2019-05-13T11:33:42-05:00 2018-06-30 990 2017-07-01 240795623 POCONO MEDICAL CENTER POCO 4848840130 206 EAST BROWN STREET EAST STROUDSBURG PA 18301 THOMAS MARCHOZZI EVP FINANCE & CFO 4848840130 2019-05-13 192.234.106.29 2019-05-13 12:21:01 ED P 8A070E74AE8581237DBB2AD4CBE985160B1554C1 8A070E74AE8581237DBB2AD4CBE985160B1554C1 2017 2019-02-21 02:37:17Z LEHIGH VALLEY HOSPITAL - POCONO ELIZABETH WISE 206 EAST BROWN STREET EAST STROUDSBURG PA 18301 378394522 0 X WWW.LVHN.ORG X 1915 PA TO PROVIDE WORLD-CLASS HEALTHCARE CLOSE TO HOME. 12 8 1890 275 0 0 10882650 988072 269062982 258667754 962981 9085723 626645 366821 281535258 269108370 38224707 0 0 0 113480594 98028878 0 0 0 161182418 136592783 312887719 234621661 -31352461 34486709 323351821 318460862 172565809 164068117 150786012 154392745 X OUR MISSION IS WHO WE ARE AND WHAT WE DO: TO PROVIDE WORLD CLASS CARE CLOSE TO HOME. OUR VISION IS WHAT WE AIM FOR TO BEST SERVE OUR COMMUNITY: TO BUILD A HEALTHIER COMMUNITY. 0 0 181289443 258667754 POCONO MEDICAL CENTER IS A 239 BED, ACUTE CARE, NOT-FOR-PROFIT COMMUNITY HOSPITAL LOCATED IN EAST STROUDSBURG, PA. WITH CLOSE TO 300 PHYSICIANS, NEARLY 2,000 STAFF MEMBERS, AND APPROXIMATELY 500 VOLUNTEERS, OUR ORGANIZATION'S MISSION IS TO PROVIDE WORLD-CLASS HEALTHCARE TO OUR COMMUNITY FOR THOSE SERVICES MOST CRITICAL TO THE COMMUNITY'S HEALTH NEEDS.PMC HAD 46,520 PATIENT DAYS OF STAY. 6,685 SURGERIES WERE COMPLETED, AND THE PMC RECEIVED 303,083 OUTPATIENT VISITS, INCLUDING OUR EMERGENCY DEPARTMENT (ED).PMC PROVIDES SERVICES OF DIRECT PATIENT CARE, COMMUNITY HEALTH EDUCATION, PROFESSIONAL AND PATIENT EDUCATION, AND COMMUNITY PARTNERSHIPS. PMC PROVIDED QUALITY, COST-EFFECTIVE HEALTHCARE REGARDLESS OF AGE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENTS FOR SERVICES RENDERED ARE CRITICAL TO THE OPERATION AND STABILITY OF PMC, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS HAVE THE SAME ABILITY TO PAY FOR VITAL MEDICAL SERVICES. TO THAT END, AS PART OF OUR CHARITABLE MISSION TO SERVE ALL MEMBERS OF THE COMMUNITY, FREE CARE, SUBSIDIZED CARE, AND HEALTH ACTIVITIES, PROGRAMS, AND SCREENINGS ARE AVAILABLE TO ALL COMMUNITY MEMBERS, REGARDLESS OF THEIR ABILITY TO PAY.EMERGENCY DEPARTMENTPMC PROVIDES A NUMBER OF DIRECT PATIENT CARE SERVICES TO THE UNINSURED AND UNDERINSURED IN OUR COMMUNITY. THE ED TYPICALLY SERVES AS THE PRINCIPAL MEANS OF HEALTHCARE FOR THESE PATIENTS. DURING FY 2018, THE ED SAW OVER 51,602 PATIENTS, NEARLY 10% ARE ADMITTED TO THE HOSPITAL THROUGH THE ED AND MAKE UP 48% OF OUR TOTAL ADMISSIONS.ESSA HEART AND VASCULAR INSTITUTEPMC'S ESSA HEART AND VASCULAR INSTITUTE (HVI) PROVIDES COMPREHENSIVE CARE FOR ADDRESSING THE SECOND HIGHEST CAUSE OF DEATH OF ADULTS IN OUR COUNTY, HEART DISEASE. OUR PROGRAM, ESTABLISHED IN 2007, HAS PERFORMED OVER 3,500 OPEN-HEART SURGERIES SINCE 2009. IN THE YEARS FOLLOWING THE ESSA HVI HAS RECEIVED FULL ACCREDITATION BY THE SOCIETY OF CHEST PAIN CENTER AS A HEART FAILURE CENTER AND A CHEST PAIN CENTER. FOR THE CONVENIENCE OF OUR PATIENTS AND TO IMPROVE OPERATIONAL EFFICIENCIES, WE CENTRALIZED OUR CARDIAC CARE SERVICES AND OPENED A NEW HEART RHYTHM CENTER. THE CARDIAC CATHERIZATION LABS, CARDIAC REHABILITATION DEPARTMENT, AND VARIOUS NON-INVASIVE CARDIAC SERVICES (SUCH AS PACEMAKER CHECKS, CARDIAC STRESS TESTING, NUCLEAR STRESS TESTING, PULMONARY REHAB, AND STRESS ECHO) WERE RELOCATED TO OFFER COMPREHENSIVE HEART CARE IN ONE LOCATION. IN ADDITION TO OFFERING MINIMALLY INVASIVE SURGICAL PROCEDURES TO TREAT HEART ARRHYTHMIAS, OUR HEART RHYTHM CENTER PROVIDES A FULLY EQUIPPED ELECTROPHYSIOLOGY (EP) LAB. THE EP LAB PROVIDES ATRIAL AND VENTRICULAR NODE DIAGNOSTICS AND ABLATION, INTRA CARDIAC 3D ECHO AND 3D CARDIO CAPABILITIES, AS WELL AS BI-VENTRICULAR PACEMAKER - SERVICES PATIENTS PREVIOUSLY HAD TO TRAVEL TO OTHER FACILITIES TO RECEIVE.24/7 EXPERT STROKE CAREPMC JOINED THE JEFFERSON NEUROSCIENCE NETWORK, GIVING OUR PATIENTS AND PHYSICIANS ON-CALL ACCESS TO EXPERT STROKE TEAMS. JEFFERSON EXPERT TELECONSULTING IS THE REGION'S FIRST HIGH-TECH, ROBOTIC SYSTEM THAT ENABLES PHYSICIANS TO PROVIDE FASTER DIAGNOSIS AND MORE EFFECTIVE TREATMENT.LEVEL III TRAUMA CENTEROUR LEVEL III TRAUMA DESIGNATION BRINGS AN ADVANCED, LIFESAVING LEVEL OF CARE FOR SEVERELY INJURED PATIENTS, CLOSE TO HOME. THIS MILESTONE ALLOWED US TO PROVIDE QUALITY, PATIENT-CENTERED TRAUMA CARE TO THE INDIVIDUALS WHO LIVE, VISIT, AND WORK IN OUR COMMUNITY. OUR COORDINATED, COMPREHENSIVE TEAM OF TRAUMA SURGEONS, ORTHOPEDIC SURGEONS, CARDIAC SURGEONS, RADIOLOGISTS, NURSES, LAB IMAGING TECHNICIANS, AND OTHER SUPPORT STAFF ARE AVAILABLE 24 HOURS A DAY, 365 DAYS A YEAR.ADVANCED WOUND CAREOUR WOUND CARE CENTER HAS TWO HYPERBARIC OXYGEN THERAPY CHAMBERS, ENHANCING THE CENTER'S ABILITY TO CARE FOR PATIENTS WITH WOUNDS THAT DON'T HEAL AS THEY SHOULD. INSIDE THE CHAMBER, A PATIENT BREATHES PURE OXYGEN AT A PRESSURE TWO TO THREE TIMES HIGHER THAN NORMAL. THE THERAPY IS DESIGNED TO PROMOTE HEALING OF DAMAGED TISSUE.WELLNESS PROGRAMAS A FREE WELLNESS PROGRAM AT POCONO MEDICAL CENTER, PMC HEALTHY LIVING AIMS TO MOTIVATE AND INSPIRE PEOPLE TO MAKE POSITIVE CHANGES IN ORDER TO LEAD THEIR HEALTHIEST, HAPPIEST LIFE. AS A MEMBER, PEOPLE THROUGHOUT THE POCONOS ARE PROVIDED WITH LIFE-CHANGING HEALTH INFORMATION AND ACCESS TO MEDICAL SERVICES AVAILABLE THROUGH LEADING EXPERTS, FUN AND INFORMATIONAL ACTIVITIES. AT PMC, WE OFFER A WIDE VARIETY OF HEALTHY LIVING PROGRAMS, INCLUDING:-EDUCATIONAL TALKS BY HEALTH CARE PROVIDERS-COMMUNITY WELLNESS EVENTS-FREE HEALTH SCREENINGS-MEMBERSHIP EVENTS AND ACTIVITIES THAT ARE GEARED AT IMPROVING YOUR LIFESTYLE AND HAVING FUN-MONTHLY EMAILS ABOUT WHAT'S GOING ON IN THE COMMUNITY AND INFORMATION ON CURRENT HEALTH TOPICS.MEDICAL HOMEWITH ALL SERVICES TO BE IN ONE LOCATION, OUR COMPREHENSIVE AND COORDINATED MEDICAL HOME CARES FOR PATIENTS AND FAMILIES WITH CHRONIC DISEASES AS WELL AS EXPERT SPECIALTY CARE. THIS PATIENT AND FAMILY-CENTERED APPROACH PROVIDES HEALTH CARE THAT WILL ENCOMPASS THE ENTIRE SPECTRUM OF TREATMENT WITH AN EMPHASIS ON PRIMARY CARE AND PREVENTIVE MEDICINE. THIS INCLUDES AN ENDOCRINOLOGY SERVICE LINE THAT PROVIDES THE LATEST PROCEDURES AND TECHNIQUES FOR HORMONE IMBALANCES, DERMATOLOGY FOR TREATMENT OF SKIN DISORDERS, VASCULAR SURGERY, OBSTETRICS/GYNECOLOGY, AND BEHAVIORAL HEALTH FOR THOSE WITH MENTAL HEALTH DISORDERS. THE POCONO HEALTH SYSTEM COMMUNITY CARE NETWORK WILL ASSIST THOSE PATIENTS THAT REQUIRE ADDITIONAL SERVICES AT HOME. IMMEDIATE CARE CENTERS ARE ASSOCIATED WITH EACH MEDICAL HOME TO PROVIDE URGENT TREATMENT WHEN NEEDED WITHOUT REQUIRING AN APPOINTMENT. PMC OPENED THE BARTONSVILLE HEALTHCARE CENTER, AS WELL AS THE NEW WEST END HEALTHCARE CENTER, LOCATED IN BRODHEADSVILLE. THESE NEW LOCATIONS PROVIDE CONVENIENT ACCESS FOR MEDICAL CARE WITH COMPREHENSIVE SERVICES INCLUDING PRIMARY CARE, ENDOCRINOLOGY, OB/GYN, BREAST CENTER INCLUDING 3D MAMMOGRAPHY, IMAGING, AND A LAB.IMMEDIATE CARE CENTERDOTTED THROUGHOUT THE POCONOS, PMC'S IMMEDIATE CARE CENTERS ARE ESTABLISHED IN EAST STROUDSBURG, BARTONSVILLE, TOBYHANNA, AND BRODHEADSVILLE. THEY OFFER WALK-IN MEDICAL CARE 12 HOURS A DAY, WITHOUT THE COST OF ED CO-PAYS. THESE FACILITIES ARE FULLY BACKED BY THE SERVICES AT PMC.RECENT ACCOMPLISHMENTS:-PMC RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S PRESTIGIOUS GET WITH THE GUIDELINES - STROKE SILVER QUALITY ACHIEVEMENT AWARD.-PMC EARNED AN "A" GRADE FOR PATIENT SAFETY FROM THE LEAPFROG GROUP, A NATIONAL NONPROFIT ORGANIZATION THAT COLLECTS DATA AND REPORTS HOSPITALS' PERFORMANCE BY ASSIGNING A TRADITIONAL LETTER GRADE.