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LEHIGH VALLEY HOSPITAL: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
LEHIGH VALLEY HOSPITAL (EIN 23-1689692)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-05-12
IRS object ID
202121329349302357
Schema version
2019v5.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2021-05-12T11:15:15-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN231689692EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LEHIGH VALLEY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLEHIBusinessNameControlTxt
Phone4848840130PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 MACK BLVDAddressLine1Txt
CityALLENTOWNCityNm
State AbbreviationPAStateAbbreviationCd
ZIP181035622ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROBERT THOMASPersonNm
Person TitleASSISTANT TREASURERPersonTitleTxt
Phone4848840130PhoneNum
Signature2021-05-12SignatureDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBRIAN A NESTERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 MACK BLVDAddressLine1Txt
CityALLENTOWNCityNm
State AbbreviationPAStateAbbreviationCd
ZIP181035622ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,424,924,763GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.LVHN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1971FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionOUR MISSION IS TO HEAL, COMFORT AND CARE FOR THE PEOPLE OF OUR COMMUNITY BY PROVIDING ADVANCED AND COMPASSIONATE HEALTH CARE OF SUPERIOR QUALITY AND VALUE, SUPPORTED BY EDUCATION AND RESEARCH.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee11021TotalEmployeeCnt
Total Volunteers837TotalVolunteersCnt
Total Gross UBI$15,167,675TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$2,299,052NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$22,898,051PYContributionsGrantsAmt
CY Contributions Grants$17,775,374CYContributionsGrantsAmt
PY Program Service Revenue$2,009,729,530PYProgramServiceRevenueAmt
CY Program Service Revenue$2,085,503,368CYProgramServiceRevenueAmt
PY Investment Income$23,178,015PYInvestmentIncomeAmt
CY Investment Income$22,329,542CYInvestmentIncomeAmt
PY Other Revenue$97,254,967PYOtherRevenueAmt
CY Other Revenue$74,499,827CYOtherRevenueAmt
PY Total Revenue$2,153,060,563PYTotalRevenueAmt
CY Total Revenue$2,200,108,111CYTotalRevenueAmt
PY Grants And Similar Paid$816,249PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$865,369CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$699,050,363PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$748,897,686CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,491,700CYTotalFundraisingExpenseAmt
PY Other Expenses$1,306,674,825PYOtherExpensesAmt
CY Other Expenses$1,332,375,691CYOtherExpensesAmt
PY Total Expenses$2,006,541,437PYTotalExpensesAmt
CY Total Expenses$2,082,138,746CYTotalExpensesAmt
PY Revenues Less Expenses$146,519,126PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$117,969,365CYRevenuesLessExpensesAmt
Total Assets BOY$2,452,810,067TotalAssetsBOYAmt
Total Assets EOY$2,839,652,051TotalAssetsEOYAmt
Total Liabilities BOY$1,156,364,387TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,756,442,608TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,296,445,680NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,083,209,443NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOUR MISSION IS TO HEAL, COMFORT AND CARE FOR THE PEOPLE OF OUR COMMUNITY BY PROVIDING ADVANCED AND COMPASSIONATE HEALTH CARE OF SUPERIOR QUALITY AND VALUE, SUPPORTED BY EDUCATION AND RESEARCH.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,998,025,640ExpenseAmt
Grant$865,369GrantAmt
Revenue$2,143,171,004RevenueAmt
DescLEHIGH VALLEY HOSPITAL (LVH) IS COMPOSED OF FOUR HOSPITAL CAMPUSES INCLUDING LVH-CEDAR CREST, LVH-MUHLENBERG, LVH-17TH STREET AND LVH-TILGHMAN. LVH OFFERS A CONTINUUM OF PROGRAMS IN HEALTH CARE PROMOTION, PREVENTION, DIAGNOSIS, TREATMENT AND REHABILITATION TO THE COMMUNITY. EXTENSIVE INPATIENT, OUTPATIENT AND EDUCATIONAL SERVICES ARE PROVIDED AT LOCATIONS THROUGHOUT THE REGION AND ARE A PART OF THE LEHIGH VALLEY HEALTH NETWORK (LVHN) ESTABLISHED TO MEET THE MEDICAL, SURGICAL AND EDUCATIONAL NEEDS OF THE RESIDENTS OF THE LEHIGH VALLEY AND BEYOND. ON MAY 1, 2018, LEHIGH VALLEY HOSPITAL-MUHLENBERG AND LEHIGH VALLEY HOSPITAL, INC. MERGED, AND THE SURVIVING CORPORATE ENTITY WAS LEHIGH VALLEY HOSPITAL, INC. LVH-MUHLENBERG IS NOW CONSIDERED A CAMPUS OF LEHIGH VALLEY HOSPITAL, A GENERAL, ACUTE PATIENT CARE FACILITY. LVH SERVES AS A REFERRAL CENTER FOR APPROXIMATELY TWO MILLION RESIDENTS OF SURROUNDING COUNTIES IN EASTERN PENNSYLVANIA, WITH A SPECIAL FOCUS IN THE FOLLOWING KEY AREAS:CANCER INSTITUTE OF LVH - THE LVH BASED PORTIONS OF THE NETWORK CANCER INSTITUTE OFFERS A RANGE OF CANCER SERVICES IN SIX CONVENIENT, PATIENT-FOCUSED LOCATIONS, JOHN AND DOROTHY MORGAN CANCER CENTER AT THE CEDAR CREST CAMPUS, THE CANCER CENTER IN BETHLEHEM AT THE MUHLENBERG CAMPUS, AND INFUSION SERVICES AT THE HEALTH CENTER IN BANGOR; LVPG HEMATOLOGY ONCOLOGY ASSOCIATES IN LEHIGHTON. CANCER CARE PROGRAMS INCLUDE PREVENTION, DETECTION, DIAGNOSIS, GENETICS, PATIENT NAVIGATION, NUTRITIONAL SERVICES, SOCIAL AND PSYCHOLOGICAL SUPPORT, REHABILITATION, CLINICAL TRIALS, MULTIDISCIPLINARY AND COORDINATED CARE, AND ALL FORMS OF THERAPY. THE CANCER CENTER BECAME A PARTNER WITH MEMORIAL SLOAN KETTERING CANCER ALLIANCE OF NEW YORK CITY OFFICIALLY IN MARCH 2016 AND MAINTAINS A RESEARCH PARTNERSHIP WITH THE WISTAR SCIENTIFIC AND BIOLOGY INSTITUTE OF PHILADELPHIA, PA. BOTH OF THESE INSTITUTIONS ARE NCI DESIGNATED CANCER CENTERS PROGRAMS. CANCER INSTITUTE PARTNERED WITH STRATA ONCOLOGY, A PRECISION ONCOLOGY COMPANY IN JUNE OF 2019. THE STRATA TRIAL PERFORMS MOLECULAR PROFILING OF SPECIFIC TYPES OF TUMORS TO HELP MATCH PATIENTS WITH THE ADVANCED FORMS OF CANCER TO NEW PRECISION TREATMENT OPTIONS. THIS PARTNERSHIP POSITIONS LEHIGH VALLEY CANCER INSTITUTE ON THE LEADING-EDGE OF PROVIDING PATIENTS ACCESS TO THE LATEST TECHNOLOGY AND CLINICAL RESEARCH TO TARGET THEIR SPECIFIC CANCER MUTATIONCANCER INSTITUTE FACILITIES INCLUDE PHYSICIANS' OFFICES, BREAST HEALTH SERVICES, MULTIDISCIPLINARY CLINICS, CONFERENCE ROOMS, PRIVATE EDUCATION AND COUNSELING AREAS, MULTI-PURPOSE TREATMENT AREA FOR INFUSIONS, PROCEDURE ROOM AND RADIATION ONCOLOGY FACILITIES INCLUDING: (6) LINEAR ACCELERATORS, (2) CT SIMULATORS, (1) HIGH DOSE RATE BRACHYTHERAPY, (1) GAMMA KNIFE RADIOSURGERY, SIR-SPHERES (Y-90), PROSTATE SEED IMPLANT- LOW DOSE BRACHYTHERAPY, STEREOTACTIC BODY RADIOTHERAPY (SBRT), LINAC BASED STEREOTACTIC RADIOSURGERY (SRS) / STEREOTACTIC RADIOTHERAPY (SRT), 3-D TREATMENT PLANNING, INTENSITY MODULATED RADIATION THERAPY (IMRT), IMAGE GUIDED RADIATION THERAPY (IGRT) , OPTICAL SURFACE MONITORING SYSTEM (OSMS), CALYPSO SYSTEM FOR REAL-TIME MOTION AND TARGET TRACKING AND A 3-D PRINTER.OUR MOBILE MAMMOGRAPHY PROGRAM BEGAN SERVICE IN OCTOBER 2018 AND SERVES NINE COUNTIES IN OUR MARKET AREA AND PROVIDES PREVENTIVE BREAST HEALTH SERVICES TO YOUR EMPLOYEES AND MEMBERS OF THE COMMUNITY. DESIGNED SPECIFICALLY FOR THE LEHIGH VALLEY CANCER INSTITUTE, THE MOBILE MAMMOGRAPHY COACH PROVIDES A CONVENIENT WAY FOR WOMEN TO HAVE 3D SCREENING MAMMOGRAMS RIGHT AT YOUR LOCATION. BY BRINGING THE MAMMOGRAPHY COACH TO YOU, WE CAN GIVE WOMEN WITH MANY DEMANDS ON THEIR TIME, ACCESS TO SCREENING MAMMOGRAMS RIGHT AT WORK, SCHOOL OR COMMUNITY ORGANIZATION.THE FACULTY OF THE CANCER CENTER IS COMPOSED OF PHYSICIANS WHO ARE CANCER CARE SPECIALISTS AND BOARD-CERTIFIED IN ALL FIELDS OF CANCER THERAPY AND EVALUATION. IN CALENDAR YEAR 2019, THE CANCER INSTITUTE SAW 3,572 NEW ANALYTIC CANCER CASES. INPATIENT ONCOLOGY ADMISSIONS WERE 3,269 IN THE FISCAL YEAR ENDED JUNE 30, 2020 AND OUTPATIENT VOLUMES WERE 1482 NEW TREATMENT PATIENTS FOR RADIATION PROCEDURES, AND 44,438 TREATMENT PATIENTS FOR INFUSION VISITS. HEART INSTITUTE OF LVH - THE LEHIGH VALLEY HEART INSTITUTE IS ONE OF THE LARGEST AND MOST RESPECTED CARDIOVASCULAR PROGRAMS IN PENNSYLVANIA. WITH 57 CARDIOLOGISTS AND 6 CARDIOTHORACIC SURGEONS, LEHIGH VALLEY HOSPITAL-CEDAR CREST AND LEHIGH VALLEY HOSPITAL-MUHLENBERG OFFERS AN IMPRESSIVE AND COMPREHENSIVE ARRAY OF PREVENTATIVE, DIAGNOSTIC, ACUTE, TERTIARY, AND QUATERNARY CARDIOVASCULAR SERVICES. SPECIALIZED PROGRAMS INCLUDE: CARDIAC ARREST MANAGEMENT, CORONARY INTERVENTION, STRUCTURAL HEART, ADVANCED HEART FAILURE & MECHANICAL CIRCULATORY SUPPORT, CARDIO-ONCOLOGY, COMPLEX LIPID MANAGEMENT, COMPREHENSIVE RHYTHM MANAGEMENT, A WOMEN'S HEART PROGRAM WITH A DEVELOPED SUBSPECIALTY HEART AND PREGNANCY PROGRAM, NEURO-CARDIOLOGY, AND SPORTS CARDIOLOGY. THE LEHIGH VALLEY HEART INSTITUTE OFFERS 15 CARDIOLOGY ACCESS SITES THROUGHOUT THE LVH SERVICE AREA TO ENABLE PATIENTS TO RECEIVE PREMIER CARDIAC CARE CLOSE TO HOME. IN FISCAL YEAR ENDING JUNE 30, 2020, LEHIGH VALLEY HOSPITAL - CEDAR CREST AND LEHIGH VALLEY HOSPITAL - MUHLENBERG PERFORMED 4,518 CARDIAC CATHETERIZATION CASES, 1,879 ELECTROPHYSIOLOGY CASES, 551 OPEN HEART SURGERIES, 159 TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR) SURGERIES, AND PROVIDED COMPASSIONATE CARE AT OVER 194,000 PATIENT VISITS. THIS YEAR WAS MARKED WITH THE COVID-19 PANDEMIC, BUT CARDIAC CARE CONTINUED SAFELY, AND PUBLIC HEALTH MESSAGING WAS SHARED WITH THE COMMUNITY ABOUT DIMINISHING THE WARNING SIGNS OF LIFE-THREATENING CARDIAC EVENTS. ALTHOUGH IMPACTED BY COVID-19, FY20 WAS A MILESTONE YEAR FOR LVH AND THE LEHIGH VALLEY HEART INSTITUTE. THIS YEAR MARKED THE 50TH ANNIVERSARY OF LVH'S CARDIOTHORACIC SURGERY PROGRAM - A PROGRAM THAT BROUGHT CARDIAC SURGERY AND THE FIRST CARDIAC SURGEON TO THE LEHIGH VALLEY IN 1970. IN ADDITION TO THIS ANNIVERSARY, THE HEART INSTITUTE'S STRUCTURAL HEART PROGRAM ACCOMPLISHED TWO MILESTONES; INCLUDING IMPLANTING THE 100TH WATCHMAN DEVICE AND THE 1,000TH TAVR PROCEDURE. BOTH OF THESE PROCEDURES ARE AMONG THE MOST TECHNOLOGICALLY ADVANCED TREATMENTS IN THE FIELD OF CARDIOLOGY, AND FURTHER PROVES THAT LVH IS AT THE FOREFRONT OF CARDIAC CARE IN THE REGION. LVH-CC ALSO SAW SOME FACILITY ENHANCEMENTS IN FY20 AND NOW OFFERS PRIVATE PATIENT ROOMS FOR A LEHIGH VALLEY HEART INSTITUTE PATIENTS. LVH IS THE ONLY HOSPITAL IN THE REGION TO RECEIVE TWO PRESTIGIOUS CARDIOVASCULAR AWARDS IN THE 2020 HEALTHGRADES SPECIALTY EXCELLENCE AWARDS; AMERICA'S 100 BEST HOSPITALS FOR CARDIAC CARE AWARD AND THE CARDIAC SURGERY EXCELLENCE AWARD. FURTHERMORE, LEHIGH VALLEY HOSPITALCEDAR CREST AND LEHIGH VALLEY HOSPITALMUHLENBERG ARE BOTH DESIGNATED AS A BLUE DISTINCTION CENTER FOR CARDIAC CARE, AND WAS RECOGNIZED BY BECKER'S HOSPITAL REVIEW AS ONE OF THE 100 HOSPITALS AND HEALTH SYSTEMS WITH GREAT HEART PROGRAMS IN THEIR MOST RECENT EDITION OF THE LIST. LVH ALSO HAD THE HIGHEST OVERALL CARDIOLOGY AND HEART SURGERY SCORE IN THE REGION IN U.S. NEWS & WORLD REPORT HOSPITAL RANKINGS & RATINGS. NEUROSCIENCES SERVICES - THE LVH COMPREHENSIVE NEUROSCIENCE PROGRAM PROVIDES TREATMENT, FOR STROKE, BRAIN TUMORS, SEIZURES, ANEURYSMS, SPINE PROBLEMS, TRAUMA, AND OTHER NEUROLOGICAL DISORDERS. LVH PROVIDES STROKE SERVICES THROUGH ITS REGIONAL COMPREHENSIVE STROKE PROGRAM WHICH BEGAN OPERATIONS IN JULY 2002. SINCE THAT TIME, THE STROKE CENTER HAS TREATED MORE THAN 24,000 PATIENTS FROM NORTHEASTERN PENNSYLVANIA AND WESTERN NEW JERSEY. IN ADDITION, LVH WAS THE FIRST PRIMARY STROKE CENTER IN THE LEHIGH VALLEY CERTIFIED BY THE JOINT COMMISSION AND WAS THE FIRST STROKE PROGRAM TO BE CERTIFIED AS A COMPREHENSIVE STROKE CENTER IN PENNSYLVANIA. LVH-MUHLENBERG HAS BEEN A CERTIFIED PRIMARY STROKE CENTER SINCE 2006. LVH IS ALSO A REGIONAL TELE-STROKE PROVIDER. IN 2019, LVH LAUNCHED PENNSYLVANIA'S VERY FIRST MOBILE STROKE UNIT THAT BRINGS LIVE-SAVING STROKE CARE TO PATIENTS FASTER THAN TRADITIONAL HOSPITAL CARE. IN ADDITION TO THE STROKE PROGRAM, THE DIVISION OF NEUROLOGY HOUSES ADVANCED PROGRAMS FOR EPILEPSY, MULTIPLE SCLEROSIS, MOVEMENT DISORDERS, HEADACHE, ALS, AND NEUROMUSCULAR DISEASE. A FOUR-BED EPILEPSY MONITORING UNIT (EMU) OPENED IN 2019 AS PART OF LVH'S NAEC RECOGNIZED LEVEL 3 EPILEPSY TREATMENT CENTER. IN FY20, THE DIVISION OF NEUROSURGERY PERFORMED 1,758 SURGICAL CASES, INCLUDING FUNCTIONAL NEUROSURGERY FOR THE SURGICAL TREATMENT OF MOVEMENT DISORDERS, AND CUTTING EDGE FLUORESCENCE GUIDED BRAIN TUMOR RESECTION UTILIZING THE OPTICAL IMAGING AGENT AMINOLEVULINIC ACID (GLEOLAN).Desc

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DescORTHOPEDIC SERVICES - THE DIVISION OF ORTHOPEDIC SURGERY TREATS MUSCULOSKELETAL DISORDERS OF THE UPPER AND LOWER EXTREMITIES AS WELL AS THE SPINE. SUBSPECIALISTS WITH FELLOWSHIP CREDENTIALS PROVIDE THE FOLLOWING SERVICES: JOINT REPLACEMENT, SPINE SURGERY, SPORTS MEDICINE, HAND AND WRIST SURGERY, FOOT AND ANKLE SURGERY, ORTHOPEDIC TRAUMA AND PEDIATRIC ORTHOPEDICS. IN FY20, THERE WERE 9,573 TOTAL ORTHOPEDIC PROCEDURES PERFORMED AT LVH. ACUTE ORTHOPEDIC SERVICES ARE PROVIDED AT LVH-CEDAR CREST, LVH-MUHLENBERG, AND LVHN-TILGHMAN, WHICH IS THE ONLY AREA HOSPITAL DEDICATED TO ORTHOPEDIC MUSCULOSKELETAL SURGERY. THE LVH ORTHOPEDIC PROGRAM HAS BEEN RECOGNIZED BY US NEWS AND WORLD REPORT AS A TOP 50 ORTHOPEDIC PROGRAM IN THE COUNTRY. THE LVH ORTHOPEDIC PROGRAM IS ALSO RECOGNIZED BY THE BLUE CROSS AND BLUE SHIELD ASSOCIATION AS A BLUE DISTINCTION+ CENTER AND AETNA AS AN INSTITUTE OF QUALITY FOR JOINT REPLACEMENT.PERIOPERATIVE SERVICES - PERIOPERATIVE SERVICES AT LVH CONSISTS OF THE SURGICAL AND ENDOSCOPIC STAFF AND FACILITIES WHERE OVER 60,000 PROCEDURES ARE PERFORMED ANNUALLY. SURGICAL PROCEDURES ARE PERFORMED IN 60 OPERATING ROOMS THROUGHOUT LVH, INCLUDING 17TH & CHEW, CEDAR CREST, CHILDREN'S SURGERY CENTER, FAIRGROUNDS SURGICAL CENTER, LVH-MUHLENBERG, AND THE LVHN-TILGHMAN CAMPUSES. THE CHILDREN'S SURGERY CENTER LOCATED ON THE CEDAR CREST CAMPUS PROVIDES SPECIALIZED CARE FOR OUR PEDIATRIC POPULATION. PATIENT CARE IN THE OPERATING ROOM IS SUPPORTED BY ANESTHESIA SERVICES, SURGICAL PREP AND STAGING, POST ANESTHESIA RECOVERY, AND STERILE PROCESSING DEPARTMENTS, AMONG OTHERS. LVH PERFORMS ENDOSCOPIC PROCEDURES AT FOUR LOCATIONS - THE CEDAR CREST SITE, CHILDREN'S SURGERY CENTER, LVH-MUHLENBERG AND FAIRGROUNDS SURGICAL CENTER. THE OPERATING ROOM TECHNOLOGIES AND FACILITIES INCLUDE A TWO HYBRID OPERATING ROOMS, A TRAUMA CODE RED OPERATING ROOM, EIGHT DA VINCI SURGICAL ROBOTS, INTEGRATED LAPAROSCOPIC OPERATING ROOMS, AND CARDIAC SURGERY OPERATING ROOMS. OPERATING ROOM NURSING STAFF ARE TRAINED TO SUPPORT MULTIPLE SURGICAL DISCIPLINES INCLUDING CARDIAC SURGERY, ORTHOPEDICS, VASCULAR SURGERY, UROLOGY, GENERAL SURGERY, TRANSPLANT SURGERY, GYNECOLOGIC SURGERY, PEDIATRIC SURGERY, AND MANY OTHERS. CUTTING EDGE ENDOSCOPIC TECHNOLOGIES INCLUDE ENDOSCOPIC ULTRASOUND, ENDO-BRONCHIAL ULTRASOUND AND VIDEO CAPSULE ENDOSCOPY.BEHAVIORAL HEALTH SERVICES - LVH OPERATES INPATIENT BEHAVIORAL HEALTH PROGRAMS FOR ADOLESCENTS AND ADULTS. THE COMBINED PROGRAMS TOTAL 65 BEDS AND SERVES LEHIGH, NORTHAMPTON, CARBON, MONROE, SCHUYLKILL, AND BERKS COUNTIES. CLINICAL PROGRAMS INCLUDE PSYCHIATRIC, PSYCHOLOGICAL, NURSING, DUAL DIAGNOSIS, PSYCHIATRIC REHABILITATION, SOCIAL WORK AND DISCHARGE PLANNING SERVICES. LVH ALSO PROVIDES AMBULATORY BEHAVIORAL HEALTHCARE, INCLUDING: PSYCHIATRIC EVALUATION SERVICE PROGRAM IN THREE HOSPITAL EMERGENCY DEPARTMENTS; THREE PARTIAL HOSPITAL PROGRAMS FOR ADULTS AND ADOLESCENTS; SEVERAL LARGE OUTPATIENT GROUP PRACTICES PROVIDING MULTIDISCIPLINARY SHORT-TERM TREATMENT TO CHILDREN, ADOLESCENTS, ADULTS AND OLDER ADULTS; TWO OUTPATIENT MENTAL HEALTH CLINICS FOR SERIOUSLY AND PERSISTENTLY MENTALLY ILL ADULTS; ONE OUTPATIENT MENTAL HEALTH CLINIC PROVIDING SCHOOL BASED BEHAVIORAL HEALTH TO 4 SCHOOL DISTRICTS; PSYCHIATRIC HOME CARE;TWO RESIDENTIAL TREATMENT SITES, SUPPORTING AND EDUCATING ADULTS IN INDEPENDENT LIVING SKILLS. BOTH THESE SITES AND THE CLINICS ARE FUNDED IN PART, UNDER A CONTRACT WITH LEHIGH COUNTY DEPARTMENT OF HUMAN SERVICES THROUGH FUNDS PROVIDED BY COUNTY OF LEHIGH AND THE PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE; PSYCHIATRIC HOME CARE SERVICES; BH INTEGRATION IN MEDICAL/ PROGRAMS ON MEDICAL/SURGICAL INPATIENT UNITS AND AMBULATORY, PRIMARY CARE AND SPECIALTY PRACTICES. CONSULTATION /LIAISON PSYCHIATRY, EDUCATION AND RESEARCH AND SERVICE OFFERINGS TO SCHOOLS, STREET MEDICINE (HOMELESS), AND OTHER COMMUNITY AGENCIES ROUND OUT LVH'S CONTRIBUTION TO THE HEALTH AND WELL-BEING OF THE REGION. A PSYCHIATRIC RESIDENCY WAS ESTABLISHED IN 2019.TRAUMA AND BURN SERVICES - IN 1981, LEHIGH VALLEY HOSPITAL BECAME THE FIRST HOSPITAL IN PENNSYLVANIA TO BE DESIGNATED AS A LEVEL I TRAUMA CENTER AND IS CURRENTLY THE SECOND LARGEST TRAUMA PROGRAM IN PENNSYLVANIA, EVALUATING 4,649 TRAUMA PATIENTS IN FY 20. THIS PROGRAM PROVIDES COMPREHENSIVE TRAUMA AND BURN CARE AND SERVES AS A MAJOR REGIONAL RESOURCE COVERING A TEN COUNTY AREA AND A PATIENT BASE OF MORE THAN TWO MILLION. LVH IS ACCREDITED AS BOTH A LEVEL I ADULT AND A LEVEL II PEDIATRIC TRAUMA CENTER, ONE OF ONLY TWO ADULT CENTERS IN PENNSYLVANIA WITH THIS DUAL ACCREDITATION. LVH-MUHLENBERG CAMPUS IS PRESENTLY PURSUING A LEVEL 2 TRAUMA CENTER DESIGNATION. THE LVH TRAUMA PROGRAM PROVIDES A CONTINUUM OF CARE WITH ONE OF TWELVE TRAUMA SURGEONS IN-HOUSE 24 HOURS A DAY COVERING A 14 BED TRAUMA/NEURO INTENSIVE CARE UNIT AS WELL AS A 28 BED TRANSITIONAL TRAUMA UNIT. A TRAUMA REHABILITATION TEAM COMPLETES THIS CONTINUUM OF TRAUMA CARE. OVER 15,278 MEMBERS OF THE COMMUNITY WERE EDUCATED THROUGH ONE OR MORE OF OUR TRAUMA PROGRAM'S PREVENTATIVE CARE OFFERINGS. LVH ALSO PROVIDES A REGIONAL BURN CENTER OPERATING 18 BEDS SERVING NORTHEASTERN PENNSYLVANIA, WESTERN NEW JERSEY AND PARTS OF NEW YORK. THE REGIONAL BURN CENTER IS THE LARGEST BURN PROGRAM IN PENNSYLVANIA, WITH 3 FULL TIME BURN SURGEONS ADMITTING 705 PATIENTS FY20. THE REGIONAL BURN CENTER IS ACCREDITED BY THE AMERICAN BURN ASSOCIATION AND THE AMERICAN COLLEGE OF SURGEONS. THE REGIONAL BURN CENTER PROVIDES A TELEBURN SERVICE, WHICH PROVIDES RAPID ACCESS TO OUR COMPREHENSIVE BURN CARE TO 47 HOSPITALS, EMERGENCY CARE CLINICS, AND PHYSICIAN OFFICES IN PENNSYLVANIA, NEW JERSEY AND NEW YORK. IN ADDITION, LVH COORDINATES PRE-HOSPITAL EMERGENCY MEDICAL SERVICES AND PROVIDES 24 HOUR-A-DAY AIR AND GROUND AMBULANCE SERVICES. LVH MEDEVAC OPERATES FOUR HELICOPTERS AND 1.5 CRITICAL CARE GROUND TRANSPORT UNITS COVERING EASTERN PENNSYLVANIA AND WESTERN NEW JERSEY. LVH MEDEVAC PERFORMED 1,354 FLIGHTS ANNUALLY AND OUR GROUND TRANSPORT TEAMS COMPLETED 2,290 MISSIONS IN FY20, BOTH ON-SCENE AND INTER-FACILITY TRANSPORTS. THE BURN SERVICE ALSO PARTNERS WITH THE BURN PREVENTION NETWORK TO PROVIDE BURN PREVENTION EDUCATION TO MEMBERS OF OUR COMMUNITY.Desc

