2018-05-11T07:26:38-05:00 2017-06-30 990 2016-07-01 232367707 LEHIGH VALLEY HOSPITAL - MUHLENBERG LEHI 4848840130 2100 MACK BLVD ALLENTOWN PA 181035622 THOMAS MARCHOZZI EXEC. VP & CFO 4848840130 2018-05-10 2016 2022-09-23 18:48:47Z BRIAN A NESTER 2100 MACK BLVD ALLENTOWN PA 181035622 388637413 0 X WWW.LVHN.ORG X 1985 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. 11 8 1838 353 276023 71734 539437 612955 263082895 285917924 8862825 10559177 3258523 3273191 275743680 300363247 0 0 0 0 109056252 115677330 0 0 543072 131082606 133511629 240138858 249188959 35604822 51174288 558337707 697822211 201186938 261142941 357150769 436679270 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 241277509 292580582 LVH-MUHLENBERG IS A NON-PROFIT CORPORATION ORGANIZED AND EXISTING UNDER THE LAWS OF THE COMMONWEALTH OF PENNSYLVANIA, WHICH OWNS AND OPERATES A GENERAL, ACUTE PATIENT CARE FACILITY TOTALING APPROXIMATELY 952,935 SQUARE FEET AND OPERATES 218 LICENSED MEDICAL/SURGICAL BEDS, AND 38 LICENSED INTENSIVE CARE BEDS AS OF JUNE 30, 2017. LVH-MUHLENBERG OFFERS A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES, WHICH ALSO INCLUDES OBSTETRICS, NEWBORN CARE, AND NEONATAL INTENSIVE CARE. IN ADDITION, LVH-MUHLENBERG PROVIDES ACUTE INPATIENT REHABILITATION CARE.LVH-MUHLENBERG IS LOCATED ON THE NORTHERN EDGE OF THE CITY OF BETHLEHEM. IT IS LOCATED AT THE INTERSECTION OF ROUTES 22 AND 378, AND IS HIGHLY ACCESSIBLE FROM THESE HIGHWAYS WITH ENTRANCE/EXIT RAMPS LOCATED LESS THAN ONE-QUARTER MILE FROM LVH-MUHLENBERG. THE LOCAL PUBLIC TRANSPORTATION SYSTEM, LANTA/METRO, HAS A BUS STOP LOCATED NEAR THE ENTRANCE OF LVH-MUHLENBERG.LVH-MUHLENBERG PROVIDES A BROAD RANGE OF SERVICES, INCLUDING THE FOLLOWING: ACUTE CARE, AMBULATORY SURGERY, ANATOMICAL PATHOLOGY, BLOOD BANK, BREAST HEALTH SERVICES, CANCER SERVICES, CARDIAC CATHETERIZATION, CARDIAC REHABILITATION, CARDIOVASCULAR LAB, CASE MANAGEMENT DEPT., CHEST PAIN SERVICE, CHILDREN'S PLAY CENTER, CLINICAL PSYCHOLOGY SERVICES, CT SCANNER, DENTAL CLINIC, DIAGNOSTIC RADIOISOTOPE FACILITY, DIAGNOSTIC RADIOLOGY DEPARTMENT, ECHOCARDIOGRAPHY SERVICES, ELECTROCARDIOGRAPHY, ELECTROENCEPHALOGRAPHY, ELECTROPHYSIOLOGY, EMERGENCY DEPARTMENT/EXPRESS ER, ENDOSCOPIC ULTRASOUND, GI LAB, HISTOPATHOLOGY, HOSPICE, HYPERBARIC OXYGEN THERAPY, INPATIENT REHABILITATION CENTER, INTERVENTIONAL RADIOLOGY, LABOR/DELIVERY, MAGNETIC RESONANCE IMAGING, MAMMOGRAPHY, MOM/BABY UNIT, NEURO DIAGNOSTICS LABORATORY, NICU, NON-INVASIVE VASCULAR LABORATORY, NUCLEAR MEDICINE, OCCUPATIONAL HEALTH, OCCUPATIONAL THERAPY, OPEN HEART SURGERY, OUTPATIENT SERVICES, PAIN MANAGEMENT, PATHOLOGY (HNL CLINICAL AND ANATOMIC), PERINATAL SERVICES, PERIOPERATIVE SERVICES, PERIPHERAL VASCULAR SURGERY, PHARMACY, PHYSICAL THERAPY, PODIATRY SERVICES, POST ANESTHESIA CARE UNIT, PSYCHIATRIC OUTPATIENT UNIT, PULMONARY/VASCULAR REHAB, RADIATION THERAPY, RENAL DIALYSIS, REGIONAL HEART CENTER, REHABILITATION SERVICES, RESPIRATORY THERAPY, SLEEP LAB, SPECT CT, SPEECH THERAPY, SPORTS MEDICINE, STRESS TEST LABORATORY, STROKE CENTER, TELE-BURN SERVICES, TELE-DERMATOLOGY SERVICES, TELE-INTENSIVIST SERVICES, THORACIC SURGERY, VALET SERVICES, VASCULAR MEDICINE AND SURGERY, VOLUNTEER SERVICES DEPARTMENT, ULTRASOUND/VASCULAR IMAGING, AND WOUND CARE. ACCREDITATION, APPROVAL AND MEMBERSHIPLVH-MUHLENBERG IS CURRENTLY ACCREDITED BY TJC UNDER THE MOST RECENT THREE-YEAR ACCREDITATION EFFECTIVE JULY 2015. LVH-MUHLENBERG'S FACILITIES AND SERVICES ARE LICENSED BY THE PENNSYLVANIA DEPARTMENT OF HEALTH AND HAVE BEEN FULLY CERTIFIED FOR MEDICARE AND MEDICAID REIMBURSEMENT. LVH-MUHLENBERG'S LICENSES, ACCREDITATIONS, APPROVALS AND MEMBERSHIPS ARE AS FOLLOWS: THE JOINT COMMISSION; DEPARTMENT OF HEALTH, COMMONWEALTH OF PENNSYLVANIA; DEPARTMENT OF HUMAN SERVICES, COMMONWEALTH OF PENNSYLVANIA; PENNSYLVANIA STATE BOARD OF PHARMACY; PA DEPARTMENT OF ENVIRONMENTAL PROTECTION; AMERICAN COLLEGE OF RADIOLOGY. IN ADDITION, THE PATHOLOGY LABORATORY IS LICENSED BY: BUREAU OF LABORATORIES, DEPARTMENT OF HEALTH, COMMONWEALTH OF PENNSYLVANIA; COLLEGE OF AMERICAN PATHOLOGISTS; AMERICAN ASSOCIATION OF BLOOD BANKS; AND HAS HCFA AND CLIA CERTIFICATIONS. LVH-M IS ALSO APPROVED BY U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES AS A HOSPITAL CERTIFIED FOR PARTICIPATION IN HEALTH INSURANCE FOR THE AGED AND DISABLED PROGRAM (MEDICARE).MEMBERSHIPSLVH-M IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION, HOSPITAL ASSOCIATION OF PENNSYLVANIA, AMERICAN ASSOCIATION OF MEDICAL COLLEGES, COUNCIL OF TEACHING HOSPITALS, AND ASSOCIATION FOR HOSPITAL MEDICAL EDUCATION.MAGNET STATUS FOR NURSING EXCELLENCEIN AUGUST 2002, THE AMERICAN NURSES CREDENTIALING CENTER (ANCC) GRANTED MAGNET DESIGNATION TO LVH AND LVH-MUHLENBERG, THE FIRST FULL-SERVICE HOSPITALS IN PENNSYLVANIA TO RECEIVE THE RECOGNITION. DEVELOPED BY THE ANCC IN 1994, THE MAGNET DESIGNATION IS THE AMERICAN NURSES ASSOCIATION'S HIGHEST HONOR FOR EXCELLENCE IN NURSING AND RECOGNIZES BOTH HOSPITALS AS NATIONAL LEADERS IN NURSING EDUCATION, RESEARCH, PATIENT SATISFACTION, QUALITY CARE, JOB RETENTION AND THE CENTRAL ROLE OF NURSING IN THE ORGANIZATION. MAGNET DESIGNATION IS FOR A PERIOD OF FOUR YEARS, AT WHICH TIME AN ORGANIZATION MUST REAPPLY. THE REAPPLICATION PROCESS IS INTENSE, NECESSITATING THAT HOSPITALS DEMONSTRATE INCREASINGLY HIGHER STANDARDS THAN PREVIOUS APPLICATIONS. IN 2006, 2011, AND 2016 LVH AND LVH-MUHLENBERG WERE REDESIGNATED AS MAGNET HOSPITALS, CONTINUING TO DEMONSTRATE THE REQUIRED EVIDENCE OF A PRACTICE ENVIRONMENT IN WHICH PROFESSIONAL NURSES AND INTERDISCIPLINARY COLLEAGUES DELIVER THE HIGHEST STANDARDS OF QUALITY CARE. IN OCTOBER, 2013, THE MAGNET DESIGNATED HOSPITALS WERE HONORED WITH THE PRESTIGIOUS MAGNET PRIZE FOR INNOVATIONS IN TELEHEALTH. THE MAGNET PRIZE RECOGNIZES INNOVATIVE NURSING PROGRAMS AND PRACTICES IN ANCC MAGNET-DESIGNATED ORGANIZATIONS. THE $25,000 PURSE IS BEING USED TO CONTINUE, ADVANCE, AND DISSEMINATE THE WINNING INNOVATION. 