS THE ONLY HEALTH SYSTEM IN THE REGION OFFERING THIS TYPE OF PREVENTIVE HEALTH EDUCATION FOR CHILDREN AND FAMILIES.LVH-SCHUYLKILL ALSO PARTNERS WITH SCHUYLKILL COUNTY VISION ON THE HEALTHY SCHUYLKILL COMMUNITIES INITIATIVE, AN EFFORT TO PROMOTE NUTRITION AND EXERCISE, HEALTHY LIFESTYLE, AND ACCESS TO HEALTHY FOODS. SCHUYLKILL COUNTY VISION HAS SET UP 4 GARDENS THROUGHOUT THE COUNTY (SCHUYLKILL HAVEN, MAHANOY). IN ADDITION, BETWEEN JULY AND SEPT 2019 SCHUYLKILL COUNTY VISION HELD 8 COMMUNITY ENGAGEMENT EVENTS FOCUSED ON HEALTHY FOOD AND NUTRITION, REACHING 142 COMMUNITY MEMBERS. EXAMPLES OF THESE HEALTHY LIFESTYLE EVENTS INCLUDE SCHUYLKILL ON THE MOVE, MATTER OF BALANCE, AND SUMMER CAMP YOGA. DUE TO COVID-19, THESE EFFORTS COULD NOT CONTINUE DURING THE REMAINDER OF FY20. IN FY21, TWO COMMUNITY GARDENS WERE OPEN DURING THE GROWING SEASON IN MAHANOY CITY AND SCHUYLKILL HAVEN. THIS YEAR, VISION ALSO TACKLED AN UNFINISHED PROJECT AT SCHUYLKILL HAVEN GARDEN BY INSTALLING FENCING AROUND THE GARDEN. THIS WAS IN PARTNERSHIP WITH SCHUYLKILL RIVER TRAIL (SRT) TO REPLACE FENCING ALONG THE TRAIL, AND VISION COLLECTED OLD FENCE AND REFURBISHED WITH A FRESH COAT OF PAINT TO INSTALL AT SCHUYLKILL HAVEN GARDEN. BETWEEN BOTH GARDENS, OVER 20 COMMUNITY MEMBERS MAINTAINED THE PLOTS. SCHUYLKILL HAVEN GARDEN ALSO INCLUDED A COMMUNITY PLOT WHICH WAS MAINTAINED BY A VISION SEASONAL STAFF MEMBER AND ALL PRODUCE DONATED TO LOCAL FOOD PANTRY OR THE EVANS DELIVERY COMPANY FOR AN EMPLOYEE CSA PROJECT.UNFORTUNATELY, COMMUNITY EVENTS WERE POSTPONED OR POORLY ATTENDED. HOWEVER, VISION UTILIZED A VIRTUAL SCAVENGER HUNT APP TO CONDUCT COMMUNITY HUNTS. PARTICIPANTS COMPLETED MISSIONS THAT GOT THEM MOVING AND EXPLORING THEIR COMMUNITIES, SHOWING THEIR MYPLATE MEALS AND OTHER FRUITS AND VEGGIES MISSIONS, AND ANSWERING QUESTIONS ABOUT THE IMPORTANCE OF HEALTHY EATING AND INCREASED PHYSICAL ACTIVITY. |
| PART V, SECTION B, LINE 11 (CONTINUATION B) | PRIORITY AREA: BEHAVIORAL HEALTHONE CONSISTENT AREA OF NEED VOICED BY THE COMMUNITY, IN BOTH THE 2016 AND 2019 LVHN CHNAS, WAS THE NEED TO BETTER ADDRESS BEHAVIORAL HEALTH AND MENTAL WELL-BEING IN THE COMMUNITY. ACCORDING TO THE ROBERT WOOD JOHNSON FOUNDATION COUNTY HEALTH RANKINGS, MEMBERS OF THE COMMUNITY EXPERIENCE MORE THAN 4 "UNHEALTHY" MENTAL HEALTH DAYS PER MONTH, ECHOING THE DIRECT FEEDBACK FROM FOCUS GROUPS. THIS NEED WAS DISCUSSED IN ALL FIVE COUNTIES AND THEREFORE WAS MADE A CROSS-CUTTING PRIORITY AREA FOR THE IMPLEMENTATION PLAN. WITHIN THE BEHAVIORAL HEALTH PRIORITY AREA, THERE ARE 3 AREAS OF FOCUS: MENTAL HEALTH, SUBSTANCE ABUSE, AND SUICIDE PREVENTION. WHILE PUBLIC DATA AROUND SUBSTANCE USE DISORDER IS LACKING, IT WAS A CLEAR CONCERN EXPRESSED COMMUNITY MEMBERS WHO PARTICIPATED IN FOCUS GROUPS AND INTERVIEWS. LVHN LEADERSHIP BELIEVES THIS IS A HIGH IMPACT AREA OF WORK, BUT WE NEED TO INCREASE CAPACITY IN ORDER TO ADDRESS THESE NEEDS ADEQUATELY. THE SECTIONS BELOW OUTLINE THE APPROACHES BEING IMPLEMENTED IN EACH OF THESE FOCUS AREAS TO ADDRESS THE BEHAVIORAL HEALTH NEEDS OF THE COMMUNITIES LVHN SERVES.MENTAL HEALTHPREVENTION AND EDUCATIONTHE FIRST STRATEGY TO ADDRESS THE MENTAL HEALTH NEEDS OF THE COMMUNITY IS DECREASE THE STIGMA AND INCREASE SKILLS OF PROFESSIONALS AND COMMUNITY MEMBERS TO RECOGNIZE MENTAL HEALTH CONCERNS AND PROMOTE MENTAL WELLNESS. IN ADDITION, LVHN WILL PARTICIPATE IN AND PARTNER AROUND COMMUNITY-BASED TRAUMA-INFORMED CARE COLLABORATIVE TO CREATE MORE TRAUMA-INFORMED COMMUNITIES. LVHN HAS MADE A CONCERTED EFFORT TO DEVELOP SUPPORTS FOR THE PREGNANT AND PARENTING POPULATION IN OUR REGION. IN THE LEHIGH VALLEY, THE CONNECTIONS CLINIC IS A PROGRAM FOR PREGNANT AND/OR POSTPARTUM SUBSTANCE USE DISORDER INCLUDING OPIOIDS AND IS A COLLABORATION BETWEEN OBSTETRICS AND PEDIATRICS (SEE SUBSTANCE ABUSE SECTION FOR ADDITIONAL DETAILS). IN FY20, THE LVH-SCHUYLKILL CAMPUS RECEIVED AND BEGAN IMPLEMENTING A PREGNANCY SUPPORT SERVICES GRANT. THROUGH THIS GRANT, THE LAKESIDE GLOBAL INSTITUTE TRAUMA 101 (OVERVIEW OF TRAUMA INFORMED CARE), 102 (BASIC SKILLS OF TRAUMA-INFORMED CARE) AND 103 (RECOGNIZING VICARIOUS & SECONDARY TRAUMA IN CAREGIVERS) TRAININGS WERE PROVIDED FOR LVHN EMPLOYEES WITHIN THE WOMEN AND CHILDREN'S SERVICE LINE AND WITH THE CONNECTIONS CLINIC. THESE TRAININGS WERE HELD OVER THE COURSE OF 3 CONSECUTIVE WEEKS DURING THE MONTH OF JUNE AND WERE ATTENDED BY 32 INDIVIDUALS WITH APPROXIMATELY 45% OF ATTENDEES COMPLETING ALL 3 SESSIONS. THE GRANT IS ALSO CREATING A SERVICE SIMILAR TO THE CONNECTION CLINIC FROM LVH-LV AT THE LVH-S CAMPUS, BUT SPECIFICALLY FOR OPIOID USE DISORDER. IT IS A COLLABORATION BETWEEN LVH-S MENTAL HEALTH SERVICES AND OBSTETRICS AND GYNECOLOGY. TO DATE, 45 WOMEN IN THE SCHUYLKILL AREA HAVE BEEN REFERRED FOR SERVICES AND 5 OF THEM HAVE BEEN ADMITTED TO DRUG AND ALCOHOL SERVICES. AS A PART OF THIS MODEL, LVH-S IS ALSO PROVIDING TELE-PSYCH SERVICES AT THE ST. CLAIR PRACTICE (SEE TELE-PSYCH SECTION BELOW). THIS WORK CONTINUED IN FY21 THOUGH TRACKING MECHANISMS ARE BEING CHANGED TO BETTER REFLECT THE WORK. BETTER DATA WILL BE AVAILABLE IN THE FUTURE.LVH-SCHUYLKILL IS ALSO PARTNERING WITH SCHUYLKILL COUNTY'S VISION, WHO RECEIVED PENNSYLVANIA COMMISSION ON CRIME AND DELINQUENCY (PCCD) FUNDING, TO CREATE A RESILIENCY CENTER IN SCHUYLKILL COUNTY, NOW CALLED FAMILIES GROW TOGETHER. THIS RAN THROUGH NOVEMBER 2020.IN NOVEMBER 2020, THE 3RD ANNUAL SCHUYLKILL TRAUMA DAY WAS HELD VIRTUALLY. THE DAY PROVIDED A SERIES OF WORKSHOPS, ON TOPICS SUCH AS TRAUMA 101, STIGMA, AND VETERAN'S CARE AND SERVICES.ADDITIONAL TRAUMA TRAININGS WERE HELD IN PERSON AND VIRTUAL IN SCHOOLS AND COMMUNITY SETTINGS:- FEBRUARY 2021: GAUDENZIA TREATMENT FACILITY STAFF WITH 11 ATTENDEES- APRIL 2021: CSBBH, CHILD AND FAMILY SUPPORT SERVICES/COUNTY EMPLOYEES, PATHWAYS, MINERSVILLE JR/SR HIGH SCHOOL STAFF, SCHOOL GUIDANCE COUNSELORS GROUP WITH 91 ATTENDEES- MAY 2021: MINERSVILLE ELEMENTARY SCHOOL STAFF, MINERSVILLE JR/SR HIGH SCHOOL (ADVANCE TRAINING) WITH 56 TOTAL ATTENDEES- JUNE 2021: CLINICAL OUTCOMES GROUP, INC. WITH 27 ATTENDEESREFERRAL COORDINATIONTHE SECOND STRATEGY TO ADDRESS THE MENTAL HEALTH NEEDS OF THE COMMUNITY IS A CENTRALIZED REFERRAL PROCESS TO OUTPATIENT BEHAVIORAL HEALTH SERVICES. IN FY19, LVHN RECEIVED OVER 9,000 REFERRALS FOR BEHAVIORAL HEALTH SERVICES AND WERE ABLE TO SERVE 1 IN 8. IN ORDER TO IMPROVE TREATMENT AND REFERRAL WORKFLOWS FOR PATIENTS, LVHN CREATED A BEHAVIORAL HEALTH REFERRAL SPECIALIST ROLE. THIS ROLE PROVIDES SUPPORT TO PROVIDERS, PRACTICES AND PATIENTS SEEKING ACCESS TO MENTAL HEALTH AND/OR SUBSTANCE ABUSE SERVICES. SUPPORT BY THIS ROLE IS PROVIDED ON THREE LEVELS: 1. INFORMATION DISSEMINATION AND EDUCATION: PRACTICES RECEIVE RESOURCE INFORMATION TO ENABLE THEM TO MAKE BEHAVIORAL HEALTH AND SUBSTANCE ABUSE REFERRALS FROM THE BEHAVIORAL HEALTH RESOURCES SHAREPOINT DATABASE WITH INFORMATION THAT IS ALWAYS CURRENT AND ACCURATE. IN ADDITION, THE BEHAVIORAL HEALTH REFERRAL SPECIALIST HAS BEEN PROVIDING EDUCATION ON HOW TO EFFECTIVELY REFER A PATIENT FOR MENTAL HEALTH AND/OR SUBSTANCE ABUSE SERVICES TO THE FOLLOWING: PEDIATRIC PRIMARY CARE, ADULT SPECIALTY PROGRAMS, INPATIENT CASE MANAGEMENT, LVHN LEADERSHIP AND ADDITIONAL OUTSIDE PROGRAMS AND SERVICES.2. CONSULTATION TO PROVIDERS SEEKING SERVICES FOR THEIR PATIENTS WHEN THEY ARE UNABLE TO DO SO UTILIZING THE BEHAVIORAL HEALTH RESOURCES SHAREPOINT AND PAST REFERRAL EDUCATION. 