-HEALTHGRADES HAS AWARDED LABOR & DELIVERY AT PMC WITH ITS PRESTIGIOUS 5-STAR RATING FOR SUPERIOR DELIVERY OF PATIENT CARE.-HEALTHGRADES HAS AWARDED OB/GYN AT PMC WITH ITS PRESTIGIOUS 5-STAR RATING FOR EXCELLENCE IN PATIENT CARE.-PMC WAS RECOGNIZED AS ONE OF THE BEST HOSPITALS FOR 2015-2016 IN PENNSYLVANIA BY U.S. NEWS & WORLD REPORT FOR BOTH HEART FAILURE AND BYPASS SURGERY.-PMC RECEIVED THE 2016 HEALTHGRADES PATIENT SAFETY EXCELLENCE AWARD. THIS ELITE DISTINCTION PLACES PMC IN THE NATION'S TOP 10% OF ALL HOSPITALS EVALUATED FOR THEIR PERFORMANCE IN SAFEGUARDING PATIENTS FROM SERIOUS, POTENTIALLY PREVENTABLE COMPLICATIONS DURING THEIR HOSPITAL STAYS. DALE AND FRANCES HUGHES CANCER CENTEROFFICIALLY OPENING ITS DOORS ON JUNE 18, 2012, THE NEW DALE & FRANCES HUGHES CANCER CENTER PROVIDES A FULL LINE OF STATE-OF-THE-ART CANCER TREATMENT SERVICES FOR PATIENTS IN OUR COMMUNITY, WITH A HUMAN-CENTERED APPROACH THAT EMBRACES GENUINE RESPECT AND COMPASSION FOR PATIENTS AND THEIR LOVED ONES. THE HUGHES CANCER CENTER ALSO RECEIVED A THREE-YEAR ACCREDITATION FROM THE AMERICAN COLLEGE OF RADIATION ONCOLOGY AND WAS AWARDED THE OUTSTANDING ACHIEVEMENT AWARD OF THE COMMISSION ON CANCER FOR 2011.THE HUGHES CANCER CENTER OFFERS SOME OF THE MOST SOPHISTICATED RADIATION EQUIPMENT, FACILITIES, AND EXPERTLY TRAINED STAFF FOR CANCER TREATMENT, INCLUDING A CERTIFIED MEDICAL DOSIMETRIST, TWO RADIATION PHYSICISTS, AND A DEDICATED SURGICAL ONCOLOGIST. THE CENTER IS ONE OF THE FIRST OF 25 CANCER CENTERS IN THE COUNTRY TO USE INTENSITY MODULATED RADIATION THERAPY (IMRT) AND ONE OF THE FIRST 50 IN THE WORLD TO USE IMAGE-GUIDED RADIATION THERAPY (IGRT). THE HUGHES CANCER CENTER CONTINUES TO EXPLORE NEW, INNOVATIVE TREATMENTS, SUCH AS USING STEREOTACTIC BODY RADIATION THERAPY FOR TREATING NON-OPERABLE LUNG CANCER - THE LEADING CANCER IN OUR COMMUNITY AND NATIONWIDE. IN ADDITION, RADIATION ONCOLOGISTS HAVE ALSO IMPLEMENTED PARTIAL BREAST IRRADIATION AS A TREATMENT PROTOCOL.PERHAPS EQUALLY AS IMPORTANT AS OUR LEADING EDGE TECHNOLOGY IS THE COMPASSION AND COMMITMENT OUR PHYSICIANS AND NURSES AT THE HUGHES CANCER CENTER BRING TO EACH AND EVERY PATIENT. TO THAT END, THE HUGHES CANCER CENTER OFFERS A VARIETY OF SUPPORT SERVICES FOR PATIENTS AND FAMILIES DEALING WITH CANCER DIAGNOSIS AND TREATMENT. OUR SUPPORT SERVICES INCLUDE A COMPLIMENTARY ALTERNATIVE MEDICINE PROGRAM, A FULL-TIME BREAST HEALTH NURSE NAVIGATOR AND THORACIC NURSE NAVIGATOR DEDICATED TO ASSISTING PATIENTS AND THEIR LOVED ONES WHO HAVE BEEN DIAGNOSED WITH BREAST AND LUNG CANCER. SURVIVORSHIP PROGRAMS, EDUCATIONAL SERVICES, SOCIAL SERVICES, COUNSELING AND GROUP SUPPORT, PASTORAL CARE, AND MORE ARE ALSO A PART OF THE SUPPORT SERVICES. IN ADDITION, FREE SCREENINGS, INCLUDING PROSTATE, BREAST, SKIN, ORAL, AND COLORECTAL ARE OFFERED TO THE COMMUNITY THROUGHOUT THE YEAR.THE CULMINATION OF OUR EFFORTS TOWARDS EXCELLENCE HAS RESULTED IN THE 59,000 SQUARE-FOOT HUGHES CANCER CENTER, OPENED IN 2012, FEATURING STATE-OF-THE-ART TECHNOLOGIES, PATIENT CENTERED DESIGN, AND COMPREHENSIVE CANCER CARE UNDER ONE ROOF. PMC OUTPATIENT DIAGNOSTIC LABORATORYPMC'S OUTPATIENT LABORATORY IS RECOGNIZED AS THE PRINCIPAL PROVIDER OF THE FINEST CLINICAL DIAGNOSTIC SERVICES TO OUTPATIENTS, AS WELL AS PHYSICIAN OFFICES AND NURSING HOMES IN THE AREA. IN FISCAL YEAR 2018, POCONO MEDICAL CENTER'S OUTPATIENT DIAGNOSTIC LAB TESTS TOTALED 287,966 INCLUDING NURSING HOME COLLECTIONS AND OUTPATIENT TESTS AT OUTPATIENT COLLECTION SITES.IMPROVING QUALITY, CONTINUITY OF CARETO BETTER SERVE PATIENTS AT EVERY STAGE OF THEIR LIVES, PHS ACQUIRED THE VISITING NURSE ASSOCIATION (VNA) AND HOSPICE OF MONROE COUNTY. THIS ADDITION STRENGTHENS OUR ABILITY TO DELIVER ONGOING HEALTH CARE TO PATIENTS AND THEIR FAMILIES IN THE COMFORT OF THEIR HOMES.LEARNING INSTITUTETHE LEARNING INSTITUTE, AN OFF-SITE EDUCATIONAL FACILITY OPERATED BY PHS AND STAFFED BY PMC/NFP NURSE EDUCATORS AND HUMAN RESOURCE DEVELOPMENT TRAINING STAFF, OFFERS COURSES AND SEMINARS TO PHS EMPLOYEES AND COMMUNITY MEMBERS, INCLUDING CPR CERTIFICATION AND RE-CERTIFICATION, IN-SERVICE TRAINING, PHTLS (PRE-HOSPITAL TRAUMA LIFE SUPPORT) COURSES, PREPARED CHILDBIRTH AND BREASTFEEDING CLASSES. THE LEARNING INSTITUTE ALSO HOUSES A LOCAL NURSE-FAMILY PARTNERSHIP (NFP) PROGRAM, WHICH IS A NATIONAL, RESEARCH-BASED ORGANIZATION DEDICATED TO IMPROVING THE QUALITY OF LIFE FOR LOW-INCOME CHILDREN AND FAMILIES.PROFESSIONAL DEVELOPMENTCONTINUING EDUCATION OPPORTUNITIESTHE CONTINUING EDUCATION PROCESS PROVIDES OPPORTUNITIES TO THE ORGANIZATION AND EMPLOYEES TO REQUEST ATTENDANCE AT OFF-SITE MEETINGS AND PROGRAMS PERTAINING TO HEALTH CARE ORGANIZATIONS AND JOB SPECIFICATIONS.AMERICAN HEART ASSOCIATION CERTIFICATION PROGRAMSAS A DESIGNATED AMERICAN HEART ASSOCIATION PROGRAM PROVIDER, POCONO HEALTH SYSTEM CERTIFIES ALL EMPLOYEES WHO ENROLL IN BLS (BASIC LIFE SUPPORT), ACLS (ADVANCED LIFE SUPPORT), AND PALS (PEDIATRIC ADVANCED LIFE SUPPORT).NURSE-FAMILY PARTNERSHIPNATIONALLY, THE NURSE-FAMILY PARTNERSHIP (NFP) IS A RESEARCH-BASED ORGANIZATION DEDICATED TO IMPROVING THE QUALITY OF LIFE FOR LOW-INCOME CHILDREN AND FAMILIES AND CELEBRATED 16 YEARS OF SERVICE IN JULY 2018. POCONO MEDICAL CENTER'S NURSE-FAMILY PARTNERSHIP PROVIDES CRUCIAL SERVICES TO LOCAL AT-RISK NEW MOTHERS. REGISTERED NURSES WITH SPECIAL TRAINING IN PRENATAL AND INFANT CARE AS WELL AS PSYCHOSOCIAL DEVELOPMENT VISIT EXPECTANT MOTHERS IN THEIR OWN HOMES. THE VISITS BEGIN IN EARLY PREGNANCY AND CONTINUE UNTIL THE CHILD IS TWO YEARS OLD. HEALTHY LIFESTYLE HABITS ARE EMPHASIZED, PARENTING SKILLS ARE DEVELOPED, AND CAREER COUNSELING IS OFFERED. IN ADDITION, LIFESTYLE SKILLS SUCH AS MAKING THE HOME A SAFE PLACE FOR BABY, CONFLICT RESOLUTION, AND FISCAL RESPONSIBILITY ARE INTRODUCED THROUGH INDIVIDUAL INSTRUCTION AND GROUP ACTIVITIES. SINCE ITS INCEPTION IN AUGUST 2002, THE NURSE-FAMILY PARTNERSHIP OF MONROE COUNTY HAS ENROLLED 1,125 MOMS IN THE NFP PROGRAM.DIABETES EDUCATIONCERTIFIED DIABETIC EDUCATORS, INCLUDING OUR NEW ENDOCRINOLOGY SERVICE LINE WITH DEDICATED ENDOCRINOLOGIST, REGISTERED NURSES, AND DIETICIANS, CONDUCT PMC'S SUCCESS WITH THE DIABETES SELF-MANAGEMENT PROGRAM, PROVIDING OUR COMMUNITY MEMBERS WITH THE TOOLS AND KNOWLEDGE THEY NEED TO ENSURE A HEALTHY LIFESTYLE. SELF-MANAGEMENT EDUCATION IS AN ESSENTIAL PART OF DIABETES TREATMENT. COMBINED WITH MEDICAL AND NUTRITIONAL THERAPY, EDUCATION GIVES THE LEARNER THE ABILITY TO BECOME AN ACTIVE PARTICIPANT IN HIS/HER CARE. WELL-MANAGED DIABETES HAS BEEN SHOWN TO PREVENT AND/OR DELAY THE ACUTE AND CHRONIC COMPLICATIONS OF DIABETES AND REDUCE THE NUMBER AND LENGTH OF HOSPITAL ADMISSIONS. EDUCATIONAL TOPICS PROVIDED BY PMC'S SUCCESS WITH DIABETES SELF-MANAGEMENT PROGRAM INCLUDE:- OVERVIEW OF DIABETES- BEHAVIOR CHANGE STRATEGIES- BLOOD GLUCOSE LEVELS- PREVENTION, DETECTION, AND TREATMENTS OF ACUTE AND CHRONIC COMPLICATIONS- FOOT, SKIN, AND DENTAL CARE- STRESS MANAGEMENT AND PSYCHOLOGICAL ADJUSTMENT- GOAL SETTING- RISK FACTOR REDUCTION- PROBLEM SOLVING- APPROPRIATE USE OF HEALTH CARE SYSTEMS AND COMMUNITY RESOURCESCOMMUNITY HEALTH AND OUTREACHTHE PMC COMMUNITY HEALTH AND OUTREACH PROGRAM IS COMMITTED TO PROVIDING THE TOOLS AND SERVICES NECESSARY FOR HELPING OUR COMMUNITY MEMBERS TO ENJOY LONGER, HEALTHIER LIVES. A VARIETY OF PROGRAMS OFFER A HOST OF CRUCIAL HEALTH AND WELLNESS SERVICES CONVENIENTLY DELIVERED TO BUSINESSES, CHURCHES, OR SOCIAL GROUPS AT NO COST. THE SCREENINGS AND SERVICES INCLUDED ARE: CARDIAC RISK ASSESSMENTS, BREAST CANCER RISK, PROSTATE CANCER, SKIN CANCER, HEALTHY LUNCH AND LEARNS, HEALTH AND WELLNESS SEMINARS AND TALKS, AND SUPPORT GROUPS.WOMEN'S