241277509 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 1 77 0 1 1838 0 1 1 0 0 0 0 0 0 0 X 11 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 PA X X X THE ORGANIZATION 4848840130 2100 MACK BLVD ALLENTOWN PA 181035622 MARTIN K TILL TRUSTEE/CHAIR 1.00 X X 0 0 0 STEVEN R FOLLETT TRUSTEE/VICE CHAIR 1.00 X 0 0 0 GREGORY BRUSKO DO TRUSTEE 4.00 60.00 X 0 490860 20632 ROBERT M DICKLER TRUSTEE 4.00 X 0 0 0 WILLIAM KENT TRUSTEE 4.00 60.00 X 0 513251 10510 MARK LOBITZ DO TRUSTEE 4.00 60.00 X 0 0 0 PATRICIA MARTIN MD TRUSTEE 4.00 60.00 X 0 0 0 WILLIAM MASON TRUSTEE 4.00 X 0 0 0 JOSEPH E PATRUNO MD TRUSTEE 4.00 60.00 X 0 369403 22644 ANTHONY P VEGLIA MD TRUSTEE 4.00 X 0 0 0 SUSAN C YEE TRUSTEE 4.00 X 0 0 0 EDWARD F O'DEA TREASURER (RETIRED 12/31/2017) 1.00 60.00 X 0 778219 17344 JAMES A ROTHERHAM ASSISTANT TREASURER 1.00 60.00 X 0 277353 12522 DAVID SPRINGHETTI SECRETARY 1.00 X 0 199656 3381 THOMAS V WHALEN MD ASSISTANT SECRETARY 1.00 60.00 X 0 943325 15796 JAMES GEIGER TRUSTEE/PRESIDENT, LVH-M 60.00 X 0 447262 10496 ANNE M DAINAUSKI REGISTERED NURSE 60.00 X 152834 0 5931 ROBERT A BEGLIOMINI VP OPERATIONS 60.00 X 265742 0 22409 RHONDA THOMAS PHARMACY 60.00 X 160762 0 9901 CARMINE J PELLOSIE EXECUTIVE DIRECTOR, HEALTHWORKS 60.00 X 181234 73666 15332 JACQUELINE FENICLE VP PATIENT CARE SERVICES 60.00 X 176361 0 11016 JARRET R PATTON MD FORMER TRUSTEE 0.00 X 0 173474 8256 936933 4266469 186170 43 1 1 0 CROTHALL HEALTHCARE 13028 COLLECTION CENTER DRIVE CHICAGO IL 60693 HOUSEKEEPING SERVICES 3109373 SODEXHO INC & AFFILIATES PO BOX 360170 PITTSBURGH PA 152516170 DIETARY SERVICES 2514623 THE PIDCOCK COMPANY 2451 PARKWOOD DRIVE ALLENTOWN PA 181039608 ARCHITECTURAL & ENGINEERING SERVICES 639074 MKSD LLC 1209 HAUSMAN ROAD SUITE A ALLENTOWN PA 18104 ARCHITECTURAL & ENGINEERING SERVICES 603865 HARMELIN MEDIA 525 RIGHTERS FERRY ROAD BALA CYNWYD PA 19004 ADVERTISING SERVICES 222305 11 612955 107912 612955 OUTPATIENT REVENUE 624100 174845712 174845712 INPATIENT REVENUE 624100 111072212 111072212 285917924 6033295 6033295 3505853 2979975 525878 525878 525878 89579300 85034155 19263 4545145 -19263 4525882 4525882 575287 240773 334514 334514 MISC. INCOME 900099 1166710 997710 169000 HEALTH NETWORK LABS 621500 1099390 992367 107023 LEHIGH VALLEY PHO 900003 146699 146699 2412799 300363247 292580582 276023 6893687 X 91937372 87776759 3838646 321967 6704560 6454748 231095 18717 10406499 10034470 348240 23789 6628899 6344569 262403 21927 8569 2636 5933 30641429 29952671 688758 1003422 1003096 326 282106 242417 27773 11916 697571 696573 998 6416004 6416004 263217 258627 4590 278340 274419 3921 6320531 6320531 13655857 13653196 2661 1612010 1612010 MEDICAL SUPPLIES 28486102 28486102 PURCHASED SERVICES 25569801 25569801 BAD DEBT EXPENSE 10369851 10369851 OTHER SUPPLIES 1426590 1426590 6480229 4382439 1953034 144756 249188959 241277509 7368378 543072 1211 1809 37164278 10667917 255615 330830 33459454 29018061 -3930583 -35210117 3146507 3509742 589116 458257 395788680 145976375 137907071 249812305 319793296 411284436 26437738 27521766 3514004 427205 558337707 697822211 18796228 20234602 42738 29742 161157670 211039205 7264017 15501461 13926285 14337931 201186938 261142941 X 354964435 434152280 1189283 1520106 997051 1006884 357150769 436679270 558337707 697822211 X 51174288 28013556 340657 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 0 PART II-B, LINE 1: LEHIGH VALLEY HOSPITAL - MUHLENBERG IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE HOSPITAL & HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA (HAP). A PERCENTAGE OF THE DUES PAID TO THESE ORGANIZATIONS GOES TOWARDS LOBBYING EFFORTS. THEIR MISSION IS TO ADVANCE THE HEALTH OF INDIVIDUALS AND COMMUNITIES TO LEAD, REPRESENT, AND SERVE HEALTH CARE PROVIDER ORGANIZATIONS THAT ARE ACCOUNTABLE TO THE COMMUNITY AND COMMITTED TO HEALTH IMPROVEMENT. THE MEMBERSHIP DUES FOR AHA AND HAP ARE PAID BY LEHIGH VALLEY HOSPITAL, INC. THEREFORE, THE LOBBYING PORTION OF THE DUES ARE REFLECTED ON THE LEHIGH VALLEY HOSPITAL, INC. FORM 990, SCHEDULE C. 1283843 -3750 130166 600 4281 1405378 850153 5200 50473 3361 -381378 1283843 820370 7275 46653 600 23545 850153 765903 13342 54095 3100 9870 820370 728286 3955 38943 183 5098 765903 0.00000 0.72000 0.28000 0 0 45056641 45056641 175158365 92434829 82723536 16097763 5400022 10697741 75966093 47194222 28771871 83509818 947302 82562516 249812305 PENSION LIABILITY 7428894 HAZARDOUS MATERIALS+ REMEDIATION LIABILITY 398209 INSURANCE LIABILITY 3011345 SWAP LIABILITY 3499483 14337931 X PART V, LINE 4: THE ENDOWMENT FUNDS ARE USED FOR CONTINUING EDUCATION, SCHOLARSHIPS, RESEARCH, CLINICAL EQUIPMENT, AND NURSING AWARDS. 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. GOLF & TENNIS 385465 385465 15118 70892 32447 7452 0 MUHLENBERG SUMMER FESTIVAL 189822 189822 1750 13630 1118 6872 91494 575287 575287 1750 15118 84522 33565 14324 91494 240773 334514 1 1 X 1 X 1 X 1 1 0 1 1 1561000 1561000 0.00650 24088607 14220561 9868046 0.04130 25649607 14220561 11429046 0.04780 569794 569794 0.00240 18689616 3681349 15008267 0.06280 2022652 1139887 882765 0.00370 21282062 4821236 16460826 0.06890 46931669 19041797 27889872 0.11670 1 6391216 2100201 63247995 57896596 5351399 X 1 1 1 LVHN RECIPROCAL RISK RETENTION GROUP MALPRACTICE INSURANCE 0.11110 0.00000 0.00000 2 HEALTH NETWORK LABORATORIES LLC LABORATORY SERVICES 0.14690 0.00000 0.00000 3 HEALTH NETWORK LABORATORIES LP LABORATORY SERVICES 0.14400 0.00000 0.00000 4 LEHIGH VALLEY PHYSICIAN HOSPITAL ORGANIZATION INC HEALTH CARE SERVICES 0.05000 0.00000 0.00000 1 1 LEHIGH VALLEY HOSPITAL - MUHLENBERG 2545 SCHOENERSVILLE ROAD BETHLEHEM PA 18017 WWW.LVHN.ORG 134601 X X X X X LEHIGH VALLEY HOSPITAL - MUHLENBERG 1 0 0 1 X X X X X X X X X 15 1 1 1 1 X WWW.LVHN.ORG/ABOUT_US X