2022-05-12T06:34:52-05:00 2021-06-30 990 2020-07-01 232700908 LEHIGH VALLEY PHYSICIAN GROUP LEHI 4848840130 2100 MACK BLVD ALLENTOWN PA 181035622 ROBERT THOMAS ASSISTANT TREASURER 4848840130 2022-05-11 ROBERT THOMAS XXX-XX-XXXX 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z ROBERT X MURPHY JR MD 2100 MACK BLVD ALLENTOWN PA 181035622 636780638 0 X WWW.LVHN.ORG X 1992 PA OUR MISSION IS TO HEAL, COMFORT AND CARE FOR THE PEOPLE OF OUR COMMUNITY BY PROVIDING ADVANCED AND COMPASSIONATE HEALTH CARE OF SUPERIOR QUALITY AND VALUE, SUPPORTED BY EDUCATION AND RESEARCH. 25 0 3921 0 40514 0 201063 265339 621008575 636404047 -7405 -480655 41134 16685 621243367 636205416 0 0 0 0 495056351 507668124 0 0 0 137371035 130019791 632427386 637687915 -11184019 -1482499 433846962 364424227 243750760 262561357 190096202 101862870 X OUR MISSION IS TO HEAL, COMFORT AND CARE FOR THE PEOPLE OF OUR COMMUNITY BY PROVIDING ADVANCED AND COMPASSIONATE HEALTH CARE OF SUPERIOR QUALITY AND VALUE, SUPPORTED BY EDUCATION AND RESEARCH. 0 0 588396303 635899563 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, OBSTETRICS/GYNECOLOGY, PEDIATRICS, PSYCHIATRY, SURGERY, AND EMERGENCY MEDICINE. WITH A CURRENT SIZE OF ABOUT 900 PHYSICIANS AND OVER 500 ADVANCED PRACTICE CLINICIANS, THE ENTIRE 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. LVPG PROVIDED OVER 2.6 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, AND VASCULAR SURGERY.LVPG HAS PARTICIPATED FOR SIX YEARS IN A TRACK 1 MEDICARE SHARED SAVINGS PROGRAM (MSSP). OUR MSSP ACCOUNTABLE CARE ORGANIZATION (ACO) IS COMPRISED OF OVER 42,000 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%. 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, AN HIV-FOCUSED OFFICE, HEPATITIS C CLINIC, A MEDICAL SPECIALTIES PRACTICE AND A WELLNESS CENTER. THROUGHOUT FY21, FIVE OF THESE PRACTICES TRANSFORMED INTO A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) THAT IS NOW CALLED VALLEY HEALTH PARTNERS. THEIR WORK REMAINS TIGHTLY CONNECTED WITH LVHN AND LVPG. THE WORK OF THE VALLEY HEALTH PARTNERS FQHC WILL SERVE THE COMMUNITY EVEN GREATER IN YEARS TO COME. COVID-19 PANDEMIC: THE LVPG RESPONSE TO THE COVID-19 PANDEMIC HAS BEEN TRANSFORMATIVE AND IMPACTFUL FOR BOTH THE ORGANIZATION AND OUR COMMUNITY. THROUGH THE PANDEMIC, LVPG QUICKLY TRANSITIONED ITS CLINICAL FOOTPRINT TO INCLUDE VIRTUAL CARE OFFERINGS, THROUGH VIDEO VISITS, PHONE VISITS AND E-VISITS. THESE MODALITIES REACHED A PEAK VOLUME EARLY IN THE PANDEMIC, COMPRISING UP TO 75% OF ALL AMBULATORY HEALTHCARE DELIVERY. OVER TIME, THIS NEW CARE DELIVERY MODEL HAS BEEN INTEGRATED THROUGHOUT OUR CLINICAL PRACTICE. THE AVERAGE VIRTUAL CARE VISIT VOLUME CAPTURE RATE IN FY21 WAS 14%. THROUGHOUT THE PANDEMIC, LVPG HAS NOT WAIVERED IN SUPPORTING OUR COMMUNITY WITH FACE TO FACE VISITS WHEN NEEDED. IN ADDITION TO THE VIRTUAL VISIT OFFERINGS DIRECT FROM LVPG CLINICIANS, THE LVPG WORKFORCE AND PRACTICE TEAM WORKED IN PARTNERSHIP WITH OUR HOSPITAL SITES TO DELIVER VACCINES ACROSS OUR COMMUNITY. THE LVPG EFFORTS ADMINISTERED OVER 31,000 COVID-19 VACCINES TO PATIENTS THROUGHOUT THEIR CLINICS. THESE CLINICS SUPPORTED AREAS OF OUR PATIENT POPULATION ACROSS ALL REGIONS WE SERVE. OVERALL, IT SUPPORTED THE LARGER LVHN VACCINE DELIVERY MODEL, WHICH DELIVERED OVER 438,000 VACCINES TOTAL TO DATE TO OUR COMMUNITY.CANCER SERVICES:LVPG PHYSICIANS PROVIDE MEDICAL LEADERSHIP IN THE LEHIGH VALLEY CANCER INSTITUTE, COMPRISED OF 5 HOSPITAL LOCATIONS WITH 110 INFUSION BAYS, 3 RADIATION THERAPY DEPARTMENTS WITH 8 LINEAR ACCELERATORS, AND BREAST HEALTH SERVICES IN 6 HEALTH CENTERS AND ONE MOBILE COACH. THE CANCER INSTITUTE OFFERS A RANGE OF CANCER SERVICES IN ONE CONVENIENT, PATIENT-FOCUSED LOCATION. CANCER CARE PROGRAMS INCLUDE PREVENTION, DETECTION, DIAGNOSIS, THERAPY, CLINICAL TRIALS, REHABILITATION AND THE EVALUATION OF CANCER-RELATED CARE. INFUSION SERVICES ARE NOW OFFERED CONSISTENTLY ACROSS THE REGION WE SERVE, INCLUDING IN THE NEWLY OPENED HECKTOWN OAKS LOCATION. THERE ARE OVER 150 CLINICAL TRIALS OPEN FOR ACCRUAL, WITH 403 ADULT ACCRUALS AND 36 PEDIATRIC ACCRUALS IN 2020 BY 30 DIFFERENT PHYSICIAN PROVIDERS. THE GREGORY & LORRAINE HARPER CANCER RISK AND GENETIC ASSESSMENT PROGRAM PROVIDES RESOURCES FOR ONCOLOGY PATIENTS WITH INCREASING PATIENT VOLUMES YEAR OVER YEAR. SOCIAL