2020-05-06T15:46:40-05:00 2019-06-30 990 2018-07-01 232421970 NORTHEASTERN PENNSYLVANIA HEALTH CORP NORT 4848840130 2100 MACK BLVD 4TH FLOOR FINANCE ALLENTOWN PA 18103 ROBERT THOMAS ASSISTANT TREASURER 4848840130 2020-05-06 70.15.236.211 2020-05-06 15:25:34 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 49837C5433ED37C0D08C9BDB2C3D66DAED5A8D4F 2018 2021-01-29 14:40:06Z LEHIGH VALLEY HOSPITAL-HAZLETON BRIAN A NESTER 2100 MACK BLVD 4TH FLOOR FINANCE ALLENTOWN PA 18103 162714553 0 X HTTP://HAZLETON.LVHN.ORG X 1985 PA WE 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 CLINICAL RESEARCH. 12 9 817 10 0 0 52581 34995 118830015 132551989 2474036 4214944 2721102 3120237 124077734 139922165 0 0 0 0 49386049 48620512 0 0 0 68005543 81984739 117391592 130605251 6686142 9316914 176023021 189245053 53857920 62020019 122165101 127225034 X WE 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 CLINICAL RESEARCH. 0 0 109826065 136985927 NORTHEASTERN PENNSYLVANIA HEALTH CORPORATION DBA LEHIGH VALLEY HOSPITAL - HAZLETON (LVH-H) COMMITS TO SERVING AND MEETING THE HEALTH NEEDS IN THE HAZLETON AREA, THROUGH ITS INPATIENT, EMERGENCY, DIAGNOSTIC, MATERNITY, REHABILITATIVE, TELEHEALTH, OUTPATIENT & THERAPEUTIC MEDICAL SERVICES; BY PROVIDING COMMUNITY EDUCATION; AND DELIVERING PROGRAMS & SERVICES WITH COMPASSION & APPROPRIATE STANDARDS OF QUALITY WITHOUT DISCRIMINATION.LVH-H PROVIDES HOSPITAL INPATIENT, OUTPATIENT, REHABILITATION CARE, MATERNITY CARE, AND EMERGENCY ROOM SERVICES TO THE RESIDENTS OF THE GREATER HAZLETON AREA REGARDLESS OF RACE, RELIGION OR ECONOMIC STATUS. THE HOSPITAL PROVIDES A FULL RANGE OF MEDICAL CARE TO INPATIENTS AND OUTPATIENTS, INCLUDING THERAPEUTIC, DIAGNOSTIC, TELEHEALTH, IMAGING AND REHABILITATION SERVICES. SOME OF THE INITIATIVES THAT SUPPORT THE MISSION OF LVH-H ARE AS FOLLOWS:CONTINUED TO PURSUE OPPORTUNITIES TO PROVIDE AND/OR ENHANCE QUALITY SERVICES FOR THE COMMUNITIES WE SERVE.CONTINUED EXTENSIVE RESEARCH TO PURSUE AN AMBULATORY STRATEGY TO EXPAND OUTPATIENT SERVICES TO A CENTRALIZED CAMPUS SETTING.BEGAN A RENOVATION PROJECT TO THE HOSPITAL'S INPATIENT TOWER TO MODERNIZE PATIENT ROOMS AND TO INSTALL THE TECHNOLOGY INFRASTRUCTURE FOR THE EPIC ELECTRONIC HEALTH RECORD. PROJECT WILL BE COMPLETED IN AUGUST 2019. BEGAN AN EXPANSION AND RENOVATION PROJECT FOR THE EMERGENCY DEPARTMENT THAT DOUBLED THE NUMBER OF TREATMENT BAYS AND INCLUDES A FIVE-BAY SECURED AREA FOR THE TREATMENT OF PATIENTS WITH BEHAVIORAL HEALTH EMERGENCIES. PROJECT WILL BE COMPLETED IN DECEMBER 2019. PURCHASED A 128-SLICE CT SCANNER TO BE LOCATED IN THE EMERGENCY DEPARTMENT TO PROVIDE HIGH QUALITY IMAGING SERVICES AND FASTER TURNAROUND SERVICES TO DIAGNOSE EMERGENCY CONDITIONS. MULTI-MILLION DOLLAR INVESTMENT IN NEW AND UPGRADED INFORMATION TECHNOLOGY AND IMPLEMENTATION OF THE EPIC ELECTRONIC HEALTH RECORD TO STREAMLINE ACCESS TO PATIENT INFORMATION AND PROVIDE CONTINUITY OF CARE. CONTINUED IMPLEMENTATION OF OUR 2016-2018 COMMUNITY HEALTH NEEDS ASSESSMENT PLAN BASED ON COMMUNITY NEEDS. CONDUCTED A NEW COMMUNITY HEALTH NEEDS ASSESSMENT IN 2019. BASED ON THE RESULTS OF THIS ASSESSMENT, WE BEGAN THE PROCESS OF DEVELOPING AN IMPLEMENTATION PLAN TO BE COMPLETED OVER THE NEXT THREE YEARS.CONTINUED IMPLEMENTATION OF OUR STRATEGIC PLAN TO REDUCE OUTMIGRATION, BY SUCCESSFULLY RECRUITING PRIMARY AND SPECIALTY CARE PHYSICIANS TO MEET THE NEEDS OF OUR COMMUNITY. CONTINUED TO IMPLEMENT THE MEDICAL STAFF DEVELOPMENT PLAN TO SUPPORT AND FURTHER THE MISSION OF THE HOSPITAL. DEVELOPED A RELATIONSHIP WITH SISTER HOSPITALS WITHIN LVHN TO FILL A NEED FOR SPECIALTY MEDICAL SERVICES AND PROGRAMS IN OUR COMMUNITY.SPONSORED AND PARTICIPATED IN A THREE-PART COMMUNITY EDUCATION SERIES ON OPIOID ADDICTION IN CONJUNCTION WITH OTHER COMMUNITY PARTNERS.AWARDED A SPORTS MEDICINE CONTRACT WITH THE HAZLETON AREA SCHOOL DISTRICT (HASD) TO PROVIDE ATHLETIC TRAINERS, PHYSICIAN/PROVIDERS, SPORTS CARDIOLOGY, IMPACT TESTING, CARE COORDINATION, AMBULANCE SERVICES, DEDICATED SPORTS PHYSICAL THERAPY CONSULTATION, EDUCATION PROGRAMS, AND A STUDENT WELLNESS PROGRAM.DEVELOPED AND IMPLEMENTED AN OUTPATIENT CONCUSSION THERAPY PROGRAM.DEVELOPED AND IMPLEMENTED A LOW DOSE CT LUNG CANCER SCREENING PROGRAM.DEVELOPED AND IMPLEMENTED A PERIPHERAL ARTERY DISEASE (PAD) PROGRAM.UPDATED OUTPATIENT CARDIAC DIAGNOSTIC EQUIPMENT TO MAINTAIN THE USE OF STATE-OF-THE-ART TECHNOLOGY.INTERVENTIONAL RADIOLOGY (IR) NOW PROVIDES PAIN MANAGEMENT PROCEDURES TO OPEN ACCESS TO CARE LOCALLY.RELOCATED LOW-RISK OUTPATIENT ENDOSCOPY PROCEDURES TO THE HAZLETON SURGERY CENTER (HSC) LOCATED AT THE HEALTH & WELLNESS CENTER AT HAZLETON TO BETTER ALIGN WITH OUR GOALS OF BETTER HEALTH, BETTER CARE AND BETTER COST BY PROVIDING BETTER EFFICIENCIES AND COMFORT TO OUR PATIENTS. ACQUIRED A LOCAL PARAMEDIC AND TRANSPORT COMPANY TO PROVIDE BETTER EFFICIENCIES AND CONTINUITY OF PATIENT CARE AND TO PROVIDE A SUSTAINING ORGANIZATION STRUCTURE FOR THAT ORGANIZATION.IMPLEMENTED A PET THERAPY PROGRAM AT THE HOSPITAL IN CONJUNCTION WITH THE ALLIANCE FOR THERAPY DOGS, A COMMUNITY-BASED PROGRAM. SPECIALLY TRAINED DOGS AND THEIR OWNERS VISIT PATIENTS IN AN EFFORT TO HELP REDUCE STRESS AND ANXIETY.RECEIVED THE FOLLOWING QUALITY AND SAFETY RECOGNITIONS:- QUALITY ONCOLOGY PRACTICE INITIATIVE (QOPI) CERTIFICATION- GRADE "A" RECOGNITION IN PATIENT SAFETY FROM THE LEAPFROG GROUP IN FALL 2018 AND SPRING 2019- GET WITH THE GUIDELINES - STROKE GOLD PLUS AWARD FROM THE AMERICAN HEART/STROKE ASSOCIATION FOR THE 11TH CONSECUTIVE YEAR.- GET WITH THE GUIDELINES - GOLD PLUS HEART FAILURE AWARD FROM THE AMERICAN HEART/STROKE ASSOCIATION FOR THE 11TH CONSECUTIVE YEAR.TRANSITIONED FROM THE GE PICTURE ARCHIVING AND COMMUNICATION SYSTEM (PACS) TO LVHN'S PHILIPS ENTERPRISE IMAGING PACS. THE EXPANSION OF LVHN'S PACS TECHNOLOGY TO LVHHAZLETON PROVIDES ONE INTEGRATED RADIOLOGY SYSTEM THAT ALLOWS RADIOLOGISTS AND PROVIDERS AT LVHHAZLETON ACCESS TO ALL STUDIES PERFORMED WITHIN THE LVHN HEALTH SYSTEM.PRIORITIZED PATIENT SATISFACTION AND DEVELOPED SEVERAL INITIATIVES TO IMPROVE OUR PATIENTS' EXPERIENCES.SPONSORED, COORDINATED OR PARTICIPATED IN OVER 70 HEALTH FAIRS, EDUCATION OPPORTUNITIES AND BUSINESS COMMUNITY FUNCTIONS AS A WAY TO PROMOTE BETTER HEALTH. OVER 70 HOURS OF FREE HANDS-FREE CPR CLASSES WERE PROVIDED TO FREE TO COMMUNITY MEMBERS AND INDUSTRY PARTNERS. 