X 1 16 1 WWW.LVHN.ORG/ABOUT_US 0 1 X 200.000000000000 400.000000000000 X X X 1 1 X X X X 1 X WWW.LVHN.ORG/OUR_SERVICES/KEY_SUPPORT_SERVICES/FINANCIAL_ASSISTANCE X WWW.LVHN.ORG/OUR_SERVICES/KEY_SUPPORT_SERVICES/FINANCIAL_ASSISTANCE X WWW.LVHN.ORG/OUR_SERVICES/KEY_SUPPORT_SERVICES/FINANCIAL_ASSISTANCE X X X X 1 X 0 X X X 1 0 0 LEHIGH VALLEY HOSPITAL - MUHLENBERG PART V, SECTION B, LINE 5: THE COUNCIL'S COMMUNITY NEEDS ASSESSMENT FOCUSED ON THE HEALTH STATUS OF THE LEHIGH VALLEY (LEHIGH AND NORTHAMPTON COUNTIES). THE CHNA APPROACH INCORPORATED BEST PRACTICE STANDARDS AS RECOMMENDED BY THE AMERICAN PUBLIC HEALTH ASSOCIATION AND THE ASSOCIATION FOR COMMUNITY HEALTH IMPROVEMENT OF THE AMERICAN HOSPITAL ASSOCIATION. THE COUNCIL EMPLOYED SEVERAL HEALTH ASSESSMENT TECHNIQUES THAT USED BOTH QUALITATIVE AND QUANTITATIVE DATA. THERE WERE THREE FORMS OF DATA USED BY THE HCC TO CREATE THE CHNA. FIRST, THE MEMBER AGENCIES OF THE HCC PROVIDED GUIDANCE ABOUT SOME OF THE KEY ISSUES THEIR INSTITUTIONS FACE REGARDING THE HEALTH OF PEOPLE IN THE LEHIGH VALLEY. THE DISCUSSIONS AT THE MONTHLY HCC MEETINGS PROVIDED MEANINGFUL INSIGHT INTO THE PRIORITIES AND ROOT CAUSES THAT WERE FURTHER INVESTIGATED THROUGH SECONDARY DATA SOURCES AND THROUGH QUALITATIVE METHODS.SECOND, A THOROUGH REVIEW OF SECONDARY DATA SOURCES WAS CONDUCTED. ALL SOURCES AND INDICATORS UTILIZED IN THE FIRST COMMUNITY HEALTH NEEDS ASSESSMENT HEALTH PROFILE FROM 2013 WERE UPDATED. THEN, THE HCC GROUP REQUESTED THE INCLUSION OF MANY ADDITIONAL INDICATORS THAT WERE ALSO GATHERED FROM SECONDARY SOURCES. THE COMPLETE LIST OF SECONDARY SOURCES CONSULTED THROUGHOUT THE CHNA HEALTH PROFILE PROCESS IS AS FOLLOWS:COUNTY HEALTH RANKINGS: WWW.COUNTYHEALTHRANKINGS.ORGCOMMUNITY COMMONS: WWW.COMMUNITYCOMMONS.ORGCDC WONDER: WWW.WONDER.CDC.GOVCDC COMMUNITY HEALTH STATUS INDICATORS: WWW.CDC.GOV/COMMUNITYHEALTH/HOMENATIONAL CENTER FOR HEALTH STATISTICS HEALTH INDICATORS WAREHOUSE: WWW.HEALTHINDICATORS.GOVPENNSYLVANIA DEPARTMENT OF HEALTH: WWW.HEALTH.PA.GOVPENNSYLVANIA DEPARTMENT OF EDUCATION: WWW.EDUCATION.PA.GOV AMERICAN COMMUNITY SURVEY: WWW.CENSUS.GOV/PROGRAMS-SURVEYS/ACSQUALITATIVE INFORMATION WAS COLLECTED THROUGH THREE DIFFERENT FOCUS GROUPS. ONE WAS CONDUCTED IN LEHIGH COUNTY, ONE WAS CONDUCTED IN NORTHAMPTON COUNTY, AND THE THIRD COMPRISED TEENS BETWEEN THE AGES OF 13-19 FROM BOTH LEHIGH AND NORTHAMPTON COUNTIES. THE FOCUS GROUPS SOLICITED INFORMATION ABOUT THE NEEDS OF THE COMMUNITY, PARTICULARLY VULNERABLE POPULATIONS, AND RANKED THOSE NEEDS. ST. LUKE'S UNIVERSITY HEALTH NETWORK CONDUCTED A FOCUS GROUP IN ALLENTOWN WITH KEY STAKEHOLDERS IN 2015, AND MADE THE RESULTS AVAILABLE TO THE HCC FOR USE IN THE CHNA HEALTH PROFILE.GOOD SHEPHERD REHABILITATION NETWORK ALSO COMMISSIONED A STUDY CONDUCTED BY THE LEHIGH VALLEY RESEARCH CONSORTIUM IN 2015 CALLED, "THE LEHIGH VALLEY DISABILITY COMMUNITY: RE-EXAMINING COMMUNITY NEEDS & OPPORTUNITIES." GOOD SHEPHERD SHARED THIS REPORT WITH THE HCC FOR USE IN THE CHNA HEALTH PROFILE. THERE WERE TWO FOCUS GROUP SESSIONS DURING EVENING HOURS, AND PARTICIPANTS ONLY ATTENDED ONE SESSION. THE SESSIONS WERE NOT VIDEO TAPED, BUT THEY WERE AUDIO TAPED TO ENSURE THE DISCUSSION WAS CAPTURED APPROPRIATELY. THE CONTENT OF THE FOCUS GROUP DISCUSSION ELICITED FEEDBACK AND SUGGESTIONS FROM THE GROUP REGARDING INCREASING OUR COLLECTIVE UNDERSTANDING OF HOW, AS HEALTH CARE PROVIDERS, WE CAN WORK TO SUPPORT HEALTHY BEHAVIORS, HEALTHY SOCIAL INFLUENCES, AND MAKE THE ACCESS TO HEALTH CARE MORE MEANINGFUL AND EFFECTIVE. THE FOCUS GROUP DISCUSSED ISSUES COMMON TO EVERYONE LIVING IN THE LEHIGH VALLEY. THE FOCUS GROUP QUESTIONS DID NOT INCLUDE DISCUSSIONS ABOUT PARTICULAR PROVIDERS, DISCUSSIONS ABOUT SPECIFIC HEALTH SYSTEMS IN THE LEHIGH VALLEY, OR COMPARISONS AND/OR DEBATES ABOUT PARTICULAR HEALTH ISSUES (I.E. IT'S HARDER TO HAVE DIABETES THAN HEART DISEASE, ETC.).NORTHAMPTON AND LEHIGH COMMUNITY COLLEGE CAMPUSES WERE SELECTED AS THE LOCATIONS FOR THE TWO FOCUS GROUPS. BY SELECTING THESE LOCATIONS WE WERE ABLE TO MAXIMIZE DIVERSE PARTICIPATION BY HAVING LOCATIONS IN NORTHAMPTON COUNTY AND LEHIGH COUNTY, HAVE SESSIONS AFTER TRADITIONAL WORK HOURS TO MAKE IT CONVENIENT FOR WORKERS, HAVE SESSIONS DURING THE WEEK SO THEY DO NOT CONFLICT WITH WEEKEND ACTIVITIES AND REFRESHMENTS WERE AVAILABLE. KIDSPEACE, AN HCC MEMBER AGENCY THAT HAS AS A SPECIALTY AREA PROVIDING MENTAL HEALTH CARE FOR CHILDREN AND YOUTH, VOLUNTEERED TO HAVE ONE OF THEIR TEEN SUPPORT GROUPS SERVE AS A FOCUS GROUP TO GATHER FEEDBACK FROM YOUNG PEOPLE. THE HCC GROUP AGREED TO UTILIZE THE KIDSPEACE TEEN GROUP AS A THIRD FOCUS GROUP. THE YOUTH FOCUS GROUP WAS COMPRISED OF EIGHT TEENS RANGING IN AGE FROM 13-19 WHO RESIDE IN A VARIETY OF DIFFERENT TOWNS AND SCHOOL DISTRICTS IN LEHIGH AND NORTHAMPTON COUNTIES. THE GROUP MEETS WEEKLY ON THURSDAY EVENINGS AT A COMMUNITY SITE OPERATED BY KIDSPEACE. CONSENT TO PARTICIPATE IN THE FOCUS GROUP WAS GIVEN TO KIDSPEACE BY THE TEENS AND THEIR PARENTS. THE HCC PROJECT MANAGER TOGETHER WITH THE KIDSPEACE STAFF RESPONSIBLE FOR THE TEEN GROUP CONDUCTED THE FOCUS GROUP.THE PROCESS, METHODS AND CONTENT OF THE YOUTH FOCUS GROUP DISCUSSION WAS CONDUCTED IN EXACTLY THE SAME WAY AS THE ADULT GROUPS, USING THE SAME TOOLS. THE MAJOR DIFFERENCE WAS THAT ALL PARTICIPANTS WERE ALREADY ENGAGED IN SERVICES WITH KIDSPEACE, AND WERE NOT RECRUITED IN EQUAL NUMBERS BY THE OTHER HCC MEMBER AGENCIES. LEHIGH VALLEY HOSPITAL - MUHLENBERG PART V, SECTION B, LINE 6A: THE HEALTH CARE COUNCIL OF THE LEHIGH VALLEY IS COMPRISED OF REPRESENTATIVES FROM EACH OF THE FIVE NON-PROFIT HOSPITALS IN THE LEHIGH VALLEY (GOOD SHEPHERD REHABILITATION NETWORK, KIDSPEACE, LEHIGH VALLEY HEALTH NETWORK, SACRED HEART HOSPITAL NETWORK, ST. LUKE'S UNIVERSITY HEALTH NETWORK), THE ALLENTOWN AND BETHLEHEM HEALTH BUREAUS, NEIGHBORHOOD HEALTH CENTERS OF THE LEHIGH VALLEY, AND