LEHIGH VALLEY HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: LEHIGH VALLEY HOSPITAL (EIN 23-1689692)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-05-06
IRS object ID: 202031279349302123
Schema version: 2018v3.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-05-06T15:46:40-05:00	ReturnTs
Tax Period End	2019-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	231689692	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LEHIGH VALLEY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	LEHI	BusinessNameControlTxt
Phone	4848840130	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2100 MACK BLVD	AddressLine1Txt
City	ALLENTOWN	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	181035622	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ROBERT THOMAS	PersonNm
Person Title	ASSISTANT TREASURER	PersonTitleTxt
Phone	4848840130	PhoneNum
Signature	2020-05-06	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	70.15.236.211	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-05-06	IPDt
IP Tm	15:17:41	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	49837C5433ED37C0D08C9BDB2C3D66DAED5A8D4F	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	BRIAN A NESTER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2100 MACK BLVD	AddressLine1Txt
City	ALLENTOWN	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	181035622	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,295,828,615	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.LVHN.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1971	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	OUR 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 Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	10473	TotalEmployeeCnt
Total Volunteers	1249	TotalVolunteersCnt
Total Gross UBI	$12,128,933	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$2,338,405	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$24,613,595	PYContributionsGrantsAmt
CY Contributions Grants	$22,898,051	CYContributionsGrantsAmt
PY Program Service Revenue	$1,552,285,083	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,009,729,530	CYProgramServiceRevenueAmt
PY Investment Income	$12,424,951	PYInvestmentIncomeAmt
CY Investment Income	$23,178,015	CYInvestmentIncomeAmt
PY Other Revenue	$88,089,798	PYOtherRevenueAmt
CY Other Revenue	$97,254,967	CYOtherRevenueAmt
PY Total Revenue	$1,677,413,427	PYTotalRevenueAmt
CY Total Revenue	$2,153,060,563	CYTotalRevenueAmt
PY Grants And Similar Paid	$754,287	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$816,249	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$581,286,971	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$699,050,363	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,753,293	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,054,465,813	PYOtherExpensesAmt
CY Other Expenses	$1,306,674,825	CYOtherExpensesAmt
PY Total Expenses	$1,636,507,071	PYTotalExpensesAmt
CY Total Expenses	$2,006,541,437	CYTotalExpensesAmt
PY Revenues Less Expenses	$40,906,356	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$146,519,126	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,365,702,043	TotalAssetsBOYAmt
Total Assets EOY	$2,452,810,067	TotalAssetsEOYAmt
Total Liabilities BOY	$1,076,213,835	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,156,364,387	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,289,488,208	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,296,445,680	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	OUR 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 Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,906,011,031	ExpenseAmt
Grant	$816,249	GrantAmt
Revenue	$2,098,883,374	RevenueAmt
Desc	LEHIGH 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 MUTATION.CANCER 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, SIRS 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), AND CALYPSO SYSTEM FOR REAL-TIME MOTION AND TARGET TRACKING.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 ADDITION, LVH PARTICIPATES IN THE 1-800-4-CANCER TELEPHONE LINE, THE PENNSYLVANIA DEPARTMENT OF HEALTH'S TOLL-FREE CANCER INFORMATION AND RESOURCE PHONE NUMBER. SPECIALLY TRAINED NURSES FROM LVH PROVIDE CALLERS WITH INFORMATION ABOUT INSTITUTIONS, AGENCIES, SERVICES AND PROGRAMS IN THE CALLER'S COMMUNITIES THAT MEET THEIR CANCER-RELATED NEEDS.IN CALENDAR YEAR 2018, THE CANCER INSTITUTE SAW OVER 3,500 NEW ANALYTIC CANCER CASES. INPATIENT ONCOLOGY ADMISSIONS WERE 3,142 IN THE FISCAL YEAR ENDED JUNE 30, 2018 AND OUTPATIENT VOLUMES WERE 1,629 NEW TREATMENT PATIENTS FOR RADIATION PROCEDURES, AND 43,986 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 54 CARDIOLOGISTS AND 7 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 INTERVENTIONAL, REGIONAL CARDIOGENIC SHOCK AND MECHANICAL CIRCULATORY SUPPORT, STRUCTURAL HEART, ADVANCED HEART FAILURE, CARDIO-ONCOLOGY, COMPLEX LIPID MANAGEMENT, COMPREHENSIVE RHYTHM MANAGEMENT, A WOMEN'S HEART PROGRAM WITH A DEVELOPED SUBSPECIALTY HEART AND PREGNANCY PROGRAM, NEURO-CARDIOLOGY, AND PERIPHERAL VASCULAR.IN FISCAL YEAR ENDING JUNE 30, 2019, LEHIGH VALLEY HOSPITAL-CEDAR CREST AND LEHIGH VALLEY HOSPITAL-MUHLENBERG PERFORMED 5,101 CARDIAC CATHETERIZATION CASES, 1,790 ELECTROPHYSIOLOGY CASES, 605 OPEN HEART SURGERIES, 200 TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR) SURGERIES, AND PROVIDED COMPASSIONATE CARE AT OVER 75,000 OUTPATIENT CARDIOLOGY VISITS.LEHIGH VALLEY HOSPITAL-CEDAR CREST HAS RECEIVED NUMEROUS AWARDS AND ACCOLADES FOR ITS CARDIOVASCULAR SERVICES AND RANKS AS A NATIONAL LEADER IN HEART ATTACK SURVIVAL WHILE BEING IN THE 99TH PERCENTILE FOR VOLUME ACCORDING TO CMS DATA. IT 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. LEHIGH VALLEY HOSPITAL-CEDAR CREST AND LEHIGH VALLEY HOSPITAL-MUHLENBERG ARE BOTH DESIGNATED AS A BLUE DISTINCTION CENTER FOR CARDIAC CARE, AND HAVE BEEN RECOGNIZED BY BECKER'S HOSPITAL REVIEW FOR SIX CONSECUTIVE YEARS AS ONE OF THE 100 HOSPITAL AND HEALTH SYSTEMS WITH GREAT HEART PROGRAMS.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 22,000 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 IS ALSO A REGIONAL TELE-STROKE PROVIDER. LVH-MUHLENBERG HAS BEEN A CERTIFIED PRIMARY STROKE CENTER SINCE 2006. IN FY19, THE DIVISION OF NEUROSURGERY PERFORMED 1,764 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).ORTHOPEDIC 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 FY19, THERE WERE 10,095 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 IS 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.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Desc	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 HYBRID OPERATING ROOM, 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; 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.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 4,888 TRAUMA PATIENTS IN FY19. 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. THE LVH TRAUMA PROGRAM PROVIDES A CONTINUUM OF CARE WITH ONE OF TEN 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 15,000 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 788 PATIENTS FY19. 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 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 1,360 FLIGHTS ANNUALLY AND OUR GROUND TRANSPORT TEAMS COMPLETED 2,146 MISSIONS IN FY19, 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

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Desc	WOMEN'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 3,360 DURING THE FISCAL YEAR ENDING JUNE 30, 2019. ON JUNE 20, 2017, THE FAMILY BIRTH AND NEWBORN CENTER OPENED AT THE LVH-M (MUHLENBERG) CAMPUS. DELIVERIES AT LVH-M TOTALED 1,330 DURING THE FISCAL YEAR ENDING JUNE 30, 2019. THEREFORE, OVER THE SAME TIME PERIOD, A TOTAL OF 4,690 DELIVERIES OCCURRED AT BOTH LVHN BIRTHING UNITS IN THE LEHIGH VALLEY. A FOCUS ON PRENATAL CARE AS A CHIEF COMPONENT OF ITS COMPREHENSIVE OBSTETRICS AND GYNECOLOGY SERVICES EXPANDED ON NOVEMBER 14, 2016 WITH THE SUCCESSFUL IMPLEMENTATION OF THE MATERNITY CARE PATHWAY IN ALL LEHIGH VALLEY PHYSICIAN GROUP (LVPG) OBSTETRICS AND GYNECOLOGY OFFICE PRACTICES AND THE CENTER FOR WOMEN'S MEDICINE. THE MATERNITY CARE PATHWAY IS AN INCLUSIVE, CARE PLAN PROCESS THAT STANDARDIZES OBSTETRIC CARE AND PATIENT EDUCATION IN ORDER TO MANAGE QUALITY, MINIMIZE VARIATION AND IMPROVE OUTCOMES. A RELATED PATIENT EDUCATION CURRICULUM, APP, AND PRINT BOOK IN ENGLISH AND SPANISH HAVE BEEN ESTABLISHED IN ORDER TO EXPAND AND OPTIMIZE EDUCATION AVAILABLE TO ALL PATIENTS IN FORMATS CONSISTENT WITH THEIR INDIVIDUAL LEARNING PREFERENCES. 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 4 FULL TIME OBSTETRICAL HOSPITALISTS WHO MANAGE THE DAY TO DAY IN PATIENT CARE FOR THE OBGYN RESIDENCY SERVICE AND PROVIDE ASSISTANCE AND EMERGENCY SUPPORT FOR ALL PATIENTS HOSPITALIZED ON THE OBSTETRICAL UNITS AT LVH. IN ADDITION, SEVEN CERTIFIED NURSE MIDWIVES NOW SEE PATIENTS IN SEVERAL OF THE OBGYN OFFICES IN LEHIGH AND CARBON COUNTY. MIDWIVES PROVIDE PRENATAL CARE AND DELIVERY SERVICES FOR PREGNANT WOMEN OF LOW RISK. MIDWIVES CAN ALSO PROVIDE SUCH CARE FOR WOMEN WITH CERTAIN HIGH-RISK CONDITIONS IN COLLABORATION WITH OBSTETRICIANS. WITH FEW EXCEPTIONS, A MIDWIFE IS PRESENT ON THE LABOR AND DELIVERY UNIT AT LVH 24/7. THE MIDWIVES WORK IN A TEAM WITH GENERAL OBSTETRICIANS AND OBSTETRICAL HOSPITALISTS WHO ARE ALSO PRESENT ON THE LABOR UNIT 24/7 FOR IMMEDIATE COLLABORATION AND CONSULTATION AS NEEDED BY THE MIDWIFE. MIDWIFERY SERVICES ARE LIMITED TO LVH AT THIS TIME. ALL DELIVERIES AT LVH-M ARE MANAGED BY GENERAL OBSTETRICIANS. OBSTETRICIAN/ GYNECOLOGISTS SEE PATIENTS AT OVER 15 OFFICE LOCATIONS IN 5 COUNTIES. IN ADDITION TO FULL SERVICE PRENATAL, INTRAPARTUM AND POSTPARTUM CARE, THESE PHYSICIANS ALSO PROVIDE OFFICE ULTRASOUND SERVICES THAT ARE ACCREDITED BY THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE (AIUM), IN 2018, LVH OBSTETRICIANS OPENED THE "CONNECTIONS CLINIC" FOR THE CARE OF PREGNANT WOMEN SUFFERING FROM PERINATAL SUBSTANCE ABUSE. 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. 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 ALSO, LVH HAS ATTAINED DESIGNATION AS A "BABY FRIENDLY HOSPITAL", A WORLD HEALTH ORGANIZATION (WHO) INITIATIVE DESIGNED TO ASSIST MOTHERS IN THE INITIATION AND MAINTENANCE OF BREASTFEEDING. GYNECOLOGY-LVH MAINTAINS A SPECIAL FOCUS ON PROCEDURAL AND TECHNOLOGICAL GYNECOLOGICAL MIS (MINIMALLY INVASIVE SURGERY) INTERVENTIONS, ROBOTICALLY-ASSISTED SURGERY, LAPAROSCOPIC 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. LEHIGH VALLEY PHYSICIAN GROUP (LVPG) OB/GYN OFFICE PRACTICES OFFER SCHEDULED AND EMERGENT ON-SITE BEHAVIORAL HEALTH SERVICES TARGETED TO WOMEN PROVIDED BY TWO, IMBEDDED LICENSED PROFESSIONAL COUNSELORS IN CONJUNCTION WITH THE DEPARTMENT OF PSYCHIATRY. 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 COMPONENTS INCLUDE HEALTH CENTERS, WOUND CARE, HYPERBARIC OXYGEN, HEALTH SPECTRUM PHARMACIES, SLEEP DISORDER CENTERS, ENDOCRINE TESTING, LAB, PULMONARY FUNCTION TESTING, IMAGING, OUTPATIENT REHABILITATION FITNESS AND SPORTS PERFORMANCE PROGRAMS AS WELL AS OUTPATIENT REHABILITATION. LVHN CONTINUES TO EXPAND ITS PORTFOLIO OF "HEALTH CENTERS AND AS OF JUNE 2018, THERE ARE 16 SITUATED THROUGHOUT THE LEHIGH VALLEY. CORE SERVICES IN MOST OF THE HEALTH CENTERS ARE PRIMARY CARE, BASIC IMAGING, REHABILITATION SERVICES AND/OR LAB SERVICES AND THE TWO 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, AND PALMER TOWNSHIP.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 ARE IN OVER 30 CLINICAL SPECIALTY AREAS INCLUDING NEUROLOGIC REHAB, ORTHOPEDICS, SPORTS MEDICINE, WOMEN'S HEALTH, ONCOLOGY REHAB, AUDIOLOGY AND PEDIATRIC THERAPY SERVICES. IN FY19, LVH PROVIDED OVER 20,000 PATIENT VISITS AND LVH-M PROVIDED 70,000 PATIENT VISITS IN OUTPATIENT THERAPY. AT A NETWORK LEVEL, LVHN'S REHABILITATION SERVICES DIVISION CURRENTLY STANDS AS THE LARGES PROVIDED OF REHABILITATIVE CARE IN THE REGION.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$1,906,011,031	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (1)	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	Yes (1)	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	786	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	10473	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
Own Website	Yes (X)	OwnWebsiteInd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE ORGANIZATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4848840130	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2100 MACK BLVD	AddressLine1Txt
City	ALLENTOWN	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	181035622	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
KIRSTEN ANTHONY
TRUSTEE	1.00	Yes (X)	$0	$0	$0
ROBERT BEGLIOMINI
PRESIDENT, LVH-M/TRUSTEE	60.00	Yes (X)	$332,356	$0	$39,435
DEBORAH BREN DO
TRUSTEE	1.00	Yes (X)	$328,066	$0	$35,865	60.00
TERRY CAPUANO
PRESIDENT, LVH/TRUSTEE	60.00	Yes (X)	$1,028,529	$0	$27,925
STEVEN R FOLLETT
VICE CHAIR/TRUSTEE	1.00	Yes (X)	$0	$0	$0		Yes (X)
WILLIAM M KENT MHA
TRUSTEE	1.00	Yes (X)	$749,113	$0	$28,436	60.00
PATRICIA MARTIN MD
TRUSTEE	1.00	Yes (X)	$0	$0	$0
WILLIAM MASON
TRUSTEE	1.00	Yes (X)	$0	$0	$0
KATHY O'BRIEN
TRUSTEE	1.00	Yes (X)	$0	$0	$0
JOSEPH E PATRUNO MD
TRUSTEE	1.00	Yes (X)	$0	$433,542	$41,365	60.00
MARTIN K TILL
CHAIR/TRUSTEE	1.00	Yes (X)	$0	$0	$0		Yes (X)
SUSAN C YEE
TRUSTEE	1.00	Yes (X)	$0	$0	$0
THOMAS MARCHOZZI
TREASURER	1.00		$734,318	$0	$18,584	60.00	Yes (X)
MATTHEW SORRENTINO ESQ
SECRETARY	1.00		$317,570	$0	$19,147	60.00	Yes (X)
ROBERT THOMAS
ASSISTANT TREASURER	1.00		$276,703	$0	$27,478	60.00	Yes (X)
THOMAS V WHALEN MD MMM
ASSISTANT SECRETARY	1.00		$991,405	$0	$33,933	60.00	Yes (X)
BRIAN NESTER DO
PRESIDENT/CEO, LVHN	60.00		$1,811,569	$0	$39,436			Yes (X)
RAYMOND SINGER
PHYSICIAN-IN-CHIEF, SURGERY INSTITUTE	60.00		$872,738	$0	$41,361			Yes (X)
DEBORAH SALAS-LOPEZ MD
ASSOC. CHIEF MEDICAL OFFICER	60.00		$771,729	$0	$22,933			Yes (X)
ROBERT MURPHY MD
CHIEF INTEGRATION OFFICER	60.00		$762,308	$0	$39,436			Yes (X)
PAUL TIRJAN
PRESIDENT, ALLSPIRE HEALTH PARTNERS LLC	1.00		$676,910	$0	$34,886	60.00		Yes (X)
GREGORY BRUSKO DO
FORMER TRUSTEE	0.00		$0	$181,124	$15,260				Yes (X)
JAMES F GEIGER
FORMER TRUSTEE	0.00		$485,708	$0	$33,933				Yes (X)
JAMES ROTHERHAM
FORMER ASST. TREASURER	0.00		$108,823	$0	$10,488				Yes (X)
DAVID SPRINGHETTI
FORMER SECRETARY	0.00		$688,579	$0	$8,382				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$10,936,424	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$614,666	TotReportableCompRltdOrgAmt
Total Other Compensation	$518,283	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	655	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CROTHALL HEALTHCARE INC
13028 COLLECTION CENTER DRIVE	CHICAGO	IL	606930001	HOUSEKEEPING SERVICES	$16,799,080
SODEXO INC & AFFILIATES
PO BOX 360170	PITTSBURGH	PA	152516170	DIETARY SERVICES	$11,206,552
NAVIGANT CONSULTING INC
4511 PAYSPHERE CIRCLE	CHICAGO	IL	606740001	CONSULTING SERVICES	$8,238,173
MARSH USA INC
1166 AVENUE OF THE AMERICAS	NEW YORK	NY	100362708	CONSULTING SERVICES	$4,984,163
PRICEWATERHOUSECOOPERS ADVISORY SERVICES
300 MADISON AVENUE	NEW YORK	NY	100176232	CONSULTING SERVICES	$3,488,299

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	144	CntrctRcvdGreaterThan100KCnt
Government Grants	$3,320,424	GovernmentGrantsAmt
All Other Contributions	$19,577,627	AllOtherContributionsAmt
Noncash Contributions	$406,613	NoncashContributionsAmt
Total Contributions	$22,898,051	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
OUTPATIENT REVENUE	621400	$1,127,207,021	$1,116,621,340	$10,585,681
INPATIENT REVENUE	621990	$882,522,509	$882,522,509

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,009,729,530	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,057,248	TotalRevenueColumnAmt
Exclusion	$16,057,248	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$15,634,810	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$13,289,588	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,345,222	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,345,222	TotalRevenueColumnAmt
Exclusion	$2,345,222	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$135,842,448	SecuritiesAmt
Other	$126,746	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$128,819,854	SecuritiesAmt
Other	$28,573	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$7,022,594	SecuritiesAmt
Other	$98,173	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,120,767	TotalRevenueColumnAmt
Related Or Exempt Func Income	$7,120,767	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$1,377,772	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$630,037	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$747,735	TotalRevenueColumnAmt
Exclusion	$747,735	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
RESEARCH & MISC INCOME	900099	$76,570,579	$76,149,180	$421,399
HEALTH NETWORK LABORAT	621500	$14,956,055	$13,834,202	$1,121,853
LEHIGH VALLEY PHO	900003	$2,635,376	$2,635,376