3. DIRECT PATIENT CONTACT TO PROVIDE SUPPORT AND RESOURCES IF THE FIRST TWO LEVELS OF SERVICE FAIL TO SUPPORT THE PATIENT. IN FY19, THERE WERE 620 REQUESTS FOR ASSISTANCE FROM THE BEHAVIORAL HEALTH REFERRAL SPECIALIST. IN FY20, DUE TO THE HIGH DEMAND, A NEW PROCESS WAS IMPLEMENTED TO HAVE THE BEHAVIORAL HEALTH REFERRAL SPECIALIST MANAGE ALL OUTPATIENT PSYCHIATRY REFERRALS FOR LVHN AFFILIATED PRACTICES. THIS NEW PROCESS WAS MADE TO IMPROVE THE REFERRAL EXPERIENCE FOR THE AFFILIATED PRACTICE PROVIDERS WHILE BETTER ASSISTING PATIENTS WITH CONNECTING TO BEHAVIORAL HEALTH AND SUBSTANCE ABUSE SERVICES. THE BEHAVIORAL HEALTH SPECIALIST HAS BECOME A TEAM OF 5.5 FTE DEDICATED TO MANAGING ALL REFERRALS TO AMBULATORY PSYCHIATRY PRACTICES, WHICH IS NOW CALLED CENTRALIZED INTAKE. THIS SERVICE OFFICIALLY WENT LIVE ON MAY 4, 2020, AND THEY RECEIVE REFERRALS FROM OUTPATIENT PRACTICES FROM ALL LVHN CAMPUSES. IN FY21, CENTRALIZED INTAKE RECEIVED 10,179 REFERRALS. OF THE 10,179 REFERRALS, 6,240 (61%) WERE SCHEDULED WITH LVHN PSYCHIATRY PRACTICES OR PROVIDED WITH A LIST OF EXTERNAL PROVIDERS WITH THE OPTION TO CALL BACK FOR ADDITIONAL ASSISTANCE IF UNABLE TO CONNECT WITH A PROVIDER.INNOVATIONTHE THIRD STRATEGY LVHN HAS COMMITTED TO IN ORDER TO ADDRESS THE MENTAL HEALTH NEEDS OF THE COMMUNITY IS INNOVATION THROUGH THE USE OF TECHNOLOGY TO PROVIDE TELE-PSYCHIATRY, TELE-THERAPY, AN APP DEPLOYMENT, AND ECONSULTS. THE DEVELOPMENT AND IMPLEMENTATION OF TELE-PSYCHIATRY AND THERAPY SERVICES WAS UNDERWAY AT THE START OF FY20. WITH THE ONSET OF THE COVID-19 PANDEMIC, THE SCALE AND REACH OF THESE SERVICES INCREASED RAPIDLY AND DRAMATICALLY. OUTPATIENT BEHAVIORAL HEALTH VIRTUAL VISITS INCREASED FROM 2% BEFORE COVID-19 TO 98% SOON AFTER THE START OF THE PANDEMIC. IN FY21 THE DEPARTMENT OF PSYCHIATRY COMPLETED NEARLY 45,000 VIRTUAL VISITS.IN ADDITION, TELE-CONSULTS WERE PROVIDED FOR PRIMARY CARE PROVIDERS. A PSYCHIATRIC OUTPATIENT CONSULTATION REFERRAL ORDER WAS ESTABLISHED IN FY20 TO FACILITATE A BRIEF PSYCHIATRIC INTERVENTION BY A PSYCHIATRIST OR APC WITH THE GOAL OF EVALUATING AND PROVIDING TREATMENT RECOMMENDATIONS WHICH MAY INCLUDE THE PRESCRIBING OF PSYCHOTROPIC MEDICATIONS, AND THEN RETURNING THE PATIENT BACK TO THEM FOR ON-GOING CARE. IN FY21, 618 TELE-PRIMARY CARE CONSULTS AND 268 ECONSULTS WERE COMPLETED, UP FROM 80 AND 208, RESPECTIVELY IN FY20. SOME OF THESE REFERRALS WERE COMPLETED FOR LVH-S PATIENTS. |
| PART V, SECTION B, LINE 11 (CONTINUATION C) | SUBSTANCE ABUSELVHN HAS ADOPTED A 4-PRONGED APPROACH TO ADDRESSING THE SUBSTANCE ABUSE EPIDEMIC IN THE COMMUNITIES WE SERVE:1. STIGMA REDUCTION BY PROVIDING EDUCATION AND PROMOTIONAL MATERIALS TO THE COMMUNITY TO REDUCE THE STIGMA ASSOCIATED WITH SUBSTANCE USE DISORDER AND ADDICTION.2. OPIOID STEWARDSHIP BY PROVIDING EDUCATION TO FRONT-LINE STAFF (E.G., PROVIDERS, NURSES) TO MINIMIZE OPIOID PRESCRIBING, PROMOTE SAFETY MEASURES TO MINIMIZE ADDICTION TO OPIOIDS, AND INCREASE AWARENESS OF TOOLS AVAILABLE.3. LINKAGE TO TREATMENT BY REDUCING THE BARRIERS BETWEEN A PATIENT WHO IS STRUGGLING WITH SUBSTANCE ABUSE OR ADDICTION AND THEIR ACCESS TO TREATMENT OPTIONS.4. HARM REDUCTION BY REDUCING THE LIKELIHOOD THAT HARM WILL COME TO THOSE WHO ARE STRUGGLING WITH ADDICTION.ADDITIONAL DETAILS ABOUT EFFORTS FOR EACH OF THE ELEMENTS OF LVHN'S 4-PRONGED APPROACH IS OUTLINED BELOW. COLLEAGUES FROM THE LEHIGH VALLEY SCHUYLKILL COUNSELING CENTER (LVH-SCHUYLKILL) ARE ALSO PARTICIPATING IN SCHUYLKILL COUNTY REACH (RECOVERY EDUCATION ADVOCACY COMMUNITY HEALTH). THE COLLABORATIVE WAS FORMED IN SEPTEMBER 2017 TO ADDRESS THE RISE OF OPIOID OVERDOSES IN SCHUYLKILL COUNTY. THE GOALS OF THE STRATEGIC PLAN ALIGN WITH LVHN'S OVERALL STRATEGY FOR ADDRESSING SUBSTANCE ABUSE CONCERNS IN THE COMMUNITY. DURING THEIR MOST RECENT STRATEGIC PLANNING SESSION, COALITION MEMBERS IDENTIFIED FIVE PRIORITIES TO GUIDE THEIR EFFORTS OVER THE FIRST THREE YEARS (JULY 2019-2022) OF COALITION WORK:GOAL 1: EDUCATE INDIVIDUALS AND FAMILIES ABOUT ADDICTION AND OVERDOSE TO PREVENT INITIATION OF SUBSTANCE USE AMONG SCHUYLKILL COUNTY RESIDENTS.GOAL 2: ENSURE THAT ALL INDIVIDUALS HAVE THE OPPORTUNITY FOR SUCCESSFUL RECOVERY AND BUILD SUPPORTIVE COMMUNITIES.GOAL 3: ELIMINATE BARRIERS TO INCREASE ACCESS AND UTILIZATION OF SUBSTANCE USE DISORDER (SUD/OPIOID USE DISORDER (OUD) TREATMENT PROGRAMS.GOAL 4: ELIMINATE STIGMA IN SCHUYLKILL COUNTY.GOAL 5: COORDINATE EFFORTS BETWEEN LAW ENFORCEMENT, THE LEGAL SYSTEM, AND TREATMENT.STIGMA REDUCTIONTHROUGHOUT FY20 AND FY21, LVHN LEADERS AND COLLEAGUES HOSTED AND PRESENTED AT COMMUNITY EVENTS TO REDUCE THE STIGMA SURROUND SUBSTANCE USE DISORDERS AND PROMOTE THE RESOURCES AVAILABLE TO ADDRESS THIS COMMUNITY CONCERN.IN FY20:-IN SEPTEMBER 2019, PENN STATE SCHUYLKILL AND LVH-SCHUYLKILL SPONSORED AND HOSTED AN OPIOID SYMPOSIUM ENTITLED "OPIOIDS: THE CRISIS NEXT DOOR. THE FACTS, THE SIGNS, THE RESOURCES". THERE WERE 150 PEOPLE IN ATTENDANCE AT THIS EVENT.-IN DECEMBER 2019, LVH-SCHUYLKILL HELD A SENIOR OPIOID EDUCATION EVENT AT THE ROSEWOOD SENIOR CENTER WHERE THE BEHAVIORAL HEALTH TEAM PRESENTED "HOW SUBSTANCE USE DISORDER AFFECTS OLDER ADULTS AND LED A DISCUSSION. THIS EVENT INCLUDED 100 PEOPLE IN ATTENDANCE, INCLUDING SUD TREATMENT PROVIDERS, NURSING FACILITY STAFF, AND COMMUNITY MEMBERS.IN FY21:JUNE 2021: -LVH-SCHUYLKILL EMERGENCY MEDICINE MEETING WITH 20 ATTENDEES REGARDING SUBSTANCE USE DISORDERS AND SERVICES OFFERED AT OUR PROGRAM.