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DescWOMEN'S SERVICES LVHN OFFERS WIDE-RANGING WOMEN'S HEALTH PROGRAMS AND SERVICES DESIGNED TO PROVIDE COMPLETE, EVIDENCE-BASED CARE FOR WOMEN IN THE LEHIGH VALLEY. DELIVERIES AT LVH TOTALED 3355 DURING THE FISCAL YEAR ENDING JUNE 30, 2020. ON JUNE 20, 2017, THE FAMILY BIRTH AND NEWBORN CENTER OPENED AT THE LVH-M (MUHLENBERG) CAMPUS. DELIVERIES AT LVH-M TOTALED 1401 DURING THE FISCAL YEAR ENDING JUNE 30, 2020. THEREFORE, OVER THE SAME TIME PERIOD, A TOTAL OF 4756 DELIVERIES OCCURRED AT BOTH LVHN BIRTHING UNITS IN THE LEHIGH VALLEY. AT BOTH LVH AND LVH-M, GENERAL OBSTETRIC PHYSICIANS AND MATERNAL FETAL MEDICINE PHYSICIANS OFFER COMPLETE MATERNITY CARE SERVICES FOR LOW RISK, HIGH RISK AND VERY COMPLEX OBSTETRIC PATIENTS. THE DEPARTMENT OF OBSTETRICS AND GYNECOLOGY HAS 3 FULL TIME OBSTETRICAL HOSPITALISTS WHO MANAGE THE DAY TO DAY UNIT OPERATIONS AND PROVIDE ASSISTANCE AND EMERGENCY SUPPORT FOR ALL PATIENTS HOSPITALIZED ON THE OBSTETRICAL UNITS AT LVH. IN ADDITION, SEVEN CERTIFIED NURSE MIDWIVES PROVIDE PRENATAL CARE AND DELIVERY SERVICES FOR PREGNANT WOMEN OF LOW RISK AT LVH. MIDWIVES CAN ALSO PROVIDE SUCH CARE FOR WOMEN WITH CERTAIN HIGH-RISK CONDITIONS IN COLLABORATION WITH OBSTETRICIANS. ALSO, LVH HAS ATTAINED DESIGNATION AS A "BABY FRIENDLY HOSPITAL," A WHO INITIATIVE DESIGNED TO ASSIST MOTHERS IN THE INITIATION AND MAINTENANCE OF BREASTFEEDING. A COMPREHENSIVE MATERNITY CARE PATHWAY IN ALL LEHIGH VALLEY PHYSICIAN GROUP (LVPG) OBSTETRICS AND GYNECOLOGY OFFICE PRACTICES AND THE CENTER FOR WOMEN'S MEDICINE WAS WIDELY IMPLEMENTED IN 2016, STANDARDIZING PATIENT CARE AND EDUCATION AT OVER 15 OFFICE LOCATIONS IN 5 COUNTIES. PRESENTLY THE PATHWAY IS UNDER REVISION AND INNOVATION WITH PLANNED GROUP EDUCATION VIA VIRTUAL PLATFORMS AND SOME NURSE-DRIVEN CARE. ADDITIONALLY, RELATED PATIENT EDUCATION IS AVAILABLE IN APP FORM AND PRINT BOOK IN ENGLISH AND SPANISH. TO SUPPLEMENT THE PRENATAL CARE, ULTRASOUND SERVICES IN THE OFFICE ARE ACCREDITED BY THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE (AIUM). IN 2018, LVH OBSTETRICIANS STARTED THE CONNECTIONS PROGRAM FOR THE CARE OF PREGNANT WOMEN WITH SUBSTANCE USE DISORDER. THIS MULTIDISCIPLINARY CLINIC BRINGS TOGETHER PROFESSIONAL EXPERTISE FROM OBSTETRICS, PSYCHIATRY, PEDIATRICS, NEONATOLOGY AND PARTNERS WITH ESTABLISHED COMMUNITY RESOURCES TO OFFER PATIENTS COUNSELLING, SUPPORT SERVICES AND TREATMENT DURING PREGNANCY. LVPG OB/GYN OFFICE PRACTICES ALSO OFFER ON-SITE BEHAVIORAL HEALTH SERVICES PROVIDED BY TWO LICENSED PROFESSIONAL COUNSELORS IN CONJUNCTION WITH THE DEPARTMENT OF PSYCHIATRY.MATERNAL FETAL MEDICINE (MFM) PHYSICIANS WITH HIGHLY SPECIALIZED FELLOWSHIP TRAINING TO CARE FOR THE MOST COMPLEX OBSTETRIC CASES AS WELL AS ALL OF THE HIGHEST RISK OBSTETRIC PATIENTS ARE AVAILABLE FOR CONSULTATION 24/7 FOR PATIENTS HOSPITALIZED AT BOTH LVH AND LVH-M. IN ADDITION, MATERNAL FETAL MEDICINE DOCTORS HAVE OFFICE LOCATIONS IN LEHIGH, NORTHAMPTON, LUZERNE AND LACKAWANNA COUNTIES MFM PHYSICIANS' SERVICES INCLUDE HIGHEST LEVEL ULTRASONOGRAPHY (AND TELEHEALTH SERVICES), FETAL ECHOCARDIOGRAPHY, GENETIC COUNSELING, AMNIOCENTESIS, CHORIONIC VILLUS SAMPLING, COMPLEX DELIVERY SERVICES AND WELL-ESTABLISHED MULTI-DISCIPLINARY PROGRAMS FOR PATIENTS WITH DIABETES IN PREGNANCY AND THOSE WITH HEART DISEASE OR KIDNEY DISEASE AND NEUROLOGICAL DISEASE IN PREGNANCY.THE GYNECOLOGY SERVICE HAS COMPREHENSIVE AND STATE OF THE ART CLINICAL SERVICES INCLUDING MIS (MINIMALLY INVASIVE SURGERY) INTERVENTIONS WITH ROBOTICALLY-ASSISTED, LAPAROSCOPIC, AND VAGINAL SURGERY, PREOPERATIVE CONSULTATION AND EVALUATION OF PRE-INVASIVE AND INVASIVE GYNECOLOGIC MALIGNANCIES (CANCER CARE), PELVIC FLOOR DISORDERS (UROGYNECOLOGY), CHRONIC PELVIC PAIN AND REPRODUCTIVE ENDOCRINOLOGY & INFERTILITY. CARDIOLOGY-LVH OFFERS A WOMEN'S HEART AND VASCULAR PROGRAM LED BY FIVE FEMALE CARDIOLOGISTS WITH EXPERTISE IN TREATING WOMEN WITH HEART DISEASE. WOMEN'S HEALTH SERVICES OFFERS PREVENTATIVE CARE PROGRAMS AND A VARIETY OF EDUCATIONAL EVENTS COVERING ISSUES ADDRESSING YOUNG, MIDDLE AND OLDER FEMALES RELATED TO WELLNESS AND PREVENTION. THESE INCLUDE DIVERSE SUPPORT GROUPS, COMMUNITY HEALTH FAIRS RELATED TO WOMEN, BILINGUAL PRENATAL EDUCATION, CHILDBIRTH AND PARENTING CLASSES, CPR, SAFE SLEEP, LACTATION CONSULTATION AND POSTPARTUM DEPRESSION/SUPPORT. AMBULATORY SERVICES LVH'S AMBULATORY SERVICES INCLUDE HEALTH CENTERS, EXPRESS CARE, WOUND CARE, HYPERBARIC OXYGEN, HEALTH SPECTRUM PHARMACIES, SLEEP DISORDER CENTERS, ENDOCRINE TESTING, LABORATORY SERVICES, PULMONARY FUNCTION TESTING, IMAGING, CARDIAC AND PULMONARY REHABILITATION AS WELL AS ADULT AND PEDIATRIC OUTPATIENT REHABILITATION. LVHN CONTINUES TO EXPAND ITS PORTFOLIO OF "HEALTH CENTERS AND AS OF JUNE 2020, THERE ARE 16 SITUATED THROUGHOUT THE LEHIGH VALLEY. CORE SERVICES IN MOST OF THE HEALTH CENTERS INCLUDE PRIMARY CARE, BASIC IMAGING, REHABILITATION SERVICES AND/OR LAB SERVICES AND TWO OF THE HEALTH & WELLNESS CENTERS LOCATED IN ALLENTOWN AND BETHLEHEM INCLUDE FITNESS CENTERS. MANY OF THEM ALSO PROVIDE SPECIALTY CARE AND BREAST HEALTH SERVICES.SLEEP DISORDER CENTERS ARE LOCATED IN ALLENTOWN AND BETHLEHEM WITH ADDITIONAL HOME SLEEP TESTING UNIT PICK UP SITES AT THE FOLLOWING LOCATIONS: ALLENTOWN (CEDAR CREST AND 17TH STREET), FOGELSVILLE, HAMBURG, MOSELEM SPRINGS, BETHLEHEM TOWNSHIP, PALMER TOWNSHIP. PATIENTS IN NEED OF HOME SLEEP TESTING WHO HAVE ACCESS TO A SMART DEVICE MAY ELECT A MAIL DELIVERY OPTION IN WHICH THE SLEEP TESTING EQUIPMENT WOULD BE MAILED TO HIS/HER HOME WITH A LINK TO AN INSTRUCTIONAL VIDEO. AFTER TESTING, THE EQUIPMENT IS RETURNED (HAND DELIVERED) TO THE SLEEP DISORDERS CENTER AT THE LVH-17TH ST. LOCATION. REHABILITATION SERVICES THE DIVISION OF REHABILITATION PROVIDES COMPREHENSIVE PROGRAMS THROUGH THE CONTINUUM DESIGNED TO MEET THE NEEDS OF PATIENTS OF ALL AGES WHO ARE RECOVERING FROM ILLNESS OR INJURY, THE DIVISION PROVIDES INTENSIVE REHABILITATIVE MEDICINE AND NURSING CARE COMBINED WITH PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY SERVICES AT ITS STATE OF THE ART INPATIENT REHABILITATION CENTERS WITH 34 BEDS AT LVH-CEDAR CREST AND 28 BEDS AT LVH-MUHLENBERG. FOR PATIENTS UNABLE TO TOLERATE AGGRESSIVE THERAPY SERVICES, LVH PROVIDES SHORT-TERM MEDICAL, NURSING AND REHABILITATIVE CARE AT ITS 52 BED TRANSITION SKILLED UNIT LOCATED ON THE 17TH STREET CAMPUS. THE DIVISION ALSO OFFERS CONVENIENT AND ACCESSIBLE OUTPATIENT THERAPY SERVICES SERVING THE COMMUNITY WITH OVER 45 LOCATIONS. AT LVH AND LVH-MUHLENBERG, THE REHABILITATION DIVISION OFFERS ADVANCED CARE IN OVER 30 CLINICAL SPECIALTY AREAS INCLUDING NEUROLOGIC REHAB, ORTHOPEDICS, SPORTS MEDICINE, WOMEN'S HEALTH, ONCOLOGY REHAB, AUDIOLOGY AND PEDIATRIC THERAPY SERVICES. IN FY20, LVH PROVIDED 174,129 PATIENT VISITS AND LVH-M PROVIDED 61,569 PATIENT VISITS IN OUTPATIENT THERAPY. AT A NETWORK LEVEL, LVHN'S REHABILITATION SERVICES DIVISION CURRENTLY STANDS AS THE LARGEST PROVIDER OF REHABILITATIVE CARE IN THE REGION.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,998,025,640TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art ContributionYes (1)DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document740IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee11021EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4848840130PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 MACK BLVDAddressLine1Txt
CityALLENTOWNCityNm
State AbbreviationPAStateAbbreviationCd
ZIP181035622ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
KIRSTEN ANTHONY
TRUSTEE1.00Yes (X)$0$0$0
ROBERT BEGLIOMINI
PRESIDENT, LVH-M/TRUSTEE60.00Yes (X)$444,078$0$40,062
DEBORAH BREN DO
TRUSTEE1.00Yes (X)$350,424$0$36,46760.00
TERRY CAPUANO
PRESIDENT, LVH/TRUSTEE60.00Yes (X)$1,166,412$0$32,386
STEVEN R FOLLETT
CHAIR/TRUSTEE1.00Yes (X)$0$0$0Yes (X)
LINDA GREEN PHD
TRUSTEE1.00Yes (X)$0$0$0
JOEL HOFFMAN
TRUSTEE1.00Yes (X)$0$0$0
WILLIAM M KENT MHA
TRUSTEE1.00Yes (X)$750,734$0$28,86260.00
PATRICIA MARTIN MD
TRUSTEE1.00Yes (X)$0$0$0
WILLIAM MASON
TRUSTEE1.00Yes (X)$0$0$0
KATHY O'BRIEN
VICE CHAIR/TRUSTEE1.00Yes (X)$0$0$0Yes (X)
JOSEPH E PATRUNO MD
TRUSTEE1.00Yes (X)$0$354,363$42,43160.00
WILLIAM SPENCE
TRUSTEE1.00Yes (X)$0$0$0
SUSAN C YEE
TRUSTEE1.00Yes (X)$0$0$0
THOMAS MARCHOZZI
TREASURER1.00$898,574$0$25,26760.00Yes (X)
MATTHEW SORRENTINO ESQ
SECRETARY1.00$274,809$516,752$30,24960.00Yes (X)
ROBERT THOMAS
ASSISTANT TREASURER1.00$367,321$0$28,32160.00Yes (X)
THOMAS V WHALEN MD MMM
ASSISTANT SECRETARY1.00$1,145,557$0$34,49460.00Yes (X)
BRIAN A NESTER DO
PRESIDENT/CEO, LVHN60.00$2,221,134$0$40,062Yes (X)
ROBERT MURPHY MD
CHIEF INTEGRATION OFFICER60.00$879,163$0$23,262Yes (X)
DEBORAH SALAS-LOPEZ MD
ASSOC. CHIEF MEDICAL OFFICER60.00$702,719$0$16,991Yes (X)
EDWARD DOUGHERTY
CHIEF BUSINESS DEVELOPMENT OFFICER60.00$671,278$0$36,467Yes (X)
MICHAEL MINEAR MS
CHIEF INFORMATION OFFICER60.00$650,067$0$17,694Yes (X)
JAMES F GEIGER
FORMER TRUSTEE0.00$183,745$0$1,392Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$10,706,015TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$871,115TotReportableCompRltdOrgAmt
Total Other Compensation$434,407TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K769IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
NAVIGANT CONSULTING INC
4511 PAYSPHERE CIRCLECHICAGOIL606740001CONSULTING SERVICES$24,419,671
CROTHALL HEALTHCARE INC
13028 COLLECTION CENTER DRIVECHICAGOIL606930001HOUSEKEEPING SERVICES$22,895,964
SODEXO INC & AFFILIATES
PO BOX 360170PITTSBURGHPA152516170DIETARY SERVICES$11,992,819
PRICEWATERHOUSECOOPERS ADVISORY SERVICES
300 MADISON AVENUENEW YORKNY100176232CONSULTING SERVICES$5,847,182
DIGITAL HEALTH CONSULTING
205 10TH AVENUEHADDON HEIGHTSNJ080351634CONSULTING SERVICES$4,495,138
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K177CntrctRcvdGreaterThan100KCnt
Government Grants$2,926,940GovernmentGrantsAmt
All Other Contributions$14,848,434AllOtherContributionsAmt
Noncash Contributions$598,361NoncashContributionsAmt
Total Contributions$17,775,374TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
OUTPATIENT REVENUE621400$1,095,439,980$1,081,655,252$13,784,728
INPATIENT REVENUE621990$918,105,413$918,105,413
HHS COVID REVENUE621990$71,957,975$71,957,975
FieldValueIRS element (for citing)
Total Program Service Revenue$2,085,503,368TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,401,068TotalRevenueColumnAmt
Exclusion$18,401,068ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$18,137,293RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$13,037,335RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$5,099,958RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,099,958TotalRevenueColumnAmt
Exclusion$5,099,958ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$214,804,426SecuritiesAmt
Other$379,568OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$210,839,114SecuritiesAmt
Other$416,406OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,965,312SecuritiesAmt
Other-$36,838OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,928,474TotalRevenueColumnAmt
Related Or Exempt Func Income$3,928,474RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$1,016,829FundraisingGrossIncomeAmt
Fundraising Direct Expenses$523,797FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$493,032TotalRevenueColumnAmt
Exclusion$493,032ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
RESEARCH & MISC INCOME900099$53,359,698$53,009,877$349,821
HEALTH NETWORK LABORAT621500$14,397,629$13,364,503$1,033,126
LEHIGH VALLEY PHO900003$1,149,510$1,149,510
FieldValueIRS element (for citing)
Other Revenue Total$68,906,837OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,200,108,111TotalRevenueColumnAmt
Related Or Exempt Func Income$2,143,171,004RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$15,167,675UnrelatedBusinessRevenueAmt
Exclusion$23,994,058ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$865,369TotalAmt
Program Services$865,369ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$5,641,925TotalAmt
Program Services$5,641,925ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$570,022,996TotalAmt
Program Services$536,858,967ProgramServicesAmt
Management And General$32,198,796ManagementAndGeneralAmt
Fundraising$965,233FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$23,647,970TotalAmt
Program Services$21,795,778ProgramServicesAmt
Management And General$1,799,996ManagementAndGeneralAmt
Fundraising$52,196FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$106,858,931TotalAmt
Program Services$103,369,101ProgramServicesAmt
Management And General$3,410,289ManagementAndGeneralAmt
Fundraising$79,541FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$42,725,864TotalAmt
Program Services$40,170,220ProgramServicesAmt
Management And General$2,483,748ManagementAndGeneralAmt
Fundraising$71,896FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,599,470TotalAmt
Program Services$1,389,877ProgramServicesAmt
Management And General$2,209,593ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$557,304TotalAmt
Program Services$36,450ProgramServicesAmt
Management And General$520,854ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$212,040,213TotalAmt
Program Services$191,042,592ProgramServicesAmt
Management And General$20,937,949ManagementAndGeneralAmt
Fundraising$59,672FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$13,273,420TotalAmt
Program Services$4,404,946ProgramServicesAmt
Management And General$8,868,474ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,042,508TotalAmt
Program Services$1,807,351ProgramServicesAmt
Management And General$230,919ManagementAndGeneralAmt
Fundraising$4,238FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$34,654,972TotalAmt
Program Services$34,654,972ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$40,335,886TotalAmt
Program Services$40,092,910ProgramServicesAmt
Management And General$234,868ManagementAndGeneralAmt
Fundraising$8,108FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,781,775TotalAmt
Program Services$1,699,810ProgramServicesAmt
Management And General$79,307ManagementAndGeneralAmt
Fundraising$2,658FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,929,513TotalAmt
Program Services$1,760,685ProgramServicesAmt
Management And General$155,204ManagementAndGeneralAmt
Fundraising$13,624FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$31,106,762TotalAmt
Program Services$31,106,762ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$109,482,987TotalAmt
Program Services$109,100,661ProgramServicesAmt
Management And General$381,840ManagementAndGeneralAmt
Fundraising$486FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$13,009,369TotalAmt
Program Services$13,009,369ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$396,338,128$396,338,128
PURCHASED SERVICES$328,870,304$321,419,435$7,352,681$98,188
BAD DEBTS EXPENSE$62,442,926$62,442,926
CONTRACTED LABOR$543,685$543,685

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$80,366,469TotalAmt
Program Services$78,473,721ProgramServicesAmt
Management And General$1,756,888ManagementAndGeneralAmt
Fundraising$135,860FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,082,138,746TotalAmt
Program Services$1,998,025,640ProgramServicesAmt
Management And General$82,621,406ManagementAndGeneralAmt
Fundraising$1,491,700FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$16,128BOYAmt
EOY$16,428EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$55,461,394BOYAmt
EOY$244,112,579EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$38,478,271BOYAmt
EOY$6,733,168EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$242,018,225BOYAmt
EOY$220,575,659EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY-$42,040,050BOYAmt
EOY-$91,430,718EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$29,025,676BOYAmt
EOY$35,702,868EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$21,302,821BOYAmt
EOY$44,967,372EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,237,963,441LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,220,090,969LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$969,431,859BOYAmt
EOY$1,017,872,472EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$892,667,044BOYAmt
EOY$1,032,558,552EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$210,505,980BOYAmt
EOY$216,340,882EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$22,599,914BOYAmt
EOY$98,163,921EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$13,342,805BOYAmt
EOY$14,038,868EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,452,810,067BOYAmt
EOY$2,839,652,051EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$180,251,533BOYAmt
EOY$166,188,803EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$13,278,167BOYAmt
EOY$214,232,508EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$611,788,401BOYAmt
EOY$882,014,888EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$351,046,286BOYAmt
EOY$494,006,409EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,156,364,387BOYAmt
EOY$1,756,442,608EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,069,286,334BOYAmt
EOY$849,838,424EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$227,159,346BOYAmt
EOY$233,371,019EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,296,445,680BOYAmt
EOY$1,083,209,443EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,452,810,067BOYAmt
EOY$2,839,652,051EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$117,969,365ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$6,948,193NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$338,153,795OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings MembersYes (1)MailingsMembersInd