WORKER SUPPORT SERVICES ARE PROVIDED TO ALL PATIENTS, WITH THE GREATEST REFERRALS FOR TRANSPORTATION, PRESCRIPTION ASSISTANCE, MENTAL HEALTH / SUBSTANCE ABUSE REFERRALS AND GRANT FUNDING SUPPORT. DURING COVID, STRONG COLLABORATION OCCURRED WITH INFECTION CONTROL AND LEADERSHIP TO SUPPORT MONOCLONAL ANTIBODY TREATMENT FOR COVID-POSITIVE PATIENTS.CARDIAC SERVICES:LVPG PHYSICIANS PROVIDE THE MEDICAL LEADERSHIP OVER THE LVHN HEART INSTITUTE, INCLUDING GENERAL AND INVASIVE CARDIOLOGY, HEART STATION, ELECTROPHYSIOLOGY, CARDIO THORACIC SURGERY AND THE CARDIOVASCULAR RESEARCH INSTITUTE. IN ADDITION, OUR CARDIOLOGISTS SERVE AS PROGRAM DIRECTOR AND CORE FACULTY FOR THE LVHN CARDIOLOGY FELLOWSHIP PROGRAM. IN FY21, AN AMBULATORY HEART FAILURE PATHWAY WAS IMPLEMENTED THROUGH A SERIES OF COLLABORATIVE EFFORTS ACROSS PRIMARY CARE AND CARDIOLOGY, WITH INPUT FROM INPATIENT AND OUTPATIENT CLINICIANS. THE GOALS OF THE PATHWAY ARE TO IMPROVE PATIENT SAFETY AND DECREASE COMPLICATIONS; TO REDUCE ADMISSIONS AND READMISSIONS FOR HEART FAILURE; AND TO INCREASE THE NUMBER OF PATIENTS BEING DISCHARGED DIRECTLY TO HOME FROM THE EMERGENCY DEPARTMENT. EXTENSIVE EFFORTS HAVE ALSO BEEN FOCUSED AROUND OPTIMIZING OUR PATIENTS WITH HEART FAILURE THAT ARE DISCHARGED, TO ENSURE APPROPRIATE TRANSITIONS OF CARE AND MITIGATION OF READMISSIONS.THROUGHOUT FY21, THE TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR) PROGRAM HAS INCREASED BY 25% COMPARED TO FY20. THERE WAS A SUCCESSFUL IMPLANT RATE OF 99.3% WITH 0% INPATIENT MORTALITY. THE PRACTICES HAVE BEEN WORKING ON OPTIMIZING ACCESS BY REDUCING NEW PATIENT LEAD TIME AND INCREASING PROVIDER CAPACITY. PEDIATRIC SERVICES:LVPG PEDIATRICS STAFFS THE LEHIGH VALLEY REILLY CHILDREN'S HOSPITAL WHICH PROVIDES SPECIALTY CARE, AS WELL AS PRIMARY CARE IN THE AMBULATORY SETTING. WE PROVIDE OVER 30 PEDIATRIC SPECIALTIES, INCLUDING PEDIATRIC HEMATOLOGY-ONCOLOGY AND PEDIATRIC NEUROLOGY. THE CHILD ADVOCACY CENTER IS AVAILABLE 24/7/365, WITH ONGOING PROGRAMMATIC DEVELOPMENT IN CLINICAL PATHWAYS. CHILDHOOD OBESITY HAS MORE THAN DOUBLED IN THE PAST 30 YEARS, AND ABOUT 1 IN 3 PEDIATRIC PATIENTS AT LVHN IS OVERWEIGHT OR OBESE. HEALTHY LIFESTYLE HABITS, INCLUDING HEALTHY EATING AND PHYSICAL ACTIVITY, CAN LOWER THE RISK OF BECOMING OBESE AND DEVELOPING RELATED DISEASE. AN AMBULATORY CARE PATHWAY FOR CHILDHOOD OBESITY WAS IMPLEMENTED FY19, WITH ONGOING OPTIMIZATION SINCE THAT TIME. IN ADDITION, A BEHAVIORAL HEALTH INITIATIVE ROLLED OUT ACROSS AMBULATORY GENERAL PEDIATRICS, WITH AN EMBEDDED THERAPIST IN THE PRACTICES. THEIR FOCUS IS ON DEPRESSION SCREENING, DIAGNOSTIC ASSESSMENTS OF PATIENTS WITH BEHAVIORAL CONCERNS, SHORT TERM EVALUATION AND TREATMENT FOR COMMON BEHAVIORAL PROBLEMS AND EVALUATIONS FOR PSYCHOSOCIAL ISSUES IMPACTING EXISTING CARE PLANS. THE PROGRAM HAS BEEN A GREAT SUCCESS, WITH ONGOING EXPANSION PLANNED. OUR LVPG PEDIATRICIANS HAVE DONE A GREAT JOB THROUGH THE COVID-19 PANDEMIC, WHICH HAS SEEN MANY CHILDREN NAVIGATING THE SCHOOL LANDSCAPE. THEY HAVE BEEN STRONG PARTNERS TO LOCAL SCHOOL DISTRICTS IN SUPPORTING THE NEEDS OF OUR COMMUNITY VIA TESTING, VACCINATION AND EDUCATIONAL OUTREACH EFFORTS.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 & HOMECARE 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 AROUND 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, 30 CLINICIANS WERE TRAINED ON GOALS OF CARE CONVERSATIONS WITH THEIR SERIOUSLY ILL PATIENTS. 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. IN COLLABORATION WITH THE CANCER INSTITUTE, FAMILY MEDICINE LEADERSHIP HAS SUPPORTED EFFORTS TO DEVELOP WORKFLOW AND PROCESSES TO IMPROVE LUNG CANCER AND COLON CANCER SCREENING RATES. WORK ON LUNG CANCER SCREENING HAS BEEN A FOCUS OF OUR PRACTICE BASED RESEARCH NETWORK TEAM, WITH ONGOING COLLABORATION AND EXPANSION THROUGHOUT FY21. LVPG WAS AWARDED A 3-YEAR 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 FY21 DATA HAS DEMONSTRATED ONGOING IMPROVEMENTS IN DIABETES CARE OVER THE PAST THREE YEARS, WITH CURRENT PERFORMANCE THE BEST REGARDING PATIENT MANAGEMENT AND OUTCOMES. LINKAGE TO ADDICTION TREATMENT & OPIOID STEWARDSHIP: IN THE LEHIGH VALLEY, HEALTH NETWORKS AND TREATMENT PROGRAMS HAVE BEEN SLOW TO INTEGRATE PRIMARY CARE TREATMENT OF SUBSTANCE USE DISORDERS (SUD) AS A RELIABLE ACCESS