-LVH-SCHUYLKILL BOARD OF ASSOCIATES MEETING REGARDING SUBSTANCE USE DISORDERS AND SERVICES OFFERED BY OUR PROGRAM WITH APPROXIMATELY 10 ATTENDEES.ALL PRESENTATIONS CONTAINED REFERENCES AND MATERIALS DESIGNED TO STRENGTHENED PROFESSIONAL AND COMMUNITY PARTNERSHIP'S, COORDINATED LINKAGE TO TREATMENT, AND REDUCED STIGMA BY VIRTUE OF PROGRAM CONTENT.IN FY21, THE LVH-SCHUYLKILL COUNSELING CENTER CONTINUED TO BE ACTIVE IN THE SCHUYLKILL COUNTY COALITION KNOWN AS REACH (RECOVERY, EDUCATION, ADVOCACY, COMMUNITY HEALTH) BY ATTENDING MONTHLY MEETINGS WHICH ARE BEING HELD VIRTUALLY. THE MISSION STATEMENT OF THIS INITIATIVE IS TO WORK COLLABORATIVELY ACROSS ALL AGENCIES TO ELIMINATE SUBSTANCE MISUSE AND OVERDOSE FATS IN SCHUYLKILL COUNTY.FINALLY, EDUCATION IS BEING HELD IN 5 SCHOOL DISTRICTS IN SCHUYLKILL COUNTY (LVH-SCHUYLKILL) REGARDING THE NEGATIVE EFFECTS OF VAPING A PARTICULAR COMMUNITY CONCERN IN SCHUYLKILL COUNTY. IN FY20, THE YOUTH ADVISORY BOARD CREATED A VIDEO THAT WAS SHOWN IN THE SCHOOLS ALONG WITH A DISCUSSION. IN OCTOBER 2019, LEHIGH VALLEY COUNSELING SERVICES PRESENTED ABOUT VAPING AND THEIR PARTNERSHIP WITH LOCAL DRUG AND ALCOHOL AND STUDENT GROUPS REGARDING THE VIDEO. THE VIDEO WAS SHOWN TO THE 12 ATTENDEES OF THE EVENT. IN NOVEMBER 2019, PENN STATE AND LVH-SCHUYLKILL HELD A LUNCH PRESENTATION ABOUT THE DANGERS OF VAPING FOR 30 FACULTY AND STUDENTS. IN JANUARY 2020, THE COUNSELING CENTER HELD A DISCUSSION ABOUT THE VAPING VIDEO WITH THE SEPA WELLNESS COALITION OF SOUTHEASTERN PENNSYLVANIA; 20 PEOPLE ATTENDED THIS EVENT. THE COVID-19 PANDEMIC CONTINUED TO SIGNIFICANTLY IMPACT OPERATIONS WITH SCHOOL ENGAGEMENT. THERE WERE NO SIGNIFICANT ACTIVITIES IN THIS AREA, BUT POSSIBILITIES WILL BE REVISITED ON AN ONGOING BASIS.OPIOID STEWARDSHIPIN ADDITION TO PRESENTING AND HOSTING DISCUSSION IN THE COMMUNITY, LVHN COLLEAGUES ENGAGED IN SIGNIFICANT EDUCATION TO 340 PROVIDERS AND HEALTHCARE WORKERS TO EMPOWER PROVIDERS AS KNOWLEDGEABLE STEWARDS OF THE SIGNS AND IMPACTS OF SUBSTANCE USE DISORDER. IN ADDITION, IN FY21, THE FOLLOWING TACTICS WERE DEPLOYED:-A 2-HOUR TLC (EDUCATIONAL LEARNING MANAGEMENT SYSTEM) BUNDLE WAS DEVELOPED AND DISSEMINATED TO ALL LVHN PROVIDERS DURING FY21 TO ENSURE ADEQUATE EDUCATION AROUND OPIOID STEWARDSHIP AND LINKAGE TO TREATMENT, AND TO FULFILL LICENSING REQUIREMENTS FOR THE PA STATE MEDICAL BOARD.-THE MULTIDISCIPLINARY OPIOID REVIEW COMMITTEE WAS IMPLEMENTED TO REVIEW OPIOID STEWARDSHIP CASES OF CONCERN AND TO PROVIDE OUTREACH AND EDUCATION TO PROVIDERS.-UTILIZATION OF STANDARDIZED DISCHARGE OPIOID WEANING PROTOCOLS FOR THE EMERGENCY DEPARTMENT (ED) AND INPATIENT SETTINGS HAS BEEN TRACKED SINCE 2018. BASED ON UTILIZATION DATA AND MULTIDISCIPLINARY INPUT FROM ALL SURGICAL AND HOSPITAL MEDICINE STAKEHOLDER SPECIALTIES, THE OPIOID WEANING PROTOCOLS ARE CURRENTLY UNDERGOING REVISION TO INCREASE MEDICATION OPTIONS AND DURATION OF WEANING PROTOCOLS. PRESCRIBER FEEDBACK IS EMAILED MONTHLY TO GENERAL SURGERY, CT SURGERY, AND ORTHOPEDIC SURGERY. -LIDOCAINE PROTOCOL FOR NEPHROLITHIASIS WAS IMPLEMENTED ACROSS ALL ED AND INPATIENT SETTINGS IN OCTOBER 2020.NON-OPIOID PAIN MODALITY INITIATIVES IMPLEMENTED IN FY21 HAVE INCLUDED:-ED BACK PAIN PROTOCOL IN COLLABORATION WITH PT-DEVELOPMENT OF A NON-OPIOID PAIN MANAGEMENT ORDER SET WITH PT/OT INTERVENTIONS-IMPLEMENTATION OF AN OT-LED AROMATHERAPY FOR PAIN PROTOCOL WITHIN THE ED OBSERVATION UNIT -CLINICIANS ACROSS MULTIPLE DISCIPLINES WERE TRAINED IN NON-OPIOID PAIN MANAGEMENT MODALITIES INCLUDING EMPOWERED RELIEF AND EXPLAIN PAIN.HARM REDUCTION-TAKE-HOME NALOXONE WAS PROVIDED AT NO COST TO PATIENTS FROM ALL NETWORK EMERGENCY DEPARTMENTS (ED) AS WELL AS LEHIGH VALLEY PHARMACY SERVICES LOCATIONS WHERE A PATIENT WITH A NALOXONE PRESCRIPTION IS UNINSURED OR UNDER-INSURED.-LVHN MARKETING AND PUBLIC AFFAIRS, IN COLLABORATION WITH LEHIGH COUNTY, HAS FUNDED THE PURCHASE OF 4,000 MEDICATION DISPOSAL KITS WHICH WILL BE DISTRIBUTED TO PATIENTS AT RISK AT BOTH HOSPITAL PHARMACIES, AND AT LOCAL COMMUNITY EVENTS ACROSS THE NETWORK. |
| PART V, SECTION B, LINE 11 (CONTINUATION D) | SUICIDE PREVENTIONLVHN IS COMMITTED TO ADDRESSING IS SUICIDE PREVENTION IN THE COMMUNITIES WE SERVE. THE GOAL IS TO PROVIDE EDUCATION, INCREASE AWARENESS, AND DECREASE STIGMA BY COLLABORATING WITH THE COMMUNITY TO PREVENT SUICIDE. IN LEHIGH, NORTHAMPTON, AND SCHUYLKILL COUNTIES, SUICIDE PREVENTION TASK FORCES HAVE BEEN ESTABLISHED WITH ACTIVE PARTICIPATION FROM LVHN THROUGHOUT FY20.IN SCHUYLKILL COUNTY, THE SCHUYLKILL COUNTY TASK FORCE IS LED BY SCHUYLKILL COUNTY VISION. THIS TASK FORCE HAS ADDRESSED THE HIGH SUICIDE RATE IN THE COUNTY THROUGH PUBLIC EDUCATION FORUMS, CONFERENCES, CREATING A SPEAKERS' BUREAU, AND DISTRIBUTING "DO SOMETHING" CARDS. THESE CARDS INCLUDE INFORMATION ABOUT RISK FACTORS, SIGNS OF SUICIDE, AS WELL AS COUNTY RESOURCES AVAILABLE FOR ASSISTANCE. THE TASK FORCE HAS ALSO SPONSORED TRAINING OVER THE PAST TWO YEARS RELATED TO RECOGNIZING THE SIGNS OF SUICIDE IN SCHOOLS AND BULLYING PREVENTION. IN MARCH 2021, THE SCHUYLKILL COUNTY MH/DS OFFICE HIRED A NEW STAFF PERSON WHO BECAME THE CHAIR OF THE SUICIDE PREVENTION TASK FORCE OF SCHUYLKILL COUNTY, RETURNING THE TASK FORCE TO A FISCAL SPONSORSHIP OF SCHUYLKILL COUNTY'S VISION. THE TASK FORCE IS NOW LED BY THE SCHUYLKILL COUNTY MH/DS OFFICE AND HAS APPROXIMATELY 50 MEMBERS WITH 10-15 ATTENDING MONTHLY MEETINGS ON A REGULAR BASIS. A SUICIDE PREVENTION TRAINING, QUESTION-PERSUADE-RESPOND (QPR), CONTINUES TO BE MADE AVAILABLE IN SCHUYLKILL COUNTY TO THE PUBLIC FREE OF CHARGE. THE TASK FORCE PROVIDES GUN LOCKS FROM THE VA TO GUN STORES TO PROMOTE KEEPING THE AMMUNITION SEPARATELY LOCKED FROM THE GUNS IN ORDER TO DECREASE THE LIKELIHOOD OF SUICIDES BY FIREARM. THE TASK FORCE HAS ALSO STARTED TO PARTNER WITH THE SCHUYLKILL COUNTY DRUG AND ALCOHOL PROGRAMS AND LOCAL FOOD PANTRIES TO MAKE DRUG PRESCRIPTION LOCK BOXES AND DISPOSAL BAGS AVAILABLE. THE MATERIALS ARE DISTRIBUTED AT NARCAN DISTRIBUTION AND MOBILE MARKET EVENTS AROUND THE COUNTY. |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
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| PART I, LINE 6A: | THE COMMUNITY BENEFIT REPORT IS ISSUED BY LEHIGH VALLEY HEALTH NETWORK, EIN #22-2458317, THE SOLE CORPORATE MEMBER OF LEHIGH VALLEY HOSPITAL - SCHUYLKILL. |
| PART I, LINE 7: | THE COSTING METHODOLOGY IS COST TO CHARGE RATIO FOR PROGRAMS WITH GROSS CHARGES AND DIRECT COSTS FOR PROGRAMS WITHOUT GROSS CHARGES. |
| PART I, LINE 7G: | THERE ARE NO PHYSICIAN CLINICAL SERVICES INCLUDED. |
| PART I, LN 7 COL(F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A) IS $5,657,838. |
| PART III, LINE 2: | PATIENT ACCOUNTS WRITTEN OFF AS BAD DEBT ARE IDENTIFIED. THE COST TO PROVIDE CARE TO THESE PATIENTS IS CALCULATED BY MULTIPLYING THE TOTAL CHARGES WRITTEN OFF AS BAD DEBT BY THE COST TO CHARGE RATIO. |
| PART III, LINE 3: | THIS AMOUNT IS THE COST TO PROVIDE CARE TO UNINSURED PATIENTS THAT DO NOT PARTICIPATE IN THE PROCESS TO DETERMINE IF THEY ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE COST IS DETERMINED USING COST TO CHARGE RATIOS. THE RATIONALE FOR INCLUDING THE COST TO PROVIDE CARE TO UNINSURED PATIENTS THAT DO NOT PARTICIPATE IN THE FINANCIAL ASSISTANCE PROCESS IS THE HOSPITAL'S EXPERIENCE WITH UNINSURED PATIENTS THAT DO PARTICIPATE IN THE FINANCIAL ASSISTANCE PROGRAM. WHEN THE HOSPITAL EVALUATES UNINSURED PATIENTS FOR FINANCIAL ASSISTANCE, THE MOST COMMON FINDING IS THAT UNINSURED PATIENTS HAVE INCOME LESS THAN 400% OF THE FEDERAL POVERTY GUIDELINE AND QUALIFY FOR FINANCIAL ASSISTANCE. THE HOSPITAL BELIEVES THAT UNINSURED PEOPLE WHO CHOOSE NOT TO PARTICIPATE IN THE FINANCIAL ASSISTANCE PROCESS AND HAVE THEIR ACCOUNTS WRITTEN OFF AS BAD DEBT, HAVE INCOME THAT WOULD QUALIFY FOR THE HOSPITAL FINANCIAL ASSISTANCE PROGRAM. |