Mailings Members$0MailingsMembersAmt
Publications Or BroadcastYes (1)PublicationsOrBroadcastInd
Publications Or Broadcast$0PublicationsOrBroadcastAmt
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$53,876DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$53,876TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationPART II-B, LINE 1D: MAILINGS WERE ELECTRONIC, NO POSTAGE OR OTHER COSTS. PART II-B, LINE 1E: REFERS TO NO-COST PUBLISHED LETTER TO THE EDITOR BY SENIOR LEADER. PART II-B, LINE 1G: REPRESENTS COSTS INCLUDED TO PREPARE FOR, AND TRAVEL TO, VISITS WITH LAWMAKERS OR CONTACT VIA PHONE OR EMAIL ON A VARIETY OF HEALTHCARE, HOSPITAL AND BUDGETARY ISSUES. ALSO INCLUDES THE LOBBYING PORTION OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION, THE HOSPITAL & HEALTHCARE ASSOCIATION OF PENNSYLVANIA, AND THE NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$164,819,500BeginningYearBalanceAmt
Contributions$10,366,994ContributionsAmt
Investment Earnings Or Losses$2,832,340InvestmentEarningsOrLossesAmt
Grants Or Scholarships$810,934GrantsOrScholarshipsAmt
Other Expenditures$4,754,762OtherExpendituresAmt
End Year Balance$172,453,138EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$160,796,676BeginningYearBalanceAmt
Contributions$598,124ContributionsAmt
Investment Earnings Or Losses$8,930,195InvestmentEarningsOrLossesAmt
Grants Or Scholarships$844,070GrantsOrScholarshipsAmt
Other Expenditures$4,661,425OtherExpendituresAmt
End Year Balance$164,819,500EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$154,145,565BeginningYearBalanceAmt
Contributions-$286,153ContributionsAmt
Investment Earnings Or Losses$10,443,683InvestmentEarningsOrLossesAmt
Grants Or Scholarships$777,782GrantsOrScholarshipsAmt
Other Expenditures$2,728,637OtherExpendituresAmt
End Year Balance$160,796,676EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$139,988,904BeginningYearBalanceAmt
Contributions$2,556,444ContributionsAmt
Investment Earnings Or Losses$15,657,618InvestmentEarningsOrLossesAmt
Grants Or Scholarships$681,627GrantsOrScholarshipsAmt
Other Expenditures$3,375,774OtherExpendituresAmt
End Year Balance$154,145,565EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$138,923,072BeginningYearBalanceAmt
Contributions$5,295,781ContributionsAmt
Investment Earnings Or Losses-$469,223InvestmentEarningsOrLossesAmt
Grants Or Scholarships$724,933GrantsOrScholarshipsAmt
Other Expenditures$3,035,793OtherExpendituresAmt
End Year Balance$139,988,904EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.36210PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.63790TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$76,434,994OtherCostOrOtherBasisAmt
Book Value$76,434,994BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,081,300,095OtherCostOrOtherBasisAmt
Depreciation$687,493,173DepreciationAmt
Book Value$393,806,922BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$99,772,839OtherCostOrOtherBasisAmt
Depreciation$53,399,301DepreciationAmt
Book Value$46,373,538BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$558,813,879OtherCostOrOtherBasisAmt
Depreciation$360,870,893DepreciationAmt
Book Value$197,942,986BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$421,641,634OtherCostOrOtherBasisAmt
Depreciation$118,327,602DepreciationAmt
Book Value$303,314,032BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,017,872,472TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (9 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENT-LEHIGH VALLEY PHYSICIAN HOSPITAL ORG. (50.00%)$17,207,161C
INVESTMENT-HEALTH NETWORK LABORATORIES (95.82%)$167,702,943C
INVESTMENT-FAIRGROUNDS MEDICAL CENTER$343,203C
INVESTMENT-GRAND VIEW-LEHIGH VALLEY HEALTH SERVICES$283,132C
INVESTMENT-LEHIGH VALLEY IMAGING$24,491,442C
INVESTMENT-WELLER HEALTH EDUCATION CENTER$1C
INVESTMENT-WESTGATE PROFESSIONAL CENTER$6,206,000C
INVESTMENT-SECURE HEALTHCARE INFORMATION MANAGEMENT$102,000C
INVESTMENT-LEHIGH VALLEY HEALTH NETWORK RISK RETENTION GROUP$5,000C
FieldValueIRS element (for citing)
Total Book Value Program Rltd$216,340,882TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDescAmtAmt
ASSET RETIREMENT OBLIGATION$3,964,345
CAPITAL LEASES$128,469,776
COST SETTLEMENT RESERVES WITH THIRD PARTIES$9,730,892
CURRENT PORTION DEBT - LEASE ACCOUNTING$11,145,979
DEFERRED COMPENSATION PLAN$14,025,214
LONG-TERM DEBT - LEASE ACCOUNTING$65,096,524
OTHER$16,232
PENSION LIABILITY$205,553,923
PROFESSIONAL INSURANCE LIABILITY RESERVES$53,114,730
WORKERS COMPENSATION$2,888,794
FieldValueIRS element (for citing)
Total Liability$494,006,409TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE ENDOWMENT FUNDS ARE USED FOR CONTINUING EDUCATION, SCHOLARSHIPS, RESEARCH, CLINICAL EQUIPMENT, AND NURSING AWARDS.
PART X, LINE 2: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.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1NITE LITESEvent1Nm
Gross Receipts Event1$1,016,829GrossReceiptsEvent1Amt
Gross Revenue Event1$1,016,829GrossRevenueEvent1Amt
Rent Facility Costs Event1$83,771RentFacilityCostsEvent1Amt
Food And Beverage Event1$192,231FoodAndBeverageEvent1Amt
Entertainment Event1$102,557EntertainmentEvent1Amt
Other Direct Expenses Event1$145,238OtherDirectExpensesEvent1Amt
Gross Receipts Total$1,016,829GrossReceiptsTotalAmt
Gross Revenue Total Events$1,016,829GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$83,771RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$192,231FoodAndBeverageTotalEventsAmt
Entertainment Total Events$102,557EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$145,238OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$523,797DirectExpenseSummaryEventsAmt
Net Income Summary$493,032NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,232,666TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$12,232,666NetCommunityBenefitExpnsAmt
Total Expense0.00610TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$286,475,840TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$167,284,123DirectOffsettingRevenueAmt
Net Community Benefit Expns$119,191,717NetCommunityBenefitExpnsAmt
Total Expense0.05900TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$298,708,506TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$167,284,123DirectOffsettingRevenueAmt
Net Community Benefit Expns$131,424,383NetCommunityBenefitExpnsAmt
Total Expense0.06510TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,904,761TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,904,761NetCommunityBenefitExpnsAmt
Total Expense0.00490TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$37,197,336TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,798,333DirectOffsettingRevenueAmt
Net Community Benefit Expns$26,399,003NetCommunityBenefitExpnsAmt
Total Expense0.01310TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,447,946TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,997,235DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,450,711NetCommunityBenefitExpnsAmt
Total Expense0.00770TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,138,365TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,674,108DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,464,257NetCommunityBenefitExpnsAmt
Total Expense0.00170TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$364,910TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$364,910NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$73,053,318TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,469,676DirectOffsettingRevenueAmt
Net Community Benefit Expns$55,583,642NetCommunityBenefitExpnsAmt
Total Expense0.02760TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$371,761,824TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$184,753,799DirectOffsettingRevenueAmt
Net Community Benefit Expns$187,008,025NetCommunityBenefitExpnsAmt
Total Expense0.09270TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$298,693TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$298,693NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$298,693TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$298,693NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$12,391,378BadDebtExpenseAmt
Bad Debt Expense Attributable$3,108,836BadDebtExpenseAttributableAmt
Reimbursed By Medicare$411,958,089ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$411,013,639CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$944,450MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 LVHN RECIPROCAL RISK RETENTION GROUP
MALPRACTICE INSURANCE0.200000.000000.00000
2 HEALTH NETWORK LABORATORIES LLC
LABORATORY SERVICES0.979300.000000.00000
3 HEALTH NETWORK LABORATORIES LP
LABORATORY SERVICES0.958200.000000.00000
4 LEHIGH VALLEY PHYSICIAN HOSPITAL ORGANIZATION INC
HEALTH CARE SERVICES0.500000.000000.00000
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LEHIGH VALLEY HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 S CEDAR CREST BLVDAddressLine1Txt
CityALLENTOWNCityNm
State AbbreviationPAStateAbbreviationCd
ZIP18103ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.LVHN.ORGWebsiteAddressTxt
State License530201StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Childrens HospitalYes (X)ChildrensHospitalInd
Teaching HospitalYes (X)TeachingHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Emergency Room OtherYes (X)EmergencyRoomOtherInd
OtherER - OTHER - PEDIATRIC EROtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1LEHIGH VALLEY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.LVHN.ORG/ABOUT_US/OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.LVHN.ORG/ABOUT_US/StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.LVHN.ORG/FINANCIAL-SERVICES/GET-FINANCIAL-ASSISTANCEFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.LVHN.ORG/FINANCIAL-SERVICES/GET-FINANCIAL-ASSISTANCEFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.LVHN.ORG/FINANCIAL-SERVICES/GET-FINANCIAL-ASSISTANCEFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit Other ActionsYes (X)PermitOtherActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
LEHIGH VALLEY HOSPITALPART 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. THEREFORE, 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.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 LEHIGH AND NORTHAMPTON COUNTY, WHERE LEHIGH VALLEY HOSPITAL - CEDAR CREST, 17TH STREET, AND MUHLENBERG ARE LOCATED, LVHN PARTNERED WITH TWO FACULTY MEMBERS FROM CEDAR CREST COLLEGE. SIX FOCUS GROUPS AND FOUR INTERVIEWS WERE CONDUCTED BETWEEN JUNE AND AUGUST 2018 WITH A TOTAL OF 58 PARTICIPANTS IN LEHIGH COUNTY, WHILE FOUR FOCUS GROUPS AND FIVE INTERVIEWS WERE CONDUCTED WITH 35 TOTAL PARTICIPANTS DURING THE SAME TIME PERIOD IN NORTHAMPTON COUNTY.BELOW IS A SUMMARY OF THE ORGANIZATIONS REPRESENTED IN LEHIGH AND NORTHAMPTON COUNTIES' FOCUS GROUPS AND INTERVIEWS 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 IN LEHIGH COUNTY:ALLENTOWN HEALTH BUREAUALLENTOWN SCHOOL DISTRICTCOMMUNITY ACTION COMMITTEE OF THE LEHIGH VALLEYCOUNTRY MEADOWS RETIREMENT COMMUNITIESEAST PENN SCHOOL BOARDLANTA BUS COMPANYRIPPLE COMMUNITY, INC.WHITEHALL COMMUNITIES THAT CAREWILD CHERRY KNOLL HOUSING DEVELOPMENTDEMOGRAPHICS OF LEHIGH COUNTY:GENDER: 64% FEMALE, 36% MALEAVERAGE AGE: 64.7; AGE RANGE: 16-96RACE: 88.7% WHITE, 5.7% BLACK, 3.8% MULTI-RACIALETHNICITY: 72% NON-HISPANIC, 28% HISPANIC (OF ANY RACE)EDUCATION: 83% HAD AT LEAST SOME COLLEGE OR HIGHER, 15% HAD A HIGH SCHOOL DIPLOMA OR G.E.D.EMPLOYMENT: 50% RETIRED OR NOT EMPLOYED, 45% EMPLOYEDORGANIZATIONS REPRESENTED IN NORTHAMPTON COUNTY:BETHLEHEM AREA SCHOOL DISTRICTBETHLEHEM HEALTH BUREAUEASTON COMMUNITY CENTERLEHIGH VALLEY HEALTH NETWORK DEPARTMENT OF PSYCHIATRYMORAVIAN VILLAGENAZARETH FOOD BANKNORTHAMPTON COUNTY DEPARTMENT OF CORRECTIONSNORTHAMPTON COUNTY MENTAL HEALTHSLATE BELT CHAMBER OF COMMERCEDEMOGRAPHICS OF NORTHAMPTON COUNTY:GENDER: 73.3% FEMALE, 27.7% MALEAVERAGE AGE: 70.4; AGE RANGE: 33-88RACE: 93.3% WHITE, 3.3% BLACK, 3.3% OTHERETHNICITY: 76.7% NON-HISPANIC, 23.3% HISPANIC (OF ANY RACE)EDUCATION: 76.6% HAD AT LEAST SOME COLLEGE OR HIGHER, 23.3% HAD A HIGH SCHOOL DIPLOMA OR G.E.D.EMPLOYMENT: 67% RETIRED OR NOT EMPLOYED, 30% EMPLOYED
LEHIGH VALLEY HOSPITALPART 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 HOSPITALPART V, SECTION B, LINE 6B: REPRESENTATIVES OF THE COMMUNITY IN LEHIGH COUNTY INCLUDED:ALLENTOWN HEALTH BUREAUALLENTOWN SCHOOL DISTRICTCOMMUNITY ACTION COMMITTEE OF THE LEHIGH VALLEYCOUNTRY MEADOWS RETIREMENT COMMUNITIESEAST PENN SCHOOL BOARDLANTA BUS COMPANYRIPPLE COMMUNITY, INC.WHITEHALL COMMUNITIES THAT CAREWILD CHERRY KNOLL HOUSING DEVELOPMENTREPRESENTATIVES OF THE COMMUNITY IN NORTHAMPTON COUNTY INCLUDED:BETHLEHEM AREA SCHOOL DISTRICTBETHLEHEM HEALTH BUREAUEASTON COMMUNITY CENTERLEHIGH VALLEY HEALTH NETWORK DEPARTMENT OF PSYCHIATRYMORAVIAN VILLAGENAZARETH FOOD BANKNORTHAMPTON COUNTY DEPARTMENT OF CORRECTIONSNORTHAMPTON COUNTY MENTAL HEALTHSLATE BELT CHAMBER OF COMMERCE
LEHIGH VALLEY HOSPITALPART V, SECTION B, LINE 7D: OUR COMMUNITY HEALTH NEEDS ASSESSMENT IS ALSO AVAILABLE UPON REQUEST.
LEHIGH VALLEY HOSPITALPART 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 8% OF THE POPULATIONS LVHN SERVES-MEMBERS OF OUR COMMUNITY WITHOUT HEALTH INSURANCE, WHO REPRESENT A SIGNIFICANT PORTION OF OUR ADULT POPULATION IN OUR FIVE-COUNTY SERVICE AREA, RANGING BETWEEN 7% AND 9% OF THE TOTAL POPULATION. 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. 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.REDUCING BARRIERS TO CARE FOR VULNERABLE POPULATIONSIN THE LEHIGH VALLEY (LVH-LEHIGH VALLEY), TWO CRITICALLY IMPORTANT COMMUNITY-FACING INITIATIVES, LVHN'S STREET MEDICINE AND VETERANS HEALTH PROGRAMS ARE SPECIFICALLY AIMED AT INCREASING HEALTHCARE ACCESS AND REDUCING HEALTH DISPARITIES FOR TWO MARGINALIZED POPULATIONS, THE HOMELESS AND VETERANS. IN FY20, THE VETERANS HEALTH PROGRAM (VHP), PRIMARILY SERVING THE LVH-LEHIGH VALLEY, FORMALIZED A RELATIONSHIP WITH DISABLED AMERICAN VETERANS (DAV) TO HAVE A VETERAN SUPPORT OFFICER CO-LOCATED WITH THE VHP TEAM SINCE VHP ACCOUNTED FOR NEARLY 50% OF THEIR WORK IN THE REGIONAL AREA. THE PROGRAM SERVED A TOTAL OF 261 NEW VETERANS AND FAMILY MEMBERS IN FY20. OVER THE YEAR, THE PROGRAM MANAGED AN INCREASING PATIENT LOAD, WHICH PEAKED AT 100 PATIENTS IN FEBRUARY 2020, AND THANKS TO THE RAPID PIVOT TO REMOTE CARE EARLY ON IN THE PANDEMIC, THE PROGRAM WAS ABLE TO SUSTAIN AN AVERAGE OF 76 PATIENTS MONTHLY THROUGH THE CLOSE OF THE FISCAL YEAR IN JUNE. THE INTERNATIONALLY RECOGNIZED LVHN STREET MEDICINE PROGRAM AIMS TO REDUCE HEALTH DISPARITIES FOR OUR HOMELESS POPULATION IN THE LVH-LEHIGH VALLEY SERVICE AREAS, PROVIDING MUCH NEEDED SERVICES TO THESE PATIENTS IN THE PLACES WHERE THEY LIVE; TYPICALLY, IN HOMELESS ENCAMPMENTS AND SHELTERS. STREET MEDICINE PROVIDES BOTH DIRECT ON-SITE MEDICAL CARE, IN ADDITION TO WRAP AROUND SOCIAL SERVICES SUCH AS FACILITATING IDENTIFICATION CARDS THAT ALLOW THEM TO APPLY FOR MEDICAL INSURANCE AND SNAP TO NAME A FEW. TELE-PSYCH HAS ALSO BEEN LEVERAGED TO ADDRESS THE MENTAL HEALTH NEEDS OF THIS POPULATION. IN FY20, THE STREET MEDICINE TEAM PROVIDED 1,649 OUTPATIENT VISITS FOR HOMELESS PATIENTS, A 16.7% INCREASE OVER THE PRIOR YEAR. IN ADDITION, THE TEAM OBTAINED $77,943 IN BENEFITS, INCLUDING SOCIAL SECURITY BENEFITS, SNAP BENEFITS, AND RENTAL ASSISTANCE, FOR PATIENTS. BETWEEN JULY 2019 AND APRIL 2020, 62 PATIENTS RECEIVED ACCESS TO PSYCHIATRIC CARE, 62 PSYCHIATRIC ASSESSMENTS WERE COMPLETED, 56 PSYCHOTHERAPY SESSIONS WERE PROVIDED, AND 37 HOURS OF CLINICAL COORDINATION WERE SUPPLIED.ALSO, IN FY20, THE STREET MEDICINE TEAM LAUNCHED A RESPITE CARE PROJECT. IT IS A COLLABORATION BETWEEN LOCAL HOTELS, MEALS ON WHEELS, LAUNDRY SERVICES AND TAXI SERVICES TO PROVIDE ACUTE RECUPERATIVE CARE TO PATIENTS WHO ARE HOMELESS AND TOO SICK TO BE DISCHARGED TO THE STREETS BUT NOT SICK ENOUGH TO REMAIN IN THE HOSPITAL. OVER THE COURSE OF THE FISCAL YEAR, 16 PATIENTS WERE PROVIDED WITH A SAFE ENVIRONMENT FOR RECUPERATIVE CARE AND SERVICES.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 IN FY20 TOTALING $5,788,040 IN PRESCRIPTION ASSISTANCE.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. DUE TO THE LAG IN CASES BEING APPROVED AND THE DATA REPORTED, THE DATA FROM APRIL 2018 TO MARCH 2019 AND APRIL 2019 TO MARCH 2020. THE REMAINDER OF FY20 WILL BE INCLUDED IN THE NEXT REPORT SUBMISSION. 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 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-LEHIGH VALLEY RECEIVED 37,767 APPLICATIONS, WITH A 7-DAY AVERAGE TO TURN AROUND AN APPLICATION APPROVAL. AN AVERAGE OF 64% OF APPLICATIONS AT EACH SITE WERE APPROVED.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 ZIP CODES HAVE BEEN IDENTIFIED: LEHIGH (LVH-CC, 17) - 18102, 18109, 18101, 18105NORTHAMPTON (LVH-M) - 18042, 18015IN FY20 ACROSS THE REGION, LVHN WAS ABLE TO PROMOTE HEALTH OR PROVIDE HEALTHCARE SCREENINGS IN THE FOLLOWING WAYS:PREVENTATIVE HEALTH SCREENINGS & SERVICESA CONSTANT IN LVH-LEHIGH VALLEY'S PREVENTATIVE EFFORTS, THE ANNUAL DRIVE-THRU FLU DRIVE OCCURRED IN THE FALL OF 2019. LVH-LV STAFF PROVIDED FREE FLU SHOTS TO NEARLY 9,000 PEOPLE AND COLLECTED 7 TONS OF FOOD FOR AREA FOOD BANKS DURING THIS YEAR'S ANNUAL DRIVE. THESE FREE FLU-SHOT CLINICS WILL BE EXPANDING TO OTHER COUNTIES LVHN SERVES IN FY21 AND 22.LVHN ALSO HAD A VARIETY OF SCREENING OPPORTUNITIES 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 5% AND 8% OF THE MAMMOGRAMS PROVIDED IN LEHIGH COUNTY AND NORTHAMPTON COUNTY, RESPECTIVELY, ON THE MAMMOGRAM COACH FOR PATIENTS FROM THE TARGET ZIP CODES.IN LEHIGH COUNTY, WE HELD 484 SCREENINGS, SCHEDULED 71 FOLLOW-UP IMAGING SESSIONS, AND FOUND 3 CANCERS. IN NORTHAMPTON COUNTY, WE HELD 218 SCREENINGS, SCHEDULED 29 FOLLOW-UP IMAGING SESSIONS, AND FOUND NO CANCERS.THE DEPARTMENT OF FAMILY MEDICINE MAILED HOME COLORECTAL CANCER (CRC) SCREENING KITS, TO PATIENTS WHO WERE ELIGIBLE BUT OVERDUE FOR A CRC SCREENING. AT LVH-LEHIGH VALLEY, 421 PATIENTS FROM FAMILY AND INTERNAL PRACTICES (SOUTHSIDE, LAURYS STATION, AND WHITEHALL) RECEIVED THE SCREENING KITS.