109826065 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 1 85 0 1 817 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 PA X X X THE ORGANIZATION 4848840130 2100 MACK BLVD 4TH FLOOR FINANCE ALLENTOWN PA 18103 THOMAS L KENNEDY ESQ CHAIR 1.00 0.50 X 0 0 0 ANTHONY CUSATIS VICE CHAIR 1.00 0.25 X 0 0 0 MARY CELESTE KOSKO BOARD MEMBER 1.00 0.25 X 0 0 0 MICHAEL J LEIB BOARD MEMBER 0.50 0.25 X 0 0 0 MANN A SCHOFFNER BOARD MEMBER 0.50 0.25 X 0 0 0 ANTONETTE M FRITZ BOARD MEMBER 0.50 0.25 X 0 0 0 MARK J LOBITZ DO BOARD MEMBER 0.50 0.25 X 0 0 0 SUSAN C YEE BOARD MEMBER 0.50 2.00 X 0 0 0 LINDA L LAPOS MD BOARD MEMBER 0.50 0.25 X 0 0 0 JOHN R FLETCHER PRESIDENT, EX OFFICIO 42.00 18.00 X X 419242 0 15240 ROBERT THOMAS ASSISTANT TREASURER 3.00 57.00 X X 0 276703 27478 THOMAS MARCHOZZI TREASURER 3.00 57.00 X X 0 734318 18584 JANE DANISH SECRETARY 28.00 12.00 X 107348 0 16694 BARBARA A FORTE ASSISTANT SECRETARY 28.00 12.00 X 63212 0 1895 ANTHONY VALENTE VP OF MEDICAL AFFAIRS 40.00 X 259143 0 17481 JOHN P AMENTLER PHYSICIAN 40.00 X 231075 0 23998 MICHAEL GOLDEN FORMER EMPLOYEE 40.00 0.00 X 224137 0 5654 JOHN M SWIM ADMINISTRATOR, HUMAN RESOURCES 40.00 X 207071 0 37209 MICHELE ROBERTS VP, CHIEF NURSING OFFICER 40.00 X 181392 0 34381 JAMES ROTHERHAM FORMER ASSISTANT TREASURER 0.00 0.00 X 0 108823 10488 1692620 1119844 209102 34 1 1 0 HAZLETON ANESTHESIA SERVICES 100 COMMERCE DRIVE NEW ROCHELLE NY 108015253 ANESTHESIA SERVICES 1990507 MARSH USA INC 1717 ARCH ST 1100 PHILADELPHIA PA 19103 CONSULTING SERVICES 1038928 MEDEFIS INC PO BOX 5066 NEW YORK NY 100875066 TECHNOLOGY SERVICES 742299 NTT DATA INC 7950 LEGACY DR STE 900 PLANO TX 75024 TECHNOLOGY SERVICES 617085 ADVANCED INPATIENT MEDICINE 7250 PARKWAY DR STE 500 HANOVER MD 21076 PHYSICIAN SERVICES 479386 17 34995 34995 OUTPATIENT REVENUE 621990 88017340 88017340 INPATIENT REVENUE 621990 44534649 44534649 132551989 2901243 2901243 315392 107461 207931 207931 207931 23985262 13366 22615948 68979 1369314 -55613 1313701 1313701 OTHER OPERATING REVENUE 621990 2912306 2912306 2912306 139922165 136985927 0 2901243 X 36690792 34524127 2166665 367150 329019 38131 8811988 8836317 -24329 2750582 2560585 189997 1485 875 610 5950 5950 33602356 21651467 11950889 426524 112236 314288 178511 166201 12310 1142415 1139552 2863 5640470 5465582 174888 176787 167802 8985 28338 27164 1174 713974 713974 3944025 2670230 1273795 1256779 31727 1225052 MEDICAL SUPPLIES 15286376 15402200 -115824 BAD DEBT EXPENSE 14764092 14728197 35895 FREIGHT CHARGES 185372 73499 111873 4631285 1939285 2692000 130605251 109826065 20779186 0 2486 4774771 3150137 38656 45786 16650666 31418921 500000 -14876370 1571583 1629868 693659 217857 63358901 22899287 36453477 40459614 114877056 122835013 56104 1876669 2085301 806820 176023021 189245053 19491619 9992932 2005000 20410000 35045083 13956301 14977004 53857920 62020019 X 121380489 126372461 135757 200410 648855 652163 122165101 127225034 176023021 189245053 X 9316914 2764823 67961 -7089765 X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 0 PART II-B, LINE 1: LEHIGH VALLEY HOSPITAL - HAZLETON IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE HOSPITAL & HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA (HAP). A PERCENTAGE OF THE DUES PAID TO THESE ORGANIZATIONS GOES TOWARDS LOBBYING EFFORTS. THEIR MISSION IS TO ADVANCE THE HEALTH OF INDIVIDUALS AND COMMUNITIES TO LEAD, REPRESENT, AND SERVE HEALTH CARE PROVIDER ORGANIZATIONS THAT ARE ACCOUNTABLE TO THE COMMUNITY AND COMMITTED TO HEALTH IMPROVEMENT. THE MEMBERSHIP DUES FOR AHA AND HAP ARE PAID BY LEHIGH VALLEY HOSPITAL, INC. THEREFORE, THE LOBBYING PORTION OF THE DUES ARE REFLECTED ON THE LEHIGH VALLEY HOSPITAL, INC. FORM 990, SCHEDULE C. 8410000 8410000 28460538 9534257 18926281 20201303 13365030 6836273 6287060 6287060 40459614 COST SETTLEMENT RESERVES - THIRD PARTIES 3590188 DEFERRED COMPENSATION PLANS 806820 PENSION LIABILITY 8956545 PROFESSIONAL INSURANCE LIABILITY RESERVE 1623451 14977004 X 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. 1 1 X 1 X 1 X 1 1 0 1 1 131562 131562 0.00110 28067838 15497981 12569857 0.10850 28199400 15497981 12701419 0.10960 822647 822647 0.00710 96236 11350 84886 0.00070 3397410 0 3397410 0.02930 46512 46512 0.00040 4362805 11350 4351455 0.03750 32562205 15509331 17052874 0.14710 1 1865825 515901 38073653 40293229 -2219576 X 1 1 1 BELTWAY HEALTH LP MEDICAL OFFICE SPACE RENTAL 0.43780 0.00000 0.00000 1 1 NORTHEASTERN PENNSYLVANIA HEALTH CORP 700 E BROAD ST HAZLETON PA 18201 HTTP://HAZLETON.LVHN.ORG 083701 X X X NORTHEASTERN PENNSYLVANIA HEALTH CORPORA 1 0 0 1 X X X X X X X X X 18 1 1 1 1 X WWW.LVHN.ORG/ABOUT_US X X 1 18 1 WWW.LVHN.ORG/ABOUT_US 0 1 X 200.000000000000 400.000000000000 X X X 1 1 X X X X 1 X HTTPS://WWW.LVHN.ORG/FINANCIAL-SERVICES/GET-FINANCIAL-ASSISTANCE X HTTPS://WWW.LVHN.ORG/FINANCIAL-SERVICES/GET-FINANCIAL-ASSISTANCE X HTTPS://WWW.LVHN.ORG/FINANCIAL-SERVICES/GET-FINANCIAL-ASSISTANCE X X X X X 1 X 0 X X X 1 X 0 0 NORTHEASTERN PENNSYLVANIA HEALTH CORPORATION PART V, SECTION B, LINE 5: FOR THE PURPOSES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), LVHN DEFINES THE COMMUNITY IT SERVES AS ALL INDIVIDUALS LIVING WITHIN THE COUNTIES THAT CONTAIN OUR HOSPITAL CAMPUSES. LVHN IS REQUIRED TO PRODUCE A CHNA HEALTH PROFILE FOR EACH OF OUR LICENSED FACILITIES IN ORDER TO ADDRESS THE LOCAL CONTEXT OF THE DIFFERENT COMMUNITIES WE SERVE. 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 LUZERNE COUNTY, LVH-HAZLETON PARTNERED WITH THE INSTITUTE FOR PUBLIC POLICY AND ECONOMIC DEVELOPMENT, A RESEARCH PARTNERSHIP OF 12 COLLEGES AND UNIVERSITIES IN THE SCRANTON/WILKES-BARRE/HAZLETON METROPOLITAN STATISTICAL AREA. FOUR FOCUS GROUPS AND 3 INTERVIEWS WERE CONDUCTED BETWEEN JUNE AND AUGUST 2018 WITH A TOTAL OF 42 PARTICIPANTS IN LUZERNE COUNTY.BELOW IS A SUMMARY OF THE ORGANIZATIONS REPRESENTED IN THE LUZERNE COUNTY FOCUS GROUPS AND INTERVIEW AS WELL AS A SUMMARY OF THE DEMOGRAPHICS OF THOSE WHO PARTICIPATED. RESIDENTS, INCLUDING THOSE FROM LOW-INCOME POPULATIONS, WERE ALSO INCLUDED IN THE FOCUS GROUPS AND INTERVIEW IN EACH COUNTY.ORGANIZATIONS REPRESENTED:HAZLETON AREA SCHOOL DISTRICTHAZLETON CHAMBER OF COMMERCE HAZLETON HEALTH & WELLNESS CENTER HAZLETON INTEGRATION PROJECT HAZLETON ONE COMMUNITY CENTER UNITED WAY OF GREATER HAZLETON DEMOGRAPHICS:GENDER: 45% FEMALE, 55% MALERACE/ETHNICITY: 37.8% HISPANIC (OF ANY RACE), 62.2% WHITE NON-HISPANICEMPLOYMENT: 34.8% RETIRED OR NOT EMPLOYED, 65.2% EMPLOYED NORTHEASTERN PENNSYLVANIA HEALTH CORPORATION PART V, SECTION B, LINE 6A: LVHN HAS PRODUCED FOUR CHNA HEALTH PROFILES FOR OUR FOUR DIFFERENT LEHIGH VALLEY HOSPITAL CAMPUSES: LEHIGH VALLEY HOSPITAL - CEDAR CREST, 17TH STREET, AND MUHLENBERG, LEHIGH VALLEY HOSPITAL - SCHUYLKILL, LEHIGH VALLEY HOSPITAL - HAZLETON, AND LEHIGH VALLEY HOSPITAL - POCONO. FOR LEHIGH VALLEY HOSPITAL - CEDAR CREST, 17TH STREET, AND MUHLENBERG, THE COMMUNITY IS DEFINED AS LEHIGH AND NORTHAMPTON COUNTIES (ALSO KNOWN AS THE LEHIGH VALLEY). WE ADDITIONALLY ASSESSED HEALTH NEEDS WITHIN THE CITY OF ALLENTOWN TO REFLECT THE URBAN COMMUNITY SURROUNDING OUR 17TH STREET CAMPUS. FOR LEHIGH VALLEY HOSPITAL - SCHUYLKILL, THE HEALTH PROFILE PRESENTS THE HEALTH NEEDS OF COMMUNITY MEMBERS IN SCHUYLKILL COUNTY. FOR LEHIGH VALLEY HOSPITAL - HAZLETON, THE CHNA HEALTH PROFILE PROVIDES INFORMATION