| PART III, LINE 4: | THE ORGANIZATION ESTIMATES AN IMPLICIT PRICE CONCESSION RELATED TO UNINSURED ACCOUNTS, NET OF THE AGB (AMOUNTS GENERALLY BILLED) DISCOUNT, TO RECORD THE NET SELF-PAY ACCOUNTS RECEIVABLE AT THE ESTIMATED AMOUNTS THE ORGANIZATION EXPECTS TO COLLECT. COINSURANCES AND DEDUCTIBLES WITHIN THE THIRD-PARTY PAYER AGREEMENTS ARE THE PATIENT'S RESPONSIBILITY SO THE ORGANIZATION INCLUDES THESE AMOUNTS IN THE SELF-PAY ACCOUNTS RECEIVABLE AND CONSIDERS THESE AMOUNTS IN ITS DETERMINATION OF THE PROVISION FOR UNCOLLECTIBLE DEBTS BASED ON HISTORICAL COLLECTION EXPERIENCE. FOR THE YEARS ENDED JUNE 30, 2021, AND 2020, RESPECTIVELY, LVH-SCHUYLKILL RECORDED A PROVISION FOR IMPLICIT PRICE CONCESSIONS OF $5,116,022 AND $7,266,542 AS A DIRECT REDUCTION TO PATIENT SERVICES REVENUES.IN INSTANCES WHERE THE ORGANIZATION BELIEVES A PATIENT HAS THE ABILITY TO PAY FOR SERVICES AND, AFTER APPROPRIATE COLLECTION EFFORTS, PAYMENT IS NOT MADE, THE UNPAID PORTION OF THE ACCOUNT BALANCE IS WRITTEN-OFF TO THE PROVISION FOR BAD DEBTS. AMOUNTS RECORDED AS PROVISION FOR BAD DEBTS DO NOT INCLUDE CHARITY CARE. |
| PART III, LINE 8: | THE SOURCE OF THE MEDICARE ALLOWABLE COSTS RELATING TO REVENUE RECEIVED FROM MEDICARE IS THE FY2021 MEDICARE COST REPORT. THE ENTIRE SHORTFALL ON LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT. THE REVENUE AND EXPENSES ARE BOTH DETERMINED USING MEDICARE PRINCIPLES. |
| PART III, LINE 9B: | FINANCIAL COUNSELING STAFF WILL DETERMINE WHETHER PATIENTS MEET ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE. ACCOUNTS THAT DO NOT MEET THE ELIGIBLILTY REQUIREMENTS WILL BE REFERRED TO AN EXTERNAL RECEIVABLES FOLLOW UP AGENCY, AND IF NOT PAID, REFERRED TO A COLLECTION AGENCY AND SUBSEQUENTLY TRANSFERRED TO BAD DEBT STATUS IF THE ACCOUNTS REMAIN UNPAID. |
| PART VI, LINE 2: | IN AN EFFORT TO IMPROVE THE OVERALL HEALTH AND WELL-BEING OF THE COMMUNITY, ALL NON-PROFIT HOSPITALS AND HEALTH SYSTEMS MUST IDENTIFY AND EVALUATE THE NEEDS OF THE COMMUNITIES THEY SERVE THROUGH A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS. FOR THE PURPOSES OF THE CHNA, LEHIGH VALLEY HEALTH NETWORK (LVHN) DEFINES "COMMUNITY" AS ALL RESIDENTS LIVING WITHIN THE PRIMARY COUNTIES EACH LICENSED FACILITY SERVES, NAMELY LEHIGH, NORTHAMPTON, SCHUYLKILL, LUZERNE, AND MONROE COUNTIES IN PENNSYLVANIA. THE CHNA HEALTH PROFILE INCLUDES SECONDARY DATA PULLED TOGETHER FROM PUBLICALLY AVAILABLE, STATE AND LOCAL SOURCES SUCH AS THE CENTER FOR DISEASE CONTROL AND THE CENSUS BUREAU. THIS DATA WAS USED TO IDENTIFY THE TOP HEALTH AND SOCIAL NEEDS IN EACH IDENTIFIED COMMUNITY. LVHN THEN PARTNERED WITH COMMUNITY AND EDUCATIONAL INSTITUTIONS TO OBTAIN INPUT (PRIMARY DATA) FROM COMMUNITY MEMBERS IN EACH COUNTY IN ORDER TO VALIDATE THE FINDINGS OF THE SECONDARY DATA COLLECTION. THESE COMMUNITY PARTNERS CONDUCTED FOCUS GROUPS AND KEY INFORMANT INTERVIEWS TO REVIEW THE FINDINGS OF THE SECONDARY DATA COLLECTION AND ALLOW THE COMMUNITY TO IDENTIFY ANY OTHER NEEDS NOT MENTIONED. THE SECONDARY AND PRIMARY DATA WERE THEN COMBINED INTO ONE HEALTH PROFILE FOR EACH COUNTY, WHICH PROVIDES AN OVERVIEW OF THE CURRENT STATE OF HEALTH IN EACH OF THE COUNTIES LVHN SERVES. THESE REPORTS WERE REVIEWED BY LVHN EXECUTIVE LEADERSHIP AT EACH CAMPUS, AND INITIAL HEALTH NEEDS WERE PRIORITIZED BASED ON THE COMMUNITIES INPUT AND LVHN'S ABILITY TO MAKE A DIFFERENCE ON THAT HEALTH NEED. AS PART OF THE AFFORDABLE CARE ACT, STARTING IN 2013, ALL NON-PROFIT HOSPITALS AND HEALTH CARE SYSTEMS ARE REQUIRED TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS. THE CHNA REPORT EXAMINES THE FACTORS THAT IMPACT THE HEALTH AND WELLNESS OF ALL THE PEOPLE IN A PARTICULAR GEOGRAPHIC AREA. BEYOND ITS REGULATORY FUNCTION, THE CHNA IS AN IMPORTANT OVERVIEW OF THE CURRENT STATE OF HEALTH IN OUR REGION AND IDENTIFIES POTENTIAL AREAS OF CONCERN WHICH INFORMS LEHIGH VALLEY HEALTH NETWORK'S (LVHN) POPULATION HEALTH MANAGEMENT EFFORTS. LVHN'S CHNA INCLUDES A HEALTH PROFILE, A REPORT THAT LOOKS AT ALL OF THE FACTORS THAT GO INTO MAKING PEOPLE IN A PARTICULAR AREA HEALTHY. THIS INCLUDES SOCIAL AND ENVIRONMENTAL FACTORS LIKE EMPLOYMENT, EDUCATION AND AIR QUALITY, INDIVIDUAL BEHAVIORS LIKE SMOKING OR HEALTHY EATING, AND THE QUALITY AND AVAILABILITY OF HEALTH CARE IN THEIR AREA. THIS INTRODUCTION PROVIDES AN OVERVIEW OF THE 2019 CHNA HEALTH PROFILE AND LVHN'S CHNA PROCESS. THE 2019 HEALTH PROFILE COMBINES DATA AND INFORMATION FROM LOCAL, STATE AND NATIONAL SOURCES ABOUT DISEASE, THE ENVIRONMENT, SOCIAL FACTORS AND INDIVIDUAL BEHAVIORS, WITH IDEAS, STORIES, AND EXPERIENCES FROM COMMUNITY MEMBERS AND LEADERS FROM THROUGHOUT THE COUNTIES SERVED BY LVHN. THE SECOND COMPONENT OF THE LVHN'S CHNA INCLUDES AN IMPLEMENTATION PLAN, WHICH OUTLINES OUR PLAN TO ADDRESS THE NEEDS IDENTIFIED IN THE HEALTH PROFILE OVER THE COURSE OF THE NEXT THREE YEARS. THE 2019 IMPLEMENTATION PLAN WILL BE SHARED AS A SEPARATE REPORT SOON AFTER THE HEALTH PROFILES ARE RELEASED.THE 2019 LVHN CHNA HEALTH PROFILE IS BROKEN OUT INTO THREE PRIMARY SECTIONS: DEMOGRAPHICS, HEALTH FACTORS, AND HEALTH OUTCOMES. THE DEMOGRAPHICS SECTION INCLUDES INFORMATION THAT PROVIDES A DESCRIPTION OF THE INDIVIDUALS LIVING IN THE COMMUNITY. THE HEALTH FACTORS SECTION INCLUDES INFORMATION ABOUT SOCIAL FACTORS, ENVIRONMENTAL FACTORS, HEALTH BEHAVIORS, AND THE QUALITY AND AVAILABILITY OF HEALTH CARE IN THE AREA. THE FINAL SECTION, HEALTH OUTCOMES, LOOKS AT THE OCCURRENCE OF CHRONIC CONDITIONS, SUCH AS ASTHMA AND HEART DISEASE, AS WELL AS RATES OF CANCER AND THE LEADING CAUSES OF DEATH. TO INCREASE THE READABILITY OF THE REPORT, THE COMMUNITY WILL FIND THREE TYPES OF CALL-OUT BOXES THROUGHOUT THE CHNA HEALTH PROFILES. THE FIRST TYPE SUMMARIZES SOME OF THE DATA PRESENTED ON THAT PAGE IN ORDER TO PROVIDE EASY-TO-READ, SUMMARY STATEMENTS OF IMPORTANT DATA ABOUT THE COMMUNITY. THESE SUMMARY STATEMENTS ARE ALSO COMPILED INTO ONE LIST AT THE END OF THE HEALTH PROFILE. THE SECOND TYPE PROVIDES INFORMATION FROM THE INTERVIEWS AND FOCUS GROUPS. THE THIRD TYPE OF CALL-OUT BOX HIGHLIGHTS DATA SPECIFIC TO LVHN PATIENTS, WHERE IT WAS RELEVANT. THESE REPORTS HAVE BEEN REVIEWED AND APPROVED BY LVHN'S BOARD OF TRUSTEES AS WELL AS THE COMMUNITY RELATIONS COMMITTEE OF THE BOARD.VISIT HTTPS://WWW.LVHN.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-REPORTS TO VIEW THE SIGNIFICANT NEEDS IDENTIFIED IN OUR MOST RECENTLY CONDUCTED CHNA AND HOW WE ARE ADDRESSING THOSE NEEDS. |