Field	Value	IRS element (for citing)
Other Revenue Total	$94,162,010	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,153,060,563	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,098,883,374	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$12,128,933	UnrelatedBusinessRevenueAmt
Exclusion	$19,150,205	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$816,249	TotalAmt
Program Services	$816,249	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,988,863	TotalAmt
Program Services	$4,988,863	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$529,483,563	TotalAmt
Program Services	$498,257,884	ProgramServicesAmt
Management And General	$30,205,564	ManagementAndGeneralAmt
Fundraising	$1,020,115	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$22,887,697	TotalAmt
Program Services	$21,119,699	ProgramServicesAmt
Management And General	$1,709,679	ManagementAndGeneralAmt
Fundraising	$58,319	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$100,991,441	TotalAmt
Program Services	$98,040,044	ProgramServicesAmt
Management And General	$2,861,260	ManagementAndGeneralAmt
Fundraising	$90,137	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$40,698,799	TotalAmt
Program Services	$38,440,759	ProgramServicesAmt
Management And General	$2,184,218	ManagementAndGeneralAmt
Fundraising	$73,822	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,947,472	TotalAmt
Program Services	$616,414	ProgramServicesAmt
Management And General	$2,331,058	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$582,046	TotalAmt
Program Services	$24,611	ProgramServicesAmt
Management And General	$557,435	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$204,970,889	TotalAmt
Program Services	$161,961,572	ProgramServicesAmt
Management And General	$42,878,375	ManagementAndGeneralAmt
Fundraising	$130,942	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$9,403,495	TotalAmt
Program Services	$4,336,825	ProgramServicesAmt
Management And General	$5,066,581	ManagementAndGeneralAmt
Fundraising	$89	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,788,032	TotalAmt
Program Services	$1,633,120	ProgramServicesAmt
Management And General	$151,879	ManagementAndGeneralAmt
Fundraising	$3,033	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$27,178,989	TotalAmt
Program Services	$27,178,989	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$37,946,004	TotalAmt
Program Services	$37,728,558	ProgramServicesAmt
Management And General	$208,696	ManagementAndGeneralAmt
Fundraising	$8,750	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,907,099	TotalAmt
Program Services	$1,811,418	ProgramServicesAmt
Management And General	$92,882	ManagementAndGeneralAmt
Fundraising	$2,799	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,308,818	TotalAmt
Program Services	$2,159,290	ProgramServicesAmt
Management And General	$141,359	ManagementAndGeneralAmt
Fundraising	$8,169	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$32,062,225	TotalAmt
Program Services	$32,062,225	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$110,264,121	TotalAmt
Program Services	$109,917,353	ProgramServicesAmt
Management And General	$346,185	ManagementAndGeneralAmt
Fundraising	$583	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$9,803,405	TotalAmt
Program Services	$9,803,405	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$401,296,313	$401,296,313
PURCHASED SERVICES	$339,059,634	$330,057,209	$8,897,553	$104,872
BAD DEBTS EXPENSE	$53,197,535	$53,197,535
CONTRACTED LABOR	$577,542	$577,542

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$71,381,206	TotalAmt
Program Services	$69,985,154	ProgramServicesAmt
Management And General	$1,144,389	ManagementAndGeneralAmt
Fundraising	$251,663	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,006,541,437	TotalAmt
Program Services	$1,906,011,031	ProgramServicesAmt
Management And General	$98,777,113	ManagementAndGeneralAmt
Fundraising	$1,753,293	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$12,499	BOYAmt
EOY	$16,128	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$39,186,386	BOYAmt
EOY	$55,461,394	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$18,163,008	BOYAmt
EOY	$38,478,271	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$245,880,449	BOYAmt
EOY	$242,018,225	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	-$10,290,780	BOYAmt
EOY	-$42,040,050	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$27,216,931	BOYAmt
EOY	$29,025,676	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$18,154,778	BOYAmt
EOY	$21,302,821	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,108,811,411	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,139,379,552	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$963,931,692	BOYAmt
EOY	$969,431,859	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$834,624,275	BOYAmt
EOY	$892,667,044	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$194,826,061	BOYAmt
EOY	$210,505,980	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$22,695,516	BOYAmt
EOY	$22,599,914	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$11,301,228	BOYAmt
EOY	$13,342,805	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,365,702,043	BOYAmt
EOY	$2,452,810,067	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$138,026,092	BOYAmt
EOY	$180,251,533	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$14,090,764	BOYAmt
EOY	$13,278,167	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$625,995,978	BOYAmt
EOY	$611,788,401	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$298,101,001	BOYAmt
EOY	$351,046,286	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,076,213,835	BOYAmt
EOY	$1,156,364,387	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,085,230,032	BOYAmt
EOY	$1,069,286,334	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$145,097,542	BOYAmt
EOY	$167,464,821	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$59,160,634	BOYAmt
EOY	$59,694,525	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,289,488,208	BOYAmt
EOY	$1,296,445,680	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,365,702,043	BOYAmt
EOY	$2,452,810,067	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$146,519,126	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$14,018,706	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$153,580,360	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	Yes (1)	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	Yes (1)	PublicationsOrBroadcastInd
Publications Or Broadcast	$0	PublicationsOrBroadcastAmt
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$64,135	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$899	OtherActivitiesAmt
Total Lobbying Expenditures	$65,034	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	PART II-B, LINE 1D: MAILINGS WERE ELECTRONIC, NO POSTAGE NECESSARY. PART II-B, LINE 1E: REFERS TO 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. PART II-B, LINE 1I: REPRESENTS GRASSROOTS ACTIVITIES ENCOURAGING OTHERS TO CONTACT LAWMAKERS AT THE STATE LEVEL AS DEFINED BY PENNSYLVANIA LAW.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$138,923,072	BeginningYearBalanceAmt
Contributions	$5,295,781	ContributionsAmt
Investment Earnings Or Losses	-$469,223	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$724,933	GrantsOrScholarshipsAmt
Other Expenditures	$3,035,793	OtherExpendituresAmt
End Year Balance	$139,988,904	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$138,587,046	BeginningYearBalanceAmt
Contributions	$231,046	ContributionsAmt
Investment Earnings Or Losses	$3,543,583	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$752,196	GrantsOrScholarshipsAmt
Other Expenditures	$2,686,407	OtherExpendituresAmt
End Year Balance	$138,923,072	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.32000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.68000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$76,459,272	OtherCostOrOtherBasisAmt
Book Value	$76,459,272	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,056,826,703	OtherCostOrOtherBasisAmt
Depreciation	$649,862,690	DepreciationAmt
Book Value	$406,964,013	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$95,633,403	OtherCostOrOtherBasisAmt
Depreciation	$46,039,077	DepreciationAmt
Book Value	$49,594,326	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$552,408,482	OtherCostOrOtherBasisAmt
Depreciation	$346,966,925	DepreciationAmt
Book Value	$205,441,557	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$327,483,551	OtherCostOrOtherBasisAmt
Depreciation	$96,510,860	DepreciationAmt
Book Value	$230,972,691	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$969,431,859	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (10 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVESTMENT-LEHIGH VALLEY PHYSICIAN HOSPITAL ORG. (50.00%)	$15,930,652	C
INVESTMENT-HEALTH NETWORK LABORATORIES (95.99%)	$156,113,685	C
INVESTMENT-FAIRGROUNDS MEDICAL CENTER	$356,056	C
INVESTMENT-GRAND VIEW-LEHIGH VALLEY HEALTH SERVICES	$313,855	C
INVESTMENT-LEHIGH VALLEY IMAGING	$31,684,444	C
INVESTMENT-WELLER HEALTH EDUCATION CENTER	$1	C
INVESTMENT-KUTZTOWN MEDICAL CENTER	-$1,713	C
INVESTMENT-WESTGATE PROFESSIONAL CENTER	$6,206,000	C
INVESTMENT-SECURE HEALTHCARE INFORMATION MANAGEMENT	-$102,000	C
INVESTMENT-LEHIGH VALLEY HEALTH NETWORK RISK RETENTION GROUP	$5,000	C

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$210,505,980	TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
COST SETTLEMENT RESERVES WITH THIRD PARTIES	$6,789,942
DEFERRED COMPENSATION PLAN	$13,342,128
PENSION LIABILITY	$138,384,242
WORKERS COMPENSATION	$2,595,373
PROFESSIONAL INSURANCE LIABILITY RESERVES	$45,539,922
ASSET RETIREMENT OBLIGATION	$4,024,158
UNREALIZED LOSS ON INTEREST RATE SWAP	$8,788,509
CAPITAL LEASES	$131,562,272
OTHER	$19,740

Field	Value	IRS element (for citing)
Total Liability	$351,046,286	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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

Field	Value	IRS element (for citing)
Event1	NITE LITES	Event1Nm
Gross Receipts Event1	$1,012,130	GrossReceiptsEvent1Amt
Gross Revenue Event1	$1,012,130	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$79,430	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$189,544	FoodAndBeverageEvent1Amt
Entertainment Event1	$40,104	EntertainmentEvent1Amt
Other Direct Expenses Event1	$198,519	OtherDirectExpensesEvent1Amt
Event2	GOLF & TENNIS	Event2Nm
Gross Receipts Event2	$330,919	GrossReceiptsEvent2Amt
Gross Revenue Event2	$330,919	GrossRevenueEvent2Amt
Cash Prizes Event2	$4,725	CashPrizesEvent2Amt
Rent Facility Costs Event2	$5,000	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$32,469	FoodAndBeverageEvent2Amt
Other Direct Expenses Event2	$51,336	OtherDirectExpensesEvent2Amt
Other Events Total	1	OtherEventsTotalCnt
Gross Receipts Other Events	$34,723	GrossReceiptsOtherEventsAmt
Gross Revenue Other Events	$34,723	GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events	$19,385	RentFcltyCostsOtherEventsAmt
Entertainment Other Events	$9,525	EntertainmentOtherEventsAmt
Gross Receipts Total	$1,377,772	GrossReceiptsTotalAmt
Gross Revenue Total Events	$1,377,772	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$4,725	CashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$103,815	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$222,013	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$49,629	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$249,855	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$630,037	DirectExpenseSummaryEventsAmt
Net Income Summary	$747,735	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,983,438	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,983,438	NetCommunityBenefitExpnsAmt
Total Expense	0.00660	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$273,836,052	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$155,369,275	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$118,466,777	NetCommunityBenefitExpnsAmt
Total Expense	0.06060	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$286,819,490	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$155,369,275	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$131,450,215	NetCommunityBenefitExpnsAmt
Total Expense	0.06720	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,097,904	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,097,904	NetCommunityBenefitExpnsAmt
Total Expense	0.00470	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,068,817	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,706,176	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,362,641	NetCommunityBenefitExpnsAmt
Total Expense	0.01250	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,587,855	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,578,173	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,009,682	NetCommunityBenefitExpnsAmt
Total Expense	0.00770	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,675,339	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,675,339	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$338,043	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$338,043	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$66,767,958	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,284,349	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$51,483,609	NetCommunityBenefitExpnsAmt
Total Expense	0.02650	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$353,587,448	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$170,653,624	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$182,933,824	NetCommunityBenefitExpnsAmt
Total Expense	0.09370	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$241,113	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$241,113	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$241,113	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$241,113	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$6,118,492	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,014,949	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$430,482,003	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$454,079,593	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$23,597,590	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 LVHN RECIPROCAL RISK RETENTION GROUP
MALPRACTICE INSURANCE	0.20000	0.00000	0.00000
2 HEALTH NETWORK LABORATORIES LLC
LABORATORY SERVICES	0.97930	0.00000	0.00000
3 HEALTH NETWORK LABORATORIES LP
LABORATORY SERVICES	0.96180	0.00000	0.00000
4 LEHIGH VALLEY PHYSICIAN HOSPITAL ORGANIZATION INC
HEALTH CARE SERVICES	0.50000	0.00000	0.00000