POINT FOR CARE. PRIOR TO 2020, ONLY ONE FEDERALLY QUALIFIED HEALTH CENTER AND TWO OBSTETRICIANS OFFERED MEDICATIONS FOR ADDICTION TREATMENT (MAT) FOR PEOPLE WITH SUBSTANCE USE DISORDERS. THE LEHIGH VALLEY PACMAT, INITIATED IN JANUARY 2020, MOBILIZED LEHIGH VALLEY HEALTH NETWORK (LVHN) LEADERSHIP AND ENGAGED 14 PRIMARY CARE PRACTICES ACROSS FOUR COUNTIES TO EXPAND ACCESS TO EVIDENCE-BASED, PRIMARY CARE ADDICTION MEDICINE. THE PACMAT HUB PROVIDED GUIDANCE FOR PRACTICES AND CLINICIANS NEW TO PRIMARY CARE ADDICTION MEDICINE AND CASE MANAGEMENT FOR APPROXIMATELY 90 INDIVIDUALS WHO NEEDED HELP NAVIGATING NEW SYSTEMS. THE HUB WORKED HAND IN HAND WITH LVPG MEDICAL TOXICOLOGISTS TO TRANSITION PATIENTS AFTER BUPRENORPHINE INDUCTION IN EMERGENCY DEPARTMENT AND INPATIENT HOSPITAL SETTINGS TO WELL PREPARED, PRIMARY CARE HOMES FOR LONG-TERM MEDICATION MANAGEMENT AND INTEGRATED BEHAVIORAL HEALTH. THE LVHN DEPARTMENT OF FAMILY MEDICINE ESTABLISHED THE PRIMARY CARE ADDICTION MEDICINE AND INCLUSION HEALTH PROGRAM (PCAM/IH) THAT WAS DESIGNATED AS A PENNSYLVANIA DEPARTMENT OF HEALTH CENTER OF EXCELLENCE FOR OPIOID USE DISORDERS IN JANUARY OF 2021. THE PCAM/IH TEAM, NOW INCLUDING CERTIFIED RECOVERY SPECIALISTS (CRSS), HAS CONTINUED TO PROVIDE COMMUNITY-BASED CARE MANAGEMENT WHILE DEVELOPING COMMUNITY PARTNERSHIPS TO MAXIMIZE REACH AND IMPACT. PCAM/IH, WITH SUPPORT FROM THE LVHN COMMUNITY HEALTH TRANSFORMATION CHAIR FUND, WAS ABLE TO SUPPORT KEY COMMUNITY-BASED ORGANIZATIONS AND TREATMENT PROGRAMS DURING COVID-19 SHUT DOWN. THE RELATIONSHIPS BUILT DURING CRISIS NOW SUPPORT A "VILLAGE" APPROACH TO COLLABORATION, WHERE ORGANIZATIONS WORK TOGETHER TO MEET COMMUNITY NEEDS. PCAM/IH ALSO CONVENED THE RECOVERY COMMUNITY LEADERSHIP COUNCIL (RCLC), WITH 14 MEMBERS WITH LIVED EXPERIENCE OF SUBSTANCE ABUSE DISORDERS, REPRESENTING EIGHT COMMUNITY PARTNER ORGANIZATIONS, TO ENSURE THAT COMMUNITY VOICES SHAPE THE DEVELOPMENT OF A PRIMARY CARE INTEGRATED MODEL BASED ON SAFETY, TRUST, RESPECT AND DIGNITY. NOW, PCAM/IH IS WELL POSITIONED TO RENEW EFFORTS TO ENGAGE AND STRENGTHEN PRIMARY CARE AND OB/GYN SPOKES, PROMOTE A PARADIGM SHIFT TOWARD HARM REDUCTION AND DEVELOP NEW STRATEGIES FOR LOW BARRIER ACCESS TO MAT AND INTEGRATED PRIMARY CARE IN THE LEHIGH VALLEY AND NORTHERN TIER SERVICE AREAS. 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. IN APRIL 2019, LVH LAUNCHED THE FIRST MOBILE STROKE UNIT (MSU) IN PENNSYLVANIA. 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 WILL ALLOW PRECISE TRIAGE AND ROUTING TO 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. 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 SERVICES- TELE-PSYCHIATRY: ACHIEVED UP TO 100% VIRTUAL CARE THROUGHOUT FY20 AND CONTINUES TO RUN AROUND 50%. IN FY21, AND THROUGHOUT THE COVID-19 PANDEMIC, ONGOING HIGH LEVELS OF VIRTUAL CARE HAVE BEEN MAINTAINED. 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 PROGRAM DIRECTORS AND CORE FACULTY FOR THE GENERAL SURGERY RESIDENCY PROGRAM. IN THE PAST YEAR, SURGICAL VOLUMES AT LVH AND LVH-M WAS 45,259 CASES. TRANSPLANT SURGERY PROGRAM:OVER THIS PAST YEAR THERE WERE OVER 100 ORGAN TRANSPLANTS, INCLUDING KIDNEY TRANSPLANTS AND SIMULTANEOUS KIDNEY PANCREAS TRANSPLANTS. OF NOTE, WAS COMPLETION OF THE EPIC PHOENIX ELECTRONIC MEDICAL RECORD CONVERSION AND ACHIEVEMENT OF RANKING SECOND IN THE GIFT OF LIFE ORGAN PROCUREMENT SYSTEM.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 AN ACCREDITED PROGRAM FOR PEDIATRIC TRAUMA. LVPG PHYSICIANS ARE AN INTEGRAL COMPONENT OF THE LVH TRAUMA PROGRAM, WHICH PROVIDES A CONTINUUM OF CARE FOR TRAUMA PATIENTS WITH AT LEAST ONE OF EIGHT TRAUMA SURGEONS 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 OPERATING 18 BEDS 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 MAINTAINS A SPECIAL FOCUS ON PRENATAL CARE AS A COMPONENT OF ITS COMPREHENSIVE OBSTETRICS AND GYNECOLOGY SERVICES, INCLUDING GENERAL OBSTETRIC / GYNECOLOGIC CARE, MATERNAL-FETAL (HIGH-RISK) MEDICINE, GYNECOLOGICAL ONCOLOGY AND PELVIC RECONSTRUCTIVE SURGERY. LVPG PHYSICIANS DELIVERED 4,745 BABIES DURING THE FISCAL YEAR ENDING JUNE 30, 2021. CLINICAL PROGRAMS INCLUDE APPROPRIATE INDUCTION, C-SECTION PERFORMANCE, WELL-WOMAN CARE, PAIN MANAGEMENT, SURGICAL SITE INFECTION PREVENTION AND PATIENT EDUCATION ACROSS THE ENTIRE CONTINUUM OF CARE. EXTENSIVE QUALITY IMPROVEMENT EFFORTS AND ONGOING DEVELOPMENT OCCUR IN AREAS SUCH AS PERINATAL CARE AND ELECTIVE INDUCTION.