ABOUT THE HEALTH NEEDS FOR LUZERNE COUNTY WITH SPECIFIC INFORMATION ABOUT THE CITY OF HAZLETON WHERE IT WAS AVAILABLE. FINALLY, FOR LEHIGH VALLEY HOSPITAL - POCONO, THE COMMUNITY IS DEFINED AS RESIDENTS WITHIN MONROE COUNTY.WITHIN THE ENTIRE GEOGRAPHIC POPULATION THAT MAKES UP THE COMMUNITIES WE SERVE, WE PLACE A GREATER EMPHASIS ON INCLUDING INDIVIDUALS IN THE COMMUNITY WHO ARE EXPERIENCING HEALTH DISPARITIES TO A GREATER EXTENT OR WHO ARE AT-RISK FOR NEGATIVE HEALTH OUTCOMES AS A RESULT OF THE SOCIAL AND ENVIRONMENTAL FACTORS INFLUENCING THEIR HEALTH. NORTHEASTERN PENNSYLVANIA HEALTH CORPORATION PART V, SECTION B, LINE 6B: REPRESENTATIVES OF THE COMMUNITY INCLUDED:HAZLETON AREA SCHOOL DISTRICTHAZLETON CHAMBER OF COMMERCE HAZLETON HEALTH & WELLNESS CENTER HAZLETON INTEGRATION PROJECT HAZLETON ONE COMMUNITY CENTER UNITED WAY OF GREATER HAZLETON NORTHEASTERN PENNSYLVANIA HEALTH CORPORATION PART V, SECTION B, LINE 7D: OUR COMMUNITY HEALTH NEEDS ASSESSMENT IS ALSO AVAILABLE UPON REQUEST. NORTHEASTERN PENNSYLVANIA HEALTH CORPORATION PART V, SECTION B, LINE 11: COMMUNITY ENGAGEMENT1.1 CONNECT WITH LOCAL FEDERALLY QUALIFIED HEALTH CENTER (NHCLV), COMMUNITY AND FAITH-BASED ORGANIZATIONS TO SUPPORT THE DIVERSE HEALTH NEEDS OF OUR COMMUNITIES MAINTAIN STAKEHOLDER LISTINGS AND AREAS OF COMMON INTEREST.LVH-HAZLETON STAFF PARTICIPATES IN THE COMMUNITY THAT CARES (CTC) COLLABORATIVE GROUP IN HAZLETON. IN THE CTC MODEL, CROSS-SECTOR REPRESENTATIVES USE THE PENNSYLVANIA YOUTH SURVEY TO INFORM A PLAN TO ADDRESS THE BIGGEST CONCERNS THAT YOUTH EXPRESS ON THE SURVEY. IN FY 19, LVH-HAZLETON STAFF REGULARLY PARTICIPATED IN WYLN TV'S WELLNESS WEDNESDAY SEGMENTS. FROM SEPTEMBER 2018 THROUGH FEBRUARY 2019, THEY PRESENTED 22 TIMES ON A VARIETY OF WELLNESS TOPICS, SUCH AS REFLUX, VACCINATIONS AND COLD VS. FLU, BREAST HEALTH AND MAMMOGRAMS, OBESITY, AND ASTHMA AND COPD.1.2 PARTNER WITH UNITED WAY 211 TO CREATE AND MAINTAIN A DATABASE (UW211 EAST) OF COMMUNITY RESOURCES, ACCESSIBLE TO LVHN CASE MANAGERS, CLINICIANS, PATIENTS, CAREGIVERS AND COMMUNITY ORGANIZATIONS.UNITED WAY DOES SUPPORT A 211 SYSTEM IN HAZLETON TO COLLATE AN UP-TO-DATE LISTING OF COMMUNITY RESOURCES. ALTHOUGH LVH-HAZLETON PARTNERS WITH THE UW IN MANY AREAS, A COLLABORATION AROUND 211 HAS NOT YET BEEN ESTABLISHED.2.1 PROMOTE LVHN COMMUNITY EXCHANGE (CE) TIME BANKING PROGRAM TO INCREASE SOCIAL CONNECTIONS, NEIGHBORS HELPING NEIGHBORS.THE COMMUNITY EXCHANGE PROGRAM WAS DISCONTINUED IN THE SPRING OF 2017, DUE TO A LOSS OF FUNDING. THEREFORE, WE WERE NOT ABLE TO GROW THE PROGRAM TO THE LUZERNE COUNTY AREA.6.2 IMPLEMENT PARENTING CLASSES WITHIN ACHIP AND IN COLLABORATION WITH OTHER LOCAL AGENCIES; PILOT STRATEGIES TO INCREASE ENGAGEMENT.EXPANSION OF THE ACHIP PARENTING CLASSES TO THE HAZLETON AREA HAS NOT YET BEEN POSSIBLE BUT OPPORTUNITIES FOR THIS WILL CONTINUE TO BE MONITORED.AT-RISK POPULATIONS2.1 PUBLIC HEALTH INFORMATIONAL CAMPAIGN TO PROMOTE IMPORTANCE OF EARLY IDENTIFICATION OF DEPRESSION AND CONNECTING TO TREATMENT FOR BEHAVIORAL HEALTH ISSUES; EMPLOYEE ASSISTANCE PROGRAMS. "TELL YOUR STORY CAMPAIGN."LVH-HAZLETON HAS INITIATED A COLLABORATION WITH A PSYCHOLOGY PROFESSOR AT BUCKNELL UNIVERSITY WHO CONDUCTED FOCUS GROUPS IN THE COMMUNITY TO BETTER UNDERSTAND NEEDS IN THE COMMUNITY AROUND MENTAL HEALTH AND THEN DEVELOP COMMUNITY TRAININGS TO INCREASE CAPACITY OF COMMUNITY TO ADDRESS MENTAL HEALTH CONCERNS. AS A RESULT, SHE ALONG WITH COLLEAGUES AT THE HAZLETON INTEGRATION PROJECT WILL BE HOSTING MENTAL HEALTH FIRST AID TRAINING SESSIONS IN HAZLETON TO BEGIN TO REDUCE STIGMA AND INCREASE THE CAPACITY OF THE COMMUNITY TO ADDRESS AND RESPOND TO MENTAL HEALTH CONCERNS. PROFESSIONALS AND PATIENTS FROM LVH-HAZLETON WILL BE INVITED TO PARTICIPATE IN THESE TRAININGS.ACCESS TO CARE1.1 MAINTAIN AND BROADLY COMMUNICATE LEHIGH VALLEY HEALTH NETWORK'S FINANCIAL ASSISTANCE POLICY, PROVIDING FREE OR DISCOUNTED CARE FOR QUALIFYING PATIENTS.FINANCIAL ASSISTANCE SERVICES BEGAN AT LVH-HAZLETON ON APRIL 1, 2017. IN FY18, 1,074 APPLICATIONS WERE APPROVED 64 WERE DENIED, AND 163 ARE PENDING.IN FY 19, 1,188 APPLICATIONS FOR FINANCIAL ASSISTANCE WERE RECEIVED. 905 WERE APPROVED, 94 DENIED, AND 188 ARE PENDING.2.1 EXPANSION OF PRIMARY CARE SERVICES FOR VULNERABLE POPULATIONS.IN THE PRIMARY CARE AREAS OF EXPRESSCARE AND PEDIATRICS, THERE WERE A TOTAL OF 9 PROVIDERS IN FY17, WHICH INCREASED TO 17 PROVIDERS BY THE END OF FY19. THE NUMBER OF PATIENTS SEEN IN EXPRESSCARE AND PEDIATRICS WAS 25,226 IN FY17, 20,489 IN FY18, AND 17,820 IN FY19.2.2 RECRUITMENT OF PRIMARY CARE CLINICIANS TO SUPPORT TIMELY ACCESS TO CARE.A GROWTH GRID WAS COMPLETED IN FEBRUARY 2017 AND ACTIVE RECRUITMENT FOR APCS WAS APPROVED. 9 NEW PROVIDERS STARTED IN LVPG-H, PARTICULARLY IN FAMILY MEDICINE AND PEDIATRICS. NUMBER OF NEW PATIENTS SEEN PER MONTH RANGED BETWEEN 577 AND 714 IN FY 17. TRACKING OF THIS INFORMATION BECAME DIFFICULT DURING FY18, BUT THERE IS A PLAN IN PLACE TO MAKE THIS INFORMATION AVAILABLE IN EPIC IN FEBRUARY 2019.AN ADDITIONAL 4 WERE INTERVIEWED. 1 TRANSITIONED OUT OF HAZLETON.2.3 IMPROVEMENT IN TIMELY ACCESS TO PRIMARY CARE CLINICIAN SERVICES.IN FY18, GOALS FOR TIMELY ACCESS AND LAG TIME WERE ESTABLISHED. THIS INCLUDES HAVING PATIENTS SEEN WITHIN 7 DAYS FOR PRIMARY CARE AND 14 DAYS FOR SPECIALTY CARE. ADDITIONALLY, IF APPOINTMENT IS NOT GIVEN WITHIN 7 OR 14 DAY TIMEFRAME, APPROPRIATE MANAGER WILL BE NOTIFIED BY EMAIL TO FACILITATE THE APPOINTMENT SCHEDULING. THE NUMBER OF NOTICES WILL BE TRACKED AND DISCUSSED AT WEEKLY OPERATIONS MANAGERS MEETINGS.IN FY19, THEY IMPLEMENTED A NEW LAG TIME REPORT, BUT DUE TO PREVIOUS EMR SET UP, THE REPORT WAS DEEMED INCONSISTENT. IN FEBRUARY 2019, EPIC WENT LIVE AT LVH-HAZLETON, AND STAFF IS WORKING ON DEVELOPING A NEW REPORT.4.1 IMPROVE OUTPATIENT ACCESS FOR NEW PATIENTS SEEING A CARDIOLOGIST.THE HAZLETON TEAM INTERVIEWED 1 CARDIOLOGIST BETWEEN JULY AND DECEMBER 2016, BUT NONE WERE SIGNED. AN RN WAS HIRED TO TRIAGE PATIENTS AND BE A NAVIGATOR. IN FY18, ONE CARDIOLOGIST AND 3 CRNP'S WERE INTERVIEWED. A .75 FTE RN COORDINATOR FOR CHF PATIENTS WAS HIRED AS WELL AS A CRNP. THE CARDIOLOGY CANDIDATE WAS MADE AN OFFER. IN FY19, 3 CANDIDATES WERE INTERVIEWED FOR CARDIOLOGY. DURING THIS SAME TIMEFRAME, BETWEEN 650 AND 700 NEW CARDIOLOGY PATIENTS WERE SEEN EACH FISCAL YEAR. 696 NEW PATIENTS WERE SEEN IN CARDIOLOGY IN FY 17. 665 NEW PATIENTS WERE SEEN IN CARDIOLOGY IN FY18. 701 NEW PATIENTS WERE SEEN IN CARDIOLOGY IN FY19.4.2 IMPROVE ACCESS TO DIABETES CARE AND EDUCATION BY ADDING ADDITIONAL DIABETES CARE CLINICIAN, NURSE EDUCATOR AND NUTRITIONIST TO CARE TEAM.THE NEW ENDOCRINOLOGIST BEGAN IN MAY 2017 AND SEES PATIENTS ONCE PER WEEK. THERE WAS A TOTAL OF 31 NEW PATIENTS DIAGNOSED WITH DIABETES IN THE FIRST TWO MONTHS OF THE CLINIC. IN FY18, 147 PATIENTS WITH DIABETES WERE SEEN AND THE REGISTERED DIETICIAN SAW 80 PATIENTS.IN FY19, ENDOCRINOLOGY SERVICES WERE ADDED TWO DAYS A MONTH AT THE HEALTH AND WELLNESS CENTER AT HAZLETON. IN ADDITION, AN LVPG REGISTERED DIETICIAN WAS HIRED. 