AND CHILDREN'S SERVICESTHE LEVEL II NICU COMPLIMENTS A HOST OF OTHER SERVICES WITHIN OUR OB-GYN SERVICE LINE, INCLUDING PERINATOLOGY FOR HIGH-RISK MOTHERS, MATERNAL-FETAL SERVICES, A MIDWIFERY PROGRAM AND A UROGYNECOLOGY PROGRAM THAT PROVIDES ADVANCED TREATMENT, INCLUDING MINIMALLY-INVASIVE SURGERY, FOR CONDITIONS SUCH AS INCONTINENCE, ABNORMAL BLEEDING, AND OTHERS. PMC ALSO OFFERS DIGITAL MAMMOGRAPHY AND THE MOST TECHNOLOGICALLY-ADVANCED BREAST CANCER TREATMENTS. WE ALSO HAVE DEDICATED BREAST HEALTH NURSE NAVIGATORS TO ASSIST PATIENTS WITH A BREAST CANCER DIAGNOSIS AND THE TREATMENT PROCESS. FOUR CONVENIENTLY LOCATED PMC PHYSICIAN ASSOCIATE OB-GYN PRACTICES ARE LOCATED IN KEY AREAS THROUGHOUT THE COMMUNITY TO IMPROVE ACCESS TO CARE. 181289443 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 218 0 1 1890 1 0 0 0 0 0 0 0 0 0 0 X 12 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X X X THE ORGANIZATION 4848840130 2100 MACK BLVD PO BOX 4000 ALLENTOWN PA 181054000 W ANDREW WORTHINGTON CHAIRMAN 1.00 1.00 X X 0 0 0 ANDREW A FORTE VICE-CHAIR/TREASURER 1.00 1.00 X X 0 0 0 R DOUGLAS OLMSTEAD SECRETARY 1.00 2.00 X X 0 0 0 ELIZABETH WISE PRESIDENT/CEO 40.00 20.00 X X 505386 0 36508 RAJESH G BHAGAT MD DIRECTOR 1.00 2.00 X 0 0 0 LYNN A COURTRIGHT DIRECTOR 1.00 1.00 X 0 0 0 THOMAS GRAYUSKI DIRECTOR 1.00 3.00 X 0 0 0 ELIZABETH KOSTER DIRECTOR 1.00 3.00 X 0 0 0 VINCENT FRANCESCANGELI MD DIRECTOR 34.00 6.00 X 290552 0 14386 CAROLYN BORTZ DIRECTOR 1.00 1.00 X 0 0 0 TERRY CAPUANO DIRECTOR 5.00 55.00 X 0 1174664 38635 EDWARD DOUGHERTY DIRECTOR 5.00 55.00 X 0 679417 31436 STEPHEN CUNNINGHAM SVP & CHIEF DEVELOPMENT OF 40.00 2.00 X 320770 0 36956 LYNN LANSDOWNE VP OF HUMAN RESOURCES 40.00 X 258766 0 47952 WILLIAM CORS VP OF MEDICAL AFFAIRS 40.00 1.00 X 445871 0 61846 LAMONT LOUIS VP PHYSICIAN NETWORK 39.00 1.00 X 295904 0 33120 FERDINAND FEOLA VP & CHIEF INFORMATION OFF 40.00 X 278324 0 44611 VIRGINIA GORTYCH-BARNES PHYSICIAN ADVISOR 40.00 X 258273 0 7748 LOUIS NARDELLA CLINICAL PSYCHIATRIST 40.00 X 221952 0 11098 GEOFFREY DIECK CLINICAL MEDICAL PHARMACIS 40.00 X 188278 0 9414 WILLIAM BEDWICK DIRECTOR, PHARMACY 40.00 X 174893 0 8745 JOHN KLUTCH LABOR/EMPLOYMENT COUNSEL 40.00 X 210172 0 10509 JEFF SNYDER FORMER PRESIDENT/CEO 0.00 0.00 X 2573190 0 0 WILLIAM THOMA FORMER SVP FINANCE/CFO 0.00 0.00 X 301678 0 54910 6324009 1854081 447874 78 1 1 0 EMERGENCY PHYSICIAN ASSOCIATES PO BOX 634850 CINCINNATI OH 45263 PHYSICIAN SERVICES 3102916 QUEST DIAGNOSTICS 12436 COLLECTIONS CENTER DRIVE CHICAGO IL 606932436 LAB TESTING 1692208 BOYLE CONSTRUCTION 1209 HAUSMAN ROAD SUITE B ALLENTOWN PA 18104 CONSTRUCTION 1246843 METZ CULINARY MANAGEMENT 2 WOODLAND DRIVE DALLAS PA 18612 DINING MANAGEMENT SERVICES 1236269 CERNER HEALTH SERVICES INC 51 VALLEY STREAM PARKWAY MALVERN PA 19355 INFORMATION TECHNOLOGY SERVICES 1134075 57 988072 988072 PATIENT SERVICE REVENUE 622000 257632547 257632547 OTHER REVENUE 900099 1035207 1035207 258667754 2219555 2219555 54637 1366 53271 53271 53271 116150954 108231865 1052921 7919089 -1052921 6866168 6866168 TOBACCO SETTLEMENT 900099 313550 313550 313550 269108370 258667754 0 9452544 2395573 1628989 766584 76821808 52238829 24582979 -1153038 -784066 -368972 14301195 9724815 4576380 5663340 3851071 1812269 782015 531770 250245 59579 40514 19065 121387 82543 38844 40565 27584 12981 20841153 14171984 6669169 914689 621989 292700 10832320 7365978 3466342 646523 439636 206887 13953596 9488445 4465151 162575 110551 52024 89023 60566 28457 3992636 2714992 1277644 14079667 9574174 4505493 -49323 -33540 -15783 MEDICAL SUPPLIES & DRUG 40056401 40056401 BAD DEBT 23350035 23350035 STATE MA ASSESSMENT 4551945 4551945 2167997 1474238 693759 234621661 181289443 53332218 0 1475 1760 15060195 617274 27854447 26744021 0 4331978 4784384 4886893 5077114 183354275 25689258 139371854 157665017 120281977 114903414 11563002 8667878 323351821 318460862 26816696 20569581 116796188 114741188 0 28952925 28757348 172565809 164068117 X 150786012 154392745 0 0 0 150786012 154392745 323351821 318460862 X 34486709 -4657623 -26222353 X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 0 0 PART II-B, LINE 1: THE ORGANIZATION PAYS DUES TO AHA AND HAP. THE MEMBERSHIP DUES FOR AHA AND HAP ARE PAID BY LEHIGH VALLEY HOSPITAL, INC. THEREFORE, THE LOBBYING PORTION OF THE DUES ARE REFLECTED ON THE LEHIGH VALLEY HOSPITAL, INC. FORM 990, SCHEDULE C. 1315089 32486 5000 1342575 1386530 32165 80750 3661 19195 1315089 1400692 52051 64590 1623 1386530 1373626 66059 34000 4993 1400692 2499842 2499842 119302166 10855692 108446474 2089200 527184 1562016 41789626 14301773 27487853 17673441 4609 17668832 157665017 INTEREST RATE SWAP AGREEMENT 2238371 ASSET RETIREMENT OBLIGATION 745641 DEFERRED COMPENSATION 7998048 INSURANCE LIABILITY 13820580 PENSION PLAN PAYABLE -1023063 DUE TO 3RD PARTY PAYOR 4977771 28757348 X PART X, LINE 2: THE ORGANIZATION AND ITS SUBSIDIARIES ARE GENERALLY EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT FOR TAX IMPOSED ON UNRELATED BUSINESS INCOME. THE MOST RECENT DETERMINATION LETTER, RECEIVED BY THE ORGANIZATION, IS DATED MAY 1, 2014. THE ORGANIZATION 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 OF NET OPERATING LOSS CARRYFORWARDS. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. INCOME TAXES OF THE ORGANIZATION'S TAX-EXEMPT AND FOR-PROFIT COMPONENTS ARE NOT MATERIAL TO THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. 1 1 X 1 X 1 X 1 1 0 1 1 4488016 4488016 0.02120 32329973 16072857 16257116 0.07690 36817989 16072857 20745132 0.09810 285176 285176 0.00130 147345 147345 0.00070 4000 4000 0.00000 74304 74304 0.00040 510825 510825 0.00240 37328814 16072857 21255957 0.10050 1 6969983 1010648 66348594 69497540 -3148946 X 1 1 1 1 POCONO MEDICAL CENTER 206 EAST BROWN STREET EAST STROUDSBURG PA 18301 WWW.POCONOHEALTHSYSTEM.ORG 072001 X X X LEVEL III TRAUMA CENTER POCONO MEDICAL CENTER 1 0 0 1 X X X X X X X X X 16 1 0 1 1 X WWW.LVHN.ORG/ABOUT_US X 1 16 1 WWW.LVHN.ORG/ABOUT_US 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X X 1 X WWW.LVHN.ORG/OUR_SERVICES/KEY_SUPPORT_SERVICES/FINANCIAL_ASSISTANCE X WWW.LVHN.ORG/OUR_SERVICES/KEY_SUPPORT_SERVICES/FINANCIAL_ASSISTANCE X WWW.LVHN.ORG/OUR_SERVICES/KEY_SUPPORT_SERVICES/FINANCIAL_ASSISTANCE X X X X X X 1 X 0 X X X 1 X 0 0 POCONO MEDICAL CENTER PART V, SECTION B, LINE 5: THE LEHIGH VALLEY HOSPITAL - POCONO ("LVH-P") COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) STEERING COMMITTEE, COMPRISED OF REPRESENTATIVES FROM LVH-P'S HOSPITAL LEADERSHIP, LVHN'S DEPARTMENT OF COMMUNITY HEALTH (DCH), AND EAST STROUDSBURG UNIVERSITY'S INSTITUTE OF PUBLIC HEALTH, CONDUCTED ITS 2017 CHNA FOR THE LVH-P CAMPUS. THIS GROUP OF LEADERS UTILIZED A COMBINATION OF QUANTITATIVE (E.G. PUBLIC HEALTH DATA) AND QUALITATIVE (E.G. INTERVIEWS AND FOCUS GROUPS) DATA COLLECTION AND ANALYSIS METHODS TO ANALYZE THE NEEDS OF THE COMMUNITY. THE LVH-P CHNA STEERING COMMITTEE MADE A CONCERTED EFFORT TO ENSURE ALL MEMBERS OF THE COMMUNITY WITHIN THE PRIMARY SERVICE AREA, INCLUDE ALL SOCIOECONOMIC GROUPS, THE MEDICALLY UNDERSERVED, AND MINORITY POPULATIONS, WERE REPRESENTED IN THIS ASSESSMENT. SEE FURTHER DETAIL OF COMMUNITY DETAIL AT SCHEDULE H, PART VI, LINE 2. POCONO MEDICAL CENTER PART V, SECTION B, LINE 6B: LVH-P COLLABORATED WITH LVHN'S DEPARTMENT OF COMMUNITY HEALTH AND EAST STROUDSBURG UNIVERSITY'S INSTITUTE OF PUBLIC HEALTH, RESEARCH AND INNOVATION. POCONO MEDICAL CENTER PART V, SECTION B, LINE 11: COMMUNITY ENGAGEMENT1.1 CONNECT WITH LOCAL COMMUNITY ORGANIZATIONS THAT SUPPORT THE HEALTH NEEDS OF OUR COMMUNITIES AND ALIGN WITH