| PART VI, LINE 3: | EACH PATIENT IS REGISTERED INTO THE HOSPITAL COMPUTER SYSTEM WHEN THEY ARRIVE FOR SERVICES. AS PART OF THE REGISTRATION, INFORMATION IS OBTAINED ON ANY HEALTH INSURANCE THEY HAVE. INDIVIDUALS WITHOUT HEALTH INSURANCE ARE INFORMED AT THAT TIME OF THE MEDICAL CENTER'S CHARITY CARE POLICY. PATIENTS ARE GIVEN INFORMATION ON CONTACTING STAFF WITHIN THE HOSPITAL PATIENT ACCOUNTING DEPARTMENT TO DISCUSS APPLYING FOR THE HOSPITAL CHARITY CARE PROGRAM. SPECIFIC STAFF HAVE BEEN TRAINED AND ARE RESPONSIBLE FOR ADMINISTERING THE CHARITY CARE PROGRAM FOR THE HOSPITAL. HOSPITAL STAFF CONTACT PATIENTS WITHOUT INSURANCE AND EXPLAIN THE POLICY AND THE INFORMATION NEEDED TO APPLY. HOSPITAL STAFF WILL ALSO ASSIST PATIENTS IN APPLYING FOR MEDICAL ASSISTANCE. THEY WILL ALSO ASSIST PATIENTS IN COMPLETING THE APPLICATION AND GATHERING THE NECESSARY FINANCIAL DOCUMENTS.THE HOSPITAL ALSO POSTS INFORMATION WITHIN THE ADMISSION AND EMERGENCY ROOM AREAS INFORMING PATIENTS THAT THERE IS A CHARITY CARE POLICY AVAILABLE. ALL REGISTRATION PERSONNEL ARE TRAINED ON THE POLICY SO THAT THEY ARE ABLE TO INFORM PATIENTS WHEN THEY ARE REGISTERED.OTHER HOSPITAL STAFF MEMBERS THAT MAY COME IN CONTACT WITH PATIENTS ARE ALSO EDUCATED REGARDING THE CHARITY CARE POLICY. THIS WOULD INCLUDE SOCIAL WORKERS, CARE MANAGERS, NURSING STAFF, AND ALL DEPARTMENT DIRECTORS. THE CHARITY CARE POLICY IS AVAILABLE ON THE HOSPITAL INTRANET WHICH IS ACCESSIBLE BY ALL EMPLOYEES. THE HOSPITAL IS ALSO IN THE PROCESS OF PLACING THE POLICY ON THE HOSPITAL WEBSITE.ALL PATIENT ACCOUNTING, CASHIERING, AND COLLECTION STAFF ARE ALSO EDUCATED ON THE CHARITY CARE POLICY AND CAN ASSIST PATIENTS IN APPLYING FOR CHARITY CARE. ALSO ALL THIRD PARTY ORGANIZATIONS THAT WORK ON BEHALF OF THE MEDICAL CENTER IN PERFORMING COLLECTIONS HAVE BEEN EDUCATED ON THE CHARITY CARE POLICY AND CAN ADVISE PATIENTS ON APPLYING FOR THIS BENEFIT. |
| PART VI, LINE 4: | THE PRIMARY SERVICE AREA OF LVH-SCHUYLKILL IS COMPRISED PRIMARILY OF SCHUYLKILL COUNTY. BASED ON U.S. CENSUS BUREAU DATA FOR THE 2010 CENSUS, THE PRIMARY SERVICE AREA POPULATION WAS APPROXIMATELY 148,289 PEOPLE. DURING THE CALENDAR YEAR 2020, ABOUT 96.8% OF THE DISCHARGES FROM LVH-SCHUYLKILL WERE RESIDENTS OF THE PRIMARY SERVICE AREA. ACCORDING TO THE 2020 U.S. DECENNIAL CENSUS, THE PRIMARY SERVICE AREA'S ESTIMATED POPULATION IN 2020 IS 143,049.THE 2010 POPULATION OF THE SECONDARY SERVICE AREA WAS APPROXIMATELY 1,147,106, AN EXTENSIVE GEOGRAPHIC AREA WITH A SMALL PATIENT DISTRIBUTION OVER FOUR COUNTIES. DURING THE CALENDAR YEAR 2020, ABOUT 2.8% OF THE DISCHARGES FROM LVH-SCHUYLKILL WERE RESIDENTS OF THE SECONDARY SERVICE AREA. THE 2019 U.S. CENSUS AMERICAN COMMUNITY SURVEY ESTIMATE OF THE SECONDARY SERVICE AREA IS 1,189,749.DURING THE CALENDAR YEAR 2020, 0.4% OF THE DISCHARGES FROM LVH-SCHUYLKILL WERE RESIDENTS OUTSIDE THE PRIMARY AND SECONDARY SERVICE AREAS. BASED ON PROPRIETARY DATA ESTIMATES (SCANUS), THE COMBINED PRIMARY AND SECONDARY SERVICE AREAS' CURRENT POPULATION PROJECTION DECREASES BY APPROXIMATELY -1.3% BY 2026. |
| PART VI, LINE 5: | THE BOARD OF LVH-S IS COMPRISED OF SEVENTEEN INDIVIDUALS, FIFTEEN OF WHOM ARE FROM THE SCHUYLKILL COUNTY COMMUNITY WHO ARE NOT EMPLOYED BY THE HOSPITAL. THEY ARE INVOLVED IN EDUCATION, SOCIAL SERVICES, GERIATRIC SERVICES, MATERNAL/CHILD SERVICES, PRIMARY MEDICAL CARE, CRIMINAL JUSTICE, SMALL BUSINESS AND MANUFACTURING. ALL PHYSICIANS ARE ENCOURAGED TO APPLY FOR MEDICAL STAFF PRIVILEGES FOR THE MEDICAL CENTER.LVH-S ALSO WORKS WITH VARIOUS COMMUNITY ORGANIZATIONS TO HELP IDENTIFY COMMUNITY NEEDS AND WORK TOGETHER TO MEET THOSE NEEDS. THE MEDICAL CENTER HAS INPATIENT ADOLESCENT AND ADULT BEHAVIORAL HEALTH SERVICES AVAILABLE TO THE RESIDENTS OF SCHUYLKILL COUNTY. THIS ALLOWS COUNTY RESIDENTS TO OBTAIN NECESSARY INPATIENT CARE WITHIN THE COUNTY WITHOUT REQUIRING FAMILIES TO TRAVEL OUTSIDE OF THE COUNTY. THE MEDICAL CENTER ALSO HAS A CERTIFIED DIABETES EDUCATOR AVAILABLE TO CONSULT WITH PATIENTS AND ALSO WITH PHYSICIANS WHEN THEY HAVE A PATIENT THAT IS NEWLY DIAGNOSED WITH DIABETES. THE MEDICAL CENTER IS THE ONLY FACILITY IN THE COUNTY WITH A MATERNITY DEPARTMENT AND NEWBORN NURSERY. THIS ALLOWS COUNTY RESIDENTS TO REMAIN IN THE COUNTY FOR MATERNITY CARE. MORE THAN 50% OF THE BIRTHS EACH YEAR ARE MEDICAID.THE EMERGENCY DEPARTMENT OF LVH-S IS A 24-HOUR EMERGENCY ROOM AVAILABLE TO ALL REGARDLESS OF THEIR ABILITY TO PAY. THE MEDICAL CENTER PARTICIPATES IN MANY INSURANCE PROGRAMS SUCH AS MEDICARE, MEDICAID, CHAMPUS, AND VA. THE MEDICAL CENTER ALSO HAS A CHARITY CARE POLICY THAT PROVIDES ASSISTANCE TO ELIGIBLE INDIVIDUALS IN PROVIDING FREE OR DISCOUNTED CARE BASED ON THEIR ABILITY TO PAY AND THE FEDERAL POVERTY GUIDELINES.LVH-S ALSO PROVIDES OPPORTUNITIES TO STUDENTS IN HEALTHCARE FIELDS TO GAIN EXPERIENCE WORKING IN THE HEALTH CARE ENVIRONMENT SUCH AS NURSING STUDENTS (RN AND LPN), PHARMACY STUDENTS, PHYSICIAN ASSISTANT STUDENTS, PHYSICAL THERAPY STUDENTS, RADIOLOGY TECHNICIANS AND MEDICAL ASSISTANTS. THE MEDICAL CENTER ALSO PROVIDES A VOLUNTEER PROGRAM FOR JUNIOR HIGH AND HIGH SCHOOL STUDENTS TO BECOME FAMILIAR WITH THE MEDICAL SERVICES OFFERED AND THE EDUCATIONAL OPPORTUNITIES AVAILABLE WITHIN THE HEALTHCARE ENVIRONMENT.THE HOSPITAL ALSO SPONSORS AND PARTICIPATES IN HEALTH FAIRS AT COMMUNITY EVENTS SUCH AS THE COUNTY FAIR, EVENTS AT THE LOCAL MALL, HEALTH SCREENINGS, BLOOD PRESSURE SCREENINGS AND CLINICS, VETERANS BREAKFAST EVENT, MEALS ON WHEELS, SKIN CANCER SCREENINGS, MAMMOGRAPHY SCREENINGS, SUPPORT GROUPS, AND LOCAL AMERICAN CANCER SOCIETY RELAY FOR LIFE.ANY EXCESS FUNDS THAT ARE GENERATED FROM THE OPERATIONS ARE INVESTED BACK INTO THE MEDICAL CENTER BY PURCHASING THE NECESSARY CAPITAL EQUIPMENT, FUNDING CAPITAL IMPROVEMENT PROJECTS, FUNDING NEW SERVICES, IMPROVING AND EXPANDING EXISTING SERVICES, AND ANY OTHER GENERAL IMPROVEMENTS TO PATIENT CARE. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THOMAS MARCHOZZI | ||||||||||||||
| ASSISTANT TREASURER | $0 | $700,813 | $0 | $299,964 | $0 | -$4,597 | $0 | $0 | $0 | $37,017 | $0 | $1,033,197 | $0 | $0 |
| WILLIAM J REPPY | ||||||||||||||
| TRUSTEE | $340,979 | $0 | $44,625 | $0 | $63,635 | $0 | $0 | $0 | $8,550 | $0 | $457,789 | $0 | $0 | $0 |
| LAWRENCE RIDDLES MD | ||||||||||||||
| PRESIDENT/TRUSTEE | $404,416 | $0 | $59,314 | $0 | $70,221 | $0 | $0 | $0 | $33,274 | $0 | $567,225 | $0 | $0 | $0 |
| DIANE BORIS | ||||||||||||||
| VP, FINANCE | $145,125 | $0 | $9,049 | $0 | -$2,192 | $0 | $0 | $0 | $22,024 | $0 | $174,006 | $0 | $0 | $0 |
| SUE CURRY | ||||||||||||||
| VP, PATIENT CARE SERVICES | $203,873 | $0 | $19,233 | $0 | -$4,175 | $0 | $0 | $0 | $25,842 | $0 | $244,773 | $0 | $0 | $0 |
| THOMAS V WHALEN MD MMM | ||||||||||||||
| FORMER TRUSTEE | $0 | $753,598 | $0 | $322,405 | $0 | $247,755 | $0 | $0 | $0 | $44,785 | $0 | $1,368,543 | $0 | $0 |
| CYNTHIA M SCHAFFER | ||||||||||||||
| REGISTERED NURSE | $190,156 | $0 | $14,520 | $0 | -$4,819 | $0 | $0 | $0 | $28,113 | $0 | $227,970 | $0 | $0 | $0 |
| JOSHUA M LECH | ||||||||||||||
