2023-05-09T14:58:33-05:00 2022-06-30 990 2021-07-01 232700908 LEHIGH VALLEY PHYSICIAN GROUP LEHI 4842241876 PO BOX 4000 ALLENTOWN PA 18105 ROBERT THOMAS ASSISTANT TREASURER 4842241876 2023-05-09 ROBERT THOMAS XXX-XX-XXXX 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z X ROBERT X MURPHY JR MD PO BOX 4000 ALLENTOWN PA 18105 698431990 0 X WWW.LVHN.ORG X 1992 PA IN THE LEHIGH VALLEY REGION, WE PROVIDE HEALTHCARE SERVICES TO THE COMMUNITY BY PREVENTING ILLNESS, PROMOTING WELLNESS, AND ENHANCING HEALTH. 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. 25 0 3860 0 121427 0 265339 201936 636404047 698124299 -480655 -3929 16685 15458 636205416 698337764 0 0 0 0 507668124 608933578 0 0 0 130019791 157284296 637687915 766217874 -1482499 -67880110 364424227 326629840 262561357 292647080 101862870 33982760 X TO ESTABLISH AND MAINTAIN A GROUP OF MEDICAL CLINICIANS TO FULFILL THE CHARITABLE MISSION OF PROMOTING COMMUNITY HEALTH THROUGH HEALTH EDUCATION, INJURY PREVENTION, AND HEALTHCARE SERVICES TO THE PUBLIC IN THE LEHIGH VALLEY REGION. 0 0 683081316 698014401 HISTORY AND BACKGROUND:THE LEHIGH VALLEY PHYSICIAN GROUP (LVPG) WAS ESTABLISHED IN 1993 AS AN AFFILIATE OF LEHIGH VALLEY HEALTH NETWORK (LVHN). AS A NON-PROFIT CORPORATION WHICH SUPPORTS BOTH LVHN AND LEHIGH VALLEY HOSPITAL (LVH), LVPG HAS DEVELOPED PHYSICIAN PRACTICES IN THE CLINICAL DEPARTMENTS OF FAMILY MEDICINE, MEDICINE AND MEDICAL SUBSPECIALTIES, OBSTETRICS/GYNECOLOGY, PEDIATRICS, PSYCHIATRY, SURGERY, AND EMERGENCY AND HOSPITAL MEDICINE. WITH A CURRENT SIZE OF AROUND 1,200 PHYSICIANS AND MORE THAN 800 ADVANCED PRACTICE CLINICIANS, THE MEDICAL GROUP OPERATES AS A SINGLE ENTITY WITH SERVICES PROVIDED AT OVER 160 LOCATIONS. IMPORTANTLY, LVPG PLAYS A CRITICAL ROLE IN THE LEHIGH VALLEY COMMUNITY, CARING FOR OVER 50% OF THE POPULATION. LAST FISCAL YEAR, LVPG-LEHIGH PROVIDED MORE THAN 3.6 MILLION VISITS TO OUR PATIENTS. THE FOLLOWING SUMMARIZES THE MEDICAL SPECIALTIES OFFERED ACROSS LVPG: ADOLESCENT MEDICINE, ADVANCED SPINE, CONCUSSION, HEAD TRAUMA, BARIATRIC MEDICINE, BARIATRIC SURGERY, BEHAVIORAL HEALTH, BURN SURGERY AND WOUND CARE, GENERAL CARDIOLOGY, CARDIOLOGY ELECTROPHYSIOLOGY, CARDIO-THORACIC SURGERY, CHIROPRACTIC MEDICINE, EAR / NOSE / THROAT MEDICINE, CONCUSSION CARE, CRITICAL CARE MEDICINE, EMERGENCY MEDICINE, ENDOCRINOLOGY/METABOLISM/DIABETES, EXPRESS CARE/WALK IN, FAMILY MEDICINE, GENERAL AND MINIMALLY INVASIVE SURGERY, GENERAL INTERNAL MEDICINE (AMBULATORY & HOSPITALISTS), GERIATRICS, GYNECOLOGY, GYNECOLOGIC ONCOLOGY, HEALTH AND WELLNESS, HEMATOLOGY/ONCOLOGY, INFECTIOUS DISEASE, MATERNAL FETAL MEDICINE, NEONATOLOGY, NEPHROLOGY, NEUROLOGY, NEUROPSYCHOLOGY, NEUROSURGERY, OBSTETRICS, OCCUPATIONAL MEDICINE, OPHTHALMOLOGY, OPTOMETRY, ORTHOPEDIC SURGERY, PAIN MANAGEMENT, PALLIATIVE MEDICINE, GENERAL PEDIATRICS, PEDIATRIC ENDOCRINOLOGY, PEDIATRIC GASTROENTEROLOGY, PEDIATRIC HEMATOLOGY/ONCOLOGY, PEDIATRIC HOSPITALISTS, PEDIATRIC INFECTIOUS DISEASE, PEDIATRIC INTENSIVISTS, PEDIATRIC NEUROLOGY, PEDIATRIC NEONATOLOGY, PEDIATRIC PLASTIC SURGERY, PEDIATRIC PULMONOLOGY, PEDIATRIC SURGERY, PEDIATRIC UROLOGY, PLASTIC SURGERY, PHYSIATRY, PSYCHIATRY - CHILD & ADOLESCENT, GENERAL PSYCHIATRY, PULMONOLOGY, RHEUMATOLOGY, SLEEP MEDICINE, SPORTS MEDICINE, SURGICAL ONCOLOGY, TOXICOLOGY, TRAUMA SURGERY, TRANSPLANT SURGERY, UROGYNECOLOGY, UROLOGY, VASCULAR SURGERY.LVPG HAS PARTICIPATED FOR SEVEN YEARS IN A TRACK 1 MEDICARE SHARED SAVINGS PROGRAM (MSSP). OUR MSSP ACCOUNTABLE CARE ORGANIZATION (ACO) IS COMPRISED OF OVER 38,000 MEDICARE BENEFICIARIES. WE PERFORMED BETTER THAN BENCHMARK OUR FIRST TWO YEARS IN THE PROGRAM, WITH SHARED SAVINGS IN PROGRAM YEAR ONE AND QUALITY SCORES CONSISTENTLY OVER 90% SINCE THAT TIME. THROUGH THIS, OUR MEDICAL GROUP HAS DEMONSTRATED THE ABILITY TO REALIZE THE TRIPLE AIM AS MEASURED THROUGH A CMS LENS.PATIENT CARE PROGRAMS:LVPG OFFERS A CONTINUUM OF HEALTH CARE PROMOTION, PREVENTION, DIAGNOSIS, AND TREATMENT TO THE COMMUNITY. EXTENSIVE OUTPATIENT SERVICES ARE PROVIDED AT LOCATIONS THROUGHOUT THE REGION AND ARE A PART OF A HEALTHCARE NETWORK ESTABLISHED BY LVPG TO MEET THE MEDICAL AND SURGICAL NEEDS OF THE RESIDENTS OF THE LEHIGH VALLEY AND BEYOND. LVPG SERVES AS A MULTISPECIALTY PHYSICIAN GROUP, ACCEPTING REFERRALS FROM AN AREA POPULATED BY APPROXIMATELY TWO MILLION RESIDENTS OF SURROUNDING COUNTIES IN EASTERN PENNSYLVANIA. IN CENTER CITY ALLENTOWN, OUR 17TH STREET CAMPUS PROVIDES DEDICATED SERVICE AND CARE DELIVERY TO OUR UNDERSERVED POPULATION. WITH OVER 70% OF THE PATIENT POPULATION UN/UNDER-INSURED, THESE PRACTICES PROVIDE THE HIGHEST QUALITY CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE PEDIATRIC CHILDREN'S CLINIC CARES FOR OVER 25,000 CHILDREN, AND NOT ONLY PROVIDES HEALTHCARE BUT SUPPORTIVE OUTREACH THROUGH WELL INTEGRATED SOCIAL SUPPORT SERVICES. OTHER 17TH STREET PRACTICES INCLUDE INTERNAL MEDICINE, FAMILY MEDICINE, OB/GYN, COMPREHENSIVE HEALTH SERVICES AND A HEPATITIS CARE CENTER, A MEDICAL SPECIALTIES PRACTICE AND WELLNESS CENTER. THROUGHOUT FY22, FIVE OF THESE PRACTICES CONTINUED THEIR TRANSFORMATION INTO A FEDERALLY QUALIFIED HEALTH CENTER THAT IS NOW CALLED VALLEY HEALTH PARTNERS. THEIR WORK REMAINS TIGHTLY CONNECTED WITH THE LVHN. THE WORK OF THE VALLEY HEALTH PARTNERS (VHP) FQHC WILL SERVE THE COMMUNITY EVEN GREATER IN YEARS TO COME. COVID-19 (C19) PANDEMIC: IN RESPONSE TO THE C19 PANDEMIC, LEHIGH VALLEY HEALTH NETWORK AND LVPG HAVE UNDERTAKEN TRANSFORMATIVE AND IMPACTFUL ACTIONS. THE LVPG CLINICAL FOOTPRINT WAS QUICKLY EXPANDED TO INCLUDE VIRTUAL CARE OFFERINGS, INCLUDING VIDEO VISITS, PHONE VISITS, AND E-VISITS. THIS VIRTUAL MODEL HAS CONTINUED TO EXPAND AND IS NOW PART OF BASIC SERVICE OFFERINGS, ALLOWING ANY APPROPRIATE ENCOUNTER TO BE PERFORMED SAFELY AND EFFECTIVELY.ADDITIONAL C19 SERVICES HAVE INCLUDED SCREENING C19 E-VISITS, ON DEMAND VIDEO SCREENING C19 VISITS AND A TRANSITION OF CARE C19 VIRTUAL CARE CLINIC FOR PATIENTS DISCHARGED FROM THE HOSPITAL. THESE TYPES OF ENCOUNTERS PROVIDED HUNDREDS OF THOUSANDS OF VISITS TO OUR COMMUNITY OVER THE PAST FEW YEARS THROUGHOUT THE C19 CHALLENGES. THIS MODEL ENABLED PATIENTS TO STAY HOME, STAY SAFE AND RECEIVE CARE IN A MANNER THAT WAS CONVENIENT AND VALUE-ADDED. IN ADDITION, THE LVPG WORKFORCE AND PRACTICE TEAMS WORKED IN PARTNERSHIP WITH OUR HOSPITAL SITES TO DELIVER VACCINES ACROSS OUR COMMUNITY. THESE EFFORTS SUPPORTED AREAS OF OUR PATIENT POPULATION ACROSS ALL REGIONS WE SERVE. CANCER SERVICES:LVPG PROVIDES MEDICAL CARE AND LEADERSHIP WITHIN THE