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LEHIGH VALLEY HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1200 S CEDAR CREST BLVD	AddressLine1Txt
City	ALLENTOWN	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	18103	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.LVHN.ORG	WebsiteAddressTxt
State License	530201	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Emergency Room Other	Yes (X)	EmergencyRoomOtherInd
Other	ER - OTHER - PEDIATRIC ER	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	LEHIGH VALLEY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.LVHN.ORG/ABOUT_US/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.LVHN.ORG/ABOUT_US/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.LVHN.ORG/OUR_SERVICES/KEY_SUPPORT_SERVICES/FINANCIAL_ASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.LVHN.ORG/OUR_SERVICES/KEY_SUPPORT_SERVICES/FINANCIAL_ASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.LVHN.ORG/OUR_SERVICES/KEY_SUPPORT_SERVICES/FINANCIAL_ASSISTANCE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit Other Actions	Yes (X)	PermitOtherActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
LEHIGH VALLEY HOSPITAL	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 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 HOSPITAL	PART V, SECTION B, LINE 6A: LVHN HAS PRODUCED FOUR CHNA HEALTH PROFILES FOR OUR FOUR DIFFERENT LEHIGH VALLEY HOSPITAL CAMPUSES: LEHIGH VALLEY HOSPITAL - CEDAR CREST, 17TH STREET, AND MUHLENBERG, LEHIGH VALLEY HOSPITAL - SCHUYLKILL, LEHIGH VALLEY HOSPITAL - HAZLETON, AND LEHIGH VALLEY HOSPITAL - POCONO. FOR LEHIGH VALLEY HOSPITAL - CEDAR CREST, 17TH STREET, AND MUHLENBERG, THE COMMUNITY IS DEFINED AS LEHIGH AND NORTHAMPTON COUNTIES (ALSO KNOWN AS THE LEHIGH VALLEY). WE ADDITIONALLY ASSESSED HEALTH NEEDS WITHIN THE CITY OF ALLENTOWN TO REFLECT THE URBAN COMMUNITY SURROUNDING OUR 17TH STREET CAMPUS. FOR LEHIGH VALLEY HOSPITAL - SCHUYLKILL, THE HEALTH PROFILE PRESENTS THE HEALTH NEEDS OF COMMUNITY MEMBERS IN SCHUYLKILL COUNTY. FOR LEHIGH VALLEY HOSPITAL - HAZLETON, THE CHNA HEALTH PROFILE PROVIDES INFORMATION ABOUT THE HEALTH NEEDS FOR LUZERNE COUNTY WITH SPECIFIC INFORMATION ABOUT THE CITY OF HAZLETON WHERE IT WAS AVAILABLE. FINALLY, FOR LEHIGH VALLEY HOSPITAL - POCONO, THE COMMUNITY IS DEFINED AS RESIDENTS WITHIN MONROE COUNTY.WITHIN THE ENTIRE GEOGRAPHIC POPULATION THAT MAKES UP THE COMMUNITIES WE SERVE, WE PLACE A GREATER EMPHASIS ON INCLUDING INDIVIDUALS IN THE COMMUNITY WHO ARE EXPERIENCING HEALTH DISPARITIES TO A GREATER EXTENT OR WHO ARE AT-RISK FOR NEGATIVE HEALTH OUTCOMES AS A RESULT OF THE SOCIAL AND ENVIRONMENTAL FACTORS INFLUENCING THEIR HEALTH.
LEHIGH VALLEY HOSPITAL	PART 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 HOSPITAL	PART V, SECTION B, LINE 7D: OUR COMMUNITY HEALTH NEEDS ASSESSMENT IS ALSO AVAILABLE UPON REQUEST.
LEHIGH VALLEY HOSPITAL	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.IN FY18, 14 MEETINGS WERE HELD WITH COMMUNITY AND FAITH-BASED ORGANIZATIONS TO SHARE THE WORK THAT LVHN IS DOING, LEARN ABOUT WHAT KEY COMMUNITY AGENCIES ARE WORKING ON, AND DETERMINING IF THERE ARE ANY POINTS OF INTERSECTION WITH OUR CHNA PRIORITIES.IN FY19, THE DEPARTMENT OF COMMUNITY HEALTH BEGAN A STRATEGIC PLANNING PROCESS TO FURTHER DEFINE THE PRIORITY AREAS WITHIN THE SOCIAL DETERMINANTS OF HEALTH THAT THE NETWORK SHOULD FOCUS ON. AS A PART OF THAT PROCESS, THE DEPARTMENT INTERVIEWED 52 KEY STAKEHOLDERS BOTH INTERNAL LEADERS AND EXTERNAL COMMUNITY AND FAITH-BASED PARTNERS TO IDENTIFY PERCEIVED AREAS OF STRENGTH OF THE DEPARTMENT'S WORK AND AREAS OF OPPORTUNITY. FROM THAT PROCESS, COMMUNITY HEALTH IDENTIFIED 4 CORE AREAS THAT WILL BE THE FOCUS OF IT'S WORK: HOUSING, EDUCATION, MENTAL & SOCIAL WELL-BEING, AND FOOD & NUTRITION. THE NEXT STEP IS TO IDENTIFY WHO KEY PARTNERS WILL BE IN EACH OF THOSE FOCUS AREAS AND DETERMINE THE STRATEGIES THAT THE NETWORK WILL BE A PARTICIPANT IN.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. IN FY17, 150 RESOURCES WERE UPDATED ON THE PA211 EAST WEBSITE, THERE WERE 2,326 VISITS TO THE PA211 EAST WEBSITE AND 5,015 PHONE CALLS WERE MADE WITHIN LEHIGH AND NORTHAMPTON COUNTIES.IN FY18, 109 RESOURCES WERE UPDATED ON THE PA211 EAST WEBSITE THROUGH OUTREACH FROM LVHN DEPARTMENT OF COMMUNITY HEALTH. OVER THE COURSE OF THE YEAR, THERE WERE 4,024 VISITS TO THE PA211 EAST WEBSITE AND 8,521 PHONE CALLS WERE MADE TO PA 211, WITHIN LEHIGH AND NORTHAMPTON COUNTIES.IN FY19, 132 RESOURCES WERE UPDATED ON THE PA211 EAST WEBSITE THROUGH OUTREACH FROM LVHN DEPARTMENT OF COMMUNITY HEALTH. OVER THE COURSE OF THE YEAR, THERE WERE 3,976 VISITS TO THE PA211 EAST WEBSITE, AND 8,114 PHONE CALLS WERE MADE TO PA 211, WITHIN LEHIGH AND NORTHAMPTON COUNTIES.1.3 EDUCATE AND SUPPORT PATIENTS, CAREGIVERS AND COMMUNITY MEMBERS AROUND ADVANCE CARE PLANNING (ACP). HOST COMMUNITY BASED CONVERSATIONS TO EDUCATE ABOUT ADVANCE CARE PRINCIPLES, SHARED DECISION-MAKING. ENCOURAGE COMPLETION OF ACP DOCUMENTS. IN FY17, A STRATEGIC PLAN WAS ESTABLISHED TO FOCUS YEARLY EFFORTS FOR ENGAGING THE COMMUNITY.370 COMMUNITY MEMBERS PARTICIPATED IN IN FOUR CONVERSATION GAMES, TWO VIDEO AND DISCUSSION EVENTS, AND TWO INFORMATION TABLES IN PARTNERSHIP WITH FIVE LOCAL ORGANIZATIONS TO DISCUSS FUTURE ADVANCE HEALTHCARE PLANS. DUE TO STAFF CHANGES IN FY18, THE WORK HAS TAKEN ON A DIFFERENT DIRECTION AND IS FOCUSED MORE AROUND INTERNAL CONVERSATIONS WITH LVHN STAFF AND CREATING WORKFLOWS TO SUPPORT STAFF'S ABILITY TO COMPLETE ADVANCED DIRECTIVES WITH PATIENTS IN THE OFFICE. FY18 WORK INCLUDES CREATION OF TEMPLATES IN LVHN'S ELECTRONIC MEDICAL RECORD. TO CAPTURE ACP DOCUMENTATION, PROCESSES ARE BEING DEVELOPED TO HAVE STAFF BEGIN TRACKING ACP CONVERSATIONS IN PATIENT CHARTS.IN FY19, PROCESSES WERE ROLLED OUT IN THE LVPG PRACTICES WHICH INCLUDE FAMILY MEDICINE, INTERNAL MEDICINE, GERIATRIC MEDICINE, AND OB/GYN. AS OF JUNE 30TH, 2019, 14.7% OF THE 48,998 PATIENTS OVER THE AGE OF 65 IN THESE PRACTICES HAVE AN ADVANCED DIRECTIVE DOCUMENTED IN THEIR EPIC PATIENT RECORD.2.1 PROMOTE LVHN COMMUNITY EXCHANGE (CE) TIME-BANKING PROGRAM TO INCREASE SOCIAL CONNECTIONS.IN FY17, 110 MEMBERS EXCHANGED 1,150 HOURS. AN ANNUAL MEMBER SATISFACTION SURVEY WAS ADMINISTERED AND APPROXIMATELY 75% OF MEMBERS SURVEYED FELT THAT THEIR PARTICIPATION IN COMMUNITY EXCHANGE INCREASED THEIR INVOLVEMENT IN THE COMMUNITY. IN SPRING 2017, THIS PROGRAM ENDED, AND A SMALLER GROUP HAS CONTINUED THIS EFFORT THROUGH THE LOCAL FEDERALLY QUALIFIED HEALTH CENTER.3.1 LVHN'S STREET MEDICINE PROGRAM PROVIDES MEDICAL CARE WITHIN DEFINED SHELTER-BASED CLINICS AND ON "STREET ROUNDS" TO THE UNSHELTERED.THE STREET MEDICINE TEAM SAW 537 PATIENTS IN FY17, 462 PATIENTS IN FY18, AND 552 PATIENTS IN FY19 IN THE OUTPATIENT SETTING AT CLINICS IN HOMELESS SHELTERS. FOR PATIENTS SEEN IN ANY OF THE OUTPATIENT SETTINGS, THEY VISITED THE EMERGENCY DEPARTMENT 1,170 TIMES IN FY17, 916 TIMES IN FY18, AND 875 IN FY19. IN ADDITION, THE STREET MEDICINE TEAM COMPLETED 282 CONSULTS IN FY 17 FOR 230 INDIVIDUALS WHO WERE HOSPITALIZED AND AT-RISK FOR HOMELESSNESS, 303 CONSULTS FOR 241 INPATIENTS IN FY18, AND 347 CONSULTS FOR 187 INPATIENTS IN FY19. 3.2 STREET MEDICINE COLLABORATES WITH LVHN CASE MANAGEMENT, COMMUNITY COLLABORATORS TO PROVIDE CASE MANAGEMENT SERVICES, IMPROVE ACCESS TO INSURANCE, AND INTRODUCE PATIENTS TO A MEDICAL HOME WHEN READY.IN FY17, STREET MEDICINE PATIENT INSURANCE BREAKDOWN WAS AS FOLLOWS: AMONG PATIENTS SEEN IN THE OUTPATIENT SETTING, 43% WERE SELF-PAY, 40% HAD MEDICAID, 12% HAD MEDICARE, 2.7% HAD COMMERCIAL INSURANCE, AND 2% HAD BLUES CROSS PLANS. IN FY18, STREET MEDICINE PATIENT INSURANCE BREAKDOWN WAS AS FOLLOWS: AMONG PATIENTS SEEN IN THE OUTPATIENT SETTING, 28.2% WERE SELF-PAY, 56.6% HAD MEDICAID, 13.6% HAD MEDICARE, 1.7% HAD COMMERCIAL INSURANCE, AND 2.1% HAD BLUES CROSS PLANS. IN FY19, STREET MEDICINE PATIENT INSURANCE BREAKDOWN WAS AS FOLLOWS: AMONG PATIENTS SEEN IN THE OUTPATIENT SETTING, 28.4% WERE SELF-PAY, 49.3% HAD MEDICAID, 14.9% HAD MEDICARE, 4.2% HAD COMMERCIAL INSURANCE, AND 2.5% HAD BLUES CROSS PLANS. 3.3 HOST AND/OR PARTICIPATE IN A MULTI-SECTOR DISCUSSION ON HOUSING AND HEALTH WITH AREA STAKEHOLDERS.IN RESPONSE TO THE 2016 CHNA, REPRESENTATIVES FROM LEHIGH VALLEY HEALTH NETWORK (LVHN)'S DEPARTMENT OF COMMUNITY HEALTH, THE DOROTHY RIDER POOL HEALTH CARE TRUST, AND DESALES UNIVERSITY CAME TOGETHER TO CREATE A SYMPOSIUM EXPLORING THE INTERSECTION OF HOUSING AND HEALTH. THE FORUM WAS DESIGNED FOR KEY LEADERS IN THE LEHIGH VALLEY TO LEARN, CONNECT, AND ACT TO IMPROVE THE QUALITY OF LIFE IN THE LEHIGH VALLEY.THE EVENT WAS HELD ON SEPTEMBER 16, 2016 AT DESALES UNIVERSITY AND 158 PEOPLE WERE INVITED. THE KEYNOTE SPEAKER, JOHN T. COOK, PHD, MAED FROM CHILDREN'S HEALTHWATCH IN BOSTON, CHALLENGED ATTENDEES TO CONSIDER "HOUSING AS A VACCINE" THAT CAN PREVENT A WIDE RANGE OF FUTURE PROBLEMS. LOCAL EXPERTS FROM EDUCATION (JOSEPH J. ROY, EDD, BETHLEHEM AREA SCHOOL DISTRICT), YOUTH SERVICES (LISA WEINGARTNER LSW, MSW, VALLEY YOUTH HOUSE), AND LEGAL SERVICES (LORI MOLLOY, ESQ, NORTH PENN LEGAL SERVICES), SHARED THEIR EXPERIENCE REGARDING HOW HOUSING AND HEALTH AFFECT THEIR WORK IN THE LEHIGH VALLEY.THIS WORK HAS CONTINUED IN A VARIETY OF ITERATIONS, INCLUDING THROUGH A CROSS-SECTOR, COLLABORATIVE WORKING GROUP LOOKING AT HOUSING QUALITY AND AFFORDABILITY, A CROSS-SECTOR GROUP THAT PARTICIPATED IN THE 100 DAY CHALLENGE TO ELIMINATE HOMELESSNESS, AND CURRENTLY THERE ARE ON-GOING CONVERSATIONS ABOUT PARTICIPATING IN THE NATIONAL PURPOSE-BUILT MODEL INITIATIVE.4.1 HEALTH ADVOCACY PROGRAM: PROVIDE SUPPORT, NAVIGATION AND PROBLEM-SOLVING ASSISTANCE FOR PATIENTS WITH SOCIAL NEEDS, USING SPECIALLY TRAINED UNIVERSITY STUDENTS INTERESTED IN THE HEALTH PROFESSION OR SOCIAL SCIENCES.IN FY17, 153 PATIENTS WERE ENROLLED IN THE HEALTH ADVOCACY PROGRAM. OF THOSE PATIENTS, THERE WERE 89 SUCCESSFUL CONNECTIONS TO RESOURCES. STARTING IN SEPTEMBER 2016, HAP BEGAN ADMINISTERING A PERCEIVED STRESS SCALE. THERE WAS AN 8.84% DECREASE IN PERCEIVED STRESS FOR ENGLISH SPEAKERS WHO HAD A PRE- AND A POST-TEST (N = 35) AND A 5.57% DECREASE IN PERCEIVED STRESS FOR SPANISH SPEAKERS WHO HAD A PRE- AND A POST-TEST (N = 14). IN FY18, 167 PATIENTS WERE REFERRED TO THE HEALTH ADVOCACY PROGRAM RESULTING IN 82 SUCCESSFUL CONNECTIONS TO RESOURCES. IN FY19, 152 PATIENTS WERE REFERRED TO THE HEALTH ADVOCACY PROGRAM WHICH RESULTED IN 86 SUCCESSFUL CONNECTIONS TO COMMUNITY RESOURCES. THE THREE MOST COMMONLY REFERRED TO RESOURCES WERE HOUSING, FOOD ASSISTANCE, AND LEGAL ASSISTANCE.4.2 PILOT A CIVIL LEGAL ASSISTANCE PROGRAM IN COLLABORATION WITH NORTH PENN LEGAL SERVICES FOR PATIENTS WITH LEGAL ISSUES THAT AFFECT THEIR HEALTH AND WELL-BEING.IN FY17, 266 REFERRALS WERE MADE TO NORTH PENN LEGAL SERVICES RESULTING IN 199 OPEN CASES. THE TOP THREE REASONS FOR REFERRAL WERE HOUSING, CUSTODY, AND PUBLIC UTILITIES.IN FY18, 458 REFERRALS WERE MADE TO NORTH PENN LEGAL SERVICES RESULTING IN 274 OPEN CASES. 29% OF CASES WERE HOUSING RELATED WITH A SUCCESSFUL OUTCOME, INCLUDING PREVENTING EVICTION, PRESERVING CURRENT HOUSING, AND OVERCOMING UTILITY SHUT-OFFS. IN FY19, 360 REFERRALS WERE MADE TO NORTH PENN LEGAL SERVES WHICH RESULTED IN 166 OPEN CASES. THEY RESOLVED 178 CASES IN FY19.
LEHIGH VALLEY HOSPITAL	PART V, SECTION B, LINE 18E: COLLECTION ACTIVITIES ARE LIMITED TO HOSPITAL SENDING FOUR STATEMENTS REQUESTING PAYMENT. THE STATEMENTS INCLUDE INFORMATION ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, SOLICITING THE PATIENTS PARTICIPATION IN THE FINANCIAL ASSISTANCE PROGRAM.
PART V, SECTION B, LINE 11 (CONTINUATION A)	5.1 HEALTHY CORNER STORE INITIATIVE (HCSI): SEVERAL LOCAL CORNER STORES IN LOW INCOME COMMUNITIES HAVE BEEN IDENTIFIED AND ENCOURAGED TO ADD > 4 HEALTHY FOOD ITEMS TO THEIR STORE INVENTORY AFTER BASELINE ASSESSMENT. STORE OWNERS RECEIVE TRAINING BY STAFF ON HOW TO DISPLAY AND SELL HEALTHY FOOD ITEMS. FOLLOW-UP ASSESSMENTS DETERMINE ADHERENCE TO RECOMMENDATIONS.THE HEALTHY CORNER STORE INITIATIVE IN THE LEHIGH VALLEY ENROLLED AT TOTAL OF 55 CORNER STORES IN THE 3 MAJOR CITIES, ALLENTOWN (31), BETHLEHEM (17), AND EASTON (7). ADDITIONALLY, 100% OF THE ENROLLED CORNER STORES IN ALLENTOWN ADDED 4 NEW HEALTHY FOOD PRODUCTS TO THEIR INVENTORY. THE PROGRAM ALSO IMPLEMENTED HEART SMARTS, WHICH INCLUDED ADULT NUTRITION LESSONS IN THE STORES USING THE SNAP- ED APPROVED HEART SMARTS CURRICULUM, A SERIES OF 8 LESSONS ON VARYING NUTRITION TOPICS. IN ADDITION, FUNDING FROM THE PA DEPARTMENT OF HEALTH PROVIDED EACH PARTICIPANT WITH $4 IN HEART BUCKS, COUPONS THAT COULD BE USED IN STORE TO PURCHASE HEALTHY ITEMS. THESE COUPONS ALLOWED SHOPPERS TO TRY SOME OF THE PROMOTED HEALTHY FOODS WITH NO RISK TO THEIR GROCERY BUDGET. FREE BLOOD PRESSURE SCREENINGS WERE ALSO ADDED, AND NEARLY 120 PARTICIPANTS WERE SCREENED FOR HIGH BLOOD PRESSURE; 2 OUT OF 3 PARTICIPANTS WERE MEN. NEARLY 52% OF THE PARTICIPANTS WERE FOUND TO HAVE HIGH BLOOD PRESSURE AND WERE PROVIDED EDUCATION ON HEALTHY EATING AND ENCOURAGED TO VISIT THEIR PHYSICIANS. FUNDING FOR THIS INITIATIVE ENDED IN FY19; HOWEVER, THE WORK AROUND PROMOTING GREATER ACCESS TO HEALTHY FOODS CONTINUES. LVHN CONTINUES TO PARTNER WITH THE KELLYN FOUNDATION AROUND COMMUNITY CANVAS, PROVIDING IN-SCHOOL EDUCATION AND SCHOOL GARDENS (SEE BELOW). IN ADDITION, IN FY19 LVHN PARTNERED WITH THE RODALE INSTITUTE TO HAVE A MOBILE MARKET ROTATE THROUGH LVHN CAMPUSES. THIS MARKET ACCEPTED DOUBLE SNAP FOR INDIVIDUALS RECEIVE SNAP BENEFITS, MEANING PATIENTS WHO PURCHASED FRUITS AND VEGETABLES AT THE MOBILE MARKET COULD GET DOUBLE THE AMOUNT FOR THEIR SNAP DOLLARS. IN ADDITION, THROUGH PROGRAMS SUCH AS THE ALLENTOWN CHILDREN'S HEALTH IMPROVEMENT PROJECT AND THE HEALTH ADVOCACY PROGRAM, PATIENTS WHO SCREENED POSITIVE FOR FOOD INSECURITY OR WHO WERE RECEIVING SNAP BENEFITS WERE PROVIDED INFORMATION ABOUT THE DOUBLE SNAP PROGRAM AND A LIST OF THE STORES WHERE THEY COULD UTILIZE THEM. LVHN 17TH STREET IS ALSO A SITE FOR THE SUMMER MEALS PROGRAM, PROVIDING MEALS TO CHILDREN IN THE DISTRICT DURING SUMMER DAYS AT NO COST.5.2 PARTICIPATION IN THE REGIONAL FOOD POLICY COUNCIL WHICH SEEKS TO IMPROVE FOOD SECURITY IN THE LEHIGH VALLEY AND TO SUPPORT GROWTH IN THE LOCAL FOOD ECONOMY.LVHN PARTICIPATED IN AT LEAST 75% OF FOOD POLICY COUNCIL MEETINGS AND EVENTS. THE MISSION OF LVFPC IS TO PROMOTE AN ENVIRONMENTALLY HEALTHY FOOD SYSTEM BY STRENGTHENING THE LOCAL FOOD ECONOMY, INCREASING ACCESS TO FRESH FOODS FOR EVERYONE, REDUCING FOOD INSECURITY, AND SUPPORTING LOCAL FARMING IN THE LEHIGH VALLEY. WE FOCUS ON FOOD ACCESS WHICH IS ONE OF THE THREE LVFPC PRIORITY STRATEGIES (FOOD AGGREGATION AND LAND USE BEING THE OTHER TWO PRIORITIES). OUR ROLE IS TO CO-CHAIR THE CONSUMER EDUCATION WORKING GROUP, WHICH WILL WORK TOWARD A COMPREHENSIVE, CONSISTENT NUTRITION EDUCATION EFFORT IN THE LEHIGH VALLEY, WORKING TO INFLUENCE EACH OF THE LEVELS OF THE SOCIO-ECOLOGICAL PUBLIC HEALTH MODEL (I.E. INDIVIDUAL, INTERPERSONAL, ORGANIZATIONAL, COMMUNITY, AND PUBLIC POLICY). 5.3 FOOD COLLECTION DRIVES: NONPERISHABLE FOOD IS COLLECTED AT LVHN'S DRIVE-THROUGH FLU VACCINE EVENTS AND BY EMPLOYEES THROUGHOUT THE YEAR TO ASSIST LOCAL FOOD CUPBOARDS.IN FY17, 12,960 POUNDS OF FOOD WERE COLLECTED AND DONATED DURING LVHN'S DRIVE THROUGH FLU VACCINE EVENTS. IN FY18, 12,400 POUNDS OF FOOD WERE COLLECTED AND DONATED DURING LVHN'S DRIVE THROUGH FLU VACCINE EVENTS. IN FY19, 14,000 POUNDS OF FOOD WERE COLLECTED AND DONATED DURING LVHN'S DRIVE THROUGH FLU VACCINE EVENTS.6.2 IMPLEMENT PARENTING CLASSES WITHIN ACHIP AND IN COLLABORATION WITH OTHER LOCAL AGENCIES; PILOT STRATEGIES TO INCREASE ENGAGEMENT.IN FY17, A TOTAL OF 22 PARENTS PARTICIPATED IN PARENTING CLASSES OFFERED IN DOWNTOWN ALLENTOWN. FIVE PARENTS COMPLETED THE ENTIRE 8 WEEK PROGRAM. EFFORTS ARE UNDERWAY TO INCREASE ENGAGEMENT IN THE CLASSES AND PARENTS' ABILITY TO COMPLETE ALL SESSIONS.IN FY18, A TOTAL OF 23 PARENTS PARTICIPATED IN PARENTING CLASSES OFFERED IN DOWNTOWN ALLENTOWN AND SHOWED A SIGNIFICANT INCREASE IN PARENTING SKILLS FROM THE BEGINNING TO THE END OF THE PROGRAM.THIS WORK EVOLVED TO PROVIDE THE EDUCATION IN-HOME DURING ACHIP HOME VISITS AS OPPOSED TO GROUP PARENTING CLASSES IN FY19.AT-RISK POPULATIONS1.1 DEPRESSION SCREENING: WITHIN PRACTICES USING EPIC ELECTRONIC HEALTH RECORD, IMPLEMENT ANXIETY/DEPRESSION SCREENING USING PHQ-2/9 (A STANDARDIZED TOOL); PROVIDE FEEDBACK TO CLINICIANS REGARDING THEIR SCREENING RATES.IN FY17, 58% OF PATIENTS, AGE 12 YEARS AND OLDER WITHOUT AN ACTIVE DIAGNOSIS OF DEPRESSION OR BIPOLAR DISORDER, WERE SCREENED FOR DEPRESSION, AND, IF POSITIVE, HAD A FOLLOW UP PLAN BETWEEN JULY AND DECEMBER 2016. THIS PERCENTAGE INCREASED TO 60% BETWEEN JANUARY AND JUNE OF 2017.65% OF PATIENTS, AGE 12 YEARS AND OLDER WITHOUT AN ACTIVE DIAGNOSIS OF DEPRESSION OR BIPOLAR DISORDER, WERE SCREENED FOR DEPRESSION, AND, IF POSITIVE, HAD A FOLLOW UP PLAN IN FY18. THIS NUMBER INCREASED TO 70% IN FY19. 1.2 ASSESS AND IMPROVE TREATMENT AND REFERRAL WORKFLOWS FOR PATIENTS WHO SCREEN POSITIVE FOR DEPRESSION WITH PHQ-9 WITHIN SELECTED PRIMARY CARE PRACTICES; PHQ SCORE >9 IN ADULTS, >5 IN CHILDREN AND ADOLESCENTS IN ORDER TO IMPROVE TREATMENT AND REFERRAL WORKFLOWS FOR PATIENTS, LVHN CREATED A BEHAVIORAL HEALTH REFERRAL SPECIALIST ROLE AT THE END OF FY18. THIS ROLE CURRENTLY 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. PROVIDE PRACTICES WITH THE NECESSARY RESOURCE INFORMATION TO ENABLE THEM TO MAKE BEHAVIORAL HEALTH AND SUBSTANCE ABUSE REFERRALS. TO ACCOMPLISH THIS GOAL, A DATABASE, THE BEHAVIORAL HEALTH RESOURCES SHAREPOINT, OF MENTAL HEALTH, SUBSTANCE ABUSE AND OTHER RELATED RESOURCES AND SERVICES HAS BEEN CREATED AND IS MAINTAINED SO THE INFORMATION IS ALWAYS CURRENT AND ACCURATE. IN ADDITION, TO THIS DATABASE 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. PROVIDE 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.2.1 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."IN FY17, INITIAL CONVERSATIONS WERE HELD ABOUT THE IDEA OF A PUBLIC HEALTH CAMPAIGN TO REDUCE STIGMA AROUND MENTAL HEALTH. LVHN LEADERSHIP FROM MARKETING, COMMUNITY HEALTH, AND PSYCHIATRY ENGAGED IN THE PLANNING OF THIS CAMPAIGN. THE CAMPAIGN WILL BE ENTITLED "TELL YOUR STORY AND IS ALSO BEING DONE IN ALIGNMENT WITH THE LOCAL CHAPTER OF THE NATIONAL ASSOCIATION FOR MENTAL ILLNESS (NAMI) AND LOCAL DIGITAL STORYTELLING EFFORTS WITHIN ALLENTOWN. FY17 PRIMARILY INCLUDED PLANNING AND DEVELOPMENT AND CONTINUES THROUGH FY18 WITH EXPANSION TO THE COUNTIES OUTSIDE OF THE LEHIGH VALLEY.IN FY18, SIX DIGITAL STORIES WERE DEVELOPED TO HIGHLIGHT STORIES OF INDIVIDUALS WHO HAVE STRUGGLED WITH MENTAL HEALTH ISSUES, INCLUDING DEPRESSION. IN FY19, A COMMUNICATION PLAN WAS COMPLETED TO SHARE THESE STORIES.4.1 INPATIENT BEHAVIORAL HEALTH UNIT TEAM PROVIDES SAFE ACUTE PSYCHIATRIC CARE FOR COMMUNITY FOCUSED ON SAFETY AND STABILIZATION. 6,022 PSYCHIATRIC EVALUATIONS WERE COMPLETED WITHIN THE EMERGENCY DEPARTMENT IN FY17. IN ADDITION, 2,454 PSYCHIATRIC INPATIENT ADMISSIONS OCCURRED IN FY17.IN FY18, 4,177 PSYCHIATRIC EVALUATIONS WERE COMPLETED WITHIN THE EMERGENCY DEPARTMENT. IN ADDITION, 2,384 PSYCHIATRIC INPATIENT ADMISSIONS OCCURRED IN FY18.IN FY19, THERE WERE 5,776 PSYCHIATRIC EVALUATIONS OCCURRED ACROSS 3 EMERGENCY DEPARTMENTS. IN ADDITION, 2,371 PSYCHIATRIC INPATIENT ADMISSIONS OCCURRED IN FY19.