FINDINGS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT.IN FY18, LVH-POCONO LEADERSHIP MET WITH THE PRESIDENT OF THE UNITED WAY - MONROE COUNTY TO DISCUSS PARTICIPATION IN CHNA MEETINGS AND SUPPORTING THE "DOUBLE BUCKS" PROGRAM. PRESIDENT OF THE UNITED WAY-MONROE COUNTY IS A MEMBER OF THE LVH-POCONO CHNA STEERING COMMITTEE.1.2 PARTNER WITH UNITED WAY 211 NORTHEAST TO REFER PATIENTS TO THE 211 LISTING AND HELP TO UPDATE AND EXPAND THE LIST OF COMMUNITY RESOURCES. IN FY18, THE POCONO FOUNDATION AWARDED MONEY TO THE "DOUBLE BUCKS" PROGRAM. THE "DOUBLE BUCKS" PROGRAM ALLOWS SNAP (FORMERLY KNOWN AS FOOD STAMPS) PARTICIPANTS TO DOUBLE THEIR DOLLARS- UP TO $20 A DAY PER PARTICIPANT - WHEN THEY USE THEIR SNAP CARD AT PREDEFINED LOCATIONS IN THE LVH-POCONO SERVICE AREA. LVH-POCONO LEADERSHIP MET WITH THE PRESIDENT OF THE POCONO ALLIANCE TO DISCUSS "BRIDGES OUT OF POVERTY" PROGRAM AND DISSEMINATION OF 211 INFORMATION.1.3 IN COLLABORATION WITH LOCAL COMMUNITY STAKEHOLDERS, PROMOTE SMART BUYING DECISIONS THROUGH EDUCATIONAL SESSIONS THAT WILL TEACH COMMUNITY MEMBERS ABOUT FINANCIAL ASPECTS OF PURCHASING A HOME, SUCH AS MORTGAGE RATES AND PROPERTY AND SCHOOL TAXES.THESE RELATIONSHIPS WERE NOT DEVELOPED IN FY18. THEY WILL BE REEVALUATED IN FY19.1.4 DETERMINE FEASIBILITY OF PARTNERSHIP WITH ELDERLY LOW INCOME HOUSING AUTHORITY IN ORDER TO INCREASE NUMBER OF RESIDENTS WITH AFFORDABLE HOUSING.LVH-POCONO LEADERSHIP SPOKE WITH THE HOUSING AUTHORITY, AND WESTGATE. THEY WILL NOT ALLOW THE PARTNERSHIP TO EXPAND AT THIS TIME BUT IT WILL BE REVISITED IN THE FUTURE.1.5 WORK WITH LOCAL HOMELESS COORDINATION MECHANISMS TO ENSURE THAT HOSPITAL EFFORTS TARGETING HOMELESS RESIDENTS OR THOSE AT RISK OF BECOMING HOMELESS ARE ALIGNED WITH LOCAL AND REGIONAL EFFORTS.LVH-POCONO CONTINUES TO BE THE HEALTHCARE PROVIDER FOR THE "STREET TO FEET" PROGRAM. IN FY18, THERE WERE 18 PCP VISITS, 2 OB-GYN VISITS, 5 BREAST SURGERY VISITS, 2 MAMMOGRAMS, 1 HEMATOLOGY, 1 CHEST X-RAY, 1 BREAST ULTRASOUND, 1 BREAST BIOPSY, AND MANY LAB SERVICES.1.6 LVH-POCONO WILL PARTNER WITH YOUTH EMPLOYMENT SERVICES TO PROVIDE EDUCATIONAL INITIATIVES AND COACHING AROUND HEALTH CARE CAREER OPTIONS AND PERSONAL HEALTH TO YOUTH AGES 13-16.IN FY18, 8 EVENTS WERE HELD AND 45 INDIVIDUALS ATTENDED.AT-RISK POPULATIONS2.1 INITIATE A DEPRESSION DESTIGMATIZATION CAMPAIGN THAT USES VARIOUS MEDIA OUTLETS TO EDUCATE ABOUT DEPRESSION AS A TREATABLE HEALTH CONDITION, TO PROMOTE IMPORTANCE OF EARLY IDENTIFICATION OF SYMPTOMS, SOCIAL SUPPORT AND CONNECTION TO TREATMENT; "TELL YOUR STORY CAMPAIGN"NO DEVELOPMENTS OCCURRED DURING FY18. THIS WILL BE EXPLORED FURTHER IN FY19.2.2 WITHIN PRACTICES USING ELECTRONIC HEALTH RECORD, IMPLEMENT AND TRACK RATES OF DEPRESSION SCREENING USING THE STANDARDIZED TOOL, PHQ-2/9, IN ORDER TO MORE ACCURATELY ASSESS DEPRESSION IN PATIENT POPULATIONS.DUE TO THE TRANSITION TO A NEW ELECTRONIC MEDICAL RECORD SYSTEM, LVH-POCONO PHQ-2 AND PHQ-9 SCREENINGS CANNOT BE EXTRACTED UNTIL THE NEW SYSTEM IS IMPLEMENTED WHICH WILL TAKE PLACE IN FY19.2.3 IMPLEMENT PHYSICIAN OUTREACH AND EDUCATION TO DEVELOP GUIDELINES FOR ACUTE AND CHRONIC PAIN MANAGEMENT, AS WELL AS PATIENT SCREENING FOR SAFE PRESCRIBING OF OPIOID ANALGESICS.IN FY18, THERE WERE TWO LVH-POCONO LARGE GROUP SESSIONS WHERE 80 PROVIDERS ATTENDED.2.4 ESTABLISH OUTPATIENT OFFICE-BASED STANDARDS FOR SAFE AND EFFECTIVE CARE OF PATIENTS PRESCRIBED OPIOID ANALGESICS.2.5 COORDINATE ACTIVITIES WITH LOCAL STAKEHOLDERS RELATED TO EDUCATION AND RESOURCES FOR PATIENTS WITH ALCOHOL AND SUBSTANCE ABUSE DISORDERS (SUDS).THIS IS NOT CURRENTLY TAKING PLACE BECAUSE CATHOLIC SOCIAL SERVICES IS NO LONGER PROVIDING SUD TREATMENT, WHICH IS WHERE MOST OF THE SUD REFERRALS WERE BEING SENT. LVH-P IS REVISITING WHO POTENTIAL PARTNERS ARE IN THIS SPACE TO DETERMINE THE BEST WAY TO GET CARE FOR PATIENTS THAT COME TO LVH-P WITH SUD.2.6 PROVIDE COORDINATED TRANSITIONS OF CARE AND FOLLOW UP FOR HOSPITALIZED PATIENTS WITH ASTHMA AND HEART FAILURE.ACCESS TO CARE3.1 IMPLEMENT LVHN'S FINANCIAL ASSISTANCE PROGRAM, PROVIDING FREE OR DISCOUNTED CARE FOR QUALIFYING PATIENTS.IN FY18, THERE WERE 435 FINANCIAL ASSISTANCE APPLICATIONS. 41% WERE APPROVED, 4% WERE DENIED, AND 56% WERE PENDING.3.2 RECRUIT PRIMARY CARE AND OTHER SPECIALIST CLINICIANS TO IMPROVE ACCESS TO NEEDED CARE FOR MEMBERS OF THE COMMUNITY.13 PROVIDERS WERE HIRED IN THE FIRST HALF OF FY18. BECAUSE OF THE IMPLEMENTATION OF A NEW ELECTRONIC MEDICAL RECORD ACROSS ALL PRACTICES, SCHEDULES FOR PROVIDERS WERE REDUCED TO ALLOW FOR IMPLEMENTATION, THEREFORE NOT ALLOWING FOR INCREASED ACCESS. HOWEVER, SCHEDULES ARE EXPECTED TO RETURN TO NORMAL.3.3 PROVIDE LVHN COLLEAGUES WITH CULTURAL, LINGUISTIC TRAINING VIA A VARIETY OF DELIVERY MECHANISMS.IN THE SECOND HALF OF FY18, AND CULTURAL AWARENESS E-LEARNING MODULE WAS COMPLETED BY 1,602 (70%) OF LVH-POCONO COLLEAGUES.3.4 UNIVERSALLY RECORD PATIENT'S PREFERRED LANGUAGE FOR HEALTH CARE DISCUSSIONS AT TIME OF REGISTRATION.THERE WERE 141,801 PATIENTS WITH A DOCUMENTED PREFERRED LANGUAGE. THE TOP THREE LANGUAGES WERE ENGLISH, SPANISH, AND POLISH.3.5 ASSESS AVAILABILITY AND UTILIZATION OF LANGUAGE ASSISTANCE RESOURCES IN ALL CARE DELIVERY SITES TO MEET NEEDS OF PATIENTS WHOSE PRIMARY LANGUAGE IS NOT ENGLISH.IN FY18, THERE WERE 416 CALLS TO THE LANGUAGE LINE COUNTING FOR 5,686 MINUTES.3.6 RECRUIT OB-GYN CLINICIANS TO IMPROVE ACCESS TO PREGNANCY CARE FOR MEMBERS OF THE COMMUNITY.SEE 3.2 AS, OB-GYN PROVIDERS ARE INCLUDED IN THAT TOTAL. 3.7 EXPLORE BUS ROUTES/STOPS TO DETERMINE POTENTIAL CHANGES FOR ACCESS TO HEALTH CARE CENTERS.A NEW MCTA BUS ROUTE WAS ADDED FOR THE 447 MEDICAL OFFICE PLAZA AND HEALTH CENTER AT EAST STROUDSBURG. A NEW MCTA BUS ROUTE IS SCHEDULED TO BE ADDED IN MID-AUGUST (FY19) FOR THE HEALTH CENTER AT BARTONSVILLE.PREVENTION AND WELLNESS4.1 CONTINUE "BIGGEST WINNER" PROGRAM IN THE COMMUNITY IN ORDER TO ENCOURAGE HEALTHY EATING AND PHYSICAL ACTIVITY TO REDUCE RATES OF OBESITY.IN FY18, THE HEALTHY LIFESTYLE PROGRAM (FORMALLY THE "BIGGEST WINNER" PROGRAM) ASSISTED 401 PEOPLE TO LOSE 3,784 LBS. IN THE CURRENT SESSIONS WHICH STARTED IN JANUARY 2018.4.2 PROVIDE INFORMATION AND TRAINING TO LOCAL SUPPLEMENTAL FOOD PROVIDER NETWORK ABOUT FEEDING AMERICA "FOOD TO ENCOURAGE" MODEL AND "HEALTHY NUDGES."4.3 WORK WITH COMMUNITY COLLABORATORS TO EXPLORE EXPANSION OF "DOUBLE BUCKS" PROGRAM TO PROVIDE NUTRITION INCENTIVES FOR VULNERABLE POPULATIONS, IN ORDER TO INCREASE FRUIT AND VEGETABLE CONSUMPTION.IN FY18, $6,000 WAS GIVEN TO THE UNITED WAY OF MONROE COUNTY FOR THE "DOUBLE BUCKS" PROGRAM. THE "DOUBLE BUCKS" PROGRAM ALLOWS SNAP (FORMERLY KNOWN AS FOOD STAMPS) PARTICIPANTS TO DOUBLE THEIR DOLLARS - UP TO $20 A DAY PER PARTICIPANT - WHEN THEY USE THEIR SNAP CARD AT PREDEFINED LOCATIONS IN THE LVH-POCONO SERVICE AREA.4.4 PROVIDE SMOKING CESSATION CLASSES TO ADOLESCENTS AND ADULTS TO REDUCE SMOKING RATES AMONG COMMUNITY MEMBERS IN MONROE COUNTY.THROUGH JUNE 2018, 828 PATIENTS RECEIVED INFORMATION PRIOR TO DISCHARGE. 729 REFERRALS WERE PLACED TO SMOKING CESSATION PROGRAMS, AND EDUCATION SESSIONS WERE PROVIDED IN 5 SCHOOLS TO 3,150 YOUTH RANGING IN AGES FROM 5 TO 17 IN MONROE COUNTY.4.5 PROVIDE FREE FLU VACCINE AT MULTIPLE COMMUNITY SITES IN MONROE COUNTY TO THOSE IN NEED.IN FY18, 107 HOSPICE VOLUNTEERS AND EMPLOYEES WERE GIVEN THE FLU VACCINE. APPROXIMATELY 1,800 LVH-P EMPLOYEES RECEIVED THE FLU VACCINE AND APPROXIMATELY 200 COMMUNITY MEMBERS RECEIVED THE FLU VACCINE.4.6 DEVELOP PROTOCOLS AND ORDER SETS WITHIN CLINICAL PRACTICES TO IMPROVE MAMMOGRAPHY SCREENING RATES AMONG ELIGIBLE WOMEN.