THE DOROTHY RIDER POOL HEALTH CARE TRUST. EACH AGENCY SENDS 1-3 REPRESENTATIVES, TYPICALLY REPRESENTING STAFF WHO HAVE RESPONSIBILITY FOR COMMUNITY WORK. LEHIGH VALLEY HOSPITAL - MUHLENBERG PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS MAILED TO KEY COMMUNITY LEADERS AND WAS PROVIDED PRESS COVERAGE IN THE COMMUNITY NEWAPAPER AND LOCAL TELEVISION STATION. LEHIGH VALLEY HOSPITAL - MUHLENBERG PART V, SECTION B, LINE 11: COMMUNITY ENGAGEMENT1.1 CONNECT WITH LOCAL FEDERALLY QUALIFIED HEALTH CENTER (NHCLV), COMMUNITY AND FAITH-BASED ORGANIZATIONS TO SUPPORT THE DIVERSE HEALTH NEEDS OF OUR COMMUNITIES - MAINTAIN STAKEHOLDER LISTING AND AREAS OF COMMON INTEREST; DATES WE MET. THEY HAD A 1 YEAR CELEBRATION FOR THE HEALTH CENTER AT MOUNTAINTOP IN APRIL 2017. IT WAS A WEEK-LONG HEALTH FAIR THAT INCORPORATED COMMUNITY PARTNERS, INCLUDING PHARMACIES AND LOCAL WELLNESS CENTERS.SINCE FEBRUARY 2017, THE DEPARTMENT OF COMMUNITY HEALTH (DCH) DEVELOPED A WORK PLAN, A SCRIPT DETAILING THE PURPOSE/GOAL OF OUR INITIATIVES, TARGET AUDIENCE AND DELIVERABLES, AND TARGETED QUESTIONNAIRES TO USE AS GUIDELINES AS WE MEET WITH COMMUNITY-BASED ORGANIZATIONS (CBOS); WE HAVE PURCHASED THE NECESSARY MATERIALS FOR THIS INITIATIVE (I.E. BRANDED FOLDERS, COPIES OF THE CHNA IMPLANTATION PLAN TO BE DISTRIBUTED TO CBOS). DCH HAS PRIORITIZED MEETING WITH FAITH-BASED ORGANIZATIONS (FBOS) TO START. WE REACHED OUT TO A FEW DOZEN CHURCHES AND MET WITH AND ASSESSED 5 FBOS AS OF JUNE 30, 2017.1.2 PARTNER WITH UNITED WAY 211 TO CREATE AND MAINTAIN A DATABASE (UW211 EAST) OF COMMUNITY RESOURCES, ACCESSIBLE TO LVHN CASE MANAGERS, CLINICIANS, PATIENTS, CAREGIVERS AND COMMUNITY ORGANIZATIONS. IN FY17, 150 RESOURCES WERE UPDATED ON THE PA211 EAST WEBSITE, THERE WERE 2,326 VISITS TO THE PA211 EAST WEBSITE AND 5,015 PHONE CALLS WERE MADE WITHIN LEHIGH AND NORTHAMPTON COUNTIES.1.3 EDUCATE AND SUPPORT PATIENTS, CAREGIVERS AND COMMUNITY MEMBERS AROUND ADVANCE CARE PLANNING (ACP). HOST COMMUNITY BASED CONVERSATIONS TO EDUCATE ABOUT ADVANCE CARE PRINCIPLES, SHARED DECISION-MAKING. ENCOURAGE COMPLETION OF ACP DOCUMENTS.IN FY17, A STRATEGIC PLAN WAS ESTABLISHED TO FOCUS YEARLY EFFORTS FOR ENGAGING THE COMMUNITY.370 COMMUNITY MEMBERS PARTICIPATED IN CONVERSATIONS ABOUT THEIR FUTURE ADVANCE HEALTHCARE PLANS. SEVERAL METHODS OF ENGAGEMENT WERE UTILIZED IN THE PAST FISCAL YEAR WHICH RESULTED IN FOUR CONVERSATION GAMES, TWO VIDEO AND DISCUSSION EVENTS, AND TWO INFORMATION TABLES IN PARTNERSHIP WITH FIVE LOCAL ORGANIZATIONS. PARTICIPANTS IN THE EVENTS WERE ASSESSED ON THEIR KNOWLEDGE OF ADVANCE DIRECTIVES (AD) AND WHETHER PARTICIPANTS HAD COMPLETED AN AD. DEMOGRAPHIC INFORMATION INDICATES THE MAJORITY OF PARTICIPANTS WERE FEMALE (72%), HAVE POST-HIGH SCHOOL EDUCATION (79%) AND WERE OVER THE AGE OF 65 (56.5%). AMONG THE 321 PARTICIPANTS, THE MAJORITY (87.2%) UNDERSTOOD OR HAD HEARD ABOUT AN AD. AMONG A SUB-SET OF 172 RESPONDENTS, LESS THAN HALF OF THE PARTICIPANTS (47.7%) HAVE COMPLETED AN AD.2.1 PROMOTE LVHN COMMUNITY EXCHANGE (CE) TIME-BANKING PROGRAM TO INCREASE SOCIAL CONNECTIONS.IN FY17, 110 MEMBERS EXCHANGED 1,150 HOURS. AN ANNUAL MEMBER SATISFACTION SURVEY WAS ADMINISTERED AND APPROXIMATELY 75% OF MEMBERS SURVEYED FELT THAT THEIR PARTICIPATION IN COMMUNITY EXCHANGE INCREASED THEIR INVOLVEMENT IN THE COMMUNITY. IN SPRING 2017, FUNDING FOR THE PROGRAM ENDED AND IT WAS TRANSITIONED TO A MEMBER-LED, SELF-SERVICE MODEL.3.1 LVHN'S STREET MEDICINE PROGRAM PROVIDES MEDICAL CARE WITHIN DEFINED SHELTER-BASED CLINICS AND ON "STREET ROUNDS" TO THE UNSHELTERED.IN FY17, THE STREET MEDICINE PROGRAM SAW 973 HOMELESS PATIENTS IN AN OUTPATIENT SETTING AND WERE CONSULTED FOR 231 PATIENTS WHO WERE ADMITTED TO THE HOSPITAL. PATIENTS ASSOCIATED WITH THE STREET MEDICINE PROGRAM ATTENDED THE EMERGENCY DEPARTMENT ON 1,872 OCCASIONS IN FY17 AND WERE ADMITTED TO THE HOSPITAL 595 TIMES.3.2 STREET MEDICINE COLLABORATES WITH LVHN CASE MANAGEMENT, COMMUNITY COLLABORATORS TO PROVIDE CASE MANAGEMENT SERVICES, IMPROVE ACCESS TO INSURANCE, AND INTRODUCE PATIENTS TO A MEDICAL HOME WHEN READY.IN FY17, STREET MEDICINE PATIENT INSURANCE BREAKDOWN WAS AS FOLLOWS: AMONG PATIENTS SEEN IN THE OUTPATIENT SETTING, 43% WERE SELF-PAY, 40% HAD MEDICAID, 12% HAD MEDICARE, 2.7% HAD COMMERCIAL INSURANCE, AND 2% HAD BLUES CROSS PLANS. AMONG PATIENTS IN THE INPATIENT SETTING, 18% WERE SELF-PAY, 50% HAD MEDICAID, 25% HAD MEDICARE, 2% HAD COMMERCIAL INSURANCE, AND 4.5% HAD BLUE CROSS PLANS.3.3 HOST AND/OR PARTICIPATE IN A MULTI-SECTOR DISCUSSION ON HOUSING AND HEALTH WITH AREA STAKEHOLDERS.IN RESPONSE TO THE 2016 CHNA, REPRESENTATIVES FROM LEHIGH VALLEY HEALTH NETWORK (LVHN)'S DEPARTMENT OF COMMUNITY HEALTH, THE DOROTHY RIDER POOL HEALTH CARE TRUST, AND DESALES UNIVERSITY CAME TOGETHER TO CREATE A SYMPOSIUM EXPLORING THE INTERSECTION OF HOUSING AND HEALTH. THE FORUM WAS DESIGNED FOR KEY LEADERS IN THE LEHIGH VALLEY TO LEARN, CONNECT, AND ACT TO IMPROVE THE QUALITY OF LIFE IN THE LEHIGH VALLEY.THE EVENT WAS HELD ON SEPTEMBER 16, 2016 AT DESALES UNIVERSITY AND 158 PEOPLE WERE INVITED. THE KEYNOTE SPEAKER, JOHN T. COOK, PHD, MAED FROM CHILDREN'S HEALTHWATCH IN BOSTON, CHALLENGED ATTENDEES TO CONSIDER "HOUSING AS A VACCINE" THAT CAN PREVENT A WIDE RANGE OF FUTURE PROBLEMS. LOCAL EXPERTS FROM EDUCATION, YOUTH SERVICES, AND LEGAL SERVICES, SHARED THEIR EXPERIENCE REGARDING HOW HOUSING AND HEALTH AFFECT THEIR WORK IN THE LEHIGH VALLEY.4.1 HEALTH ADVOCACY PROGRAM: PROVIDE SUPPORT, NAVIGATION AND PROBLEM-SOLVING ASSISTANCE FOR PATIENTS WITH SOCIAL NEEDS, USING SPECIALLY TRAINED UNIVERSITY STUDENTS INTERESTED IN THE HEALTH PROFESSION OR SOCIAL SCIENCES.IN FY17, 153 PATIENTS WERE ENROLLED IN THE HEALTH ADVOCACY PROGRAM. OF THOSE PATIENTS, THERE WERE 89 PATIENTS WHO SUCCESSFULLY CONNECTED TO RESOURCES. STARTING IN JANUARY 2017, HAP BEGAN ADMINISTERING A PERCEIVED STRESS SCALE. 