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 LEHIGH VALLEY HOSPITAL'S 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. TELEMEDICINE PROGRAMS:LVHN HAS REMAINED A LEADER IN THE DEVELOPMENT AND IMPLEMENTATION OF INNOVATIVE TELEMEDICINE PROGRAMS THAT HAVE EXPANDED OUR CAPACITY TO PROVIDE HIGH QUALITY HEALTHCARE SERVICES THROUGHOUT OUR GROWING NETWORK AND BEYOND. TELEMEDICINE ALLOWS OUR TEAM TO OFFER SPECIALTY CARE TO SITES AND PATIENTS THAT WOULD OTHERWISE NOT HAVE ACCESS TO THESE SERVICES. THROUGH THE COVID-19 PANDEMIC, AS NOTED, OUR TELEMEDICINE 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. DEPARTMENT OF EMERGENCY AND HOSPITAL MEDICINE:WE OFFER THE REGION'S LARGEST EMERGENCY ROOM SERVICES, WITH THE ONLY CHILDREN'S EMERGENCY ROOM STAFFED WITH BOARD-CERTIFIED PEDIATRIC EMERGENCY PHYSICIANS, ALONG WITH BOARD-CERTIFIED EMERGENCY PHYSICIANS. FOR MORE SERIOUS INJURIES, THE LVH-CEDAR CREST TRAUMA CENTER IS A CERTIFIED LEVEL II PEDIATRIC TRAUMA CENTER. THE ACUITY OF OUR AMBULATORY AND HOSPITALIZED PATIENTS CONTINUED TO INCREASE AS REFLECTED IN OUR ADMISSION PERCENTAGE. 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 ROOMS SAW AROUND 147,000 VISITS IN FY21, A DECLINE OF 5,000 COMPARED TO FY20. THIS REDUCTION IS DUE TO COVID-19 CONCERNS KEEPING PATIENTS AWAY FROM THE EMERGENCY ROOM.TO SUPPORT AND ADDRESS THE OPIOID CRISIS WITHIN OUR COMMUNITY, THE DIVISION OF MEDICAL TOXICOLOGY CONTINUES TO PROVIDE CARE VIA A MEDICALLY ASSISTED THERAPY/OPIOID WITHDRAWAL INPATIENT CONSULT SERVICE. THEY MANAGE OPIOID WITHDRAWAL AND IDENTIFY INDIVIDUALS WHO ARE APPROPRIATE FOR THE INITIATION OF MEDICATION ASSISTED TREATMENT WITH MEDICATIONS SUCH AS BUPRENORPHINE (SUBUTEX, SUBOXONE) OR NALTREXONE (REVIA OR VIVITROL) FOR SUBSTANCE USE DISORDER (SUD). MEDICATION TO SUPPORT RECOVERY IS THEN CONTINUED ACROSS THE ENTIRE CONTINUUM AT AN OUTPATIENT BASIS. THROUGH A COMMUNITY PARTNERSHIP BETWEEN LVHN AND THE PYRAMID CLINIC A DEDICATED MEDICALLY-ASSISTED THERAPY (MAT) PROGRAM IS NOW EMBEDDED AND SERVICED WITH OUR LVHN PHYSICIANS. THEY PROVIDE MAT IN CONJUNCTION WITH SUBSTANCE USE DISORDER COUNSELING. PATIENTS RECEIVE INDIVIDUAL AND GROUP COUNSELING, SUPPORTED BY CERTIFIED RECOVERY SPECIALISTS.EXPRESSCARE:WITHIN LVPG-LEHIGH THERE ARE 17 EXPRESSCARE LOCATIONS. OUR EXPRESSCARE SITES 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, THEY OFFER COVERAGE FOR ROUTINE SCHOOL PHYSICALS AND FOLLOW UP VACCINATIONS TO ALLOW FOR PATIENT CONVENIENCE. IN FY21, EXPRESSCARE LOCATIONS PROVIDED OVER 213,000 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 COVID-19 PANDEMIC, THE EXPRESSCARE LOCATIONS WERE VITAL AT CREATING 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 COVID-19 WAS KEY TO ENSURING VIRAL MITIGATION. IN ADDITION, THESE LOCATIONS PROVIDED STAFFING SUPPORT FOR VIRTUAL CARE EXPRESS CARE VISITS. THEY PIVOTED TO PROVIDE CAR-SIDE SWABBING FOR COVID-19 SPECIMEN COLLECTION AND ONGOING COMMUNITY EDUCATION AND SUPPORT. OUR EXPRESSCARE COLLEAGUES HAVE BEEN INSTRUMENTAL AT ENSURING DEDICATED ORGANIZATIONAL SUPPORT THROUGHOUT THE PANDEMIC. 588396303 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 1 106 0 1 3921 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 4848840130 2100 MACK BLVD ALLENTOWN PA 181035622 ALLEN BOXBAUM BOARD MEMBER (NON-VOTING) 60.00 X 318517 0 10938 DANIEL BROWN MD BOARD MEMBER 60.00 X 679528 0 52699 ANTHONY P BUONANNO MD BOARD MEMBER 60.00 X 415197 0 48118 DAVID BURMEISTER DO BOARD MEMBER 60.00 X 783330 0 51256 GEOFFERY CARLSON APC AMD BOARD MEMBER (NON-VOTING) 60.00 X 179325 0 42434 DEBRA CARTER MD BOARD MEMBER 60.00 X 449613 0 44304 JOSEPH DEFULVIO DO CHAIRPERSON 60.00 X X 481433 0 42065 JAMES DEMOPOULOS SR MHA BOARD MEMBER (NON-VOTING) 60.00 X 611481 0 37121 AMY DEPUY MD BOARD MEMBER 60.00 X 423650 0 32370 AMANDA FLICKER MD BOARD MEMBER 60.00 X 410731 0 31751 RONALD FREUDENBERGER MD BOARD MEMBER 60.00 X 814615 0 51256 TIMOTHY FRIEL MD BOARD MEMBER 60.00 X 688636 0 50980 GRANT GREENBERG MD BOARD MEMBER 60.00 X 418648 0 40664 J NATHAN HAGSTROM MD BOARD MEMBER 60.00 X 576957 0 47828 JEANNE JACOBY MD BOARD MEMBER 60.00 X 365207 0 48268 DENISE KAPLAN BOARD MEMBER (NON-VOTING) 