162 NEW PATIENTS WITH DIABETES WERE SEEN AND THE REGISTERED DIETICIAN SAW 117 PATIENTS.4.3 IMPROVE OUTPATIENT ACCESS FOR NEW PATIENTS WITH PERIPHERAL VASCULAR DISEASE.CARDIOLOGIST WITHIN THE LEHIGH VALLEY BEGAN DOING OUTREACH IN HAZLETON FOR INTERVENTIONAL CARDIOVASCULAR CASES IN DECEMBER 2016. BETWEEN DECEMBER 2016 AND JUNE OF 2017, 36 NEW PATIENTS WERE SEEN, AND A TOTAL OF 7 PROCEDURES WERE DONE. IN FY18, 31 NEW PATIENTS WERE SEEN, AND 9 PROCEDURES WERE DONE. IN FY19, 16 NEW PATIENTS WERE SEEN, AND 1 PROCEDURE WAS COMPLETED. PROCEDURES INCLUDE CAROTID STENTING, ELECTIVE ANGIOGRAM, PERIPHERAL ANGIOGRAM/STENTING, AND ABLATION.5.1 PROVIDE COMMUNITY-BASED EDUCATION BY HOSTING COMMUNITY EVENTS SUCH AS HEALTH FAIRS, CPR CLASSES AND HEALTH SCREENINGS TO ASSESS CV RISK FACTORS.THE COMMUNITY-BASED EDUCATION EVENTS INCLUDE HEALTH SCREENINGS, CPR DEMONSTRATIONS, AND STROKE AND HEART ATTACK EDUCATION. IN FY17, 17 EVENTS WERE HELD REACHING OVER 13,000 PEOPLE. IN FY18, 10 EVENTS WERE HELD REACHING 660 PEOPLE. IN FY19, 17 EVENTS WERE REACHING 614 PEOPLE.6.1 IMPROVE OUTPATIENT ACCESS FOR NEW PATIENTS SEEING A CANCER CARE SPECIALIST.423 NEW PATIENTS SAW A CANCER CARE SPECIALIST IN FY17. 398 NEW PATIENTS SAW A CANCER CARE SPECIALIST IN FY18. ALL PATIENTS WERE SEEN WITHIN THE 5-DAY TARGET WINDOW. 395 NEW PATIENTS SAW A CANCER CARE SPECIALIST IN FY19.6.2 IMPROVE ACCESS TO CLINICAL TRIALS FOR PATIENTS WITH CANCER WHO LIVE IN LUZERNE COUNTY.STEPS ARE UNDERWAY TO CREATE THE INFRASTRUCTURE TO BE ABLE TO BEGIN CANCER TRIALS IN LUZERNE COUNTY. OVER THE COURSE OF THE THREE-YEAR PERIOD, A CLINICAL TRIALS NURSE COORDINATOR WAS HIRED AND THE STAFF COMPLETED CITI TRAINING MODULES. THE STAFF ALSO STARTED DOING TRAINING BY SHADOWING THE CLINICAL TRIALS NURSES IN ALLENTOWN A FEW DAYS A WEEK. IN ADDITION, THE NECESSARY EQUIPMENT WAS SUBMITTED TO BE PURCHASED AND MEETINGS TO SET UP THE BILLING INFRASTRUCTURE ALSO OCCURRED. THERE HAVE BEEN SOME DELAYS WITH STAFF TRANSITIONS, BUT THE CLINICAL TRIALS INFRASTRUCTURE SHOULD BE FINALIZED IN FY20. NORTHEASTERN PENNSYLVANIA HEALTH CORPORATION PART V, SECTION B, LINE 18E: BILLING ACTIVITIES INCLUDE HOSPITAL SENDING FOUR STATEMENTS REQUESTING PAYMENT, ALONG WITH AN SPO-1 LETTER WHICH REQUESTS INSURANCE INFORMATION AND INCLUDES INFORMATION ON APPLYING FOR MEDICAL ASSISTANCE, BEFORE ANY COLLECTION ACTIONS OCCUR. THE STATEMENTS INCLUDE INFORMATION ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, SOLICITING THE PATIENT'S PARTICIPATION IN THE FINANCIAL ASSISTANCE PROGRAM. PART V, SECTION B, LINE 11 (CONT) 7.1 PROVIDE LVHN COLLEAGUES WITH CULTURAL, LINGUISTIC TRAINING VIA VARIETY OF DELIVERY MECHANISMS.LVHN'S CULTURAL AWARENESS LIAISON PROVIDED POWERPOINT MODULE, "EXPLORING CULTURAL AWARENESS" TO LVH-HAZLETON TO BE USED FOR EDUCATION WITH THE EMPLOYEES IN HAZLETON. IN FY18, A CULTURAL AWARENESS E-LEARNING MODULE WAS COMPLETED BY 1,088 LVH-HAZLETON COLLEAGUES WHICH WAS 98% OF LEARNERS. IN FY19, LVH-HAZLETON CHANGED THEIR E-LEARNING MODULE TO INTEGRATE INTO THE SAME PLATFORM USED BY THE ENTIRE NETWORK, THE LEARNING CURVE (TLC). IN ADDITION, NEW EMPLOYEES RECEIVE CULTURAL DIVERSITY TRAINING AS A PART OF THE NEW EMPLOYEE ORIENTATION. BETWEEN JANUARY AND JUNE 2018, 62 NEW HAZLETON EMPLOYEES PARTICIPATED IN ORIENTATION. IN FY19, 212 NEW HAZLETON EMPLOYEES PARTICIPATED IN ORIENTATION.IN APRIL 2019, AN EXTERNAL GUEST, ROBBIN CHAPMAN, WHO IS AN EXPERT ON UNCONSCIOUS BIAS IN THE WORKPLACE, PRESENTED AT THE NETWORK-WIDE MONTHLY MANAGER MEETING. APPROXIMATELY 250 EMPLOYEES ATTENDED THE PRESENTATION ENTITLED, "I CAN BE MYSELF AROUND HERE: POWERING THE FUTURE WITH COLLEAGUE ENGAGEMENT".7.2 PATIENT'S PREFERRED LANGUAGE FOR HEALTH CARE DISCUSSIONS IS RECORDED AT TIME OF REGISTRATION.IN FY17, 80% OF PATIENTS HAD A PREFERRED LANGUAGE OF ENGLISH, FOLLOWED BY 11% SPANISH, 9% UNKNOWN, AND LESS THAN 1% A VARIETY OF OTHER LANGUAGES INCLUDING FRENCH, VIETNAMESE, AND ROMANIAN. IN FY18, 85% HAD A PREFERRED LANGUAGE OF ENGLISH, 11% SPANISH, AND 4% UNKNOWN.IN FY19, 89% OF PATIENTS HAD A PREFERRED LANGUAGE OF ENGLISH, FOLLOWED BY 11% SPANISH, 1% OTHER, AND 0.05% UNKNOWN.7.3 ASSESS AVAILABILITY OF LANGUAGE ASSISTANCE RESOURCES IN ALL CARE DELIVERY SITES TO MEET NEEDS OF PATIENTS WITH LIMITED ENGLISH PROFICIENCY.BETWEEN OCTOBER AND DECEMBER 2016, 1,249 TRANSLATIONS OCCURRED, FOR A TOTAL COST OF $101,633. IN CY 2017, 8,308 TRANSLATIONS OCCURRED, FOR A TOTAL COST OF $158,665. IN CY 2018, 8,949 TRANSLATION ENCOUNTERS OCCURRED, FOR A TOTAL COST OF $325,297. BETWEEN JAN AND JUNE 2019, 5,533 TRANSLATION ENCOUNTERS OCCURRED, FOR A TOTAL COST OF $159,930.PREVENTION AND WELLNESS1.4 SURGICAL WEIGHT MANAGEMENT INFORMATION SESSIONS: INFORMATION EVENTS HELD MONTHLY, FACILITATED BY THE WEIGHT MANAGEMENT CENTER'S REGISTERED NURSE PATIENT NAVIGATOR. PARTICIPANTS ARE PROVIDED WITH OPTIONS AVAILABLE AT THE CENTER FOR MEDICALLY SUPPORTED, NONSURGICAL WEIGHT MANAGEMENT. ATTENDEES LEARN HOW THE TEAM OF PHYSICIANS, RN PATIENT NAVIGATOR, REGISTERED DIETITIANS AND BEHAVIORAL HEALTH SPECIALISTS CAN TAILOR AN INDIVIDUALIZED, SAFE AND EFFECTIVE PROGRAM OF DIET, NUTRITION, EXERCISE AND LIFESTYLE CHANGES.DESPITE BARIATRIC SURGEON RESIGNING IN 2015, SURGICAL WEIGHT MANAGEMENT ALIGNED THEMSELVES WITH THE ALLENTOWN PROGRAM AND CONTINUED TO HOLD INFORMATION SESSIONS IN 2016 AND SENT PATIENTS TO LVH-CC FOR SURGERY. A NEW BARIATRIC SURGEON STARTED IN NOVEMBER 2016 AND IS WORKING TO RESTORE THE PROGRAM. ONE SURGERY WAS COMPLETED IN MAY 2017. 29 PEOPLE ATTENDED SUPPORT GROUPS BETWEEN JANUARY 2017 AND JUNE 2017. IN FY18, SERVICES EXPANDED INTO SCHUYLKILL, BERWICK, AND WILKES-BARRE. 124 PATIENTS ATTENDED BARIATRIC SURGERY INFORMATION EVENTS. 30 SURGERIES WERE COMPLETED, AND 103 PEOPLE ATTENDED SUPPORT GROUPS. IN FY19, 185 PEOPLE ATTENDED BARIATRIC SURGERY INFORMATION EVENTS. 