PART V, SECTION B, LINE 11 (CONTINUATION B)	4.2 PARTIAL/RESIDENTIAL PROGRAMS (ADULT AND ADOLESCENT TRANSITIONS, ALTERNATIVES AND TRANSITIONAL LIVING CENTER) PROVIDE INTENSIVE TREATMENT, EDUCATION AND SUPPORT, IMPROVING COMMUNITY FUNCTION AND AVOIDING UNNECESSARY HOSPITALIZATIONS.THERE WERE 1,558 ADMISSIONS TO PARTIAL/RESIDENTIAL PROGRAMS FOR A TOTAL OF 15,324 DAYS IN FY17.THERE WERE 1,483 ADMISSIONS TO PARTIAL/RESIDENTIAL PROGRAMS FOR A TOTAL OF 14,919 DAYS IN FY18.THERE WERE 1,508 ADMISSIONS TO PARTIAL/RESIDENTIAL PROGRAMS FOR A TOTAL OF 12,337 DAYS IN FY19.4.3 OUTPATIENT PSYCHIATRIC CARE: MULTIPLE PROGRAMS PROVIDE EVALUATION, DIAGNOSIS AND TREATMENT FOR MEMBERS OF OUR COMMUNITY.THERE WERE 1,806 NEW PATIENTS IN THE OUTPATIENT CLINICS FOR A TOTAL OF 58,245 VISITS ACROSS 7 CLINICAL SITES.IN FY18, THERE WERE 2,035 NEW PATIENTS IN THE OUTPATIENT CLINICS FOR A TOTAL OF 52,118 VISITS ACROSS 7 CLINICAL SITES.IN FY19, THERE WERE 2,300 NEW PATIENTS IN THE OUTPATIENT CLINICS FOR A TOTAL OF 59,151 VISITS ACROSS 7 CLINICAL SITES.5.1 COMMUNITY ASTHMA EDUCATION PROGRAM (CAEP) FOR CHILDREN ENGAGES COMMUNITY HEALTH WORKERS TO CONDUCT INDIVIDUAL AND GROUP EDUCATION SESSIONS AND IN-HOME ASSESSMENTS FOR ASTHMA TRIGGER REMEDIATION THE CAEP PROGRAM ENDED IN APRIL 2017, DUE TO FUNDING CONSTRAINTS. AMONG 84 PATIENTS WHO COMPLETED THE PROGRAM BETWEEN JUNE AND DECEMBER OF 2016, STATISTICALLY SIGNIFICANT IMPROVEMENTS (P < .05) WERE DEMONSTRATED IN THE FOLLOWING AREAS: ASTHMA-RELATED KNOWLEDGE, PARENTS' ABILITY TO PROPERLY ADMINISTER ASTHMA MEDICATION, THE NUMBER OF DAYS THE CHILD EXPERIENCED ANY ASTHMA SYMPTOMS, THE NUMBER OF NIGHTS THE CHILD WOKE UP DURING THE NIGHT DUE TO ASTHMA, THE NUMBER OF DAYS THE CHILD USED HIS OR HER RESCUE INHALER OR NEBULIZER TREATMENT. EMERGENCY DEPARTMENT VISITS AND IN-PATIENT HOSPITALIZATIONS ALSO DECREASED FROM 6 MONTHS BEFORE PARTICIPATION IN THE PROGRAM TO 6 MONTHS AFTER PARTICIPATION AMONG THE 84 FAMILIES WHO COMPLETED THE PROGRAM. WE CONTINUE TO EXPLORE NEW WAYS TO ADDRESS ASTHMA AMONG PEDIATRIC POPULATIONS AND TO CONTINUE TO PROVIDE EFFECTIVE SERVICES TO FAMILIES WHO ARE STRUGGLING TO MANAGE THEIR CHILD'S ASTHMA.5.2 GERIATRIC WORKFORCE ENHANCEMENT PROGRAM (GWEP) ENGAGES COMMUNITY HEALTH WORKERS (CHWS) TO PARTNER WITH NURSES IN CONDUCTING HOME VISITS TO GERIATRIC PATIENTS (AND THEIR CAREGIVERS) WITH CHRONIC ILLNESSES OR MEMORY-RELATED DISORDERS, INCLUDING ALZHEIMER'S DISEASE. CHWS ASSESS PATIENTS' SOCIAL NEEDS AND PROVIDE CONNECTIONS TO COMMUNITY RESOURCES.29 CLASSES ADDRESSING CHRONIC DISEASE SELF-MANAGEMENT, DEMENTIA, FALL PREVENTION, AND HOME SAFETY FOR COMMUNITY-DWELLING OLDER ADULTS WERE HELD DURING FY17. 205 INDIVIDUALS PARTICIPATED IN THOSE CLASSES.34 CLASSES ADDRESSING CHRONIC DISEASE SELF-MANAGEMENT, DEMENTIA, FALL PREVENTION, AND HOME SAFETY FOR COMMUNITY-DWELLING OLDER ADULTS WERE HELD DURING FY18. 453 INDIVIDUALS PARTICIPATED IN THOSE CLASSES.19 CLASSES ADDRESSING CHRONIC DISEASE SELF-MANAGEMENT, DEMENTIA, FALL PREVENTION, AND HOME SAFETY FOR COMMUNITY-DWELLING OLDER ADULTS WERE HELD DURING FY19. 197 INDIVIDUALS PARTICIPATED IN THOSE CLASSES.5.3 SEE ALLENTOWN CHILDREN'S HEALTH IMPROVEMENT PROJECT IN COMMUNITY ENGAGEMENT SECTION (6.2).6.1 POPULATION HEALTH DEPARTMENT (COMMUNITY CARE TEAMS NURSE CASE MANAGER, SOCIAL WORKER, BEHAVIORAL HEALTH SPECIALIST, +/- PHARMACIST, TRANSITIONS OF CARE CALL CENTER AND CENTRALIZED PAYER RESOURCES) WILL ENGAGE AND MANAGE PATIENTS IN THEIR HEALTH AND ADDRESS BARRIERS TO CARE.IN FY17, OVER 2,500 PATIENTS WERE SERVED BY THE CCT. FOR THESE CCT MANAGED PATIENTS, THERE WAS AN AVERAGE DECREASE IN INPATIENT ENCOUNTERS OF 140 FROM 6 MONTHS PRIOR TO THE INTERVENTION TO 6 MONTHS POST INTERVENTION. IN ADDITION, ED UTILIZATION DECREASED BY AN AVERAGE OF 156 VISITS FOR THIS PATIENT POPULATION FROM THE 6 MONTHS PRIOR TO BEING SERVED BY THE CCT TEAM TO THE 6 MONTHS AFTER WORKING WITH THE CCT TEAM. IN FY18, OVER 5,000 PATIENTS WERE SERVED BY THE CCT. FOR THESE CCT MANAGED PATIENTS, THERE WAS AN AVERAGE DECREASE IN INPATIENT ENCOUNTERS OF 108 FROM 6 MONTHS PRIOR TO THE INTERVENTION TO 6 MONTHS POST INTERVENTION. IN ADDITION, ED UTILIZATION DECREASED BY AN AVERAGE OF 96 VISITS FOR THIS PATIENT POPULATION FROM THE 6 MONTHS PRIOR TO BEING SERVED BY THE CCT TEAM TO THE 6 MONTHS AFTER WORKING WITH THE CCT TEAM. IN FY19, OVER 7,100 PATIENTS WERE SERVED BY THE CCT. FOR THESE CCT MANAGED PATIENTS, THERE WAS AN AVERAGE DECREASE IN INPATIENT ENCOUNTERS OF 475 FROM 6 MONTHS PRIOR TO THE INTERVENTION TO 6 MONTHS POST INTERVENTION. IN ADDITION, ED UTILIZATION DECREASED BY AN AVERAGE OF 872 VISITS FOR THIS PATIENT POPULATION FROM THE 6 MONTHS PRIOR TO BEING SERVED BY THE CCT TEAM TO THE 6 MONTHS AFTER WORKING WITH THE CCT TEAM. 6.2 SOCIAL WORKERS PLACED IN PRACTICES SERVED BY POPULATION HEALTH DEPARTMENT WILL ASSIST PATIENTS IN OBTAINING MEDICATIONS THEY CANNOT AFFORD.IN FY17, 1,515 MEDICATION ORDERS WERE PLACED ACROSS 34 PRACTICES, RESULTING $2,546,363 WORTH OF MEDICATIONS OBTAINED.IN FY18, 2,362 MEDICATION ORDERS WERE PLACED ACROSS 41 PRACTICES, RESULTING IN $3,991,739 WORTH OF MEDICATIONS OBTAINEDIN FY19, 2,697 MEDICATION ORDERS WERE PLACED ACROSS 41 PRACTICES, RESULTING IN $4,639,570 WORTH OF MEDICATIONS OBTAINED.6.3 SOCIAL WORKERS PLACED IN PRACTICES SERVED BY POPULATION HEALTH DEPARTMENT ASSIST ELIGIBLE PATIENTS IN APPLYING FOR SOCIAL SECURITY DISABILITY INCOME USING THE SOAR PROCESS.SOAR IS A PROGRAM DESIGNED TO INCREASE ACCESS TO SSI/SSDI FOR ELIGIBLE ADULTS WHO ARE EXPERIENCING, OR AT RISK OF, HOMELESSNESS AND HAVE A MENTAL ILLNESS. FOUR TOTAL SOAR APPLICATIONS WERE COMPLETED IN FY17; 3 APPROVED AND 1 WAS DENIED. IN FY18, 4 SOAR APPLICATIONS WERE COMPLETED, 2 WERE APPROVED, AND 2 WERE PENDING.IN FY19, 7 SOAR APPLICATIONS WERE COMPLETED, 3 WERE APPROVED, 3 ARE PENDING, AND 1 WAS DENIED.8.1 LV CHILDREN'S HOSPITAL CHILD ADVOCACY CENTER ADDRESSES NEEDS OF CHILDREN WHO ARE AT RISK FOR OR ARE VICTIMS OF VIOLENCE AND/OR NEGLECT. CHILD PROTECTION TEAM RESOURCES ARE AVAILABLE WITHIN EMERGENCY DEPARTMENT, INPATIENT UNITS AND IN AN OUTPATIENT SETTING FOR AGENCY AND COMMUNITY REFERRALS. FOLLOW-UP SERVICES, COMMUNITY OUTREACH AND PROFESSIONAL EDUCATIONAL PROGRAMS ARE ALSO AVAILABLE.AS PART OF THE FOUNDATIONAL WORK OF ESTABLISHING A CHILD ADVOCACY CENTER, A CLINICAL PATHWAY FOR CHILDREN WITH SUSPICIOUS BRUISING WAS APPROVED AND PUBLISHED BY THE NETWORK IN FEBRUARY 2017. A CLINICAL PATHWAY FOR SKELETAL SURVEYS IS ALSO BEING DEVELOPED. A NO HIT ZONE WAS APPROVED AND ROLLED OUT IN THE NETWORK IN JUNE 2017. A TRAINING WAS HELD FOR 17 TF-CBT THERAPISTS FOR 1 DAY IN MARCH 2017, AND 7 OF 22 TFCBT THERAPISTS HAVE ACHIEVED CERTIFICATION. IN FY18, THERE WERE 1,593 REPORTED CASES OF CHILD ABUSE, 131 SUBSTANTIATED CASES, 214 MEDICAL EXAMS AND 254 FORENSIC EXAMS WERE PERFORMED, AND 593 TOTAL CHILDREN WERE SERVED BY THE CHILDREN'S ADVOCACY CENTER (CAC)IN FY19, THERE WERE 1,480 REPORTED CASES OF CHILD ABUSE, 186 SUBSTANTIATED CASES, 220 MEDICAL EXAMS (THE CAC'S CHILD PROTECTION MEDICINE TEAM PERFORMED AN ADDITIONAL 294 MEDICAL AND FOLLOW-UP EXAMS ON CHILDREN IN NEIGHBORING COUNTIES), AND A TOTAL OF 368 CHILDREN WERE SERVED IN LEHIGH COUNTY.ACCESS TO CARE1.1 MAINTAIN AND BROADLY COMMUNICATE LEHIGH VALLEY HEALTH NETWORK'S FINANCIAL ASSISTANCE POLICY, PROVIDING FREE OR DISCOUNTED CARE FOR QUALIFYING PATIENTS.FOR THE LVH-CEDAR CREST, 17TH STREET, AND MUHLENBERG CAMPUSES, 17,349 APPLICATIONS (WHICH CAN INCLUDE MORE THAN ONE PATIENT IN A FAMILY) WERE RECEIVED FOR THE FINANCIAL ASSISTANCE PROGRAM IN FY17. ALL APPLICATIONS WERE REVIEWED WITHIN 5 DAYS OF BEING RECEIVED, WHICH RESULTED IN 22,347 PATIENTS BEING APPROVED FOR FINANCIAL ASSISTANCE AND 4,042 PATIENTS BEING DENIED.IN FY18, 31,246 APPLICATIONS WERE RECEIVED FOR THE FINANCIAL ASSISTANCE PROGRAM. THIS RESULTED IN 22,426 PATIENTS APPROVED FOR FINANCIAL ASSISTANCE AND 2,135 PATIENTS BEING DENIED. IN FY19, 33,455 APPLICATIONS WERE RECEIVED FOR THE FINANCIAL ASSISTANCE PROGRAM. THIS RESULTED IN 24,200 PATIENTS APPROVED FOR FINANCIAL ASSISTANCE, 3,405 BEING DENIED, AND 5,851 ARE PENDING.
PART V, SECTION B, LINE 11 (CONTINUATION C)	2.3 IMPROVEMENT IN TIMELY ACCESS TO PRIMARY CARE CLINICIAN SERVICES.25 VIRTUAL EXPRESSCARE VISITS OCCURRED AT BANGOR HEALTH CENTER IN FY17 (LVH-MUHLENBERG SPECIFIC). THE GOAL IS THAT NEW PATIENTS IN PRIMARY CARE WILL BE SCHEDULED WITHIN 7 DAYS OF REQUESTED APPOINTMENT; NEW PATIENT APPOINTMENT IN SPECIALTY SERVICES WILL BE SCHEDULED WITHIN 14 DAYS OF A REQUESTED APPOINTMENT. AT START OF FY17, LVPG TOTAL NEW PATIENT APPOINTMENT LAG WAS 48.37% (THIS IS THE TOTAL PERCENTAGE OF PATIENTS THAT WERE SCHEDULED WITHIN THE 7/14 DAY TIME FRAME AS NOTED ABOVE) 46.05% FOR PRIMARY CARE AND 49.3% FOR SPECIALTY. AS OF FEBRUARY 2017, LVPG TOTAL NEW PATIENT APPOINTMENT LAG IS 51.44%, WITH 53.13% OF APPOINTMENTS FOR PRIMARY CARE AND 50.79% FOR SPECIALTY CARE SCHEDULED WITHIN THE 7/14 DAY TIME FRAME. VACANT CLINICIAN POSITIONS (INCLUDING CLINICIAN FMLAS) ARE CONTRIBUTING TO THIS LAG. STRATEGIES TO HELP IMPROVE THIS LAG INCLUDE DIRECT SCHEDULING AND ONE CALL/ONE CLICK AND OPEN SCHEDULING. IN FY18, 58,952 PRIMARY CARE VISITS OCCURRED ACROSS ALL MUHLENBERG PRACTICES. TRACKING OF LAG TIMES IS IN TRANSITION AND WILL BE REVISITED IN FY19.7.1 PROVIDE LVHN COLLEAGUES WITH CULTURAL, LINGUISTIC TRAINING VIA VARIETY OF DELIVERY MECHANISMS.ONGOING CULTURAL AND LINGUISTIC TRAINING IS PROVIDED FOR ALL CAMPUSES AT LVHN THROUGH NEW EMPLOYEE ORIENTATION AS WELL AS THE LEARNING CURVE (TLC) QUARTERLY E-LEARNING EDUCATION BUNDLES. IN ADDITION, CAMPUSES-SPECIFIC CULTURAL AND LINGUISTIC TRAINING OPPORTUNITIES ARE PROVIDED AS NEEDED. IN FY19, A TOTAL OF 91 PRESENTATIONS WERE PROVIDED THROUGHOUT THE NETWORK, REACHING A TOTAL 4,740 EMPLOYEES.IN THE LEHIGH VALLEY, DURING FISCAL YEAR (FY) 17, A CULTURAL AWARENESS E-LEARNING MODULE ENTITLED: PATIENT VOICES (ETIQUETTE FOR THE CARE OF PEOPLE WITH DISABILITIES) WAS INCLUDED IN THE TLC BUNDLES. PART 1 HAD 12,056 COURSE COMPLETIONS (A 98.77% COMPLETION RATE) AND PART 2 HAD 11,779 COURSE COMPLETIONS (A 97.66% COMPLETION RATE). THIS E-LEARNING MODULE WAS ALSO OFFERED IN FY18 WITH 98% COMPLETION RATE AMONG COLLEAGUES AT LVH-CEDAR CREST, 17TH STREET, MULHENBERG). IN ADDITION, 64 IN-PERSON EDUCATIONS SESSIONS WERE OFFERED. THE NUMBER OF PRESENTATION HELD INCREASED TO 78. IN APRIL OF 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 FY 17 THROUGH FY 19, OVER 700,000 PATIENTS HAD A PREFERRED LANGUAGE DOCUMENTED. 91.4% OF PATIENTS PREFERRED ENGLISH, 5% PREFERRED SPANISH, .2% PREFERRED ARABIC WITH THE REMAINING POPULATION PREFERRING OTHER LANGUAGES OR ARE UNSPECIFIED. 89 LANGUAGES ARE DOCUMENTED IN TOTAL.7.3 ASSESS AVAILABILITY OF LANGUAGE ASSISTANCE RESOURCES IN ALL CARE DELIVERY SITES TO MEET NEEDS OF PATIENTS WITH LIMITED ENGLISH PROFICIENCY.IN FY 17, THERE WERE 9,011 LIVE ENCOUNTERS WITH INTERPRETERS AT CEDAR CREST, 17TH STREET, AND MUHLENBERG TOTALING 180,318 INTERPRETING MINUTES. AT LVH - CEDAR CREST AND 17TH STREET CAMPUSES, 39,300 INTERPRETING ENCOUNTERS OCCURRED VIA IPAD AND 22,757 ENCOUNTERS VIA PHONE. AT MUHLENBERG, 3,478 INTERPRETING ENCOUNTERS OCCURRED VIA IPAD AND 1,036 ENCOUNTERS VIA PHONE. INCLUDING LVPG AS WELL, THE TOTAL FOR PHONE ENCOUNTERS FOR FY 17 WAS 31,616.IN FY18, 12,974 LIVE ENCOUNTERS WITH INTERPRETERS OCCURRED TOTALING 319,779 INTERPRETING MINUTES. AT LVH- CEDAR CREST AND 17TH STREET THERE WERE 28,843 ENCOUNTERS VIA IPAD AND 19,607 ENCOUNTERS VIA PHONE. AT MUHLENBERG THERE WERE 3,962 ENCOUNTERS VIA IPAD AND 1,649 ENCOUNTERS VIA PHONE. INCLUDING LVPG, THERE WERE A TOTAL OF 43,631 INTERPRETING ENCOUNTERS VIA PHONE.IN FY19, THERE WERE 19,392 LIVE ENCOUNTERS WITH INTERPRETERS AT LVH - CEDAR CREST, 17TH STREET, AND MUHLENBERG TOTALING 526,626 INTERPRETING MINUTES. IN ADDITION, THERE WERE 25,084 INTERPRETING ENCOUNTERS VIA PHONE AT LVH-CEDAR CREST AND 17TH STREET CAMPUSES, TOTALING 245,545 MINUTES. AT MUHLENBERG, THERE WERE 1,821 INTERPRETING ENCOUNTERS BY PHONE FOR A TOTAL OF 18,368 MINUTES. INCLUDING LVPG AS WELL, THE TOTAL FOR PHONE ENCOUNTERS FOR FY19 WAS 57,480. AT THE LVH - 17TH STREET CAMPUS THERE WAS A TOTAL OF 222,232 MINUTES OF INTERPRETING PROVIDED THROUGH AN IPAD. AT LVH - CEDAR CREST, THE TOTAL WAS 303,361 INTERPRETING MINUTES VIA IPADS, AND AT LVH-MUHLENBERG THE TOTAL WAS 46,248 MINUTES IN FY19. THE COST OF ALL VENDORS THAT SUPPORT INTERPRETING SERVICES WAS OVER $1.1 MILLION.PREVENTION AND WELLNESS1.1 CAPTURE (BMI) DATA FOR LVHN PATIENTS THROUGH EPIC (LVHN'S ELECTRONIC HEALTH RECORD); ANALYZE AGGREGATED DATA TO IDENTIFY OPPORTUNITIES FOR PRACTICE-BASED OR PROGRAMMATIC INTERVENTIONS.1.2 IDENTIFY AND REFER PATIENTS IDENTIFIED AS "HIGH RISK" (BY VIRTUE OF LIFESTYLE ISSUES OR CO-MORBID CONDITIONS) TO LVHN AND COMMUNITY RESOURCES TO ASSIST WITH PATIENT ENGAGEMENT, EDUCATION, MOTIVATION AND SUPPORT FOR MANAGEMENT OF THEIR CONDITION.DATA BELOW REFERS TO 1.1 AND 1.2:BETWEEN JULY AND DECEMBER OF 2016, OUT OF A TOTAL OF 207,377 PATIENTS 18 YEARS AND OLDER, 75% HAD A BMI DOCUMENTED, AND IF OUTSIDE NORMAL PARAMETERS, A FOLLOW UP PLAN IS DOCUMENTED. OUT OF A TOTAL OF 186,673 PATIENTS 18 YEARS AND OLDER, 76% HAD A BMI DOCUMENTED, AND IF OUTSIDE NORMAL PARAMETERS, A FOLLOW UP PLAN IS DOCUMENTED BETWEEN JANUARY AND JUNE OF 2017. IN FY18, OUT OF A TOTAL OF 232,842 PATIENTS 18 YEARS AND OLDER, 74% HAD A BMI DOCUMENTED, AND IF OUTSIDE NORMAL PARAMETERS, A FOLLOW UP PLAN IS DOCUMENTED.IN FY19, OUT OF A TOTAL OF 256,852 PATIENTS 18 YEARS AND OLDER, 79% HAD A BMI DOCUMENTED AND IF OUTSIDE NORMAL PARAMETERS, A FOLLOW UP PLAN IS DOCUMENTED.1.3 COMMUNITY CANVAS: A SCHOOL- AND COMMUNITY-BASED EDUCATIONAL PROGRAM THAT INCLUDES IN-SCHOOL INSTRUCTION AND EVENING PROGRAMS FOR FAMILIES OF ELEMENTARY STUDENTS AND EMPHASIZES WELLNESS THROUGH HEALTHY HABITS AND GOOD NUTRITION. IN 201617 SCHOOLS IN EASTON AND WHITEHALL ARE INCLUDED IN THE PROGRAM.IN THE 2016-2017 SCHOOL YEAR, THE COMMUNITY CANVAS PROGRAM ENGAGED SIX ELEMENTARY SCHOOLS IN THE EASTON AND WHITEHALL SCHOOL DISTRICTS. 2,225 UNIQUE STUDENTS PARTICIPATED WITH A TOTAL OF 8,725 TOTAL REACHES ACROSS THE SCHOOLS. COMMUNITY CANVAS UTILIZED A PRE AND POST-TEST TO ASSESS LEARNINGS FROM THE PROGRAM. SOME KEY FINDINGS INCLUDE: BETWEEN 67% AND 72% OF STUDENTS KNEW YOU SHOULD HAVE AT LEAST 5 SERVINGS OF FRUIT AND VEGETABLES PER DAY. ALSO, 72.9% OF THE STUDENTS KNEW THAT ALL THE FAST FOOD RESTAURANTS SHOWN HAVE SOME HEALTHY FOOD AVAILABLE AND SOME "HEALTHIER" FAST FOOD RESTAURANTS HAD SOME VERY UNHEALTHY FOOD. OVERALL, THERE WAS A SIGNIFICANT INCREASE IN KNOWLEDGE GAINED IN-CLASSROOM AND REINFORCED AT HOME VIA HANDOUTS PROVIDED.IN THE 2017-2018 SCHOOL YEAR, COMMUNITY CANVAS EXPANDED TO 8 SCHOOLS. THE PROGRAM ENGAGED 2,730 UNIQUE STUDENTS AND TEACHERS ACROSS 105 UNIQUE CLASSROOMS. 66 CLASSROOMS PARTICIPATED IN "GARDEN IN A CLASSROOM."IN THE 2018-2019 SCHOOL YEAR, COMMUNITY CANVAS OPERATES IN 39 SCHOOLS IN 9 SCHOOL DISTRICTS IN THE LEHIGH VALLEY, REACHING MORE THAN 9,400 STUDENTS. AS A PART OF THIS WORK 26 SCHOOL GARDENS WERE CREATED IN 8 OF THE 9 SCHOOL DISTRICTS. THROUGH THE IN-SCHOOL PRESENTATIONS, OVER 3,000 UNIQUE STUDENTS AND TEACHERS WERE ENGAGED IN HEALTHY LIFESTYLE PRESENTATIONS. STUDENTS SHOWED IMPROVEMENTS ON THEIR KNOWLEDGE OF WHAT IS CONSIDERED HEALTHY AND NON-HEALTHY FOODS; ON THEIR KNOWLEDGE ABOUT THE MINIMUM NUMBER OF FRUITS AND VEGETABLES PER DAY THEY SHOULD EAT; AND ON THEIR UNDERSTANDING OF FRUIT VERSUS FRUIT JUICE, THE COLORS AND NUTRIENTS OF VEGETABLES, AND HOW TO DETERMINE THE AMOUNT OF SUGAR IN FOODS. MOREOVER, 29 CLASSROOMS PARTICIPATED IN THE VEGETABLE CHALLENGE WHICH RESULTED IN 2 OUT OF 3 STUDENTS CHANGING THEIR EATING BEHAVIORS AROUND VEGETABLES.