| REGISTERED NURSE | $162,296 | $0 | $17,190 | $0 | -$1,866 | $0 | $0 | $0 | $12,436 | $0 | $190,056 | $0 | $0 | $0 |
| GREGORY J IEZZI | ||||||||||||||
| REGISTERED NURSE | $162,041 | $0 | $9,853 | $0 | -$4,893 | $0 | $0 | $0 | $32,956 | $0 | $199,957 | $0 | $0 | $0 |
| GAIL A WOOD | ||||||||||||||
| REGISTERED NURSE | $154,151 | $0 | $12,090 | $0 | -$3,087 | $0 | $0 | $0 | $20,177 | $0 | $183,331 | $0 | $0 | $0 |
| ROBERT G KARETSKY | ||||||||||||||
| DIRECTOR, PHARMACY | $154,158 | $0 | $7,271 | $0 | $1,976 | $0 | $0 | $0 | $0 | $0 | $163,405 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN OF LEHIGH VALLEY HOSPITAL - SCHUYLKILL AND RECEIVED A DISTRIBUTION IN CALENDAR YEAR 2020: WILLIAM J. REPPY, TRUSTEE - $53,253 LAWRENCE RIDDLES, MD, PRESIDENT/TRUSTEE - $65,193 THE FOLLOWING INDIVIDUAL PARTICIPATED IN THE 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN OF LEHIGH VALLEY HOSPITAL, A RELATED ORGANIZATION, AND RECEIVED A DISTRIBUTION IN CALENDAR YEAR 2020: THOMAS V. WHALEN, MD, MMM, FORMER TRUSTEE - $235,792 | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY OF POTTSVILLE HOSPITAL AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 232289554 | BondIssuerEIN |
| CUSIP | 738435CQ7 | CUSIPNum |
| Bond Issued | 2016-12-20 | BondIssuedDt |
| Issue Price | $56,602,260 | IssuePriceAmt |
| Purpose | PURCHASE OF HOSPITAL FACILITIES | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $56,774,641 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $772,198 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $55,996,318 | CapitalExpendituresAmt |
| Unspent | $6,125 | UnspentAmt |
| Substantial Completion | 2018 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | 0 | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | 0 | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | Yes (1) | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION'S SOLE CORPORATE MEMBER IS LEHIGH VALLEY HEALTH NETWORK, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE ORGANIZATION'S SOLE CORPORATE MEMBER, LEHIGH VALLEY HEALTH NETWORK, INC., HAS THE POWER TO ELECT, APPOINT, APPROVE, OR REJECT MEMBERS OF THE ORGANIZATION'S GOVERNING BODY. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE ORGANIZATION'S SOLE CORPORATE MEMBER, LEHIGH VALLEY HEALTH NETWORK, INC., HAS THE POWER TO APPROVE OR REJECT CERTAIN MAJOR OPERATING DECISIONS MADE BY THE ORGANIZATION'S GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE PROCESS TO REVIEW THE 990'S INCLUDES: DRAFT 1 OF THE RETURNS IS REVIEWED IN DETAIL WITH A FOCUS ON ACCURACY, COMPLETENESS, AND PERSPECTIVE BY THE LVHN VICE-PRESIDENT, FINANCE AND CONTROLLER. DRAFT 2 OF THE RETURNS IS REVIEWED BY THE EXECUTIVE VICE PRESIDENT & CHIEF FINANCIAL OFFICER. ALL COMPENSATION DISCLOSURES ARE REVIEWED BY THE DIRECTOR, COMPENSATION - HUMAN RESOURCES. DRAFT 3 OF THE RETURNS IS REVIEWED TOGETHER WITH THE PRESIDENT & CEO, THE EXECUTIVE VICE PRESIDENT & CHIEF FINANCIAL OFFICER, THE VICE-PRESIDENT, FINANCE AND CONTROLLER AND THE DIRECTOR, TAX. FINAL RETURNS ARE REVIEWED WITH THE LVHN BOARD LEADERSHIP GROUP (THE BOARD CHAIR AND THREE VICE CHAIRS). COPIES OF ALL 990'S ARE PROVIDED TO THE FULL BOARD PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | IN JANUARY 2016, LVHN IMPLEMENTED AN ELECTRONIC TOOL DESIGNED TO SEND NOTIFICATIONS AND TRACK DISCLOSURES REPORTED ON CONFLICT OF INTEREST QUESTIONNAIRES. THE NETWORK ALSO EXPANDED THE SCOPE OF THE CONFLICT OF INTEREST OR COMMITMENT POLICY, SUCH THAT ADDITIONAL COLLEAGUES ARE NOW REQUIRED TO COMPLETE A QUESTIONNAIRE EACH YEAR. PRIOR TO JANUARY, THE VP, INTERNAL AUDIT AND COMPLIANCE SERVICES ISSUED A NOTICE TO BOARD MEMBERS AND MEMBERS OF THE SENIOR MANAGEMENT COUNCIL WHEN IT WAS TIME FOR THEM TO SUBMIT THEIR CONFLICT OF INTEREST QUESTIONNAIRES. THE VP ALSO INSTRUCTED MEMBERS OF THE SENIOR MANAGEMENT COUNCIL TO IDENTIFY AND REQUEST COMPLETED CONFLICT OF INTEREST QUESTIONNAIRES FROM INDIVIDUALS WHO HAD POTENTIAL CONFLICTS OF INTEREST AND TO PROVIDE HER WITH THE IDENTITY OF THOSE INDIVIDUALS. COMPLIANCE SERVICES TRACKED COMPLETION OF THE QUESTIONNAIRES. ALL PHYSICIANS ON LVHN'S MEDICAL STAFF ARE ALSO REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. MEDICAL STAFF SERVICES MONITORS THIS PROCESS TO ENSURE THAT ALL PHYSICIANS COMPLY. POTENTIAL CONFLICTS ARE MANAGED BY THE LVHN CONFLICT OF INTEREST COMMITTEE AND/OR BY THE BOARD OF TRUSTEES, DEPENDING ON WHOSE INTEREST(S) POSE THE CONFLICT AND THE NATURE OF THE CONFLICT. |
| FORM 990, PART VI, SECTION B, LINE 15 | LEHIGH VALLEY HEALTH NETWORK 2021 EXECUTIVE COMPENSATION REVIEW IN COMPLIANCE WITH THE REBUTTABLE PRESUMPTION OF REASONABLENESS PROCESS OUTLINED IN THE INTERMEDIATE SANCTIONS REGULATIONS (ISSUED UNDER SECTION 4958 OF THE INTERNAL REVENUE CODE); SULLIVAN COTTER AND ASSOCIATES, INC. (SULLIVAN COTTER) QUALIFIES AS AN INDEPENDENT EXECUTIVE COMPENSATION EXPERT, SPECIALIZING IN THE HEALTH CARE INDUSTRY. SULLIVAN COTTER PROVIDES ADVICE TO THE LEHIGH VALLEY HEALTH NETWORK EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES TO SUPPORT ITS ATTAINMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS REGULATIONS. THEY ALSO SUPPORT THE COMMITTEE IN ENSURING THAT THE LVHN EXECUTIVE COMPENSATION PROGRAM IS COMPETITIVE AND ALIGNED WITH THE ORGANIZATION'S EXECUTIVE COMPENSATION PHILOSOPHY. CHIEF EXECUTIVE OFFICER TOTAL COMPENSATION REVIEW: PROGRAM ANALYSIS: ANALYZE THE MARKET POSITION OF TOTAL COMPENSATION (BASE SALARY, INCENTIVE, BENEFITS, AND PERQUISITES) FOR LVHN'S PRESIDENT AND CHIEF EXECUTIVE OFFICER (CEO) IN RELATION TO CEO MARKET DATA OBTAINED FOR A DEFINED PEER GROUP OF COMPARABLE HEALTH SYSTEMS. THIS INCLUDES THE PREPARATION OF TALLY SHEETS FOR THE PRESIDENT AND CEO AS WELL AS AN ANALYSIS OF FORM 990 COMPENSATION DATA. THEY ASSESS THE ALIGNMENT OF THE PRESIDENT AND CEO'S COMPENSATION WITH LVHN'S COMPENSATION PHILOSOPHY AND NOTE THE IMPLICATIONS OF THE REVIEW. SULLIVAN COTTER'S ANALYSES AND FINDINGS ARE SUMMARIZED IN A REPORT TO THE COMMITTEE THAT PROVIDES A REASONABLENESS OPINION FOR THE INTERMEDIATE SANCTIONS COMPLIANCE. THE REPORT WAS PROVIDED BY SULLIVAN COTTER AT THE AUGUST 11, 2020 EXECUTIVE COMPENSATION COMMITTEE MEETING. CEO COUNCIL EXECUTIVE TOTAL COMPENSATION REVIEW: PROGRAM ANALYSIS: ANALYZE THE MARKET POSITION OF TOTAL COMPENSATION (SALARIES, INCENTIVES, BENEFITS, AND PERQUISITES) FOR LVHN'S CEO COUNCIL EXECUTIVES (APPROXIMATELY 10 TOTAL POSITIONS) IN RELATION TO COMPARABLE POSITIONS IN PEER ORGANIZATIONS. THIS INCLUDES THE PREPARATION OF TALLY SHEETS FOR EACH INDIVIDUAL. SULLIVAN COTTER'S ANALYSES AND FINDINGS ARE SUMMARIZED IN A REPORT TO THE COMMITTEE THAT ALSO PROVIDES AN OPINION OF REASONABLENESS FOR INTERMEDIATE SANCTIONS COMPLIANCE. THE REPORT WAS PROVIDED BY SULLIVAN COTTER AT THE AUGUST 11, 2020 EXECUTIVE COMPENSATION COMMITTEE MEETING. SUMMARY OF METHODOLOGY TO CONDUCT THIS ANALYSIS, SULLIVAN