45 SURGERIES WERE COMPLETED, AND 93 PEOPLE ATTENDED SUPPORT GROUPS.6.1 GUIDELINE DEVELOPMENT FOR ACUTE AND CHRONIC PAIN MANAGEMENT, PATIENT SCREENING FOR SAFE PRESCRIBING OF OPIOID ANALGESICS; PHYSICIAN OUTREACH AND EDUCATION.LVH-HAZLETON IS DEVELOPING A POLICY SIMILAR TO THAT AT LVH-MUHLENBERG AND A CONTROLLED SUBSTANCE AGREEMENT FOR ALL CLINICIANS. IN FY 18, LVH-HAZLETON HAS ADOPTED AND IS FOLLOWING THE NETWORK-WIDE CONTROLLED SUBSTANCES POLICY.7.1 IMPROVE COMMUNICATION PROCESS FOR REFERRALS FOR ASSESSMENT BY COUNTY DRUG & ALCOHOL (D & A) PROVIDERS. PILOT LIAISON IN ED FOR "WARM HAND-OFFS" TO D & A FROM LVHN CLINICIANS.CURRENTLY NO MECHANISM OR CAPACITY TO DO THIS WORK. THERE IS SOME FORMATIVE DISCUSSION HAPPENING WITH THE CURRENT MAT/WARM HAND-OFF TEAM IN THE LEHIGH VALLEY TO POSSIBLY EXPAND TO OTHER LVHN CAMPUSES, INCLUDING LVH-HAZLETON. LVH-HAZLETON COLLEAGUES PARTNER WITH LUZERNE COUNTY DRUG AND ALCOHOL THROUGH THE STOP OPIOIDS COALITION.LVH-HAZLETON KICKED-OFF THE WARM HAND-OFF PROCESS IN JANUARY 2019. AFTER OVER 1 YEAR OF PLANNING, WORKING WITH LUZERNE COUNTY DRUG AND ALCOHOL AND NORTHEAST COUNSELING CENTER IN HAZLETON, THE WARM HAND-OFF PROGRAM WAS INITIATED AS PART OF THE ONGOING COLLABORATION WITH LUZERNE COUNTY OPIOID COALITION. CERTIFIED RECOVERY SPECIALISTS (CRS) ARE STATIONED IN THE LVH-HAZLETON EMERGENCY DEPARTMENT WHERE THEY AWAIT THE ARRIVAL OF ANY SUBSTANCE ABUSE PATIENT. AFTER THE PATIENT ENTERS THE ED AND IS EVALUATED BY A PHYSICIAN AND IS MEDICALLY CLEARED, THE DOCTOR OR THE NURSE COMMUNICATES WITH THE CRS AT WHICH TIME THEY WILL ASSESS THE PATIENT AND THEIR NEED AND WANT FOR RECEIVING PROFESSIONAL HELP FOR THEIR ADDICTION. IF THE PATIENT REFUSES HELP, THEY CAN LEAVE THE HOSPITAL. IF THEY ACCEPT HELP, THE CRS WILL USE LVH-HAZLETON TO FACILITATE A TRANSFER TO WHATEVER REHABILITATION FACILITY HAS A BED AVAILABLE FOR THE PATIENT. THIS PROGRAM IS FUNDED BY LUZERNE COUNTY. SO FAR 4 CRS'S HAVE BEEN HIRED FOR MAINLY THE 3PM TO 11PM SHIFT. THE CRS WILL BE TRACKING THE ENCOUNTERS MONTHLY. IN FY19, THE FIRST 7 REFERRALS FOR ADDICTION RESOURCES WERE PLACED.7.2 MAKE D & A RESOURCE LISTINGS AVAILABLE TO CLINICAL SETTINGS, CASE MANAGERS, SOCIAL WORKERS.LVH-HAZLETON HAS COMPILED A LIST OF LOCAL RESOURCES THAT ARE AVAILABLE TO PATIENTS AT DISCHARGE WHICH IS DISTRIBUTED IN THE ED. ALSO CREATED BINDERS OF THESE RESOURCES TO DISTRIBUTE TO PATIENTS AND FAMILIES. IN FY19, A NEW FAMILY MEDICINE PHYSICIAN BECAME CERTIFIED TO BEGIN MEDICALLY ASSISTED TREATMENT AND MAINTAIN PATIENTS ON IT ONCE STARTED. THIS WILL BE ANOTHER COMPONENT OF LVH-HAZLETON'S ABILITY TO ADDRESS PATIENTS' ISSUES WITH OPIOID USE DISORDER.8.1 HOST AND SPONSOR COMMUNITY-BASED OPIOID-ABUSE PREVENTION PRESENTATIONS TARGETED TO SCHOOLS, PARENTS; INCLUDE OUTREACH TO FAMILIES EXPERIENCING ADDICTION.ON MAY 11, 2017, LVH-HAZLETON HOSTED A SENIOR CHOICE LUNCHEON WHICH ADDRESS THE USE AND MISUSE OF OPIOIDS IN WHICH 220 COMMUNITY MEMBERS ATTENDED. IN FY18, THREE EVENTS WERE HELD. IN AUGUST 2017, "PATHWAY TO RECOVERY" PARTICIPATED IN MOUNTAINTOP HEALTH FAIR WHICH HAD 100 ATTENDEES. IN SEPTEMBER 2017, THERE WAS A "SAVING LIVES THROUGH INTERVENTION EVENT" HELD, AND IN OCTOBER 2017, AN OPIOID PRESENTATION WAS HELD AT CRESTWOOD HIGH SCHOOL WITH 70 ATTENDEES. IN APRIL 2018, DROP THE DRUGS, DRUG GIVE-BACK, EVENT WAS HELD AT LVH-HAZLETON, WHICH COLLECTED APPROXIMATELY 42 LBS. OF MEDICATIONS.IN FY19, THREE COMMUNITY-BASED EVENTS WERE HELD. IN AUGUST 2018, PATHWAYS TO RECOVERY AGAIN SET UP A MOCK TEEN BEDROOM AT BACK TO SCHOOL HEALTH FAIR AT THE HEALTH CENTER AT MOUNTAIN TOP WHERE 80 PEOPLE WERE IN ATTENDANCE. IN OCTOBER 2018, DR. WIDUCH-MERT SPOKE TO THE HAZLETON ROTARY ABOUT SUBOXONE, WITH 34 PEOPLE IN ATTENDANCE. IN JANUARY, THERE WAS A CON ED PROGRAM FOR LOCAL EMS/FIRE AND OPENED TO LVPG PROVIDERS CALLED RUSSIAN ROULETTE - THE OPIOID CRISIS WITH DR. ALEX AMADUCCI. IN ADDITION, DR. ANDREW MILLER DID A PIECE FOR THE NEWSPAPER ABOUT THE USE OF METHAMPHETAMINE, WHICH REACHES OVER 30,000 SUBSCRIBERS, AND DR. MCNEIL AND DR. CASTILLO HOSTED AN OPIOID TOWN HALL IN MAY 2019 WHERE THEY SPOKE ON THE OPIOID CRISIS AND MEDICALLY ASSISTED THERAPY AT LVHN, WITH OVER 100 PROVIDERS ATTENDING.9.3 DEVELOP AND OFFER LUNG SCREENING PROGRAM TO DETECT EARLY LUNG CANCER.FORMS AND MARKETING MATERIALS HAVE BEEN DEVELOPED, STAFF TRAINED, AND THE PROGRAM WAS ROLLED OUT IN DECEMBER 2016. THE FIRST FOUR PATIENTS WERE SCREENED IN FY17. IN FY18, 59 PATIENTS WERE SCREENED. ALSO, IN MAY OF 2018, THE PROGRAM WAS ROLLED OUT TO THE INPATIENT AREAS AND NURSES BEGAN SCREENING PATIENTS TO SEE IF THEY MET CRITERIA. IN FY19, 169 PATIENTS WERE SCREENED. THROUGH THESE SCREENING EFFORTS, 7 PEOPLE HAD POSITIVE RESULTS AND FOLLOW-UP CARE AS A RESULT. PART I, LINE 3C: LEHIGH VALLEY HOSPITAL-HAZLETON ALSO USES AN ASSET TEST TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE. THE ONLY ASSETS THAT ARE USED FOR THIS TEST ARE CASH BALANCES IN BANK ACCOUNTS. PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS ISSUED BY LEHIGH VALLEY HEALTH NETWORK - EIN 22-2458317, THE PARENT COMPANY OF LEHIGH VALLEY HOSPITAL-HAZLETON. 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 SUBSIDIZED HEALTH SERVICES AMOUNT OF $3,397,410 IS THE DIFFERENCE BETWEEN PAYMENTS AND COSTS FOR ANESTHESIA SERVICES, TELEMEDICINE, AND HOSPITALIST SERVICES. THESE SERVICE EXPENSES ARE NOT INCLUDED IN THE MEDICAL ASSISTANCE SHORTFALL OR UNCOMPENSATED CARE VALUES 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 $ 14,764,092. PART II, COMMUNITY BUILDING ACTIVITIES: OUR COMMUNITY BUILDING ACTIVITIES INCLUDE THE FOLLOWING:COMMUNITY SUPPORT INCLUDES PATIENT ADVOCATES, INTERPRETATION SERVICES AND PATIENT SATISFACTION SURVEYS.COALITION BUILDING INCLUDES ACTIVITIES RELATED TO COMMUNITY BOARDS SUCH AS UNITED WAY AND THE YMCA.COMMUNITY HEALTH IMPROVEMENT ADVOCACY INCLUDES EMPLOYEE TIME VOLUNTEERING FOR THE FREE CLINIC.WORKFORCE DEVELOPMENT INCLUDES RECRUITMENT COSTS, JOB SHADOWING AND STUDENT CLINICAL ADVISORS. PART III, LINE 2: AMOUNTS REPORTED AS BAD DEBT EXPENSE ARE REPORTED NET OF APPLICABLE PATIENT PAYMENTS, INSURANCE PAYMENTS AND CONTRACTUAL ALLOWANCES AS WELL AS OTHER HOSPITAL DISCOUNTS FOR WHICH THE PATIENT IS DEEMED ELIGIBLE. THE RATIO OF COSTS-TO-CHARGES (RCC) IS APPLIED TO THE NET AMOUNT TO DETERMINE THE BAD DEBT EXPENSE. PART III, LINE 3: IN INSTANCES WHERE THE ORGANIZATION BELIEVES A PATIENT HAS THE ABILITY TO PAY FOR SERVICES AND, AFTER APPROPRIATE COLLECTION EFFORT, PAYMENT IS NOT MADE, THE AMOUNT OF SERVICES NOT PAID IS WRITTEN-OFF AS BAD DEBTS. AMOUNTS RECORDED AS PROVISION FOR BAD DEBTS DO NOT INCLUDE CHARITY CARE. THE PROVISION FOR BAD DEBTS FOR THE YEARS ENDED JUNE 30, 2019 AND 2018, WAS $10,233,000 AND $5,275,000 RESPECTIVELY. PART III, LINE 4: BAD DEBTS - THE ORGANIZATION RECORDS A PROVISION FOR BAD DEBTS RELATED TO UNINSURED ACCOUNTS NET OF THE AGB 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 BAD DEBTS BASED ON HISTORICAL COLLECTION EXPERIENCE.IN INSTANCES WHERE THE ORGANIZATION BELIEVES A PATIENT HAS THE ABILITY TO PAY FOR SERVICES AND, AFTER APPROPRIATE COLLECTION EFFORT, PAYMENT IS NOT MADE, THE AMOUNT OF SERVICES NOT PAID IS WRITTEN-OFF AS BAD DEBTS. AMOUNTS RECORDED AS PROVISION FOR BAD DEBTS DO NOT INCLUDE CHARITY CARE. PART III, LINE 8: THE MEDICARE PROGRAM COSTS REPORTED IN THE ANNUAL LVHN COMMUNITY BENEFIT REPORT INCLUDE $9,428,926 IN COSTS THAT ARE CONSIDERED DISALLOWED COSTS ON THE MEDICARE COST REPORT. THESE DISALLOWED COSTS ARE PRIMARILY FOR LVPG-H PRACTICE SUBSIDIES, PHYSICIAN COSTS AND OTHER COSTS DISALLOWED BY THE MEDICARE PROGRAM FOR COST REPORTING PURPOSES. PART III, LINE 9B: FINANCIAL COUNSELING