60.00 X 309878 0 22733 ROBERT X MURPHY JR MD PRESIDENT, LVPG/BOARD MEMBER 40.00 20.00 X X 0 1120972 53756 ROBERT KRUKLITIS MD PHD BOARD MEMBER 60.00 X 576318 0 49889 MARISA KUTCHMARICK BOARD MEMBER 60.00 X 166230 0 41158 ERIC LEBBY MD BOARD MEMBER 60.00 X 1310202 0 45618 THOMAS MCLOUGHLIN MD BOARD MEMBER 60.00 X 827713 0 55755 JOSEPH MONKOSKI BOARD MEMBER (NON-VOTING) 60.00 X 272491 0 19599 SURESH NAIR MD BOARD MEMBER 60.00 X 736763 0 47762 EDWARD NORRIS MD BOARD MEMBER 60.00 X 552707 0 53968 MICHAEL PASQUALE MD BOARD MEMBER 60.00 X 1086456 0 53756 DHANALAKSHMI RAMASAMY MD BOARD MEMBER 60.00 X 349897 0 49828 MICHAEL A ROSSI MD BOARD MEMBER 60.00 X 1183650 0 48766 MATTHEW SALTZ MD BOARD MEMBER 60.00 X 324715 0 35376 JENNIFER STEPHENS DO BOARD MEMBER 60.00 X 547810 0 42854 MARY C STOCK-KEISTER MD BOARD MEMBER 60.00 X 172054 0 8533 PRODROMEOS A VERVERELI MD PHYSICIAN 60.00 X 1449398 0 36468 CHRISTOPHER LYCETTE MD PHYSICIAN 60.00 X 1347538 0 34681 JONATHON M BROWN MD PHYSICIAN 60.00 X 1267600 0 34218 PETER M LI MD PHYSICIAN 60.00 X 1252404 0 26818 PAUL SIBLEY MD PHYSICIAN 60.00 X 1214502 0 33621 JOSEPH CANDIO MD FORMER BOARD MEMBER 0.00 X 428928 0 44393 JOHN PAUL GOMEZ MD FORMER BOARD MEMBER 0.00 X 329810 0 56887 T DANIEL HARRISON DO FORMER BOARD MEMBER 0.00 X 630813 0 56014 LORI HULSE FORMER BOARD MEMBER 0.00 X 300374 0 38028 THOMAS HUTCHINSON MD FORMER BOARD MEMBER 0.00 X 433740 0 22800 KATHLEEN SCHUYLER FORMER BOARD MEMBER 0.00 X 0 152896 22203 RALPH PRIMELO MD FORMER BOARD MEMBER 0.00 X 361500 0 53756 WENDY PRUTSMAN FORMER BOARD MEMBER 0.00 X 117231 0 39504 DAVID RICHARDSON MD FORMER BOARD MEMBER 0.00 X 387825 0 55055 THOMAS V WHALEN MD MMM FORMER BOARD MEMBER 0.00 X 0 1323758 44785 MARK WENDLING MD FORMER BOARD MEMBER 0.00 X 446155 0 54018 26001570 2597626 1914652 1251 1 1 0 SCRIBE AMERICA LLC 1200 E LOAS OLAS BLVD STE 201 FORT LAUDERDALE FL 333012367 SCRIBE SERVICES 975369 NATIONAL RESEARCH CORP 1245 Q STREET LINCOLN NE 685081430 SURVEYING SERVICES 701389 STRATUS VIDEO INTERPRETING 33 N GARDEN AVE STE 1000 CLEARWATER FL 337556608 INTERPRETING SERVICES 663682 LOCUMTENENSCOM PO BOX 405547 ATLANTA GA 303845547 STAFFING SERVICES 294597 ADVANCED MONITORED CAREGIVING 45 BROADWAY STE 1250 NEW YORK NY 100063007 STAFFING SERVICES 184074 8 154848 110491 265339 PATIENT CARE 621110 550921776 550881262 40514 EDUCATION, ADMINISTRATIVE, CLINIC 900099 72306267 72306267 HHS COVID REVENUE 621110 13176004 13176004 636404047 20 20 111232 94547 16685 16685 16685 480675 -480675 -480675 -480675 636205416 635899563 40514 0 17241396 17241396 424285141 417682855 6602286 6520371 6153944 366427 37365108 35265290 2099818 22256108 21005375 1250733 2363 2363 4026356 2382347 1644009 1022037 596580 425457 948878 919708 29170 69856 63170 6686 25986999 24683532 1303467 166888 138193 28695 2432797 2414908 17889 6572006 5997968 574038 12859234 11855794 1003440 MEDICAL SUPPLIES 33702142 32405569 1296573 PURCHASED SERVICES 22718389 6241253 16477136 BAD DEBT EXPENSE 14137058 14159726 -22668 CONTRACT LABOR 3463963 3355472 108491 1910825 3072256 -1161431 637687915 588396303 49291612 0 9689180 45953521 34142256 41076605 159109441 36929450 3304450 3249274 2051308 1873353 76786833 47767015 27937784 29019818 6773 6773 86464939 68803483 111140831 137511950 433846962 364424227 54007545 66839222 3525544 3233833 186217671 192488302 243750760 262561357 X 190096202 101862870 190096202 101862870 433846962 364424227 X -1482499 -86750833 X X 0 1 X 1 0 X 8337196 1802178 6535018 36780749 26451597 10329152 26287409 18963045 7324364 5381479 550195 4831284 29019818 LONG TERM RECEIVABLE 6353561 SERP INVESTMENT 131158389 137511950 ACCRUED PENSION 5101251 SERP INVESTMENT 131158389 LEASE ACCOUNTING LIABILITY 51524310 LONG-TERM PAYROLL TAXES 4704352 192488302 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 0 1 0 0 0 0 0 0 0 ALLEN BOXBAUM BOARD MEMBER (NON-VOTING) 267289 0 44895 0 6333 0 0 0 10938 0 329455 0 0 0 DANIEL BROWN MD BOARD MEMBER 545683 0 86769 0 47076 0 0 0 52699 0 732227 0 0 0 ANTHONY P BUONANNO MD BOARD MEMBER 385350 0 25301 0 4546 0 0 0 48118 0 463315 0 0 0 DAVID BURMEISTER DO BOARD MEMBER 576010 0 148837 0 58483 0 0 0 51256 0 834586 0 0 0 GEOFFERY CARLSON APC AMD BOARD MEMBER (NON-VOTING) 169753 0 14714 0 -5142 0 0 0 42434 0 221759 0 0 0 DEBRA CARTER MD BOARD