PART V, SECTION B, LINE 11 (CONTINUATION D)	1.4 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.IN FY17, 2,124 INDIVIDUALS SIGNED UP FOR FREE INFORMATION EVENTS ABOUT NONSURGICAL WEIGHT MANAGEMENT SERVICES. 1,552 PEOPLE ATTENDED THE EVENTS, 75% OF WHOM WERE POTENTIAL SURGERY CANDIDATES. 546 INDIVIDUALS WHO ATTENDED AN EVENT, ALSO SCHEDULED A PHYSICAL. IN FY18, 1,680 INDIVIDUALS SIGNED UP FOR FREE INFORMATION EVENTS ABOUT NONSURGICAL WEIGHT MANAGEMENT SERVICES. 1,276 PEOPLE ATTENDED THE EVENTS, 58% OF WHOM WERE POTENTIAL SURGERY CANDIDATES. 656 INDIVIDUALS WHO ATTENDED AN EVENT, ALSO SCHEDULED A PHYSICAL.IN FY19, 1,992 INDIVIDUALS SIGNED UP FOR FREE INFORMATION EVENTS ABOUT NONSURGICAL WEIGHT MANAGEMENT SERVICES. 1,702 PEOPLE ATTENDED THE EVENTS, 76% OF WHOM WERE POTENTIAL SURGERY CANDIDATES. 886 INDIVIDUALS WHO ATTENDED AN EVENT, ALSO SCHEDULED A PHYSICAL.3.1 FREE MASS INFLUENZA IMMUNIZATION "DRIVE-THROUGH" PROGRAM HELD AT TWO MAJOR VENUES IN THE LEHIGH VALLEY REGION.10,254 COMMUNITY MEMBERS RECEIVED THE FLU VACCINE THROUGH THE DRIVE-THRU PROGRAM IN 2017. OVER $300,000 PROVIDED IN FREE CARE FOR FLU VACCINE AND SUPPLIES. ALSO, 12,960 POUNDS OF FOOD WERE DONATED DURING THE DRIVEIN FY18, 9,022 COMMUNITY MEMBERS RECEIVED THE FLU VACCINE THROUGH THE DRIVE-THRU PROGRAM. OVER $420,000 PROVIDED IN FREE CARE FOR FLU VACCINE AND SUPPLIES AND 12,400 POUNDS OF FOOD WAS DONATED.IN FY19, 10,017 COMMUNITY MEMBERS RECEIVED THE FLU VACCINE THROUGH THE DRIVE-THRU PROGRAM. OVER $470,000 PROVIDED IN FREE CARE FOR FLU VACCINE AND SUPPLIES AND APPROXIMATELY 14,000 POUNDS OF FOOD WAS DONATED.3.2 FREE INFLUENZA VACCINE CLINICS WITHIN REGIONAL SOUP KITCHENS AND HOMELESS SHELTERS TO REACH VULNERABLE PATIENTS AT RISK FOR INFLUENZA.IN FY17, 64 FLU VACCINES WERE ADMINISTERED ACROSS 6 CLINICAL SITES.IN FY18, 162 PATIENTS WERE VACCINATED.DUE TO A CHANGE IN THE ELECTRONIC MEDICAL RECORD, THIS INFORMATION COULD NOT BE CAPTURED ACCURATELY IN FY19.4.1 DENTAL SEALANT PROGRAM; PROVIDES SECOND AND THIRD-GRADE CHILDREN FROM LOWER-INCOME COMMUNITIES IN BOTH ALLENTOWN AND EASTON SCHOOL DISTRICTS ACCESS TO DENTAL SEALANTS, AN EVIDENCE BASED FORM OF PREVENTIVE ORAL HEALTH CARE. CHILDREN ALSO RECEIVE A TOOTHBRUSH AND INSTRUCTION IN HOW TO USE.IN ALLENTOWN SCHOOL DISTRICT IN FY17, 1,447 STUDENTS RETURNED THEIR CONSENT FORMS, 733 RECEIVED AN EXAM, AND 567 STUDENTS HAD THEIR TEETH SEALED. IN EASTON AREA SCHOOL DISTRICT, 618 STUDENTS RETURNED THEIR CONSENT FORMS, 233 RECEIVED AN EXAM, AND 186 RECEIVED SEALANTS. IN TOTAL 2,214 SEALANTS WERE PLACED IN FY17. THIS PROGRAM WAS DISCONTINUED IN FY18.4.2 BUILDING 21 OF ALLENTOWN SCHOOL DISTRICT HEALTH CARE CAREER DISCOVERY PROGRAM EXPOSES STUDENTS TO A WIDE VARIETY OF HEALTH CARE CAREERS AND POSITIVE ADULT ROLE MODELS IN AUTHENTIC, REAL-WORLD SETTINGS. YEAR 1 PILOT COMPLETE WITH GOAL OF CREATING AN EVIDENCE BASED, FOUR-YEAR MODEL. YEAR 2 PILOT WITH PROGRAM EXPANSION TO TWO OTHER HIGH SCHOOLS IN ALLENTOWN SCHOOL DISTRICT. THE LEHIGH VALLEY HEALTH NETWORK DEPARTMENT OF EDUCATION PROVIDED SEVERAL YOUTH PROGRAMMING OPPORTUNITIES THROUGHOUT FY17. A CURRICULUM WAS OFFERED AT THE BETHLEHEM AREA VOCATIONAL TECHNICAL SCHOOL WHICH WAS DESIGNED TO PROVIDE STUDENTS WITH THE NECESSARY INFORMATION AND SKILLS TO BE CONSIDERED SAFE IN A CLINICAL ENVIRONMENT. IT FOCUSED ON SEVERAL CLINICAL COMPONENTS FOR A MULTIFOCAL OVERVIEW OF PROFESSIONAL HEALTH CAREERS. THERE WERE 38 GRADUATES FROM THE PROGRAM, AND 100% OF THE GRADUATES ENROLLED IN POST-SECONDARY EDUCATION.LVHN ALSO PARTNERED WITH LEHIGH CAREER AND TECHNICAL INSTITUTE, PENN STATE LEHIGH VALLEY, AND LEHIGH CARBON COMMUNITY COLLEGE TO OFFER A DUAL-ENROLLMENT PROGRAM TO STUDENTS WHICH COMBINES COLLEGE LEVEL SCIENCE COURSES, HONORS HEALTH CURRICULA, AND OBSERVATION IN A HEALTHCARE SETTING. THERE WERE 49 GRADUATES FROM THE PROGRAM, AND 100% OF THE GRADUATES ENROLLED IN POST-SECONDARY EDUCATION.LVHN ALSO OFFERED A HEALTH CARE CAREER DISCOVERY DAY WHICH EXPOSES STUDENTS TO A WIDE VARIETY OF HEALTH CARE CAREERS AND POSITIVE ADULT ROLE MODELS IN AUTHENTIC, REAL-WORLD SETTINGS. 329 STUDENTS PARTICIPATED IN HEALTH CARE CAREER DISCOVERY PROGRAMMING. A SIMILAR PROGRAM WAS ALSO OFFERED TO THE CHILDREN OF LVHN STAFF (9TH-12TH GRADE) WHICH EXPOSED CHILDREN TO A WIDE VARIETY OF CAREERS, FIELDS OF STUDY, AND POSITIVE ADULT ROLE MODELS WHO DEMONSTRATE PROFESSIONALISM. 64 STUDENTS PARTICIPATED.IN FY18, AT THE BETHLEHEM AREA VOCATIONAL TECHNICAL SCHOOL, 41 STUDENTS GRADUATED FROM THE PROGRAM, 98% OF WHOM WENT ON TO POST-SECONDARY EDUCATION. AT THE LEHIGH CAREER AND TECHNICAL INSTITUTE, 58 STUDENTS GRADUATED FROM THE PROGRAM, 100% OF WHICH WENT ON TO POST-SECONDARY EDUCATION. AT LVHN'S HEALTHCARE CAREER DISCOVERY DAY, 407 STUDENTS PARTICIPATED WITH 41 LVHN DEPARTMENTS PARTICIPATING.IN FY19, AT THE BETHLEHEM AREA VOCATIONAL TECHNICAL SCHOOL, 39 STUDENTS WERE ENROLLED IN THE PROGRAM. AT THE LEHIGH CAREER AND TECHNICAL INSTITUTE, 55 STUDENTS WERE ENROLLED IN THE PROGRAM. AT LVHN'S HEALTHCARE CAREER DISCOVERY DAY, 356 STUDENTS PARTICIPATED.4.3 PROVISION OF SCHOOL-BASED HEALTH SERVICES TO ELEMENTARY, MIDDLE AND HIGH SCHOOL STUDENTS, ADDRESSING DEFICIENT PHYSICALS AND VACCINES.IN FY17, PLANNING MEETINGS WERE HELD, AN MOU WAS DRAFTED, AND APPROVAL WAS RECEIVED FOR BEHAVIORAL HEALTH SERVICES AND WELLNESS EDUCATION IN THE ALLENTOWN SCHOOLS. SCHOOL-BASED HEALTH SERVICES ARE PRESENT AT FIVE SCHOOLS: SOUTH MOUNTAIN MIDDLE SCHOOL, LINCOLN LEADERSHIP ACADEMY, MOSSER ELEMENTARY SCHOOL, CENTRAL ELEMENTARY SCHOOL, AND EXECUTIVE EDUCATION ACADEMY CHARTER SCHOOL. 128 STUDENTS HAD NOT COMPLETE PHYSICALS AND IMMUNIZATIONS. OF THOSE 128, 44 RETURNED CONSENTS AND 21 COMPLETED THE REQUIREMENTS. IN FY18, SCHOOL-BASED HEALTH SERVICES WERE PRESENT AT FIVE SCHOOLS: SOUTH MOUNTAIN MIDDLE SCHOOL, LINCOLN LEADERSHIP ACADEMY, MOSSER ELEMENTARY SCHOOL, CENTRAL ELEMENTARY SCHOOL, AND EXECUTIVE EDUCATION ACADEMY CHARTER SCHOOL. 275 STUDENTS RETURNED CONSENTS AND OF THOSE 275, 105 RECEIVED PHYSICALS. IN FY19, SCHOOL-BASED HEALTH SERVICES WERE PROVIDED IN 22 SCHOOLS. 430 STUDENTS RETURNED CONSENTS AND OF THOSE STUDENTS, 225 RECEIVED PHYSICALS, AND 281 RECEIVED IMMUNIZATIONS5.1 ENSURE ALL CHWS WORKING WITHIN LVHN RECEIVE TRAINING IN CHW COMPETENCIES.100% OF CHWS WHO HAVE BEEN WORKING AT LVHN FOR MORE THAN 3 MONTHS DURING FY17 COMPLETED THE AHEC TRAINING (N = 9). COMMUNITY HEALTH WORKERS ARE AN EXPANDING WORKFORCE IN HEALTH CARE IN THE LEHIGH VALLEY. IT IS IMPORTANT FOR ALL CHWS TO BE ABLE TO DEMONSTRATE CERTAIN COMPETENCIES IN ORDER FOR THEM TO BE SUCCESSFUL IN THEIR JOB ROLES. NO ADDITIONAL CHWS WERE HIRED IN FY18, BUT TWO ADDITIONAL CHWS WERE HIRED IN FY19.5.2 DEPLOY CHWS IN PROGRAMS AND PRACTICES THAT SERVE INDIVIDUALS AND FAMILIES WITH SOCIAL AND ECONOMIC NEEDS.IN FY17, 9 CHWS WERE WORKING AT LVHN. ALL PROVIDE PATIENTS OR COMMUNITY RESIDENTS WITH LINKS TO COMMUNITY BASED SERVICES AND SOCIAL SUPPORT. TARGET POPULATIONS INCLUDE FAMILIES WITH YOUNG CHILDREN, ELDERLY INDIVIDUALS, AND FAMILIES IN THE SCHOOL SYSTEM. CHWS ARE BEST SUITED TO WORK WITH PATIENTS AND FAMILIES WHO ARE STRUGGLING WITH THE BURDENS OF SOCIAL DETERMINANTS OF HEALTH. THEY CAN HELP TO ALLEVIATE THESE BURDENS, ENABLING PATIENT AND FAMILIES TO BETTER MANAGE THEIR HEALTH AND IMPROVE THE QUALITY OF THEIR LIVES. THESE 9 CHWS CONTINUED TO WORK WITH THE SAME TARGET POPULATIONS AS FY17 IN FY18. IN FY 19, THREE OF THE 9 WERE INTEGRATED INTO THE POPULATION HEALTH INFRASTRUCTURE IN THE NETWORK. WORKFORCE DEVELOPMENT FOR COMMUNITY HEALTH WORKERS CONTINUES TO BE A PRIORITY, SPECIFICALLY UNDER THE LEHIGH VALLEY REILLY CHILDREN'S HOSPITAL.6.1 GUIDELINE DEVELOPMENT FOR ACUTE AND CHRONIC PAIN MANAGEMENT, PATIENT SCREENING FOR SAFE PRESCRIBING OF OPIOID ANALGESICS; PHYSICIAN OUTREACH AND EDUCATION.23 SMALL GROUP/PRACTICE SESSIONS AND 11 LARGE GROUP EDUCATION SESSIONS WERE HELD IN FY 17 REACHING OVER 350 PROVIDERS, CLINICAL AND OFFICE STAFF, AND RESIDENTS.43 SMALL GROUP/PRACTICE SESSIONS AND 15 LARGE GROUP EDUCATION SESSIONS WERE HELD IN FY 18 REACHING OVER 3,000 PROVIDERS, CLINICAL AND OFFICE STAFF, AND RESIDENTS.IN FY19, 3 SMALL GROUP/PRACTICE SESSIONS REACHING 41 STAFF AND 9 LARGE GROUP EDUCATION SESSIONS WERE HELD REACHING OVER 670 PROVIDERS, CLINICAL AND OFFICE STAFF, AND RESIDENTS.
PART V, SECTION B, LINE 11 (CONTINUATION E)	7.2 MAKE D & A RESOURCE LISTINGS AVAILABLE TO CLINICAL SETTINGS, CASE MANAGERS, SOCIAL WORKERS.LISTINGS OF DRUG AND ALCOHOL RESOURCES ARE COMPILED FOR 7 COUNTIES IN THE AREA. THE PROVIDERS IN THE RESOURCE LIST ARE THE AGENCIES THAT LVHN PROVIDERS REFER TO FOR SUBSTANCE ABUSE/ADDICTION SERVICES. LVHN PSYCHIATRY DEPARTMENT DEVELOPED A CENTRAL LOCATION THAT HOUSES ALL OF THE RESOURCE LISTINGS FOR PROVIDERS.8.1 HOST AND SPONSOR COMMUNITY-BASED OPIOID-ABUSE PREVENTION PRESENTATIONS TARGETED TO SCHOOLS, PARENTS; INCLUDE OUTREACH TO FAMILIES EXPERIENCING ADDICTION. AN OPIOID TASK FORCE WAS ESTABLISHED AND A CHARTER WAS DRAFTED. THE TEAM MET MONTHLY IN PREPARATION FOR A SUBSTANCE USE DISORDERS SYMPOSIUM TO BE HELD IN THE FALL OF 2017. COLLEAGUES FROM LVHN DEPARTMENT OF EDUCATION WERE ENGAGED IN MONTHLY MEETINGS, AS WAS LVHN MARKETING. LEADERS FROM THE ACO, EMERGENCY DEPARTMENT, AND TOXICOLOGY WERE ALSO PRESENT AT THE MEETINGS TO PROVIDE FEEDBACK AND ALIGN EFFORTS WITH NETWORK SUBSTANCE USE INITIATIVES ALREADY UNDERWAY.IN FY18, A 3 SESSION SYMPOSIUM, ENTITLED, "SAVING LIVES THROUGH INTERVENTION: SUBSTANCE USE DISORDERS" WAS OFFERED TO LVHN PROVIDERS. IT OFFERED CME CREDITS AT THE LVHN CEDAR CREST CAMPUS FOR MORE THAN 100 ATTENDEES.IN FY19, ANOTHER 3 COMMUNITY-BASED PRESENTATIONS WERE HELD IN THE LEHIGH VALLEY, IN PARTICULAR A SPEAK UP FOR BEN COMMUNITY FORUM WITH 200 ATTENDEES, A PRESENTATION AT NORTHAMPTON COMMUNITY COLLEGE WITH 25 ATTENDEES, AND PRESENTATION FOR MARYWOOD UNIVERSITY WITH 70 ATTENDEES. THERE WAS ALSO A PRESENTATION AT CATASAUQUA HIGH SCHOOL IN SEPTEMBER 2018. IN ADDITION, LVHN HAD STRONG REPRESENTATION AT RALLY IN THE VALLEY IN MAY 2019 WITH CPR AND NARCAN TRAINING AND OTHER EDUCATIONAL OFFERINGS AROUND STIGMA, AND DRUG AND ALCOHOL USE. LVHN ALSO CONDUCTED 16 OPIOID USE DISORDER SIMULATIONS SERVING 265 HIGH SCHOOL AND UNDERGRADUATE NURSING STUDENTS.9.1 PROVIDE EDUCATIONAL OUTREACH TO VULNERABLE POPULATIONS IN URBAN AREAS ABOUT COLON CANCER SCREENING AND ASSIST WITH ACCESS TO SCREENING OPTIONS.10 COMMUNITY MEMBERS PARTICIPATED IN 5 PATIENT AND STAKEHOLDER ADVISORY COMMITTEE MEETINGS IN FY 17. IN ADDITION, ONE COMMUNITY HEALTH FAIR WAS HELD WITH 253 ATTENDEES, 2 PATIENT FOCUS GROUPS WERE HELD WITH 12 ATTENDEES, AND 3 NETWORK STAKEHOLDER INTERVIEWS WERE CONDUCTED. NO ADDITIONAL ACTIVITIES TOOK PLACE IN FY18 OR FY19.9.2 ENGAGE COMMUNITY MEMBERS, PATIENTS, PAYERS, EMPLOYERS AND HEALTH CARE SYSTEMS THROUGH A LEARNING COMMUNITY MODEL DESIGNED TO DEVELOP COMMON AGENDA FOR REDUCING COLORECTAL (CRC) AND LUNG CANCER (LCA) SCREENING DISPARITIES AMONG MINORITY POPULATIONS.FUNDED BY THE PATIENT CENTERED OUTCOMES RESEARCH INSTITUTE (PCORI), THE REDUCING CANCER DISPARITIES BY ENGAGING STAKEHOLDERS (RCADES) PROJECT BEGAN ON NOVEMBER 1, 2015. THE RCADES PROJECT AIMS TO FORM A NEW "COLLECTIVE IMPACT LEARNING COMMUNITY" TO ADVANCE THE IDENTIFICATION, ADAPTATION, AND USE OF EVIDENCE-BASED INTERVENTIONS THAT REDUCE CANCER SCREENING DISPARITIES IN HEALTH SYSTEMS.THE RCADES LEARNING COMMUNITY INCLUDES A COORDINATING TEAM FROM THE CENTER FOR HEALTH DECISIONS (CHD) AT THOMAS JEFFERSON UNIVERSITY (THE "BACKBONE ORGANIZATION"); A STEERING COMMITTEE; A LEHIGH VALLEY HEALTH NETWORK PATIENT AND STAKEHOLDER ADVISORY COMMITTEE (LVHN-PASAC); A DELAWARE VALLEY ACCOUNTABLE CARE ORGANIZATION PATIENT AND STAKEHOLDER ADVISORY COMMITTEE (DVACO-PASAC); AND OTHER KEY STAKEHOLDERS, INCLUDING PATIENTS, CLINICIANS, HEALTH SYSTEM ADMINISTRATORS, INSURERS, EMPLOYERS, AND OTHER KEY STAKEHOLDERS. THE GOAL OF THIS LEARNING COMMUNITY IS TO EXPLORE MOVING EVIDENCE-BASED INTERVENTIONS INTO PRACTICE AND POPULATION HEALTH MANAGEMENT. IN FY 17 AND FY18, 72 COMMUNITY MEMBERS PARTICIPATED IN A SERIES OF 14 SESSIONS FOR THE LVHN-PASAC; ALL REPORTED THAT PARTICIPATION HELPED THEM BETTER UNDERSTAND THE IMPLEMENTATION PROCESS. NO ADDITIONAL ACTIVITIES TOOK PLACE IN FY19.10.1 PUBLIC HEALTH MESSAGING CAMPAIGN TO ENCOURAGE EARLY PREGNANCY CARE.INITIAL STEPS HAVE BEEN TAKEN TO COLLECT DEMOGRAPHIC INFORMATION TO BETTER UNDERSTAND THE APPROPRIATE TARGET AUDIENCE FOR THIS CAMPAIGN. THE WORK WILL CONTINUE INTO FY18. A NEW TOWER OPENED UP IN FY18 FOR LABOR AND DELIVERY AT OUR MUHLENBERG CAMPUS. CEDAR CREST/17TH STREET-SPECIFIC TACTICS:COMMUNITY ENGAGEMENT6.1 OUTREACH TO YOUNG MOTHERS, CHILDREN AND FAMILIES IN THE ALLENTOWN PROMISE NEIGHBORHOOD, USING COMMUNITY HEALTH WORKERS AND A NURSE NAVIGATOR TO PROVIDE EDUCATION, SUPPORT, CONNECTION TO HEALTH CARE AND SOCIAL SERVICES GOALS INCLUDE SUPPORTING FAMILIES, EARLY CHILDHOOD EDUCATION, IMPROVING HEALTH AND HEALTH CARE UTILIZATION.FROM JANUARY 2017 THROUGH JUNE 2019, 338 FAMILIES ENROLLED IN THE ALLENTOWN CHILDREN'S HEALTH IMPROVEMENT PROJECT. MORE THAN 800 CONNECTIONS MADE BY CHWS TO COMMUNITY RESOURCES, THE TOP THREE BEING HOUSING, SOCIAL SUPPORT, AND CHILD EDUCATION. 52 PARENTS PARTICIPATED IN GROUP-BASED EDUCATION SESSIONS AND 27 PARENTS COMPLETED A KNOWLEDGE AND SKILLS SURVEY AT THE BEGINNING AND END. THE 27 PARENTS WHO PARTICIPATED IN THE PRE AND POST TEST SHOWED A STATISTICALLY SIGNIFICANT IMPROVEMENT IN THEIR PARENTING SKILLS. FAMILIES WHO PARTICIPATED IN ACHIP DEMONSTRATED IMPROVEMENTS IN FOOD INSECURITY RISK, PARENTING STRESS, STABLE HOUSING, AND ABILITIES TO PAY THEIR UTILITY BILLS. THE PERCENT OF PARENTS WHO WERE AT-RISK FOR FOOD INSECURITY DECREASED BY 30% (42% AT BASELINE TO 12% AT 9 TO 12 MONTHS LATER). PARENTS' REPORTS OF FEELING EXTREME STRESS DECREASED BY 36% (58% AT BASELINE TO 22% 9 TO 12 MONTHS LATER). THE PERCENT OF FAMILIES REPORTING BEING UNSTABLY HOUSED DECREASED BY 14% (31% AT BASELINE TO 17% AT 9 TO 12 MONTHS LATER).6.3 EARLY HEAD START SAFESTART PROGRAM PROVIDES QUALITY EARLY CHILDHOOD EDUCATION TO YOUNG CHILDREN OF FAMILIES INVOLVED WITH PA'S OFFICE OF CHILDREN AND YOUTH. GOALS INCLUDE; ADDRESSING HEALTH PROBLEMS, DEVELOPMENTAL DELAYS AND EMOTIONAL TRAUMA. IN SCHOOL YEAR 2016-2017, 29 CHILDREN AGES 9-36 MONTHS WERE SERVED IN THE EARLY HEAD START/SAFESTART PROGRAM. IN SCHOOL YEAR 2017-2018, 36 CHILDREN AGES 9-36 MONTHS WERE SERVED IN THE PROGRAM. ALL AGE GROUPS OF THE CHILDREN SHOWED IMPROVEMENT IN AREAS OF SOCIAL AND EMOTIONAL DEVELOPMENT AND PHYSICAL DEVELOPMENT DURING BOTH SCHOOL YEARS. THEY ALSO SHOWED IMPROVEMENTS IN HEALTH OUTCOMES INCLUDING PHYSICALS, DENTAL EXAMS, AND IMMUNIZATIONS.AT-RISK POPULATIONS7.1 IMPROVE CAPACITY BY OFFERING ADDITIONAL STI CLINIC SERVICES AT 17TH ST. CAMPUS (INCLUDING EVENING HOURS) TO ADDRESS COMMUNITY NEED AND TO SUPPLEMENT SERVICES OFFERED BY ALLENTOWN HEALTH BUREAU (AHB).A CONTRACT WITH THE STATE HAS NOT BEEN EXECUTED, AND THE NETWORK IS WORKING THROUGH BARRIERS WITH THE PA ATTORNEY GENERAL'S OFFICE. THE LAUNCH OF THE STI CLINIC WILL BE DELAYED UNTIL FY18.THE PROGRAM RECEIVED A FULLY EXECUTED PREFERRED PROVIDER AGREEMENT FROM THE STATE OF PENNSYLVANIA AND THE STAFF IS NOW IN THE PROCESS OF DEVELOPING A BUSINESS PLAN WITH THE HOPES OF LAUNCHING THE PROGRAM IN FALL 2018.PREVENTION AND WELLNESS2.1 HEALTHY LATINAS PILOT PROGRAM: HEALTHY LATINAS IS A COMMUNITY-BASED, MULTICOMPONENT INTERVENTION TARGETING OVERWEIGHT AND OBESE HISPANIC ADOLESCENT FEMALES AND THEIR MOTHERS OR CAREGIVERS. AIM OF THIS PROGRAM IS TO PROMOTE HEALTHY HABITS, PHYSICAL ACTIVITY AND BODY IMAGE AS WELL AS DECREASE UNHEALTHY WEIGHT GAIN. HEALTHY LATINAS IS A PILOT PROGRAM BASED ON A SUCCESSFUL MODEL, HEALTHY CHICAS, IMPLEMENTED IN MIAMI, FLA.THE HEALTHY LATINAS PILOT PROJECT WAS IMPLEMENTED IN FY18. 11 PARTICIPANTS CONSENTED TO THE PROGRAM ATTENDING AN AVERAGE OF 6.83 CLASSES (OUT OF TEN POSSIBLE CLASSES) WITH 4 PARTICIPANTS COMPLETING THE PROGRAM. WHILE A SMALL SAMPLE, THESE 4 SHOWED INCREASED KNOWLEDGE IN HEALTHY FOOD CHOICE, INCREASED PHYSICAL ACTIVITY, AND IMPROVED BODY IMAGE AND SELF-ESTEEM.4.4 ELECT PREGNANT AND PARENTING PROGRAM FOR AT-RISK POPULATION: COMMUNITY HEALTH STAFF TEACHES HEALTH-RELATED TOPICS AT WILLIAM ALLEN HS EACH MONTH.IN OCTOBER 2016 THROUGH APRIL 2017 THERE WERE 22 PARTICIPANTS IN THE ELECT PROGRAM. THE PROGRAM ENDED IN APRIL 2017 DUE TO A LOSS OF PROGRAM FUNDING AND A CHANGE OF DIRECTION FOR THE ALLENTOWN SCHOOL DISTRICT
PART V, SECTION B, LINE 11 (CONTINUATION F)	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.FROM JANUARY 2017 THROUGH JUNE 2018, 101 PATIENTS WERE SCREENED BY AN ADDICTION RECOVERY SPECIALIST IN THE EMERGENCY DEPARTMENT. OF THOSE REFERRALS, ALCOHOL WAS THE MAIN SUBSTANCE USED (37.5%) AND THE REMAINDER USED WERE NARCOTICS (62.5%) AFTER SCREENING, 63% OF THE REFERRALS WERE SENT BACK HOME WITH A REFERRAL TO OUTPATIENT TREATMENT, AND 27% WERE REFERRED DIRECTLY TO AN INPATIENT REHABILITATION FACILITY. THE HOST PROGRAM BEGAN AT LVH CEDAR CREST, MUHLENBERG, AND 17TH STREET IN JANUARY 2017. 153 REFERRALS WERE MADE TO THE HOST PROGRAM FROM JANUARY 2017 THROUGH JUNE 2018. THERE WERE 982 REFERRALS MADE TO THE HOST PROGRAM IN FY19.MUHLENBERG-SPECIFIC TACTICS:AT-RISK POPULATIONS3.1 BEHAVIORAL HEALTH INTEGRATION PILOT: CO-LOCATED MEDICAL AND BEHAVIORAL HEALTH CARE SAMHSA GRANT SITE. IMPLEMENTATION OF A REVERSE CO-LOCATION MODEL OF CARE FOR SERIOUSLY MENTALLY ILL PATIENTS TO INCLUDE NURSE CARE COORDINATION AND PARTICIPATION IN WELLNESS EVENTS. IN FY17, 92 PATIENTS WERE REFERRED BY THE CO-LOCATED PRIMARY CARE CLINICIAN AT THE WHOLE HEALTH CONNECTIONS CLINIC AND SUCCESSFULLY SEEN BY THE SPECIALIST OR RECEIVED NECESSARY SERVICES. 53 PATIENTS PARTICIPATED IN WELLNESS ACTIVITIES AT THE WHOLE HEALTH CONNECTIONS CLINIC. WELLNESS ACTIVITIES INCLUDE SUPPORT GROUPS, TOBACCO CESSATION, YOGA, AND SOLUTIONS FOR WELLNESS, AN EVIDENCED BASED PROGRAM THAT PROMOTES ADOPTION OF HEALTHY BEHAVIORS AROUND PHYSICAL ACTIVITY AND DIET AMONG PATIENTS WITH SERIOUS MENTAL ILLNESS.IN FY18, 136 PATIENTS WERE REFERRED AND 102 PATIENTS PARTICIPATED IN WELLNESS ACTIVITIES.IN FY19, 79 SPECIALTY PRIMARY CARE RELATED REFERRALS WERE COMPLETED AMONG CONSUMERS WITH SERIOUS MENTAL HEALTH ILLNESSES. CONSUMERS WERE REFERRED BY THE CO-LOCATED PRIMARY CARE CLINICIAN AT THE MENTAL HEALTH CLINIC AND SUCCESSFULLY CONNECTED TO SPECIALTY CARE AND NON-MEDICAL SERVICES.ACCESS TO CARE AND HEALTH EQUITY2.1 EXPANSION OF PRIMARY CARE SERVICES FOR VULNERABLE POPULATIONS.IN FY17, A TOTAL OF 62,288 PRIMARY CARE AND 32,337 EXPRESSCARE VISITS OCCURRED IN NORTHAMPTON COUNTY. IN FY18, A TOTAL OF 77,740 PRIMARY CARE AND 39,279 EXPRESSCARE VISITS OCCURRED IN NORTHAMPTON COUNTY.IN FY19, A TOTAL OF 80,978 PRIMARY CARE AND 42,564 EXPRESSCARE VISITS OCCURRED IN NORTHAMPTON COUNTY. 2.2 RECRUITMENT OF PRIMARY CARE CLINICIANS TO SUPPORT TIMELY ACCESS TO CARE.9 NEW PROVIDERS HAVE BEEN ADDED OVER THE COURSE OF FY17 IN PRIMARY CARE IN NORTHAMPTON COUNTY. THERE WERE 8 PROVIDERS AT THE BEGINNING OF FY17 AND 17 PROVIDERS AT THE END OF FY17 AND GOING INTO FY18.3.1 PALMER TOWNSHIP AND EASTON HEALTH CENTERS (OPENED SUMMER 2017) WILL PROVIDE IMPROVED FACE-TO-FACE AND TELEMEDICINE ACCESS TO COMPLEX DISEASE CARE.SIX NEW PROVIDERS HAVE BEEN ADDED OVER THE COURSE OF FY17 IN SPECIALTY CARE IN NORTHAMPTON COUNTY. THERE WERE 4 PROVIDERS AT THE BEGINNING OF FY17 AND 10 PROVIDERS AT THE END OF FY17. A TOTAL OF 2,123 VISITS OCCURRED IN SPECIALTY CARE, AND 1,444 UNIQUE PATIENTS WERE SEEN. SEVEN OF THE 10 SPECIALTY CARE AREAS ONLY BEGAN SEEING PATIENTS IN JUNE OF 2017.IN FY18, A TOTAL OF 13,167 VISITS OCCURRED IN SPECIALTY CARE IN NORTHAMPTON COUNTY AND 12,279 UNIQUE PATIENTS WERE SEEN.IN FY19, A TOTAL OF 23,015 VISITS OCCURRED IN SPECIALTY CARE IN NORTHAMPTON COUNTY AND 21,135 UNIQUE PATIENTS WERE SEEN.PREVENTION AND WELLNESS2.2 REDEDICATION OF THE "HEALTH & WELLNESS CENTER," WHICH OFFERS FITNESS, REHAB AND OTHER HEALTH PROMOTION SERVICES.THE REDEDICATION OF THE HEALTH & WELLNESS CENTER OCCURRED IN MAY OF 2014 AND CONTINUES TO BE IN OPERATION THROUGH FY 17 AND 18.10.2 DEVELOPMENT OF NEW PAVILION ON LVHM CAMPUS THAT WILL IMPROVE ACCESS TO FAMILY BIRTH AND NEWBORN CARE SERVICES1,314 PATIENTS RECEIVED OB CARE BETWEEN NOVEMBER 2016 (WHEN THE MATERNITY CARE PATHWAY WAS IMPLEMENTED) AND FEBRUARY 2017 WITH 4.6% RECEIVING INITIAL CARE AT 13 WEEKS OR LATER. 2,748 PATIENTS RECEIVED OB CARE BETWEEN JANUARY 2017 AND JUNE 2017 WITH 4.4% RECEIVING INITIAL CARE AT 13 WEEKS OR LATER. IN FY 18, A TOTAL OF 3,132 UNIQUE PATIENTS STARTED OB CARE. OF THIS NUMBER, THE NUMBER OF UNIQUE PATIENTS WHO ARE "NEW" TO THE NETWORK WAS 282. OF THOSE UNIQUE PATIENTS, THE PERCENTAGE OF PATIENTS WHO PRESENTED FOR OB CARE AT 13 WEEKS OR GREATER IN THIS TIME FRAME WAS NEARLY 6%. IN FY19, A TOTAL OF 4,937 UNIQUE PATIENTS STARTED OB CARE. OF THIS NUMBER, THE NUMBER OF UNIQUE PATIENTS WHO ARE "NEW" TO THE NETWORK WAS 291. OF THOSE UNIQUE PATIENTS, THE PERCENTAGE OF PATIENTS WHO PRESENTED FOR OB CARE AT 13 WEEKS OF GREATER IN THIS TIME FRAME WAS NEARLY 6%.