LEHIGH VALLEY HOSPITALPART 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 PATIENTS PARTICIPATION IN THE FINANCIAL ASSISTANCE PROGRAM.
PART V, SECTION B, LINE 11 (CONTINUATION A)FAMILY MEDICINE ALSO IMPLEMENTED A LUNG CANCER SCREENING PILOT IN FY20. A TOTAL OF 594 PATIENTS WHO WERE POTENTIALLY ELIGIBLE FOR A LUNG CANCER SCREENING WERE MAILED EDUCATION MATERIALS INCLUDING SCREENING INFORMATION, AND SMOKING CESSATION INFORMATION; 386 WERE IN LEHIGH AND NORTHAMPTON COUNTY. AFTER THE MAILERS WERE SENT, A PATIENT NAVIGATOR REACHED OUT TO THE PATIENTS BY PHONE. THE NAVIGATOR WAS ABLE TO SPEAK WITH 355 OF THE 594 PATIENTS WHO AGREED TO HAVE A CONVERSATION ABOUT SCREENING. WITHIN THAT GROUP, THE NAVIGATOR FOUND THAT 255 PATIENTS WERE ELIGIBLE FOR A LUNG CANCER SCREENING AND 42 OF THE PATIENTS COMPLETED A SCREENING (16.5%). 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. BELOW IS THE RACIAL DEMOGRAPHICS OF LEHIGH AND NORTHAMPTON COUNITES. THE BREAKDOWN BELOW SHOWS THAT THE HISPANIC POPULATION IS GREATER THAN 10% OF THE TOTAL POPULATION IN BOTH COUNTIES, HIGHLIGHTING THE NEED FOR COMPREHENSIVE LANGUAGE SUPPORT AND CULTURAL AWARENESS ACROSS THE NETWORK. THE COMMUNITY MENTIONED THESE ISSUES MULTIPLE TIMES IN FOCUS GROUPS, PARTICULARLY IN LEHIGH, LUZERNE, AND NORTHAMPTON COUNTIES. 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. LEHIGH COUNTY HAS A TOTAL POPULATION OF APPROXIMATELY 359,000. OF THOSE, 21.8% ARE HISPANIC. IN NORTHAMPTON COUNTY, THE POPULATION IS APPROXIMATELY 301,000. OF THOSE, 12.1% ARE 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. BELOW SHOWS THE TOTAL OF VIDEO AND PHONE INTERPRETING SERVICES BROKEN DOWN BY CAMPUS. AT LVH-CEDAR CREST & 17TH STREET, A TOTAL OF 583,006 MINUTES WERE SPENT ON VIDEO ACROSS 49,034 VIDEO ENCOUNTERS. AT LVH-MUHLENBERG, 52,647 MINUTES WERE SPENT ON VIDEO ACROSS 5,106 VIDEO ENCOUNTERS IN FY2020. ACROSS LVH - CEDAR CREST, LVH - 17TH STREET, AND LVH - MUHLENBERG, AN ADDITIONAL 520,291 MINUTES WERE SPENT ON THE TELEPHONE ACROSS A TOTAL OF 47,303 PHONE ENCOUNTERS DURING THE 2020 CALENDAR YEAR.DURING THE COVID-19 OUTBREAK, THERE WAS A NEED FOR ADDITIONAL STAFF TO BE ABLE TO CONVERSE WITH PATIENTS IN SPANISH. THEREFORE, LVHN CREATED A PROCESS FOR STAFF TO BECOME CERTIFIED AS LANGUAGE PROFICIENT AS OPPOSED TO A CERTIFIED INTERPRETER. THIS NEW PATHWAY ALLOWED CERTIFIED STAFF TO CONVERSE WITH PATIENTS IN EITHER ENGLISH OR SPANISH TO FILL IN THE IDENTIFIED GAP IN SERVICES DURING THIS CRITICAL TIME. A TOTAL OF 39 EMPLOYEES TOOK THE ASSESSMENT ACROSS THE NETWORK WITH 32 OF THEM PASSING THE TEST. THIS WORK WILL NOW CONTINUE IN FY21, AND POST-COVID-19. WORLD LANGUAGES WILL BE AVAILABLE FOR LANGUAGE PROFICIENCY TESTING THROUGH AN EXTERNAL VENDOR IN FY21 SO STAFF CAN BE APPROVED AS PROFICIENT IN OTHER LANGUAGES AS WELL.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, CULTURAL SENSITIVITY (GEARED TOWARD MULTIPLE SPECIALTIES), AND DIVERSITY. IN FY20, OVER 61 TRAININGS WERE HELD WITH JUST OVER 4,000 EMPLOYEES ATTENDING IN TOTAL. THERE WERE FOUR SESSIONS WITH NURSE RESIDENTS AND TWO SESSIONS FOR NURSE PRECEPTORS INCLUDING COLLEAGUES FROM LVH-LEHIGH VALLEY, LVH-HAZLETON, LVH-SCHUYLKILL AND LVH-POCONO. A HIGHLIGHT OF THE THIRD AND FOURTH QUARTERS OF FY20 WAS THE GRAND ROUNDS SESSION ON LGBTQ HEALTH THAT WAS DELIVERED BY THE PENNSYLVANIA SECRETARY OF HEALTH, RACHEL LEVINE, MD. MORE RECENTLY, THE LIAISON DELIVERED A PRESENTATION ON DISPARITIES AND COVID-19 FOR THE DEPARTMENT OF MEDICINE IN EARLY MAY 2020. CLINICIANS FROM ACROSS THE LVHN ENTERPRISE TOOK PART IN THIS VIRTUAL SESSION. THE DEDICATION TO THIS WORK HAS LED TO NATIONAL RECOGNITION. IN FY20, THE FOUR LVH - LEHIGH VALLEY CAMPUSES, LVH - CEDAR CREST, LVH - 17TH STREET, LVH - MUHLENBERG AND LVHN - TILGHMAN, RECEIVED NATIONAL RECOGNITION FOR DEMONSTRATING COMMITMENT TO ADVANCING HEALTH EQUITY FOR INDIVIDUALS IN THE LESBIAN, GAY, BISEXUAL, TRANSGENDER AND QUEER OR QUESTIONING (LGBTQ) COMMUNITY, AND CREATING AN INCLUSIVE WORK ENVIRONMENT FOR ALL COLLEAGUES. A RECORD 680 HEALTH CARE FACILITIES ACTIVELY PARTICIPATED IN THIS YEAR'S HEALTHCARE EQUALITY INDEX (HEI), A DESIGNATION PROVIDED BY THE HUMAN RIGHTS CAMPAIGN FOUNDATION (HRC), AND THE LVH-LEHIGH VALLEY CAMPUSES RECEIVED "TOP PERFORMER" DESIGNATION, EARNING 95 OF 100 POINTS IN THE SCORING CRITERIA. THE DESIGNATION SCORES HEALTH CARE FACILITIES ON POLICIES AND PRACTICES DEDICATED TO THE EQUITABLE TREATMENT AND INCLUSION OF THEIR LGBTQ PATIENTS, VISITORS AND EMPLOYEES. 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. AT LVH-LEHIGH VALLEY CAMPUSES, TWO PILOT PARTNERSHIPS WITH MOBILE FOOD MARKET VENDORS WERE DEVELOPED IN FY20. LVH-LEHIGH VALLEY PARTNERED WITH THE RODALE INSTITUTE FOR A FOOD PHARMACY PILOT. TWENTY-FIVE FAMILIES WITH CHILDREN WHO WERE OVERWEIGHT OR OBESE WERE IDENTIFIED AND PROVIDED A WEEKLY PACKAGE OF FRESH FRUITS AND VEGETABLES FOR 12-WEEKS. THE GOAL WAS TO SEE IF FAMILIES WOULD ENGAGE CONSISTENTLY WITH THIS SERVICE AND IF IT CREATED CHANGE IN THE EATING HABITS OF THE FAMILY. THIS PILOT ALSO BEGAN AT THE END OF FY20 AND WILL CONTINUE THROUGH THE FIRST QUARTER OF FY21. THE KELLYN FOUNDATION SERVES A SIGNIFICANT PROPORTION OF LVH-17TH STREET FOOD INSECURE FAMILIES. PATIENTS WERE GIVEN A WEEKLY $20 FOOD VOUCHER TO USE AT THE MOBILE MARKET THAT CIRCULATED BETWEEN THREE ALLENTOWN LOCATIONS, NEAR ALLENTOWN SCHOOLS, ON A WEEKLY BASIS. THE GOAL IS TO PROVIDE LOW-COST AND NO-COST FRUITS AND VEGETABLES TO FAMILIES IN THE NEIGHBORHOODS WHERE THEY RESIDE. THE PILOT BEGAN THE LAST WEEK OF FY20 AND WILL CONTINUE THROUGH THE FIRST 4 MONTHS OF FY21. TWENTY-THREE PATIENTS UTILIZED THE VOUCHER IN THE FIRST WEEK IT WAS AVAILABLE. THE FY21 IMPLEMENTATION PLAN REPORT WILL PROVIDE COMPLETE PILOT INFORMATION WHEN DATA COLLECTION IS FINALIZED.
PART V, SECTION B, LINE 11 (CONTINUATION B)IN ADDITION, THE KELLYN FOUNDATION CONDUCTS IN-SCHOOL EDUCATION IN NINE SCHOOL DISTRICTS THROUGHOUT THE LEHIGH VALLEY. FOR MANY OF THE SCHOOLS, THEY ALSO CREATE SCHOOL GARDENS WITH THE STUDENTS TO INTRODUCE THEM TO AND TEACH THEM ABOUT HEALTHY FRUITS AND VEGETABLES. THE LEHIGH VALLEY RILEY CHILDREN'S HOSPITAL (LVH-LEHIGH VALLEY) SPONSORS PART OF THE IN-SCHOOL EDUCATION ANNUALLY. DURING THE 2018-2019 SCHOOL YEAR, THE KELLYN FOUNDATION REACHED OVER 9400 STUDENTS IN 39 ELEMENTARY SCHOOLS THROUGHOUT NINE SCHOOL DISTRICTS WITH THEIR IN-CLASSROOM EDUCATION. DUE TO COVID-19, STUDENTS WERE UNABLE TO BUILD THE GARDENS IN FY20, BUT THIS COMPONENT WILL RESUME IN THE FUTURE. THE WELLER CENTER ALSO PROVIDES IN-SCHOOL EDUCATION AROUND FOOD, NUTRITION, AND PHYSICAL ACTIVITY. FOR 38 YEARS, WELLER HEALTH EDUCATION HAS PARTNERED WITH SCHOOLS TO PROVIDE INTERACTIVE RESEARCH-BASED PROGRAMS THAT HELP PREVENT CHRONIC DISEASE AND IMPROVE CHILDREN'S OVERALL HEALTH, SAFETY, AND WELL-BEING. ACQUIRED BY LEHIGH VALLEY HEALTH NETWORK (LVHN) IN 2017. WELLER'S EDUCATORS TRAVEL TO SCHOOLS ACROSS LVHN'S SIX-COUNTY SERVICE AREA AND OUR PROGRAMS HAVE BECOME AN INTEGRAL PART OF MANY SCHOOL DISTRICTS' CURRICULA. 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 ADDITION TO LEADING LVHN'S EFFORTS TO DEVELOP AND PROVIDE SCHOOL-BASED PREVENTIVE HEALTH EDUCATION PROGRAMMING, WELLER SCHOOL HEALTH ALSO OVERSEES THE NETWORK'S PARTICIPATION IN THE SUMMER MEALS PROGRAM AT LVH-17TH STREET (LVH-LEHIGH VALLEY). IN THE SUMMER OF 2019, 800 MEALS WERE DISTRIBUTED, AND THIS IS EXPECTED TO GROW TO OVER 1,200 MEALS IN THE SUMMER OF 2020.HOUSINGTHE SECOND STRATEGY TO ADDRESS SOCIAL DETERMINANTS OF HEALTH OUTLINED IN THE IMPLEMENTATION PLAN IS TO PARTNER WITH COMMUNITY ORGANIZATIONS TO MINIMIZE BARRIERS TO SAFE AND HEALTHY HOUSING AND DECREASE IMPACTS OF POVERTY, PARTICULARLY THROUGH COLLABORATION WITH PA LEGAL AID SERVICE ENTITIES.AT LVH-17TH STREET (LVH-LEHIGH VALLEY), NPLS@17TH STREET, THE MEDICAL LEGAL PARTNERSHIP BETWEEN LEHIGH VALLEY HEALTH NETWORK (LVHN) AND NORTH PENN LEGAL SERVICES (NPLS), WAS FIRST IMPLEMENTED IN AUGUST OF 2016. A FULL-TIME CIVIL LAW ATTORNEY AND PART-TIME PARALEGAL HAVE OFFICES AT LVH-17TH STREET CAMPUS TO ALLOW PATIENTS EASY ACCESS TO FREE LEGAL AID SERVICES IN THE SAME PLACE WHERE THEY RECEIVE OUTPATIENT HEALTHCARE SERVICES. THE PURPOSE OF THE PROGRAM IS TO ASSIST LOW-INCOME PATIENTS AND THEIR FAMILIES WITH IDENTIFIED LEGAL ISSUES THAT HAVE REAL OR POTENTIAL IMPACTS ON HEALTH. THE SERVICE AIMS TO IMPROVE THE QUALITY OF LIFE AMONG PATIENTS AND THEIR FAMILY BY ADDRESSING HOUSING STABILITY, FOOD INSECURITY, AND FINANCIAL AND SOCIAL SERVICE SUPPORT. DURING THE FIRST HALF OF FY20, NPLS HANDLED 211 AND 215 CASES IN THE FIRST AND SECOND QUARTERS, RESPECTIVELY, AND THEY WERE ABLE TO CLOSE 89 CASES DURING THAT TIME PERIOD. LACK OF AFFORDABLE HOUSING HAS BEEN IDENTIFIED AS A PRIMARY ISSUE IN THE INNER-CITY ALLENTOWN COMMUNITY. THIS PROBLEM IS REFLECTED IN THE NPLS@ 17TH ST CASELOAD AND OUTCOMES, ESPECIALLY CONCERNING TENANT LANDLORD DISPUTES. OF THE 89 CLOSED CASES, 43% WERE HOUSING RELATED AND INCLUDED OUTCOMES OF EVICTION AVOIDANCE, PRESERVED HOUSING OR SHELTER, AND OVERCOMING ILLEGAL CHARGES BY THE LANDLORD. STAFF TRANSITIONS FOLLOWED BY THE COVID-19 PANDEMIC THROUGH THE FIRST HALF OF 2020 PLACED A TEMPORARY PAUSE ON SERVICES FOR THE REMAINDER OF FY20. 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. IN THE LEHIGH VALLEY (LVH-LEHIGH VALLEY), LVHN IS ENGAGING WITH LAKESIDE GLOBAL INSTITUTE TO PROVIDE TRAUMA 101 AND 102 TRAININGS FOR PROVIDERS AND PROFESSIONALS IN THE LEHIGH VALLEY. THE TRAININGS HAVE REACHED 500 PEOPLE IN FY20. WITH THE COVID-19 PANDEMIC, THESE TRAININGS WERE PUT ON HOLD IN THE SECOND HALF OF FY20, BUT THEY WILL BE REVISITED IN FY21. THE DEPARTMENT OF PSYCHIATRY IS ALSO DEVELOPING A TRAUMA TRAINING THAT EVENTUALLY WILL BE MANDATORY FOR ALL NEW EMPLOYEES AND A TRAINING ENTITLED "GROWING RESILIENCE THROUGH MINDFULNESS" THAT WILL BE FREE FOR EMPLOYEES IN FY21.IN ADDITION, LVH-LEHIGH VALLEY IS A PARTNER IN A COLLABORATIVE CALLED RESILIENT LEHIGH VALLEY, WHICH IS LED BY THE UNITED WAY OF THE GREATER LEHIGH VALLEY. IN FY 20, THIS COLLABORATIVE CREATED A WEBSITE THAT PROVIDES MINDFULNESS AND SOCIAL EMOTIONAL LEARNING (SEL) LESSONS AND RESOURCES FOR EDUCATORS, PARENTS AND CAREGIVERS, AND K-12 STUDENTS. THEY ALSO PROVIDED TRAUMA TRAININGS FOR 75 PROFESSIONALS IN THE COMMUNITY THROUGH A 3-PART WEBINAR SERIES FROM FUTURES WITHOUT VIOLENCE HELD IN MAY 2020. THE THREE-PART SERIES INCLUDED:PART 1: IMPLEMENTING CULTURALLY-RESPONSIVE AND TRAUMA-INFORMED TELEHEALTH SERVICES AND FAMILY-CENTERED PRACTICE DURING COVID-19PART 2: ADVANCING COLLABORATION DURING COVID-19 TO PROTECT CHILDREN AND FAMILIES PART 3: WELL-BEING AS A PATHWAY TO SAFETY 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).
PART V, SECTION B, LINE 11 (CONTINUATION C)REFERRAL 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 THE FIRST 2 MONTHS OF FY20, CENTRALIZED INTAKE RECEIVED 1,220 REFERRALS. OF THE 1,220 REFERRALS, 489 (40%) WERE SCHEDULED WITH LVHN PSYCHIATRY PRACTICES OR PROVIDED WITH A LIST OF EXTERNAL PROVIDERS WITH THE OPTION TO CALL BACK FOR ADDITIONAL ASSISTANCE. BASED ON JULY 2020 REFERRALS, IT IS ANTICIPATED THAT OVER 9,000 REFERRALS WILL BE MADE TO CENTRALIZED INTAKE IN FY21.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 CALLED 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. IN LVH-LEHIGH VALLEY, OUTPATIENT BEHAVIORAL HEALTH VIRTUAL VISITS INCREASED FROM 2% BEFORE COVID-19 TO 98% SOON AFTER THE START OF THE PANDEMIC. IN FY20 THE DEPARTMENT OF PSYCHIATRY COMPLETED OVER 20,000 VIRTUAL VISITS, WHICH WAS WELL OVER THE ANTICIPATED 2,000 VISITS (LARGELY DURING THE FIRST SURGE OF COVID-19). IN ADDITION, TELE-CONSULTS WERE PROVIDED FOR PRIMARY CARE PROVIDERS. A RAPID OUTPATIENT CONSULTATION REFERRAL ORDER WAS ESTABLISHED 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 FY20, 80 TELE-PRIMARY CARE CONSULTS AND 208 ECONSULTS WERE COMPLETED AT LVH-LEHIGH VALLEY PRIMARILY.LVH - LEHIGH VALLEY HAS ALSO ROLLED OUT A NEW APPLICATION CALLED GUIDEBOOK WHICH PROVIDES PATIENTS AND COMMUNITY MEMBERS MENTAL HEALTH RELATED RESOURCES. COMMUNICATION ABOUT THE AVAILABILITY OF THE APP BEGAN IN JANUARY OF 2020. THERE WERE 400 DOWNLOADS AS OF MARCH 2020 WITH AVG. TIME SPENT IN THE APP OF ABOUT 1 MINUTE. BETWEEN MARCH AND MAY 2020 (DURING THE HEIGHT OF THE COVID-19 RESPONSE), THE DOWNLOADS JUMPED TO 600 WITH THE AVERAGE TIME SPENT INCREASING TO OVER A MINUTE. THERE WAS PARTICULARLY HIGH UTILIZATION OF THE SELF-HELP SECTION OF THE APP AND THE CONTENT IN THE APP WAS UPDATED DURING COVID-19 TO PROVIDE COVID RELATED INFORMATION.SCHOOL-BASED BEHAVIORAL HEALTHIN FY20, THE LEHIGH VALLEY REILLY CHILDREN'S HOSPITAL SCHOOL-BASED BEHAVIORAL HEALTH (SBBH) PROGRAM (LVH-LEHIGH VALLEY) TRANSFORMED FROM VISION TO REALITY WITH AN OFFERING OF BEHAVIORAL HEALTH SERVICES TO STUDENTS IN 15 SCHOOLS. IT ESTABLISHED PRIVATE SPACES TO OFFER THERAPEUTIC SERVICES, INTRODUCED SCHOOL-BASED THERAPISTS TO FACULTY AND STAFF, IMPLEMENTED A STREAMLINED AND CONFIDENTIAL REFERRAL PROCESS, AND ESTABLISHED CLOSE COMMUNICATION WITH SCHOOL COUNSELORS AND SUPPORT STAFF. IN FY20, THE SBBH PROGRAM SERVED ALMOST 150 STUDENTS, 20% OF WHOM WERE UNINSURED. IN ADDITION, THROUGH ADDITIONAL IN-KIND HOURS, THE PROGRAM STAFF PRESENTED MULTIPLE PROFESSIONAL DEVELOPMENT PROGRAMS, CAREGIVER PRESENTATIONS, AND OFFERED SUPPORT GROUPS, RESOURCES AND CRISIS SUPPORT TO SCHOOL COMMUNITIES AND FAMILIES THROUGHOUT THE PANDEMIC. A MAJORITY OF THE STUDENTS (93%) SERVED IN THE SBBH PROGRAM WERE BETWEEN THE AGES OF 6 AND 17, AND 37% WERE CAUCASIAN AND 39% WERE HISPANIC. THE TOP 4 REASONS FOR REFERRAL WERE: DEPRESSION AND ANXIETY; ANGER, AGGRESSION, AND OPPOSITIONAL BEHAVIOR; ATTENTION, FOCUS, AND IMPULSIVITY; AND TRAUMATIC EXPERIENCES. BOTH THE CHILDREN AND PARENTS REPORTED THE COUNSELING PROVIDED BY THE SBBH PROGRAM MADE A POSITIVE IMPACT ON THEIR BEHAVIOR AT HOME AND IN SCHOOL. SINCE SCHOOL CLOSURES DUE TO COVID-19 IN MARCH 2020, THE SCHOOL-BASED PROGRAM HAS ASSISTED STUDENTS AND FAMILIES TO CONNECT TO VIDEO VISIT TECHNOLOGY. THE SBBH PROGRAM OFFERED VIDEO THERAPY SERVICES TO ALMOST 75% OF STUDENTS IN THE PROGRAM. SCHOOL-BASED THERAPISTS MAINTAIN THE ABILITY TO HAVE TELEPHONE SESSIONS WITH CLIENTS WHO ARE UNABLE TO PARTICIPATE BY VIDEO.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.AN LVHN PROVIDER PRESENTED ON LVHN'S FOUR-PRONGED APPROACH TO SUD AND STIGMA IN 2 KEY LOCATIONS IN FY20. FIRST, THIS PRESENTATION WAS GIVEN TO THE TEACHERS OF THE NEWLY OPENED KOLBE ACADEMY - RECOVERY HIGH SCHOOL IN DECEMBER 2019 TO 6 ATTENDEES. SHE ALSO PRESENTED AT THE LVHN BOARD OF ASSOCIATES MEETING IN ALLENTOWN, PA IN FEBRUARY WHICH WAS ATTENDED BY 70 BOARD MEMBERS FROM THE COMMUNITY. ADDITIONAL DETAILS ABOUT EFFORTS FOR EACH OF THE ELEMENTS OF LVHN'S 4-PRONGED APPROACH IS OUTLINED BELOW. STIGMA REDUCTIONTHROUGHOUT FY20, 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 OCTOBER 2019. LVH-LEHIGH VALLEY COLLEAGUES PRESENTED 'SCIENCE, STIGMA & SOLUTIONS' AT THE PA DEPARTMENT OF HEALTH OPIOID COMMAND CENTER SUMMIT WITH 300 PEOPLE WERE IN ATTENDANCE, INCLUDING LEGISLATORS, PA DEPARTMENT OF HEALTH, SINGLE COUNTY AUTHORITIES, AND SUBSTANCE USE DISORDER TREATMENT ORGANIZATIONS.IN NOVEMBER 2019, LVHN (LVH-LEHIGH VALLEY) HOSTED "CARE TALKS: CELEBRATING OUR HEALTHCARE PARTNERSHIPS", HIGHLIGHTING RELATIONSHIPS WITH LVHN AND COMMUNITY PARTNERS AROUND LINKAGE TO TREATMENT FOR SUBSTANCE USE DISORDERS AND REDUCING STIGMA. SPEAKERS INCLUDED REPRESENTATIVES FROM LVHN, THE LEHIGH COUNTY DISTRICT ATTORNEY'S OFFICE, PYRAMID HEALTHCARE, AND TREATMENT TRENDS. OVER 200 PEOPLE WERE IN ATTENDANCE, WITH 58 GUESTS WERE FROM LVHN, 40 FROM LVHN COMMUNITY PARTNER CARE ORGANIZATIONS, AND 105 COMMUNITY MEMBERS.