$18,225 WAS SUPPLIED BY THE LVH-POCONO FOUNDATION TO PROVIDE: 253 NO CHARGE PROCEDURES, 18 CLINICAL BREAST EXAMS, 128 SCREENING MAMMOGRAMS, 107 ULTRASOUNDS, FOR 218 PATIENTS. THESE PATIENTS WERE IDENTIFIED THROUGH A MOBILE MAMMOGRAPHY COACH WORKING IN LVPG AND LVH-POCONO.4.7 INCREASE LUNG CANCER SCREENING RATES IN COMMUNITY MEMBERS AT ELEVATED RISK FOR LUNG CANCER, BASED ON AGE AND SMOKING HISTORY (USING CURRENT USPSTF GUIDELINE).NO CANCER SCREENINGS ARE BEING OFFERED AT THIS TIME DUE TO THE TRANSITION TO A NEW ELECTRONIC MEDICAL RECORD SYSTEM AT LVH-P.4.8 PARTNER WITH EAST STROUDSBURG UNIVERSITY SCHOOL OF PUBLIC HEALTH TO SUPPORT RESEARCH PROJECTS FOCUSED ON COMMUTER HEALTH AND CARDIOVASCULAR PREVENTION PART I, LINE 7: LVH-P USED A COST-TO-CHARGE RATIO IN DETERMINING THE FIGURES REPORTED IN THIS TABLE. TOTAL OPERATING EXPENSES LESS BAD DEBT EXPENSES LESS NON-PATIENT ACTIVITIES LESS MEDICAID PROVIDER TAXES EQUALS COSTS RELATED TO PATIENT CARE DIVIDED BY GROSS PATIENT CHARGES. 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 $ 23,350,035. PART II, COMMUNITY BUILDING ACTIVITIES: LVH-P PROVIDES A MYRIAD OF HEALTH SCREENINGS AND COMMUNITY PRESENTATIONS ON HEALTHY LIFESTYLES AND DISEASE AWARENESS THROUGH THE WELLNESS INSTITUTE AND THE SPIRIT OF WOMEN INITIATIVE. ACTIVITIES INCLUDE PROVIDING TRANSPORTATION FOR PATIENTS IN NEED, PROVIDING FREE SPACE FOR COMMUNITY MEETINGS, TELEVISION AND RADIO HEALTH EDUCATION PROGRAMS, AND COMMUNITY WELLNESS OUTREACH. PART III, LINE 2: THE BAD DEBT EXPENSE (AT COST) WAS DETERMINED BY APPLYING THE COST-TO-CHARGE RATIO, DERIVED FROM WORKSHEET 2-RATIO OF PATIENT CARE COST TO CHARGES TO TOTAL THE NET OF ACTUAL BAD DEBT WRITE-OFFS AND RECOVERIES PROCESSED DURING THE 2018 FISCAL YEAR.THE ORGANIZATION HAS ESTIMATED THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY BY UTILIZING DATA FROM THE US CENSUS BUREAU. THE ORGANIZATION ESTIMATED THE PERCENTAGE BY OBTAINING THE PERCENT OF THE POPULATION IN ITS SERVICE AREA FALLING BELOW THE FEDERAL POVERTY GUIDELINES. ACCORDING TO THE LATEST PUBLICIZED CENSUS DATA FOR MONROE COUNTY, PENNSYLVANIA, 12.2% OF INDIVIDUALS ARE CONSIDERED TO BE IN POVERTY. PART III, LINE 3: A COST TO CHARGE RATIO WAS USED. TOTAL OPERATING EXPENSES LESS BAD DEBT EXPENSES LESS NON-PATIENT ACTIVITIES LESS MEDICAID PROVIDER TAXES EQUAL COSTS RELATED TO PATIENT CARE DIVIDED BY GROSS PATIENT CHARGES. 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, 2018 AND 2017, WAS $21,502,000 AND $23,406,000 RESPECTIVELY. PART III, LINE 8: THE SHORTFALL SHOULD BE TREATED AS 100% COMMUNITY BENEFIT. THE FISCAL YEAR 2018 MEDICARE COST REPORT WAS UTILIZED TO CALCULATE THE COST REPORTED ON LINE 6. SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. 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 FISCAL YEAR 2017, POCONO HEALTH SYSTEM COLLABORATED WITH THE LOCAL UNIVERSITY AND PRESENTED A COMPREHENSIVE MONROE COUNTY HEALTH NEEDS ASSESSMENT. THIS DOCUMENT WAS PRESENTED AT THE ANNUAL MEETING AS A COMMUNITY FORUM TO PROVIDE A COMMUNICATION FLOW AND EXCHANGE OF IDEAS ON ADDRESSING THE IDENTIFIED NEEDS.INFORMATION WAS COLLECTED ON THE CURRENT STRENGTHS, CONCERNS, AND CONDITIONS OF CHILDREN, ADULTS, FAMILIES, AND THE COMMUNITY. THE ASSESSMENT IS BASED ON INFORMATION FROM MANY SOURCES, ELICITED BY MANY TECHNIQUES, AND INCLUDES OVER 50 SURVEYS OF KEY INFORMANTS, 2 FOCUS GROUPS, AND ANALYSIS OF SECONDARY DEMOGRAPHIC AND EPIDEMIOLOGICAL DATA. THIS COMMUNITY ASSESSMENT WAS DESIGNED AS A RAPID ASSESSMENT, AND IT IDENTIFIES KEY HEALTH TRENDS IN MONROE COUNTY ALONG FIVE AREAS:(1) DEMOGRAPHIC TRENDS: HIGHLIGHTING THE MOST CRITICAL DEMOGRAPHIC TRENDS AFFECTING MONROE COUNTY INCLUDING OVERALL POPULATION GROWTH, SOURCES OF POPULATION GROWTH, THE COUNTY'S CHANGING DEMOGRAPHIC PROFILE, SOCIOECONOMIC PROFILE OF THE POPULATION, AND THE COUNTY'S ETHNIC AND RACIAL MAKE-UP. IN THIS ANALYSIS, THE ASSESSMENT COMPARES THE COUNTY WITH THE STATE AS WELL AS PEER COUNTIES IN PENNSYLVANIA.(2) EPIDEMIOLOGICAL PROFILE: PROVIDING EPIDEMIOLOGICAL ASSESSMENT OF MONROE COUNTY, USING THE FOCUS AREAS IDENTIFIED IN HEALTHY PEOPLE 2020. IN THIS ANALYSIS, THE ASSESSMENT COMPARES THE COUNTY WITH THE STATE AS WELL AS PEER COUNTIES IN PENNSYLVANIA.(3) KEY INFORMANTS: IDENTIFIES AND ANALYZES THE PERCEIVED NEEDS OF KEY INFORMANTS IN THE COUNTY WITH REGARD TO ISSUES THAT AFFECT THE HEALTH AND WELL-BEING OF THE COUNTY RESIDENTS.(4) FOCUS GROUPS: A QUALITATIVE ANALYSIS OF THE PERCEIVED NEEDS OF KEY INFORMANTS IN THE COUNTY WITH REGARD TO ISSUES THAT AFFECT THE HEALTH AND WELL-BEING OF THE COUNTY RESIDENTS.(5) SUMMARY OF FINDINGS: PROVIDES A LIST OF THE FINDINGS OF THE VARIOUS DATA SOURCES.EPIDEMIOLOGICAL AND DEMOGRAPHIC DATA THAT WERE COLLECTED AND ANALYZED FOR THE COUNTY ARE EXTRACTED FROM THE FOLLOWING SOURCES:- UNITED STATES CENSUS BUREAU- PA DEPARTMENT OF HEALTH: HEALTH PEOPLE 2020 OBJECTIVES- PA DEPARTMENT OF HEALTH: BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM- PA DEPARTMENT OF HEALTH: ANALYSIS OF CANCER INCIDENCE IN PENNSYLVANIA COUNTIES- PA DEPARTMENT OF PUBLIC WELFARE- PA CENTER FOR RURAL PENNSYLVANIAKEY INFORMANT SURVEYSWEB-BASED SURVEYS WERE SENT TO KEY INFORMANTS IN 125 INSTITUTIONS IN THE COUNTY. THESE KEY INFORMANTS REPRESENTED THE: (A) BUSINESS SECTOR, (B) THE GOVERNMENT SECTOR, (C) THE NON-PROFIT SECTOR, (D) THE EDUCATIONAL SECTOR, AND (E) FAITH-BASED ORGANIZATIONS.FOCUS GROUPSTWO FOCUS GROUPS WITH 10 COMMUNITY REPRESENTATIVES WERE CONVENED IN THE FALL OF 2017. THE FOCUS GROUPS ASKED PARTICIPANTS TO DISCUSS THE STRENGTHS AND WEAKNESSES OF MONROE COUNTY THROUGH THE COMMUNITY HEALTH FRAMEWORK MODEL. THE RESULTS OF THE FOCUS GROUPS ARE PRESENTED IN THE REPORT, BUT WERE ALSO USED TO PREPARE THE KEY INFORMANT SURVEY.DATA ANALYSISTHE ASSESSMENT ORGANIZED ITS DATA COLLECTION TO CONFORM WITH THE ROBERT WOOD JOHNSON FOUNDATION'S COUNTY HEALTH RANKINGS FRAMEWORK, AND THE DEMOGRAPHIC AND EPIDEMIOLOGIC USED VARIOUS GEOGRAPHIC AREAS OF MONROE COUNTY TO ORGANIZE AND COMPARE DATA.THE ANALYSIS ALSO COMPARED MONROE COUNTY WITH TWO COMPARATIVE VALUES OR GROUPS: PEER GROUP COUNTIES AND THE STATE. THIS ALLOWED THE ASSESSMENT TO COMPARE MONROE COUNTY TO THE STATE AVERAGE AS WELL AS THREE PEER COUNTIES WITHIN PENNSYLVANIA WITH REGARD TO KEY EPIDEMIOLOGIC AND DEMOGRAPHIC DATA. PEER COUNTIES WERE SELECTED BY IDENTIFYING COUNTIES SHARING SIMILAR COMMUNITY HEALTH-RELATED FACTORS. THE FOLLOWING FOUR FACTORS WERE USED TO DEFINE THE COUNTIES: (A) POPULATION SIZE, (B) POVERTY, (C) MEDIAN AGE, AND (D) POPULATION DENSITY. FOR PURPOSES OF THIS STUDY, MONROE COUNTY WAS COMPARED TO: (A) BUTLER COUNTY, (B) CUMBERLAND COUNTY, (C) DAUPHIN COUNTY, (D) PENNSYLVANIA, AND (E) THE U.S.THE DATA WAS ANALYZED USING BASIC DESCRIPTIVE STATISTICS TO IDENTIFY TRENDS AND TO COMPARE MONROE COUNTY WITH THE COMPARISON GROUP.SUMMARY OF FINDINGSTHE FINDINGS OF THE ASSESSMENT SHOWS THAT MONROE COUNTY'S POPULATION HAS EXPERIENCED AMONG THE GREATEST POPULATION GROWTH IN THE STATE, AND THIS GROWTH HAS QUICKLY INCREASED THE COUNTY'S RACIAL AND ETHNIC DIVERSITY. THE COUNTY HAS HIGH LEVELS OF POVERTY THAT TEND TO BE CONCENTRATED IN CERTAIN AREAS OF THE COUNTY AND IT HAS NOT SEEN RAPID INCREASES IN HOUSEHOLD INCOMES.THE COUNTY HAS LOWER THAN EXPECTED NUMBER OF PHYSICIANS. IT ALSO HAS LOWER RATES OF MOST CANCERS, WITH THE EXCEPTION OF LUNG CANCER, AND HIGHER-THAN-EXPECTED RATES OF SMOKING AND HEAVY DRINKING.MONROE COUNTY HAS HIGH LEVELS OF WOMEN RECEIVING NO PRE-NATAL CARE. THE COUNTY ALSO HAS SLIGHTLY HIGHER RATE OF SUICIDE. THE PRIMARY DATA COLLECTED THROUGH THE SURVEYS AND FOCUS GROUPS CONFIRM MANY OF THESE FINDINGS, BUT ALSO HIGHLIGHT THE GAP IN BEHAVIORAL HEALTH