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 $13,700,619 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 $ 53,197,535.
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 FY19 WAS $181,113. IN ADDITION, LEHIGH VALLEY HOSPITAL CONTRIBUTED $35,000 FOR PHASE TWO OF THE DEVELOPMENT OF LINDBERG PARK IN SALISBURY TOWNSHIP, AND $25,000 TO PARK DEVELOPMENT IN LOWER NAZARETH 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:	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. THE PROVISION FOR BAD DEBTS FOR THE YEARS ENDED JUNE 30, 2019 AND 2018, WAS $86,444,000 AND $52,583,000 RESPECTIVELY.
PART III, LINE 8:	THE SOURCE OF THE MEDICARE ALLOWABLE COSTS RELATING TO REVENUE RECEIVED FROM MEDICARE IS THE FY '19 MEDICARE COST REPORT. THE ENTIRE SHORTFALL ON LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT. THE REVENUE AND EXPENSES ARE BOTH DETERMINED USING MEDICARE PRINCIPLES. THE HOSPITAL IS PROVIDING THE COMMUNITY A BENEFIT IN EXCESS OF MEDICARE PAYMENTS.
PART III, LINE 9B:	FINANCIAL COUNSELING STAFF WILL DETERMINE WHETHER PATIENTS MEET ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE. ACCOUNTS THAT DO NOT MEET THE ELIGIBLILTY REQUIREMENTS WILL BE REFERRED TO AN EXTERNAL RECEIVABLES FOLLOW UP AGENCY, AND IF NOT PAID, REFERRED TO A COLLECTION AGENCY AND SUBSEQUENTLY TRANSFERRED TO BAD DEBT STATUS IF THE ACCOUNTS REMAIN UNPAID.
PART VI, LINE 2:	IN AN EFFORT TO IMPROVE THE OVERALL HEALTH AND WELL-BEING OF THE COMMUNITY, ALL NON-PROFIT HOSPITALS AND HEALTH SYSTEMS MUST IDENTIFY AND EVALUATE THE NEEDS OF THE COMMUNITIES THEY SERVE THROUGH A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS. FOR THE PURPOSES OF THE CHNA, LEHIGH VALLEY HEALTH NETWORK (LVHN) DEFINES "COMMUNITY" AS ALL RESIDENTS LIVING WITHIN THE PRIMARY COUNTIES EACH LICENSED FACILITY SERVES, NAMELY LEHIGH, NORTHAMPTON, SCHUYLKILL, LUZERNE, AND MONROE COUNTIES IN PENNSYLVANIA. THE CHNA HEALTH PROFILE INCLUDES SECONDARY DATA PULLED TOGETHER FROM PUBLICALLY AVAILABLE, STATE AND LOCAL SOURCES SUCH AS THE CENTER FOR DISEASE CONTROL AND THE CENSUS BUREAU. THIS DATA WAS USED TO IDENTIFY THE TOP HEALTH AND SOCIAL NEEDS IN EACH IDENTIFIED COMMUNITY. LVHN THEN PARTNERED WITH COMMUNITY AND EDUCATIONAL INSTITUTIONS TO OBTAIN INPUT (PRIMARY DATA) FROM COMMUNITY MEMBERS IN EACH COUNTY IN ORDER TO VALIDATE THE FINDINGS OF THE SECONDARY DATA COLLECTION. THESE COMMUNITY PARTNERS CONDUCTED FOCUS GROUPS AND KEY INFORMANT INTERVIEWS TO REVIEW THE FINDINGS OF THE SECONDARY DATA COLLECTION AND ALLOW THE COMMUNITY TO IDENTIFY ANY OTHER NEEDS NOT MENTIONED. THE SECONDARY AND PRIMARY DATA WERE THEN COMBINED INTO ONE HEALTH PROFILE FOR EACH COUNTY, WHICH PROVIDES AN OVERVIEW OF THE CURRENT STATE OF HEALTH IN EACH OF THE COUNTIES LVHN SERVES. THESE REPORTS WERE REVIEWED BY LVHN EXECUTIVE LEADERSHIP AT EACH CAMPUS, AND INITIAL HEALTH NEEDS WERE PRIORITIZED BASED ON THE COMMUNITIES INPUT AND LVHN'S ABILITY TO MAKE A DIFFERENCE ON THAT HEALTH NEED. AS PART OF THE AFFORDABLE CARE ACT, STARTING IN 2013, ALL NON-PROFIT HOSPITALS AND HEALTH CARE SYSTEMS ARE REQUIRED TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS. THE CHNA REPORT EXAMINES THE FACTORS THAT IMPACT THE HEALTH AND WELLNESS OF ALL THE PEOPLE IN A PARTICULAR GEOGRAPHIC AREA. BEYOND ITS REGULATORY FUNCTION, THE CHNA IS AN IMPORTANT OVERVIEW OF THE CURRENT STATE OF HEALTH IN OUR REGION AND IDENTIFIES POTENTIAL AREAS OF CONCERN WHICH INFORMS LEHIGH VALLEY HEALTH NETWORK'S (LVHN) POPULATION HEALTH MANAGEMENT EFFORTS. LVHN'S CHNA INCLUDES A HEALTH PROFILE, A REPORT THAT LOOKS AT ALL OF THE FACTORS THAT GO INTO MAKING PEOPLE IN A PARTICULAR AREA HEALTHY. THIS INCLUDES SOCIAL AND ENVIRONMENTAL FACTORS LIKE EMPLOYMENT, EDUCATION AND AIR QUALITY, INDIVIDUAL BEHAVIORS LIKE SMOKING OR HEALTHY EATING, AND THE QUALITY AND AVAILABILITY OF HEALTH CARE IN THEIR AREA. THIS INTRODUCTION PROVIDES AN OVERVIEW OF THE 2019 CHNA HEALTH PROFILE AND LVHN'S CHNA PROCESS. THE 2019 HEALTH PROFILE COMBINES DATA AND INFORMATION FROM LOCAL, STATE AND NATIONAL SOURCES ABOUT DISEASE, THE ENVIRONMENT, SOCIAL FACTORS AND INDIVIDUAL BEHAVIORS, WITH IDEAS, STORIES, AND EXPERIENCES FROM COMMUNITY MEMBERS AND LEADERS FROM THROUGHOUT THE COUNTIES SERVED BY LVHN. THE SECOND COMPONENT OF THE LVHN'S CHNA INCLUDES AN IMPLEMENTATION PLAN, WHICH OUTLINES OUR PLAN TO ADDRESS THE NEEDS IDENTIFIED IN THE HEALTH PROFILE OVER THE COURSE OF THE NEXT THREE YEARS. THE 2019 IMPLEMENTATION PLAN WILL BE SHARED AS A SEPARATE REPORT SOON AFTER THE HEALTH PROFILES ARE RELEASED.THE 2019 LVHN CHNA HEALTH PROFILE IS BROKEN OUT INTO THREE PRIMARY SECTIONS: DEMOGRAPHICS, HEALTH FACTORS, AND HEALTH OUTCOMES. THE DEMOGRAPHICS SECTION INCLUDES INFORMATION THAT PROVIDES A DESCRIPTION OF THE INDIVIDUALS LIVING IN THE COMMUNITY. THE HEALTH FACTORS SECTION INCLUDES INFORMATION ABOUT SOCIAL FACTORS, ENVIRONMENTAL FACTORS, HEALTH BEHAVIORS, AND THE QUALITY AND AVAILABILITY OF HEALTH CARE IN THE AREA. THE FINAL SECTION, HEALTH OUTCOMES, LOOKS AT THE OCCURRENCE OF CHRONIC CONDITIONS, SUCH AS ASTHMA AND HEART DISEASE, AS WELL AS RATES OF CANCER AND THE LEADING CAUSES OF DEATH. TO INCREASE THE READABILITY OF THE REPORT, THE COMMUNITY WILL FIND THREE TYPES OF CALL-OUT BOXES THROUGHOUT THE CHNA HEALTH PROFILES. THE FIRST TYPE SUMMARIZES SOME OF THE DATA PRESENTED ON THAT PAGE IN ORDER TO PROVIDE EASY-TO-READ, SUMMARY STATEMENTS OF IMPORTANT DATA ABOUT THE COMMUNITY. THESE SUMMARY STATEMENTS ARE ALSO COMPILED INTO ONE LIST AT THE END OF THE HEALTH PROFILE. THE SECOND TYPE PROVIDES INFORMATION FROM THE INTERVIEWS AND FOCUS GROUPS. THE THIRD TYPE OF CALL-OUT BOX HIGHLIGHTS DATA SPECIFIC TO LVHN PATIENTS, WHERE IT WAS RELEVANT. THESE REPORTS HAVE BEEN REVIEWED AND APPROVED BY LVHN'S BOARD OF TRUSTEES AS WELL AS THE COMMUNITY RELATIONS COMMITTEE OF THE BOARD.VISIT 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 PRIMARY SERVICE AREA OF LVH-CEDAR CREST (LVH-CC) CONSISTS OF LEHIGH, NORTHAMPTON, AND CARBON COUNTIES. BASED ON INFORMATION AVAILABLE FROM THE U.S. CENSUS BUREAU, FOR THE 2000 DECENNIAL CENSUS AND THE 2010 DECENNIAL CENSUS, THE POPULATION OF THE PRIMARY SERVICE AREA WAS APPROXIMATELY 637,958 PEOPLE IN 2000 AND WAS ESTIMATED TO BE 712,481 IN 2010. ACCORDING TO THE AMERICAN COMMUNITY SURVEY (U.S. CENSUS), THE ESTIMATED POPULATION FOR THE THREE-COUNTY AREA IN 2018 IS ESTIMATED AT 737,134.DURING THE CALENDAR YEAR 2018, 74.4% OF THE DISCHARGES FROM LVH-CC WERE RESIDENTS OF THE PRIMARY SERVICE AREA.THE SECONDARY SERVICE AREA CONSISTS OF BERKS, LUZERNE, MONROE, AND SCHUYLKILL COUNTIES AS WELL AS NORTHERN PORTIONS OF BUCKS AND MONTGOMERY COUNTIES. THE 2018 POPULATION OF THE SECONDARY SERVICE AREA WAS APPROXIMATELY 639,671. DURING THE CALENDAR YEAR 2018, 22.2% OF THE DISCHARGES FROM LVH WERE RESIDENTS OF THE SECONDARY SERVICE AREA.BASED ON PROPRIETARY DATA ESTIMATES (SCANUS), THE CURRENT POPULATION OF THE COMBINED PRIMARY AND SECONDARY LVH SERVICE AREAS IS PROJECTED, TO INCREASE APPROXIMATELY 2.5% BY THE YEAR 2024. DURING THE CALENDAR YEAR 2018, 3.4% OF THE DISCHARGES FROM LVH-CC WERE RESIDENTS OUTSIDE THE PRIMARY AND SECONDARY SERVICE AREAS. THE PRIMARY SERVICE AREA OF LVH-MUHLENBERG IS COMPRISED OF THE EASTERN PORTION OF LEHIGH COUNTY AND ALL OF NORTHAMPTON COUNTY. BASED ON U.S. CENSUS BUREAU DATA FOR THE YEAR 2010 CENSUS, THE POPULATION OF THE PRIMARY SERVICE AREA WAS APPROXIMATELY 413,156 PEOPLE. DURING THE CALENDAR YEAR 2018, ABOUT 91.4% OF THE DISCHARGES FROM LVH-MUHLENBERG 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 488,857.THE SECONDARY SERVICE AREA OF LVH-MUHLENBERG INCLUDES ALL OF CARBON COUNTY AND PORTIONS OF MONROE, SCHUYLKILL, BERKS, MONTGOMERY, AND BUCKS COUNTIES.THE 2010 POPULATION OF THE SECONDARY SERVICE AREA WAS ESTIMATED AT APPROXIMATELY 677,954. DURING THE CALENDAR YEAR 2018, ABOUT 6.3% OF THE DISCHARGES FROM LVH-MUHLENBERG WERE RESIDENTS OF THE SECONDARY SERVICE AREA. ACCORDING TO THE AMERICAN COMMUNITY SURVEY (U.S. CENSUS), THE ESTIMATED POPULATION FOR THE SECONDARY SERVICE AREA IN 2018 IS 678,213.BASED ON PROPRIETARY DATA ESTIMATES (SCANUS), THE CURRENT POPULATION OF THE COMBINED PRIMARY AND SECONDARY LVH SERVICE AREAS IS PROJECTED, TO INCREASE APPROXIMATELY 2.5% BY THE YEAR 2024. DURING THE CALENDAR YEAR 2018, 2.3% OF THE DISCHARGES FROM LVH-MUHLENBERG WERE RESIDENTS OUTSIDE THE PRIMARY AND SECONDARY SERVICE AREAS. DISCHARGES FROM THE SECONDARY SERVICE AREA ARE WIDELY DISPERSED FOR PATIENTS OF LVH-MUHLENBERG. SINCE THESE PATIENTS ARE RANDOMLY DISTRIBUTED, IT IS DIFFICULT TO DEFINE SECONDARY AND TERTIARY SERVICE AREAS. IT IS ASSUMED THE SECONDARY AND TERTIARY SERVICES AREA FOR LVH-MUHLENBERG WILL BE SIMILAR TO THOSE OF LVH-CC.
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, 2020.
PART III, SECTION B. MEDICARE, LINE 8	MEDICARE PROGRAM COSTS INCLUDED IN THE ANNUAL LVHN COMMUNITY BENEFIT REPORT NOT INCLUDED OR ALLOWABLE IN THE MEDICARE COST REPORT TOTALED $158,088,391. 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