62 PATIENTS SAW A 7% DECREASE IN THEIR PERCEIVED STRESS AFTER BEING CONNECTED WITH RESOURCES.4.2 PILOT A CIVIL LEGAL ASSISTANCE PROGRAM IN COLLABORATION WITH NORTH PENN LEGAL SERVICES FOR PATIENTS WITH LEGAL ISSUES THAT AFFECT THEIR HEALTH AND WELL-BEING.IN FY17, 266 REFERRALS WERE MADE TO NORTH PENN LEGAL SERVICES RESULTING IN 199 OPEN CASES. THE TOP THREE REASONS FOR REFERRAL WERE HOUSING, CUSTODY, AND PUBLIC UTILITIES. MANY OF THE CASES TAKE LONG-PERIODS OF TIME TO CONCLUDE AND WILL CONTINUE INTO FY18.5.1 HEALTHY CORNER STORE INITIATIVE (HCSI): SEVERAL LOCAL CORNER STORES IN LOW INCOME COMMUNITIES HAVE BEEN IDENTIFIED AND ENCOURAGED TO ADD > 4 HEALTHY FOOD ITEMS TO THEIR STORE INVENTORY AFTER BASELINE ASSESSMENT. STORE OWNERS RECEIVE TRAINING BY STAFF ON HOW TO DISPLAY AND SELL HEALTHY FOOD ITEMS. FOLLOW-UP ASSESSMENTS DETERMINE ADHERENCE TO RECOMMENDATIONS.THE HEALTHY CORNER STORE INITIATIVE IN THE LEHIGH VALLEY HAS ENROLLED AT TOTAL OF 52 CORNER STORES IN THE 3 MAJOR CITIES, 50% IN ALLENTOWN (26), 35% IN BETHLEHEM (18), AND 15% IN EASTON (8), WHICH ARE PROPORTIONATELY IN LINE WITH THE SIZE OF THE CITIES. ADDITIONALLY, 100% OF THE ENROLLED CORNER STORES IN ALLENTOWN HAVE ADDED 4 NEW HEALTHY FOOD PRODUCTS TO THEIR INVENTORY (94% IN BETHLEHEM AND 75% IN EASTON). OVERALL, 94% OF THE STORES IN THE LEHIGH VALLEY HAVE IMPLEMENTED ALL CORE COMPONENTS OF THE PROGRAM (49 OF THE 52 ENROLLED CORNER STORES). 5.2 PARTICIPATION IN THE REGIONAL FOOD POLICY COUNCIL WHICH SEEKS TO IMPROVE FOOD SECURITY IN THE LEHIGH VALLEY AND TO SUPPORT GROWTH IN THE LOCAL FOOD ECONOMY.LVHN PARTICIPATED IN AT LEAST 75% OF FOOD POLICY COUNCIL MEETINGS AND EVENTS. THE MISSION OF LVFPC IS TO PROMOTE AN ENVIRONMENTALLY HEALTHY FOOD SYSTEM BY STRENGTHENING THE LOCAL FOOD ECONOMY, INCREASING ACCESS TO FRESH FOODS FOR EVERYONE, REDUCING FOOD INSECURITY, AND SUPPORTING LOCAL FARMING IN THE LEHIGH VALLEY. WE FOCUS ON FOOD ACCESS WHICH IS ONE OF THE THREE LVFPC PRIORITY STRATEGIES (FOOD AGGREGATION AND LAND USE BEING THE OTHER TWO PRIORITIES). OUR ROLE IS TO CO-CHAIR THE CONSUMER EDUCATION WORKING GROUP, WHICH WILL WORK TOWARD A COMPREHENSIVE, CONSISTENT NUTRITION EDUCATION EFFORT IN THE LEHIGH VALLEY, WORKING TO INFLUENCE EACH OF THE LEVELS OF THE SOCIO-ECOLOGICAL PUBLIC HEALTH MODEL (I.E. INDIVIDUAL, INTERPERSONAL, ORGANIZATIONAL, COMMUNITY, AND PUBLIC POLICY).5.3 FOOD COLLECTION DRIVES: NONPERISHABLE FOOD IS COLLECTED AT LVHN'S DRIVE-THROUGH FLU VACCINE EVENTS AND BY EMPLOYEES THROUGHOUT THE YEAR TO ASSIST LOCAL FOOD CUPBOARDS.18,000 POUNDS OF FOOD WERE COLLECTED AND DONATED DURING LVHN'S DRIVE THROUGH FLU VACCINE EVENTS.6.2 IMPLEMENT PARENTING CLASSES WITHIN ACHIP AND IN COLLABORATION WITH OTHER LOCAL AGENCIES; PILOT STRATEGIES TO INCREASE ENGAGEMENT.IN FY17, A TOTAL OF 22 PARENTS PARTICIPATED IN PARENTING CLASSES OFFERED IN DOWNTOWN ALLENTOWN. FIVE PARENTS COMPLETED THE ENTIRE 8 WEEK PROGRAM. EFFORTS ARE UNDERWAY TO INCREASE ENGAGEMENT IN THE CLASSES AND PARENTS' ABILITY TO COMPLETE ALL SESSIONS. LEHIGH VALLEY HOSPITAL - MUHLENBERG PART V, SECTION B, LINE 18E: COLLECTION ACTIVITIES ARE LIMITED TO HOSPITAL SENDING FOUR STATEMENTS REQUESTING PAYMENT. THE STATEMENTS INCLUDE INFORMATION ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, SOLICITING THE PATIENTS PARTICIPATION IN THE FINANCIAL ASSISTANCE PROGRAM. PART V, SECTION B, LINE 11 (CONTINUATION A) AT-RISK POPULATIONS1.1 DEPRESSION SCREENING: WITHIN PRACTICES USING EPIC ELECTRONIC HEALTH RECORD, IMPLEMENT ANXIETY/DEPRESSION SCREENING USING PHQ-2/9 (A STANDARDIZED TOOL); PROVIDE FEEDBACK TO CLINICIANS REGARDING THEIR SCREENING RATES.58% OF PATIENTS, AGE 12 YEARS AND OLDER WITHOUT AN ACTIVE DIAGNOSIS OF DEPRESSION OR BIPOLAR DISORDER, WERE SCREENED FOR DEPRESSION, AND, IF POSITIVE, HAD A FOLLOW UP PLAN BETWEEN JULY AND DECEMBER 2016. THIS PERCENTAGE INCREASED TO 60% BETWEEN JANUARY AND JUNE OF 2017.1.2 ASSESS AND IMPROVE TREATMENT AND REFERRAL WORKFLOWS FOR PATIENTS WHO SCREEN POSITIVE FOR DEPRESSION WITH PHQ-9 WITHIN SELECTED PRIMARY CARE PRACTICES; PHQ SCORE >9 IN ADULTS, >5 IN CHILDREN AND ADOLESCENTSIN FY 17, 6,051 BEHAVIORAL HEALTH REFERRALS WERE MADE. 77% WERE REFERRED TO INTERNAL PROVIDERS. 23% WERE REFERRED TO NON-LVHN PROVIDERS. IN ADDITION, A WORK GROUP WAS ESTABLISHED TO ADDRESS HOW TO BETTER ASSIST PATIENT ACCESS TO BEHAVIORAL HEALTH CARE. A DISCUSSION IS UNDERWAY ON HOW TO OPTIMIZE THIS WORKFLOW.2.1 PUBLIC HEALTH INFORMATIONAL CAMPAIGN TO PROMOTE IMPORTANCE OF EARLY IDENTIFICATION OF DEPRESSION AND CONNECTING TO TREATMENT FOR BEHAVIORAL HEALTH ISSUES; EMPLOYEE ASSISTANCE PROGRAMS. "TELL YOUR STORY CAMPAIGN."IN FY17, INITIAL CONVERSATIONS WERE HELD ABOUT THE IDEA OF A PUBLIC HEALTH CAMPAIGN TO REDUCE STIGMA AROUND MENTAL HEALTH. LVHN LEADERSHIP FROM MARKETING, COMMUNITY HEALTH, AND PSYCHIATRY ENGAGED IN THE PLANNING OF THIS CAMPAIGN. THE CAMPAIGN WILL BE ENTITLED "TELL YOUR STORY AND IS ALSO BEING DONE IN ALIGNMENT WITH THE LOCAL CHAPTER OF THE NATIONAL ASSOCIATION FOR MENTAL ILLNESS (NAMI) AND LOCAL DIGITAL STORYTELLING EFFORTS WITHIN ALLENTOWN. FY17 PRIMARILY INCLUDED PLANNING AND DEVELOPMENT AND CONTINUES THROUGH FY18 WITH EXPANSION TO THE COUNTIES OUTSIDE OF THE LEHIGH VALLEY.4.1 INPATIENT BEHAVIORAL HEALTH UNIT TEAM PROVIDES SAFE ACUTE PSYCHIATRIC CARE FOR COMMUNITY FOCUSED ON SAFETY AND STABILIZATION6,022 PSYCHIATRIC EVALUATIONS WERE COMPLETED WITHIN THE EMERGENCY DEPARTMENT IN FY17. IN ADDITION, 2,454 PSYCHIATRIC INPATIENT ADMISSIONS OCCURRED IN FY17.4.2 PARTIAL/RESIDENTIAL PROGRAMS (ADULT AND ADOLESCENT TRANSITIONS, ALTERNATIVES AND TRANSITIONAL LIVING CENTER) PROVIDE INTENSIVE TREATMENT, EDUCATION AND SUPPORT, IMPROVING COMMUNITY FUNCTION AND AVOIDING UNNECESSARY HOSPITALIZATIONS.THERE WERE 1,558 ADMISSIONS TO PARTIAL/RESIDENTIAL PROGRAMS FOR A TOTAL OF 15,324 DAYS IN FY17.4.3 OUTPATIENT PSYCHIATRIC CARE: MULTIPLE PROGRAMS