COTTER: COLLECTED BACKGROUND INFORMATION REGARDING LVHN'S OPERATIONS, STRUCTURE, SIZE AND SCOPE, AS WELL AS EACH POSITION'S DUTIES. COMPILED MARKET DATA FOR CEO COUNCIL EXECUTIVES CONSISTENT WITH THE EXECUTIVE COMPENSATION PHILOSOPHY APPROVED BY THE COMMITTEE DURING ITS SEPTEMBER 18, 2020 MEETING: THE MARKET DATA USED FOR LVHN SYSTEM EXECUTIVES IN THIS ASSESSMENT ARE AN EQUALLY WEIGHTED BLEND OF: (1) LVHN'S COMMITTEE-APPROVED PEER GROUP OF 27 NOT-FOR-PROFIT HEALTH SYSTEMS LOCATED IN THE NORTHEAST (EXCLUDING NEW YORK CITY) WITH NET OPERATING REVENUES BETWEEN $1.8 BILLION AND $7.6 BILLION (MEDIAN OF $2.9 BILLION); AND (2) NATIONAL DATA REFLECTING ORGANIZATIONS OF SIMILAR SCOPE AND SIZE TO LVHN. PEER GROUP AND NATIONAL MARKET DATA WERE ABSTRACTED FROM SULLIVAN COTTER'S 2020 SURVEY OF MANAGER AND EXECUTIVE COMPENSATION IN HOSPITALS AND HEALTH SYSTEMS, AS WELL AS OTHER PUBLISHED COMPENSATION SURVEYS REFLECTING PAY AT COMPARABLY SIZED ORGANIZATIONS, WHICH INCLUDED NATIONAL HOSPITALS AND NATIONAL MEDICAL GROUPS. COMPILED MARKET DATA FOR THE LVHN CLINICAL CHAIRS PREPARED BY THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES (AAMC) FOR THE CHAIRS OF CLINICAL DEPARTMENTS IN MEDICAL SCHOOLS, LVHN'S TRADITIONAL COMPARATOR GROUP FOR THESE JOBS. ADJUSTED THE MARKET DATA TO AN EFFECTIVE DATE OF JANUARY 1, 2021 AT AN ANNUALIZED RATE OF 3.0% BASED ON SALARY INCREASE TRENDS. COMPARED EACH COMPONENT OF LVHN'S BENEFIT PROGRAM AGAINST TYPICAL MARKET BENEFIT PRACTICES IN HEALTH SYSTEMS AND HOSPITALS BASED ON MULTIPLE PUBLISHED SURVEYS, SUPPLEMENTED BY SULLIVAN COTTER'S PROPRIETARY DATA AND EXPERIENCE. DEVELOPED MARKET TOTAL COMPENSATION DATA BY COMBINING MARKET TCC WITH TYPICAL MARKET BENEFIT COSTS. COMPARED LVHN'S TC TO MARKET RATES AND ASSESSED OVERALL POSITIONING. FOR PHYSICIAN EXECUTIVES HAVING BOTH CLINICAL AND ADMINISTRATIVE ROLES, RELEVANT MARKET DATA WERE COLLECTED BASED ON FTE ALLOCATION. SULLIVAN COTTER HAS NOT COMPLETED AN ASSESSMENT OF THE PHYSICIANS' PRODUCTIVITY OR THE FAIR MARKET VALUE (FMV) OF THEIR CLINICAL COMPENSATION, AS LVHN HAS ADVISED THAT SUCH AMOUNTS ARE APPROPRIATE AND WITHIN FMV. SULLIVAN COTTER USED THE FOLLOWING METHODOLOGY TO ASSESS THE COMPETITIVENESS AND REASONABLENESS OF LVHN'S EXECUTIVE TOTAL COMPENSATION LEVELS: COLLECTED BACKGROUND INFORMATION REGARDING LVHN'S OPERATIONS, STRUCTURE, SIZE AND SCOPE. COLLECTED INFORMATION ON EACH CEO COUNCIL EXECUTIVE MEMBER'S CURRENT COMPENSATION. DATA COLLECTED INCLUDE BASE SALARIES, ANNUAL INCENTIVE OPPORTUNITY LEVELS (TARGET AND MAXIMUM), ACTUAL ANNUAL INCENTIVE PAYOUT AMOUNTS, ANNUAL COSTS OF ALL STANDARD AND SUPPLEMENTAL BENEFITS AND ANNUAL COST AND DESCRIPTION OF EXECUTIVE PERQUISITES. REVIEWED JOB DESCRIPTIONS AND ORGANIZATIONAL CHARTS TO IDENTIFY EACH POSITION'S FUNCTIONAL RESPONSIBILITIES AND REPORTING RELATIONSHIPS. SELECTED THE APPROPRIATE BENCHMARK POSITION MATCH FOR EACH POSITION AND APPLIED PREMIUMS/DISCOUNTS TO THE MARKET DATA IN INSTANCES WHERE LVHN'S JOB DUTIES DIFFER MATERIALLY FROM BENCHMARK POSITION MATCHES. POSITION MATCHES AND MARKET ADJUSTMENTS WERE REVIEWED WITH LVHN'S SENIOR VICE PRESIDENT, HUMAN RESOURCES AND COMPENSATION STAFF. LVHN'S PROJECTED FY2020 NET REVENUES AND PHYSICIAN FTE'S WERE USED AS THE SCOPE SIZE FOR EACH ENTITY. |
| FORM 990, PART VI, SECTION C, LINE 18 | ANOTHER WEBSITE - GUIDESTAR. UPON REQUEST - HARD COPIES WITH SENIOR MANAGEMENT AND MARKETING DEPARTMENT. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH ITS ANNUAL REPORT TO THE COMMUNITY. THE ANNUAL REPORT IS DISTRIBUTED TO ALL ATTENDEES AT THE ORGANIZATIONS ANNUAL PUBLIC MEETING. THE ANNUAL REPORT IS AVAILABLE ON THE ORGANIZATION'S WEBSITE - WWW.LVHN.ORG. IN ADDITION, IT IS DISTRIBUTED VIA MAIL TO MEMBERS OF THE COMMUNITY. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. |
| FORM 990, PART XI, LINE 9: | TRANSFERS TO/FROM AFFILIATES -9,537,304. PENSION LIABILITY ADJUSTMENT 8,051,000. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| FAMILY CARE CENTERS INC | |||||||||||
| 206 E BROWN STREET | EAST STROUDSBURG | PA | 183013006 | 232349341 | PHYSICIAN PRACTICE ORGANIZATION | PA | 501(C)(3) | LINE 3 | LEHIGH VALLEY PHYSICIAN GROUP | 0 | |
| HAZLETON HEALTH & WELLNESS CENTER | |||||||||||
| 700 E BROAD STREET | HAZLETON | PA | 182016835 | 232580968 | STAFFING SERVICES | PA | 501(C)(3) | LINE 12B, II | NORTHEASTERN PENNSYLVANIA HEALTH CORP | 0 | |
| HAZLETON PROFESSIONAL SERVICES | |||||||||||
| 700 E BROAD STREET | HAZLETON | PA | 182016835 | 205880364 | PHYSICIAN PRACTICE ORGANIZATION | PA | 501(C)(3) | LINE 3 | LEHIGH VALLEY PHYSICIAN GROUP | 0 | |
| HAZLETON SURGICAL ALLIANCE | |||||||||||
| 700 E BROAD STREET | HAZLETON | PA | 182016835 | 202038456 | SURGICAL SERVICES | PA | 501(C)(3) | LINE 3 | NORTHEASTERN PENNSYLVANIA HEALTH CORP | 0 | |
| LEHIGH VALLEY HEALTH NETWORK | |||||||||||
| 1200 S CEDAR CREST BLVD | ALLENTOWN | PA | 181036202 | 222458317 | PARENT COMPANY | PA | 501(C)(3) | LINE 12C, III-FI | 0 | N/A | |
| LEHIGH VALLEY HEALTH NETWORK REALTY HOLDING CO | |||||||||||
| 1200 S CEDAR CREST BLVD | ALLENTOWN | PA | 181036202 | 232586770 | REAL ESTATE HOLDING CO. | PA | 501(C)(2) | LEHIGH VALLEY HEALTH NETWORK | 0 | ||
| LEHIGH VALLEY HOSPITAL | |||||||||||
| 2100 MACK BLVD | ALLENTOWN | PA | 181035622 | 231689692 | HEALTH CARE ORGANIZATION | PA | 501(C)(3) | LINE 3 | LEHIGH VALLEY HEALTH NETWORK | 0 | |
| LEHIGH VALLEY HOSPITAL - COORDINATED HEALTH ALLENTOWN | |||||||||||
| 2100 MACK BLVD | ALLENTOWN | PA | 181035622 | 843843850 | HEALTH CARE ORGANIZATION | PA | 501(C)(3) | LINE 3 | LEHIGH VALLEY HEALTH NETWORK | 0 | |
| LEHIGH VALLEY HOSPITAL - COORDINATED HEALTH BETHLEHEM | |||||||||||
| 2100 MACK BLVD | ALLENTOWN | PA | 181035622 | 843864735 | HEALTH CARE ORGANIZATION | PA | 501(C)(3) | LINE 3 | LEHIGH VALLEY HEALTH NETWORK | 0 | |
| LEHIGH VALLEY PHYSICIAN GROUP | |||||||||||
| 1200 S CEDAR CREST BLVD | ALLENTOWN | PA | 181036202 | 232700908 | PHYSICIAN PRACTICE ORGANIZATION | PA | 501(C)(3) | LINE 3 | LEHIGH VALLEY HEALTH NETWORK | 0 | |
| LVHN AMBULATORY SURGERY CENTER OF LOPATCONG INC | |||||||||||
| 2100 MACK BLVD | ALLENTOWN | PA | 181035622 | 844004771 | HEALTH CARE ORGANIZATION | NJ | 501(C)(3) | LINE 3 | LEHIGH VALLEY HOSPITAL - COORDINATED HEALTH ALLENTOWN | 0 | |
| LVHN COORDINATED PROFESSIONAL PRACTICE | |||||||||||
| 2100 MACK BLVD | ALLENTOWN | PA | 181035622 | 843878831 | PHYSICIAN PRACTICE ORGANIZATION | PA | 501(C)(3) | LINE 3 | LEHIGH VALLEY HOSPITAL - COORDINATED HEALTH ALLENTOWN | 0 | |
| LVHN SCRANTON ORTHOPEDIC SPECIALISTS | |||||||||||
| 2100 MACK BLVD | ALLENTOWN | PA | 181035622 | 843987128 | HEALTH CARE ORGANIZATION | PA | 501(C)(3) | LINE 3 | LEHIGH VALLEY HEALTH NETWORK | 0 | |
| MUHLENBERG REALTY CORPORATION | |||||||||||