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

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

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc
NURSING LOANS AND SCHOLARSHIPS	65	$815,649	BOOK
JIROLANO TUITION AIDE SCHOLARSHIP	1	$600	BOOK

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	LOAN 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, TWO 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, WE INVITE THEM TO MAKE AN APPOINTMENT TO SIGN THE CONTRACT. WE NOTARIZE THE CONTRACT AFTER WE HAVE BOTH 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 NO NEW DNP LOAN AGREEMENTS OFFERED IN FY'19. 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, 3.0 OR HIGHER FOR MSN. IF RN IS CURRENTLY 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 65 LOAN AGREEMENTS, 33 NEW RN-BSN SCHOLARSHIPS AND 24 MSN SCHOLARSHIPS AWARDED IN FY '19. THE TOTAL FUNDS USED FOR ALL LOAN AGREEMENTS AND SCHOLARSHIPS WAS $815,649.00.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROBERT BEGLIOMINI
PRESIDENT, LVH-M/TRUSTEE	$301,320	$0	$36,580	$0	-$5,544	$0	$0	$0	$39,435	$0	$371,791	$0	$0	$0
DEBORAH BREN DO
TRUSTEE	$272,969	$0	$44,334	$0	$10,763	$0	$0	$0	$35,865	$0	$363,931	$0	$0	$0
TERRY CAPUANO
PRESIDENT, LVH/TRUSTEE	$709,394	$0	$153,555	$0	$165,580	$0	$0	$0	$27,925	$0	$1,056,454	$0	$0	$0
WILLIAM M KENT MHA
TRUSTEE	$533,455	$0	$49,500	$0	$166,158	$0	$0	$0	$28,436	$0	$777,549	$0	$0	$0
JOSEPH E PATRUNO MD
TRUSTEE	$0	$293,552	$0	$3,731	$0	$136,259	$0	$0	$0	$41,365	$0	$474,907	$0	$0
THOMAS MARCHOZZI
TREASURER	$599,135	$0	$139,923	$0	-$4,740	$0	$0	$0	$18,584	$0	$752,902	$0	$0	$0
MATTHEW SORRENTINO ESQ
SECRETARY	$303,726	$0	$0	$0	$13,844	$0	$0	$0	$19,147	$0	$336,717	$0	$0	$0
ROBERT THOMAS
ASSISTANT TREASURER	$242,308	$0	$36,000	$0	-$1,605	$0	$0	$0	$27,478	$0	$304,181	$0	$0	$0
THOMAS V WHALEN MD MMM
ASSISTANT SECRETARY	$683,396	$0	$147,927	$0	$160,082	$0	$0	$0	$33,933	$0	$1,025,338	$0	$0	$0
BRIAN NESTER DO
PRESIDENT/CEO, LVHN	$1,151,619	$0	$347,161	$0	$312,789	$0	$0	$0	$39,436	$0	$1,851,005	$0	$0	$0
RAYMOND SINGER
PHYSICIAN-IN-CHIEF, SURGERY INSTITUT	$696,308	$0	$129,000	$0	$47,430	$0	$0	$0	$41,361	$0	$914,099	$0	$0	$0
DEBORAH SALAS-LOPEZ MD
ASSOC. CHIEF MEDICAL OFFICER	$568,111	$0	$98,374	$0	$105,244	$0	$0	$0	$22,933	$0	$794,662	$0	$0	$0
ROBERT MURPHY MD
CHIEF INTEGRATION OFFICER	$554,310	$0	$110,867	$0	$97,131	$0	$0	$0	$39,436	$0	$801,744	$0	$0	$0
PAUL TIRJAN
PRESIDENT, ALLSPIRE HEALTH PARTNERS	$525,400	$0	$156,000	$0	-$4,490	$0	$0	$0	$34,886	$0	$711,796	$0	$0	$0
GREGORY BRUSKO DO
FORMER TRUSTEE	$0	$159,664	$0	$0	$0	$21,460	$0	$0	$0	$15,260	$0	$196,384	$0	$0
JAMES F GEIGER
FORMER TRUSTEE	$384,239	$0	$51,000	$0	$50,469	$0	$0	$0	$33,933	$0	$519,641	$0	$0	$0
JAMES ROTHERHAM
FORMER ASST. TREASURER	$75,139	$0	$30,152	$0	$3,532	$0	$0	$0	$10,488	$0	$119,311	$0	$0	$0
DAVID SPRINGHETTI
FORMER SECRETARY	$176,346	$0	$66,420	$0	$445,813	$0	$0	$0	$8,382	$0	$696,961	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINES 4A-B	FormAndLineReferenceDesc
Explanation	THE FOLLOWING INDIVIDUAL RECEIVED A SEVERENCE PAYMENT FROM LEHIGH VALLEY HOSPITAL IN CALENDAR YEAR 2018: DAVID SPRINGHETTI, FORMER SECRETARY - $440,600 THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OF LEHIGH VALLEY HOSPITAL IN CALENDAR YEAR 2018: DEBORAH BREN, DO, TRUSTEE - $17,747 TERRY CAPUANO, PRESIDENT, LVH/TRUSTEE - $150,869 JAMES F. GEIGER, FORMER TRUSTEE - $44,323 WILLIAM M. KENT, MHA, TRUSTEE - $167,815 ROBERT MURPHY, MD, CHIEF INTEGRATION OFFICER - $99,609 BRIAN NESTER, DO, PRESIDENT/CEO, LVHN - $302,869 JAMES ROTHERHAM, FORMER ASSISTANT TREASURER - $2,835 DEBORAH SALAS-LOPEZ, MD, ASSOC. CHIEF MEDICAL OFFICER - $103,349 THOMAS V. WHALEN, MD, MMM, ASSISTANT SECRETARY - $139,213 THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OF LEHIGH VALLEY PHYSICIAN GROUP, A RELATED ORGANIZATION, IN CALENDAR YEAR 2018: GREGORY BRUSKO, DO, FORMER TRUSTEE - $20,113 JOSEPH E. PATRUNO, MD, TRUSTEE - $63,429	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
LEHIGH COUNTY GENERAL PURPOSE AUTHORITY
A	911886539	52480GBG8	2011-04-01	$169,745,000	REFUND 9/12/96 & 4/21/99A ISSUES; REISSUANCE OF 7/7/05 AND 6/5/08 ISSUES	0	0	0
LEHIGH COUNTY GENERAL PURPOSE AUTHORITY
B	911886539		2012-02-15	$18,665,000	REFUND 4/15/01 & 10/17/01 ISSUES	0	0	0
LEHIGH COUNTY GENERAL PURPOSE AUTHORITY
C	911886539		2012-06-01	$59,745,000	REISSUANCE OF 6/6/08 ISSUE	0	0	0
LEHIGH COUNTY GENERAL PURPOSE AUTHORITY
D	911886539	52480GCB8	2012-12-12	$154,924,763	CONSTRUCT, RENOVATE & EQUIP FACILITIES; REFUND 10/17/01 AND 5/21/03 ISSUES	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt
A	$57,890,000	$169,745,000	$169,505,000	$240,000	2011	Yes (1)	0	Yes (1)	Yes (1)
B	$13,890,000	$18,665,000	$18,330,782	$334,218	2012	Yes (1)	Yes (1)	Yes (1)	Yes (1)
C	$9,215,000	$59,745,000	$59,745,000		2012	Yes (1)	0	Yes (1)	Yes (1)
D	$285,000	$154,924,763	$74,558,690	$1,860,390	2012	Yes (1)	Yes (1)	Yes (1)	Yes (1)	$78,500,000	$5,683