PROVIDE EVALUATION, DIAGNOSIS AND TREATMENT FOR MEMBERS OF OUR COMMUNITY.THERE WERE 1,806 NEW PATIENTS IN THE OUTPATIENT CLINICS FOR A TOTAL OF 58,245 VISITS ACROSS 7 CLINICAL SITES.5.1 COMMUNITY ASTHMA EDUCATION PROGRAM (CAEP) FOR CHILDREN - ENGAGES COMMUNITY HEALTH WORKERS TO CONDUCT INDIVIDUAL AND GROUP EDUCATION SESSIONS AND IN-HOME ASSESSMENTS FOR ASTHMA TRIGGER REMEDIATION THE FUNDING FOR CAEP ENDED IN APRIL 2017. AMONG 84 PATIENTS WHO COMPLETED THE PROGRAM BETWEEN JUNE AND DECEMBER OF 2016, STATISTICALLY SIGNIFICANT IMPROVEMENTS (P < .05) WERE DEMONSTRATED IN THE FOLLOWING AREAS: ASTHMA-RELATED KNOWLEDGE, PARENTS' ABILITY TO PROPERLY ADMINISTER ASTHMA MEDICATION, THE NUMBER OF DAYS THE CHILD EXPERIENCED ANY ASTHMA SYMPTOMS, THE NUMBER OF NIGHTS THE CHILD WOKE UP DURING THE NIGHT DUE TO ASTHMA, THE NUMBER OF DAYS THE CHILD USED HIS OR HER RESCUE INHALER OR NEBULIZER TREATMENT. EMERGENCY DEPARTMENT VISITS AND IN-PATIENT HOSPITALIZATIONS ALSO DECREASED FROM 6 MONTHS BEFORE PARTICIPATION IN THE PROGRAM TO 6 MONTHS AFTER PARTICIPATION AMONG THE 84 FAMILIES WHO COMPLETED THE PROGRAM. 5.2 GERIATRIC WORKFORCE ENHANCEMENT PROGRAM (GWEP) - ENGAGES COMMUNITY HEALTH WORKERS (CHWS) TO PARTNER WITH NURSES IN CONDUCTING HOME VISITS TO GERIATRIC PATIENTS (AND THEIR CAREGIVERS) WITH CHRONIC ILLNESSES OR MEMORY-RELATED DISORDERS, INCLUDING ALZHEIMER'S DISEASE. CHWS ASSESS PATIENTS' SOCIAL NEEDS AND PROVIDE CONNECTIONS TO COMMUNITY RESOURCES.29 CLASSES ADDRESSING CHRONIC DISEASE SELF-MANAGEMENT, DEMENTIA, FALL PREVENTION, AND HOME SAFETY FOR COMMUNITY-DWELLING OLDER ADULTS WERE HELD DURING FY17. 205 INDIVIDUALS PARTICIPATED IN THOSE CLASSES.5.3 SEE ALLENTOWN CHILDREN'S HEALTH IMPROVEMENT PROJECT IN COMMUNITY ENGAGEMENT SECTION (6.2).6.1 POPULATION HEALTH DEPARTMENT (COMMUNITY CARE TEAMS - NURSE CASE MANAGER, SOCIAL WORKER, BEHAVIORAL HEALTH SPECIALIST, +/- PHARMACIST, TRANSITIONS OF CARE CALL CENTER AND CENTRALIZED PAYER RESOURCES) WILL ENGAGE AND MANAGE PATIENTS IN THEIR HEALTH AND ADDRESS BARRIERS TO CARE.A TOTAL OF 2,431 PATIENTS WERE SERVED BY THE CCT TEAMS BETWEEN JULY AND DECEMBER OF 2016. FOR THESE CCT MANAGED PATIENTS 1,527 EXPERIENCED AT LEAST ONE EMERGENCY DEPARTMENT VISIT, AND THE NUMBER OF ED ENCOUNTERS DECREASED BY 163 VISITS FROM 6 MONTHS BEFORE THE INTERVENTION TO 6 MONTHS AFTER THE INTERVENTION. IN ADDITION, 1,131 PATIENTS EXPERIENCED AT LEAST ONE INPATIENT ADMISSIONS. THE NUMBER OF INPATIENT STAYS DECREASED BY 322 STAYS FROM THE 6 MONTHS PRIOR TO BEING SERVED BY THE CCT TEAM TO THE 6 MONTHS AFTER WORKING WITH THE CCT TEAM.6.2 SOCIAL WORKERS PLACED IN PRACTICES SERVED BY POPULATION HEALTH DEPARTMENT WILL ASSIST PATIENTS IN OBTAINING MEDICATIONS THEY CANNOT AFFORD.IN FY17, 1,515 MEDICATION ORDERS WERE PLACED ACROSS 34 PRACTICES, RESULTING $2,546,363 WORTH OF MEDICATIONS OBTAINED.6.3 SOCIAL WORKERS PLACED IN PRACTICES SERVED BY POPULATION HEALTH DEPARTMENT ASSIST ELIGIBLE PATIENTS IN APPLYING FOR SOCIAL SECURITY DISABILITY INCOME USING THE SOAR PROCESS.SOAR IS A PROGRAM DESIGNED TO INCREASE ACCESS TO SSI/SSDI FOR ELIGIBLE ADULTS WHO ARE EXPERIENCING, OR AT RISK OF, HOMELESSNESS AND HAVE A MENTAL ILLNESS. FOUR TOTAL SOAR APPLICATIONS WERE COMPLETED IN FY17; 3 APPROVED AND 1 WAS DENIED.8.1 LV CHILDREN'S HOSPITAL CHILD ADVOCACY CENTER ADDRESSES NEEDS OF CHILDREN WHO ARE AT RISK FOR OR ARE VICTIMS OF VIOLENCE AND/OR NEGLECT. CHILD PROTECTION TEAM RESOURCES ARE AVAILABLE WITHIN EMERGENCY DEPARTMENT, INPATIENT UNITS AND IN AN OUTPATIENT SETTING FOR AGENCY AND COMMUNITY REFERRALS. FOLLOW-UP SERVICES, COMMUNITY OUTREACH AND PROFESSIONAL EDUCATIONAL PROGRAMS ARE ALSO AVAILABLE.A CLINICAL PATHWAY FOR CHILDREN WITH SUSPICIOUS BRUISING WAS APPROVED AND PUBLISHED BY THE NETWORK IN FEBRUARY 2017. A CLINICAL PATHWAY FOR SKELETAL SURVEYS IS ALSO BEING DEVELOPED. A NO HIT ZONE WAS APPROVED AND ROLLED OUT IN THE NETWORK IN JUNE 2017. A TRAINING WAS HELD FOR 17 TF-CBT THERAPISTS FOR 1 DAY IN MARCH 2017, AND 7 OF 22 TFCBT THERAPISTS HAVE ACHIEVED CERTIFICATION. 194 OF 256 CHILD PROTECTIVE SERVICES CONSULTS HAD A CY47 REPORTED (82%). 14 CHILDREN ALSO COMPLETED TF-CBT SESSIONS.ACCESS TO CARE1.1 MAINTAIN AND BROADLY COMMUNICATE LEHIGH VALLEY HEALTH NETWORK'S FINANCIAL ASSISTANCE POLICY, PROVIDING FREE OR DISCOUNTED CARE FOR QUALIFYING PATIENTS.FOR THE LEHIGH VALLEY CEDAR CREST, 17TH STREET, AND MUHLENBERG CAMPUSES, 17,349 APPLICATIONS (WHICH CAN INCLUDE MORE THAN ONE PATIENT IN A FAMILY) WERE RECEIVED FOR THE FINANCIAL ASSISTANCE PROGRAM IN FY17. ALL APPLICATIONS WERE REVIEWED WITHIN 5 DAYS OF BEING RECEIVED, WHICH RESULTED IN 22,347 PATIENTS BEING APPROVED FOR FINANCIAL ASSISTANCE AND 4,042 PATIENTS BEING DENIED. 2.3 IMPROVEMENT IN TIMELY ACCESS TO PRIMARY CARE CLINICIAN SERVICES.25 VIRTUAL EXPRESSCARE VISITS OCCURRED AT BANGOR HEALTH CENTER IN FY17 (MUHLENBERG SPECIFIC). THE GOAL IS THAT NEW PATIENTS IN PRIMARY CARE WILL BE SCHEDULED WITHIN 7 DAYS OF REQUESTED APPOINTMENT; NEW PATIENT APPOINTMENT IN SPECIALTY SERVICES WILL BE SCHEDULED WITHIN 14 DAYS OF A REQUESTED APPOINTMENT. AT START OF FY17, LVPG TOTAL NEW PATIENT APPOINTMENT LAG WAS 48.37% (THIS IS THE TOTAL PERCENTAGE OF PATIENTS THAT WERE SCHEDULED WITHIN THE 7/14 DAY TIME FRAME AS NOTED ABOVE) - 46.05% FOR PRIMARY CARE AND 49.3% FOR SPECIALTY. AS OF 2/28/17, LVPG TOTAL NEW PATIENT APPOINTMENT LAG IS 51.44%, WITH 53.13% OF APPOINTMENTS FOR PRIMARY CARE AND 50.79% FOR SPECIALTY CARE SCHEDULED WITHIN THE 7/14 DAY TIME FRAME. VACANT CLINICIAN POSITIONS (INCLUDING CLINICIAN FMLAS) ARE CONTRIBUTING TO THIS LAG. WE ARE CONTINUING TO EVALUATE AND ADJUST SCHEDULES TO IMPROVE THIS LAG. DIRECT SCHEDULING, ONE CALL/ONE CLICK AND OPEN SCHEDULING WILL HELP IMPROVE THIS LAG AS WE ROLL OUT THESE INITIATIVES OVER THE NEXT FEW WEEKS/MONTHS.7.1 PROVIDE LVHN COLLEAGUES WITH CULTURAL, LINGUISTIC TRAINING VIA VARIETY OF DELIVERY MECHANISMS.IN FY17, A CULTURAL AWARENESS E-LEARNING MODULE ENTITLED: PATIENT VOICES (ETIQUETTE FOR THE CARE OF PEOPLE WITH DISABILITIES) WAS INCLUDED IN THE TLC BUNDLES. PART 1 HAD 12,056 COURSE COMPLETIONS (A 98.77% COMPLETION RATE) AND PART 2 HAD 11,779 COURSE COMPLETIONS (A 97.66% COMPLETION RATE). PART V, SECTION B, LINE 11 (CONTINUATION B) 7.2 PATIENT'S PREFERRED LANGUAGE FOR HEALTH CARE DISCUSSIONS IS RECORDED AT TIME OF REGISTRATION.IN FY 17, NEARLY 600,000 PATIENTS (INPATIENT AND OUTPATIENT) HAD THEIR PREFERRED LANGUAGE DOCUMENTED, ACROSS 68 LANGUAGES. 83% PREFER ENGLISH, 3.68% PREFER SPANISH, AND 0.22% PREFER ARABIC, WITH THE REMAINING PATIENTS PREFERRING OTHER LANGUAGES.7.3 ASSESS AVAILABILITY OF LANGUAGE ASSISTANCE RESOURCES IN ALL CARE DELIVERY SITES TO MEET NEEDS OF PATIENTS WITH LIMITED ENGLISH PROFICIENCYIN FY 17, THERE WERE 9,011 LIVE ENCOUNTERS WITH INTERPRETERS AT CEDAR CREST, 17TH STREET, AND MUHLENBERG TOTALING 180,318 INTERPRETING MINUTES. AT LVH CEDAR CREST AND 17TH STREET CAMPUSES, 39,300 INTERPRETING ENCOUNTERS OCCURRED VIA IPAD AND 22,757 ENCOUNTERS VIA PHONE. AT MUHLENBERG, 3,478 INTERPRETING ENCOUNTERS OCCURRED VIA IPAD AND 1,036 ENCOUNTERS VIA PHONE. PREVENTION AND WELLNESS1.1 CAPTURE (BMI) DATA FOR LVHN PATIENTS THROUGH EPIC (LVHN'S ELECTRONIC HEALTH RECORD); ANALYZE AGGREGATED DATA TO IDENTIFY OPPORTUNITIES FOR PRACTICE-BASED OR PROGRAMMATIC INTERVENTIONS.1.2 IDENTIFY AND REFER PATIENTS IDENTIFIED AS "HIGH RISK" (BY VIRTUE OF LIFESTYLE ISSUES OR CO-MORBID CONDITIONS) TO LVHN AND COMMUNITY RESOURCES TO ASSIST WITH PATIENT ENGAGEMENT, EDUCATION, MOTIVATION AND SUPPORT FOR MANAGEMENT OF THEIR CONDITION.RELATED TO 1.1 AND 1.2, BETWEEN JULY AND DECEMBER OF 2016, OUT OF A TOTAL OF 207,377 PATIENTS 18 YEARS AND OLDER, 75% HAD A BMI DOCUMENTED, AND IF OUTSIDE NORMAL PARAMETERS, A FOLLOW UP PLAN IS DOCUMENTED. OUT OF A TOTAL OF 186,673 PATIENTS 18 YEARS AND OLDER, 76% HAD A BMI DOCUMENTED, AND IF OUTSIDE NORMAL PARAMETERS, A FOLLOW UP PLAN IS DOCUMENTED BETWEEN JANUARY AND JUNE OF 2017. 1.3 COMMUNITY CANVAS: A SCHOOL- AND COMMUNITY-BASED EDUCATIONAL PROGRAM THAT INCLUDES IN-SCHOOL INSTRUCTION AND EVENING PROGRAMS FOR FAMILIES OF ELEMENTARY STUDENTS, AND EMPHASIZES WELLNESS THROUGH HEALTHY HABITS AND GOOD NUTRITION. IN 2016-17 SCHOOLS IN EASTON AND WHITEHALL ARE INCLUDED IN THE PROGRAM.IN THE 2016-2017 SCHOOL YEAR, THE COMMUNITY CANVAS PROGRAM ENGAGED SIX ELEMENTARY SCHOOLS IN THE EASTON AND WHITEHALL SCHOOL DISTRICTS. 2,225 UNIQUE STUDENTS PARTICIPATED WITH A TOTAL OF 8,725 TOTAL REACHES ACROSS THE SCHOOLS. COMMUNITY CANVAS UTILIZED A PRE AND POST-TEST TO ASSESS LEARNINGS FROM THE PROGRAM. SOME KEY FINDINGS INCLUDE: BETWEEN 67% AND 72% OF STUDENTS KNEW YOU SHOULD HAVE AT LEAST 5 SERVINGS OF FRUIT AND VEGETABLES PER DAY. ALSO, 72.9% OF THE STUDENTS KNEW THAT ALL THE FAST FOOD RESTAURANTS SHOWN HAVE SOME HEALTHY FOOD AVAILABLE AND SOME "HEALTHIER" FAST FOOD RESTAURANTS HAD SOME VERY UNHEALTHY FOOD. OVERALL, THERE WAS A SIGNIFICANT INCREASE IN KNOWLEDGE GAINED IN-CLASSROOM AND REINFORCED AT HOME VIA HANDOUTS PROVIDED.1.4 SURGICAL WEIGHT MANAGEMENT INFORMATION SESSIONS: INFORMATION EVENTS HELD MONTHLY, FACILITATED BY THE WEIGHT MANAGEMENT CENTER'S REGISTERED NURSE PATIENT NAVIGATOR. PARTICIPANTS ARE PROVIDED WITH OPTIONS AVAILABLE AT THE CENTER FOR MEDICALLY SUPPORTED, NONSURGICAL WEIGHT MANAGEMENT. ATTENDEES LEARN HOW THE TEAM OF PHYSICIANS, RN PATIENT NAVIGATOR, REGISTERED DIETITIANS AND BEHAVIORAL HEALTH SPECIALISTS CAN TAILOR AN INDIVIDUALIZED, SAFE AND EFFECTIVE PROGRAM OF DIET, NUTRITION, EXERCISE AND LIFESTYLE CHANGES.2,124 INDIVIDUALS SIGNED UP FOR FREE INFORMATION EVENTS ABOUT NONSURGICAL WEIGHT MANAGEMENT SERVICES. 1,552 PEOPLE ATTENDED THE EVENTS, 75% OF WHOM WERE POTENTIAL SURGERY CANDIDATES. 546 INDIVIDUALS WHO ATTENDED AN EVENT, ALSO SCHEDULED A PHYSICAL. 3.1 FREE MASS INFLUENZA IMMUNIZATION "DRIVE-THROUGH" PROGRAM HELD AT TWO MAJOR VENUES IN THE LEHIGH VALLEY REGION.18,120 COMMUNITY MEMBERS RECEIVED THE FLU VACCINE THROUGH THE DRIVE-THRU PROGRAM IN FY17. $331,200 PROVIDED IN FREE CARE FOR FLU VACCINE AND SUPPLIES.3.2 FREE INFLUENZA VACCINE CLINICS WITHIN REGIONAL SOUP KITCHENS AND HOMELESS SHELTERS TO REACH VULNERABLE PATIENTS AT RISK FOR INFLUENZA.64 FLU VACCINES WERE ADMINISTERED ACROSS 6 CLINICAL SITES.4.1 DENTAL SEALANT PROGRAM; PROVIDES SECOND AND THIRD-GRADE CHILDREN FROM LOWER-INCOME COMMUNITIES IN BOTH ALLENTOWN AND EASTON SCHOOL DISTRICTS ACCESS TO DENTAL SEALANTS, AN EVIDENCE BASED FORM OF PREVENTIVE ORAL HEALTH CARE. CHILDREN ALSO RECEIVE A TOOTHBRUSH AND INSTRUCTION IN HOW TO USE.IN ALLENTOWN SCHOOL DISTRICT IN FY17, 1,447 STUDENTS RETURNED THEIR CONSENT FORMS, 733 RECEIVED AN EXAM, AND 567 STUDENTS HAD THEIR TEETH SEALED. IN EASTON AREA SCHOOL DISTRICT, 618 STUDENTS RETURNED THEIR CONSENT FORMS, 233 RECEIVED AN EXAM, AND 186 RECEIVED SEALANTS. IN TOTAL 2,214 SEALANTS WERE PLACED IN FY17.4.2 BUILDING 21 OF ALLENTOWN SCHOOL DISTRICT HEALTH CARE CAREER DISCOVERY PROGRAM EXPOSES STUDENTS TO A WIDE VARIETY OF HEALTH CARE CAREERS AND POSITIVE ADULT ROLE MODELS IN AUTHENTIC, REAL-WORLD SETTINGS. YEAR 1 PILOT COMPLETE WITH GOAL OF CREATING AN EVIDENCE BASED, FOUR-YEAR MODEL. YEAR 2 PILOT WITH PROGRAM EXPANSION TO TWO OTHER HIGH SCHOOLS IN ALLENTOWN SCHOOL DISTRICT.THE LEHIGH VALLEY HEALTH NETWORK DEPARTMENT OF EDUCATION PROVIDED SEVERAL YOUTH PROGRAMMING OPPORTUNITIES THROUGHOUT FY17. A CURRICULUM WAS OFFERED AT THE BETHLEHEM AREA VOCATIONAL TECHNICAL SCHOOL WHICH WAS DESIGNED TO PROVIDE STUDENTS WITH THE NECESSARY INFORMATION AND SKILLS TO BE CONSIDERED SAFE IN A CLINICAL ENVIRONMENT. IT FOCUSED ON SEVERAL CLINICAL COMPONENTS FOR A MULTIFOCAL OVERVIEW OF PROFESSIONAL HEALTH CAREERS. THERE WERE 38 GRADUATES FROM THE PROGRAM, AND 100% OF THE GRADUATES ENROLLED IN POST-SECONDARY EDUCATION.LVHN ALSO PARTNERED WITH LEHIGH CAREER AND TECHNICAL INSTITUTE, PENN STATE LEHIGH VALLEY, AND LEHIGH CARBON COMMUNITY COLLEGE TO OFFER A DUAL-ENROLLMENT PROGRAM TO STUDENTS WHICH COMBINES COLLEGE LEVEL SCIENCE COURSES, HONORS HEALTH CURRICULA, AND OBSERVATION IN A HEALTHCARE SETTING. THERE WERE 49 GRADUATES FROM THE PROGRAM, AND 100% OF THE GRADUATES ENROLLED IN POST-SECONDARY EDUCATION.LVHN ALSO OFFERED A HEALTH CARE CAREER DISCOVERY DAY WHICH EXPOSES STUDENTS TO A WIDE VARIETY OF HEALTH CARE CAREERS AND POSITIVE ADULT ROLE MODELS IN AUTHENTIC, REAL-WORLD SETTINGS. 