AND PREVENTION SERVICES.THE FINDINGS OF THE INDIVIDUAL SECTIONS ARE HIGHLY INTERRELATED. MANY OF THE OUTCOMES AND SOCIAL/BEHAVIORAL FACTORS HAVE THEIR FOUNDATIONS IN SYSTEMIC FACTORS. THE QUALITATIVE AND QUANTITATIVE DATA SHOWS THAT CERTAIN THEMES AND FACTORS WERE IDENTIFIED WITH GREATEST FREQUENCY, AND CAN BE ORGANIZED IN THREE GENERAL CATEGORIES.OUTCOMES - POOR OUTCOMES IN:- CANCER- ORAL HEALTH- MATERNAL HEALTH- VIOLENCESOCIAL AND BEHAVIORAL FACTORS - RISKY BEHAVIOR WITH REGARD TO:- SUBSTANCE ABUSE- ALCOHOLISM- SMOKING- POOR NUTRITIONSYSTEMIC FACTORS:- LACK OF PRIMARY CARE (INCLUDING DENTAL CARE)- LACK OF BEHAVIORAL HEALTH- LACK OF PREVENTIVE SERVICES- POOR TRANSPORTATION- LIMITED BUILT ENVIRONMENTBY CROSS-TABULATING THESE THREE SETS OF INDICATORS AND USING THE ESTABLISHED CORRELATIONS FOUND IN THE LITERATURE BETWEEN THE SYSTEMIC FACTORS AND THE IDENTIFIED OUTCOMES AND OBSERVED BEHAVIORS, IT BECOMES APPARENT THAT THE FIVE SYSTEMIC FACTORS IDENTIFIED ARE HIGHLY INTERRELATED WITH THE OUTCOME INDICATORS THAT WERE IDENTIFIED. ACCORDING TO THIS LOGIC, INTERVENTIONS IN THE COMMUNITY THAT ADDRESS THE KNOWN SYSTEMIC FACTORS MAY EFFECTIVELY ADDRESS THE MORE SPECIFIC CRITICAL HEALTH OUTCOMES. FOR EXAMPLE, THE LACK OF PREVENTIVE HEALTH SERVICES IS A ROOT CAUSE OF ALL THE SPECIFIC HEALTH AND BEHAVIORAL OUTCOMES IDENTIFIED - NO PRE-NATAL CARE, MENTAL ILLNESS, CANCER, POOR NUTRITION, ETC. MONROE COUNTY POSSESSES THE QUALITIES AND THE ASSETS REQUIRED TO ENHANCE THE HEALTH AND WELL-BEING OF ITS RESIDENTS, AND TO IMPROVE ITS ALREADY-GOOD QUALITY OF LIFE. THE HEALTH AND WELLNESS ASSETS OF THE COUNTY ARE A CRITICAL COMPONENT OF AN OVERALL COMMUNITY DEVELOPMENT PROCESS. THE BARRIERS TO HEALTH AND WELL-BEING THAT THE RESIDENTS OF MONROE COUNTY FACE ARE VARIED AND EFFECT EVERY SEGMENT OF THE COMMUNITY. THE COUNTY'S RESIDENTS REPORT GOOD QUALITY CARE AND DO NOT HIGHLIGHT AN ACUTE SHORTAGE OF MEDICAL CARE. HOWEVER, THAT DATA SHOWS A NEED OF PROGRAMS THAT FOCUS ON PRIMARY CARE, PREVENTION AND BEHAVIORAL HEALTH ISSUES. ANY BROAD INITIATIVE LOOKING TO ENHANCE THE COUNTY'S QUALITY OF LIFE MUST BE PREDICATED ON THE AVAILABILITY OF PRIMARY CARE, ACCESS TO DISEASE PREVENTION AND HEALTH PROMOTION PROGRAMS, AND SYSTEM CONDUCIVE TO SOCIAL WELLNESS.THE HEALTH AND WELLNESS OF MONROE COUNTY RESIDENTS IS BEING EFFECTED DETRIMENTALLY BY A SYSTEMIC LACK OF:- OVERALL PRIMARY CARE.- PROJECTS AND PROGRAMS THAT STRENGTHEN MATERNAL HEALTH CARE.- INITIATIVES IMPROVING ACCESS TO BEHAVIORAL HEALTH PROGRAMS.- PROGRAMS PROMOTING HEALTHY ATTITUDES AND PRACTICES (SPECIALLY TARGETING SMOKING, DRINKING, AND NUTRITION).- PROGRAMS ENSURING ACCESS TO BASIC DENTAL CARE.THE HEALTH AND WELLNESS OF MONROE COUNTY RESIDENTS WOULD IMPROVE SIGNIFICANTLY THROUGH INITIATIVES THAT:- PROVIDE RESIDENTS WITH INFORMATION AND KNOWLEDGE REQUIRED TO ATTAIN THE HIGHEST LEVEL OF HEALTH AND WELLNESS.- ENCOURAGE CREATION AND SUPPORT THE MAINTENANCE OF INFORMATION AND REFERRAL SYSTEMS FOR CONSUMERS.- PROMOTE POLICY CHANGES AND STRENGTHEN PROGRAMS THAT WILL IMPROVE ACCESS TO INFORMATION AND PRIMARY, SECONDARY, AND TERTIARY PREVENTION PROGRAMS.- ASSIST SAFETY-NET PROVIDERS WHO OFFER SERVICES TO HIGH-RISK, UNDERSERVED PEOPLE AND TO THE DISADVANTAGED IN THE COMMUNITY.- PROMOTE PROGRAMS THAT ENCOURAGE PREVENTION AMONG HIGH-RISK, UNDERSERVED AND/OR DISADVANTAGED COMMUNITIES. PART VI, LINE 3: PATIENTS WHO EXPRESS A NEED FOR FINANCIAL ASSISTANCE ARE INITIALLY OFFERED A DISCOUNT OF CHARGES AND/OR A PAYMENT PLAN. ONCE A DETERMINATION HAS BEEN MADE THAT A PATIENT IS UNINSURED, THEY ARE PROVIDED A COPY OF THE CHARITY POLICY AS WELL AS AN APPLICATION FOR FINANCIAL ASSISTANCE. LVH-P'S CHARITY POLICY IS POSTED IN INPATIENT AND OUTPATIENT AREAS AND ON THE LVHN WEB SITE. A NOTICE IS ALSO PROVIDED IN THE PATIENTS' BILL AND TO LOCAL SOCIAL SERVICE AGENCIES. LVH-P REVIEWS COMPLETED APPLICATIONS AGAINST ELIGIBILITY CRITERIA SET FORTH IN THE POLICY. ALL PRE-REGISTRATION, REGISTRATION, BUSINESS OFFICE, AND PATIENT FINANCIAL SERVICES STAFF RECEIVE TRAINING AS TO THE POLICY. PART VI, LINE 4: LVH-P PRIMARILY SERVES MONROE COUNTY, PENNSYLVANIA AND ADJACENT AREAS. MONROE COUNTY IS 608.3 SQUARE MILES. THE COUNTY BORDERS THE STATE OF NEW JERSEY. A TOTAL OF 42.1% OF THE POPULATION IS LIVING A RURAL AREA IN MONROE COUNTY, COMPARED TO 27% IN THE STATE.ALTERNATIVELY, 57.9% OF RESIDENTS LIVE IN AN URBAN AREA, COMPARED TO 73% IN THE STATE. URBAN AREAS ARE IDENTIFIED USING POPULATION DENSITY, COUNT, SIZE THRESHOLDS, AND DEVELOPMENT. RURAL AREAS ARE CLASSIFIED AS ALL AREAS THAT ARE NOT URBAN (US CENSUS BUREAU, 2016). FROM 2015-2016, THE TOTAL POPULATION WITHIN MONROE COUNTY DECREASED BY .45%, EQUALING 755 LESS RESIDENTS THAT MOVED OUT OF THE COUNTY. WITHIN THE STATE OF PENNSYLVANIA, THERE HAS BEEN A POPULATION CHANGE OF .8%. A POSITIVE SHIFT IN TOTAL POPULATION OVER TIME IMPACTS HEALTHCARE PROVIDERS AND THE UTILIZATION OF COMMUNITY RESOURCES (US CENSUS BUREAU, 2016). THE LARGEST PROPORTION OF INDIVIDUALS LIVING IN MONROE COUNTY (37.6%) ARE BETWEEN THE AGES OF 45 - 64; 28.50% ARE AGES 25 - 44; 16.3% ARE AGES 5 - 17; 8% ARE AGES 65 - 74; 5.1% ARE AGE 75 OR OLDER; AND 4.5% ARE UNDER AGE 5 (US CENSUS BUREAU, ACS 2015-16). OVERALL, INDIVIDUALS LIVING IN MONROE COUNTY TEND TO BE MIDDLE-AGED OR YOUNGER. DATA SUGGESTS THAT 14.0%, OR 20,071 MONROE COUNTY RESIDENTS, ARE LIVING IN HOUSEHOLDS WITH AN INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL (US CENSUS BUREAU, ACS 2015-16). QUALITATIVE DATA COLLECTED FROM FOCUS GROUP DISCUSSIONS WITH VARIOUS COMMUNITY LEADERS HIGHLIGHTS THAT POVERTY IS A SIGNIFICANT ISSUE THAT CREATES BARRIERS TO ACCESSING HEALTHCARE SERVICES, DENTAL SERVICES, AND HEALTHY AND NUTRITIOUS FOODS, AND IT HAS CONTRIBUTED TO AN INCREASE IN THE HOMELESS POPULATION WITHIN MONROE COUNTY. WHEN COMPARING RACE ALONE, LESS THAN THREE-QUARTERS (68.1%) OF INDIVIDUALS LIVING IN MONROE COUNTY ARE WHITE. THE MAJORITY OF THE POPULATION WITHIN MONROE COUNTY SELF-REPORTED AS NON-HISPANIC (85.4%) AND THE REMAINING 14.6% SELF-REPORTED AS HISPANIC OR LATINO. PENNSYLVANIA DATA INDICATES THAT 6.4% OF INDIVIDUALS IN THE STATE IDENTIFY AS HISPANIC OR LATINO, COMPARED TO 17.1% OF INDIVIDUALS WHO SELF-REPORTED BEING HISPANIC OR LATINO IN THE UNITED STATES (US CENSUS BUREAU, ACS 2015-16). PART VI, LINE 5: AS AN ORGANIZATION DEEPLY ROOTED IN SERVING THE COMMUNITY, WE TAKE SERIOUSLY OUR RESPONSIBILITY TO ADDRESS THEIR DIVERSE AND CHALLENGING HEALTHCARE NEEDS. IN THE LAST FISCAL YEAR ALONE, WE PROVIDED MORE THAN $56.4 MILLION IN SERVICE TO OUR COMMUNITY. THESE SERVICES INCLUDED DIRECT PATIENT CARE, MEDICAL ASSISTANCE SHORTFALL, CHARITY CARE AT COST, BAD DEBT EXPENSE AT COST, COMMUNITY EDUCATION AND PREVENTION, COMMUNITY PARTNERSHIPS AND SUPPORT, PROFESSIONAL AND PATIENT EDUCATION, AND FINANCIAL SUPPORT TO THE MONROE COUNTY HEALTH FAMILY CENTER, THE COMMONWEALTH MEDICAL COLLEGE, AND OUR AUXILIARY.BY TAKING CARE OF OUR COMMUNITY THROUGH HEALTH EDUCATION, PREVENTION, AND SCREENINGS, WE ARE ABLE TO FULFILL OUR MISSION OF DELIVERING WORLD-CLASS CARE, CLOSE TO HOME - A SYMBIOTIC RELATIONSHIP WE CONSIDER PRICELESS. AS A MEMBER OF THE NATIONAL SPIRIT OF WOMEN NETWORK, WE PROVIDE HEALTH PROMOTION OPPORTUNITIES THROUGH EDUCATIONAL PROGRAMS AND EVENTS. WE BELIEVE THAT HEALTHY LIFESTYLES EDUCATION BEGINS EARLY IN LIFE AND THIS YEAR LAUNCHED OUR SPIRIT GIRLS PROGRAM AS AN EXTENSION OF SPIRIT OF WOMEN TO ENCOURAGE HEALTHY LIFESTYLES AND PROMOTE SELF-ESTEEM FOR EIGHTH-GRADE GIRLS LIVING IN MONROE COUNTY. WE ALSO CLOSELY PARTNER WITH THE GREATER POCONO CHAMBER OF COMMERCE TO OFFER A HEALTH PROGRAM TO NEW MEMBERS AND SHARE INFORMATION REGULARLY TO HELP FOSTER HEALTHY WORKPLACES.GIVEN THE HIGH COMMUNITY UTILIZATION OF CRITICAL SERVICES, WE CLOSELY PARTNER WITH THE AMERICAN RED CROSS TO OFFER BLOOD DRIVES MONTHLY TO ENSURE ADEQUATE SUPPLY TO MEET THE HEALTHCARE NEEDS OF PATIENTS. IN AN EFFORT TO INCREASE DONORS, WE ENGAGE COMMUNITY PARTNERS TO HELP SPREAD THE WORD. WE ALSO WORK WITH CHANNEL 13 BLUE RIDGE CABLE TO OFFER PATHWAYS TO HEALTHY LIVING, WHICH IS AN INTERACTIVE MONTHLY HEALTH EDUCATION SHOW. FOR THE PAST TWO YEARS, WE HAVE PARTNERED WITH POCONO ALLIANCE TO OBTAIN A GRANT FROM THE PENNSYLVANIA DEPARTMENT OF HEALTH TO OFFER FREE INFLUENZA IMMUNIZATIONS TO HIGH RISK AND SENIOR POPULATIONS. THIS HAS RESULTED IN OVER A THOUSAND INDIVIDUALS BEING VACCINATED.THROUGH THE DALE AND FRANCES HUGHES CANCER CENTER, WELLNESS INSTITUTE, SPIRIT OF WOMEN, AND OTHERS, WE OFFER FREE HEALTH SCREENINGS AND RISK ASSESSMENTS TO COMMUNITY RESIDENTS THROUGHOUT THE YEAR. THESE INCLUDE BREAST, PROSTATE, COLON, SKIN, CARDIAC, AND PERIPHERAL ARTERY DISEASE, AMONG OTHERS. WE ALSO OFFER A SPEAKER'S BUREAU PROGRAM WHICH SENDS HEALTH PROFESSIONALS INTO THE COMMUNITY TO SPEAK TO STUDENTS, RESIDENTS, AND OTHERS ON A MYRIAD OF HEALTH MATTERS. WE ROUTINELY ATTEND EVENTS IN THE COMMUNITY TO SHARE HEALTH INFORMATION AND PROVIDE SCREENINGS AND RISK ASSESSMENTS.WE PROVIDE PROFESSIONAL HEALTH COURSES AT OUR LEARNING INSTITUTE FOR HEALTH PROFESSIONALS AND FIRST RESPONDERS IN THE COMMUNITY. WE ALSO FEATURE VARIOUS SUPPORT GROUPS, EDUCATION CLASSES, AMONG OTHER OPPORTUNITIES TO ENGAGE OUR COMMUNITY IN THEIR HEALTH. ONE OF THE MAJOR COMMUNITY INITIATIVES IS CALLED COMMUNITY HEALTH CONNECTIONS. THIS EFFORT WAS DEVELOPED AFTER THE MONROE COUNTY HEALTH NEEDS ASSESSMENT RESULTS WERE REVEALED TO THE COMMUNITY IN OCTOBER 2011. A STEERING COMMITTEE COMPRISED OF BUSINESS, GOVERNMENT, LAW ENFORCEMENT, EDUCATION, AMONG OTHERS WAS FORMED AND THEY DECIDED IT WAS BEST TO FOCUS ON BEHAVIORAL HEALTH AND WELLNESS ISSUES.WE THEN ENGAGED THE COMMUNITY BY INVITING THOSE INTERESTED TO BECOME A PART OF THE BEHAVIORAL HEALTH AND WELLNESS WORKING GROUPS. THESE GROUPS HAVE MET THROUGHOUT THE YEAR AND SHARED IDEAS AND STRATEGIES TO HELP IMPROVE THE HEALTH OF MONROE COUNTY. THE BEHAVIORAL HEALTH GROUP WORKED WITH THE GREATER POCONO CHAMBER OF COMMERCE'S LEADERSHIP POCONO PROGRAM TO LEARN MORE ABOUT THE PROVIDERS AND SYSTEM IN PLACE AND ALSO HAVE COLLABORATED ON THE NATIONAL DEPRESSION SCREENING DAY, NATIONAL SUICIDE SURVIVORS DAY, AND THE DEVELOPMENT OF A SCHOOL RESOURCE OFFICERS' EDUCATION PROGRAM. THE WELLNESS GROUP FIRST IDENTIFIED EXISTING COMMUNITY RESOURCES AND ACCESSIBILITY/AWARENESS OF THE OBESITY ISSUE. THEY DETERMINED THAT THERE WAS A LACK OF INFRASTRUCTURE TO ENGAGE, ENROLL, EDUCATE, NOTIFY INDIVIDUALS OF COMMUNITY EVENTS, AND TRACK PARTICIPATION/OUTCOMES. WE HAVE ALSO SERVED AS THE MEDICAL SERVICE PROVIDER TO LARGE-SCALE EVENTS INCLUDING THE RED CROSS RUN FOR THE RED POCONO MARATHON. CARL WILGUS, PRESIDENT/CEO, POCONO MOUNTAINS VISITORS BUREAU, HAD COMMENTED THAT: "KNOWING THAT WE HAD THE BACK-UP OF POCONO MEDICAL CENTER AS WELL AS THE SAFETY NET OF THE ENTIRE POCONO HEALTH SYSTEM MEANT KNOWING THAT OUR ATHLETES WOULD RECEIVE TOP-NOTCH MEDICAL ATTENTION DELIVERED WITH HOMETOWN CARE." PART VI, LINE 6: POCONO MEDICAL CENTER (DBA LEHIGH VALLEY HOSPITAL - POCONO) IS A NOT-FOR-PROFIT, ACUTE-CARE HOSPITAL AFFILIATED WITH POCONO HEALTH SYSTEM (THE "HEALTH SYSTEM"). THE HEALTH SYSTEM IS A NOT-FOR-PROFIT CORPORATION WHOSE PURPOSE IS TO SUPPORT PROGRAMMATICALLY AND FINANCIALLY THE ACTIVITIES OF THE MEDICAL CENTER AND OTHER ENTITIES IT CONTROLS. THE HEALTH SYSTEM'S OPERATIONS AND PRIMARY SERVICE AREA INCLUDES STROUDSBURG, PENNSYLVANIA, AND SURROUNDING COMMUNITIES IN MONROE COUNTY, PENNSYLVANIA. ALL REVENUES GENERATED BY THE SYSTEM ARE RELATED TO THE DELIVERY OF HEALTH CARE SERVICES. THE HEALTH SYSTEM HAS CONSOLIDATED FINANCIAL STATEMENTS THAT INCLUDE THE ACCOUNTS AND TRANSACTIONS OF LEHIGH VALLEY HEALTH NETWORK, THE CONTROLLING PARENT, AND ITS AFFILIATES INCLUDING POCONO HEALTH SYSTEM, POCONO MEDICAL CENTER, FAMILY CARE CENTERS, INC., POCONO HEALTHCARE PARTNERS, POCONO HEALTH FOUNDATION, POCONO AMBULATORY SERVICES, INC., AND POCONO VNA-HOSPICE.FAMILY CARE CENTERS, INC. (DBA LEHIGH VALLEY PHYSICIAN GROUP - POCONO) OPERATES SEVERAL PHYSICIAN PRACTICES, INCLUDING, BUT NOT LIMITED TO FAMILY MEDICINE, HEMATOLOGY AND ONCOLOGY, INTERNAL MEDICINE, AND OBSTETRICS AND GYNECOLOGY.POCONO HEALTH FOUNDATION PROVIDES SUPPORT AND FUNDRAISING FOR POCONO MEDICAL CENTER AND ITS' AFFILIATES.POCONO AMBULATORY SERVICES, INC. PROVIDES OUTPATIENT SERVICES TO PATIENTS THROUGH A LIMITED PARTNERSHIP INTEREST IN POCONO AMBULATORY SURGERY CENTER (PASC).POCONO HEALTHCARE PARTNERS PROVIDES OUTPATIENT DIAGNOSTIC RADIOLOGY AND WOMEN'S HEALTHCARE SERVICES.POCONO HEALTH SYSTEM WAS FORMED TO SUPPORT THE CHARITABLE, SCIENTIFIC, AND EDUCATIONAL ACTIVITIES OF POCONO MEDICAL CENTER, MAINTAIN A HEALTHCARE SYSTEM, AND TO CARRY ON SUCH ACTIVITIES.POCONO VNA-HOSPICE ("VNA") IS A PA NON-PROFIT CORPORATION, THE SOLE MEMBER OF WHICH IS THE PARENT. VNA HAS BEEN THE ONLY NON-PROFIT HOME HEALTH AND HOSPICE AGENCY BASED IN MONROE COUNTY SINCE 1950. VNA SERVICES ALL OF MONROE COUNTY, PENNSYLVANIA AND PROVIDES LIMITED SERVICES TO PORTIONS OF NORTHAMPTON, CARBON, LUZERNE, LACKAWANNA, PIKE, AND WAYNE COUNTIES IN PENNSYLVANIA.POCONO HEALTH SYSTEM INVESTMENT COLLABORATIVE, LP IS A LIMITED INVESTMENT PARTNERSHIP OF WHICH POCONO HEALTH SYSTEM OWNS THE MAJORITY 83.5%.IN ADDITION, ON JANUARY 1, 2017, AS NOTED ON FORM 990, PART VI, SECTION A, LINE 6, POCONO MEDICAL CENTER BECAME PART OF LEHIGH VALLEY HEALTH NETWORK. INCLUDED IN LEHIGH VALLEY HEALTH NETWORK ARE ADDITIONAL ORGANIZATIONS CONTRIBUTING TO PROMOTING THE HEALTH OF OTHER COMMUNITIES. SEE FORM 990, SCHEDULE R FOR A COMPLETE LIST OF THESE RELATED ENTITIES. PART VI, LINE 7, REPORTS FILED WITH STATES PA X X X X 1 1 0 0 0 0 0 1 0 ELIZABETH WISE PRESIDENT/CEO 386346 0 70000 0 49040 0 0 0 36508 0 541894 0 0 0 VINCENT FRANCESCANGELI MD DIRECTOR 236866 0 50861 0 2825 0 0 0 14386 0 304938 0 0 0 TERRY CAPUANO DIRECTOR 0 668441 0 328064 0 178159 0 0 0 38635 0 1213299 0 0 EDWARD DOUGHERTY DIRECTOR 0 426114 0 154514 0 98789 0 0 0 31436 0 710853 0 0 STEPHEN CUNNINGHAM SVP & CHIEF DEVELOPMENT OF 218585 0 55242 0 46943 0 0 0 36956 0 357726 0 0 0 LYNN LANSDOWNE VP OF HUMAN RESOURCES 198535 0 53844 0 6387 0 0 0 47952 0 306718 0 0 0 WILLIAM CORS VP OF MEDICAL AFFAIRS 323799 0 61991 0 60081 0 0 0 61846 0 507717 0 0 0 LAMONT LOUIS VP PHYSICIAN NETWORK 200769 0 54000 0 41135 0 0 0 33120 0 329024 0 0 0 FERDINAND FEOLA VP & CHIEF INFORMATION OFF 194289 0 53548 0 30487 0 0 0 44611 0 322935 0 0 0 VIRGINIA GORTYCH-BARNES PHYSICIAN ADVISOR 233273 0 25000 0 0 0 0 0 7748 0 266021 0 0 0 LOUIS NARDELLA CLINICAL PSYCHIATRIST 196952 0 25000 0 0 0 0 0 11098 0 233050 0 0 0 GEOFFREY DIECK CLINICAL MEDICAL PHARMACIS 178278 0 10000 0 0 0 0 0 9414 0 197692 0 0 0 WILLIAM BEDWICK DIRECTOR, PHARMACY 164893 0 10000 0 0 0 0 0 8745 0 183638 0 0 0 JOHN KLUTCH LABOR/EMPLOYMENT COUNSEL 200172 0 10000 0 0 0 0 0 10509 0 220681 0 0 0 JEFF SNYDER FORMER PRESIDENT/CEO 56306 0 0 0 2516884 0 0 0 0 0 2573190 0 127232 0 WILLIAM THOMA FORMER SVP FINANCE/CFO 240923 0 56800 0 3955 0 0 0 54910 0 356588 0 0 0 PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT FROM POCONO MEDICAL CENTER, A RELATED ORGANIZATION, IN CALENDAR YEAR 2017: JEFF SNYDER, FORMER PRESIDENT/CEO - $2,071,235 THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OF POCONO MEDICAL CENTER, A RELATED ORGANIZATION, AND