| 1200 S CEDAR CREST BLVD | ALLENTOWN | PA | 181036202 | 232245513 | REAL ESTATE RENTALS | PA | 501(C)(3) | LINE 12C, III-FI | LEHIGH VALLEY HEALTH NETWORK | 0 | |
| NORTHEASTERN PENNSYLVANIA HEALTH CORP | |||||||||||
| 700 E BROAD STREET | HAZLETON | PA | 182016835 | 232421970 | HEALTH CARE ORGANIZATION | PA | 501(C)(3) | LINE 3 | LEHIGH VALLEY HEALTH NETWORK | 0 | |
| POCONO AMBULATORY SERVICES INC | |||||||||||
| 206 E BROWN STREET | EAST STROUDSBURG | PA | 183013006 | 232611474 | HEALTH CARE ORGANIZATION | PA | 501(C)(3) | LINE 3 | POCONO HEALTH SYSTEM | 0 | |
| POCONO HEALTH FOUNDATION | |||||||||||
| 206 E BROWN STREET | EAST STROUDSBURG | PA | 183013006 | 232516451 | FUNDRAISING | PA | 501(C)(3) | LINE 12A, I | POCONO HEALTH SYSTEM | 0 | |
| POCONO HEALTH SYSTEM | |||||||||||
| 206 E BROWN STREET | EAST STROUDSBURG | PA | 183013006 | 232336285 | SUPPORT RELATED ORGANIZATIONS | PA | 501(C)(3) | LINE 12B, II | LEHIGH VALLEY HEALTH NETWORK | 0 | |
| POCONO HEALTH SYSTEM MEDICAL PROFESSIONAL LIABILITY SELF-INSURANCE TRUST | |||||||||||
| 206 E BROWN STREET | EAST STROUDSBURG | PA | 183013006 | 206560453 | SELF-INSURANCE | PA | 501(C)(3) | LINE 12A, I | POCONO HEALTH SYSTEM | 0 | |
| POCONO HEALTHCARE PARTNERS | |||||||||||
| 206 E BROWN STREET | EAST STROUDSBURG | PA | 183013006 | 233014006 | HEALTH CARE ORGANIZATION | PA | 501(C)(3) | LINE 3 | POCONO HEALTH SYSTEM | 0 | |
| POCONO MEDICAL CENTER | |||||||||||
| 206 E BROWN STREET | EAST STROUDSBURG | PA | 183013006 | 240795623 | HEALTH CARE ORGANIZATION | PA | 501(C)(3) | LINE 3 | POCONO HEALTH SYSTEM | 0 | |
| POCONO VNA-HOSPICE | |||||||||||
| 206 E BROWN STREET | EAST STROUDSBURG | PA | 183013006 | 232535297 | HEALTH CARE ORGANIZATION | PA | 501(C)(3) | LINE 10 | POCONO HEALTH SYSTEM | 0 | |
| SCHUYLKILL HEALTH SYSTEM MEDICAL GROUP INC | |||||||||||
| 700 E NORWEGIAN STREET | POTTSVILLE | PA | 179012710 | 232866006 | PHYSICIAN PRACTICE ORGANIZATION | PA | 501(C)(3) | LINE 10 | LEHIGH VALLEY PHYSICIAN GROUP | 0 | |
| SCHUYLKILL REHABILITATION CENTER INC | |||||||||||
| 420 S JACKSON STREET | POTTSVILLE | PA | 179013625 | 232440891 | HEALTH CARE ORGANIZATION | PA | 501(C)(3) | LINE 3 | LEHIGH VALLEY HEALTH NETWORK | 0 | |
| WEST END COMMUNITY AMBULANCE ASSOCIATION | |||||||||||
| 206 E BROWN STREET | EAST STROUDSBURG | PA | 183013006 | 232532377 | AMBULATORY MEDICAL SERVICES | PA | 501(C)(3) | LINE 10 | POCONO HEALTH SYSTEM | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Share Of Total IncomeShareOfTotalIncomeAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EASTERN PA ENDOSCOPY CENTER LLC | ||||||||||||||
| 1501 N CEDAR CREST BLVD STE 100 | ALLENTOWN | PA | 181042309 | 842257961 | ENDOSCOPY SERVICES | PA | N/A | 0 | 0 | |||||
| FAIRGROUNDS MEDICAL CENTER | ||||||||||||||
| 400 N 17TH STREET STE 102 | ALLENTOWN | PA | 181045052 | 232530427 | REAL ESTATE RENTALS | PA | N/A | 0 | 0 | |||||
| HAZLETON SURGERY CENTER LLC | ||||||||||||||
| 17480 DALLAS PARKWAY STE 210 | DALLAS | TX | 752877304 | 201232531 | SURGICAL SERVICES | PA | N/A | 0 | 0 | |||||
| HEALTH NETWORK LABORATORIES LLC | ||||||||||||||
| 794 ROBLE ROAD | ALLENTOWN | PA | 181099110 | 232932802 | LABORATORY SERVICES | PA | N/A | 0 | 0 | |||||
| HEALTH NETWORK LABORATORIES LP | ||||||||||||||
| 794 ROBLE ROAD | ALLENTOWN | PA | 181099110 | 232948774 | LABORATORY SERVICES | PA | N/A | 0 | 0 | |||||
| LEHIGH VALLEY IMAGING LLC | ||||||||||||||
| 1230 S CEDAR CREST BLVD | ALLENTOWN | PA | 181036202 | 464551937 | IMAGING SERVICES | PA | N/A | 0 | 0 | |||||
| LVHN RECIPROCAL RISK RETENTION GROUP | ||||||||||||||
| 151 MEETING STREET STE 301 | CHARLESTON | SC | 294012238 | 200037118 | INSURANCE SERVICES | PA | 0 | 0 | LEHIGH VALLEY HEALTH NETWORK | RELATED | $9,664,040 | 0.10000 | ||
| NAZARETH ENDOSCOPY CENTER LLC | ||||||||||||||
| 1501 N CEDAR CREST BLVD STE 110 | ALLENTOWN | PA | 181042309 | 824072967 | ENDOSCOPY SERVICES | PA | N/A | 0 | 0 | |||||
| POCONO AMBULATORY SURGERY CENTER LTD | ||||||||||||||
| 1 STORM STREET | STROUDSBURG | PA | 183602406 | 232611442 | SURGICAL SERVICES | PA | N/A | 0 | 0 | |||||
| POCONO HEALTH SYSTEM INVESTMENT COLLABORATIVE LP | ||||||||||||||
| 206 E BROWN STREET | EAST STROUDSBURG | PA | 183013006 | 472125419 | INVESTMENTS | PA | N/A | 0 | 0 | |||||
| SCHUYLKILL HEALTH SYSTEM MEDICAL MALL LP | ||||||||||||||
| 700 SCHUYLKILL MANOR ROAD | POTTSVILLE | PA | 179013849 | 232514813 | REAL ESTATE RENTALS | PA | 0 | 0 | SCHUYLKILL HEALTH SYSTEM DEVELOPMENT CORPORATION | INVESTMENT | $420,972 | 0.30910 | $94,726 | |
| BELTWAY HEALTH LP | ||||||||||||||
| 2100 MACK BLVD | ALLENTOWN | PA | 181035622 | 203586257 | REAL ESTATE RENTALS | PA | N/A | 0 | 0 | |||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| AMERICAN PATIENT TRANSPORT SYSTEMS INC | |||||||||
| 119 EAST HOLLY STREET | HAZLETON | PA | 182015507 | 233022467 | AMBULATORY MEDICAL SERVICES | PA | N/A | C | 0 |
| CH EYE SPECIALISTS PC | |||||||||
| 2100 MACK BLVD | ALLENTOWN | PA | 181035622 | 831905823 | HEALTH CARE RELATED SERVICES | PA | N/A | C | 0 |
| CH UROLOGY SPECIALISTS PC | |||||||||
| 2100 MACK BLVD | ALLENTOWN | PA | 181035622 | 832261980 | HEALTH CARE RELATED SERVICES | PA | N/A | C | 0 |
| HAZLETON SAINT JOSEPH MEDICAL OFFICE BUILDING INC | |||||||||
| 700 E BROAD STREET | HAZLETON | PA | 182016835 | 232500981 | MEDICAL OFFICE RENTAL | PA | N/A | C | 0 |
| LEHIGH VALLEY ANESTHESIA SERVICES PC | |||||||||
| 2100 MACK BLVD | ALLENTOWN | PA | 181035622 | 233906125 | ANESTHESIA SERVICES | PA | N/A | C | 0 |
| LEHIGH VALLEY HEALTH SERVICES INC | |||||||||
| 2100 MACK BLVD | ALLENTOWN | PA | 181035622 | 232263665 | HEALTH CARE RELATED SERVICES | PA | N/A | C | 0 |
| LEHIGH VALLEY PHYSICIAN HOSPITAL ORGANIZATION INC | |||||||||
| 2100 MACK BLVD | ALLENTOWN | PA | 181035622 | 232750430 | HEALTH CARE RELATED SERVICES | PA | N/A | C | 0 |
| LVHN COORDINATED PROFESSIONAL PRACTICE OF NJ PC | |||||||||
| 2100 MACK BLVD | ALLENTOWN | PA | 181035622 | 844028262 | PHYSICIAN PRACTICE ORGANIZATION | NJ | N/A | C | 0 |
| POPULYTICS INC | |||||||||
| 2100 MACK BLVD | ALLENTOWN | PA | 181035622 | 232539282 | HEALTH CARE RELATED SERVICES | PA | N/A | C | 0 |
| SCHUYLKILL HEALTH SYSTEM DEVELOPMENT CORPORATION | |||||||||
| 700 E NORWEGIAN STREET | POTTSVILLE | PA | 179012710 | 232432417 | PURSUES, IMPLEMENTS & FURTHERS ACTIVITIES & PURPOSES OF HEALTH NETWORK | PA | N/A | C | 0 |
| SCHUYLKILL MEDICAL PLAZA - CONDOMINIUM ASSOCIATION | |||||||||
| 420 S JACKSON STREET | POTTSVILLE | PA | 179013625 | 232931821 | CONDOMINIUM ASSOCIATION | PA | N/A | C | 0 |
| SPECTRUM HEALTH VENTURES INC | |||||||||
| 2100 MACK BLVD | ALLENTOWN | PA | 181035622 | 232391479 | HEALTH CARE RELATED SERVICES | PA | N/A | C | 0 |
| WESTGATE PROFESSIONAL CENTER INC | |||||||||
| 2100 MACK BLVD | ALLENTOWN | PA | 181035622 | 231657333 | REAL ESTATE RENTALS | PA | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |