LEHIGH VALLEY HOSPITAL-HAZLETON: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: LEHIGH VALLEY HOSPITAL-HAZLETON (EIN 23-2421970)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-11
IRS object ID: 201731319349301018
Schema version: 2015v3.0
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 L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-05-11T08:33:42-05:00	ReturnTs
Tax Period End	2016-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	232421970	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NORTHEASTERN PENNSYLVANIA HEALTH CORP	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	NORT	BusinessNameControlTxt
Phone	5705014000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	700 E BROAD ST	AddressLine1Txt
City	HAZLETON	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	18201	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	EDWARD F O'DEA	PersonNm
Person Title	EXEC. VP & CFO	PersonTitleTxt
Phone	6104027501	PhoneNum
Signature	2017-05-11	SignatureDt

Field	Value	IRS element (for citing)
Tax	2015	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	700 E BROAD ST	AddressLine1Txt
City	HAZLETON	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	18201	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$143,019,143	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTP://HAZLETON.LVHN.ORG/	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1985	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	WE HEAL, COMFORT AND CARE FOR THE PEOPLE OF OUR COMMUNITY BY PROVIDING ADVANCED AND COMPASSIONATE HEALTH CARE OF SUPERIOR QUALITY AND VALUE, SUPPORTED BY EDUCATION AND CLINICAL RESEARCH.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	921	TotalEmployeeCnt
Total Volunteers	3	TotalVolunteersCnt
Total Gross UBI	$808,699	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$144,962	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$252,029	PYContributionsGrantsAmt
CY Contributions Grants	$445,078	CYContributionsGrantsAmt
PY Program Service Revenue	$119,840,534	PYProgramServiceRevenueAmt
CY Program Service Revenue	$124,177,973	CYProgramServiceRevenueAmt
PY Investment Income	$4,613,882	PYInvestmentIncomeAmt
CY Investment Income	$2,520,469	CYInvestmentIncomeAmt
PY Other Revenue	$1,121,268	PYOtherRevenueAmt
CY Other Revenue	$1,620,969	CYOtherRevenueAmt
PY Total Revenue	$125,827,713	PYTotalRevenueAmt
CY Total Revenue	$128,764,489	CYTotalRevenueAmt
PY Grants And Similar Paid	$90,738	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$66,950	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$54,545,510	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$59,348,886	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$54,940,094	PYOtherExpensesAmt
CY Other Expenses	$58,446,296	CYOtherExpensesAmt
PY Total Expenses	$109,576,342	PYTotalExpensesAmt
CY Total Expenses	$117,862,132	CYTotalExpensesAmt
PY Revenues Less Expenses	$16,251,371	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$10,902,357	CYRevenuesLessExpensesAmt
Total Assets BOY	$151,668,170	TotalAssetsBOYAmt
Total Assets EOY	$157,916,396	TotalAssetsEOYAmt
Total Liabilities BOY	$62,459,224	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$68,006,680	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$89,208,946	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$89,909,716	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE HEAL, COMFORT AND CARE FOR THE PEOPLE OF OUR COMMUNITY BY PROVIDING ADVANCED AND COMPASSIONATE HEALTH CARE OF SUPERIOR QUALITY AND VALUE, SUPPORTED BY EDUCATION AND CLINICAL RESEARCH.	MissionDesc
Significant New Program Srvc	Yes (1)	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$98,795,540	ExpenseAmt
Grant	$66,950	GrantAmt
Revenue	$125,668,359	RevenueAmt
Desc	LEHIGH VALLEY HOSPITAL-HAZLETON (LVH-H) PROVIDES HOSPITAL INPATIENT, OUTPATIENT, REHABILITATION CARE, MATERNITY CARE AND EMERGENCY ROOM SERVICES TO THE RESIDENTS OF GREATER HAZLETON REGARDLESS OF RACE, RELIGION OR ECONOMIC STATUS. THE HOSPITAL PROVIDES A FULL RANGE OF MEDICAL CARE TO INPATIENT AND OUTPATIENTS, INCLUDING THERAPEUTIC, DIAGNOSTIC, TELEHEALTH, IMAGING AND REHABILITATION SERVICES. SEE SCHEDULE O FOR NEW PROJECTS IN FY 2016 DESIGNED TO ENHANCE THE QUALITY AND EFFICIENCY OF OUR MISSION.	Desc
Total Program Service Expenses	$98,795,540	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	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	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	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
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	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (1)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	99	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	921	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	11	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	5705014972	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	700 E BROAD ST	AddressLine1Txt
City	HAZLETON	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	18201	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
THOMAS L KENNEDY ESQUIRE
CHAIR-BOARD OF TRUSTEE	1.00	0.50	Yes (X)	$0	$0	$0
ANTHONY CUSATIS
VICE CHAIR-BOARD OF TRUSTE	1.00	0.25	Yes (X)	$0	$0	$0
MARY CELESTE KOSKO
MEMBER-BOARD OF TRUSTEE	1.00	0.25	Yes (X)	$0	$0	$0
MICHAEL J LEIB
MEMBER-BOARD OF TRUSTEE	0.50	0.25	Yes (X)	$0	$0	$0
MANN A SHOFFNER
MEMBER-BOARD OF TRUSTEE	0.50	0.25	Yes (X)	$0	$0	$0
ANTONETTE M FRITZ
MEMBER-BOARD OF TRUSTEE	0.50	0.25	Yes (X)	$0	$0	$0
ANTHONY P VEGLIA MD
MEMBER-BOARD OF TRUSTEE	0.50	0.50	Yes (X)	$0	$0	$0
MARK J LOBITZ DO
MEMBER-BOARD OF TRUSTEE	0.50	0.25	Yes (X)	$0	$0	$0
CRAIG BUTLER
MEMBER-BOARD OF TRUSTEE	0.50	0.25	Yes (X)	$0	$0	$0
SUSAN C YEE
MEMBER-BOARD OF TRUSTEE	0.50	40.00	Yes (X)	$0	$0	$0
JOHN R FLETCHER
PRESIDENT, EX OFFICIO	42.00	18.00	Yes (X)	$420,489	$0	$10,533	Yes (X)
LINDA L LAPOS MD
MEMBER-BOARD OF TRUSTEE	0.50	0.25	Yes (X)	$0	$0	$0
WILLIAM C BAUER
ASSISTANT TREASURER	42.00	18.00		$283,785	$0	$36,415	Yes (X)
EDWARD F O'DEA
TREASURER	3.00	57.00		$0	$753,482	$41,278	Yes (X)
JANE DANISH
SECRETARY	28.00	12.00		$97,483	$0	$24,697	Yes (X)
BARBARA A FORTE
ASSISTANT SECRETARY	28.00	12.00		$58,453	$0	$3,397	Yes (X)
ANTHONY VALENTE
VP OF MEDICAL AFFAIRS	30.00	0.00		$229,643	$0	$35,053		Yes (X)
DONALD A PATTEN
PHYSICIAN	32.00	0.00		$277,190	$0	$35,059		Yes (X)
JOSEPH G CIOTOLA
PHYSICIAN	32.00	0.00		$217,789	$0	$28,896		Yes (X)
JOHN P AMENTLER
PHYSICIAN	40.00	0.00		$213,880	$0	$8,720		Yes (X)
MICHAEL GOLDEN
VP OF NURSING	42.00	18.00		$212,934	$0	$34,525		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,011,646	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$753,482	TotReportableCompRltdOrgAmt
Total Other Compensation	$258,573	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	26	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	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
HAZLETON ANESTHESIA SERVICES
10 COMMERCE DR	NEW ROCHELLE	NY	10801	ANESTHESIA SERVICE	$1,158,883
PHILIPS HEALTHCARE
22100 BOTHELL EVERETT HWY	BOTHELL	WA	980218431	BIOMEDICAL EQUIP MAINTENANCE SERV	$559,793
VADIM LOSHAKOV MD
1730 E BROAD ST	HAZLETON	PA	18201	PHYSICIAN SERVICES	$421,623
DELL MARKETING LP
PO BOX 149256	AUSTIN	TX	787149256	IT HOSTING SERVICES	$403,069
MEDICAL INFORMATION TECH INC
MEDITECH CIRCLE	WESTWOOD	MA	02090	IT MAINTENANCE SERVICES	$327,148

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	24	CntrctRcvdGreaterThan100KCnt
Government Grants	$407,855	GovernmentGrantsAmt
All Other Contributions	$37,223	AllOtherContributionsAmt
Total Contributions	$445,078	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
OUTPATIENT REVENUE	621990	$72,254,633	$71,445,934	$808,699
INPATIENT REVENUE	621990	$51,923,340	$51,923,340

Field	Value	IRS element (for citing)
Total Program Service Revenue	$124,177,973	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,798,894	TotalRevenueColumnAmt
Exclusion	$1,798,894	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$129,888	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$23,412	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$106,476	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$106,476	TotalRevenueColumnAmt
Related Or Exempt Func Income	$106,476	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$14,884,867	SecuritiesAmt
Other	$57,456	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$14,136,773	SecuritiesAmt
Other	$83,975	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$748,094	SecuritiesAmt
Other	-$26,519	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$721,575	TotalRevenueColumnAmt
Related Or Exempt Func Income	$721,575	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$53,953	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$10,494	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$43,459	TotalRevenueColumnAmt
Exclusion	$43,459	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA & GIFT SHOP REVENUE	900099	$514,292	$514,292
EQUITY IN AFFILIATES	900003	$447,904	$447,904
MSA REVENUE - HWC	541610	$188,331	$188,331

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$320,507	TotalRevenueColumnAmt
Related Or Exempt Func Income	$320,507	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,471,034	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$128,764,489	TotalRevenueColumnAmt
Related Or Exempt Func Income	$125,668,359	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$808,699	UnrelatedBusinessRevenueAmt
Exclusion	$1,842,353	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$66,950	TotalAmt
Program Services	$66,950	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$935,253	TotalAmt
Program Services	$310,971	ProgramServicesAmt
Management And General	$624,282	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$42,928,828	TotalAmt
Program Services	$37,145,460	ProgramServicesAmt
Management And General	$5,783,368	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,225,189	TotalAmt
Program Services	$1,060,156	ProgramServicesAmt
Management And General	$165,033	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$11,063,016	TotalAmt
Program Services	$9,576,371	ProgramServicesAmt
Management And General	$1,486,645	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,196,600	TotalAmt
Program Services	$2,747,215	ProgramServicesAmt
Management And General	$449,385	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$258,482	TotalAmt
Program Services	$986	ProgramServicesAmt
Management And General	$257,496	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$115,447	TotalAmt
Management And General	$115,447	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$143,963	TotalAmt
Management And General	$143,963	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$5,909,426	TotalAmt
Program Services	$4,769,264	ProgramServicesAmt
Management And General	$1,140,162	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$263,985	TotalAmt
Program Services	$992	ProgramServicesAmt
Management And General	$262,993	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,071,816	TotalAmt
Program Services	$497,739	ProgramServicesAmt
Management And General	$574,077	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,597,328	TotalAmt
Program Services	$264,648	ProgramServicesAmt
Management And General	$1,332,680	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,336,299	TotalAmt
Program Services	$3,070,469	ProgramServicesAmt
Management And General	$265,830	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$192,494	TotalAmt
Program Services	$156,463	ProgramServicesAmt
Management And General	$36,031	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$52,066	TotalAmt
Program Services	$33,027	ProgramServicesAmt
Management And General	$19,039	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$919,530	TotalAmt
Management And General	$919,530	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,586,326	TotalAmt
Program Services	$2,045,940	ProgramServicesAmt
Management And General	$2,540,386	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,139,830	TotalAmt
Program Services	$656,113	ProgramServicesAmt
Management And General	$483,717	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$13,567,640	$13,567,640
PRACTICE SUPPORT	$13,136,933	$13,136,933
BAD DEBT EXPENSE	$6,705,515	$6,705,515
EQUIPMENT RENTAL & MAIN	$2,218,341	$2,077,112	$141,229

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,230,875	TotalAmt
Program Services	$905,576	ProgramServicesAmt
Management And General	$2,325,299	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$117,862,132	TotalAmt
Program Services	$98,795,540	ProgramServicesAmt
Management And General	$19,066,592	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,775	BOYAmt
EOY	$1,787	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$3,779,880	BOYAmt
EOY	$3,208,727	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$14,634	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$9,125,222	BOYAmt
EOY	$8,935,473	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,760,343	BOYAmt
EOY	$1,758,071	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,040,830	BOYAmt
EOY	$1,437,504	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$53,681,070	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$12,528,823	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$38,328,931	BOYAmt
EOY	$41,152,247	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$93,432,701	BOYAmt
EOY	$99,245,780	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$202,833	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$3,995,655	BOYAmt
EOY	$2,162,173	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$151,668,170	BOYAmt
EOY	$157,916,396	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$11,467,369	BOYAmt
EOY	$12,771,851	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,125,000	BOYAmt
EOY	$375,000	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$25,765,000	BOYAmt
EOY	$24,050,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$24,101,855	BOYAmt
EOY	$30,809,829	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$62,459,224	BOYAmt
EOY	$68,006,680	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$88,447,674	BOYAmt
EOY	$89,228,938	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$118,570	BOYAmt
EOY	$78,122	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$642,702	BOYAmt
EOY	$602,656	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$89,208,946	BOYAmt
EOY	$89,909,716	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$151,668,170	BOYAmt
EOY	$157,916,396	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$10,902,357	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$3,026,802	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$7,174,785	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule 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	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$10,233	OtherActivitiesAmt
Total Lobbying Expenditures	$10,233	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	ITEM II-B, LINE 1, ITEM I, REPRESENTS INDIRECT LOBBYING ACTIVITIES PERFORMED BY HOSPITAL ASSOCIATIONS OF WHICH WE ARE MEMBERS.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,410,000	OtherCostOrOtherBasisAmt
Book Value	$8,410,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,456,201	OtherCostOrOtherBasisAmt
Depreciation	$4,169,200	DepreciationAmt
Book Value	$22,287,001	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$107,440	OtherCostOrOtherBasisAmt
Depreciation	$6,248	DepreciationAmt
Book Value	$101,192	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,163,659	OtherCostOrOtherBasisAmt
Depreciation	$8,353,375	DepreciationAmt
Book Value	$8,810,284	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,543,770	OtherCostOrOtherBasisAmt
Book Value	$1,543,770	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$41,152,247	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
CAPITALIZED LEASES	$4,980
PENSION LIABILITIES	$19,061,518
THIRD-PARTY SETTLEMENTS	$8,809,814
INSURANCE LIABILITY	$2,539,704
INTERCOMPANY PAYABLE	$163,839
OTHER LIABILITIES-MISC	$229,974

Field	Value	IRS element (for citing)
Total Liability	$30,809,829	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	LVHN, ITS HOSPITALS, AND OTHER SUBSIDIARIES ARE GENERALLY EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, EXCEPT FOR TAX IMPOSED ON UNRELATED BUSINESS INCOME. THE MOST RECENT DETERMINATION LETTER, RECEIVED BY THE ORGANIZATION, IS DATED MAY 1, 2014. LVHN AND ITS SUBSIDIARIES ACCOUNT FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740. THE ORGANIZATION'S FOR-PROFIT COMPONENTS RECOGNIZE DEFERRED TAX ASSETS AND LIABILITIES FOR THE FUTURE TAX IMPACT OF TEMPORARY DIFFERENCES BETWEEN AMOUNTS RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS AND THEIR RESPECTIVE TAX BASES AND THE FUTURE BENEFIT OF UTILIZATION NET OPERATING LOSS CARRYFORWARDS. INCOME TAXES OF THE ORGANIZATION'S TAX-EXEMPT AND FOR-PROFIT COMPONENTS ARE NOT MATERIAL TO THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS.	ExplanationTxt

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Agrmt Prof Fundraising Acty	0	AgrmtProfFundraisingActyInd
Licensed States	PA	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GOLF TOURNAMENT	Event1Nm
Gross Receipts Event1	$53,953	GrossReceiptsEvent1Amt
Gross Revenue Event1	$53,953	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$373	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$8,477	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$1,033	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$611	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$53,953	GrossReceiptsTotalAmt
Gross Revenue Total Events	$53,953	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$373	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$8,477	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$1,033	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$611	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$10,494	DirectExpenseSummaryEventsAmt
Net Income Summary	$43,459	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
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	$266,113	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$266,113	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,303,946	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,971,817	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,332,129	NetCommunityBenefitExpnsAmt
Total Expense	0.06600	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,570,059	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,971,817	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,598,242	NetCommunityBenefitExpnsAmt
Total Expense	0.06840	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$590,663	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$156,506	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$434,157	NetCommunityBenefitExpnsAmt
Total Expense	0.00390	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$127,833	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,857	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$108,976	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$523,561	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$523,561	NetCommunityBenefitExpnsAmt
Total Expense	0.00470	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$68,025	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$68,025	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,310,082	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$175,363	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,134,719	NetCommunityBenefitExpnsAmt
Total Expense	0.01020	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,880,141	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,147,180	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,732,961	NetCommunityBenefitExpnsAmt
Total Expense	0.07860	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$282,388	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$282,388	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,134	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,134	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$41,321	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$41,321	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,333	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,333	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$252,209	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$252,209	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$590,385	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$590,385	NetCommunityBenefitExpnsAmt
Total Expense	0.00540	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,377,313	BadDebtExpenseAmt
Bad Debt Expense Attributable	$626,402	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$41,317,355	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$41,152,701	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$164,654	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 BELTWAY HEALTH LP	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	MEDICAL OFFICE SPACE RENTAL	PrimaryActivitiesTxt
Org Profit Or Ownership	0.43780	OrgProfitOrOwnershipPct

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	NORTHEASTERN PENNSYLVANIA HEALTH CORP	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	700 E BROAD ST	AddressLine1Txt
City	HAZLETON	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	18201	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTP://HAZLETON.LVHN.ORG/	WebsiteAddressTxt
State License	083701	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	NORTHEASTERN PENNSYLVANIA HEALTH CORPORA	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
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.LVHN.ORG/ABOUT_US	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.LVHN.ORG/ABOUT_US	StrategyWebsiteURLTxt
Strategy Attached	Yes (1)	StrategyAttachedInd
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
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
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	HTTP://HAZLETON.LVHN.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTP://HAZLETON.LVHN.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTP://HAZLETON.LVHN.ORG	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
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit Other Actions	Yes (X)	PermitOtherActionsInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Average Negotiated Rates	Yes (X)	AverageNegotiatedRatesInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
NORTHEASTERN PENNSYLVANIA HEALTH CORPORATION	PART V, SECTION B, LINE 5: THE MISSION OF THE LEHIGH VALLEY HOSPITAL-HAZLETON (LVH-H) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS TO UNDERSTAND AND PLAN FOR THE CURRENT AND FUTURE HEALTH NEEDS OF THE RESIDENTS OF ITS COMMUNITY. THE GOAL OF THE PROCESS IS TO IDENTIFY THE HEALTH NEEDS OF THE COMMUNITIES SERVED BY LVH-H, WHILE DEVELOPING A DEEPER UNDERSTANDING OF COMMUNITY NEEDS AND IDENTIFYING COMMUNITY HEALTH PRIORITIES.IMPORTANT TO THE SUCCESS OF THE COMMUNITY NEEDS ASSESSMENT PROCESS IS MEANINGFUL ENGAGEMENT AND INPUT FROM A BROAD CROSS-SECTION OF COMMUNITY BASED ORGANIZATIONS, WHO WERE PARTNERS IN THE COMMUNITY HEALTH NEEDS ASSESSMENT.REPRESENTATIVES OF THE COMMUNITY INCLUDED MEMBERS INVOLVED IN THE HAZLETON INTEGRATION PROJECT, PENN STATE UNIVERSITY, CITY OF HAZLETON POLICE DEPARTMENT, RESIDENTS OF THE LOCAL AREA, AS WELL AS REPRESENTATIVES FROM LVH-HAZLETON AND LVH-ALLENTOWN.
NORTHEASTERN PENNSYLVANIA HEALTH CORPORATION	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
NORTHEASTERN PENNSYLVANIA HEALTH CORPORATION	PART V, SECTION B, LINE 6B: REPRESENTATIVES OF THE COMMUNITY INCLUDED MEMBERS INVOLVED IN THE HAZLETON INTEGRATION PROJECT, PENN STATE UNIVERSITY, CITY OF HAZLETON POLICE DEPARTMENT, RESIDENTS OF THE LOCAL AREA, AS WELL AS REPRESENTATIVES FROM LVH-HAZLETON AND LVH-ALLENTOWN.
NORTHEASTERN PENNSYLVANIA HEALTH CORPORATION	PART V, SECTION B, LINE 7D: OUR COMMUNITY HEALTH NEEDS ASSESSMENT IS ALSO AVAILABLE UPON REQUEST.
NORTHEASTERN PENNSYLVANIA HEALTH CORPORATION	PART V, SECTION B, LINE 11: ACCORDING TO THE IRS 990 H, THE QUALITATIVE RESEARCH COMPONENT OF THE CHNA SHOULD NOT ONLY IDENTIFY KEY ISSUES AFFECTING COMMUNITY HEALTH, BUT ALSO WORK TO PRIORITIZE THOSE KEY ISSUES. SEE PDF ATTACHMENT TO RETURN FOR THE SIGNIFICANT NEEDS IDENTIFIED IN OUR MOST RECENTLY CONDUCTED CHNA AND HOW WE ARE ADDRESSING THOSE NEEDS.
NORTHEASTERN PENNSYLVANIA HEALTH CORPORATION	PART V, SECTION B, LINE 18D: BILLING ACTIVITIES INCLUDE HOSPITAL SENDING FOUR STATEMENTS REQUESTING PAYMENT, ALONG WITH AN SPO-1 LETTER WHICH REQUESTS INSURANCE INFORMATION AND INCLUDES INFORMATION ON APPLYING FOR MEDICAL ASSISTANCE, BEFORE ANY COLLECTION ACTIONS OCCUR. THE STATEMENTS INCLUDE INFORMATION ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, SOLICITING THE PATIENT'S PARTICIPATION IN THE FINANCIAL ASSISTANCE PROGRAM.

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	LEHIGH VALLEY HOSPITAL-HAZLETON ALSO USES AN ASSET TEST TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE. THE ONLY ASSETS THAT ARE USED FOR THIS TEST ARE CASH BALANCES IN BANK ACCOUNTS.
PART I, LINE 6A:	THE COMMUNITY BENEFIT REPORT IS ISSUED BY LEHIGH VALLEY HEALTH NETWORK - EIN 22-2458317, THE PARENT COMPANY OF LEHIGH VALLEY HOSPITAL-HAZLETON.
PART I, LINE 7:	THE COSTING METHODOLOGY IS COST TO CHARGE RATIO FOR PROGRAMS WITH GROSS CHARGES AND DIRECT COSTS FOR PROGRAMS WITHOUT GROSS CHARGES.
PART I, LINE 7G:	THE SUBSIDIZED HEALTH SERVICES OF $523,561 INCLUDES THE TELEMEDICINE SERVICES AND THE HOSPITALIST PROGRAM. THESE SERVICE EXPENSES ARE NOT INCLUDED IN THE MEDICAL ASSISTANCE SHORTFALL OR UNCOMPENSATED CHARITY CARE VALUE REPORTED ABOVE.
PART I, LN 7 COL(F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A) IS $6,705,515.
PART II, COMMUNITY BUILDING ACTIVITIES:	OUR COMMUNITY BUILDING ACTIVITIES INCLUDE THE FOLLOWING:COMMUNITY SUPPORT INCLUDES PATIENT ADVOCATES, INTERPRETATION SERVICES AND PATIENT SATISFACTION SURVEYS.COALITION BUILDING INCLUDES ACTIVITIES RELATED TO COMMUNITY BOARDS SUCH AS UNITED WAY AND THE YMCACOMMUNITY HEALTH IMPROVEMENT ADVOCACY INCLUDES EMPLOYEE TIME VOLUNTEERING FOR THE FREE CLINIC.WORKFORCE DEVELOPMENT INCLUDES RECRUITMENT COSTS, JOB SHADOWING AND STUDENT CLINICAL ADVISORS.
PART III, LINE 2:	AMOUNTS REPORTED AS BAD DEBT EXPENSE ARE REPORTED NET OF APPLICABLE PATIENT PAYMENTS, INSURANCE PAYMENTS AND CONTRACTUAL ALLOWANCES AS WELL AS OTHER HOSPITAL DISCOUNTS FOR WHICH THE PATIENT IS DEEMED ELIGIBLE. THE RATIO OF COSTS-TO-CHARGES (RCC) IS APPLIED TO TEH NET AMOUNT TO DETERMINE THE BAD DEBT EXPENSE.
PART III, LINE 3:	IN INSTANCES WHERE THE ORGANIZATION BELIEVES A PATIENT HAS THE ABILITY TO PAY FOR SERVICES AND, AFTER APPROPRIATE COLLECTION EFFORT, PAYMENT IS NOT MADE, THE AMOUNT OF SERVICES NOT PAID IS WRITTEN-OFF AS BAD DEBTS. AMOUNTS RECORDED AS PROVISION FOR BAD DEBTS DO NOT INCLUDE CHARITY CARE. THE PROVISION FOR BAD DEBTS FOR THE YEARS ENDED JUNE 30, 2016 AND 2015, WAS $5,658,000 AND $5,739,000 RESPECTIVELY.
PART III, LINE 4:	BAD DEBTS - THE ORGANIZATION RECORDS A PROVISION FOR BAD DEBTS RELATED TO UNINSURED ACCOUNTS NET OF THE AGB DISCOUNT TO RECORD THE NET SELF-PAY ACCOUNTS RECEIVABLE AT THE ESTIMATED AMOUNTS THE ORGANIZATION EXPECTS TO COLLECT. COINSURANCES AND DEDUCTIBLES WITHIN THE THIRD-PARTY PAYER AGREEMENTS ARE THE PATIENT'S RESPONSIBILITY SO THE ORGANIZATION INCLUDES THESE AMOUNTS IN THE SELF-PAY ACCOUNTS RECEIVABLE AND CONSIDERS THESE AMOUNTS IN ITS DETERMINATION OF THE PROVISION FOR BAD DEBTS BASED ON HISTORICAL COLLECTION EXPERIENCE.IN INSTANCES WHERE THE ORGANIZATION BELIEVES A PATIENT HAS THE ABILITY TO PAY FOR SERVICES AND, AFTER APPROPRIATE COLLECTION EFFORT, PAYMENT IS NOT MADE, THE AMOUNT OF SERVICES NOT PAID IS WRITTEN-OFF AS BAD DEBTS. AMOUNTS RECORDED AS PROVISION FOR BAD DEBTS DO NOT INCLUDE CHARITY CARE. THE PROVISION FOR BAD DEBTS FOR THE YEARS ENDED ENDED JUNE 30 2016 AND 2015, WAS $5,658,000 AND $5,739,000 RESPECTIVELY.
PART III, LINE 8:	THE MEDICARE PROGRAM COSTS REPORTED IN THE ANNUAL LVHN COMMUNITY BENEFIT REPORT INCLUDE $8,022,631 IN COSTS THAT ARE CONSIDERED DISALLOWED COSTS ON THE MEDICARE COST REPORT. THESE DISALLOWED COSTS ARE PRIMARILY FOR LVPG-H PRACTICE SUBSIDIES, PHYSICIAN COSTS AND OTHER COSTS DISALLOWED BY THE MEDICARE PROGRAM FOR COST REPORTING PURPOSES.
PART III, LINE 9B:	FINANCIAL COUNSELING STAFF ASSISTS PATIENTS IN APPLYING FOR MEDICAID, CHIP, AS WELL AS FINANCIAL ASSISTANCE UNDER OUR FINANCIAL ASSISTANCE POLICY. ACCOUNTS THAT DO NOT MEET THE ELIGIBILITY REQUIREMENTS WILL BE FOLLOWED UP IN-HOUSE OR REFERRED TO AN EXTERNAL RECEIVABLES FOLLOW UP AGENCY, AND IF NOT PAID, REFERRED TO A COLLECTION AGENCY, AND, SUBSEQUENTLY, TRANSFERRED TO BAD DEBT STATUS IF THE ACCOUNTS REMAIN UNPAID.
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 $9,001,301. THE COSTS OF MEDICARE MANAGED CARE, INCLUDED IN THIS AMOUNT IS $2,562,845. THE REMAINING $6,438,456 OF COSTS NOT INCLUDED IN THE MEDICARE COST REPORT CONSISTS PRIMARILY OF LVPG-H PRACTICE SUBSIDIES, PHYSICIAN COSTS IN EXCESS OF ALLOWABLE AMOUNTS, AND OTHER MEDICARE DISALLOWABLE COSTS.
PART VI, LINE 2:	THE OBJECTIVE OF THIS ASSESSMENT IS TO ANALYZE TRADITIONAL HEALTH-RELATED INDICATORS, AS WELL AS SOCIAL, DEMOGRAPHIC, ECONOMIC, AND ENVIRONMENTAL FACTORS. THIS PROJECT WAS DEVELOPED AND IMPLEMENTED TO MEET THE INDIVIDUAL PROJECT GOALS AS DEFINED BY THE PROJECT OVERSIGHT COMMITTEE, WHICH INCLUDED: (1) ASSURING THAT COMMUNITY MEMBERS, INCLUDING UNDER-REPRESENTED RESIDENTS AND THOSE WITH BROAD-BASED RACIAL, ETHNIC, CULTURAL AND LINGUISTIC BACKGROUNDS ARE INCLUDED IN THE NEEDS ASSESSMENT PROCESS. IN ADDITION, PERSONS WITH SPECIAL KNOWLEDGE OF, OR EXPERTISE IN PUBLIC HEALTH; FEDERAL, TRIBAL, REGIONAL, STATE OR LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES, WITH CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY; AND LEADERS, REPRESENTATIVES OR MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS WITH CHRONIC DISEASE NEEDS, IN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY ARE INCLUDED IN THE NEEDS ASSESSMENT PROCESS THROUGH DATA COLLECTION AND KEY STAKEHOLDER INTERVIEWS. (2) OBTAINING STATISTICALLY VALID INFORMATION ON THE HEALTH STATUS AND SOCIO-ECONOMIC AND ENVIRONMENTAL FACTORS RELATED TO THE HEALTH OF RESIDENTS IN THE COMMUNITY AND SUPPLEMENTING THE GENERAL POPULATION SURVEY DATA THAT IS CURRENTLY AVAILABLE. (3) DEVELOPING ACCURATE COMPARISONS TO BASELINE HEALTH MEASURES UTILIZING THE MOST CURRENT VALIDATED DATA. (4) DEVELOPING A CHNA DOCUMENT AS REQUIRED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA). THE CURRENT THREE-YEAR ASSESSMENT COMPLETED IN 2013, ESTABLISHED THE FOLLOWING PRIORITIES: (1) IMPROVING ACCESS TO AFFORDABLE HEALTHCARE (2) HEALTH EDUCATION AND COMMUNICATION (3) BEHAVIORS THAT IMPACT HEALTH. SEE OUR PDF ATTACHMENT TO RETURN FOR THE SIGNIFICANT NEEDS IDENTIFIED IN OUR MOST RECENTLY CONDUCTED CHNA AND HOW WE ARE ADDRESSING THOSE NEEDS.
PART VI, LINE 3:	CONSISTENT WITH THE MISSION AND VALUES OF LEHIGH VALLEY HEALTH NETWORK, IT IS THE POLICY TO PROVIDE MEDICAL CARE TO ALL INDIVIDUALS WITHOUT REGARD TO THEIR ABILITY TO PAY FOR SERVICES. THE PATIENT FINANCIAL ASSISTANCE PROGRAM APPLIES TO UNINSURED AND UNDER-INSURED INDIVIDUALS WHO PARTICIPATE IN THE PROCESS TO EVALUATE THEIR ABILITY TO PAY FOR LVH-H SERVICES.THE FINANCIAL COUNSELORS HELP PATIENTS COMPLETE THE APPLICATION FOR FINANCIAL ASSISTANCE. LVH-H FOLLOWS THE FEDERAL POVERTY GUIDELINES TO EVALUATE ELIGIBILITY. PATIENTS WHOSE FAMILY INCOME FALLS BELOW 200% OF THE FEDERAL POVERTY GUIDELINE WILL HAVE THEIR ENTIRE BALANCE FORGIVEN FOR THEIR QUALIFYING SERVICES AT LVH-H. PATIENTS WITH A FAMILY INCOME BELOW 400% OF THE FEDERAL POVERTY GUIDELINES WILL HAVE A PORTION OF THEIR BALANCE FORGIVEN FOR QUALIFYING SERVICES AT LVH-H.PATIENTS OFTEN EXPRESS FINANCIAL CONCERN OR NEED BY CONTACTING LVH-H PATIENT FINANCIAL COUNSELING DEPARTMENT. THE COUNSELOR EXPLAINS THE AVAILABLE PROGRAMS, SUCH AS PENNSYLVANIA MEDICAL ASSISTANCE, CHIP, THE FEDERAL INSURANCE EXCHANGE AND PATIENT FINANCIAL ASSISTANCE.PATIENTS WILL BE REFERRED TO THE FINANCIAL COUNSELORS WHO WORK WITH UNINSURED AND UNDER-INSURED PATIENTS TO APPLY FOR PENNSYLVANIA MEDICAL ASSISTANCE. THE FINANCIAL COUNSELORS ARE LOCATED ONSITE. THE FINANCIAL COUNSELORS VISIT INPATIENTS IN THEIR ROOMS AND OUTPATIENTS IN THE EMERGENCY DEPARTMENT (ED).INFORMATION REGARDING FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS VIA SIGNAGE IN THE REGISTRATION AREAS AS WELL AS THE ED WAITING ROOM. ALSO, WHEN THE FINANCIAL COUNSELORS ASSIST PATIENTS IN COMPLETING A MEDICAL ASSISTANCE UNINSURED AND UNDER-INSURED APPLICATION, THEY ALSO INFORM THE PATIENT ABOUT THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM. IN ADDITION, LVH-H ADVERTISES OUR FINANCIAL ASSISTANCE PROGRAM ON OUR PUBLIC WEBSITE, AS WELL AS ON ALL BILLING STATEMENTS SENT TO OUT PATIENTS.
PART VI, LINE 4:	NORTHEASTERN PENNSYLVANIA HEALTH CORP, D/B/A LEHIGH VALLEY HOSPITAL-HAZLETON (LVH-H) IS A PENNSYLVANIA NOT-FOR-PROFIT 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-H CONSISTS OF LUZERNE, SCHUYKILL AND CARBON COUNTIES.DURING THE FISCAL YEAR 2016, 97.36% AND 0.98% OF THE DISCHARGES FROM LVH-H WERE RESIDENTS OF THE PRIMARY SERVICE AND SECONDARY SERVICE AREA, RESPECTIVELY. DURING THE FISCAL YEAR 2016, 1.66% OF THE DISCHARGES FROM LVH-H WERE RESIDENTS OUTSIDE THE PRIMARY AND SECONDARY AREAS.
PART VI, LINE 5:	LEHIGH VALLEY HOSPITAL-HAZLETON QUALIFIES AS AN INSTITUTE OF PURELY PUBLIC CHARITY IN PENNSYLVANIA. THIS REGULATION IS REFERRED TO AS ACT 55. TO BE CONSIDERED A PURELY PUBLIC CHARITY, NONPROFITS MUST:(1) ADVANCE A CHARITABLE PURPOSE;(2) DONATE OR RENDER GRATUITOUSLY A SUBSTANTIAL PORTION OF ITS SERVICES;(3) BENEFIT A SUBSTANTIAL AND INDEFINITE CLASS OF PERSONS WHO ARE LEGITIMATE SUBJECTS OF CHARITY;(4) RELIEVE THE GOVERNMENT OF SOME BURDEN; AND(5) OPERATE ENTIRELY FREE FROM PRIVATE PROFIT MOTIVE.LVH-H IS REQUIRED TO REAPPLY FOR THIS CHARITABLE STATUS EVERY FIVE YEARS AND CURRENTLY QUALIFIES THROUGH JULY 31, 2018.
PART VI, LINE 6:	THE MISSION OF THE LEHIGH VALLEY HOSPITAL-HAZLETON (LVH-H) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS TO UNDERSTAND AND PLAN FOR THE CURRENT AND FUTURE HEALTH NEEDS OF THE RESIDENTS OF ITS COMMUNITY. THE GOAL OF THE PROCESS IS TO IDENTIFY THE HEALTH NEEDS OF THE COMMUNITIES SERVED BY LVH-H, WHILE DEVELOPING A DEEPER UNDERSTANDING OF COMMUNITY NEEDS AND IDENTIFYING COMMUNITY HEALTH PRIORITIES. THE ASSESSMENT ESTABLISHED THE FOLLOWING PRIORITIES: (1) IMPROVING ACCESS TO AFFORDABLE HEALTHCARE (2) HEALTH EDUCATION AND COMMUNICATION (3) BEHAVIORS THAT IMPACT HEALTH. THE CURRENT THREE-YEAR ASSESSMENT COMPLETED IN 2013, ESTABLISHED THE FOLLOWING PRIORITIES: (1) IMPROVING ACCESS TO AFFORDABLE HEALTHCARE (2) HEALTH EDUCATION AND COMMUNICATION (3) BEHAVIORS THAT IMPACT HEALTH. THE FOLLOWING EXPLAINS THE WORK DONE IN YEAR THREE TO ADDRESS EACH INITIATIVE:THE FIRST OBJECTIVE WAS TO IMPROVE THE ACCESS AND HEALTH OF THE COMMUNITY WE SERVE THROUGH THE FINANCIAL SUPPORT OF A FREE CLINIC. FINANCIAL SUPPORT OF $10000 WAS AGAIN PROVIDED TO THE CLINIC.THE SECOND OBJECTIVE WAS TO IMPROVE THE HEALTH OF THE COMMUNITY WE SERVE THROUGH EDUCATION AND OUTREACH. HEALTH PROGRAMS CONTINUE TO BE OFFERED THROUGH OCCUPATIONAL MEDICINE, NURSING AND VARIOUS OTHER CLINICAL DEPARTMENTS, INCLUDING BOTH EDUCATIONAL PROGRAMS AS WELL AS HEALTH FAIRS. PROGRAMS INCLUDED PARTNERSHIP WITH AMERICAN HEART ASSOCIATION'S HEARTCHASE EVENT TO EDUCATE PARTICIPANTS ON HEART HEALTHY CHOICES, HANDS ONLY CPR SESSIONS PROGRAMS, AND LOOK GOOD FEEL GOOD PROGRAM IN CONJUNCTION WITH THE AMERICAN CANCER SOCIETY. PRESENTATIONS ON FOOT PAIN AND THYROID CONDITIONS, DIABETES AND OBESITY WERE PRESENTED IN COLLABORATION WITH THE MANUFACTURERS ASSOCIATION OF EASTERN PENNSYLVANIA ON 11/6/15. AS OF 6/30/16, 22 HEALTH FAIRS AND 48 PROGRAMS WERE HELD. 1047 HEALTH FAIR AND PROGRAM PARTICIPANTS RECEIVED EDUCATION AND VARIOUS HEALTH SCREENINGS.THE THIRD OBJECTIVE WAS TO IMPROVE ACCESS AND THE HEALTH OF THE COMMUNITY WE SERVE BY OFFERING NON-TRADITIONAL HOURS. EXPRESS CARE VOLUMES HAVE EXCEEDED THE EXPECTED OUTCOMES AND CONTINUE TO OFFER CARE FROM 8AM-8PM M-F AND 8AM - 4:30PM SAT AND SUN WITH EXPANDED STAFFING. EVALUATIONS FOR AREAS OF ADDITIONAL ACCESS ARE ONGOING.THE FOURTH OBJECTIVE WAS TO IMPLEMENT PROGRAMS THAT POSITIVELY AFFECT BEHAVIORS THAT IMPACT HEALTH. BREAST HEALTH SCREENINGS ON KOMEN MAMMO DAY, DISTRIBUTION OF 40 OCCULT BLOOD COLON CANCER SCREENING KITS; 92 PEOPLE RECEIVED CAROTID ARTERY ULTRASOUND STROKE SCREENINGS, ASSESSMENTS AND EDUCATION AT THE FALL PREVENTION HEALTH FAIR; ATV SAFETY EVENT IN COLLABORATION WITH PA DIVISION OF AMERICAN TRAUMA SOCIETY AND PRESENTATIONS TO 54 PEOPLE ON SURGICAL AND NON-SURGICAL WEIGHT LOSS OPTIONS. LVH-H LEADERSHIP CONTINUES TO MEET WITH LEADERSHIP OF THE HAZLETON INTEGRATION PROJECT (HIP) TO DETERMINE NEEDS OF ITS UNDERSERVED COMMUNITY MEMBERS AS WELL AS PARTICIPATING IN THE COMMUNITIES THAT CARE (CTC) PROJECT WHICH WORKS COLLABORATIVELY WITH LOCAL AGENCIES, SUCH AS LOCAL GOVERNMENT, SCHOOL DISTRICT, AND CHAMBER OF COMMERCE TO ENSURE NEW COMMUNITY MEMBERS KNOW WHERE TO ACCESS SERVICES SUCH AS HEALTHCARE. IN ADDITION:A DONATION OF $5000 WAS MADE TO THE DOWNTOWN HAZLETON ALLIANCE FOR IMPROVEMENTS IN COMMUNITY SOCIALIZATION AND REVITALIZATION. 65 TRANSLATION IPADS WERE DISTRIBUTED THROUGHOUT LVH-H AND LVPG-H FACILITIES TO FACILITATE IMPROVEMENTS IN HEALTH CARE COMMUNICATION WITH LANGUAGE BARRIERS AND HEARING IMPAIRED PATIENTS. LVH-H PROVIDED FOOD DONATIONS FOR COMMUNITY EASTER, THANKSGIVING AND CHRISTMAS DINNERSCOLLEAGUES PARTICIPATED IN SEVERAL FUNDRAISERS TO SUPPORT THE UNITED WAY OF GREATER HAZLETON.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	0	GrantRecordsMaintainedInd

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
AMERICAN CANCER SOCIETY
PO BOX 2306	HAZLETON	PA	18201	131788491	501(C)(3)	$12,500	TO CONTINUE THE MISSION OF THE AMERICAN CANCER SOCIETY TO ELIMINATE CANCER AS A MAJOR HEALTH PROBLEM
AMERICAN HEART ASSOCIATION
10900-B STONELAKE BLVD SUITE 320	AUSTIN	TX	78759	135613797	501(C)(3)	$10,000	TO CONTINUE THE MISSION OF THE AMERICAN HEART ASSOCIATION TO ADVANCE THE HEALTH OF COMMUNITIES
HAZLETON INTEGRATION PROJECT INC
225 E 4TH ST	HAZLETON	PA	18201	453444683	501(C)(3)	$10,000	TO CONTINUE THE MISSION TO REVITALIZE THE DOWNTOWN HAZLETON AREA
MINSI TRAILS COUNCIL
PO BOX 20624	LEHIGH VALLEY	PA	180020624	231708585	501(C)(3)	$7,500	TO CONTINUE THE MISSION OF THE BOY SCOUTS OF AMERICA
GREATER HAZLETON CHAMBER OF COMMERCE
20 W BROAD ST	HAZLETON	PA	18201	240607160	501(C)(3)	$6,700	TO SUPPORT THE PROMOTION OF BUSINESS IN THE HAZLETON AREA
MOUNTAIN COUNCIL ON GOVERNMENTS
20 W BROAD ST	HAZLETON	PA	18201	233054092	501(C)(3)	$5,000	TO CONTINUE THE MISSION TO STUDY COMMUNITY CHALLENGES

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 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
JOHN R FLETCHER
PRESIDENT, EX OFFICIO	$319,246	$0	$70,000	$0	$31,243	$0	$7,800	$0	$2,733	$0	$431,022	$0	$0	$0
WILLIAM C BAUER
ASSISTANT TREASURER	$240,250	$0	$43,535	$0	$0	$0	$7,800	$0	$28,615	$0	$320,200	$0	$0	$0
EDWARD F O'DEA
TREASURER	$0	$513,070	$0	$136,247	$0	$104,165	$0	$0	$0	$41,278	$0	$794,760	$0	$0
ANTHONY VALENTE
VP OF MEDICAL AFFAIRS	$198,143	$0	$31,500	$0	$0	$0	$6,545	$0	$28,508	$0	$264,696	$0	$0	$0
DONALD A PATTEN
PHYSICIAN	$277,190	$0	$0	$0	$0	$0	$7,800	$0	$27,259	$0	$312,249	$0	$0	$0
JOSEPH G CIOTOLA
PHYSICIAN	$217,789	$0	$0	$0	$0	$0	$6,789	$0	$22,107	$0	$246,685	$0	$0	$0
JOHN P AMENTLER
PHYSICIAN	$213,880	$0	$0	$0	$0	$0	$6,293	$0	$2,427	$0	$222,600	$0	$0	$0
MICHAEL GOLDEN
VP OF NURSING	$182,934	$0	$30,000	$0	$0	$0	$6,073	$0	$28,452	$0	$247,459	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 4B	FormAndLineReferenceDesc
Explanation	EDWARD O'DEA $105,668 JOHN FLETCHER $24,043	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
SUSAN C YEE - TRUSTEE
PARTNERSHIP IN 94 BRODHEAD ASSOCIATES - TRUSTEE OF LVHN/LVH/LVHM/LVHH/HWC	$126,640	94 BRODHEAD ASSOCIATES LEASES OFFICE SPACE TO LVPG AT FAIR MARKET VALUE.	0
ANTHONY VALENTE MD - HIGHLY COMPENS
OWNER OF MARVAL MEDICAL - HIGHLY COMPENSATED EMPLOYEE OF LVH-H	$304,837	MARVAL MEDICAL PROVIDES HOSPITALIST SERVICES TO THE LVH-HAZLETON.	0
SUSAN C YEE - TRUSTEE