STAFF ASSISTS PATIENTS IN APPLYING FOR MEDICAID, CHIP, AS WELL AS FINANCIAL ASSISTANCE UNDER OUR FINANCIAL ASSISTANCE POLICY. ACCOUNTS THAT DO NOT MEET THE ELIGIBILITY REQUIREMENTS WILL BE FOLLOWED UP IN-HOUSE OR REFERRED TO AN EXTERNAL RECEIVABLES FOLLOW UP AGENCY, AND IF NOT PAID, REFERRED TO A COLLECTION AGENCY, AND, SUBSEQUENTLY, TRANSFERRED TO BAD DEBT STATUS IF THE ACCOUNTS REMAIN UNPAID. PART VI, LINE 2: IN AN EFFORT TO IMPROVE THE OVERALL HEALTH AND WELL-BEING OF THE COMMUNITY, ALL NON-PROFIT HOSPITALS AND HEALTH SYSTEMS MUST IDENTIFY AND EVALUATE THE NEEDS OF THE COMMUNITIES THEY SERVE THROUGH A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS. FOR THE PURPOSES OF THE CHNA, LEHIGH VALLEY HEALTH NETWORK (LVHN) DEFINES "COMMUNITY" AS ALL RESIDENTS LIVING WITHIN THE PRIMARY COUNTIES EACH LICENSED FACILITY SERVES, NAMELY LEHIGH, NORTHAMPTON, SCHUYLKILL, LUZERNE, AND MONROE COUNTIES IN PENNSYLVANIA. THE CHNA HEALTH PROFILE INCLUDES SECONDARY DATA PULLED TOGETHER FROM PUBLICALLY AVAILABLE, STATE AND LOCAL SOURCES SUCH AS THE CENTER FOR DISEASE CONTROL AND THE CENSUS BUREAU. THIS DATA WAS USED TO IDENTIFY THE TOP HEALTH AND SOCIAL NEEDS IN EACH IDENTIFIED COMMUNITY. LVHN THEN PARTNERED WITH COMMUNITY AND EDUCATIONAL INSTITUTIONS TO OBTAIN INPUT (PRIMARY DATA) FROM COMMUNITY MEMBERS IN EACH COUNTY IN ORDER TO VALIDATE THE FINDINGS OF THE SECONDARY DATA COLLECTION. THESE COMMUNITY PARTNERS CONDUCTED FOCUS GROUPS AND KEY INFORMANT INTERVIEWS TO REVIEW THE FINDINGS OF THE SECONDARY DATA COLLECTION AND ALLOW THE COMMUNITY TO IDENTIFY ANY OTHER NEEDS NOT MENTIONED. THE SECONDARY AND PRIMARY DATA WERE THEN COMBINED INTO ONE HEALTH PROFILE FOR EACH COUNTY, WHICH PROVIDES AN OVERVIEW OF THE CURRENT STATE OF HEALTH IN EACH OF THE COUNTIES LVHN SERVES. THESE REPORTS WERE REVIEWED BY LVHN EXECUTIVE LEADERSHIP AT EACH CAMPUS, AND INITIAL HEALTH NEEDS WERE PRIORITIZED BASED ON THE COMMUNITIES INPUT AND LVHN'S ABILITY TO MAKE A DIFFERENCE ON THAT HEALTH NEED. AS PART OF THE AFFORDABLE CARE ACT, STARTING IN 2013, ALL NON-PROFIT HOSPITALS AND HEALTH CARE SYSTEMS ARE REQUIRED TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS. THE CHNA REPORT EXAMINES THE FACTORS THAT IMPACT THE HEALTH AND WELLNESS OF ALL THE PEOPLE IN A PARTICULAR GEOGRAPHIC AREA. BEYOND ITS REGULATORY FUNCTION, THE CHNA IS AN IMPORTANT OVERVIEW OF THE CURRENT STATE OF HEALTH IN OUR REGION AND IDENTIFIES POTENTIAL AREAS OF CONCERN WHICH INFORMS LEHIGH VALLEY HEALTH NETWORK'S (LVHN) POPULATION HEALTH MANAGEMENT EFFORTS. LVHN'S CHNA INCLUDES A HEALTH PROFILE, A REPORT THAT LOOKS AT ALL OF THE FACTORS THAT GO INTO MAKING PEOPLE IN A PARTICULAR AREA HEALTHY. THIS INCLUDES SOCIAL AND ENVIRONMENTAL FACTORS LIKE EMPLOYMENT, EDUCATION AND AIR QUALITY, INDIVIDUAL BEHAVIORS LIKE SMOKING OR HEALTHY EATING, AND THE QUALITY AND AVAILABILITY OF HEALTH CARE IN THEIR AREA. THIS INTRODUCTION PROVIDES AN OVERVIEW OF THE 2019 CHNA HEALTH PROFILE AND LVHN'S CHNA PROCESS. THE 2019 HEALTH PROFILE COMBINES DATA AND INFORMATION FROM LOCAL, STATE AND NATIONAL SOURCES ABOUT DISEASE, THE ENVIRONMENT, SOCIAL FACTORS AND INDIVIDUAL BEHAVIORS, WITH IDEAS, STORIES, AND EXPERIENCES FROM COMMUNITY MEMBERS AND LEADERS FROM THROUGHOUT THE COUNTIES SERVED BY LVHN. THE SECOND COMPONENT OF THE LVHN'S CHNA INCLUDES AN IMPLEMENTATION PLAN, WHICH OUTLINES OUR PLAN TO ADDRESS THE NEEDS IDENTIFIED IN THE HEALTH PROFILE OVER THE COURSE OF THE NEXT THREE YEARS. THE 2019 IMPLEMENTATION PLAN WILL BE SHARED AS A SEPARATE REPORT SOON AFTER THE HEALTH PROFILES ARE RELEASED.THE 2019 LVHN CHNA HEALTH PROFILE IS BROKEN OUT INTO THREE PRIMARY SECTIONS: DEMOGRAPHICS, HEALTH FACTORS, AND HEALTH OUTCOMES. THE DEMOGRAPHICS SECTION INCLUDES INFORMATION THAT PROVIDES A DESCRIPTION OF THE INDIVIDUALS LIVING IN THE COMMUNITY. THE HEALTH FACTORS SECTION INCLUDES INFORMATION ABOUT SOCIAL FACTORS, ENVIRONMENTAL FACTORS, HEALTH BEHAVIORS, AND THE QUALITY AND AVAILABILITY OF HEALTH CARE IN THE AREA. THE FINAL SECTION, HEALTH OUTCOMES, LOOKS AT THE OCCURRENCE OF CHRONIC CONDITIONS, SUCH AS ASTHMA AND HEART DISEASE, AS WELL AS RATES OF CANCER AND THE LEADING CAUSES OF DEATH. TO INCREASE THE READABILITY OF THE REPORT, THE COMMUNITY WILL FIND THREE TYPES OF CALL-OUT BOXES THROUGHOUT THE CHNA HEALTH PROFILES. THE FIRST TYPE SUMMARIZES SOME OF THE DATA PRESENTED ON THAT PAGE IN ORDER TO PROVIDE EASY-TO-READ, SUMMARY STATEMENTS OF IMPORTANT DATA ABOUT THE COMMUNITY. THESE SUMMARY STATEMENTS ARE ALSO COMPILED INTO ONE LIST AT THE END OF THE HEALTH PROFILE. THE SECOND TYPE PROVIDES INFORMATION FROM THE INTERVIEWS AND FOCUS GROUPS. THE THIRD TYPE OF CALL-OUT BOX HIGHLIGHTS DATA SPECIFIC TO LVHN PATIENTS, WHERE IT WAS RELEVANT. THESE REPORTS HAVE BEEN REVIEWED AND APPROVED BY LVHN'S BOARD OF TRUSTEES AS WELL AS THE COMMUNITY RELATIONS COMMITTEE OF THE BOARD.VISIT 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 PATIENT FINANCIAL ASSISTANCE PROGRAM APPLIES TO UNINSURED AND UNDER-INSURED INDIVIDUALS WHO PARTICIPATE IN THE PROCESS TO EVALUATE THEIR ABILITY TO PAY FOR LVH-H SERVICES.THE FINANCIAL COUNSELORS HELP PATIENTS COMPLETE THE APPLICATION FOR FINANCIAL ASSISTANCE. LVH-H 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 LVH-H. PATIENTS WITH A FAMILY INCOME BELOW 400% OF THE FEDERAL POVERTY GUIDELINES WILL HAVE A PORTION OF THEIR BALANCE FORGIVEN FOR QUALIFYING SERVICES AT LVH-H.PATIENTS OFTEN EXPRESS FINANCIAL CONCERN OR NEED BY CONTACTING LVH-H PATIENT FINANCIAL COUNSELING DEPARTMENT. THE COUNSELOR EXPLAINS THE AVAILABLE PROGRAMS, SUCH AS PENNSYLVANIA MEDICAL ASSISTANCE, CHIP, THE FEDERAL INSURANCE EXCHANGE AND PATIENT FINANCIAL ASSISTANCE.PATIENTS WILL BE REFERRED TO THE FINANCIAL COUNSELORS WHO WORK WITH UNINSURED AND UNDER-INSURED PATIENTS TO APPLY FOR PENNSYLVANIA MEDICAL ASSISTANCE. THE FINANCIAL COUNSELORS ARE LOCATED ONSITE. THE FINANCIAL COUNSELORS VISIT INPATIENTS IN THEIR ROOMS AND OUTPATIENTS IN THE EMERGENCY DEPARTMENT (ED).INFORMATION REGARDING FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS VIA SIGNAGE IN THE REGISTRATION AREAS AS WELL AS THE ED WAITING ROOM. ALSO, WHEN THE FINANCIAL COUNSELORS ASSIST PATIENTS IN COMPLETING A MEDICAL ASSISTANCE UNINSURED AND UNDER-INSURED APPLICATION, THEY ALSO INFORM THE PATIENT ABOUT THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM. IN ADDITION, LVH-H ADVERTISES OUR FINANCIAL ASSISTANCE PROGRAM ON OUR PUBLIC WEBSITE, AS WELL AS ON ALL BILLING STATEMENTS SENT TO OUT PATIENTS. PART VI, LINE 4: THE PRIMARY SERVICE AREA OF LVH-HAZLETON IS COMPRISED PRIMARILY OF LUZERNE COUNTY. BASED ON U.S. CENSUS BUREAU DATA FOR THE YEAR 2010 CENSUS, THE POPULATION OF THE PRIMARY SERVICE AREA WAS APPROXIMATELY 320,918 PEOPLE. DURING THE CALENDAR YEAR 2018, ABOUT 82.0% OF THE DISCHARGES FROM LVH-HAZLETON WERE RESIDENTS OF THE PRIMARY SERVICE AREA. ACCORDING TO THE AMERICAN