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	D	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Business Name Line2HedgeProviderName/BusinessNameLine2Txt	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
MERRILL LYNCH &
A	0	0	Yes (1)	0	Yes (1)	Yes (1)	GOLDMAN SACHS	20.000000000000	0	0	0	0	Yes (1)
JPMORGAN CHASE
B	0	0	Yes (1)	0	Yes (1)	Yes (1)		10.400000000000	0	0	0	0	Yes (1)
(no name)
C	0	0	Yes (1)	0	Yes (1)	0					0	0	Yes (1)
(no name)
D	0	0	Yes (1)	0	0	0					0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
LEHIGH COUNTY GENERAL PURPOSE AUTHORITY
A	911886539	52480GCF9	2015-07-30	$147,969,788	CONSTRUCT, RENOVATE & EQUIP FACILITIES	0	0	0
LEHIGH COUNTY GENERAL PURPOSE AUTHORITY
B	911886539	52480GCX0	2016-09-15	$152,250,999	REFUND 9/15/05 & 6/4/08 ISSUES	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	RetiredRetiredAmt	Refunding EscrowRefundingEscrowAmt
A	$148,043,735	$1,764,000	$146,279,735	2017	0	0	Yes (1)	Yes (1)
B	$152,250,999	$1,741,586		2017	0	Yes (1)	Yes (1)	Yes (1)	$3,795,000	$150,509,413

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0	0	Yes (1)
B	0	0	0	0	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	0	Yes (1)	0	0	0	0	0	Yes (1)
B	0	0	Yes (1)	0	0	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	SUSAN C YEE-TRUSTEE	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	PARTNER IN 94 BRODHEAD ASSOCIATES - TRUSTEE OF LVHN/LVH/LVHH/HHWC	RelationshipDescriptionTxt
Transaction	$118,444	TransactionAmt
Transaction	94 BRODHEAD ASSOCIATES LEASES OFFICE SPACE TO LVPG AT FAIR MARKET VALUE.	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$11,675	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenuesTxt

Books And Publications BooksAndPublicationsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$3,350	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$140,678	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	133	ContributionCnt
Noncash Contributions Rpt F990	$28,268	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	TOYS/ACTIVITIES	154	$125,139	FAIR MARKET VALUE
Yes (X)	SERVICES	21	$95,908	FAIR MARKET VALUE
Yes (X)	GIFT CARDS	126	$19,337	COST
Yes (X)	MEDICAL EQUIPMENT	3	$11,408	FAIR MARKET VALUE

Field	Value	IRS element (for citing)
Form8283 Received	105	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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. IT HAS THE REGION'S ONLY CHILDREN'S ER, PEDIATRIC INTENSIVE CARE UNIT, 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. LVHN 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 LVHN 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 2019 WE ADMITTED OVER 4,600 CHILDREN TO OUR CHILDREN'S HOSPITAL, AND SAW OVER 20,000 IN OUR CHILDREN'S ER. THE REILLY CHILDREN'S HOSPITAL AFFILIATED PROFESSIONALS AND STAFF ARE COMMITTED TO IMPROVING THE HEALTH 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 A DOZEN 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, ADOLESCENT MEDICINE, PEDIATRIC GASTROENTEROLOGY, AND CHILD AND ADOLESCENT PSYCHIATRY. LVRCH CHILD PROTECTION TEAM AND THE CHILD ADVOCACY CENTER EVALUATE 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 SERVICE 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 EDUCATORS 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 HEALTH LIVING, ESPECIALLY GOOD NUTRITION. 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. 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 IN ALLENTOWN, PROVIDES 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, 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 2019, 393,601 PRESCRIPTIONS WERE FILLED AND 4,310 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: (1) COMPREHENSIVE HEALTH SERVICES: SERVING PATIENTS INFECTED OR AFFECTED BY HIV; (2) LVPG GERIATRICS: SPECIALIZED GERIATRIC CARE AS A CONSULTATIVE SERVICE AND SKILLED NURSING FACILITY PRIMARY CARE PROVIDER; (3) THE FLEMING MEMORY CENTER WHICH PROVIDES SUPPORT AND GUIDANCE TO PATIENTS AND FAMILIES AFFECTED BY MEMORY LOSS; (4) 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; (5) CENTRO DE SALUD: BI-LINGUAL/BI-CULTURAL INTERNAL MEDICINE CARE FOR LATINO FAMILIES; (6) CHILDREN'S CLINIC: PRIMARY CARE FOR NEWBORNS THROUGH YOUNG ADULTS, INCLUDING A PEDIATRIC RESIDENCY PROGRAM; (7) CHILD PROTECTIVE SERVICES: CONSULTS PROVIDED INPATIENT AND OUTPATIENT BY A CHILD ABUSE PEDIATRICIAN, LICENSED SOCIAL WORKER AND CRNP, IN COLLABORATION WITH LOCAL COUNTY AGENCIES; (8) DENTAL CLINIC: FULL DENTAL CARE PROVIDED TO CHILDREN AND ADULTS IN THE HOSPITAL SETTING AND MOBILE UNIT, IN ADDITION TO A DENTAL RESIDENCY PROGRAM; (9) HEPATITIS CARE CENTER: SPECIALTY PRACTICE FOCUSED ON VIRAL HEPATITIS; (10) FAMILY HEALTH CENTER: PRIMARY MEDICAL CARE FOR EVERY FAMILY MEMBER IN ADDITION TO A FAMILY MEDICINE RESIDENCY TEACHING PROGRAM; (11) 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; (12) 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 DELIVERING THE RIGHT INTERVENTION FOR A SPECIFIC PATIENT IN THE LEAST COSTLY POINT IN THE CARE CONTINUUM AND CREATING 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 FY19: 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, AND/OR MEDICATION ASSISTANCE COORDINATORS. COMMUNITY HEALTH WORKERS WERE ADDED TO THE TEAM AT THE END OF THE FY. THEY COLLABORATE WITH LVPG AND MEDICAL ASSOCIATES OF THE LEHIGH VALLEY (MATLV) 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 AND OTHER LVHN NETWORK SERVICES. IN FY19, CCT(S) TOUCHED OVER 40,000 UNIQUE PATIENTS AND OVER 117,000 TOTAL PATIENT CONTACTS BY PHONE, PORTAL COMMUNICATION, OR FACE TO FACE VISITS. CCT WORKFLOWS WERE REDESIGNED IN FY19 TO MATCH THE APPROPRIATE DELIVERY INTERVENTION TO MEET THE SPECIFIC CLINICAL NEED OF THE POPULATION AND PROVIDE CARE CLOSER TO HOME. UTILIZING A HUB- AND SPOKE MODEL, CCT(S) WERE CENTRALIZED IN 10 HUBS GEOGRAPHICALLY LOCATED IN OUR PATIENT'S COMMUNITIES. THIS REDESIGN ALLOWED THE CCT(S) TO EXPAND COVERAGE TO 12 ADDITIONAL LVPG FM/IM PRACTICES. IN ADDITION TO WORKING TO HELP PATIENTS GAIN INSURANCE, FOOD, SHELTER AND TRANSPORTATION, IN FY19 CCT(S) FACILITATED OVER $4.6 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 $13.6 MILLION DOLLARS IN FREE AND DISCOUNTED PATIENTS FOR LVHN PATIENTS. CCT GRANT COLLABORATIONS: A SAMSA WHOLE HEALTH CONNECTION GRANT IN THE AMOUNT OF $1.6 MILLION DOLLARS AIMED AT INTEGRATING A PRIMARY CARE PRACTICE WITH THE MENTAL HEALTH CLINIC AT MUHLENBERG. THE EMBEDDED CCT MODEL IS REPLICATED IN THIS LOCATION TO PROVIDE COMPLEX CARE COORDINATION TO CHRONICALLY ILL PATIENTS WITH CONFOUNDING MENTAL ILLNESS ISSUES. THIS PROGRAM ENROLLED 117 PATIENTS IN FY19 AND WILL SUNSET IN OCTOBER 2019. LVPG HAS AGREED TO MAINTAIN THE PRACTICE WITH THE SUPPORT OF CARE COORDINATION. CARE TRANSITIONS & NAVIGATIONS: THE CARE TRANSITIONS & NAVIGATIONS TEAM CONSISTS OF A CENTRALIZED CALL CENTER AND NAVIGATION TEAM. THE CENTRALIZED CALL CENTER CALLED 20,632 PATIENTS DISCHARGED FROM AN LVHN INPATIENT, OBSERVATION, OR INPATIENT REHABILITATION UNIT IN FY19 THAT ARE ATTRIBUTED TO OUR PRIMARY CARE PRACTICES. THESE NUMBERS DO NOT REPRESENT THE CALLS MADE FOR DISCHARGES FROM LVH-S, LVH-P, OR LVH-H; THIS DATA WILL BE AVAILABLE BEGINNING OCTOBER 2019. THIS DEPARTMENT FUNCTIONS 7 DAYS/WEEK COVERING ALL OWNED (LVPG) PRIMARY CARE PRACTICES. CALL COMPLIANCE WITHIN 2 BUSINESS DAYS AVERAGES 93%. THE TRANSITION MODEL TEAM WAS ADDED TO THE CENTRALIZED CALL CENTER TO PROVIDE GAP COVERAGE FOR THOSE DISCHARGED PATIENTS WHO HAVE A PCP OUTSIDE OF LVHN. THIS TEAM OF RN CARE MANAGERS CALLS PATIENTS DISCHARGED WITH HEART FAILURE, SEPSIS, AMI, PNEUMONIA, COPD, AND CABG WITHIN 2 BUSINESS DAYS OF DISCHARGE. CARE MANAGEMENT SERVICES ARE THEN PROVIDED FOR UP TO 30 DAYS POST-DISCHARGE. THE SAME SERVICE IS 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. IN FY2019, THIS TEAM WAS RESPONSIBLE FOR CALLING AN ADDITIONAL 9,500 PATIENTS POST-DISCHARGE. WITHIN THIS MODEL, THERE IS CLOSE COLLABORATION WITH THE HOSPITAL MEDICINE TEAM IN ORDER TO ENSURE CONTINUITY OF CARE POST-DISCHARGE FOR THESE POPULATIONS. THE NAVIGATION TEAM FORMED IN FY19, CONSISTING OF BOTH RN CARE NAVIGATORS AND PRE-ENGAGEMENT SPECIALISTS. THIS TEAM WAS CREATED IN RESPONSE TO LVHN'S JOURNEY WITH THE CMS BPCI-A PROGRAM. THE NAVIGATORS WORK WITH PATIENTS ADMITTED FOR TOTAL JOINT REPLACEMENT (UPPER AND LOWER), SPINAL SURGERY, COPD, AND CARDIAC DEVICE PLACEMENT. PATIENTS ARE FOLLOWED BY NAVIGATION SERVICES FOR 90 DAYS POST-DISCHARGE. IN THE SURGICAL CASES, ATTEMPTS TO ENGAGE THE PATIENT BEGIN PRIOR TO ADMISSION TO BEGIN DISCHARGE PLANNING ONE WEEK OUT. SINCE THE IMPLEMENTATION OF THIS PROGRAM IN OCTOBER 2019, THE TEAM HAS NAVIGATED 3,806 UNIQUE PATIENTS.
FORM 990, PART III, LINE 4C, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED):	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. MAGNET DESIGNATION IS FOR A PERIOD OF FOUR YEARS, AT WHICH TIME AN ORGANIZATION MUST REAPPLY. THE REAPPLICATION PROCESS IS INTENSE, NECESSITATING THAT HOSPITALS DEMONSTRATE INCREASINGLY HIGHER STANDARDS THAN PREVIOUS APPLICATIONS. IN 2006, 2011, AND 2016, LVH AND LVH-MUHLENBERG WERE RE-DESIGNATED AS MAGNET HOSPITALS, 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 OCTOBER 2013, THE MAGNET DESIGNATED HOSPITALS WERE HONORED WITH THE PRESTIGIOUS MAGNET PRIZE FOR INNOVATIONS IN TELEHEALTH. THE MAGNET PRIZE RECOGNIZES INNOVATIVE NURSING PROGRAMS AND PRACTICES IN ANCC MAGNET-DESIGNATED ORGANIZATIONS. THE $25,000 PURSE IS BEING USED TO CONTINUE, ADVANCE, AND DISSEMINATE THE WINNING INNOVATION. DEMONSTRATING OUR COMMITMENT TO NURSING EXCELLENCE AND QUALITY PATIENT CARE, IN 2020, LVH AND LVH-M WILL CONTINUE THE 'JOURNEY TO MAGNET EXCELLENCE' BY PURSUING OUR FIFTH MAGNET RE-DESIGNATION, TO DATE A FEAT ACCOMPLISHED BY LESS THAN 15 NATIONAL AND INTERNATIONAL HEALTHCARE FACILITIES.
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 MEMBER'S 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 ORGAZINATION'S GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11B	THE PROCESS TO REVIEW THE 990'S INCLUDES: DRAFT 1 OF THE RETURNS IS REVIEWED IN DETAIL WITH A FOCUS ON ACCURACY, COMPLETENESS, AND PERSPECTIVE BY THE LVHN VICE-PRESIDENT, FINANCE AND CONTROLLER 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 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	LEHIGH 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 19	THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH ITS ANNUAL REPORT TO THE COMMUNITY. THE ANNUAL REPORT IS DISTRIBUTED TO ALL ATTENDEES AT THE ORGANIZATIONS ANNUAL PUBLIC MEETING. THE ANNUAL REPORT IS AVAILABLE ON THE ORGANIZATION'S WEBSITE - WWW.LVHN.ORG. IN ADDITION, IT IS DISTRIBUTED VIA MAIL TO MEMBERS OF THE COMMUNITY. THE ORGANIZATIONS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11G	ACQUISITION FEES: PROGRAM SERVICE EXPENSES 3,517,202. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,517,202. AMBULANCE & MEDEVAC SERVICE FEES: PROGRAM SERVICE EXPENSES 1,341,390. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,341,390. BANK FEES: PROGRAM SERVICE EXPENSES 5,721,473. MANAGEMENT AND GENERAL EXPENSES 369,366. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,090,839. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 45,432,678. MANAGEMENT AND GENERAL EXPENSES 41,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,473,678. CONSULTING FEES: PROGRAM SERVICE EXPENSES 4,507,347. MANAGEMENT AND GENERAL EXPENSES 39,226,637. FUNDRAISING EXPENSES 55,368. TOTAL EXPENSES 43,789,352. FREIGHT CHARGES: PROGRAM SERVICE EXPENSES 928,538. MANAGEMENT AND GENERAL EXPENSES 443,652. FUNDRAISING EXPENSES 17,781. TOTAL EXPENSES 1,389,971. INFECTIOUS WASTE DISPOSAL: PROGRAM SERVICE EXPENSES 33,712. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,712. INTERPRETER FEES: PROGRAM SERVICE EXPENSES 1,132,839. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,132,839. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 8,303,085. MANAGEMENT AND GENERAL EXPENSES 219,562. FUNDRAISING EXPENSES 57,552. TOTAL EXPENSES 8,580,199. MEDICAL ASSISTANCE SVCS: PROGRAM SERVICE EXPENSES -11,590. MANAGEMENT AND GENERAL EXPENSES 2,243,055. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,231,465. OUTSIDE LAB TEST FEES: PROGRAM SERVICE EXPENSES 78,847,257. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 78,847,257. STORAGE FEES: PROGRAM SERVICE EXPENSES 1,020,801. MANAGEMENT AND GENERAL EXPENSES 37,951. FUNDRAISING EXPENSES 241. TOTAL EXPENSES 1,058,993. TEMPORARY LABOR: PROGRAM SERVICE EXPENSES 4,077,128. MANAGEMENT AND GENERAL EXPENSES 297,152. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,374,280. BLOOD PROCESSING FEES: PROGRAM SERVICE EXPENSES 7,109,712. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,109,712.
FORM 990, PART XI, LINE 9:	UNFUNDED PENSION -72,669,803. TRANSFERS TO AFFILIATES -80,910,557.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (20 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
FAMILY CARE CENTERS INC
206 E BROWN STREET	EAST STROUDSBURG	PA	183013006	232349341	PHYSICIAN PRACTICE ORGANIZATION	PA	501(C)(3)	LINE 3	LEHIGH VALLEY PHYSICIAN GROUP	0
HAZLETON HEALTH & WELLNESS CENTER
700 E BROAD STREET	HAZLETON	PA	182016835	232580968	STAFFING SERVICES	PA	501(C)(3)	LINE 12B, II	NORTHEASTERN PENNSYLVANIA HEALTH CORP	0
HAZLETON PROFESSIONAL SERVICES
700 E BROAD STREET	HAZLETON	PA	182016835	205880364	PHYSICIAN PRACTICE ORGANIZATION	PA	501(C)(3)	LINE 3	LEHIGH VALLEY PHYSICIAN GROUP	0
HAZLETON SURGICAL ALLIANCE
700 E BROAD STREET	HAZLETON	PA	182016835	202038456	SURGICAL SERVICES	PA	501(C)(3)	LINE 3	NORTHEASTERN PENNSYLVANIA HEALTH CORP	0
LEHIGH VALLEY HEALTH NETWORK
1200 S CEDAR CREST BLVD	ALLENTOWN	PA	181036202	222458317	PARENT COMPANY	PA	501(C)(3)	LINE 12C, III-FI		0	N/A
LEHIGH VALLEY HEALTH NETWORK REALTY HOLDING CO
1200 S CEDAR CREST BLVD	ALLENTOWN	PA	181036202	232586770	REAL ESTATE HOLDING CO.	PA	501(C)(2)		LEHIGH VALLEY HEALTH NETWORK	0
LEHIGH VALLEY HOSPITAL - 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
NORTHEASTERN PENNSYLVANIA HEALTH CORP
700 E BROAD STREET	HAZLETON	PA	182016835	232421970	HEALTH CARE ORGANIZATION	PA	501(C)(3)	LINE 3	LEHIGH VALLEY HEALTH NETWORK	0
POCONO AMBULATORY SERVICES INC
206 E BROWN STREET	EAST STROUDSBURG	PA	183013006	232611474	HEALTH CARE ORGANIZATION	PA	501(C)(3)	LINE 3	POCONO HEALTH SYSTEM	0
POCONO HEALTH FOUNDATION
206 E BROWN STREET	EAST STROUDSBURG	PA	183013006	232516451	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

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
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		LEHIGH VALLEY HOSPITAL	RELATED	$103,455	$975,002	0	0	0.97930
HEALTH NETWORK LABORATORIES LP
794 ROBLE ROAD	ALLENTOWN	PA	181099110	232948774	LABORATORY SERVICES	PA		LEHIGH VALLEY HOSPITAL	RELATED	$13,243,104	$256,383,725	0	0	0.96180
LEHIGH VALLEY IMAGING LLC
1230 S CEDAR CREST BLVD	ALLENTOWN	PA	181036202	464551937	IMAGING SERVICES	PA		LEHIGH VALLEY HOSPITAL	RELATED	$42,098,473	$31,714,855	0	0	0.72770
LVHN RECIPROCAL RISK RETENTION GROUP
151 MEETING STREET STE 301	CHARLESTON	SC	294012238	200037118	INSURANCE SERVICES	PA		LEHIGH VALLEY HEALTH NETWORK	RELATED		$13,843,329	0	0	0.20000
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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
AMERICAN PATIENT TRANSPORT SYSTEMS INC
119 EAST HOLLY STREET	HAZLETON	PA	182015507	233022467	EMS SERVICES	PA	N/A	C	0
HAZLETON SAINT JOSEPH MEDICAL OFFICE BUILDING INC
700 E BROAD STREET	HAZLETON	PA	182016835	232500981	MEDICAL OFFICE RENTAL	PA	N/A	C	0
LEHIGH VALLEY ANESTHESIA SERVICES PC
2100 MACK BLVD	ALLENTOWN	PA	181035622	233906125	ANESTHESIA SERVICES	PA	N/A	C	0
LEHIGH VALLEY HEALTH SERVICES INC
2100 MACK BLVD	ALLENTOWN	PA	181035622	232263665	HEALTH CARE RELATED SERVICES	PA	N/A	C	0
LEHIGH VALLEY PHYSICIAN HOSPITAL ORGANIZATION INC
2100 MACK BLVD	ALLENTOWN	PA	181035622	232750430	HEALTH CARE RELATED SERVICES	PA		C	0	LEHIGH VALLEY HOSPITAL	$2,485,901	$19,972,744	0.50000
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		C	0	LEHIGH VALLEY HOSPITAL		$5,162,516	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	WESTGATE PROFESSIONAL CENTER INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	K	TransactionTypeTxt
Involved	$50,275	InvolvedAmt
Method Of Amount Determination	FAIR MARKET VALUE	MethodOfAmountDeterminationTxt