CEO OF ACTIVE DATA, INC. - TRUSTEE OF LVHN/LVH/LVHM/LVHH/HWC	$26,720	DONATION OF SOFTWARE LICENSE FOR USE BY LVH	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 2	LVH-H CONTINUED TO PURSUE OPPORTUNITIES TO PROVIDE AND/OR ENHANCE QUALITY SERVICES FOR THE COMMUNITY WE SERVE. WE CONTINUED DEVELOPMENT AND IMPLEMENTATION OF THE ELECTRONIC MEDICAL RECORD (EMR) SYSTEM TO MEET MEANINGFUL USE REQUIREMENTS. WE ALSO CONTINUED TO FULFILL OUR COMMITMENT TO A THREE-YEAR FINANCIAL PLEDGE TO SUPPORT A COMMUNITY-BASED ORGANIZATION'S DEVELOPMENT OF A FREE CLINIC FOR THE UNINSURED, AS WELL AS CONTINUED IMPLEMENTATION OF OUR COMMUNITY HEALTH NEEDS ASSESSMENT PLAN BASED ON COMMUNITY NEEDS. ALSO, WE CONTINUED IMPLEMENTATION OF OUR STRATEGIC PLAN TO REDUCE OUTMIGRATION BY SUCCESSFULLY RECRUITING PRIMARY AND SPECIALTY CARE PHYSICIANS TO MEET THE NEEDS OF OUR COMMUNITY. WE DEVELOPED A MEDICAL STAFF DEVELOPMENT PLAN TO SUPPORT AND FURTHER THE MISSION OF THE HOSPITAL; BECAME DESIGNATED AS LEVEL IV TRAUMA CENTER WITH A 3-YEAR CERTIFICATION; OPENED A NEW AMBULATORY HEALTH CENTER IN MOUNTAIN TOP, PA WHICH INCLUDES PHYSICIAN PRACTICES, AS WELL AS OUTPATIENT DIAGNOSTIC TESTING SERVICES. WE ALSO OPENED A CANCER TREATMENT CENTER IN THE GREATER HAZLETON AREA AND RECRUITED TWO HEMATOLOGIST ONCOLOGISTS. IN ADDITION, WE DEVELOPED A MUSCULOSKELETAL SERVICE LINE TO PROVIDE PATIENTS WITH MEDICALLY APPROPRIATE CONTINUUM OF CARE; COMPLETED SUCCESSFUL IMPLEMENTATION OF ICD-10 CODING PROCESS; CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH INCLUDED DEVELOPING A THREE-YEAR PLAN TO MEET THE COMMUNITY NEEDS. ALSO, WE DEVELOPED A COMMUNITY AMBASSADOR BOARD OF ASSOCIATES MADE UP OF BUSINESS AND CIVIC LEADERS, FORMER PATIENTS, FORMER EMPLOYEES AND OTHERS. THE PURPOSE OF THE BOARD IS FOR THE HOSPITAL TO PROVIDE INFORMATION ON HEALTH-RELATED MATTERS TO THE GROUP AND THE GROUP, IN TURN, PROVIDES FEEDBACK FROM THE COMMUNITY TO THE HOSPITAL - ALL IN AN EFFORT TO ENHANCE CARE AND PATIENT SATISFACTION. LVH-H ALSO PURCHASED LANGUAGE INTERPRETATION VIDEO IPADS TO MORE EASILY COMMUNICATE WITH PATIENTS WITH LIMITED ENGLISH PROFICIENCY; INSTALLED AN MRI UNIT IN THE HOSPITAL TO PROVIDE MORE CONVENIENT TESTING FOR INPATIENTS. PRIOR TO THIS INSTALLATION, PATIENTS HAD TO BE TRANSPORTATED TO AN OUTPATIENT MRI CENTER. OUTPATIENT MRIS ARE ALSO PERFORMED AT THE HOSPITAL SITE. IN ADDITION, WE BEGAN DISCUSSIONS AND RESEARCH ON THE FEASIBILITY OF BUILDING A NEW ACUTE CARE FACILITY IN OUR COMMUNITY.
FORM 990, PART VI, SECTION A, LINE 6	THE ORGANIZATION'S SOLE CORPORATE MEMBER IS LEHIGH VALLEY HEALTH NETWORK, INC.
FORM 990, PART VI, SECTION A, LINE 7A	THE ORGANIZATION'S SOLE CORPORATE MEMBER, LEHIGH VALLEY HEALTH NETWORK, INC., HAS THE POWER TO ELECT, APPOINT, APPROVE, OR REJECT MEMBERS OF THE ORGANIZATION'S GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7B	THE ORGANIZATION'S SOLE CORPORATE MEMBER, LEHIGH VALLEY HEALTH NETWORK, INC., HAS THE POWER TO APPROVE OR REJECT CERTAIN MAJOR OPERATING DECISIONS MADE BY THE ORGANIZATION'S GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11	THE PROCESS TO REVIEW THE 990'S INCLUDES: DRAFT 1 OF THE RETURNS IS REVIEWED IN DETAIL WITH A FOCUS ON ACCURACY, COMPLETENESS, AND PERSPECTIVE BY THE LVHN VICE-PRESIDENT, FINANCE-CONTROLLER AND THE LVHN CORPORATE LEGAL COUNSEL. DRAFT 2 OF THE RETURNS IS REVIEWED BY THE EXECUTIVE VICE PRESIDENT & CHIEF FINANCIAL OFFICER. ALL COMPENSATION DISCLOSURES ARE REVIEWED BY THE DIRECTOR - COMPENSATION - HUMAN RESOURCES. DRAFT 3 OF THE RETURNS IS REVIEWED TOGETHER WITH THE PRESIDENT & CEO, THE EXECUTIVE VICE PRESIDENT & CHIEF FINANCIAL OFFICER, THE VICE-PRESIDENT, FINANCE-CONTROLLER AND THE DIRECTOR-TAX. FINAL RETURNS ARE REVIEWED WITH THE LVHN BOARD LEADERSHIP GROUP (THE BOARD CHAIR AND THREE VICE CHAIRS). COPIES OF ALL 990'S ARE PROVIDED TO THE FULL BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	IN JANUARY 2016, LVHN IMPLEMENTED AN ELECTRONIC TOOL DESIGNED TO SEND NOTIFICATIONS AND TRACK DISCLOSURES REPORTED ON CONFLICT OF INTEREST QUESTIONNAIRES. THE NETWORK ALSO EXPANDED THE SCOPE OF THE CONFLICT OF INTEREST OR COMMITMENT POLICY, SUCH THAT ADDITIONAL COLLEAGUES ARE NOW REQUIRED TO COMPLETE A QUESTIONNAIRE EACH YEAR. PRIOR TO JANUARY, THE VP, INTERNAL AUDIT AND COMPLIANCE SERVICES ISSUED A NOTICE TO BOARD MEMBERS AND MEMBERS OF THE SENIOR MANAGEMENT COUNCIL WHEN IT WAS TIME FOR THEM TO SUBMIT THEIR CONFLICT OF INTEREST QUESTIONNAIRES. THE VP ALSO INSTRUCTED MEMBERS OF THE SENIOR MANAGEMENT COUNCIL TO IDENTIFY AND REQUEST COMPLETED CONFLICT OF INTEREST QUESTIONNAIRES FROM INDIVIDUALS WHO HAD POTENTIAL CONFLICTS OF INTEREST AND TO PROVIDE HER WITH THE IDENTITY OF THOSE INDIVIDUALS. COMPLIANCE SERVICES TRACKED COMPLETION OF THE QUESTIONNAIRES. ALL PHYSICIANS ON LVHN'S MEDICAL STAFF ARE ALSO REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. MEDICAL STAFF SERVICES MONITORS THIS PROCESS TO ENSURE THAT ALL PHYSICIANS COMPLY. POTENTIAL CONFLICTS ARE MANAGED BY THE LVHN CONFLICT OF INTEREST COMMITTEE AND/OR BY THE BOARD OF TRUSTEES, DEPENDING ON WHOSE INTEREST(S) POSE THE CONFLICT AND THE NATURE OF THE CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15	LEHIGH VALLEY HEALTH NETWORK 2016 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 17, 2015 EXECUTIVE COMPENSATION COMMITTEE MEETING. SENIOR MANAGEMENT COUNCIL (SMC) TOTAL COMPENSATION REVIEW: PROGRAM ANALYSIS: ANALYZE THE MARKET POSITION OF TOTAL COMPENSATION (SALARIES, INCENTIVES, BENEFITS, AND PERQUISITES) FOR LVHN'S SMC EXECUTIVES AND CLINICAL CHAIRS (APPROXIMATELY 30 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 17, 2015 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 SMC EXECUTIVES CONSISTENT WITH THE EXECUTIVE COMPENSATION PHILOSOPHY APPROVED BY THE COMMITTEE DURING ITS SEPTEMBER 15, 2015 MEETING: THE MARKET DATA USED FOR LVHN SYSTEM EXECUTIVES IN THIS ASSESSMENT ARE AN EQUALLY WEIGHTED BLEND OF (1) A PEER GROUP OF 33 NOT-FOR-PROFIT HEALTH SYSTEMS LOCATED IN THE NORTHEAST REGION (EXCLUDING NEW YORK CITY) WITH NET OPERATING REVENUES BETWEEN $1.0 BILLION AND $4.3 BILLION (AVERAGE OF $1.8 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 2015 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, 2016 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 PHYSICIAN'S 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 SENIOR MANAGEMENT COUNCIL (SMC) 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 FY2016 NET REVENUES AND PHYSICIAN FTE'S WERE USED AS THE SCOPE SIZE FOR EACH ENTITY.