COMMUNITY SURVEY (U.S. CENSUS), THE ESTIMATED POPULATION FOR THE PRIMARY SERVICE AREA IN 2018 WAS 317,646.THE 2010 POPULATION OF THE SECONDARY SERVICE AREA WAS APPROXIMATELY 450,675. DURING THE CALENDAR YEAR 2018, ABOUT 17.0% OF THE DISCHARGES FROM LVH-HAZLETON WERE RESIDENTS OF THE SECONDARY SERVICE AREA.BASED ON PROPRIETARY DATA ESTIMATES (SCANUS), THE CURRENT POPULATION OF THE COMBINED PRIMARY AND SECONDARY SERVICE AREAS IS PROJECTED, TO INCREASE APPROXIMATELY 1.16% BY THE YEAR 2024. DURING THE CALENDAR YEAR 2018, 1.0% OF THE DISCHARGES FROM LVH-HAZLETON WERE RESIDENTS OUTSIDE THE PRIMARY AND SECONDARY SERVICE AREAS. PART VI, LINE 5: LEHIGH VALLEY HOSPITAL-HAZLETON QUALIFIES AS AN INSTITUTE 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-H IS REQUIRED TO REAPPLY FOR THIS CHARITABLE STATUS EVERY FIVE YEARS AND CURRENTLY QUALIFIES THROUGH JULY 31, 2023. X X X X X 0 1 0 0 0 0 0 0 0 JOHN R FLETCHER PRESIDENT, EX OFFICIO 343597 0 33200 0 42445 0 0 0 15240 0 434482 0 0 0 ROBERT THOMAS ASSISTANT TREASURER 0 242308 0 36000 0 -1605 0 0 0 27478 0 304181 0 0 THOMAS MARCHOZZI TREASURER 0 599135 0 139923 0 -4740 0 0 0 18584 0 752902 0 0 ANTHONY VALENTE VP OF MEDICAL AFFAIRS 232510 0 32477 0 -5844 0 0 0 17481 0 276624 0 0 0 JOHN P AMENTLER PHYSICIAN 229502 0 500 0 1073 0 0 0 23998 0 255073 0 0 0 MICHAEL GOLDEN FORMER EMPLOYEE 71953 0 0 0 152184 0 0 0 5654 0 229791 0 0 0 JOHN M SWIM ADMINISTRATOR, HUMAN RESOURCES 190342 0 21331 0 -4602 0 0 0 37209 0 244280 0 0 0 MICHELE ROBERTS VP, CHIEF NURSING OFFICER 168614 0 18290 0 -5512 0 0 0 34381 0 215773 0 0 0 JAMES ROTHERHAM FORMER ASSISTANT TREASURER 0 75139 0 30152 0 3532 0 0 0 10488 0 119311 0 0 PART I, LINE 4B THE FOLLOWING INDIVIDUAL PARTICIPATED IN THE 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OF LEHIGH VALLEY HOSPITAL - HAZLETON AND RECEIVED A DISTRIBUTION IN CALENDAR YEAR 2018: JOHN FLETCHER $45,826 THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OF LEHIGH VALLEY HOSPITAL, A RELATED ORGANIZATION, AND RECEIVED A DISTRIBUTION IN CALENDAR YEAR 2018: EDWARD O'DEA $141,512 JAMES ROTHERHAM $15,057 SUSAN C YEE - TRUSTEE PARTNERSHIP IN 94 BRODHEAD ASSOCIATES - TRUSTEE OF LVHN/LVH/LVHM/LVHH/HWC 118444 94 BRODHEAD ASSOCIATES LEASES OFFICE SPACE TO LVPG AT FAIR MARKET VALUE. 0 ANTHONY VALENTE MD - HIGHLY COMPENS OWNER OF MARVAL MEDICAL - HIGHLY COMPENSATED EMPLOYEE OF LVH-H 272507 MARVAL MEDICAL PROVIDES HOSPITALIST SERVICES TO THE LVH-HAZLETON. 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S SOLE CORPORATE MEMBER IS LEHIGH VALLEY HEALTH NETWORK, INC. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S SOLE CORPORATE MEMBER, LEHIGH VALLEY HEALTH NETWORK, INC., HAS THE POWER TO ELECT, APPOINT, APPROVE, OR REJECT MEMBERS OF THE ORGANIZATION'S GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION'S SOLE CORPORATE MEMBER, LEHIGH VALLEY HEALTH NETWORK, INC., HAS THE POWER TO APPROVE OR REJECT CERTAIN MAJOR OPERATING DECISIONS MADE BY THE ORGANIZATION'S GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS TO REVIEW THE 990'S INCLUDES: DRAFT 1 OF THE RETURNS IS REVIEWED IN DETAIL WITH A FOCUS ON ACCURACY, COMPLETENESS, AND PERSPECTIVE BY THE LVHN VICE-PRESIDENT, FINANCE & 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 & CONTROLLER AND THE DIRECTOR, TAX. FINAL RETURNS ARE REVIEWED WITH THE LVHN BOARD LEADERSHIP GROUP (THE BOARD CHAIR AND THREE VICE CHAIRS). COPIES OF ALL 990'S ARE PROVIDED TO THE FULL BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C IN JANUARY 2016, LVHN IMPLEMENTED AN ELECTRONIC TOOL DESIGNED TO SEND NOTIFICATIONS AND TRACK DISCLOSURES REPORTED ON CONFLICT OF INTEREST QUESTIONNAIRES. THE NETWORK ALSO EXPANDED THE SCOPE OF THE CONFLICT OF INTEREST OR COMMITMENT POLICY, SUCH THAT ADDITIONAL COLLEAGUES ARE NOW REQUIRED TO COMPLETE A QUESTIONNAIRE EACH YEAR. PRIOR TO JANUARY, THE VP, INTERNAL AUDIT AND COMPLIANCE SERVICES ISSUED A NOTICE TO BOARD MEMBERS AND MEMBERS OF THE SENIOR MANAGEMENT COUNCIL WHEN IT WAS TIME FOR THEM TO SUBMIT THEIR CONFLICT OF INTEREST QUESTIONNAIRES. THE VP ALSO INSTRUCTED MEMBERS OF THE SENIOR MANAGEMENT COUNCIL TO IDENTIFY AND REQUEST COMPLETED CONFLICT OF INTEREST QUESTIONNAIRES FROM INDIVIDUALS WHO HAD POTENTIAL CONFLICTS OF INTEREST AND TO PROVIDE HER WITH THE IDENTITY OF THOSE INDIVIDUALS. COMPLIANCE SERVICES TRACKED COMPLETION OF THE QUESTIONNAIRES. ALL PHYSICIANS ON LVHN'S MEDICAL STAFF ARE ALSO REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. MEDICAL STAFF SERVICES MONITORS THIS PROCESS TO ENSURE THAT ALL PHYSICIANS COMPLY. POTENTIAL CONFLICTS ARE MANAGED BY THE LVHN CONFLICT OF INTEREST COMMITTEE AND/OR BY THE BOARD OF TRUSTEES, DEPENDING ON WHOSE INTEREST(S) POSE THE CONFLICT AND THE NATURE OF THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 LEHIGH VALLEY HEALTH NETWORK 2019 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 22, 2018 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 22, 2018 EXECUTIVE COMPENSATION COMMITTEE MEETING. SUMMARY OF METHODOLOGY TO CONDUCT THIS ANALYSIS, SULLIVAN COTTER: COLLECTED BACKGROUND INFORMATION REGARDING LVHN'S OPERATIONS, STRUCTURE, SIZE AND SCOPE, AS WELL AS EACH POSITION'S DUTIES. COMPILED MARKET DATA FOR CEO COUNCIL EXECUTIVES CONSISTENT WITH THE EXECUTIVE COMPENSATION PHILOSOPHY APPROVED BY THE COMMITTEE DURING ITS SEPTEMBER 18, 2018 MEETING: THE MARKET DATA USED FOR LVHN SYSTEM EXECUTIVES IN THIS ASSESSMENT ARE AN EQUALLY WEIGHTED BLEND OF (1) A PEER GROUP OF 30 NOT-FOR-PROFIT HEALTH SYSTEMS LOCATED IN THE NORTHEAST REGION (EXCLUDING NEW YORK CITY) WITH NET OPERATING REVENUES BETWEEN $1.3 BILLION AND $5.0 BILLION (AVERAGE OF $2.4 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 2017 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. SULLIVAN COTTER NOTES THAT NO MARKET DATA ARE PROVIDED FOR THE SVP, MEDICAL SERVICES AS THE RESPONSIBILITIES OF THAT POSITION ARE UNIQUE, SO NO BENCHMARK DATA ARE AVAILABLE. THEY RECOMMEND THAT THE COMMITTEE ASSESS THE COMPENSATION FOR THAT POSITION BASED ON INTERNAL EQUITY CONSIDERATIONS. 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, 2019 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 FY2018 NET REVENUES AND PHYSICIAN FTE'S WERE USED AS THE SCOPE SIZE FOR EACH ENTITY. FORM 990, PART VI, SECTION C, LINE 18 ANOTHER'S WEBSITE - GUIDESTAR. UPON REQUEST - HARD COPIES WITH SENIOR MANAGEMENT AND MARKETING DEPARTMENT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH ITS ANNUAL REPORT TO THE COMMUNITY. THE ANNUAL REPORT IS DISTRIBUTED TO ALL ATTENDEES AT THE ORGANIZATION'S ANNUAL PUBLIC MEETING. THE ANNUAL REPORT IS AVAILABLE ON THE ORGANIZATION'S WEBSITE - WWW.LVHN.ORG. IN ADDITION, IT IS DISTRIBUTED VIA MAIL TO MEMBERS OF THE COMMUNITY. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G OTHER FEES-PROGSERV-990: PROGRAM SERVICE EXPENSES 332,493. MANAGEMENT AND GENERAL EXPENSES 19,194. TOTAL EXPENSES 351,687. BANK FEES: PROGRAM SERVICE EXPENSES -9,136. MANAGEMENT AND GENERAL EXPENSES 55,919. TOTAL EXPENSES 46,783. PORTFOLIO FEES: PROGRAM SERVICE EXPENSES 243,023. MANAGEMENT AND GENERAL EXPENSES 30,293. TOTAL EXPENSES 273,316. BLOOD PROCESSING FEES: PROGRAM SERVICE EXPENSES 847,634. TOTAL EXPENSES 847,634. OUTSIDE LAB TEST FEES: PROGRAM SERVICE EXPENSES 2,830,779. TOTAL EXPENSES 2,830,779. CONTRACT LABOR SERVICES: PROGRAM SERVICE EXPENSES 2,555,038. MANAGEMENT AND GENERAL EXPENSES 24,544. TOTAL EXPENSES 2,579,582. PHYSICIAN & OTHER MEDICAL SERV: PROGRAM SERVICE EXPENSES 6,166,940. MANAGEMENT AND GENERAL EXPENSES 340,753. TOTAL EXPENSES 6,507,693. BILLING & COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 349,036. MANAGEMENT AND GENERAL EXPENSES 108,062. TOTAL EXPENSES 457,098. OTHER SERVICES: PROGRAM SERVICE EXPENSES 8,335,660. MANAGEMENT AND GENERAL EXPENSES 11,372,124. TOTAL EXPENSES 19,707,784. FORM 990, PART XI, LINE 9: REC OF UNFUNDED PENSION LIAB -4,014,391. TRANSFERS TO AFFILIATES -3,075,374. FAMILY CARE CENTERS INC 206 E BROWN STREET EAST STROUDSBURG PA 183013006 232349341 PHYSICIAN PRACTICE ORGANIZATION PA 501(C)(3) LINE 3 LEHIGH VALLEY PHYSICIAN GROUP 0 HAZLETON HEALTH & WELLNESS CENTER 700 E BROAD STREET HAZLETON PA 182016835 232580968 STAFFING SERVICES PA 501(C)(3) LINE 12B, II NORTHEASTERN PENNSYLVANIA HEALTH CORP 0 HAZLETON PROFESSIONAL SERVICES 700 E BROAD STREET HAZLETON PA 182016835 205880364 PHYSICIAN PRACTICE ORGANIZATION PA 501(C)(3) LINE 3 LEHIGH VALLEY PHYSICIAN GROUP 0 HAZLETON SURGICAL ALLIANCE 700 E BROAD STREET HAZLETON PA 182016835 202038456 SURGICAL SERVICES PA 501(C)(3) LINE 3 NORTHEASTERN PENNSYLVANIA HEALTH CORP 0 LEHIGH VALLEY HEALTH NETWORK 1200 S CEDAR CREST BLVD ALLENTOWN PA 181036202 222458317 PARENT COMPANY PA 501(C)(3) LINE 12C, III-FI N/A 0 LEHIGH VALLEY HEALTH NETWORK REALTY HOLDING CO 1200 S CEDAR CREST BLVD ALLENTOWN PA 181036202 232586770 REAL ESTATE HOLDING CO. PA 501(C)(2) LEHIGH VALLEY HEALTH NETWORK 0 LEHIGH VALLEY HOSPITAL 2100 MACK BLVD ALLENTOWN PA 181035622 231689692 HEALTH CARE ORGANIZATION PA 501(C)(3) LINE 3 LEHIGH VALLEY HEALTH NETWORK 0 LEHIGH VALLEY HOSPITAL - SCHUYLKILL 420 S JACKSON STREET POTTSVILLE PA 179013625 231352202 HEALTH CARE ORGANIZATION PA 501(C)(3) LINE 3 LEHIGH VALLEY HEALTH NETWORK 0 LEHIGH VALLEY PHYSICIAN GROUP 1200 S CEDAR CREST BLVD ALLENTOWN PA 181036202 232700908 PHYSICIAN PRACTICE ORGANIZATION PA 501(C)(3) LINE 3 LEHIGH VALLEY HEALTH NETWORK 0 MUHLENBERG REALTY CORPORATION 1200 S CEDAR CREST BLVD ALLENTOWN PA 181036202 232245513 REAL ESTATE RENTALS PA 501(C)(3) LINE 12C, III-FI LEHIGH VALLEY HEALTH NETWORK 0 POCONO AMBULATORY SERVICES INC 206 E BROWN STREET EAST STROUDSBURG PA 183013006 232611474 HEALTH CARE ORGANIZATION PA 501(C)(3) LINE 3 POCONO HEALTH SYSTEM 0 POCONO HEALTH FOUNDATION 206 E BROWN STREET EAST STROUDSBURG PA 183013006 232516451 SUPPORT POCONO HEALTH SYSTEM PA 501(C)(3) LINE 12A, I POCONO HEALTH SYSTEM 0 POCONO HEALTH SYSTEM 206 E BROWN STREET EAST STROUDSBURG PA 183013006 232336285 SUPPORT POCONO MEDICAL CENTER PA 501(C)(3) LINE 12B, II LEHIGH VALLEY HEALTH NETWORK 0 POCONO HEALTH SYSTEM MEDICAL PROFESSIONAL LIABILITY SELF-INSURANCE TRUST 206 E BROWN STREET EAST STROUDSBURG PA 183013006 206560453 SELF-INSURANCE PA 501(C)(3) LINE 12A, I POCONO HEALTH SYSTEM 0 POCONO HEALTHCARE PARTNERS 206 E BROWN STREET EAST STROUDSBURG PA 183013006 233014006 HEALTH CARE ORGANIZATION PA 501(C)(3) LINE 3 POCONO HEALTH SYSTEM 0 POCONO MEDICAL CENTER 206 E BROWN STREET EAST STROUDSBURG PA 183013006 240795623 HEALTH CARE ORGANIZATION PA 501(C)(3) LINE 3 POCONO HEALTH SYSTEM 0 POCONO VNA-HOSPICE 206 E BROWN STREET EAST STROUDSBURG PA 183013006 232535297 HEALTH CARE ORGANIZATION PA 501(C)(3) LINE 10 POCONO HEALTH SYSTEM 0 SCHUYLKILL HEALTH SYSTEM MEDICAL GROUP INC 700 E NORWEGIAN STREET POTTSVILLE PA 179012710 232866006 PHYSICIAN PRACTICE ORGANIZATION PA 501(C)(3) LINE 10 LEHIGH VALLEY PHYSICIAN GROUP 0 SCHUYLKILL REHABILITATION CENTER INC 420 S JACKSON STREET POTTSVILLE PA 179013625 232440891 HEALTH CARE ORGANIZATION PA 501(C)(3) LINE 3 LEHIGH VALLEY HEALTH NETWORK 0 WEST END COMMUNITY AMBULANCE ASSOCIATION 206 E BROWN STREET EAST STROUDSBURG PA 183013006 232532377 AMBULATORY MEDICAL SERVICES PA 501(C)(3) LINE 10 POCONO HEALTH SYSTEM 0 FAIRGROUNDS MEDICAL CENTER 400 N 17TH STREET STE 102 ALLENTOWN PA 181045052 232530427 REAL ESTATE RENTALS PA N/A HAZLETON SURGERY CENTER LLC 17480 DALLAS PARKWAY STE 210 DALLAS TX 752877304 201232531 SURGICAL SERVICES PA N/A HEALTH NETWORK LABORATORIES LLC 794 ROBLE ROAD ALLENTOWN PA 181099110 232932802 LABORATORY SERVICES PA N/A HEALTH NETWORK LABORATORIES LP 794 ROBLE ROAD ALLENTOWN PA 181099110 232948774 LABORATORY SERVICES PA N/A LEHIGH VALLEY IMAGING LLC 1230 S CEDAR CREST BLVD ALLENTOWN PA 181036202 464551937 IMAGING SERVICES PA N/A LVHN RECIPROCAL RISK RETENTION GROUP 151 MEETING STREET STE 301 CHARLESTON SC 294012238 200037118 INSURANCE SERVICES PA N/A POCONO AMBULATORY SURGERY CENTER LTD 1 STORM STREET STROUDSBURG PA 183602406 232611442 SURGICAL SERVICES PA N/A POCONO HEALTH SYSTEM INVESTMENT COLLABORATIVE LP 206 E BROWN STREET EAST STROUDSBURG PA 183013006 472125419 INVESTMENTS PA N/A SCHUYLKILL HEALTH SYSTEM MEDICAL MALL LP 700 SCHUYLKILL MANOR ROAD POTTSVILLE PA 179013849 232514813 REAL ESTATE RENTALS PA N/A AMERICAN PATIENT TRANSPORT SYSTEMS INC 119 EAST HOLLY STREET HAZLETON PA 182015507 233022467 EMS SERVICES PA NORTHEASTERN PENNSYLVANIA HEALTH CORPORATION C -96523 280366 1.00000 0 HAZLETON SAINT JOSEPH MEDICAL OFFICE BUILDING INC 700 E BROAD STREET HAZLETON PA 182016835 232500981 MEDICAL OFFICE RENTAL PA NORTHEASTERN PENNSYLVANIA HEALTH CORPORATION C -3618 97900 1.00000 0 LEHIGH VALLEY ANESTHESIA SERVICES PC 2100 MACK BLVD ALLENTOWN PA 181035622 233906125 ANESTHESIA SERVICES PA N/A C 0 LEHIGH VALLEY HEALTH SERVICES INC 2100 MACK BLVD ALLENTOWN PA 181035622 232263665 HEALTH CARE RELATED SERVICES PA N/A C 0 LEHIGH VALLEY PHYSICIAN HOSPITAL ORGANIZATION INC 2100 MACK BLVD ALLENTOWN PA 181035622 232750430 HEALTH CARE RELATED SERVICES PA N/A C 0 POPULYTICS INC 2100 MACK BLVD ALLENTOWN PA 181035622 232539282 HEALTH CARE RELATED SERVICES PA N/A C 0 SCHUYLKILL HEALTH SYSTEM DEVELOPMENT CORPORATION 700 E NORWEGIAN STREET POTTSVILLE PA 179012710 232432417 PURSUES, IMPLEMENTS & FURTHERS ACTIVITIES & PURPOSES OF HEALTH NETWORK PA N/A C 0 SCHUYLKILL MEDICAL PLAZA - CONDOMINIUM ASSOCIATION 420 S JACKSON STREET POTTSVILLE PA 179013625 232931821 CONDOMINIUM ASSOCIATION PA N/A C 0 SPECTRUM HEALTH VENTURES INC 2100 MACK BLVD ALLENTOWN PA 181035622 232391479 HEALTH CARE RELATED SERVICES PA N/A C 0 WESTGATE PROFESSIONAL CENTER INC 2100 MACK BLVD ALLENTOWN PA 181035622 231657333 REAL ESTATE RENTALS PA N/A C 0 0 0 0 1 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1