RECEIVED A DISTRIBUTION IN CALENDAR YEAR 2017: JEFF SNYDER, FORMER PRESIDENT/CEO - $445,649 WILLIAM CORS, VP OF MEDICAL AFFAIRS - $41,041 PART I, LINE 7 INCENTIVE COMPENSATION IS PAID BASED ON THE FOLLOWING FOUR PERFORMANCE CRITERIA: 1) INCREASE IN THE SERVICES AVAILABLE TO THE COMMUNITY, 2) IMPROVEMENT IN CUSTOMER SATISFACTION AND QUALITY OF SERVICE PROVIDED, 3) STABLE FINANCIAL RATIOS, AND 4) IMPROVING EMPLOYEE SATISFACTION. PHYSICIANS RECEIVE NON-FIXED BONUS AND INCENTIVE COMPENSATION BASED ON THEIR RESPECTIVE CONTRACT. INCENTIVES ARE EITHER BASED ON A PERCENTAGE OF PAYMENTS RECEIVED ABOVE REQUIRED EXPENSE COVERAGE THRESHOLD OR RELATIVE VALUE UNIT (RVU) THRESHOLD. A MONROE COUNTY HOSPITAL AUTHORITY 232928969 610773GK3 2016-12-01 64223519 REFUND 6/27/07 & 4/17/12 ISSUES 0 0 0 B MONROE COUNTY HOSPITAL AUTHORITY 232928969 2017-06-01 56900000 ACQUISITION OF FACILITIES AND EQUIPMENT 0 0 0 A 4365000 64223519 63262792 954376 6351 2016 1 0 1 1 B 56900000 653023 56246977 2017 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 1 0 0 0 0 0 0 B 0 0 1 0 1 0 0 0 0 A 1 B 1 FORM 990, PART V, LINE 3B THE ORGANIZATION HAS EVALUATED THE COST OF PROVIDING PARKING TO EMPLOYEES AND DETERMINED THE PRIMARY USE OF ITS PARKING FACILITIES TO BE BY PATIENTS, VISITORS, AND/OR GUESTS, NOT EMPLOYEES. THEREFORE, THE ORGANIZATION HAS NO UNRELATED BUSINESS INCOME TAX DUE RELATED TO EMPLOYEE PARKING. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS POCONO HEALTH SYSTEM (PHS), A PENNSYLVANIA NONPROFIT CORPORATION. ON DECEMBER 11, 2015, LEHIGH VALLEY HEALTH NETWORK (LVHN) EXECUTED AN AFFILIATION AGREEMENT WITH THE POCONO HEALTH SYSTEM (PHS) PROVIDING FOR AN AFFILIATION BETWEEN LVHN AND POCONO MEDICAL CENTER (PMC), POCONO HEALTH FOUNDATION (FOUNDATION), FAMILY CARE CENTERS (FCC), POCONO VNA/HOSPICE (VNA), POCONO HEALTHCARE PARTNERS (PHP), AND POCONO AMBULATORY SERVICES (PAS). THE GOVERNING DOCUMENTS OF PHS WERE AMENDED SUCH THAT EFFECTIVE JANUARY 1, 2017, THE CLOSING DATE OF THE AFFILIATION, PHS MERGED INTO LVHN AND LVHN BECAME THE SOLE MEMBER OF POCONO HEALTH SYSTEM. PHS CONSISTS PRIMARILY OF PMC, A 239-BED ACUTE CARE HOSPITAL ALSO PROVIDING REHAB AND EMERGENCY CARE TO EAST STROUDSBURG, PENNSYLVANIA AND SURROUNDING COMMUNITIES; POCONO VNA/HOSPICE, PROVIDING HOME HEALTH AND HOSPICE SERVICES; AND FCC, A MULTI-SPECIALTY PHYSICIAN GROUP. FORM 990, PART VI, SECTION A, LINE 7A POCONO HEALTH SYSTEM, THE SOLE MEMBER OF THE CORPORATION, ELECTS/APPOINTS THE BOARD MEMBERS OF POCONO MEDICAL CENTER (PMC). FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING WAS NOTED IN SECTION 4-07 OF THE ORGANIZATION'S BY-LAWS: "IN ADDITION TO ALL MATTERS REQUIRED BY LAW OR BY OTHER PROVISIONS OF THE BY-LAWS TO BE SUBMITTED TO A VOTE OF THE SOLE MEMBER, THE SOLE MEMBER IS EMPOWERED TO INITIATE AND IMPLEMENT ANY OF THE FOLLOWING ACTIONS WITH RESPECT TO THE CORPORATION AND IF ANY SUCH ACTION IS OTHERWISE INITIATED BY THE CORPORATION, SUCH ACTION WILL NOT BECOME EFFECTIVE UNLESS APPROVED BY THE SOLE MEMBER: (A) TO ADOPT OR CHANGE THE MISSION, PURPOSE, PHILOSOPHY, OR OBJECTIVES OF THIS CORPORATION OR ANY SUBSIDIARY CORPORATION; (B) TO DISSOLVE, REORGANIZE, DIVIDE, CONVERT, LIQUIDATE, OR WIND-UP ANY SUBSIDIARY CORPORATION OR CONSOLIDATE OR MERGE THIS CORPORATION WITH ANY OTHER CORPORATION OR ENTITY; (C) TO ANNUALLY APPROVE ALL CAPITAL AND OPERATING BUDGETS FOR THIS CORPORATION; (D) TO ANNUALLY APPROVE THE STRATEGIC AND OPERATING PLANS OR ANY CHANGES THERETO OF THIS CORPORATION; (E) TO APPROVE ANY UNBUDGETED EXPENSE ITEM OF THIS CORPORATION IN EXCESS OF FIVE HUNDRED THOUSAND ($500,000.00) DOLLARS; (F) TO RECEIVE, REVIEW, AND APPROVE FINANCIAL AND OPERATING REPORTS FROM THIS CORPORATION ON AT LEAST A QUARTERLY BASIS; (G) TO APPROVE ANY NEW LINE(S) OF BUSINESS AND/OR MATERIAL CHANGES IN EXISTING SERVICES AND/OR PARTICIPATION BY THIS CORPORATION WITH ANY OTHER ENTITY WHERE LICENSURE BY THE COMMONWEALTH OF PENNSYLVANIA IS REQUIRED AAS A PRECONDITION FOR ANY SUCH ACTION, BUSINESS, SERVICE, OR PARTICIPATION; (H) TO APPROVE THE INCURRENCE OF INDEBTEDNESS BY THIS CORPORATION; (I) TO APPROVE THE AMENDMENT OF THE ARTICLES OF INCORPORATION OR BY-LAWS OF THIS CORPORATION; (J) TO SPECIFY THE NUMBER OF AND TO ELECT OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS OF THIS CORPORATION; (K) TO APPROVE THE ELECTION OR REMOVAL OF THE CHAIRPERSON OF THE BOARD OF DIRECTORS OF THIS CORPORATION; (L) TO REQUIRE EACH DIRECTOR OF THIS CORPORATION AND THE PRESIDENT, EACH VICE-PRESIDENT, AND ALL KEY MANAGEMENT PERSONNEL OF THIS CORPORATION TO ANNUALLY SUBMIT TO THE BOARD OF DIRECTORS OF THIS CORPORATION A CONFLICT OF INTEREST STATEMENT IN THE FORM FIRST APPROVED BY THE BOARD OF DIRECTORS OF THE SOLE MEMBER; (M) TO ANNUALLY EVALUATE THE PERFORMANCE OF THIS CORPORATION'S BOARD OF DIRECTORS IN OVERSEEING THE MANAGEMENT AND PERFORMANCE OF THIS CORPORATION; (N) TO REQUIRE THAT THIS CORPORATION'S GOVERNANCE, DELIBERATIONS, AND ACTIONS ARE ORIENTED TO COMMUNITY SERVICE." FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS TO REVIEW THE FORM 990'S INCLUDES: DRAFT 1 OF THE RETURNS IS REVIEWED IN DETAIL WITH A FOCUS ON ACCURACY, COMPLETENESS, AND PERSPECTIVE BY THE LVHN VICE-PRESIDENT, FINANCE & CONTROLLER, AND THE LVHN CORPORATE LEGAL COUNSEL. DRAFT 2 OF THE RETURNS IS REVIEWED BY THE EXECUTIVE VICE PRESIDENT AND CHIEF FINANCIAL OFFICER. ALL COMPENSATION DISCLOSURES ARE REVIEWED BY THE DIRECTOR, COMPENSATION - HUMAN RESOURCES. DRAFT 3 OF THE RETURNS IS REVIEWED TOGETHER WITH THE PRESIDENT & CEO, THE EXECUTIVE VICE PRESIDENT & CHIEF FINANCIAL OFFICER, THE VICE-PRESIDENT, FINANCE & CONTROLLER, AND THE DIRECTOR, TAX. FINAL RETURNS ARE REVIEWED WITH THE POCONO BOARD FINANCE COMMITTEE AND THEN 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 2018 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 15, 2017 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 15, 2017 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 13, 2017 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 2016 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, 2018 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 FY2017 NET REVENUES AND PHYSICIAN FTE'S WERE USED AS THE SCOPE SIZE FOR EACH ENTITY. FORM 990, PART VI, SECTION C, LINE 18 ANOTHER'S WEBSITE - GUIDESTAR FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL RESULTS ARE PUBLISHED IN THE ANNUAL REPORT, A COPY OF WHICH IS DISTRIBUTED IN A VARIETY OF PUBLIC FORUMS AND WOULD OTHERWISE BE PROVIDED UPON REQUEST. THE CONFLICT OF INTEREST POLICY WOULD BE AVAILABLE FOR VIEWING IN THE BUSINESS OR ADMINISTRATIVE OFFICES OF PMC UPON REQUEST TO ENSURE THE MOST CURRENT COPY IS ALWAYS THE ONE BEING MADE AVAILABLE. THE GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST FOR PUBLIC INSPECTION. FORM 990, PART XI, LINE 9: DEFINED BENEFIT PENSION COSTS -4,275,652. TRANSFERS TO AFFILIATES -33,710,576. CHANGE IN FV OF INTEREST RATE SWAP 454,402. LOSS ON EXTINGUISHMENT OF DEBT 11,486. FAIR VALUE ADJUSTMENT 11,297,987. LEHIGH VALLEY HEALTH NETWORK 1200 S CEDAR CREST BLVD ALLENTOWN PA 181036202 222458317 PARENT COMPANY PA 501(C)(3) LINE 12C, III-FI N/A 0 LEHIGH VALLEY HOSPITAL 2100 MACK BLVD ALLENTOWN PA 181035622 231689692 HEALTH CARE ORGANIZATION PA 501(C)(3) LINE 3 LEHIGH VALLEY HEALTH NETWORK 0 LEHIGH VALLEY HOSPITAL-MUHLENBERG 1200 S CEDAR CREST BLVD ALLENTOWN PA 181036202 232367707 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 LEHIGH VALLEY HEALTH NETWORK REALTY HOLDING CO 1200 S CEDAR CREST BLVD ALLENTOWN PA 181036202 232586770 REAL ESTATE HOLDING CO. 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