LEHIGH VALLEY TOPPER CANCER INSTITUTE (LVTCI). LVTCI IS COMPRISED OF 7 HOSPITAL-BASED LOCATIONS WITH 121 INFUSION BAYS, 4 RADIATION THERAPY DEPARTMENTS WITH 8 LINEAR ACCELERATORS, AND BREAST HEALTH SERVICES IN 6 HEALTH CENTERS AND ONE MOBILE COACH. A NEW BUILDING FOR THE CANCER CENTER IS SCHEDULED TO OPEN IN HAZLETON DURING THE SUMMER OF 2023. LVCTI OFFERS A RANGE OF CANCER SERVICES IN ONE CONVENIENT, PATIENT-FOCUSED LOCATION. CANCER CARE SERVICES INCLUDE PREVENTION, DETECTION, DIAGNOSIS, THERAPY, CLINICAL TRIALS, REHABILITATION, AND THE EVALUATION OF CANCER-RELATED CARE. INFUSION THERAPY SERVICES ARE OFFERED CONSISTENTLY ACROSS THE REGION WE SERVE, INCLUDING IN THE NEWLY OPENED HECKTOWN OAKS AND CARBON LOCATIONS. LVCTI IS A MEMBER OF THE MEMORIAL SLOAN KETTERING CANCER ALLIANCE, WHICH PROVIDES PATIENTS WITH EVEN MORE LIFESAVING CARE OPTIONS AND ACCESS TO MORE ADVANCED CLINICAL TRIALS. IN 2021, THERE WERE 148 ADULT ACCRUALS AND 35 PEDIATRIC ACCRUALS BY 30 DIFFERENT PHYSICIAN PROVIDERS, AND CURRENTLY IN 2022, 156 ADULT ACCRUALS AND 33 PEDIATRIC ACCRUALS BY 24 DIFFERENT PHYSICIAN PROVIDERS.CANCER SUPPORT SERVICES AT LEHIGH VALLEY TOPPER CANCER INSTITUTE ARE A SIGNIFICANT PART OF THE PATIENT EXPERIENCE. SERVICES PROVIDED BY CANCER SUPPORT SERVICES INCLUDE NURSE NAVIGATION, SOCIAL WORK, COUNSELING, NUTRITION, AND GENETICS. THE NURSE NAVIGATION PROGRAM CONSISTS OF ONCOLOGY CERTIFIED NURSES WHO SERVE AS A LINK BETWEEN THE PATIENTS AND THE HEALTHCARE TEAM. THE GREGORY & LORRAINE HARPER CANCER RISK AND GENETIC ASSESSMENT PROGRAM IS REALIZING YEAR OVER YEAR GROWTH IN THE UTILIZATION OF GENETIC SCREENING RESOURCES. CANCER NOT ONLY AFFECTS PHYSICAL HEALTH BUT MENTAL HEALTH AS WELL AND THERE IS AN EXTENSIVE SOCIAL WORK TEAM TO ASSIST WITH TRANSPORTATION, REFERRALS, PRESCRIPTION ASSISTANCE, MENTAL HEALTH/SUBSTANCE ABUSE REFERRALS AND GRANT FUNDING SUPPORT. WHEN A PATIENT REQUIRES ADDITIONAL COPING SUPPORT, THERE IS A DEDICATED BEHAVIORAL HEALTH THERAPIST IN THE SURGICAL ONCOLOGY OFFICE FOR IN-PERSON OR VIRTUAL CONSULTATIONS. DIETITIANS ARE AVAILABLE TO WORK WITH THE PATIENT TO MANAGE DIETARY NEEDS DURING AND AFTER TREATMENT. HEART AND VASCULAR SERVICES:THE LEHIGH VALLEY HEART AND VASCULAR INSTITUTE IS ONE OF THE LARGEST AND MOST RESPECTED CARDIOVASCULAR PROGRAMS IN PENNSYLVANIA. WITH 60 CARDIOLOGISTS, 6 CARDIOTHORACIC SURGEONS, 6 VASCULAR SURGEONS, AND A DEDICATED TEAM OF ADVANCED PRACTICE CLINICIANS AND SUPPORT STAFF, THE HEART AND VASCULAR INSTITUTE OFFERS AN IMPRESSIVE AND COMPREHENSIVE ARRAY OF PREVENTATIVE, DIAGNOSTIC, ACUTE, TERTIARY, AND QUATERNARY CARDIOVASCULAR SERVICES. SPECIALIZED PROGRAMS INCLUDE, BUT ARE NOT LIMITED TO: CARDIAC ARREST MANAGEMENT, CORONARY INTERVENTION, STRUCTURAL HEART, ADVANCED HEART FAILURE & MECHANICAL CIRCULATORY SUPPORT, CARDIO-ONCOLOGY, COMPLEX LIPID MANAGEMENT, COMPREHENSIVE RHYTHM MANAGEMENT, A WOMEN'S HEART AND VASCULAR PROGRAM WITH A DEVELOPED SUBSPECIALTY HEART AND PREGNANCY PROGRAM, NEURO-CARDIOLOGY, AND SPORTS CARDIOLOGY. THE LEHIGH VALLEY HEART AND VASCULAR INSTITUTE CURRENTLY OFFERS 18 CARDIOVASCULAR ACCESS SITES THROUGHOUT THE LVPG-L SERVICE AREA TO ENABLE PATIENTS TO RECEIVE PREMIER CARDIOVASCULAR CARE CLOSE TO HOME. OFFICE LOCATIONS INCLUDE: BERKS COUNTY:- LVPG CARDIOLOGY-HAMBURG - LVPG CARDIOLOGY-MOSELEM SPRINGS BUCKS COUNTY:- LVPG CARDIOLOGY-RICHLAND TOWNSHIP CARBON COUNTY:- LVPG CARDIOLOGY-CARBON- LVPG VASCULAR SURGERY-CARBONLEHIGH COUNTY: - LVH CARDIOLOGY-1250 CEDAR CREST- LVH CARDIAC AND THORACIC SURGERY-1250 CEDAR CREST- LVPG CARDIAC AND THORACIC SURGERY-MUHLENBERG- LVPG CARDIOLOGY-LAURYS STATION- LVPG CARDIOLOGY-MUHLENBERG- LVPG VASCULAR SURGERY-CEDAR CREST- LVPG VASCULAR SURGERY-MUHLENBERGNORTHAMPTON COUNTY:- LVPG CARDIOLOGY-BANGOR - LVPG CARDIOLOGY-EASTON - LVPG CARDIOLOGY-FAIRVIEW AVENUE - LVPG CARDIOLOGY-HECKTOWN OAKS - LVPG CARDIOLOGY-HIGHLAND AVENUE TO IMPROVE THE CARDIOVASCULAR CARE IN THE COMMUNITIES WE SERVE, THE HEART AND VASCULAR INSTITUTE HAS DEVELOPED AN ARRAY OF SUBSPECIALITY PROGRAMS. FOR EXAMPLE, OUR HISPANIC HEART PROGRAM, CENTRO DEL CORAZON, BREAKS DOWN LANGUAGE AND CULTURAL BARRIERS EXPERIENCED BY SOME OF THE SPANISH-SPEAKING MEMBERS OF THE COMMUNITY. THIS PROGRAM PAIRS SPANISH SPEAKING CARDIOLOGISTS WITH SUPPORT STAFF THAT ARE EQUIPPED TO HELP MEET THE NEEDS OF THIS PART OF OUR COMMUNITY WITH THE GOAL OF IMPROVING THEIR OVERALL CARDIOVASCULAR HEALTH. ADDITIONALLY, OUR CARDIOVASCULAR DISEASE IDENTIFICATION AND INTERVENTION PROGRAM USES ELECTRONIC HEALTH RECORDS TO IDENTIFY PATIENTS THAT ARE AT-RISK FOR SPECIFIC DISEASES. THIS PROGRAM NOT ONLY HELPS IDENTIFY AT-RISK PATIENTS, BUT IT ALSO PARTNERS WITH PRIMARY CARE PROVIDERS TO EDUCATION THE PATIENTS ABOUT THEIR RISK AND ENCOURAGES APPOINTMENTS WITH LVPG PROVIDERS TO HELP PREVENT OR CARE FOR THE IDENTIFIED DISEASE. THE HEART AND VASCULAR INSTITUTE AND ITS LVPG COLLEAGUES ALSO PARTICIPATE IN A GREAT DEAL OF COMMUNITY OUTREACH AND EDUCATION. IN FISCAL YEAR ENDING JUNE 30, 2022, THE HEART AND VASCULAR INSTITUTE PARTICIPATED IN OVER TWENTY EDUCATIONAL PROGRAMS FOR THE COMMUNITY THAT RAISED AWARENESS ABOUT CARDIOVASCULAR DISEASE AND PREVENTION. ADDITIONALLY, A PARTNERSHIP WITH THE CITY OF ALLENTOWN HAS BEEN FORMED FOR THEIR MILLION CLICKS FOR MILLION HEARTS WALKING PROGRAM THAT ENCOURAGES WALKING AND PHYSICAL FITNESS IMPROVEMENT IN THE CITY'S PARKS. THIS PARTNERSHIP ALSO FEATURES A "WALK WITH A DOC" PROGRAM THAT BRINGS LVHN COLLEAGUES IN FRONT OF MEMBERS OF THE COMMUNITY TO EDUCATE THEM ABOUT VARIOUS HEALTH TOPICS AS THEY WALK. PEDIATRIC SERVICES:LEHIGH VALLEY PHYSICIAN GROUP (LVPG) MAINTAINS PEDIATRIC SERVICES AT ALL OUR REGIONAL CAMPUSES ENCOMPASSING APPROXIMATELY 20 OUTPATIENT SITES AND PROVIDING CARE FOR OVER 60,000 PEDIATRIC PATIENTS ANNUALLY. INTRODUCED IN MAY 2012, LEHIGH VALLEY REILLY CHILDREN'S HOSPITAL (LVRCH) OFFERS THE MOST WIDE-RANGING, SPECIALIZED HEALTH CARE SERVICES FOR CHILDREN OF ANY FACILITY IN THE REGION. STAFFED BY LVPG PEDIATRICIANS AND ADVANCED PRACTICE CLINICIANS (APCS), LEHIGH VALLEY REILLY CHILDREN'S HOSPITAL (LVRCH) HAS THE REGION'S ONLY CHILDREN'S EMERGENCY DEPARTMENT, LEVEL IV NICU, CHILDREN'S AMBULATORY SURGERY CENTER, AND CHILDREN'S CANCER AND INFUSION CENTER. WE ALSO HAVE THE REGION'S ONLY CHILD ADVOCACY CENTER AT LVH-17TH STREET. LVRCH OF LVHN HAS BEEN A FULL INSTITUTIONAL MEMBER OF THE CHILDREN'S HOSPITAL ASSOCIATION FOR 9 YEARS AND HAS HAD A PEDIATRIC RESIDENCY TRAINING PROGRAM FOR 10 YEARS. WE HAVE A PEDIATRIC SLEEP CENTER, AND A PEDIATRIC CYSTIC FIBROSIS CENTER. WE ALSO PROVIDE SERVICES TO CHILDREN WITH BLEEDING DISORDERS THROUGH THE LVH HEMOPHILIA TREATMENT CENTER. WE HAVE TWO SCHOOL-BASED CLINICS IN PARTNERSHIP WITH THE ALLENTOWN SCHOOL DISTRICT AT THE SHERIDAN AND HAYS SCHOOLS. THROUGH OUR SCHOOL-BASED BEHAVIORAL HEALTH SERVICES WE PROVIDE MENTAL HEALTH CARE TO STUDENTS IN 13 SCHOOL DISTRICTS ACROSS THE REGION. OUR CLINIC FOR CHILDREN WITH MEDICAL COMPLEXITY IS AT THE VHP CHILDREN'S CLINIC AT 17TH & CHEW. WE HAVE THE REGION'S ONLY CHILDREN'S EXPRESS CARE AT 2 SITES. WE HAVE DEVELOPED 30 CLINICAL PATHWAYS, WHICH DRIVE HIGH-QUALITY, EFFICIENT CARE. THE LVRCH FAMILY ADVISORY COUNCIL CONTINUES TO ASSIST US IN SHAPING FAMILY-CENTERED PROGRAMS, PROCESSES, AND PLACES. LVPG'S BOARD-CERTIFIED PHYSICIANS PROVIDE CHILDREN'S CARE IN GREATER THAN 30 PEDIATRIC SPECIALTIES INCLUDING PEDIATRIC SURGERY, PEDIATRIC UROLOGY, PEDIATRIC ENT, PEDIATRIC PLASTIC SURGERY, PEDIATRIC ORTHOPEDICS, PEDIATRIC NEUROSURGERY, PEDIATRIC ANESTHESIA, PEDIATRIC RADIOLOGY, PEDIATRIC HEMATOLOGY-ONCOLOGY, PEDIATRIC PULMONOLOGY, PEDIATRIC NEUROLOGY, PEDIATRIC ENDOCRINOLOGY, PEDIATRIC INFECTIOUS DISEASE, PEDIATRIC RHEUMATOLOGY, PEDIATRIC GASTROENTEROLOGY, PEDIATRIC HOSPITAL MEDICINE, NEONATOLOGY, PEDIATRIC CRITICAL CARE MEDICINE, PEDIATRIC EMERGENCY MEDICINE, ADOLESCENT MEDICINE, DEVELOPMENTAL PEDIATRICS, PEDIATRIC NEUROPSYCHOLOGY, CHILD PROTECTION MEDICINE, AND CHILD AND ADOLESCENT PSYCHIATRY. LVRCH CHILD PROTECTION TEAM EVALUATES CHILDREN WHO MAY HAVE BEEN ABUSED OR NEGLECTED. THIS TEAM INCLUDES A BOARD-CERTIFIED CHILD ABUSE SPECIALIST. LVRCH IN PARTNERSHIP WITH VALLEY HEALTH PARTNERS IS CONTINUING THE ALLENTOWN CHILDREN'S HEALTH IMPROVEMENT PROJECT (ACHIP), WHICH IS A COMMUNITY-BASED NEEDS ASSESSMENT, RESOURCE CONNECTION, AND FAMILY EMPOWERMENT SERVICES FOR FAMILIES WITH CHILDREN UNDER 5 YEARS OLD. LVRCH PROVIDES AND SUPPORTS EDUCATIONAL SERVICES. OUR WELLER EDUCATION SERVICES PROVIDE HIGHLY REGARDED PROGRAMS ADMINISTERED BY PROFESSIONAL EDUCATOR IN SCHOOLS ACROSS THE REGION. LVRCH PROMOTES SAFETY AND HEALTHY LIVING IN VARIOUS FORUMS THROUGHOUT THE YEAR. THE MOST NOTABLE IS OUR COMMUNITY CANVAS PROGRAM, WHICH IN PARTNERSHIP WITH THE KELLYN FOUNDATION PROVIDES PROGRAMS IN OVER 15 ELEMENTARY SCHOOLS THAT PROMOTE GOOD NUTRITION AND HEALTHY LIVING.PALLIATIVE MEDICINE AND HOSPICE:LVPG PHYSICIANS AND PROVIDERS PROVIDE SERVICES ACROSS THE CARE CONTINUUM TO IMPROVE PATIENT, FAMILY, AND PROVIDER SATISFACTION, DECREASED HOSPITAL READMISSIONS AND EMERGENCY ROOM VISITS FOR PATIENTS WITH ADVANCED ILLNESSES. THE PALLIATIVE CARE TEAM IS CALLED OACIS OPTIMIZING ADVANCED COMPLEX ILLNESS SUPPORT AND CONSISTS OF MULTIDISCIPLINARY TEAMS THAT TRAVEL TO PATIENTS' HOMES FOR CARE. WE ALSO CARE FOR PATIENTS AT THE END OF LIFE IN COORDINATION WITH HOSPICE HOME SERVICES. THE TEAM SPENDS TIME ENSURING PATIENTS ARE SUPPORTED WITH CARE THAT ALIGNS WITH THEIR MEDICAL AND PERSONAL GOALS, PROMOTING THE HIGHEST QUALITY EXPERIENCE AND LIFE POSSIBLE.OVER THE PAST FY, EFFORTS WERE ALSO FOCUSED ON ADVANCED CARE PLANNING (ACP) AND SERIOUS ILLNESS CONVERSATION. OVER 4,100 PATIENTS HAD ACP DOCUMENTATION ADDED TO THEIR MEDICAL RECORD OVER THE PAST YEAR. ADDITIONALLY, THE FOCUS ON TRAINING CLINICIANS ON GOALS OF CARE CONVERSATIONS WITH THEIR SERIOUSLY ILL PATIENTS CONTINUED.INTERNAL MEDICINE AND FAMILY MEDICINE PRIMARY CARE:LVPG PHYSICIANS AND PROVIDERS PROVIDE HIGH QUALITY, COMPREHENSIVE, COORDINATED CARE TO ADULTS AND CHILDREN IN THE SETTING OF PATIENT-CENTERED MEDICAL HOMES. WE STRIVE TO PROVIDE ACCESS TO CARE AT THE TIME OF NEED, FOCUS ON PREVENTION AND CHRONIC ILLNESS MANAGEMENT AND PROVIDE COORDINATION BETWEEN SPECIALIST AND SERVICE. USING DISCRETIONARY FUNDS, THE DEPARTMENT OF FAMILY MEDICINE CONTINUES TO SUPPORT PRACTICES PARTICIPATING IN THE REACH OUT AND READ PROGRAM. REACH OUT AND READ IS A PHYSICIAN-LED LITERACY PROGRAM THAT PROMOTES EARLY READING IN CHILDREN UP TO AGE 5. CHILDREN WHO VISIT PARTICIPATING PRACTICES RECEIVE AN AGE-APPROPRIATE BOOK FROM THEIR CLINICAL PROVIDER AT THEIR ANNUAL WELL-CHILD VISIT.IN COLLABORATION WITH THE CANCER INSTITUTE, FAMILY MEDICINE LEADERSHIP HAS SUPPORTED EFFORTS TO DEVELOP WORKFLOW AND PROCESSES TO IMPROVE LUNG CANCER SCREENING RATES. WORK ON LUNG CANCER SCREENING HAS BEEN A FOCUS OF OUR PRACTICE BASED RESEARCH NETWORK TEAM, AS IT WAS RECENTLY AWARDED A 5 YEAR NATIONAL CANCER INSTITUTE GRANT FOR A MULTI-INSTITUTIONAL COLLABORATION WITH JEFFERSON, PENN STATE AND CHRISTIANA CARE TO IMPROVE LUNG CANCER DISPARITIES AND CONTINUE BUILDING FROM OUR PREVIOUS PENNSYLVANIA DEPARTMENT OF HEALTH CURE GRANT IN COLLABORATION WITH THE AMERICAN COLLEGE OF RADIOLOGY, AMERICAN CANCER SOCIETY AND THOMAS JEFFERSON UNIVERSITY TO TEST THE FEASIBILITY OF A CENTRALIZED LUNG CANCER SCREENING PROGRAM. DIABETES MANAGEMENT: THROUGH ONGOING COLLABORATION AND NETWORK SUPPORT, LVPG HAS IMPLEMENTED A DIABETES PATHWAY ACROSS ALL AMBULATORY ADULT PRIMARY CARE PRACTICES. THIS PATHWAY HAS HELPED OUR CLINICIANS' PARTNER WITH PATIENTS BETTER TO IMPROVE TESTING AND MANAGEMENT OF THEIR DIABETES. OUR MOST RECENT FY22 DATA HAS DEMONSTRATED ONGOING IMPROVEMENTS IN DIABETES CARE OVER THE PAST FOUR YEARS, WITH CURRENT PERFORMANCE THE BEST REGARDING PATIENT MANAGEMENT AND OUTCOMES. LINKAGE TO COMMUNITY: THE COMMUNITY OF SOLUTIONS GROUP ENCOMPASSES A PARTNERSHIP BETWEEN LEHIGH VALLEY PRACTICE AND COMMUNITY BASED RESEARCH GROUP, PUBLIC HEALTH, AND LOCAL COMMUNITY-BASED ORGANIZATIONS WITH A FOCUS ON IDENTIFICATION OPPORTUNITIES TO IMPROVE THE WELL-BEING OF YOUTH IN OUR COMMUNITY. IN THE PAST YEAR, THEY COMPLETED A PHOTOVOICE PROJECT TO ENGAGE LOCAL YOUTH TO IDENTIFY THOSE FACTORS THAT HAVE SUPPORTED AND DETRACTED FROM THEIR WELLNESS, PARTICULARLY SINCE THE ONSET OF THE COVID-19 PANDEMIC GIVEN INCREASED RISK OF STRESS AND ISOLATION. THE RESULTS OF THIS PROJECT WERE SHARED WITH LOCAL ORGANIZATIONS AS PART OF A DATA DRIVEN APPROACH TO DEVELOPING PROGRAMMING TO SUPPORT THE HEALTH AND WELLNESS OF YOUTH IN OUR COMMUNITY.LINKAGE TO ADDICTION TREATMENT & OPIOID STEWARDSHIP: A SECOND ROUND OF FUNDING FROM PENNSYLVANIA COORDINATED MEDICATION FOR ADDICTION TREATMENT (PACMAT) PROVIDED SUPPORT FOR THE CURRENT NETWORK OF PRIMARY CARE PRACTICES PROVIDING MEDICATIONS FOR OPIOID USE DISORDER (MOUD) AS WELL AS ENGAGING NEW PRACTICES FROM FAMILY MEDICINE, INTERNAL MEDICINE AND OB/GYN ACROSS 7 COUNTIES. FAMILY MEDICINE FACULTY AT VALLEY HEALTH PARTNERS EXPANDED ACCESS TO MOUD BOTH AT THE FAMILY HEALTH CENTER AND THROUGH STREET MEDICINE, SERVING OVER 150 PATIENTS IN THE LAST YEAR, MANY OF WHOM ARE FACING INTENSE BARRIERS TO CARE SUCH AS CHRONIC HOMELESS, PAST INCARCERATION, AND UNDERTREATED MENTAL HEALTH CONDITIONS. THE MOBILE HARM REDUCTION TEAM, WITH SUPPORT FROM LEHIGH COUNTY DRUG AND ALCOHOL, HAS INITIATED OUTREACH, NALOXONE DISTRIBUTION AND MOBILE MEDICAL VISITS FOR PEOPLE WHO USE DRUGS IN THE HARD-HIT 7TH STREET NEIGHBORHOOD. NEUROSCIENCES SERVICES:LVPG PHYSICIANS PROVIDE TREATMENT FOR STROKE, BRAIN TUMORS, ANEURYSMS, SPINE DISORDERS AND OTHER NEUROLOGICAL DISORDERS IN THE FOLLOWING AREAS: NEUROSURGERY, PAIN MANAGEMENT, NEUROLOGY, NEUROPSYCHOLOGY, NEURO-IMAGING, AND NEURO-ONCOLOGY. LVH LAUNCHED THE FIRST MOBILE STROKE UNIT IN PENNSYLVANIA, WHERE AN MSU ALLOWS STROKE PATIENTS TO BEGIN RAPID TREATMENT BEFORE HOSPITAL ARRIVAL, SUCH AS INITIATING CLOT BUSTING MEDICATION OR REVERSING COAGULOPATHY. THE AVAILABILITY OF NEUROIMAGING ALLOWS PRECISE TRIAGE AND ROUTING TO AN APPROPRIATE LEVEL OF STROKE CENTER AND PREVENT INTRA-FACILITY TRANSPORTS CURRENTLY DELAYING ARRIVAL TO THE COMPREHENSIVE STROKE CENTER.IN ADDITION TO THE ABOVE SERVICES, PROGRAMS INCLUDE A NEUROMUSCULAR DISEASE PROGRAM, AN ALS CENTER, A NEUROIMMUNOLOGY / MULTIPLE SCLEROSIS PROGRAM, AN EPILEPSY PROGRAM AND MONITORING UNIT, A HEADACHE CENTER, MOVEMENT DISORDERS PROGRAM, GENERAL NEUROLOGY PROGRAM AND MULTIPLE SUBSPECIALTY MULTIDISCIPLINARY PROGRAMS INCLUDING NEUROCARDIOLOGY AND NEUROLOGY IN PREGNANCY. BEHAVIORAL HEALTH SERVICES:LVPG PHYSICIANS PROVIDE MEDICAL LEADERSHIP FOR THE LVH ACUTE CARE INPATIENT MENTAL HEALTH PROGRAM FOR ADOLESCENTS AND ADULTS IN LEHIGH, NORTHAMPTON, CARBON, MONROE, SCHUYLKILL, AND BERKS COUNTIES BASED UPON THE NUMBER OF ADMISSIONS AND PROVIDES INPATIENT PSYCHIATRIC, PSYCHOLOGICAL, SUBSTANCE ABUSE AND SOCIAL SERVICES IN ALL CLINICAL AREAS. AMONG THE AREAS OF FOCUS WERE THE CONTINUED EXPANSION OF THE ZERO SUICIDE INITIATIVE, INCLUDING INTERNAL SUICIDAL PREVENTION PATHWAYS, MITIGATION OF LIGATURE RISK, AND SUICIDE PREVENTION TRAINING IN THE EMERGENCY DEPARTMENTS AND MEDICAL-SURGICAL UNITS. PARTNERING WITH LEHIGH, NORTHAMPTON, AND CARBON/ MONROE/PIKE COUNTIES, THE "WARM HANDOFF" PROGRAM WAS DEVELOPED. THIS PROGRAM FOLLOWS INDIVIDUALS WHO HAVE HAD SUICIDAL THOUGHTS AND BEHAVIORS AS THEY ARE DISCHARGED FROM LVHN INPATIENT AND EMERGENCY DEPARTMENTS INTO THE COMMUNITY TO CONFIRM A SOLID CONNECTION TO APPROPRIATE CARE. LVPG PHYSICIANS ALSO PROVIDE AMBULATORY CARE IN THESE SETTINGS: - PARTIAL HOSPITALIZATION PROGRAM OVERSIGHT FOR ADOLESCENTS AND ADULTS- OUTPATIENT MENTAL HEALTH CLINIC FOR THE CHRONICALLY AND SEVERELY ILL- SHORT-TERM, OUTPATIENT TREATMENT SERVICES FOR CHILDREN, ADOLESCENTS, ADULTS, AND FAMILIES- RESIDENTIAL REHABILITATION PROGRAM TEACHING INDEPENDENT LIVING SKILLS TO THE CHRONICALLY MENTALLY ILL- EMERGENCY SERVICES- MENTAL HEALTH AND HOME CARE SERVICESTELE-PSYCHIATRY: ACHIEVED UP TO 100% VIRTUAL CARE THROUGHOUT FY20 AND CONTINUES TO RUN AROUND 50% IN FY21, THROUGHOUT THE C19 PANDEMIC. ONGOING HIGH LEVELS OF VIRTUAL CARE HAVE BEEN MAINTAINED SINCE THAT TIME.SURGERY SERVICES:LVPG PHYSICIANS, ADVANCED PRACTICE CLINICIANS AND ALLIED HEALTH PROVIDERS PERFORM COMPREHENSIVE, COORDINATED SURGICAL CARE AND PROVIDE SERVICES IN SPECIALTIES SUCH AS: BARIATRIC SURGERY, BURN SURGERY, CARDIAC AND THORACIC SURGERY, GENERAL SURGERY, NEUROSURGERY, OPHTHALMOLOGY, ORTHOPEDIC SURGERY, OTOLARYNGOLOGY, PEDIATRIC OTOLARYNGOLOGY, PEDIATRIC SURGERY, PEDIATRIC UROLOGY, PLASTIC AND RECONSTRUCTIVE SURGERY, SURGICAL ONCOLOGY, TRANSPLANT SURGERY, TRAUMA SURGERY, UROLOGY AND VASCULAR SURGERY. IN ADDITION, OUR SURGEONS SERVE AS THE PROGRAM DIRECTOR AND CORE FACULTY FOR THE GENERAL SURGERY RESIDENCY PROGRAM. IN THE PAST YEAR, SURGICAL VOLUMES AT LVH AND LVH-M WAS 46,411 CASES. OVER THIS PAST YEAR THERE WERE MORE THAN 100 ORGAN TRANSPLANTS, INCLUDING KIDNEY TRANSPLANTS AND SIMULTANEOUS KIDNEY PANCREAS TRANSPLANTS. TRAUMA SERVICES:LVPG PHYSICIANS AND OTHER PRACTITIONERS PROVIDE COMPREHENSIVE TRAUMA CARE AND SERVICES AS A MAJOR REGIONAL RESOURCE COVERING A TEN-COUNTY AREA AND A TWO MILLION PATIENT BASE. LVPG PHYSICIANS ARE PART OF THE ACCREDITED PROGRAM FOR PEDIATRIC TRAUMA. LVPG PHYSICIANS ARE AN INTEGRAL COMPONENT OF THE LEHIGH VALLEY HOSPITAL TRAUMA PROGRAM, WHICH PROVIDES A CONTINUUM OF CARE FOR THE TRAUMA PATIENT WITH AT LEAST ONE OF OUR TRAUMA SURGEON TEAM PROVIDING 24/7/365 IN HOUSE COVERAGE. A TRAUMA REHABILITATION TEAM COMPLETES THE CONTINUUM OF TRAUMA CARE. LVPG PHYSICIANS ALSO PROVIDE CARE IN THE BURN CENTER SERVING NORTHEASTERN PENNSYLVANIA AND WESTERN NEW JERSEY. WOMEN'S SERVICES:LVPG OFFERS PROGRAMS AND SERVICES DESIGNED TO PROVIDE CARE FOR WOMEN IN THE LEHIGH VALLEY. LVPG OFFERS COMPREHENSIVE OBSTETRICS AND GYNECOLOGY SERVICES, INCLUDING GENERAL OBSTETRIC AND GYNECOLOGIC CARE, MATERNAL-FETAL (HIGH-RISK) MEDICINE, AND PELVIC RECONSTRUCTIVE SURGERY.CLINICAL PROGRAMS IN GENERAL OBSTETRICS AND GYNECOLOGY INCLUDE A MATERNITY CARE PATHWAY, WELL WOMAN CARE PATHWAY, ROUTINE GYNECOLOGIC CARE, GYNECOLOGIC SPECIALTY PROGRAMS IN FOCUS AREAS SUCH AS PELVIC PAIN, MENOPAUSE, WEIGHT MANAGEMENT, AND SEXUAL HEALTH, AND SURGICAL CARE. THESE COMPREHENSIVE PROGRAMS ARE DELIVERED BY TEAMS OF HEALTHCARE PROVIDERS INCLUDING PHYSICIANS, MIDWIVES, AND ADVANCED PRACTICE CLINICIANS ALONG WITH THEIR RELATED CLINICAL STAFF. WE ALSO OFFER EMBEDDED COUNSELING SERVICES FOR MENTAL AND BEHAVIORAL HEALTH AND CLINICAL CARE MANAGEMENT FOR OUR PERINATAL SUBSTANCE USE DISORDER PROGRAM. THE MATERNAL-FETAL MEDICINE PROGRAM IS ONE OF THE LARGEST IN THE STATE, OFFERING SCREENING, DIAGNOSTIC, AND THERAPEUTIC SERVICES, AND UNIQUE INTERDISCIPLINARY CLINICAL PROGRAMS IN OUR NETWORK AND OUTSIDE TO NEIGHBORING HOSPITALS AS WELL. INFANTS/CHILDREN/YOUNG ADULTS:LVPG OFFERS COMPREHENSIVE INPATIENT AND OUTPATIENT PEDIATRIC MEDICAL CARE BY COMBINING A PHILOSOPHY OF PATIENT/FAMILY-CENTERED CARE WITH DIAGNOSTIC, MEDICAL AND SURGICAL TECHNIQUES. SERVICES ARE PROVIDED THROUGH THE COLLABORATIVE EFFORTS OF COMMUNITY AND HOSPITAL-BASED PHYSICIANS AND SUBSPECIALISTS. PEDIATRIC SPECIALTY SERVICES INCLUDE ADOLESCENT MEDICINE, CHILD ABUSE, DEVELOPMENTAL PEDIATRICS, GASTROENTEROLOGY, HEMATOLOGY, HOSPITAL-BASED CARE, INTENSIVISTS, INFECTIOUS DISEASE, NEONATOLOGY, NEUROLOGY, ONCOLOGY, PLASTIC AND RECONSTRUCTIVE SURGERY, PSYCHIATRY, PULMONOLOGY, RHEUMATOLOGY, GENERAL SURGERY, AND TRAUMA & BURN CARE. LVPG PHYSICIANS PROVIDE CARE TO PATIENTS AT THE LEHIGH VALLEY HOSPITAL 40 BED LEVEL III NEONATAL INTENSIVE CARE UNIT, 8 BED PEDIATRIC INTENSIVE CARE UNIT, 32 BED PEDIATRIC INPATIENT UNIT, 13 BED ADOLESCENT PSYCHIATRY UNIT AND A RECENTLY OPENED 12 BED PEDIATRIC EMERGENCY DEPARTMENT. AMBULATORY SERVICES PROVIDED BY LVPG INCLUDE A GENERAL PEDIATRIC OUTPATIENT CLINIC, A PEDIATRIC SUBSPECIALTY CENTER, AND A PEDIATRIC AMBULATORY SURGERY UNIT. VIRTUAL CARE PROGRAMS (TELEMEDICINE):LVHN HAS REMAINED A LEADER IN THE DEVELOPMENT AND IMPLEMENTATION OF INNOVATIVE VIRTUAL CARE PROGRAMS THAT HAVE EXPANDED OUR CAPACITY TO PROVIDE HIGH QUALITY HEALTHCARE SERVICES THROUGHOUT OUR GROWING NETWORK AND BEYOND. VIRTUAL CARE PROGRAMS ALLOW OUR TEAM TO OFFER SPECIALTY CARE TO SITES AND PATIENTS THAT WOULD OTHERWISE NOT HAVE ACCESS TO THESE SERVICES. THROUGH THE C19 PANDEMIC, AS NOTED, OUR VIRTUAL CARE PROGRAMS OFFERINGS HAVE EXPANDED EXPONENTIALLY TO INCLUDE VIDEO, PHONE, AND E-VISITS. THE VIDEO VISITS INCLUDE NOT JUST CLINICIAN AND PATIENT ENCOUNTERS, BUT ALSO INCLUDE MULTIPARTY VIDEO CONFERENCES. 683081316 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 91 0 1 3860 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 25 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X X THE ORGANIZATION 4842241876 PO BOX 4000 ALLENTOWN PA 18105 ALLEN BOXBAUM BOARD MEMBER (NON-VOTING) 60.00 X 299742 0 10425 DANIEL BROWN MD FORMER BOARD MEMBER 60.00 X 799106 0 30811 ANTHONY P BUONANNO MD BOARD MEMBER 60.00 X 437924 0 29873 DAVID BURMEISTER DO BOARD MEMBER 60.00 X 708702 0 33011 JOSEPH CANDIO MD FORMER BOARD MEMBER 60.00 X 343065 0 22474 GEOFFREY CARLSON APC AMD BOARD MEMBER (NON-VOTING) 60.00 X 179599 0 29476 DEBRA CARTER MD VICE CHAIRPERSON / TREASURER 60.00 X X 441263 0 22400 JOSEPH DEFULVIO DO CHAIRPERSON 60.00 X X 509406 0 20361 JAMES DEMOPOULOS SR MHA BOARD MEMBER (NON-VOTING) 60.00 X 538559 0 19803 AMY DEPUY MD BOARD MEMBER 60.00 X 414269 0 10029 AMANDA 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59141166 INTERCOMPANY PAYABLE 27048228 204344095 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 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. X X X X X 1 1 0 0 0 0 0 0 0 ALLEN BOXBAUM BOARD MEMBER (NON-VOTING) 263185 0 34502 0 2055 0 0 0 10425 0 310167 0 0 0 DANIEL BROWN MD FORMER BOARD MEMBER 663488 0 105005 0 30613 0 0 0 30811 0 829917 0 0 0 ANTHONY P BUONANNO MD BOARD MEMBER 385711 0 55490 0 -3277 0 0 0 29873 0 467797 0 0 0 DAVID BURMEISTER DO BOARD MEMBER 573510 0 100813 0 34379 0 0 0 33011 0 741713 0 0 0 JOSEPH CANDIO MD FORMER BOARD MEMBER 297149 0 45514 0 402 0 0 0 22474 0 365539 0 0 0 GEOFFREY CARLSON APC AMD BOARD MEMBER (NON-VOTING) 172954 0 11406 0 -4761 0 0 0 29476 0 209075 0 0 0 DEBRA CARTER MD VICE CHAIRPERSON / TREASURER 383846 0 61540 0 -4123 0 0 0 22400 0 463663 0 0 0 JOSEPH DEFULVIO DO CHAIRPERSON 425244 0 85879 0 -1717 0 0 0 20361 0 529767 0 0 0 JAMES DEMOPOULOS SR MHA BOARD MEMBER (NON-VOTING) 417873 0 68475 0 52211 0 0 0 19803 0 558362 0 0 0 AMY DEPUY MD BOARD MEMBER 370190 0 44666 0 -587 0 0 0 10029 0 424298 0 0 0 AMANDA FLICKER MD BOARD MEMBER 453116 0 79650 0 35618 0 0 0 9570 0 577954 0 0 0 RONALD FREUDENBERGER MD BOARD MEMBER 0 661568 0 100016 0 59211 0 0 0 31811 0 852606 0 0 TIMOTHY FRIEL MD BOARD MEMBER 536183 0 103349 0 36918 0 0 0 29535 0 705985 0 0 0 JOHN PAUL GOMEZ MD FORMER BOARD MEMBER 315376 0 70580 0 -8375 0 0 0 31752 0 409333 0 0 0 GRANT GREENBERG MD BOARD MEMBER 331810 0 72167 0 15260 0 0 0 32272 0 451509 0 0 0 J NATHAN HAGSTROM MD BOARD MEMBER 440424 0 85234 0 25095 0 0 0 32083 0 582836 0 0 0 T DANIEL HARRISON DO FORMER BOARD MEMBER 590000 0 57866 0 -2527 0 0 0 29296 0 674635 0 0 0 LORI HULSE FORMER BOARD MEMBER 0 212920 0 40775 0 -6316 0 0 0 18551 0 265930 0 0 JEANNE JACOBY MD BOARD MEMBER 337742 0 25865 0 -2675 0 0 0 32623 0 393555 0 0 0 DENISE KAPLAN MSA BOARD MEMBER (NON-VOTING) 263185 0 37011 0 -273 0 0 0 2750 0 302673 0 0 0 ROBERT KRUKLITIS MD PHD BOARD MEMBER 446374 0 94323 0 11283 0 0 0 34172 0 586152 0 0 0 MARISA KUTCHMARICK BOARD MEMBER 181667 0 21368 0 -6939 0 0 0 28664 0 224760 0 0 0 ERIC LEBBY MD BOARD MEMBER 1047500 0 241964 0 -3110 0 0 0 29873 0 1316227 0 0 0 THOMAS MCLOUGHLIN MD BOARD MEMBER 651020 0 141593 0 35006 0 0 0 34537 0 862156 0 0 0 JOSEPH MONKOSKI BOARD MEMBER (NON-VOTING) 0 248063 0 42158 0 876 0 0 0 10108 0 301205 0 0 ROBERT X MURPHY JR MD MS PRESIDENT, LVPG/BOARD MEMBER 751600 0 460180 0 171505 0 0 0 32311 0 1415596 0 0 0 SURESH NAIR MD BOARD MEMBER 0 594161 0 90178 0 40147 0 0 0 25843 0 750329 0 0 EDWARD NORRIS MD BOARD MEMBER 440225 0 93289 0 25831 0 0 0 32623 0 591968 0 0 0 MICHAEL PASQUALE MD BOARD MEMBER 826399 0 160040 0 55121 0 0 0 32761 0 1074321 0 0 0 RALPH PRIMELO MD FORMER BOARD MEMBER 301652 0 69650 0 -2619 0 0 0 26846 0 395529 0 0 0 WENDY PRUTSMAN FORMER BOARD MEMBER 123471 0 4325 0 -7455 0 0 0 31020 0 151361 0 0 0 DHANALAKSHMI RAMASAMY MD BOARD MEMBER 303294 0 83970 0 -5437 0 0 0 30653 0 412480 0 0 0 DAVID RICHARDSON MD FORMER BOARD MEMBER 352642 0 28860 0 -2254 0 0 0 34637 0 413885 0 0 0 MICHAEL A ROSSI MD MBA BOARD MEMBER 0 750000 0 472244 0 208717 0 0 0 22054 0 1453015 0 0 MATTHEW SALTZ MD BOARD MEMBER 284812 0 -9018 0 -5705 0 0 0 14671 0 284760 0 0 0 KATHLEEN SCHUYLER FORMER BOARD MEMBER 0 139445 0 10802 0 -654 0 0 0 10381 0 159974 0 0 JENNIFER STEPHENS DO BOARD MEMBER 431997 0 91586 0 29498 0 0 0 20950 0 574031 0 0 0 MARY C STOCK-KEISTER MD BOARD MEMBER 186319 0 141 0 2286 0 0 0 0 0 188746 0 0 0 THOMAS V WHALEN MD MMM FORMER BOARD MEMBER 0 142512 0 225620 0 1132161 0 0 0 7711 0 1508004 0 0 CHRISTOPHER A LYCETTE MD PHYSICIAN 839615 0 1143656 0 2172 0 0 0 29811 0 2015254 0 0 0 PRODROMOS A VERVERELI MD PHYSICIAN 1082315 0 416341 0 -4456 0 0 0 32123 0 1526323 0 0 0 GABRIEL E LEWULLIS MD PHYSICIAN 934000 0 396007 0 -2457 0 0 0 29473 0 1357023 0 0 0 RANDOLPH WOJCIK MD PHYSICIAN 968000 0 232730 0 -2922 0 0 0 29473 0 1227281 0 0 0 MARSHALL G MILES MD PHYSICIAN 968000 0 229530 0 -3732 0 0 0 25325 0 1219123 0 0 0 PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OF LEHIGH VALLEY PHYSICIAN GROUP, AND RECEIVED A DISTRIBUTION IN CALENDAR YEAR 2021: DANIEL BROWN, MD, FORMER BOARD MEMBER - $36,661 DAVID BURMEISTER, DO, BOARD MEMBER - $42,483 JAMES DEMOPOULOS, SR., MHA, BOARD MEMBER (NON-VOTING) - $48,638 AMANDA FLICKER, MD, BOARD MEMBER - $34,097 TIMOTHY FRIEL, MD, BOARD MEMBER - $39,651 GRANT GREENBERG, MD, BOARD MEMBER - $20,199 J. NATHAN HAGSTROM, MD, BOARD MEMBER - $30,996 THOMAS MCLOUGHLIN, MD, BOARD MEMBER - $39,631 ROBERT X. MURPHY, JR., MD MS, PRESIDENT, LVPG/BOARD MEMBER - $168,294 EDWARD NORRIS, MD, BOARD MEMBER - $32,638 MICHAEL PASQUALE, MD, BOARD MEMBER - $58,200 JENNIFER STEPHENS, DO, BOARD MEMBER - $33,324 THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OF LEHIGH VALLEY HOSPITAL, A RELATED ORGANIZATION, AND RECEIVED A DISTRIBUTION IN CALENDAR YEAR 2021: RONALD FREUDENBERGER, MD, BOARD MEMBER - $47,000 SURESH NAIR, MD, BOARD MEMBER - $40,376 MICHAEL A. ROSSI, MD MBA, BOARD MEMBER - $197,641 THOMAS V. WHALEN, MD MMM, FORMER BOARD MEMBER - $23,465 THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT FROM LEHIGH VALLEY HOSPITAL, A RELATED ORGANIZATION, IN CALENDAR YEAR 2021: THOMAS V. WHALEN, MD, MMM, FORMER BOARD MEMBER - $1,109,250 SUSAN C YEE - TRUSTEE OF AFFILIATE PARTNER IN 94 BRODHEAD ASSOCIATES - FORMER TRUSTEE LVHN/LVHH/HHWC & CY LVH 124818 94 BRODHEAD ASSOCIATES LEASES OFFICE SPACE TO LVPG AT FAIR MARKET VALUE. 0 FORM 990, PART III, LINE 4C, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED): ECONSULT PROGRAM: AS PART OF THE ECONSULT PROGRAM, LVPG CLINICIANS CAN POSE NON-URGENT QUESTIONS REGARDING THEIR PATIENTS TO THEIR SPECIALIST COLLEAGUES ACROSS MULTIPLE DISCIPLINES. REQUESTS AND RECOMMENDATIONS ARE FORMALLY INCORPORATED INTO THE EMR AND ARE INCLUDED IN THE PATIENT'S MEDICAL RECORD. THE AVAILABILITY OF SPECIALISTS ACROSS THE AMBULATORY LANDSCAPE IS THUS ENHANCED. DEPARTMENT OF EMERGENCY AND HOSPITAL MEDICINE: WE OFFER ONE OF THE REGION'S LARGEST EMERGENCY MEDICINE SERVICES IN MULTIPLE EXISTING AND NEW LOCATIONS ACROSS NORTHEASTERN PENNSYLVANIA. THE EXPANDED EMERGENCY CARE AND TRAUMA CENTER (ECTC) AT CEDAR CREST ALLOWS US TO PROVIDE LEVEL I TRAUMA CARE, STATE OF THE ART CLINICAL CARE, AS WELL AS AN INTENTIONAL FOCUS ON PATIENT EXPERIENCE. WE CONTINUE TO BE THE ONLY CHILDREN'S ER STAFFED WITH BOARD-CERTIFIED PEDIATRIC EMERGENCY PHYSICIANS, ALONG WITH BOARD-CERTIFIED EMERGENCY PHYSICIANS. FOR MORE SERIOUS INJURIES, THE LVHCEDAR CREST TRAUMA CENTER IS A CERTIFIED LEVEL II PEDIATRIC TRAUMA CENTER. THE ACUITY OF OUR AMBULATORY AND HOSPITALIZED PATIENTS REMAINS HIGH, AND WE HAVE DEVELOPED MULTIPLE COUNTERMEASURES TO IMPROVE TRANSITIONS OF CARE AS WE FOCUS ON PROGRAMS THAT ALLOW PATIENTS TO RECOVER SAFELY AT HOME THROUGH REMOTE PATIENT MONITORING, LVPG ACCESS COORDINATION OR VIA OUR TRANSITIONS-OF-CARE "BRIDGE CLINIC" THAT PROVIDES APPROPRIATE CARE IMMEDIATELY POST-DISCHARGE. IN THE LEHIGH VALLEY HEALTH NETWORK, LEHIGH VALLEY PHYSICIAN GROUP PROVIDERS MANAGE 10 EMERGENCY DEPARTMENTS, AS WELL AS PROVIDING INPATIENT CARE TO 4 OF THOSE LOCATIONS. OF THE 10 NEW FACILITIES, 4 HAVE BEEN OPENED IN THE LAST 2 YEARS IN LEHIGH, NORTHAMPTON, CARBON, AND LACKAWANNA COUNTY. OUR PERFORMANCE IN HOSPITAL MORTALITY IS IN THE TOP PERCENTILE AS BENCHMARKED TO THE VIZIENT DATABASE. THE VISIT VOLUMES AT BOTH CEDAR CREST AND MUHLENBERG WERE RECORD SETTING, WHILE MAINTAINING QUALITY MEASURES SUCH AS IMPROVED CLINICAL CARE AND PATHWAY ORDER SET COMPLIANCE. THE LEHIGH VALLEY EMERGENCY DEPARTMENTS SAW APPROXIMATELY 284,463 VISITS IN FY22, WHICH IS AN INCREASE OF 49,809 VISITS COMPARED TO FY21. THIS INCREASE IS DUE TO NEW LVHN FACILITIES TO SERVE OUR COMMUNITY, AS WELL AS A RETURN TO PRE-COVID VOLUMES, POSSIBLY DRIVEN BY PATIENTS ADDRESSING DEFERRED CARE. TO SUPPORT AND ADDRESS THE OVERDOSE CRISIS WITHIN OUR COMMUNITY, THE DIVISION OF MEDICAL TOXICOLOGY CONTINUES TO PROVIDE CARE VIA A MEDICATION FOR ADDICTION TREATMENT & MEDICALLY MANAGED DETOXIFICATION INPATIENT CONSULT SERVICE. THIS GROUP OF BOARD-CERTIFIED MEDICAL TOXICOLOGISTS AND ADDICTION SPECIALISTS, ALONG WITH A TEAM OF CERTIFIED RECOVERY SPECIALISTS, MANAGE OVERDOSES, WITHDRAWAL SYNDROMES, AND IDENTIFY INDIVIDUALS WHO ARE APPROPRIATE FOR THE INITIATION OF MEDICATION FOR ADDICTION TREATMENT WITH MEDICATIONS SUCH AS BUPRENORPHINE (SUBUTEX, SUBOXONE) OR NALTREXONE (REVIA OR VIVITROL) FOR SUBSTANCE USE DISORDER (SUD). MEDICATION TO SUPPORT RECOVERY IS THEN MAINTAINED ACROSS THE ENTIRE CONTINUUM ON AN OUTPATIENT BASIS, INCLUDING REFERRALS TO THE LEHIGH VALLEY HEALTH NETWORK INCLUSION HEALTH RECOVERY CARE/CENTER OF EXCELLENCE, TO THE LVHN OBSTETRICS CONNECTIONS PROGRAM FOR PREGNANT WOMEN WITH SUBSTANCE USE CONDITIONS, AND TO COMMUNITY PARTNERING ORGANIZATIONS THAT PROVIDE SUPPORT WITH COUNSELING AND REHABILITATION ON AN OUTPATIENT AND INPATIENT BASIS. EXPRESS CARE: WITHIN LVPG-LEHIGH THERE ARE 13 EXPRESSCARE LOCATIONS. OUR EXPRESSCARE LOCATIONS PROVIDE IMMEDIATE WALK-IN CARE TO THE COMMUNITY. WALK-IN APPOINTMENTS ARE AVAILABLE FOR COMMON ILLNESSES AND MINOR INJURIES, SUCH AS SPRAINS, CUTS, RASHES, SEASONAL ALLERGIES, FLU SYMPTOMS, BRONCHITIS, EAR INFECTIONS, SORE THROAT, FEVER AND MORE. IN ADDITION, EXPRESSCARE OFFERS COVERAGE FOR ROUTINE SCHOOL PHYSICALS AND FOLLOW UP VACCINATIONS TO ALLOW FOR PATIENT CONVENIENCE. IN FY22, EXPRESSCARE LOCATIONS PROVIDED MORE THAN 251,000 VISITS TO OUR COMMUNITY, CONSISTENTLY INCREASING YEAR OVER YEAR. THIS CLINICAL CARE MODEL IS A LOWER COST, EASY ACCESS ALTERNATIVE FOR LOWER ACUITY PATIENTS AS COMPARED TO THE EMERGENCY ROOM. THROUGHOUT THE C19 PANDEMIC, THE EXPRESSCARE LOCATIONS SPEARHEADED DEVELOPING REGIONAL ASSESS AND TEST CENTERS, A VITAL RESOURCE TO OUR COMMUNITY. PROVIDING EASILY ACCESSIBLE AND SIMPLE WAYS FOR PATIENTS TO BE EVALUATED AND TESTED FOR C19 WAS KEY TO ENSURING VIRAL MITIGATION. ADDITIONALLY, EXPRESSCARE VIDEO VISITS DRIVE CONVENIENCE BY PROVIDING PATIENTS OPTIONS TO UTILIZE TELEMEDICINE SERVICES TO TREAT ACUTE ILLNESSES AND MINOR INJURY CARE. OUR EXPRESSCARE COLLEAGUES HAVE BEEN INSTRUMENTAL AT ENSURING DEDICATED ORGANIZATIONAL SUPPORT THROUGHOUT THE PANDEMIC. EDUCATIONAL PROGRAMS AND AFFILIATIONS: LVPG GRADUATE AND UNDERGRADUATE MEDICAL EDUCATION (GME / UME) AND USF-SELECT (SCHOLARLY EXCELLENCE, LEADERSHIP EXPERIENCES AND COLLABORATIVE TRAINING) LVPG RECOGNIZES THE INTEGRAL ROLE OUR CLINICIANS AND AMBULATORY PRACTICES PLAY IN UNDERGRADUATE MEDICAL EDUCATION (UME), GRADUATE MEDICAL EDUCATION (GME), AND OUR PARTNERSHIP WITH USF FOR THE SELECT PROGRAM (SCHOLARLY EXCELLENCE, LEADERSHIP EXPERIENCES AND COLLABORATIVE TRAINING). ADDITIONALLY, LVHN AND LVPG SERVE AS CORE CLINICAL CAMPUS SETTINGS FOR PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE (PCOM). THROUGH THE SUPPORT OF OUR OUTSTANDING CLINICIAN-EDUCATORS, WE CAN DELIVER EXEMPLARY MEDICAL EDUCATION PROGRAMS, RESIDENCY, AND FELLOWSHIP PROGRAM OFFERINGS. UNDER THE LEADERSHIP OF MANY LVPG PHYSICIANS, THE EDUCATIONAL PROGRAMS ARE INTEGRATED INTO THE CLINICAL MODEL OF OUR MEDICAL GROUP. THE EMBEDDED STRUCTURE COUPLED WITH A DIRECT 'LEARNING AT THE BEDSIDE' APPROACH ALLOWS OUR EDUCATIONAL PROGRAMS TO FLOURISH. RESIDENCY AND FELLOWSHIP PROGRAMS: ADMINISTRATIVE FELLOWSHIP MEDICAL TOXICOLOGY FELLOWSHIP ADMINISTRATIVE RESIDENCY MICROGRAPHIC SURGERY AND DERMATOLOGIC ONCOLOGY FELLOWSHIP CARDIOVASCULAR DISEASE FELLOWSHIP NEPHROLOGY FELLOWSHIP CHILD AND ADULT PSYCHIATRY FELLOWSHIP NEUROLOGY RESIDENCY COLON AND RECTAL SURGERY FELLOWSHIP NEUROSURGERY FELLOWSHIP DERMATOLOGY RESIDENCY NURSE RESIDENCY EMERGENCY MEDICINE RESIDENCY OBSTETRICS AND GYNECOLOGY RESIDENCY ENDOCRINOLOGY FELLOWSHIP PEDIATRICS RESIDENCY FAMILY MEDICINE RURAL RESIDENCY - SCHUYLKILL PHARMACY RESIDENCY GASTROENTEROLOGY FELLOWSHIP PLASTIC SURGERY RESIDENCY GENERAL PRACTICE DENTISTRY RESIDENCY PSYCHIATRY RESIDENCY GENERAL SURGERY RESIDENCY PULMONARY AND CRITICAL CARE FELLOWSHIP GERIATRICS FELLOWSHIP RHEUMATOLOGY FELLOWSHIP HEMATOLOGY-ONCOLOGY FELLOWSHIP SPORTS MEDICINE FELLOWSHIP HOSPICE AND PALLIATIVE MEDICINE FELLOWSHIP SURGICAL CRITICAL CARE FELLOWSHIP INTERNAL MEDICINE RESIDENCY TRANSITIONAL YEAR RESIDENCY MATERNAL FETAL MEDICINE FELLOWSHIP PROGRAM LVPG PHYSICIANS SERVE AS FACULTY FOR THE LVH RESIDENCY AND FELLOWSHIP PROGRAMS, WHICH CURRENTLY OFFERS 31 PROGRAMS AND 372 GME SLOTS. LVPG PROVIDES CONTINUING MEDICAL EDUCATION (CME) TO ITS PHYSICIANS AND ALLIED HEALTH PERSONNEL AS WELL AS TO PHYSICIANS IN THE COMMUNITY THROUGH VARIOUS EDUCATIONAL PROGRAMS OFFERED DURING THE YEAR. LVPG ALSO CONDUCTS EXTENSIVE CLINICAL IN-SERVICE AND CONTINUING EDUCATION FOR NURSING PERSONNEL. IN ADDITION, OUR UNDERGRADUATE AND GRADUATE MEDICAL EDUCATION PARTICIPANTS CONDUCT RESEARCH IN THEIR CAPSTONE COURSE ALONGSIDE LVPG CLINICIANS. RESEARCH: OUR MEMBERS ARE ENGAGED IN INVESTIGATOR-INITIATED CLINICAL TRIALS, HEALTH STUDIES RESEARCH AND COMMUNITY-BASED PARTICIPATORY RESEARCH THAT HAS RESULTED IN EXTRAMURAL FUNDING FROM A VARIETY OF PRESTIGIOUS ORGANIZATIONS INCLUDING THE NATIONAL INSTITUTES OF HEALTH, THE DEPARTMENT OF DEFENSE, THE HEALTH RESOURCES AND SERVICES ADMINISTRATION, AND THE AGENCY OF HEALTHCARE RESEARCH. AS A MEMBER OF VIZIENT, LVPG PHYSICIANS AND APCS HAVE BEEN AN INTEGRAL PART OF LVHN'S LEADING THE NATION IN SEVERAL KEY HOSPITAL OUTCOME PERFORMANCE METRICS, DEMONSTRATING OUR COMMITMENT TO EXCELLENCE. IN ADDITION, LVPG IS NATIONALLY RECOGNIZED FOR PRODUCING QUALITY OUTCOMES COMPETITIVE WITH THE TOP HEALTHCARE INSTITUTIONS ACROSS THE COUNTRY. FORM 990, PART III, LINE 4C, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED): PATIENT AND COMMUNITY EDUCATION PROGRAMS: COMMUNITY HEALTH AND WELLNESS - LVPG PHYSICIANS AND PROVIDERS ARE DEDICATED TO HEALTH AND WELLNESS THROUGH PATIENT EDUCATIONAL PROGRAMS, COMMUNITY ENGAGEMENT, NUTRITIONAL COUNSELING, AND CHRONIC ILLNESS MANAGEMENT. WE FOCUS ON DIABETES, OBESITY, ASTHMA, HYPERTENSION, AND CANCER SCREENING. PATIENT ENGAGEMENT IN LVPG IS ADDRESSED VIA THE LVPG PATIENT EDUCATION OVERSIGHT COMMITTEE. THE GOAL IS TO MANAGE EFFECTIVE HEALTHCARE EDUCATION THROUGH AN INTERDISCIPLINARY, SYSTEMATIC, AND COLLABORATIVE APPROACH BY COORDINATING ACTIVITIES WHICH WILL PROVIDE CONSISTENT INFORMATION AND OUTCOMES FOR OUR PATIENTS, FAMILIES, AND CAREGIVERS. PRINT RESOURCES ARE THE PRIMARY METHOD TO COMMUNICATE HEALTH CARE INSTRUCTIONS TO PATIENTS. INTERPRETER SERVICES AND MULTIPLE LANGUAGE EDUCATIONAL DOCUMENTS ARE ALSO AVAILABLE FOR PATIENTS AS NEEDED. GERIATRIC PROGRAM - LVPG PHYSICIANS PROVIDE GUIDANCE TO THE LVH GERIATRIC PROGRAM, LOCATED AT THE CENTER FOR HEALTHY AGING AT LVH. THE EDUCATIONAL OFFERINGS PROVIDE VALUABLE INFORMATION ON WELLNESS, HEALTHY AGING, AND PREVENTATIVE CARE FOR MATURE POPULATIONS, CARE GIVING INFORMATION, HOLISTIC CARE OF THE OLDER ADULT, DISEASE CONTROL AND MANAGEMENT. THESE PROGRAMS ARE DELIVERED THROUGHOUT THE COMMUNITY AND THE LVH SYSTEM INCLUDING COMMUNITY ORGANIZATIONS AND AGENCIES, THE CENTER FOR HEALTHY AGING, INPATIENT HOSPITAL ROUNDS, HELP (HOSPITAL ELDER LIFE PROGRAM) ROUNDS, AND RESIDENT TEACHING ROUNDS. OUR GERIATRICIANS AND NURSE PRACTITIONERS PROVIDE GERIATRIC ASSESSMENT IN THE INPATIENT TRAUMA UNIT, THE OUTPATIENT OFFICE, AND THE NURSING HOME SETTING. THE EDUCATION PROGRAMS ARE DEVELOPED BY PHYSICIANS, NURSE PRACTITIONERS, NURSES, AND SOCIAL WORKERS. THE FORMATS INCLUDE LECTURES, CLASSES, SCREENINGS, AND COUNSELING SESSIONS. THE HELWIG HEALTH AND DIABETES CENTER - THE DIABETES CENTER IS A RECOGNIZED AMERICAN DIABETES ASSOCIATION APPROVED PROVIDER OF DIABETES SELF-MANAGEMENT TRAINING. SERVICES OF THE CENTER INCLUDE PROVISION OF OUTPATIENT PRE-DIABETES, DIABETES AND GENERAL NUTRITION EDUCATION TO PATIENTS AND FAMILIES, COMMUNITY MEMBERS AND HEALTH PROFESSIONALS IN THE MID-EASTERN PENNSYLVANIA REGION. BASED ON REFERRAL, NURSE EDUCATORS, SUPERVISED BY LVPG PHYSICIANS, ASSIST IN CO-MANAGEMENT OF DIABETES CARE. FREE SUPPORT GROUPS AND COMMUNITY EDUCATION PROGRAMS ARE PROVIDED ON A REGULAR BASIS. NURSE EDUCATORS ALSO PROVIDE INPATIENT DIABETES EDUCATION FOR HOSPITALIZED PATIENTS, THEIR FAMILIES, AND ALL LEVELS OF HEALTH CARE PROVIDERS INVOLVED IN THE HOSPITAL CARE OF PATIENTS WITH DIABETES. INPATIENT STANDARDS OF CARE FOR PATIENTS HOSPITALIZED WITH HYPERGLYCEMIA AND DIABETES ARE DEVELOPED AND/OR MONITORED BY THE INPATIENT SPECIALISTS TO IMPROVE PATIENT OUTCOMES. PEDIATRICS PROGRAM - IN COLLABORATION WITH LVH, LVPG PHYSICIANS AND OTHER PRACTITIONERS PARTICIPATE IN COMMUNITY PROGRAMS TO PROMOTE THE HEALTH AND SAFETY OF THE CHILDREN IN OUR AREA. THESE INCLUDE PROGRAMS RELATED TO POISON, FIRE AND VIOLENCE PREVENTION, SAFETY, AND IMMUNIZATIONS TO THE COMMUNITY. LVPG PHYSICIANS WORK WITH LVH TO PROVIDE THE MEDICAL EVALUATIONS FOR THE CHILD ADVOCACY CENTER OF LEHIGH COUNTY WHICH IS A MULTIDISCIPLINARY RESPONSE TO ALLEGATIONS OF POTENTIAL CHILD ABUSE. SERVICE INNOVATION AND IMPROVEMENT EFFORTS: LVPG HAS CONTINUOUSLY IMPROVED ACCESS TO CARE FOR ALL THE POPULATIONS WE SERVE. THROUGH AN ITERATIVE SERIES OF IMPROVEMENTS, LVPG CONTINUES A JOURNEY TO IMPROVE PATIENT ACCESS THROUGH SCHEDULE ANALYSIS, REVIEW, AND OPTIMIZATION. IN ADDITION, EMPHASIS IS PLACED ON LEVERAGING OUR ENTIRE WORKFORCE AND THEIR CLINICAL TIME AS WELL AS OUR VIRTUAL PLATFORMS. TO ENHANCE OUR ABILITY TO CARE FOR PATIENTS AND TO MEET OUR "SERVICE PROMISE", INTER-PRACTICE SCHEDULING WAS IMPLEMENTED ACROSS SIMILAR CLINICAL AREAS. LEVERAGING OUR GEOGRAPHIC REGIONS, PATIENTS WERE ABLE TO BE SCHEDULED IN LOCAL OFFICES IF THEIR HOME PRACTICE DID NOT HAVE ACCESS. THIS NEW SCHEDULING MODEL ALLOWS OUR STAFF TO MEET A PATIENT'S CLINICAL NEEDS. PATIENT SATISFACTION REMAINS A SIGNIFICANT AREA OF FOCUS. OUR SURVEY SYSTEM HAS PROVIDED OUR PRACTICE LEADERSHIP WITH MORE REAL-TIME INFORMATION FOR PERFORMANCE AND SERVICE RECOVERY. ROUTINE REPORTS ARE SENT TO PRACTICES / PROVIDERS, PROVIDING FEEDBACK ALONG WITH RESOURCES FOR IMPROVEMENT. COMMUNICATION COACHING IS GIVEN TO PROVIDERS WITH OPPORTUNITY TO IMPROVE. WE HAVE INSTITUTED THE RELATIONSHIP CENTERED COMMUNICATION PROGRAM AS AN EDUCATIONAL OFFERING IN SUPPLEMENT WITH THE PARTNERS IN CARING INITIATIVE. IN ADDITION, LVPG USES TRANSPARENT PROVIDER STAR RATINGS AND POSTING OF DIRECT PATIENT COMMENTS ONLINE. LVPG HAS BEEN RECOGNIZED AS A TOP PERFORMER FOR PATIENT SATISFACTION SCORES ACROSS MEDICAL GROUPS NATIONALLY. LVHN HAS CONTINUED TO PROMOTE INNOVATION IN OUR CARE DELIVERY MODEL. ONE MAJOR INNOVATION LAUNCHED IN 2018 WAS THE CREATION OF THE ECONSULT PROGRAM. THIS NEW TOOL ALLOWED LVPG PROVIDERS TO POSE PATIENT-SPECIFIC, NON-URGENT QUESTIONS TO THEIR SPECIALIST COLLEAGUES IN MULTIPLE DISCIPLINES. REQUESTING PROVIDERS RECEIVE FEEDBACK WITHIN THREE WORKING DAYS. THE MODEL ALLOWS FOR INTERDISCIPLINARY PATIENT CARE WITHOUT REQUIRING THE PATIENT TO TRAVEL FOR A FACE-TO-FACE VISIT UNLESS CLINICALLY INDICATED. THE REQUESTS AND RECOMMENDATIONS ARE FORMALLY EMBEDDED WITHIN THE EMR AND BECOME PART OF THE LEGAL MEDICAL RECORD. LVPG'S DEDICATION TO OUR COMMUNITY AND THE PATIENTS WE SERVE REMAINS PARAMOUNT TO OUR MISSION AND FUTURE GOALS. COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA): A CHNA REPORT EXAMINES THE FACTORS IMPACTING PEOPLE'S HEALTH AND WELLNESS IN A PARTICULAR GEOGRAPHICAL AREA. THE CHNA REPORT PROVIDES AN OVERVIEW OF THE CURRENT STATE OF HEALTH IN THE REGION AND IDENTIFIES POTENTIAL AREAS OF CONCERN THAT CAN INFORM THE DESIGN OF CLINICAL PROGRAMS. THESE REPORTS WERE REVIEWED BY LVHN EXECUTIVE LEADERSHIP AT EACH CAMPUS. POPULATION HEALTH NEEDS WERE PRIORITIZED BASED ON THE COMMUNITY'S INPUT AND LVHN'S ABILITY TO MAKE A DIFFERENCE ON THOSE INITIATIVES. NEXT STEPS INCLUDE DEVELOPING STRATEGIES TO ADDRESS PRIORITIZED HEALTH NEEDS WHICH WILL BE PRESENTED IN LVHN'S CHNA IMPLEMENTATION PLAN. FORM 990, PART III, LINE 4D LEHIGH VALLEY PHYSICIAN GROUP (INCLUDES LEHIGH VALLEY, HAZLETON, SCHUYLKILL, AND POCONO) REPORTS ANNUALLY (AS PART OF LEHIGH VALLEY HEALTH NETWORK) THE AMOUNT OF COMMUNITY BENEFIT PROVIDED DURING THE FISCAL YEAR. A SUMMARY OF THE COSTS INCURRED FOLLOWS: MEDICARE SHORTFALL THE MEDICARE SHORTFALL OF $99,426,169 IS THE DIFFERENCE BETWEEN MEDICARE PAYMENTS AND THE COST OF PROVIDING PATIENT CARE. THIS COMBINES TRADITIONAL MEDICARE AND MEDICARE MANAGED CARE. MEDICAL ASSISTANCE SHORTFALL THE MEDICAL ASSISTANCE SHORTFALL OF $15,686,922 IS THE DIFFERENCE BETWEEN MEDICAL ASSISTANCE PAYMENTS AND THE COST OF PROVIDING PATIENT CARE. THIS COMBINES TRADITIONAL MEDICAL ASSISTANCE AND MEDICAL ASSISTANCE MANAGED CARE. UNCOMPENSATED CHARITY CARE UNCOMPENSATED CHARITY CARE AT COST WAS $5,233,643. THIS TOTAL DOES NOT INCLUDE BAD DEBT. LEHIGH VALLEY PHYSICIAN GROUP'S DETERMINATION OF INABILITY TO PAY DIFFERENTIATES CHARITY CARE FROM BAD DEBT. BAD DEBT LEHIGH VALLEY PHYSICIAN GROUP'S BAD DEBT AT COST WAS $8,603,473. BAD DEBT IS DETERMINED BY EITHER ABILITY TO PAY BUT UNWILLINGNESS TO DO SO, OR IS THE RESULT OF NO DETERMINATION OF CHARITY OR BAD DEBT STATUS. THE AMOUNT OF REAL ESTATE TAXES PAID ON OWNED AND LEASED PROPERTY BY LEHIGH VALLEY PHYSICIAN GROUP WAS $685,164. TOTAL - $129,635,371 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S SOLE CORPORATE MEMBER IS LEHIGH VALLEY HEALTH NETWORK, INC. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S SOLE CORPORATE MEMBER, LEHIGH VALLEY HEALTH NETWORK, INC., HAS THE POWER TO ELECT, APPOINT, APPROVE, OR REJECT MEMBERS OF THE ORGANIZATION'S GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION'S SOLE CORPORATE MEMBER, LEHIGH VALLEY HEALTH NETWORK, INC., HAS THE POWER TO APPROVE OR REJECT CERTAIN MAJOR OPERATING DECISIONS MADE BY THE ORGANIZATION'S GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS TO REVIEW THE 990'S INCLUDES: DRAFT 1 OF THE RETURNS IS REVIEWED IN DETAIL WITH A FOCUS ON ACCURACY, COMPLETENESS, AND PERSPECTIVE BY THE LVHN VICE-PRESIDENT, FINANCE - CONTROLLER AND THE LVHN CORPORATE LEGAL COUNSEL. DRAFT 2 OF THE RETURNS IS REVIEWED BY THE EXECUTIVE VICE PRESIDENT & CHIEF FINANCIAL OFFICER. ALL COMPENSATION DISCLOSURES ARE REVIEWED BY THE DIRECTOR, COMPENSATION - HUMAN RESOURCES. DRAFT 3 OF THE RETURNS IS REVIEWED TOGETHER WITH THE PRESIDENT & CEO, THE EXECUTIVE VICE PRESIDENT & CHIEF FINANCIAL OFFICER, THE VICE-PRESIDENT, FINANCE - CONTROLLER AND THE ADMINISTRATOR, 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 2022 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 SEPTEMBER 2, 2021 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 10 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 SEPTEMBER 2, 2021 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 21, 2021 MEETING: THE MARKET DATA USED FOR LVHN SYSTEM EXECUTIVES IN THIS ASSESSMENT ARE AN EQUALLY WEIGHTED BLEND OF: (1) LVHN'S COMMITTEE-APPROVED PEER GROUP OF 25 NOT-FOR-PROFIT HEALTH SYSTEMS LOCATED IN THE NORTHEAST (EXCLUDING NEW YORK CITY) WITH NET OPERATING REVENUES BETWEEN $1.8 BILLION AND $7.6 BILLION (MEDIAN OF $3.0 BILLION); AND (2) NATIONAL DATA REFLECTING ORGANIZATIONS OF SIMILAR SCOPE AND SIZE TO LVHN. PEER GROUP AND NATIONAL MARKET DATA WERE ABSTRACTED FROM SULLIVAN COTTER'S 2021 SURVEY OF MANAGER AND EXECUTIVE COMPENSATION IN HOSPITALS AND HEALTH SYSTEMS, AS WELL AS OTHER PUBLISHED COMPENSATION SURVEYS REFLECTING PAY AT COMPARABLY SIZED ORGANIZATIONS, WHICH INCLUDED NATIONAL HOSPITALS AND NATIONAL MEDICAL GROUPS. COMPILED MARKET DATA FOR THE LVHN CLINICAL CHAIRS PREPARED BY THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES (AAMC) FOR THE CHAIRS OF CLINICAL DEPARTMENTS IN MEDICAL SCHOOLS, LVHN'S TRADITIONAL COMPARATOR GROUP FOR THESE JOBS. ADJUSTED THE MARKET DATA TO AN EFFECTIVE DATE OF JANUARY 1, 2022 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 FY2021 NET REVENUES AND PHYSICIAN FTE'S WERE USED AS THE SCOPE SIZE FOR EACH ENTITY. FORM 990, PART VI, SECTION C, LINE 18 ANOTHERS 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 ORGANIZATIONS ANNUAL PUBLIC MEETING. THE ANNUAL REPORT IS AVAILABLE ON THE ORGANIZATION'S WEBSITE - WWW.LVHN.ORG. IN ADDITION, IT IS DISTRIBUTED VIA MAIL TO MEMBERS OF THE COMMUNITY. THE ORGANIZATIONS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 2C THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT AUDITOR. 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