PART V, SECTION B, LINE 11 (CONTINUATION D)IT MAY BE DIFFICULT TO FULLY MEASURE THE IMPACT OF LVHN'S ONGOING PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS. HOWEVER, THE PROGRAM ORGANIZERS BELIEVE THAT OVER TIME THE STRONG CARE TALKS PARTICIPATION BY BOTH ATTENDEES AND PRESENTERS WILL SHOW POSITIVE OUTCOMES BY STRENGTHENING COMMUNITY PARTNERSHIPS, THUS IMPROVING CARE COORDINATION, LINKAGE TO TREATMENT, AND REDUCTION IN STIGMA FOR PEOPLE WITH SUBSTANCE USE CONDITIONS.OTHER SMALLER, FREE PRESENTATIONS WERE HELD THROUGHOUT FY20 IN THE COUNTIES SERVED BY LVHN, INCLUDING:IN OCTOBER 2019, "HOW SUBSTANCE USE DISORDER AFFECTS OLDER ADULTS" WAS PRESENTED AT THE AGING WITH A VIEW STATEWIDE CONFERENCE FOR SOCIAL WORKERS, CASE WORKERS, AND CASE MANAGERS (LVH-LEHIGH VALLEY) WITH 120 PEOPLE IN ATTENDANCE.IN OCTOBER 2019, "HOW SUBSTANCE USE DISORDER AFFECTS OLDER ADULTS" WAS PRESENTED AT THE AGING WITH ID: A VIEW FROM A DIFFERENT LENS CONFERENCE AT DE SALES UNIVERSITY, CENTER VALLEY, PA (LVH-LEHIGH VALLEY). IT WAS ATTENDED BY 120 REGIONAL SOCIAL WORKERS, CASE WORKERS, AND COMMUNITY MEMBERS.OPIOID STEWARDSHIPIN ADDITION TO PRESENTING AND HOSTING DISCUSSION IN THE COMMUNITY, LVHN COLLEAGUES ENGAGED IN SIGNIFICANT EDUCATION TO 451 PROVIDERS AND HEALTHCARE WORKERS TO EMPOWER PROVIDERS AS KNOWLEDGEABLE STEWARDS OF THE SIGNS AND IMPACTS OF SUBSTANCE USE DISORDER. IN FY20, THE FOLLOWING TRAINING AND EDUCATION OPPORTUNITIES DELIVERED BY LVHN PROVIDER(S) AND HELD AS FOLLOWS:IN OCTOBER 2019, A 2-HOUR LECTURE ON MANAGING ACUTE AND CHRONIC PAIN IN THE CONTEXT OF THE OPIOID CRISIS FOR THE LEHIGH COUNTY MEDICAL SOCIETY, WITH 60 PEOPLE IN ATTENDANCE (LVH-LEHIGH VALLEY).IN NOVEMBER 2019, A MEDICALLY ASSISTED TREATMENT (MAT) PRIMER AND STIGMA EDUCATION WAS PRESENTED TO 20 CORE FACULTY MEMBERS OF THE DEPARTMENT OF EMERGENCY MEDICINE RESIDENCY (LVH-LEHIGH VALLEY).IN NOVEMBER 2019, A PRESENTATION ENTITLED "DEMYSTIFYING MORPHINE MILLIGRAM EQUIVALENTS" WAS HELD AT THE PA PAIN SOCIETY ANNUAL CONFERENCE IN HERSHEY, PA, WAS ATTENDED BY 80 PAIN PHYSICIANS.IN NOVEMBER 2019, LVH-LEHIGH VALLEY COLLEAGUES PRESENTED ON PATIENT MANAGEMENT AND TREATMENT MONITORING AT THE PENNSYLVANIA DEPARTMENT OF HEALTH MEDICATION ASSISTED TREATMENT CONFERENCE IN MACUNGIE, PA. IT WAS ATTENDED BY 120 PA DEPARTMENT OF HEALTH EMPLOYEES, SOCIAL WORKERS, CASE WORKERS, BEHAVIORAL HEALTH SPECIALISTS, MEDICAID PERSONNEL, SUD TREATMENT PROVIDERS, AND PRIMARY CARE PHYSICIANS.IN JANUARY 2020, 4 HOURS OF EDUCATION AROUND THE SUBSTANCE USE DISORDER EPIDEMIC, STIGMA, AND OPIOID PRESCRIBING/PAIN MANAGEMENT WAS PROVIDED TO 8 LVH-LEHIGH VALLEY PROVIDERS.IN JANUARY 2020, A PRESENTATION ENTITLED "SCIENCE, STIGMA, SOLUTIONS: AN UPDATE FOR PROVIDERS ON THE SUBSTANCE USE DISORDER CRISIS" WAS HELD AT THE LVHN DEPARTMENT OF ANESTHESIOLOGY 10TH ANNUAL WINTER RETREAT, WITH 75 ANESTHESIOLOGISTS AND NURSES IN ATTENDANCE.IN JANUARY 2020, A PRESENTATION REGARDING LVHN'S MULTIPRONGED APPROACH TO OPIOID STEWARDSHIP AND LINKAGE TO TREATMENT WAS DELIVERED AT A PHARMACY FACULTY MEETING TO 8 PHARMACISTS FROM ACROSS LVHN INCLUDING THE NORTHERN TIER CAMPUSES AND COORDINATED HEALTH.IN FEBRUARY 2020, A PRESENTATION ENTITLED "LINKAGE TO TREATMENT AT LVHN: AN UPDATE FOR LVHN INTERNAL MEDICINE QUALITY MEETING" (LVH-LEHIGH VALLEY) WAS PROVIDED TO 12 INTERNAL MEDICINE PHYSICIANS.IN APRIL 2020, A PRESENTATION ENTITLED "SCIENCE, STIGMA, SOLUTIONS: LVHN'S APPROACH TO THE SUD CRISIS" WAS HELD VIRTUALLY AT THE INTERNAL MEDICINE RESIDENCY GRAND ROUNDS FOR 25 PEOPLE.IN APRIL 2020, LVH-LEHIGH VALLEY COLLEAGUES PRESENTED "SCIENCE, STIGMA & SOLUTIONS: YOUR ROLE IN THE SUBSTANCE USE DISORDER CRISIS" AS A PART OF THE USF MORSANI COLLEGE OF MEDICINE SELECT PROGRAM LECTURE SERIES WITH 28 PEOPLE IN ATTENDANCE.IN JUNE 2020, A LVHN PROVIDER PRESENTED "LEHIGH VALLEY HEALTH NETWORK'S MULTI-PRONGED APPROACH TO ADDRESSING THE SUBSTANCE USE DISORDER CRISIS" AT THE VIRTUAL DEPARTMENT OF FAMILY MEDICINE GRAND ROUNDS WITH 20 PEOPLE IN ATTENDANCE. IN JUNE 2020, A PRESENTATION ENTITLED "SAFER OPIOID PRESCRIBING" WAS HELD AT THE VIRTUAL DEPARTMENT OF NEUROLOGY GRAND ROUNDS WITH 20 PEOPLE IN ATTENDANCE. THE DEPARTMENT OF PSYCHIATRY ALSO CONDUCTED A SURVEY OF LEADERS AND STAFF ABOUT BIASES AROUND SUBSTANCE ABUSE AND PREPAREDNESS FOR TREATING PATIENTS WITH CO-OCCURRING SUBSTANCE USE AND MENTAL HEALTH DISORDERS. LEADERS (N=7) IN PSYCHIATRY REPORTED:A NEED FOR ADDITIONAL TRAINING AROUND HOW TO BEST MANAGE PATIENTS WITH CO-OCCURRING DISORDERS.A LACK OF KNOWLEDGE ABOUT SUBSTANCE ABUSE TREATMENT BEST PRACTICES.AN OPPORTUNITY FOR BETTER COORDINATION WITH SUBSTANCE ABUSE TREATMENT AGENCIES.AMONG THE 86 DOCTORS, CASE MANAGERS, AND THERAPISTS THAT COMPLETED THE SURVEY, THEY FELT THAT THEIR TRAINING AND EDUCATION AROUND HOW TO ADDRESS CO-OCCURRING DISORDERS WAS PRETTY GOOD AND THEY FELT THEY WERE ABLE TO ADDRESS THE NEEDS OF PATIENTS WITH CO-OCCURRING DISORDERS. HOWEVER, THERE IS STILL ROOM FOR ADDITIONAL TRAINING FOR MENTAL HEALTH PROFESSIONALS AROUND BEST PRACTICES AND FOR BETTER COORDINATION WITH SUBSTANCE USE TREATMENT PROVIDERS."EMPOWERED RELIEF TRAIN YOU BRAIN AWAY FROM PAIN", A TRAINING FOR PATIENTS WITH CHRONIC PAIN IN THE LEHIGH VALLEY (LVH-LEHIGH VALLEY). IT IS AN EVIDENCE-BASED MODEL, 2-HOUR SESSION AROUND NON-MEDICAL APPROACHES TO PAIN AND IS AVAILABLE FOR FREE TO ALL PATIENTS 18 YEARS OLD AND OLDER. TRAININGS WERE HELD IN PERSON IN OCTOBER AND DECEMBER 2019 AND JANUARY 2020. THEN THEY WERE HELD VIRTUALLY DUE TO COVID-19 IN MARCH, APRIL, AND JUNE 2020. ADDITIONAL EMPLOYEES WILL BE TRAINED SO THAT THE TRAINING CAN BE PROVIDED IN ADDITIONAL LOCATIONS. LINKAGE TO TREATMENTAT THE LVH-LEHIGH VALLEY CAMPUSES, THE HOSPITAL PARTNERS WITH LEHIGH AND NORTHAMPTON COUNTIES ON A WARM-HAND OFF PROGRAM CALLED THE HOSPITAL OPIOID SUPPORT TEAM (HOST). THROUGH THIS PROGRAM, WHEN PATIENTS COME IN TO THE EMERGENCY DEPARTMENT (ED) WITH SUBSTANCE ABUSE CONCERNS LVHN STAFF ARE ABLE TO CALL A HOST ASSESSOR WHO COMES DIRECTLY TO THE ED TO PROVIDE AN ASSESSMENT AND CONNECT THE PATIENT TO TREATMENT, DECREASING THE TIME BETWEEN IDENTIFICATION AND REFERRAL TO TREATMENT. IN FY20, THERE WERE 1,981 HOST ENCOUNTERS FOR LEHIGH AND NORTHAMPTON COUNTIES. IN ADDITION, LVH-LEHIGH VALLEY HAS AN ADDICTION RECOVERY SPECIALIST (ARS) AND HIRED ANOTHER CERTIFIED RECOVERY SPECIALIST (CRS) TO HELP CONNECT PATIENTS ADMITTED TO THE HOSPITAL TO DRUG AND ALCOHOL TREATMENT (AS WELL AS ENGAGE IN STIGMA REDUCTION AND EDUCATION ACTIVITIES). AN ADDITIONAL 257 ENCOUNTERS WITH PATIENTS WERE CONDUCTED BY THE ARS AND CRS IN FY20. IN FY20, LVHN WAS ALSO THE RECIPIENT OF A 9-MONTH PENNSYLVANIA COORDINATED MEDICALLY ASSISTED TREATMENT (PACMAT) GRANT THOUGH THE STATE DEPARTMENT OF HEALTH WHICH EXPANDED THE AVAILABILITY OF MAT SERVICES TO PRIMARY CARE PRACTICES WITHIN LVHN. 14 PRIMARY CARE PRACTICES IN COLLABORATION WITH THE DEPARTMENT OF PSYCHIATRY ARE WORKING TO SUPPORT PRIMARY CARE PROVIDERS IN BECOMING TRAINED AND COMFORTABLE TO ADMINISTER MAT. THIS PROJECT ALSO INCLUDES EXTERNAL COLLABORATORS THROUGH LOCAL SUBSTANCE USE DISORDER TREATMENT PROVIDERS. IN FY20, THERE WERE 1981 REFERRALS MADE AT LVH-L CAMPUSES, WITH 862 OF THOSE PATIENTS REFERRED TO MEDICALLY MONITORED DETOXIFICATION.HARM REDUCTIONA LVHN PROVIDER AND A CERTIFIED RECOVERY SPECIALIST WERE PRESENTERS ON A WEBINAR HARM REDUCTION IN THE HOSPITAL: DEVELOPING A NALOXONE PROGRAM FOR AT RISK PATIENTS TO THE HOSPITAL ASSOCIATION OF PENNSYLVANIA OPIOID ACTION LEARNING NETWORK (HAP-OLAN). IT WAS ATTENDED BY 25 PHARMACISTS, QUALITY SPECIALISTS, AND CLINICIANS.A LVHN PROVIDER AND THE ADDICTION RECOVERY SPECIALIST PRESENTED HARM REDUCTION: A KEY ASPECT OF A MULTIPRONGED APPROACH TO THE SUBSTANCE USE DISORDER CRISIS AT THE HOSPITAL ASSOCIATION OF PENNSYLVANIA OPIOID LEARNING ACTION NETWORK (HAP-OLAN) NORTHEAST VIRTUAL REGIONAL MEETING IN JUNE 2020 WITH 35 PEOPLE IN ATTENDANCE.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.
PART V, SECTION B, LINE 11 (CONTINUATION E)IN LEHIGH COUNTY, THE LEHIGH COUNTY TASK FORCE IS A COLLABORATION BETWEEN LVHN, THE LEHIGH COUNTY CORONER, THE ALLENTOWN HEALTH BUREAU, LEHIGH COUNTY MENTAL HEALTH SERVICES, AND PINEBROOK FAMILY ANSWERS. IN FY20, THEY FOCUSED ON THE CORONER'S DATA REGARDING SUICIDES IN LEHIGH COUNTY OVER A 10-YEAR PERIOD, IN ORDER TO BETTER UNDERSTAND TRENDS AND THE GEOGRAPHIC CONCENTRATION OF SUICIDES IN THE COUNTY. BASED ON THAT DATA, THE GROUP IS:FACILITATING CONVERSATIONS WITHIN LEHIGH COUNTY THAT HAVE HIGHER RATES OF SUICIDE TO BETTER UNDERSTAND THE ISSUE AND CO-DESIGN POTENTIAL SOLUTIONS.DEVELOPING A PUBLIC SERVICE ANNOUNCEMENT.DETERMINING WAYS, THEY CAN PROMOTE HEALTH AND WELL-BEING AMONG YOUTH BEFORE SUICIDE BECOMES A REALITY.LVHN CREATED BROCHURES FOR THE PRIMARY AND SPECIALTY CARE PRACTICES ABOUT LETHAL MEANS AND SUICIDE TO CREATE AWARENESS AMONG THE COMMUNITY.A VIDEO ENTITLED DO NO HARM WAS PREVIEWED IN OCTOBER 2019 AND AIRED ON PBS IN MAY 2020. THE VIDEO LOOKS AT SUICIDE AMONG PHYSICIANS AND RESIDENTS.IN NORTHAMPTON COUNTY, THE NORTHAMPTON SUICIDE PREVENTION TASKFORCE AIMS TO DEVELOP AND IMPLEMENT STRATEGIES TO REDUCE THE RISK OF SUICIDE AND STIGMA OF MENTAL ILLNESS IN NORTHAMPTON COUNTY THROUGH THE COLLABORATIVE EFFORTS OF COMMUNITY AGENCIES AND SERVICE PROVIDERS. THE GOAL IS TO REDUCE DEATH-BY-SUICIDE IN NORTHAMPTON COUNTY BY 20%. FROM 2018 TO 2019, NORTHAMPTON COUNTY SAW A DECREASE IN SUICIDES FROM 53 IN 2018 TO 40 IN 2019. IN FY20, THE GROUP APPLIED FOR AND RECEIVED GRANT FUNDING TO TRAIN PROFESSIONAL IN THE QPR MODEL AND HELD TRAININGS PARTICULARLY FOR THE ELDERLY IN NORTHAMPTON COUNTY.

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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.
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:THE CLINICS SUBSIDY OF $13,522,061 THAT IS INCLUDED IN SUBSIDIZED HEALTH SERVICES IS THE DIFFERENCE BETWEEN CLINIC PAYMENTS AND CLINIC COSTS. THE CLINICS SUBSIDY INCLUDES THE OPERATIONS OF THE MEDICAL AND SURGICAL CLINICS, CHILDREN'S CLINIC, THE DENTAL CLINIC, THE CENTER FOR WOMEN'S MEDICINE, THE FAMILY HEALTH CENTER, GERIATRICS, AND THE MENTAL HEALTH CLINIC. THE CLINICS SUBSIDY IS NOT INCLUDED IN THE MEDICAL ASSISTANCE SHORTFALL OR UNCOMPENSATED CHARITY CARE VALUE REPORTED ABOVE.
PART I, LINE 7, COLUMN (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 62,442,926.
PART II, COMMUNITY BUILDING ACTIVITIES:LEHIGH VALLEY HOSPITAL'S SCHOOL HEALTH PROGRAM PROVIDES FREE ON-SITE CLINICAL SERVICES, IMMUNIZATIONS, AND HEALTH EXAMS FOR STUDENTS AT LOCAL ELEMENTARY, MIDDLE AND HIGH SCHOOLS. THE NET COST OF DIRECT SERVICES PROVIDED TO THESE STUDENTS IN FY20 WAS $263,693. IN ADDITION, LEHIGH VALLEY HOSPITAL CONTRIBUTED $35,000 FOR THE DEVELOPMENT OF LINDBERG PARK IN SALISBURY TOWNSHIP.
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, 2020, AND 2019, RESPECTIVELY, LVH RECORDED A PROVISION FOR IMPLICIT PRICE CONCESSIONS OF $83,395,000 AND $86,444,000 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 FY2020 MEDICARE COST REPORT. THE ENTIRE GAIN 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. NEXT STEPS INCLUDE DEVELOPING STRATEGIES TO ADDRESS PRIORITIZED HEALTH NEEDS WHICH WILL BE PRESENTED IN LVHN'S CHNA IMPLEMENTATION PLAN.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 WWW.LVHN.ORG/ABOUT_US TO VIEW THE SIGNIFICANT NEEDS IDENTIFIED IN OUR MOST RECENTLY CONDUCTED CHNA AND HOW WE ARE ADDRESSING THOSE NEEDS.
PART VI, LINE 3:CONSISTENT WITH THE MISSION AND VALUES OF LEHIGH VALLEY HEALTH NETWORK, IT IS THE POLICY TO PROVIDE MEDICAL CARE TO ALL INDIVIDUALS WITHOUT REGARD TO THEIR ABILITY TO PAY FOR SERVICES. THE FINANCIAL ASSISTANCE POLICY APPLIES TO UNINSURED AND UNDER-INSURED INDIVIDUALS WHO PARTICIPATE IN THE PROCESS TO EVALUATE THEIR ABILITY TO PAY FOR LVHN SERVICES.PATIENTS ARE IDENTIFIED BY LVHN REGISTRATION, BENEFITS AND VERIFICATION, CUSTOMER SERVICE, AND FINANCIAL COUNSELORS AS BEING IN FINANCIAL NEED. THE FINANCIAL COUNSELORS HELP PATIENTS COMPLETE THE APPLICATION FOR FINANCIAL ASSISTANCE. LVHN FOLLOWS THE FEDERAL POVERTY GUIDELINES TO EVALUATE ELIGIBILITY. PATIENTS WHOSE FAMILY INCOME FALLS BELOW 200% OF THE FEDERAL POVERTY GUIDELINE WILL HAVE THEIR ENTIRE BALANCE FORGIVEN FOR THEIR QUALIFYING SERVICES AT A PARTICIPATING LVHN PROVIDER. PATIENTS WITH A FAMILY INCOME BELOW 400% OF THE FEDERAL POVERTY GUIDELINES WILL HAVE A PORTION OF THEIR BALANCE FORGIVEN FOR QUALIFYING SERVICES AT A PARTICIPATING LVHN PROVIDER. PATIENTS ARE EVALUATED FOR NO COST OR REDUCED PREMIUM INSURANCE PLANS. THE LVHN FINANCIAL COUNSELORS WILL OFFER INFORMATION TO PATIENTS WHO ARE INTERESTED IN SEEING IF THEY QUALIFY FOR THESE PROGRAMS OFFERED BY COMMERCIAL INSURANCE COMPANIES.PATIENTS OFTEN EXPRESS FINANCIAL CONCERN OR NEED BY CONTACTING THE LVHN CUSTOMER SERVICE DEPARTMENTS. THE CUSTOMER SERVICE REPRESENTATIVES EXPLAIN THE PROGRAMS AVAILABLE; FINANCIAL ASSISTANCE AND SUPPORT IN APPLYING FOR MEDICAL ASSISTANCE OR INSURANCE THROUGH THE FEDERAL HEALTH INSURANCE EXCHANGE. PATIENTS WILL BE REFERRED TO THE FINANCIAL COUNSELORS WHO WORK WITH PATIENTS TO APPLY FOR PENNSYLVANIA MEDICAL ASSISTANCE. THE FINANCIAL COUNSELORS ARE LOCATED ONSITE. THE FINANCIAL COUNSELORS VISIT PATIENTS IN THEIR INPATIENT ROOMS, IN THE CANCER CENTER, AND IN THE EMERGENCY DEPARTMENT. IN ADDITION, LVHN ADVERTISES FINANCIAL ASSISTANCE IN THE LOCAL NEWSPAPER, ON OUR PUBLIC WEBSITE AND ON THE STATEMENTS SENT TO OUR PATIENTS.