MEMBER 384135 0 54538 0 10940 0 0 0 44304 0 493917 0 0 0 JOSEPH DEFULVIO DO CHAIRPERSON 426704 0 40945 0 13784 0 0 0 42065 0 523498 0 0 0 JAMES DEMOPOULOS SR MHA BOARD MEMBER (NON-VOTING) 414231 0 128000 0 69250 0 0 0 37121 0 648602 0 0 0 AMY DEPUY MD BOARD MEMBER 363870 0 46421 0 13359 0 0 0 32370 0 456020 0 0 0 AMANDA FLICKER MD BOARD MEMBER 375148 0 10585 0 24998 0 0 0 31751 0 442482 0 0 0 RONALD FREUDENBERGER MD BOARD MEMBER 626945 0 124972 0 62698 0 0 0 51256 0 865871 0 0 0 TIMOTHY FRIEL MD BOARD MEMBER 536068 0 101322 0 51246 0 0 0 50980 0 739616 0 0 0 GRANT GREENBERG MD BOARD MEMBER 333256 0 62998 0 22394 0 0 0 40664 0 459312 0 0 0 J NATHAN HAGSTROM MD BOARD MEMBER 442043 0 93848 0 41066 0 0 0 47828 0 624785 0 0 0 JEANNE JACOBY MD BOARD MEMBER 348285 0 8608 0 8314 0 0 0 48268 0 413475 0 0 0 DENISE KAPLAN BOARD MEMBER (NON-VOTING) 267289 0 39975 0 2614 0 0 0 22733 0 332611 0 0 0 ROBERT X MURPHY JR MD PRESIDENT, LVPG/BOARD MEMBER 0 676861 0 265235 0 178876 0 0 0 53756 0 1174728 0 0 ROBERT KRUKLITIS MD PHD BOARD MEMBER 460973 0 87278 0 28067 0 0 0 49889 0 626207 0 0 0 MARISA KUTCHMARICK BOARD MEMBER 152789 0 20186 0 -6745 0 0 0 41158 0 207388 0 0 0 ERIC LEBBY MD BOARD MEMBER 1047678 0 213177 0 49347 0 0 0 45618 0 1355820 0 0 0 THOMAS MCLOUGHLIN MD BOARD MEMBER 653858 0 123604 0 50251 0 0 0 55755 0 883468 0 0 0 JOSEPH MONKOSKI BOARD MEMBER (NON-VOTING) 233323 0 38566 0 602 0 0 0 19599 0 292090 0 0 0 SURESH NAIR MD BOARD MEMBER 596068 0 88410 0 52285 0 0 0 47762 0 784525 0 0 0 EDWARD NORRIS MD BOARD MEMBER 431595 0 81437 0 39675 0 0 0 53968 0 606675 0 0 0 MICHAEL PASQUALE MD BOARD MEMBER 830002 0 176463 0 79991 0 0 0 53756 0 1140212 0 0 0 DHANALAKSHMI RAMASAMY MD BOARD MEMBER 299754 0 44868 0 5275 0 0 0 49828 0 399725 0 0 0 MICHAEL A ROSSI MD BOARD MEMBER 652766 0 294284 0 236600 0 0 0 48766 0 1232416 0 0 0 MATTHEW SALTZ MD BOARD MEMBER 286920 0 30881 0 6914 0 0 0 35376 0 360091 0 0 0 JENNIFER STEPHENS DO BOARD MEMBER 424723 0 79950 0 43137 0 0 0 42854 0 590664 0 0 0 MARY C STOCK-KEISTER MD BOARD MEMBER 157871 0 12504 0 1679 0 0 0 8533 0 180587 0 0 0 PRODROMEOS A VERVERELI MD PHYSICIAN 1206203 0 194225 0 48970 0 0 0 36468 0 1485866 0 0 0 CHRISTOPHER LYCETTE MD PHYSICIAN 937596 0 371298 0 38644 0 0 0 34681 0 1382219 0 0 0 JONATHON M BROWN MD PHYSICIAN 813173 0 453898 0 529 0 0 0 34218 0 1301818 0 0 0 PETER M LI MD PHYSICIAN 1115462 0 97158 0 39784 0 0 0 26818 0 1279222 0 0 0 PAUL SIBLEY MD PHYSICIAN 678835 0 488000 0 47667 0 0 0 33621 0 1248123 0 0 0 JOSEPH CANDIO MD FORMER BOARD MEMBER 372375 0 44558 0 11995 0 0 0 44393 0 473321 0 0 0 JOHN PAUL GOMEZ MD FORMER BOARD MEMBER 295962 0 34038 0 -190 0 0 0 56887 0 386697 0 0 0 T DANIEL HARRISON DO FORMER BOARD MEMBER 583192 0 34533 0 13088 0 0 0 56014 0 686827 0 0 0 LORI HULSE FORMER BOARD MEMBER 267289 0 39975 0 -6890 0 0 0 38028 0 338402 0 0 0 THOMAS HUTCHINSON MD FORMER BOARD MEMBER 302498 0 93268 0 37974 0 0 0 22800 0 456540 0 0 0 KATHLEEN SCHUYLER FORMER BOARD MEMBER 0 141620 0 11894 0 -618 0 0 0 22203 0 175099 0 0 RALPH PRIMELO MD FORMER BOARD MEMBER 308423 0 46169 0 6908 0 0 0 53756 0 415256 0 0 0 WENDY PRUTSMAN FORMER BOARD MEMBER 122136 0 2719 0 -7624 0 0 0 39504 0 156735 0 0 0 DAVID RICHARDSON MD FORMER BOARD MEMBER 363462 0 15438 0 8925 0 0 0 55055 0 442880 0 0 0 THOMAS V WHALEN MD MMM FORMER BOARD MEMBER 0 753598 0 322405 0 247755 0 0 0 44785 0 1368543 0 0 MARK WENDLING MD FORMER BOARD MEMBER 378772 0 63247 0 4136 0 0 0 54018 0 500173 0 0 0 PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OF LEHIGH VALLEY PHYSICIAN GROUP, AND RECEIVED A DISTRIBUTION IN CALENDAR YEAR 2020: DANIEL BROWN, MD, BOARD MEMBER - $53,092 ANTHONY BUONANNO, MD, BOARD MEMBER - $10,455 DAVID BURMEISTER, DO, BOARD MEMBER - $62,093 JOSEPH CANDIO, MD, FORMER BOARD MEMBER - $11,048 DEBRA CARTER, MD, BOARD MEMBER - $15,132 JOSEPH DEFULVIO, DO, CHAIRPERSON - $14,661 JAMES DEMOPOULOS, SR., MHA, BOARD MEMBER (NON-VOTING) - $68,332 AMY DEPUY, MD, BOARD MEMBER - $13,245 AMANDA FLICKER, MD, BOARD MEMBER - $24,645 RONALD FREUDENBERGER, MD, BOARD MEMBER - $64,167 TIMOTHY FRIEL, MD, BOARD MEMBER - $54,512 JOHN PAUL GOMEZ, MD, FORMER BOARD MEMBER - $10,143 GRANT GREENBERG, MD, BOARD MEMBER - $27,655 J. NATHAN HAGSTROM, MD, BOARD MEMBER - $45,367 T. DANIEL HARRISON, DO, FORMER BOARD MEMBER - $20,840 