FORM 990, PART VI, SECTION C, LINE 18	ANOTHER'S WEBSITE-GUIDESTAR. UPON REQUEST-HARD COPIES WITH SENIOR MANAGEMENT AND MARKETING.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH ITS ANNUAL REPORT TO THE COMMUNITY. THE ANNUAL REPORT IS DISTRIBUTED TO ALL ATTENDEES AT THE ORGANIZATION'S ANNUAL PUBLIC MEETING. IN ADDITION, IT IS DISTRIBUTED VIA MAIL TO MEMBERS OF THE COMMUNITY. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY ARE NOT AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9:	MINIMUM PENSION LIABILITY -8,271,091. TRANSFERS FROM AFFILIATES 1,021,871. MINORITY INTEREST 154,927. CHANGES IN RESTRICTED FUND BALANCE -80,492.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
LEHIGH VALLEY HEALTH NETWORK
1200 S CEDAR CREST BLVD	ALLENTOWN	PA	181036202	222458317	PARENT COMPANY	PA	501(C)(3)	LINE 3	N/A	0
LEHIGH VALLEY HOSPITAL
2100 MACK BLVD	ALLENTOWN	PA	181035622	231689692	HEALTH CARE ORGANIZATION	PA	501(C)(3)	LINE 3		0	LEHIGH VALLEY HEALTH NETWORK
LEHIGH VALLEY HOSPITAL-MUHLENBERG
1200 S CEDAR CREST BLVD	ALLENTOWN	PA	181036202	232367707	HEALTH CARE ORGANIZATION	PA	501(C)(3)	LINE 3		0	LEHIGH VALLEY HEALTH NETWORK
LEHIGH VALLEY PHYSICIAN GROUP
1200 S CEDAR CREST BLVD	ALLENTOWN	PA	181036202	232700908	PHYSICIAN PRACTICE ORGANIZATION	PA	501(C)(3)	LINE 3		0	LEHIGH VALLEY HEALTH NETWORK
MUHLENBERG REALTY CORPORATION
1200 S CEDAR CREST BLVD	ALLENTOWN	PA	181036202	232245513	REAL ESTATE RENTALS	PA	501(C)(3)	LINE 3		0	LEHIGH VALLEY HEALTH NETWORK
LEHIGH VALLEY HEALTH NETWORK REALTY HOLDING CO
1200 S CEDAR CREST BLVD	ALLENTOWN	PA	181036202	232586770	REAL ESTATE HOLDING CO	PA	501(C)(2)			0	LEHIGH VALLEY HEALTH NETWORK
HAZLETON PROFESSIONAL SERVICES
700 E BROAD ST	HAZLETON	PA	182016835	205880364	PHYSICIAN PRACTICE ORGANIZATION	PA	501(C)(3)	LINE 3		0	LEHIGH VALLEY PHYSICIAN GROUP
HAZLETON SURGICAL ALLIANCE
700 E BROAD ST	HAZLETON	PA	182016835	202038456	SURGICAL SERVICES	PA	501(C)(3)	LINE 3		0	NORTHEASTERN PENNSYLVANIA HEALTH CORP
HAZLETON HEALTH & WELLNESS CENTER
700 E BROAD ST	HAZLETON	PA	182016835	232580968	STAFFING SERVICES	PA	501(C)(3)	LINE 11A, I		0	NORTHEASTERN PENNSYLVANIA HEALTH CORP

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
LVHN RECIPROCAL RISK RETENTION GROUP
151 MEETING STREET SUITE 310	CHARLESTON	SC	294012238	200037118	INSURANCE	PA	N/A
HEALTH NETWORK LABORATORIES LLC
794 ROBLE RD	ALLENTOWN	PA	181099110	232932802	LABORATORY SERVICES	PA	N/A
HEALTH NETWORK LABORATORIES LP
794 ROBLE RD	ALLENTOWN	PA	181099110	232948774	LABORATORY SERVICES	PA	N/A
LEHIGH MAGNETIC IMAGING CENTER
1230 S CEDAR CREST BLVD	ALLENTOWN	PA	18103	232429007	IMAGING CENTER	PA	N/A
LEHIGH VALLEY IMAGING LLC
1200 CEDAR CREST BLVD	ALLENTOWN	PA	181036202	464551937	IMAGING SERVICES	PA	N/A
HAZLETON SURGERY CENTER LLC
17480 DALLAS PKWY STE 210	DALLAS	TX	752877304	201232531	SURGICAL SERVICES	PA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 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	OwnershipOwnershipPct
LEHIGH VALLEY HEALTH SERVICES INC
2100 MACK BLVD	ALLENTOWN	PA	181035622	232263665	HEALTH CARE RELATED SERVICES	PA	N/A	C	0
LEHIGH VALLEY ANESTHESIA SERVICES PC
2100 MACK BLVD	ALLENTOWN	PA	181035622	233096124	ANESTHESIA SERVICES	PA	N/A	C	0
WESTGATE PROFESSIONAL CENTER INC
2100 MACK BLVD	ALLENTOWN	PA	181035622	231657333	REAL ESTATE RENTALS	PA	N/A	C	0
LEHIGH VALLEY PHYSICIAN HOSPITAL ORGANIZATION INC
2100 MACK BLVD	ALLENTOWN	PA	181035622	232750430	HEALTH CARE RELATED SERVICES	PA	N/A	C	0
HAZLETON SAINT JOSEPH MEDICAL OFFICE BUILDING INC
700 E BROAD ST	HAZLETON	PA	182016835	232500981	MEDICAL OFFICE RENTAL	PA		C	0	NORTHEASTERN PENNSYLVANIA HEALTH CORP	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	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	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	HAZLETON SAINT JOSEPH MEDICAL OFFICE BUILDING INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	K	TransactionTypeTxt
Involved	$13,406	InvolvedAmt
Method Of Amount Determination	ACTUAL RENT AMOUNT	MethodOfAmountDeterminationTxt