PART VI, LINE 4:LEHIGH VALLEY HOSPITAL, INC. (LVH) IS A PENNSYLVANIA NOT-FOR-PROFIT MEMBERSHIP CORPORATION EXEMPT FROM FEDERAL INCOME TAXES AS A CORPORATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE LVH PRIMARY SERVICE AREA CONSISTS OF LEHIGH, NORTHAMPTON, AND CARBON COUNTIES. BASED ON THE U.S. CENSUS BUREAU'S INFORMATION, FOR THE 2010 DECENNIAL CENSUS, THE PRIMARY SERVICE AREA POPULATION WAS ESTIMATED TO BE 712,481. ACCORDING TO THE AMERICAN COMMUNITY SURVEY (U.S. CENSUS), THE 2019 ESTIMATED POPULATION FOR THE THREE-COUNTY AREA IS 738,785. DURING THE CALENDAR YEAR 2019, 67.2% OF THE DISCHARGES FROM LVH-ALLENTOWN WERE RESIDENTS OF THE PRIMARY SERVICE AREA. THE SECONDARY SERVICE AREA CONSISTS OF BERKS, LUZERNE, MONROE, AND SCHUYLKILL COUNTIES AND NORTHERN PORTIONS OF BUCKS AND MONTGOMERY COUNTIES. THE 2010 CENSUS POPULATION FOR THIS AREA WAS 672,668, THE 2019 POPULATION OF THE SECONDARY SERVICE AREA IS ESTIMATED AT 679,529. DURING THE CALENDAR YEAR 2019, 29.8% OF THE DISCHARGES FROM LVH WERE RESIDENTS OF THE SECONDARY SERVICE AREA. DURING THE CALENDAR YEAR 2019, 3.0% OF THE DISCHARGES FROM LVH-ALLENTOWN WERE RESIDENTS OUTSIDE THE PRIMARY AND SECONDARY SERVICE AREAS. BASED ON PROPRIETARY DATA ESTIMATES (SCANUS), THE CURRENT POPULATION ESTIMATE OF THE COMBINED PRIMARY AND SECONDARY LVH SERVICE AREAS IS APPROXIMATELY 3.5% IN 2025.THE PRIMARY SERVICE AREA OF LVH-MUHLENBERG IS THE EASTERN PORTION OF LEHIGH COUNTY AND ALL OF NORTHAMPTON COUNTY. BASED ON U.S. CENSUS BUREAU DATA FOR THE 2010 CENSUS, THE PRIMARY SERVICE AREA POPULATION WAS APPROXIMATELY 413,156. DURING THE CALENDAR YEAR 2019, ABOUT 90.9% OF THE DISCHARGES FROM LVH-MUHLENBERG WERE RESIDENTS OF THE PRIMARY SERVICE AREA. ACCORDING TO THE AMERICAN COMMUNITY SURVEY (U.S. CENSUS), THE PRIMARY SERVICE AREA'S ESTIMATED POPULATION IN 2019 IS 416,080.THE SECONDARY SERVICE AREA OF LVH-MUHLENBERG INCLUDES ALL OF CARBON COUNTY AND PORTIONS OF BERKS, BUCKS, MONROE, MONTGOMERY, AND SCHUYLKILL COUNTIES. THE 2010 POPULATION OF THE SECONDARY SERVICE AREA WAS APPROXIMATELY 677,954. DURING THE CALENDAR YEAR 2019, ABOUT 7.0% OF THE DISCHARGES FROM LVH-MUHLENBERG WERE RESIDENTS OF THE SECONDARY SERVICE AREA. ACCORDING TO THE AMERICAN COMMUNITY SURVEY (U.S. CENSUS), THE SECONDARY SERVICE AREA'S ESTIMATED POPULATION IN 2019 IS 681,813.DURING THE CALENDAR YEAR 2019, 2.1% OF THE DISCHARGES FROM LVH-MUHLENBERG WERE RESIDENTS OUTSIDE THE PRIMARY AND SECONDARY SERVICE AREAS. BASED ON PROPRIETARY DATA ESTIMATES (SCANUS), THE COMBINED PRIMARY AND SECONDARY LVH SERVICE AREAS' CURRENT POPULATION PROJECTION INCREASES BY APPROXIMATELY 3.3% BY 2025.
PART VI, LINE 5:LEHIGH VALLEY HOSPITAL QUALIFIES AS AN INSTITUTION OF PURELY PUBLIC CHARITY IN PENNSYLVANIA. THIS REGULATION IS REFERRED TO AS ACT 55. TO BE CONSIDERED A PURELY PUBLIC CHARITY, NONPROFITS MUST: (1) ADVANCE A CHARITABLE PURPOSE; (2) DONATE OR RENDER GRATUITOUSLY A SUBSTANTIAL PORTION OF ITS SERVICES; (3) BENEFIT A SUBSTANTIAL AND INDEFINITE CLASS OF PERSONS WHO ARE LEGITIMATE SUBJECTS OF CHARITY; (4) RELIEVE THE GOVERNMENT OF SOME BURDEN; AND (5) OPERATE ENTIRELY FREE FROM PRIVATE PROFIT MOTIVE.LVH IS REQUIRED TO REAPPLY FOR THIS CHARITABLE STATUS EVERY FIVE YEARS AND CURRENTLY QUALIFIES THROUGH OCTOBER 31, 2025.
PART III, SECTION B. MEDICARE, LINE 8MEDICARE PROGRAM COSTS INCLUDED IN THE ANNUAL LVHN COMMUNITY BENEFIT REPORT NOT INCLUDED OR ALLOWABLE IN THE MEDICARE COST REPORT TOTALED $175,180,041. THIS INCLUDES COSTS OF MEDICARE MANAGED CARE, LVPG PRACTICE SUBSIDIES, NON-REIMBURSEABLE INTEREST EXPENSE, LVAS SUBSIDY, UNIVERSITY OF SOUTH FLORIDA SCHOOL COSTS, AND DISALLOWABLE RELATED ORGANIZATION COSTS.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDesc
NURSING LOANS AND SCHOLARSHIPS60$864,752BOOK
JIROLANO TUITION AIDE SCHOLARSHIP1$617BOOK

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationLOAN AGREEMENTS - LOAN AGREEMENTS WERE AWARDED TO SENIOR NURSING STUDENTS IN A BACHELOR OF SCIENCE NURSING PROGRAM. CRITERIA FOR LOAN AGREEMENTS TO STUDENTS IN A BSN GRADUATE NURSE PROGRAM ARE: A COMPLETED APPLICATION, 2 LETTERS OF RECOMMENDATION FROM THEIR MOST RECENT CLINICAL INSTRUCTORS, AN OFFICIAL TRANSCRIPT DEMONSTRATING AN OVERALL GPA OF 3.0 OR HIGHER AND A ONE PAGE ESSAY DESCRIBING THEIR MOTIVATION, LEADERSHIP AND ACADEMIC ACCOMPLISHMENTS IN NURSING. IF ABOVE INFORMATION IS SUBMITTED AND CONSIDERED FAVORABLE, INTERVIEWS ARE SCHEDULED WITH SELECTION COMMITTEE MEMBERS. IF CONSIDERED FAVORABLE AFTER ALL INTERVIEWS HAVE BEEN CONDUCTED, A LOAN AGREEMENT IS OFFERED IN WRITING FOR THEM TO REVIEW. IF CANDIDATE VERBALLY ACCEPTS, THEY ARE INVITED TO MAKE AN APPOINTMENT TO SIGN THE CONTRACT. THE CONTRACT IS THEN NOTARIZED AFTER ALL PARTIES HAVE REVIEWED AND SIGNED. THEIR COMMITMENT BACK TO THE HOSPITAL IS FOR TWO YEARS FROM THE DATE OF HIRE IN THE NEW GRADUATE/RN POSITION. (SOME CANDIDATES ARE CURRENT EMPLOYEES IN OTHER POSITIONS, SO WE CONSIDER ONLY THE HIRE DATE OF THE REGISTERED NURSE POSITION TOWARD THE WORK COMMITMENT.) IF CANDIDATE DOES NOT FULFILL THEIR COMMITMENT, THE LOAN AGREEMENT DOLLARS ARE PRO-RATED AND REPAYMENT IS DUE IMMEDIATELY, PLUS INTEREST. WE HAD 2 NEW DNP LOAN AGREEMENTS OFFERED IN FY2020. SCHOLARSHIPS - SCHOLARSHIPS ARE OFFERED TO CURRENT REGISTERED NURSE EMPLOYEES. AN APPLICATION IS COMPLETED ALONG WITH A LETTER OF RECOMMENDATION FROM THEIR DIRECT SUPERVISOR/DIRECTOR, A COPY OF THEIR MOST RECENT PERFORMANCE EVALUATION, DEMONSTRATING A PERFORMANCE EVALUATION SCORE OF 3.0 OR HIGHER FOR BSN AND MSN. IF RN IS CURRENTLY ACTIVE IN A PROGRAM, AN OFFICIAL COPY OF THEIR CURRENT TRANSCRIPT WOULD ALSO BE REQUIRED. EMPLOYEES MUST BE CURRENTLY ENROLLED IN A NURSING PROGRAM PRIOR TO APPLYING FOR THE SCHOLARSHIP. IF EMPLOYEE ACCEPTS AND SIGNS A "RECEIPT OF NURSING EDUCATION TUITION PAYMENTS PROGRAM NOTE, THERE IS NO PAYBACK OR WORK COMMITMENT REQUIRED UPON GRADUATION OR SEPARATION. THERE WERE A TOTAL OF 60 LOAN AGREEMENTS, 19 NEW RN-BSN SCHOLARSHIPS AND 24 NEW MSN SCHOLARSHIP AWARDED IN FY2020. THE TOTAL FUNDS USED FOR ALL LOAN AGREEMENTS AND SCHOLARSHIPS WAS $864,751.94.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROBERT BEGLIOMINI
PRESIDENT, LVH-M/TRUSTEE$378,808$0$70,875$0-$5,605$0$0$0$40,062$0$484,140$0$0$0
DEBORAH BREN DO
TRUSTEE$280,562$0$56,548$0$13,314$0$0$0$36,467$0$386,891$0$0$0
TERRY CAPUANO
PRESIDENT, LVH/TRUSTEE$728,717$0$274,625$0$163,070$0$0$0$32,386$0$1,198,798$0$0$0
WILLIAM M KENT MHA
TRUSTEE$558,906$0$133,496$0$58,332$0$0$0$28,862$0$779,596$0$0$0
JOSEPH E PATRUNO MD
TRUSTEE$0$332,266$0$11,629$0$10,468$0$0$0$42,431$0$396,794$0$0
THOMAS MARCHOZZI
TREASURER$641,346$0$262,144$0-$4,916$0$0$0$25,267$0$923,841$0$0$0
MATTHEW SORRENTINO ESQ
SECRETARY$262,164$343,580$0$160,669$12,645$12,503$0$0$18,157$12,092$292,966$528,844$0$0
ROBERT THOMAS
ASSISTANT TREASURER$268,875$0$100,192$0-$1,746$0$0$0$28,321$0$395,642$0$0$0
THOMAS V WHALEN MD MMM
ASSISTANT SECRETARY$703,042$0$287,556$0$154,959$0$0$0$34,494$0$1,180,051$0$0$0
BRIAN A NESTER DO
PRESIDENT/CEO, LVHN$1,211,539$0$693,000$0$316,595$0$0$0$40,062$0$2,261,196$0$0$0
ROBERT MURPHY MD
CHIEF INTEGRATION OFFICER$579,823$0$196,771$0$102,569$0$0$0$23,262$0$902,425$0$0$0
DEBORAH SALAS-LOPEZ MD
ASSOC. CHIEF MEDICAL OFFICER$412,338$0$191,236$0$99,145$0$0$0$16,991$0$719,710$0$0$0
EDWARD DOUGHERTY
CHIEF BUSINESS DEVELOPMENT OFFICER$449,238$0$135,267$0$86,773$0$0$0$36,467$0$707,745$0$0$0
MICHAEL MINEAR MS
CHIEF INFORMATION OFFICER$431,953$0$129,735$0$88,379$0$0$0$17,694$0$667,761$0$0$0
JAMES F GEIGER
FORMER TRUSTEE$16,883$0$141,156$0$25,706$0$0$0$1,392$0$185,137$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4BFormAndLineReferenceDesc
ExplanationTHE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OF LEHIGH VALLEY HOSPITAL IN CALENDAR YEAR 2019: DEBORAH BREN, DO, TRUSTEE - $18,487 TERRY CAPUANO, PRESIDENT, LVH/TRUSTEE - $149,886 EDWARD DOUGHERTY, CHIEF BUSINESS DEVELOPMENT OFFICER - $78,114 JAMES F. GEIGER, FORMER TRUSTEE - $25,616 WILLIAM M. KENT, MHA, TRUSTEE - $60,465 MICHAEL MINEAR, CHIEF INFORMATION OFFICER - $74,919 ROBERT MURPHY, MD, CHIEF INTEGRATION OFFICER - $101,386 BRIAN NESTER, DO, PRESIDENT/CEO, LVHN - $308,971 DEBORAH SALAS-LOPEZ, MD, ASSOC. CHIEF MEDICAL OFFICER - $96,589 THOMAS V. WHALEN, MD, MMM, ASSISTANT SECRETARY - $139,326 THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OF LEHIGH VALLEY PHYSICIAN GROUP, A RELATED ORGANIZATION, IN CALENDAR YEAR 2019: JOSEPH E. PATRUNO, MD, TRUSTEE - $19,606ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
LEHIGH COUNTY GENERAL PURPOSE AUTHORITY
A91188653952480GCB82012-12-12$154,924,763CONSTRUCT, RENOVATE, EQUIP FACILITIES; REFUND 10/17/01, 5/21/03 ISSUES000
LEHIGH COUNTY GENERAL PURPOSE AUTHORITY
B91188653952480GCF92015-07-30$72,969,788CONSTRUCT, RENOVATE, EQUIP FACILITIES000
LEHIGH COUNTY GENERAL PURPOSE AUTHORITY
C91188653952480GCX02016-09-15$152,250,999REFUND 9/15/05, 6/4/08 ISSUES000
LEHIGH COUNTY GENERAL PURPOSE AUTHORITY
D91188653952480GDW12019-11-13$385,174,237CONSTRUCT, RENOVATE, EQUIP FACILITIES; REFUND 4/1/11, 2/15/12, 6/1/12 ISSUES000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndIn Reserve FundInReserveFundAmtUnspentUnspentAmt
A$340,000$154,924,763$74,558,690$1,860,390$78,500,000$5,6832012Yes (1)Yes (1)Yes (1)Yes (1)
B$72,994,964$1,125,000$71,869,964201700Yes (1)Yes (1)
C$5,520,000$152,250,999$150,509,413$1,741,58620170Yes (1)Yes (1)Yes (1)
D$386,271,812$100,005,000$1,864,063$107,656,869$155,438Yes (1)00Yes (1)$22,576,388$154,014,054

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A000000Yes (1)
B000000Yes (1)
C000000Yes (1)
D000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A00Yes (1)00000Yes (1)
B00Yes (1)00000Yes (1)
C00Yes (1)00000Yes (1)
D00Yes (1)00000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1LEHIGH COUNTY GENERAL PURPOSE AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN911886539BondIssuerEIN
CUSIP52480GDY7CUSIPNum
Bond Issued2019-11-13BondIssuedDt
Issue Price$129,198,956IssuePriceAmt
PurposeREFUND 4/1/11, 7/30/15 ISSUESPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$129,198,956TotalProceedsAmt
Refunding Escrow$128,700,000RefundingEscrowAmt
Issuance Costs From Proceeds$444,437IssuanceCostsFromProceedsAmt
Other Spent Proceeds$54,519OtherSpentProceedsAmt
Substantial Completion2019SubstantialCompletionYr
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To RebateYes (1)ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonSUSAN C YEE-TRUSTEEPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionPARTNER IN 94 BRODHEAD ASSOCIATES - TRUSTEE OF LVHN/LVH/LVHH/HHWCRelationshipDescriptionTxt
Transaction$127,306TransactionAmt
Transaction94 BRODHEAD ASSOCIATES LEASES OFFICE SPACE TO LVPG AT FAIR MARKET VALUE.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule M IRS990ScheduleM

Books And Publications BooksAndPublicationsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$1,000NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$105,934NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution116ContributionCnt
Noncash Contributions Rpt F990$68,331NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution460ContributionCnt
Noncash Contributions Rpt F990$203,334NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)TOYS/ACTIVITIES116$149,147FAIR MARKET VALUE
Yes (X)SERVICES12$58,533FAIR MARKET VALUE
Yes (X)GIFT CARDS37$14,511COST
FieldValueIRS element (for citing)
Form8283 Received174Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4C, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED):LEHIGH VALLEY REILLY CHILDREN'S HOSPITAL (LVRCH OF LVHN AT LVH AND LVH-M) INTRODUCED IN MAY 2012, OFFERS THE MOST WIDE-RANGING, SPECIALIZED HEALTH CARE SERVICES FOR CHILDREN OF ANY FACILITY IN THE REGION. LEHIGH VALLEY REILLY CHILDREN'S HOSPITAL HAS THE REGION'S ONLY CHILDREN'S EMERGENCY DEPARTMENT, LEVEL IV NICU, CHILDREN'S AMBULATORY SURGERY CENTER, AND CHILDREN'S CANCER AND INFUSION CENTER AT LVH-CEDAR CREST. WE ALSO HAVE THE REGION'S ONLY CHILD ADVOCACY CENTER AT LVH-17TH STREET, LVRCH OF LVHN IS THE REGION'S ONLY INSTITUTIONAL MEMBER OF THE CHILDREN'S HOSPITAL ASSOCIATION AND HAS THE ONLY PEDIATRIC RESIDENCY TRAINING PROGRAM. LVRCH ALSO HAS A LEVEL II NICU AND AN ADOLESCENT INPATIENT PSYCHIATRIC UNIT AT LVH-MUHLENBERG, WHICH ARE CONSIDERED PART OF OUR CHILDREN'S HOSPITAL. WE HAVE A PEDIATRIC SLEEP CENTER, AND A PEDIATRIC CYSTIC FIBROSIS CENTER. WE PROVIDE SERVICES TO CHILDREN WITH BLEEDING DISORDERS THROUGH THE LVH HEMOPHILIA TREATMENT CENTER. WE HAVE A SCHOOL-BASED CLINIC IN PARTNERSHIP WITH THE ALLENTOWN SCHOOL DISTRICT AT THE SHERIDAN SCHOOL, AND PROVIDE DENTAL CARE TO STUDENTS AT MULTIPLE SCHOOLS USING A MOBILE VAN. OUR CLINIC FOR CHILDREN WITH MEDICAL COMPLEXITY IS AT OUR CHILDREN'S CLINIC AT 17TH & CHEW. WE HAVE THE REGION'S ONLY CHILDREN'S EXPRESS CARE. IN FEBRUARY 2019 WE OPENED A NEW 30 BED INPATIENT PEDIATRIC UNIT AT THE CEDAR CREST SITE. IN FISCAL YEAR 2020 WE ADMITTED OVER 4,500 CHILDREN TO OUR CHILDREN'S HOSPITAL AND SAW AROUND 20,000 IN OUR CHILDREN'S ER. THE REILLY CHILDREN'S HOSPITAL AFFILIATED PROFESSIONALS AND STAFF ARE COMMITTED TO IMPROVING THE HEALTH AND WELL-BEING OF CHILDREN IN THE REGION. WE ARE ACTIVE MEMBERS OF CHILDREN'S HOSPITALS' SOLUTIONS FOR PATIENT SAFETY, A NATIONAL ORGANIZATION OF OVER 130 CHILDREN'S HOSPITALS, WHICH PROMOTES PATIENT SAFETY THROUGH SHARING OF OUTCOMES AND PROCESS METRICS, AND COLLABORATIVE INNOVATION. WE HAVE DEVELOPED OVER 20 CLINICAL PATHWAYS, WHICH DRIVE HIGH-QUALITY, EFFICIENT CARE. OUR MOST INNOVATIVE CLINICAL PATHWAY IS OUR AMBULATORY PEDIATRIC OBESITY PATHWAY. THE LVRCH FAMILY ADVISORY COUNCIL CONTINUES TO ASSIST US IN SHAPING FAMILY-CENTERED PROGRAMS, PROCESSES AND PLACES. LVRCH OF LVHN PROVIDES SPECIALIZED PEDIATRIC TRAUMA AND BURN CARE, PEDIATRIC CANCER CARE AND EXPERT INPATIENT CARE IN THE PEDIATRIC AND NEONATAL INTENSIVE CARE UNITS AND ON THE PEDIATRIC UNIT. LVHN'S BOARD-CERTIFIED PHYSICIANS PROVIDE CHILDREN'S CARE IN GREATER THAN 30 PEDIATRIC SPECIALTIES INCLUDING PEDIATRIC SURGERY, PEDIATRIC UROLOGY, PEDIATRIC ENT, PEDIATRIC