THOMAS HUTCHINSON, MD, FORMER BOARD MEMBER - $31,475 JEANNE JACOBY, MD, BOARD MEMBER - $10,452 ROBERT KRUKLITIS, MD, PHD, BOARD MEMBER - $17,844 ERIC LEBBY, MD, BOARD MEMBER - $55,303 PETER M. LI, MD, PHYSICIAN - $43,222 CHRISTOPHER LYCETTE, MD, PHYSICIAN - $43,691 THOMAS MCLOUGHLIN, MD, BOARD MEMBER - $54,259 SURESH NAIR, MD, BOARD MEMBER - $54,740 EDWARD NORRIS, MD, BOARD MEMBER - $44,761 MICHAEL PASQUALE, MD, BOARD MEMBER - $82,449 RALPH PRIMELO, MD, FORMER BOARD MEMBER - $11,111 DHANALAKSHMI RAMASAMY, MD, BOARD MEMBER - $11,003 DAVID RICHARDSON, MD, FORMER BOARD MEMBER - $11,533 MICHAEL A. ROSSI, MD, BOARD MEMBER - $225,159 MATTHEW SALTZ, MD, BOARD MEMBER - $11,211 PAUL SIBLEY, MD, PHYSICIAN - $52,303 JENNIFER STEPHENS, DO, BOARD MEMBER - $45,343 PRODROMOS A. VERVERELI, MD, PHYSICIAN - $50,661 MARK WENDLING, MD, FORMER BOARD MEMBER - $12,735 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 2020: ROBERT X. MURPHY, JR., MD, PRESIDENT, LVPG/BOARD MEMBER - $179,214 THOMAS V. WHALEN, MD, MMM, FORMER BOARD MEMBER - $235,792 SUSAN C YEE - TRUSTEE OF AFFILIATE PARTNER IN 94 BRODHEAD ASSOCIATES - TRUSTEE OF LVHN, LVH, LVH-H, AND HHWC 121487 94 BRODHEAD ASSOCIATES LEASES OFFICE SPACE TO LVPG AT FAIR MARKET VALUE. 0 FORM 990, PART III, LINE 4C, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED): EDUCATIONAL PROGRAMS AND AFFILIATIONS: 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). 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. LVPG PHYSICIANS SERVE AS FACULTY FOR THE LVH RESIDENCY AND FELLOWSHIP PROGRAMS, WHICH CURRENTLY OFFERS FULLY ACCREDITED GRADUATE MEDICAL EDUCATION TRAINING PROGRAMS IN THE SPECIALTIES OF INTERNAL MEDICINE, GENERAL SURGERY, OBSTETRICS AND GYNECOLOGY, PLASTIC SURGERY, FAMILY MEDICINE, TRANSITIONAL YEAR, EMERGENCY MEDICINE, DERMATOLOGY, COLON RECTAL SURGERY, CARDIOVASCULAR DISEASE, HOSPITAL PALLIATIVE CARE, BREAST SURGERY AND SURGICAL CRITICAL CARE. ADDITIONALLY, A NON-ACCREDITED MINIMALLY INVASIVE SURGERY FELLOWSHIP WAS ADDED, AND PROGRAMS HAVE BEEN APPROVED IN GENERAL PEDIATRICS AND NEPHROLOGY. 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. 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. 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. NEW APPROACHES ARE BEING EXPLORED TO IMPROVE PATIENT ENGAGEMENT IN LVPG, THROUGH THE OPERATIONS OF 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. 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 IN ORDER 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. COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) - THE CHNA REPORT EXAMINES THE FACTORS THAT IMPACT THE HEALTH AND WELLNESS OF ALL THE PEOPLE IN A PARTICULAR GEOGRAPHIC AREA. THE CHNA IS AN IMPORTANT OVERVIEW OF THE CURRENT STATE OF HEALTH IN OUR REGION AND IDENTIFIES POTENTIAL AREAS OF CONCERN. THESE REPORTS WERE REVIEWED BY LVHN EXECUTIVE LEADERSHIP AT EACH CAMPUS, AND INITIAL HEALTH NEEDS WERE PRIORITIZED BASED ON THE COMMUNITY'S INPUT AND LVHN'S ABILITY TO MAKE A DIFFERENCE ON THAT HEALTH NEED. NEXT STEPS INCLUDE DEVELOPING STRATEGIES TO ADDRESS PRIORITIZED HEALTH NEEDS WHICH WILL BE PRESENTED IN LVHN'S CHNA IMPLEMENTATION PLAN. SERVICE INNOVATION AND IMPROVEMENT EFFORTS: IN 2015, LVPG RECOGNIZED THROUGH PATIENT FEEDBACK THAT OUR ACCESS TO CARE WAS NOT MEETING PATIENT'S NEEDS. IN RESPONSE, OUR TEAM CREATED A UNIQUE ACCESS SOLUTION MODEL THAT INVOLVED DETAILED DECONSTRUCTION AND RECONSTRUCTION OF SCHEDULES. THROUGH AN ITERATIVE SERIES OF IMPROVEMENTS, EACH PRACTICE EMBARKED ON A JOURNEY TO IMPROVE THEIR PATIENT ACCESS THROUGH SCHEDULE ANALYSIS, REVIEW AND ALTERATION. IN ADDITION, EMPHASIS WAS PLACED ON LEVERAGING OUR ENTIRE WORKFORCE AND THEIR CLINICAL TIME. 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. TO CAPTURE PATIENT SATISFACTION THROUGH THEIR OWN VOICE, OUR MEDICAL GROUP MOVED TO A REAL-TIME VENDOR PLATFORM FOR SURVEY DATA. THIS TRANSITION HAS QUADRUPLED OUR PATIENT RESPONSE RATE AND HAS PROVIDED OUR PRACTICE LEADERSHIP MORE IMMEDIATE 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. IN ADDITION, LVPG USES TRANSPARENT PROVIDER STAR RATINGS AND POSTING OF DIRECT PATIENT COMMENTS ONLINE. THROUGH THIS WORK, IT HAS BEEN RECOGNIZED THAT LVPG HAS PATIENT SATISFACTION SCORES AMONG THE TOP IN PERFORMANCE 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 E-CONSULT 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. AS SEEN AND OUTLINED, LVPG IS DEDICATED TO THIS COMMUNITY AND TO THE PATIENTS WE SERVE. FORM 990, PART III, LINE 4D LEHIGH VALLEY PHYSICIAN GROUP 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 $47,637,917 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 $13,758,450 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 $3,849,890. 