PLASTIC SURGERY, PEDIATRIC ANESTHESIA, PEDIATRIC RADIOLOGY, PEDIATRIC HEMATOLOGY-ONCOLOGY, PEDIATRIC PULMONOLOGY, PEDIATRIC NEUROLOGY, PEDIATRIC ENDOCRINOLOGY, PEDIATRIC INFECTIOUS DISEASE, PEDIATRIC RHEUMATOLOGY, PEDIATRIC GASTROENTEROLOGY, PEDIATRIC HOSPITAL MEDICINE, DEVELOPMENTAL PEDIATRICS, CHILD PROTECTION MEDICINE, AND CHILD AND ADOLESCENT PSYCHIATRY. LVRCH CHILD PROTECTION TEAM EVALUATES CHILDREN WHO MAY HAVE BEEN ABUSED OR NEGLECTED. THIS TEAM INCLUDES A BOARD-CERTIFIED CHILD ABUSE SPECIALIST. THE LEHIGH VALLEY REILLY CHILDREN'S HOSPITAL IN PARTNERSHIP WITH THE POOL TRUST CREATED A PROGRAM CALLED THE ALLENTOWN CHILDREN'S HEALTH IMPROVEMENT PROJECT (ACHIP), WHICH IS A COMMUNITY-BASED NEEDS ASSESSMENT, RESOURCE CONNECTION, AND FAMILY EMPOWERMENT SERVICES FOR FAMILIES WITH WOMEN WHO ARE PREGNANT AND/OR CHILDREN UNDER 5 YEARS OLD. LVRCH OF LVHN PROVIDES AND SUPPORTS EDUCATIONAL SERVICES. OUR WELLER EDUCATION SERVICES PROVIDE HIGHLY REGARDED PROGRAMS ADMINISTERED BY PROFESSIONAL EDUCATOR IN SCHOOLS ACROSS THE REGION. LVHN PROMOTES SAFETY AND HEALTHY LIVING IN VARIOUS FORUMS THROUGHOUT THE YEAR. THE MOST NOTABLE IS OUR COMMUNITY CANVAS PROGRAM, WHICH IN PARTNERSHIP WITH THE KELLYN FOUNDATION PROVIDES PROGRAMS IN ELEMENTARY SCHOOLS THAT PROMOTE GOOD NUTRITION AND HEALTHY LIVING. IMAGING SERVICES THE RADIOLOGY DEPARTMENT PROVIDES A VARIETY OF DIAGNOSTIC AND THERAPEUTIC PROCEDURES FOR PATIENTS OF ALL AGES, 24 HOURS A DAY, SEVEN DAYS PER WEEK. RADIOLOGY SERVICES INCLUDE THE PROVISION OF EMERGENT, ACUTE, PREVENTATIVE, CONSULTATIVE, DIAGNOSTIC AND THERAPEUTIC IMAGING TO PATIENTS IN THE EMERGENCY, SURGICAL, INPATIENT AND OUTPATIENT SETTINGS OF LVHN. THE DEPARTMENT PERFORMS AN AVERAGE OF 1,174 PROCEDURES PER DAY. OUTPATIENTS ACCOUNT FOR 75% OF THESE EXAMINATIONS, WHILE INPATIENTS ACCOUNT FOR THE REMAINING 25%. SERVICES ARE PROVIDED AT MULTIPLE SITES: AT LVH-CEDAR CREST THE FOLLOWING SERVICES ARE OFFERED: VASCULAR LAB, ULTRASOUND, COMPUTERIZED TOMOGRAPHY, NUCLEAR MEDICINE, DIAGNOSTIC IMAGING, INTERVENTIONAL RADIOLOGY AND NEURORADIOLOGY. IMAGE MANAGEMENT SERVICES, MAGNETIC RESONANCE IMAGING (MRI), DEXA, AND PET-CT SERVICES ARE PROVIDED THROUGH AN AFFILIATED PARTNER. AT LVH-17TH STREET, THE FOLLOWING SERVICES ARE OFFERED: DIAGNOSTIC IMAGING, COMPUTERIZED TOMOGRAPHY, ULTRASOUND, VASCULAR LAB, AND IMAGE MANAGEMENT SERVICES. SERVICES AT LVH-M INCLUDE: VASCULAR LAB, ULTRASOUND, COMPUTERIZED TOMOGRAPHY, NUCLEAR MEDICINE, DIAGNOSTIC IMAGING, INTERVENTIONAL RADIOLOGY, SPECT-CT, AND MOBILE PET-CT, AS WELL AS IMAGE MANAGEMENT SERVICES. MAGNETIC RESONANCE IMAGING (MRI) SERVICES ARE PROVIDED AT LVH-MUHLENBERG FOR BOTH INPATIENT AND OUTPATIENT THROUGH AN AFFILIATED PARTNER. THE LVH-TILGHMAN CAMPUS OFFERS DIAGNOSTIC IMAGING SERVICES FOR THE EXPRESS CARE AND ORTHOPEDIC SURGERY DIVISION. LIMITED ULTRASOUND/VASCULAR IMAGING IS ALSO PROVIDED FOR INPATIENTS. AT THE LVHN HEALTH CENTER LOCATIONS, THE DEPARTMENT OFFERS DIAGNOSTIC IMAGING AND ULTRASOUND AT THE HEALTH CENTER AT BETHLEHEM TOWNSHIP, HEALTH CENTER AT RICHLAND TOWNSHIP, HEALTH CENTER AT FOGELSVILLE, HEALTH CENTER AT HAMBURG (DIAGNOSTIC ONLY), HEALTH CENTER AT MOSELEM SPRINGS, AND THE HEALTH CENTER AT TREXLERTOWN. THE HEALTH CENTER AT BATH OFFERS DEXA, DIAGNOSTIC IMAGING, ULTRASOUND SERVICES AND PHLEBOTOMY. THE HEALTH CENTER AT BANGOR OFFERS DEXA, DIAGNOSTIC IMAGING, AND ULTRASOUND SERVICES. IMAGING SERVICES AT CETRONIA ROAD OFFERS COMPUTERIZED TOMOGRAPHY, DEXA, DIAGNOSTIC IMAGING, MRI, AND ULTRASOUND SERVICES. WE INCREASED ACCESS WITH THREE NEW OUTPATIENT IMAGING SITES. LVHN IMAGING AND BREAST HEALTH SERVICES AT LEHIGHTON OFFERS DIAGNOSTIC IMAGING AND ULTRASOUND SERVICES. IMAGING SERVICES AT 1101 CEDAR CREST AND IMAGING SERVICES AT AIRPORT ROAD OFFER DIAGNOSTIC IMAGING. PHARMACY SERVICES HEALTH SPECTRUM PHARMACY SERVICES OFFERS A RANGE OF PHARMACY SERVICES IN THREE CONVENIENT, PATIENT FOCUS LOCATIONS: ONE AT THE CEDAR CREST SITE, ONE AT THE 17TH & CHEW SITE, AND ONE AT LVH-MUHLENBERG. OUR SPECIALTY PHARMACY AND HOME INFUSION PHARMACY, LOCATED AT 2024 LEHIGH STREET, PROVIDED HOME INFUSION AND SPECIALTY PHARMACY SERVICES TO RESIDENTS OF SURROUNDING COUNTIES IN EASTERN PENNSYLVANIA. PHARMACY SERVICES INCLUDE PRESCRIPTIONS, COMPOUNDING, SPECIALTY MEDICATIONS, VACCINATIONS, OVER-THE-COUNTER, HERBAL/ALTERNATIVE MEDICATIONS, PERSONAL CARE PRODUCTS, FIRST AID, WOUND CARE, OSTOMY, KNEE BRACES, ORTHOTICS, VASCULAR GARMENTS, POST-MASTECTOMY, BREAST PROSTHESES, DIABETIC SUPPLIES, AND HOME INFUSION. THE RETAIL PHARMACIES ARE ACCREDITED BY THE BOARD OF CERTIFICATION/ACCREDITATION INTERNATIONAL, THE SPECIALTY PHARMACY IS ACCREDITED BY URAC AND THE HOME INFUSION PHARMACY IS ACCREDITED BY COMMUNITY HEALTH ACCREDITATION PROGRAM. THE RETAIL PHARMACIES ARE EQUIPPED WITH WORKFLOW, COUNTING CELL, AND BAR CODE SCANNING TECHNOLOGY. PILLS IN A POUCH COMPLIANCE PACKAGING, BEDSIDE DELIVERY, AND CONVENIENCE SHIPPING ARE ALSO OFFERED. IN FISCAL YEAR 2020, 391,847 PRESCRIPTIONS WERE FILLED, AND 4,573 INFUSION PATIENTS WERE SERVICED. THE LEHIGH VALLEY HEALTH NETWORK INPATIENT PHARMACY SERVICES ARE NATIONALLY RECOGNIZED FOR EFFORTS IN MEDICATIONS SAFETY AND ADVANCES IN TECHNOLOGY. THE DEPARTMENT UTILIZES ADVANCED MEDICATION SAFETY TECHNOLOGIES INCLUDING CPOE, BEDSIDE BARCODING MEDICATION VERIFICATION, TWO MEDICATION DISPENSING ROBOTS, AND AUTOMATED DISPENSING CABINETS. THE STAFF HAS BOARD CERTIFIED CLINICAL PHARMACY SPECIALISTS IN THE AREAS OF ONCOLOGY, TRAUMA, BURN, PEDIATRICS, CARDIOLOGY, AND GENERAL MEDICINE AND USES A UNIT BASED MODEL TO PROVIDE PHARMACY SERVICES AT THE POINT OF CARE. GUIDED BY THE QUADRUPLE AIM, PHARMACY SERVICES CONTINUES TO INNOVATE, PROVIDING THE HIGHEST LEVEL OF CARE TO OUR PATIENTS THROUGH OUTSTANDING CLINICAL SERVICES, AND A DISTRIBUTION MODEL THAT PROVIDES SAFETY AND EFFICIENCIES LIKE NO OTHER.
FORM 990, PART III, LINE 4C, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED):COMMUNITY PRACTICES LVHN COMMUNITY PRACTICES PROVIDE QUALITY, COMPASSIONATE CARE FOR ALL MEMBERS OF THE COMMUNITY, WITH THE MAJORITY OF PATIENTS EITHER QUALIFYING FOR MEDICAID OR HAVING NO INSURANCE. PATIENTS HAVE ACCESS TO PRIMARY CARE DOCTORS AND A FULL RANGE OF SPECIALISTS, AS WELL AS ACCESS TO BILINGUAL AND BICULTURAL CAREGIVERS. THE COMMUNITY PRACTICES SEE OVER 150,000 PATIENT VISITS EACH YEAR, WITH THE MAJORITY OF THE POPULATION SERVED BEING OF LATINO DESCENT. THE FOLLOWING SERVICES ARE OFFERED AT THE 17TH & CHEW SITE: COMPREHENSIVE HEALTH SERVICES: SERVING PATIENTS INFECTED OR AFFECTED BY HIV. LVPG GERIATRICS: SPECIALIZED GERIATRIC CARE AS A CONSULTATIVE SERVICE AND SKILLED NURSING FACILITY PRIMARY CARE PROVIDER. THE FLEMING MEMORY CENTER WHICH PROVIDES SUPPORT AND GUIDANCE TO PATIENTS AND FAMILIES AFFECTED BY MEMORY LOSS. CENTER FOR WOMEN'S MEDICINE: COMPREHENSIVE HEALTH CARE FOR WOMEN, IN ADDITION TO A RESIDENCY TEACHING PROGRAM, WHICH FOCUSES ON IMPROVED OUTCOMES FOR WOMEN WITH ROUTINE AND COMPLICATED OB/GYN CONCERNS. CENTRO DE SALUD: BI-LINGUAL/BI-CULTURAL INTERNAL MEDICINE CARE FOR LATINO FAMILIES. CHILDREN'S CLINIC: PRIMARY CARE FOR NEWBORNS THROUGH YOUNG ADULTS, INCLUDING A PEDIATRIC RESIDENCY PROGRAM. CHILD PROTECTIVE SERVICES: CONSULTS PROVIDED INPATIENT AND OUTPATIENT BY A CHILD ABUSE PEDIATRICIAN, LICENSED SOCIAL WORKER AND CRNP, IN COLLABORATION WITH LOCAL COUNTY AGENCIES. DENTAL CLINIC: FULL DENTAL CARE PROVIDED TO CHILDREN AND ADULTS IN THE HOSPITAL SETTING AND MOBILE UNIT, IN ADDITION TO A DENTAL RESIDENCY PROGRAM. HEPATITIS CARE CENTER: SPECIALTY PRACTICE FOCUSED ON VIRAL HEPATITIS. FAMILY HEALTH CENTER: PRIMARY MEDICAL CARE FOR EVERY FAMILY MEMBER IN ADDITION TO A FAMILY MEDICINE RESIDENCY TEACHING PROGRAM. LEHIGH VALLEY PHYSICIANS PRACTICE: INTERNAL MEDICINE PRIMARY/MEDICAL SUBSPECIALTY AND GENERAL SURGICAL/SUBSPECIALTY CARE FOR ADULTS IN ADDITION TO BOTH AN INTERNAL MEDICINE RESIDENCY TEACHING PROGRAM AS WELL AS SURGICAL RESIDENCY TEACHING PROGRAM. MARK J. YOUNG COMMUNITY HEALTH AND WELLNESS CENTER: TEACHING PATIENTS' SELF-MANAGEMENT FOR CHRONIC DISEASES SUCH AS DIABETES AND OBESITY. OFFERING A CENTRALIZED LOCATION FOR PATIENTS TO ACCESS RESOURCES THAT PROVIDE SOCIAL SUPPORT: FINANCIAL COUNSELORS, SOCIAL WORKERS, BEHAVIORAL HEALTH SPECIALIST, CARE MANAGERS AND LEGAL SUPPORT. POPULATION HEALTH COMMUNITY CARE TEAMS IN 2014, LVHN ADOPTED A VISION STATEMENT, 'TO BECOME AN INNOVATIVE LEADER IN POPULATION HEALTH (PH) MANAGEMENT.' SINCE THEN, WE'VE BEEN BUILDING OUR CAPACITY AND COMPETENCIES SO THAT WE CAN ACCOMPLISH THIS. WE DEFINE POPULATION HEALTH AS 'THE HEALTH AND HEALTH OUTCOMES OF A GROUP OF INDIVIDUALS, INCLUDING HOW THOSE OUTCOMES ARE DISTRIBUTED ACROSS THE GROUP.' PH HAS GAINED SIGNIFICANT TRACTION IN OUR ORGANIZATION OVER THE LAST FEW YEARS, EVEN THOUGH CURRENTLY LESS THAN 10% OF OUR PAYMENT COMES THROUGH VALUE ARRANGEMENTS. NONETHELESS, WE HAVE DONE THE GROUNDWORK FOR THE EVENTUALITY THAT THE NATION'S FINANCING MODEL WILL NEED TO CHANGE TO SUPPORT THE EXECUTION OF A VALUE-DRIVEN, POPULATION HEALTH-BASED DELIVERY SYSTEM. IT IS WITH THIS IN MIND WE HAVE BEGUN TO CREATE A CULTURE OF - DELIVER THE RIGHT INTERVENTION FOR A SPECIFIC PATIENT IN THE LEAST COSTLY POINT IN THE CARE CONTINUUM. AND CREATE VALUE FOR PATIENTS AND OUR PAYERS SO THAT WE ARE RECOGNIZED AND REIMBURSED FOR THAT KIND OF CARE. PH HAS RESOURCES THAT WE DEPLOY TO EXECUTE ON OUR GOALS. THE FOLLOWING IS AN OVERVIEW OF THE WORK THESE RESOURCES COMPLETED IN FY20: COMMUNITY CARE TEAMS (CCT): CCT(S) WORK WITH HIGH-RISK PATIENTS BASED ON PREDETERMINED RISK STRATIFICATION, PAYER ARRANGEMENT AND PROVIDER CLINICAL JUDGMENT. CCT(S) HAVE A CARE MANAGER, A PHARMACIST, A BEHAVIORAL HEALTH SPECIALIST, A SOCIAL WORKER, COMMUNITY HEALTH WORKERS, AND/OR MEDICATION ASSISTANCE COORDINATORS. THEY COLLABORATE WITH LVPG AND MATLAV PRIMARY CARE AND SPECIALTY PRACTICES TO FACILITATE THE MANAGEMENT OF THE MOST COMPLEX PATIENTS (THESE ARE THE TOP 5% HIGH-RISK LVHN PATIENTS. CCT(S) COVER 50 PRIMARY CARE PRACTICES AND SPECIALTY PRACTICES ACROSS FIVE COUNTIES. NURSE DRIVEN PROTOCOLS AND SPECIALTY REFERRALS ALLOW FOR SEAMLESS COLLABORATION WITH OACIS, HOME CARE, REMOTE PATIENT MONITORING, AND OTHER LVHN NETWORK SERVICES. IN FY20, CCT(S) TOUCHED OVER 21,000 UNIQUE PATIENTS AND OVER 103,000 TOTAL PATIENT CONTACTS BY PHONE, PORTAL COMMUNICATION, OR FACE TO FACE VISITS. IN ADDITION TO WORKING TO HELP PATIENTS GAIN INSURANCE, FOOD, SHELTER AND TRANSPORTATION, IN FY20 CCT(S) FACILITATED OVER $5.3 MILLION DOLLARS IN FREE PRESCRIPTION MEDICATIONS. SECURING THESE MEDICATIONS REDUCES AMBULATORY CARE SENSITIVE ADMISSIONS AND UNNECESSARY EMERGENCY DEPARTMENT VISITS. OVER THE LAST SIX FISCAL YEARS, THIS PROGRAM HAS SECURED OVER $20 MILLION DOLLARS IN FREE AND DISCOUNTED PATIENTS FOR LVHN PATIENTS. RESPONSE TO COVID-19: IN MARCH 2020, MEMBERS OF THE COMMUNITY CARE TEAMS (CCTS) WE DEPLOYED TO ASSIST THE NETWORK AND COMMUNITY IN A VARIETY OF WAYS. CCTS SUPPORTED: THE LVHN 24/7 RN COVID-19 COMMUNITY HOTLINE, COVID-19 RESULT NOTIFICATION CALLS, CONVALESCENT PLASMA DONATION CALLS, PROVIDED SUPPORT FOR PATIENTS AND FAMILIES WITH PSYCHOSOCIAL NEEDS RELATED TO THE PANDEMIC, AND COLLABORATED WITH LOCAL AND STATE HEALTH DEPARTMENTS ON CASE INVESTIGATION AND CONTACT TRACING. SINCE MARCH 2020, OVER 10,000 PRIMARY AND SECONDARY CONTACTS HAVE BEEN TRACED BY CCT COLLEAGUES. CARE TRANSITIONS AND NAVIGATIONS: THE CARE TRANSITIONS AND NAVIGATIONS TEAM CONSISTS OF A CENTRALIZED TRANSITION OF CARE (TOC) CALL CENTER AND A CARE NAVIGATION TEAM. THE CENTRALIZED TOC CALL CENTER CALLED 22,595 PATIENTS DISCHARGED FROM AN LVHN INPATIENT, OBSERVATION, OR INPATIENT REHABILITATION UNIT IN FY20 THAT ARE ATTRIBUTED TO OUR LVPG PRIMARY CARE PRACTICES. THESE NUMBERS REPRESENT THE CALLS MADE FOR DISCHARGES FROM LVH-CC, LVH-M, LVH-17, LVH-TL, LVH-S, LVH-P, AND LVH-H. THIS DEPARTMENT FUNCTIONS 7 DAYS/WEEK COVERING ALL OWNED (LVPG) PRIMARY CARE PRACTICES. CALL COMPLIANCE WITHIN 2 BUSINESS DAYS AVERAGES 93%. IN FY2020, THE CENTRALIZED TOC TEAM BEGAN PARTNERING WITH CERTAIN LVPG PRACTICES TO ASSIST IN CLOSING CARE GAPS. THE CARE GAP WORK WAS PRIMARILY FOCUSED ON DIABETIC EYE EXAMS, DIABETIC FOOT EXAMS, HBA1C TEST COMPLETION, COLORECTAL CANCER SCREENING, AND BREAST CANCER SCREENING WITH 2,775 OUTREACH CALLS. IN ADDITION, THE TEAM SUPPORTED DR. BRIAN STELLO WITH FIT KIT MAILERS FOR COLORECTAL CANCER SCREENINGS WITH 1,138 MAILERS DISTRIBUTED TO THE PATIENTS OF LVPG-FM WHITEHALL, LVPG-FM SOUTHSIDE, LVPG-FM STROUDSBURG, AND LVPG-FM TOBYHANNA. THE CARE NAVIGATION TEAM CONSISTS OF RN CARE NAVIGATORS AND PRE-ENGAGEMENT SPECIALISTS. TOC AND 90-DAYS OF CARE NAVIGATION SERVICES ARE PROVIDED TO THOSE PATIENTS DISCHARGED AFTER A HOSPITAL STAY FOR CERTAIN HIGH-RISK CONDITIONS AND/OR PROCEDURES. THESE SERVICES CURRENTLY COVER CONDITIONS IN THE FOLLOWING SPECIALTIES: CARDIAC (AMI, CABG, HF, CARDIAC ARRHYTHMIA), INFECTIOUS DISEASE (SEPSIS, PNEUMONIA, DISCHARGED WITH IV ANTIBIOTICS), ORTHOPEDICS (MAJOR JOINT REPLACEMENT, HIP/FEMUR), PULMONARY (COPD, BRONCHITIS, ASTHMA), GASTROINTESTINAL (MAJOR BOWEL PROCEDURE, GI HEMORRHAGE), AND GENITOURINARY (RENAL FAILURE, UTI). COVERAGE DEPENDS ON SITE OF HOSPITAL LOCATION AND IS BASED ON PARTICIPATION IN VARIOUS VALUE-BASED CONTRACTS. THE SAME SERVICES ARE ALSO PROVIDED FOR ALL HIGH-RISK PEDIATRIC PATIENTS, WHICH INCLUDES THOSE PEDIATRIC PATIENTS ADMITTED FOR DIABETES, ASTHMA, SICKLE CELL ANEMIA, SEIZURE DISORDERS, VPG SHUNTS, SUSPECTED ABUSE/NEGLECT, OR THAT HAVE HAD A NICU OR PICU STAY. CERTAIN ELECTIVE SURGICAL CASES FOR CABG AND MAJOR JOINT REPLACEMENT, RECEIVE PRE-SCREEN PHONE CALLS ONE WEEK PRIOR TO ADMISSION TO BEGIN DISCHARGE PLANNING. WITHIN THIS MODEL, THERE IS CLOSE COLLABORATION WITH HOSPITAL MEDICINE, INPATIENT CARE MANAGEMENT, OUTPATIENT PRIMARY AND SPECIALTY CARE OFFICES, AND LVHN ACCESS CENTER TEAM IN ORDER TO ENSURE CONTINUITY OF CARE POST-DISCHARGE FOR THESE PATIENTS. IN FY2020, THIS TEAM WAS RESPONSIBLE FOR CALLING 3,159 PEDIATRIC, 602 NICU, AND 6,065 PATIENTS FOR ALL OTHER CONDITIONS LISTED ABOVE POST-DISCHARGE.
FORM 990, PART III, LINE 4C, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED):RESPONSE TO COVID-19: DUE TO RISING COVID-19 CASES IN PENNSYLVANIA AND THE LOCAL COMMUNITY, MEMBERS OF THE CARE TRANSITIONS AND NAVIGATIONS TEAMS WERE DEPLOYED IN MARCH 2020 TO SUPPORT THE LVHN 24/7 RN COVID-19 HOTLINE. THE NURSES RESPONDED TO COMMUNITY CALLS, OFFERED SUPPORTIVE CARE, FACILITATED TESTING, AND PROVIDED EDUCATION REGARDING HYGIENE, SUSCEPTIBILITY, PREVENTION, RESOURCES AND HOME CARE OF THE COVID-19 PATIENT. OVER THE NEXT FEW MONTHS, THE TEAM CONTINUED SUPPORTING THE 24/7 RN COVID-19 HOTLINE AND ADDITIONAL WORK, INCLUDING NOTIFYING PATIENTS OF POSITIVE RESULTS. THESE CALLS INCLUDED NOTIFICATION OF RESULTS WITH TEACHING AND GUIDANCE ON NEXT STEPS FOR PATIENTS. SEVERAL RNS PIVOTED TO SUPPORT THE STREET MEDICINE PROGRAM WORKING WITH HOMELESS COVID POSITIVE PATIENTS. PATIENTS WERE SET UP IN A LOCAL HOTEL BEING USED FOR QUARANTINE PURPOSES. THE RN'S PLACED CALLS TWICE A DAY (INCLUDING WEEKENDS) FOR SYMPTOM MONITORING AND EDUCATION. IN ADDITION, THEY FACILITATED REMOTE PATIENT MONITORING (RPM) EQUIPMENT ORDER AND DELIVERY TO THE HOTEL. SOCIAL WORKERS AND BEHAVIORAL HEALTH SPECIALISTS WERE AVAILABLE TO PROVIDE ADJUNCT SUPPORT FOR ANY PSYCHOSOCIAL NEEDS, AS IDENTIFIED. IN RESPONSE TO COVID-19, THE TEAM BEGAN PLACING CALLS TO ALL PATIENTS WITH COVID-19 THAT WERE DISCHARGED FROM THE HOSPITAL (INCLUSIVE OF THE ED), IN ADDITION TO THEIR REGULAR TOC OUTREACH COVERAGE. THE PURPOSE OF THESE TOC CALLS IS TO PROVIDE EDUCATION AND SUPPORT TO PATIENTS, REGARDLESS OF PRIMARY CARE ATTRIBUTION. THE TEAM SCHEDULED PATIENTS WITH THEIR PROVIDER, AND FOR THOSE PATIENTS THAT DID NOT HAVE A PROVIDER OR COULD NOT BE SEEN TIMELY POST DISCHARGE, THEY WERE OFFERED TO BE SEEN BY A VIRTUAL TOC COVID CLINIC PROVIDER. A REFERRAL TO REMOTE PATIENT MONITORING (RPM) WAS ALSO OFFERED, IF ELIGIBLE, TO ENSURE PATIENTS RECEIVED EXTRA SYMPTOM MONITORING AT HOME. AS AN EXTRA LAYER OF SAFETY, COVID POSITIVE PATIENTS AND HIGH-RISK PATIENTS RECEIVED WEEKLY FOLLOW-UP CALLS UNTIL THEIR SYMPTOMS WERE RESOLVED, OR EXTRA SUPPORT WAS NO LONGER NEEDED. THE INPATIENT CARE MANAGEMENT DEPARTMENT AT CEDAR CREST AND MUHLENBERG PROVIDED NEARLY $155 THOUSAND DOLLARS IN CHARITY CARE. THE CHARITY CARE INCLUDED TRANSPORTATION, DURABLE MEDICAL EQUIPMENT (DME); AND MEDICATIONS. IN SUMMARY, THE EXPENSES ARE DIVIDED IN THE FOLLOWING CATEGORIES: TRANSPORTATION: $132,882.33 SPENT ON AMBULANCE, TAXI VOUCHERS, BUS PASSES, AND WHEELCHAIR VANS. DME/MEDICAL DEVICES: $21,984.02 SPENT ON OXYGEN, ZOLL LIFE VESTS AND OTHER ITEMS SUCH AS WALKERS, CPAP ETC. THIS ALSO INCLUDES THE GRANT FUNDED LIFELINE MEMBERSHIP FOR CARDIAC PATIENTS. THESE EXPENDITURES CONTRIBUTED TO EFFECTIVE DISCHARGE PLANNING BY SAFELY ENSURING PATIENTS HAD THEIR NEEDED EQUIPMENT. MAGNET STATUS FOR NURSING EXCELLENCE IN AUGUST 2002, THE AMERICAN NURSES CREDENTIALING CENTER (ANCC) GRANTED MAGNET DESIGNATION TO LVH AND LVH-MUHLENBERG, THE FIRST FULL-SERVICE HOSPITALS IN PENNSYLVANIA TO RECEIVE THE RECOGNITION. DEVELOPED BY THE ANCC IN 1994, THE MAGNET DESIGNATION IS THE AMERICAN NURSES ASSOCIATION'S HIGHEST HONOR FOR EXCELLENCE IN NURSING AND RECOGNIZES BOTH HOSPITALS AS NATIONAL LEADERS IN NURSING EDUCATION, RESEARCH, PATIENT SATISFACTION, EVIDENCED-BASED CARE, IMPROVED PATIENT OUTCOMES, JOB RETENTION AND THE CENTRAL ROLE OF NURSING IN THE ORGANIZATION. HEALTH CARE ORGANIZATIONS MUST REAPPLY FOR MAGNET RECOGNITION EVERY FOUR YEARS. AN ORGANIZATION REAPPLYING FOR MAGNET RECOGNITION MUST PROVIDE DOCUMENTED EVIDENCE TO DEMONSTRATE HOW STAFF MEMBERS SUSTAINED AND IMPROVED MAGNET CONCEPTS, PERFORMANCE AND QUALITY OVER THE FOUR-YEAR PERIOD SINCE THE ORGANIZATION RECEIVED ITS MOST RECENT RECOGNITION. ADDITIONALLY, REDESIGNATING ORGANIZATIONS MUST UNDERGO A SITE VISIT BY A TEAM OF MAGNET APPRAISERS WHO SPEND TIME INTERACTING WITH NURSES AND OTHER COLLEAGUES TO VALIDATE, VERIFY AND AMPLIFY COMPLIANCE AND ENCULTURATION OF KEY MAGNET MODEL COMPONENTS WHICH INCLUDE TRANSFORMATIONAL LEADERSHIP; STRUCTURAL EMPOWERMENT; EXEMPLARY PROFESSIONAL PRACTICE; AND NEW KNOWLEDGE, INNOVATIONS AND IMPROVEMENTS. IN 2006, 2011, AND 2016, LVH WAS REDESIGNATED AS MAGNET HOSPITAL, CONTINUING TO DEMONSTRATE THE REQUIRED EVIDENCE OF A PRACTICE ENVIRONMENT IN WHICH PROFESSIONAL NURSES AND INTERDISCIPLINARY COLLEAGUES LEAD THE REFORMATION OF HEALTH CARE AND THE CARE OF THE PATIENT, FAMILY, AND COMMUNITY. IN FEBRUARY 2020, LVH SUBMITTED OUR MAGNET EVIDENCE TO SUPPORT THE QUEST FOR A FIFTH MAGNET DESIGNATION. THE ANCC HAS NOTIFIED US THAT LVH HAS EARNED A 4-DAY VIRTUAL SITE VISIT WHICH WILL TAKE PLACE JULY 20-23, 2020. THE FINDINGS FROM THIS VISIT WILL BE SHARED BY THE APPRAISAL TEAM AND SUBMITTED TO THE COMMISSION ON MAGNET RECOGNITION WHO WILL MAKE THE FINAL DETERMINATION ON OUR MAGNET REDESIGNATION STATUS.
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION'S SOLE CORPORATE MEMBER IS LEHIGH VALLEY HEALTH NETWORK, INC.
FORM 990, PART VI, SECTION A, LINE 7ATHE ORGANIZATION'S SOLE CORPORATE MEMBER, LEHIGH VALLEY HEALTH NETWORK, INC., HAS THE POWER TO ELECT, APPOINT, APPROVE, OR REJECT MEMBER'S OF THE ORGANIZATION'S GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7BTHE ORGANIZATION'S SOLE CORPORATE MEMBER, LEHIGH VALLEY HEALTH NETWORK, INC., HAS THE POWER TO APPROVE OR REJECT CERTAIN MAJOR OPERATING DECISIONS MADE BY THE ORGAZINATION'S GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 AND THE LVHN CORPORATE LEGAL COUNSEL. 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 12CIN 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 15LEHIGH VALLEY HEALTH NETWORK 2020 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 23, 2019 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 12 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 23, 2019 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 17, 2019 MEETING: THE MARKET DATA USED FOR LVHN SYSTEM EXECUTIVES IN THIS ASSESSMENT ARE AN EQUALLY WEIGHTED BLEND OF (1) A PEER GROUP OF 27 NOT-FOR-PROFIT HEALTH SYSTEMS LOCATED IN THE NORTHEAST REGION (EXCLUDING NEW YORK CITY) WITH NET OPERATING REVENUES BETWEEN $1.7 BILLION AND $6.3 BILLION (AVERAGE OF $2.5 BILLION), AND (2) NATIONAL DATA REFLECTING ORGANIZATIONS OF SIMILAR SCOPE AND SIZE TO LVHN. NATIONAL DATA ARE USED WHERE PEER GROUP DATA ARE NOT AVAILABLE. PEER GROUP AND NATIONAL MARKET DATA WERE ABSTRACTED FROM SULLIVAN COTTER'S 2018 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, 2020 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 FY2019 NET REVENUES AND PHYSICIAN FTE'S WERE USED AS THE SCOPE SIZE FOR EACH ENTITY.
FORM 990, PART VI, SECTION C, LINE 18LEHIGH VALLEY HOSPITAL'S FORM 990 IS AVAILABLE ON THE ORGANIZATION'S WEBSITE - WWW.LVHN.ORG. IT IS ALSO AVAILABLE ON GUIDESTAR (ANOTHER'S WEBSITE) AND UPON REQUEST; PRINTED COPIES ARE HELD BY SENIOR MANAGEMENT AND BY THE MARKETING DEPARTMENT. THE ORGANIZATION'S FORM 990-T IS ONLY AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE 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 ORGANIZATIONS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11GBANK FEES: PROGRAM SERVICE EXPENSES 6,799,467. MANAGEMENT AND GENERAL EXPENSES 1,858,989. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,658,456. CONSULTING FEES: PROGRAM SERVICE EXPENSES 25,435,349. MANAGEMENT AND GENERAL EXPENSES 15,073,155. FUNDRAISING EXPENSES 16,088. TOTAL EXPENSES 40,524,592. INFECTIOUS WASTE DISPOSAL: PROGRAM SERVICE EXPENSES 50,682. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 50,682. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 47,196,031. MANAGEMENT AND GENERAL EXPENSES 41,045. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 47,237,076. BLOOD PROCESSING FEES: PROGRAM SERVICE EXPENSES 6,195,951. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,195,951. ACQUISITION FEES: PROGRAM SERVICE EXPENSES 4,128,904. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,128,904. OUTSIDE LAB TEST FEES: PROGRAM SERVICE EXPENSES 78,835,849. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 78,835,849. AMBULANCE & MEDEVAC SERVICE FEES: PROGRAM SERVICE EXPENSES 1,426,559. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,426,559. INTERPRETER FEES: PROGRAM SERVICE EXPENSES 1,674,084. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,674,084. STORAGE FEES: PROGRAM SERVICE EXPENSES 1,046,649. MANAGEMENT AND GENERAL EXPENSES 44,540. FUNDRAISING EXPENSES 247. TOTAL EXPENSES 1,091,436. FREIGHT CHARGES: PROGRAM SERVICE EXPENSES 1,022,175. MANAGEMENT AND GENERAL EXPENSES 516,997. FUNDRAISING EXPENSES 13,355. TOTAL EXPENSES 1,552,527. TEMPORARY LABOR: PROGRAM SERVICE EXPENSES 7,164,695. MANAGEMENT AND GENERAL EXPENSES 250,454. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,415,149. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 10,066,197. MANAGEMENT AND GENERAL EXPENSES 347,621. FUNDRAISING EXPENSES 29,982. TOTAL EXPENSES 10,443,800. MEDICAL ASSISTANCE SVCS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,805,148. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,805,148.
FORM 990, PART XI, LINE 9:UNFUNDED PENSION -102,316,662. TRANSFERS TO AFFILIATES -235,837,133.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
FAMILY CARE CENTERS INC
206 E BROWN STREETEAST STROUDSBURGPA183013006232349341PHYSICIAN PRACTICE ORGANIZATIONPA501(C)(3)LINE 3LEHIGH VALLEY PHYSICIAN GROUP0
HAZLETON HEALTH & WELLNESS CENTER
700 E BROAD STREETHAZLETONPA182016835232580968STAFFING SERVICESPA501(C)(3)LINE 12B, IINORTHEASTERN PENNSYLVANIA HEALTH CORP0
HAZLETON PROFESSIONAL SERVICES
700 E BROAD STREETHAZLETONPA182016835205880364PHYSICIAN PRACTICE ORGANIZATIONPA501(C)(3)LINE 3LEHIGH VALLEY PHYSICIAN GROUP0
HAZLETON SURGICAL ALLIANCE
700 E BROAD STREETHAZLETONPA182016835202038456SURGICAL SERVICESPA501(C)(3)LINE 3NORTHEASTERN PENNSYLVANIA HEALTH CORP0
LEHIGH VALLEY HEALTH NETWORK
1200 S CEDAR CREST BLVDALLENTOWNPA181036202222458317PARENT COMPANYPA501(C)(3)LINE 12C, III-FI0N/A
LEHIGH VALLEY HEALTH NETWORK REALTY HOLDING CO
1200 S CEDAR CREST BLVDALLENTOWNPA181036202232586770REAL ESTATE HOLDING CO.PA501(C)(2)LEHIGH VALLEY HEALTH NETWORK0
LEHIGH VALLEY HOSPITAL - COORDINATED HEALTH ALLENTOWN
2100 MACK BLVDALLENTOWNPA181035622843843850HEALTH CARE ORGANIZATIONPA501(C)(3)LINE 3LEHIGH VALLEY HEALTH NETWORK0
LEHIGH VALLEY HOSPITAL - COORDINATED HEALTH BETHLEHEM
2100 MACK BLVDALLENTOWNPA181035622843864735HEALTH CARE ORGANIZATIONPA501(C)(3)LINE 3LEHIGH VALLEY HEALTH NETWORK0
LEHIGH VALLEY HOSPITAL - SCHUYLKILL
420 S JACKSON STREETPOTTSVILLEPA179013625231352202HEALTH CARE ORGANIZATIONPA501(C)(3)LINE 3LEHIGH VALLEY HEALTH NETWORK0
LEHIGH VALLEY PHYSICIAN GROUP
1200 S CEDAR CREST BLVDALLENTOWNPA181036202232700908PHYSICIAN PRACTICE ORGANIZATIONPA501(C)(3)LINE 3LEHIGH VALLEY HEALTH NETWORK0
LVHN AMBULATORY SURGERY CENTER OF LOPATCONG INC
2100 MACK BLVDALLENTOWNPA181035622844004771HEALTH CARE ORGANIZATIONNJ501(C)(3)LINE 3LEHIGH VALLEY HOSPITAL - COORDINATED HEALTH ALLENTOWN0
LVHN COORDINATED PROFESSIONAL PRACTICE
2100 MACK BLVDALLENTOWNPA181035622843878831PHYSICIAN PRACTICE ORGANIZATIONPA501(C)(3)LINE 3LEHIGH VALLEY HOSPITAL - COORDINATED HEALTH ALLENTOWN0
LVHN SCRANTON ORTHOPEDIC SPECIALISTS
2100 MACK BLVDALLENTOWNPA181035622843987128HEALTH CARE ORGANIZATIONPA501(C)(3)LINE 3LEHIGH VALLEY HEALTH NETWORK0
MUHLENBERG REALTY CORPORATION
1200 S CEDAR CREST BLVDALLENTOWNPA181036202232245513REAL ESTATE RENTALSPA501(C)(3)LINE 12C, III-FILEHIGH VALLEY HEALTH NETWORK0
NORTHEASTERN PENNSYLVANIA HEALTH CORP
700 E BROAD STREETHAZLETONPA182016835232421970HEALTH CARE ORGANIZATIONPA501(C)(3)LINE 3LEHIGH VALLEY HEALTH NETWORK0
POCONO AMBULATORY SERVICES INC
206 E BROWN STREETEAST STROUDSBURGPA183013006232611474HEALTH CARE ORGANIZATIONPA501(C)(3)LINE 3POCONO HEALTH SYSTEM0
POCONO HEALTH FOUNDATION
206 E BROWN STREETEAST STROUDSBURGPA183013006232516451FUNDRAISINGPA501(C)(3)LINE 12A, IPOCONO HEALTH SYSTEM0
POCONO HEALTH SYSTEM
206 E BROWN STREETEAST STROUDSBURGPA183013006232336285SUPPORT RELATED ORGANIZATIONSPA501(C)(3)LINE 12B, IILEHIGH VALLEY HEALTH NETWORK0
POCONO HEALTH SYSTEM MEDICAL PROFESSIONAL LIABILITY SELF-INSURANCE TRUST
206 E BROWN STREETEAST STROUDSBURGPA183013006206560453SELF-INSURANCEPA501(C)(3)LINE 12A, IPOCONO HEALTH SYSTEM0
POCONO HEALTHCARE PARTNERS
206 E BROWN STREETEAST STROUDSBURGPA183013006233014006HEALTH CARE ORGANIZATIONPA501(C)(3)LINE 3POCONO HEALTH SYSTEM0
POCONO MEDICAL CENTER
206 E BROWN STREETEAST STROUDSBURGPA183013006240795623HEALTH CARE ORGANIZATIONPA501(C)(3)LINE 3POCONO HEALTH SYSTEM0
POCONO VNA-HOSPICE
206 E BROWN STREETEAST STROUDSBURGPA183013006232535297HEALTH CARE ORGANIZATIONPA501(C)(3)LINE 10POCONO HEALTH SYSTEM0
SCHUYLKILL HEALTH SYSTEM MEDICAL GROUP INC
700 E NORWEGIAN STREETPOTTSVILLEPA179012710232866006PHYSICIAN PRACTICE ORGANIZATIONPA501(C)(3)LINE 10LEHIGH VALLEY PHYSICIAN GROUP0
SCHUYLKILL REHABILITATION CENTER INC
420 S JACKSON STREETPOTTSVILLEPA179013625232440891HEALTH CARE ORGANIZATIONPA501(C)(3)LINE 3LEHIGH VALLEY HEALTH NETWORK0
WEST END COMMUNITY AMBULANCE ASSOCIATION
206 E BROWN STREETEAST STROUDSBURGPA183013006232532377AMBULATORY MEDICAL SERVICESPA501(C)(3)LINE 10POCONO HEALTH SYSTEM0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
EASTERN PA ENDOSCOPY CENTER LLC
1501 N CEDAR CREST BLVD STE 100ALLENTOWNPA181042309842257961ENDOSCOPY SERVICESPAN/A
FAIRGROUNDS MEDICAL CENTER
400 N 17TH STREET STE 102ALLENTOWNPA181045052232530427REAL ESTATE RENTALSPAN/A
HAZLETON SURGERY CENTER LLC
17480 DALLAS PARKWAY STE 210DALLASTX752877304201232531SURGICAL SERVICESPAN/A
HEALTH NETWORK LABORATORIES LLC
794 ROBLE ROADALLENTOWNPA181099110232932802LABORATORY SERVICESPALEHIGH VALLEY HOSPITALRELATED$95,284$1,221,689000.97930
HEALTH NETWORK LABORATORIES LP
794 ROBLE ROADALLENTOWNPA181099110232948774LABORATORY SERVICESPALEHIGH VALLEY HOSPITALRELATED$12,275,786$273,099,623000.95820
LEHIGH VALLEY IMAGING LLC
1230 S CEDAR CREST BLVDALLENTOWNPA181036202464551937IMAGING SERVICESPALEHIGH VALLEY HOSPITALRELATED$34,119,486$28,603,868000.72770
LVHN RECIPROCAL RISK RETENTION GROUP
151 MEETING STREET STE 301CHARLESTONSC294012238200037118INSURANCE SERVICESPALEHIGH VALLEY HEALTH NETWORKRELATED$15,742,939000.20000
NAZARETH ENDOSCOPY CENTER LLC
1501 N CEDAR CREST BLVD STE 110ALLENTOWNPA181042309824072967ENDOSCOPY SERVICESPALEHIGH VALLEY HOSPITALINVESTMENT$419$278,368000.51000
POCONO AMBULATORY SURGERY CENTER LTD
1 STORM STREETSTROUDSBURGPA183602406232611442SURGICAL SERVICESPAN/A
POCONO HEALTH SYSTEM INVESTMENT COLLABORATIVE LP
206 E BROWN STREETEAST STROUDSBURGPA183013006472125419INVESTMENTSPAN/A
SCHUYLKILL HEALTH SYSTEM MEDICAL MALL LP
700 SCHUYLKILL MANOR ROADPOTTSVILLEPA179013849232514813REAL ESTATE RENTALSPAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
AMERICAN PATIENT TRANSPORT SYSTEMS INC
119 EAST HOLLY STREETHAZLETONPA182015507233022467AMBULATORY MEDICAL SERVICESPAN/AC0
CH EYE SPECIALISTS PC
2100 MACK BLVDALLENTOWNPA181035622831905823HEALTH CARE RELATED SERVICESPAN/AC0
CH UROLOGY SPECIALISTS PC
2100 MACK BLVDALLENTOWNPA181035622832261980HEALTH CARE RELATED SERVICESPAN/AC0
HAZLETON SAINT JOSEPH MEDICAL OFFICE BUILDING INC
700 E BROAD STREETHAZLETONPA182016835232500981MEDICAL OFFICE RENTALPAN/AC0
LEHIGH VALLEY ANESTHESIA SERVICES PC
2100 MACK BLVDALLENTOWNPA181035622233906125ANESTHESIA SERVICESPAN/AC0
LEHIGH VALLEY HEALTH SERVICES INC
2100 MACK BLVDALLENTOWNPA181035622232263665HEALTH CARE RELATED SERVICESPAN/AC0
LEHIGH VALLEY PHYSICIAN HOSPITAL ORGANIZATION INC
2100 MACK BLVDALLENTOWNPA181035622232750430HEALTH CARE RELATED SERVICESPAC0LEHIGH VALLEY HOSPITAL$1,354,198$28,069,2140.50000
LVHN COORDINATED PROFESSIONAL PRACTICE OF NJ PC
2100 MACK BLVDALLENTOWNPA181035622844028262PHYSICIAN PRACTICE ORGANIZATIONNJN/AC0
POPULYTICS INC
2100 MACK BLVDALLENTOWNPA181035622232539282HEALTH CARE RELATED SERVICESPAN/AC0
SCHUYLKILL HEALTH SYSTEM DEVELOPMENT CORPORATION
700 E NORWEGIAN STREETPOTTSVILLEPA179012710232432417PURSUES, IMPLEMENTS & FURTHERS ACTIVITIES & PURPOSES OF HEALTH NETWORKPAN/AC0
SCHUYLKILL MEDICAL PLAZA - CONDOMINIUM ASSOCIATION
420 S JACKSON STREETPOTTSVILLEPA179013625232931821CONDOMINIUM ASSOCIATIONPAN/AC0
SPECTRUM HEALTH VENTURES INC
2100 MACK BLVDALLENTOWNPA181035622232391479HEALTH CARE RELATED SERVICESPAN/AC0
WESTGATE PROFESSIONAL CENTER INC
2100 MACK BLVDALLENTOWNPA181035622231657333REAL ESTATE RENTALSPAC0LEHIGH VALLEY HOSPITAL$5,184,6651.00000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1WESTGATE PROFESSIONAL CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeKTransactionTypeTxt
Involved$53,911InvolvedAmt
Method Of Amount DeterminationFAIR MARKET VALUEMethodOfAmountDeterminationTxt