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 $10,246,825. 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. TOTAL - $75,493,082 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S SOLE CORPORATE MEMBER IS LEHIGH VALLEY HEALTH NETWORK, INC. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S SOLE CORPORATE MEMBER, LEHIGH VALLEY HEALTH NETWORK, INC., HAS THE POWER TO ELECT, APPOINT, APPROVE, OR REJECT MEMBERS OF THE ORGANIZATION'S GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION'S SOLE CORPORATE MEMBER, LEHIGH VALLEY HEALTH NETWORK, INC., HAS THE POWER TO APPROVE OR REJECT CERTAIN MAJOR OPERATING DECISIONS MADE BY THE ORGANIZATION'S GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS TO REVIEW THE 990'S INCLUDES: DRAFT 1 OF THE RETURNS IS REVIEWED IN DETAIL WITH A FOCUS ON ACCURACY, COMPLETENESS, AND PERSPECTIVE BY THE LVHN VICE-PRESIDENT, FINANCE - CONTROLLER AND THE LVHN CORPORATE LEGAL COUNSEL. DRAFT 2 OF THE RETURNS IS REVIEWED BY THE EXECUTIVE VICE PRESIDENT & CHIEF FINANCIAL OFFICER. ALL COMPENSATION DISCLOSURES ARE REVIEWED BY THE DIRECTOR, COMPENSATION - HUMAN RESOURCES. DRAFT 3 OF THE RETURNS IS REVIEWED TOGETHER WITH THE PRESIDENT & CEO, THE EXECUTIVE VICE PRESIDENT & CHIEF FINANCIAL OFFICER, THE VICE-PRESIDENT, FINANCE - CONTROLLER AND THE DIRECTOR, TAX. FINAL RETURNS ARE REVIEWED WITH THE LVHN BOARD LEADERSHIP GROUP (THE BOARD CHAIR AND THREE VICE CHAIRS). COPIES OF ALL 990'S ARE PROVIDED TO THE FULL BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C IN JANUARY 2016, LVHN IMPLEMENTED AN ELECTRONIC TOOL DESIGNED TO SEND NOTIFICATIONS AND TRACK DISCLOSURES REPORTED ON CONFLICT OF INTEREST QUESTIONNAIRES. THE NETWORK ALSO EXPANDED THE SCOPE OF THE CONFLICT OF INTEREST OR COMMITMENT POLICY, SUCH THAT ADDITIONAL COLLEAGUES ARE NOW REQUIRED TO COMPLETE A QUESTIONNAIRE EACH YEAR. PRIOR TO JANUARY, THE VP, INTERNAL AUDIT AND COMPLIANCE SERVICES ISSUED A NOTICE TO BOARD MEMBERS AND MEMBERS OF THE SENIOR MANAGEMENT COUNCIL WHEN IT WAS TIME FOR THEM TO SUBMIT THEIR CONFLICT OF INTEREST QUESTIONNAIRES. THE VP ALSO INSTRUCTED MEMBERS OF THE SENIOR MANAGEMENT COUNCIL TO IDENTIFY AND REQUEST COMPLETED CONFLICT OF INTEREST QUESTIONNAIRES FROM INDIVIDUALS WHO HAD POTENTIAL CONFLICTS OF INTEREST AND TO PROVIDE HER WITH THE IDENTITY OF THOSE INDIVIDUALS. COMPLIANCE SERVICES TRACKED COMPLETION OF THE QUESTIONNAIRES. ALL PHYSICIANS ON LVHN'S MEDICAL STAFF ARE ALSO REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. MEDICAL STAFF SERVICES MONITORS THIS PROCESS TO ENSURE THAT ALL PHYSICIANS COMPLY. POTENTIAL CONFLICTS ARE MANAGED BY THE LVHN CONFLICT OF INTEREST COMMITTEE AND/OR BY THE BOARD OF TRUSTEES, DEPENDING ON WHOSE INTEREST(S) POSE THE CONFLICT AND THE NATURE OF THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 LEHIGH VALLEY HEALTH NETWORK 2021 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 11, 2020 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 AUGUST 11, 2020 EXECUTIVE COMPENSATION COMMITTEE MEETING. SUMMARY OF METHODOLOGY TO CONDUCT THIS ANALYSIS, SULLIVAN COTTER: COLLECTED BACKGROUND INFORMATION REGARDING LVHN'S OPERATIONS, STRUCTURE, SIZE AND SCOPE, AS WELL AS EACH POSITION'S DUTIES. COMPILED MARKET DATA FOR CEO COUNCIL EXECUTIVES CONSISTENT WITH THE EXECUTIVE COMPENSATION PHILOSOPHY APPROVED BY THE COMMITTEE DURING ITS SEPTEMBER 18, 2020 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 27 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 $2.9 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 2020 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, 2021 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 FY2020 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 9: TRANSFERS TO/FROM AFFILIATES -86,750,833. 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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