329 STUDENTS PARTICIPATED IN HEALTH CARE CAREER DISCOVERY PROGRAMMING. A SIMILAR PROGRAM WAS ALSO OFFERED TO THE CHILDREN OF LVHN STAFF (9TH-12TH GRADE) WHICH EXPOSED CHILDREN TO A WIDE VARIETY OF CAREERS, FIELDS OF STUDY, AND POSITIVE ADULT ROLE MODELS WHO DEMONSTRATE PROFESSIONALISM. 64 STUDENTS PARTICIPATED.4.3 PROVISION OF SCHOOL-BASED HEALTH SERVICES TO ELEMENTARY, MIDDLE AND HIGH SCHOOL STUDENTS, ADDRESSING DEFICIENT PHYSICALS AND VACCINES.IN FY17, PLANNING MEETINGS WERE HELD, AN MOU WAS DRAFTED, AND APPROVAL WAS RECEIVED FOR BEHAVIORAL HEALTH SERVICES AND WELLNESS EDUCATION IN THE ALLENTOWN SCHOOLS. SCHOOL-BASED HEALTH SERVICES ARE PRESENT AT FIVE SCHOOLS: SOUTH MOUNTAIN MIDDLE SCHOOL, LINCOLN LEADERSHIP ACADEMY, MOSSER ELEMENTARY SCHOOL, CENTRAL ELEMENTARY SCHOOL, AND EXECUTIVE EDUCATION ACADEMY CHARTER SCHOOL. 128 STUDENTS HAD NOT COMPLETE PHYSICALS AND IMMUNIZATIONS. OF THOSE 128, 44 RETURNED CONSENTS AND 21 COMPLETED THE REQUIREMENTS. 5.1 ENSURE ALL CHWS WORKING WITHIN LVHN RECEIVE TRAINING IN CHW COMPETENCIES.100% OF CHWS WHO HAVE BEEN WORKING AT LVHN FOR MORE THAN 3 MONTHS DURING FY17 COMPLETED THE AHEC TRAINING (N = 9). COMMUNITY HEALTH WORKERS ARE AN EXPANDING WORKFORCE IN HEALTH CARE IN THE LEHIGH VALLEY. IT IS IMPORTANT FOR ALL CHWS TO BE ABLE TO DEMONSTRATE CERTAIN COMPETENCIES IN ORDER FOR THEM TO BE SUCCESSFUL IN THEIR JOB ROLES.5.2 DEPLOY CHWS IN PROGRAMS AND PRACTICES THAT SERVE INDIVIDUALS AND FAMILIES WITH SOCIAL AND ECONOMIC NEEDS.IN FY17, 9 CHWS WERE WORKING AT LVHN. ALL PROVIDE PATIENTS OR COMMUNITY RESIDENTS WITH LINKS TO COMMUNITY BASED SERVICES AND SOCIAL SUPPORT. TARGET POPULATIONS INCLUDE FAMILIES WITH YOUNG CHILDREN, ELDERLY INDIVIDUALS, AND FAMILIES IN THE SCHOOL SYSTEM. CHWS ARE BEST SUITED TO WORK WITH PATIENTS AND FAMILIES WHO ARE STRUGGLING WITH THE BURDENS OF SOCIAL DETERMINANTS OF HEALTH. THEY CAN HELP TO ALLEVIATE THESE BURDENS, ENABLING PATIENT AND FAMILIES TO BETTER MANAGE THEIR HEALTH AND IMPROVE THE QUALITY OF THEIR LIVES.6.1 GUIDELINE DEVELOPMENT FOR ACUTE AND CHRONIC PAIN MANAGEMENT, PATIENT SCREENING FOR SAFE PRESCRIBING OF OPIOID ANALGESICS; PHYSICIAN OUTREACH AND EDUCATION.23 SMALL GROUP/PRACTICE SESSIONS AND 11 LARGE GROUP EDUCATION SESSIONS WERE HELD IN FY 17 REACHING OVER 350 PROVIDERS, CLINICAL AND OFFICE STAFF, AND RESIDENTS.7.2 MAKE D & A RESOURCE LISTINGS AVAILABLE TO CLINICAL SETTINGS, CASE MANAGERS, SOCIAL WORKERS.LISTINGS OF DRUG AND ALCOHOL RESOURCES ARE COMPILED FOR 7 COUNTIES IN THE AREA. THE PROVIDERS IN THE RESOURCE LIST ARE THE AGENCIES THAT LVHN PROVIDERS REFER TO FOR SUBSTANCE ABUSE/ADDICTION SERVICES. LVHN PSYCHIATRY DEPARTMENT DEVELOPED A CENTRAL LOCATION THAT HOUSES ALL OF THE RESOURCE LISTINGS FOR PROVIDERS.8.1 HOST AND SPONSOR COMMUNITY-BASED OPIOID-ABUSE PREVENTION PRESENTATIONS TARGETED TO SCHOOLS, PARENTS; INCLUDE OUTREACH TO FAMILIES EXPERIENCING ADDICTION. AN OPIOID TASK FORCE WAS ESTABLISHED AND A CHARTER WAS D PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS ISSUED BY LEHIGH VALLEY HEALTH NETWORK - EIN 22-2458317, THE PARENT COMPANY OF LEHIGH VALLEY HOSPITAL - MUHLENBERG. PART I, LINE 7: THE COSTING METHODOLOGY IS COST TO CHARGE RATIO FOR PROGRAMS WITH GROSS CHARGES AND DIRECT COSTS FOR PROGRAMS WITHOUT GROSS CHARGES. PART I, LINE 7G: THE CLINICS SUBSIDY OF $882,765 IS THE DIFFERENCE BETWEEN THE COST OF SERVICES PROVIDED IN THE HOSPITAL CLINICS AND THE PAYMENTS RECEIVED FOR THOSE SERVICES. THE CLINICS AT LVH-MUHLENBERG INCLUDE THE DENTAL CLINIC THAT IS OPERATED IN CONJUNCTION WITH THE DENTAL RESIDENCY PROGRAM, AND THE OUTPATIENT MENTAL HEALTH CLINIC WHICH PROVIDES EVALUATION, COUNSELING AND CASE MANAGEMENT SERVICES TO RESIDENTS OF LEHIGH AND NORTHAMPTON COUNTIES. THE CLINICS SUBSIDY DOES NOT INCLUDE THE COST OF ANY UNCOMPENSATED CHARITY CARE AS REPORTED ABOVE. CLINIC COSTS DO INCLUDE $37,636 OF THE WAGE AND BENEFITS EXPENSE OF DENTAL RESIDENTS WHO PROVIDED CARE TO CLINIC PATIENTS. THIS AMOUNT HAS BEEN DEDUCTED FROM THE TOTAL VALUE OF MEDICAL EDUCATION, WHICH IS PRESENTED LATER IN THIS DOCUMENT. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 10,369,851. PART III, LINE 2: PATIENT ACCOUNTS WRITTEN OFF AS BAD DEBT ARE IDENTIFIED. THE COST TO PROVIDE CARE TO THESE PATIENTS IS CALCULATED BY MULTIPLYING THE TOTAL CHARGES WRITTEN OFF AS BAD DEBT BY THE COST TO CHARGE RATIO. PART III, LINE 3: THIS AMOUNT IS THE COST TO PROVIDE CARE TO UNINSURED PATIENTS THAT DO NOT PARTICIPATE IN THE PROCESS TO DETERMINE IF THEY ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE COST IS DETERMINED USING COST TO CHARGE RATIOS. THE RATIONALE FOR INCLUDING THE COST TO PROVIDE CARE TO UNINSURED PATIENTS THAT DO NOT PARTICIPATE IN THE FINANCIAL ASSISTANCE PROCESS IS THE HOSPITAL'S EXPERIENCE WITH UNINSURED PATIENTS THAT DO PARTICIPATE IN THE FINANCIAL ASSISTANCE PROGRAM. WHEN THE HOSPITAL EVALUATES UNINSURED PATIENTS FOR FINANCIAL ASSISTANCE, THE MOST COMMON FINDING IS THAT UNINSURED PATIENTS HAVE INCOME LESS THAN 400% OF THE FEDERAL POVERTY GUIDELINE AND QUALIFY FOR FINANCIAL ASSISTANCE. THE HOSPITAL BELIEVES THAT UNINSURED PEOPLE WHO CHOOSE NOT TO PARTICIPATE IN THE FINANCIAL ASSISTANCE PROCESS AND HAVE THEIR ACCOUNTS WRITTEN OFF AS BAD DEBT, HAVE INCOME THAT WOULD QUALIFY FOR THE HOSPITAL FINANCIAL ASSISTANCE PROGRAM. PART III, LINE 4: BAD DEBTS - THE ORGANIZATION RECORDS A PROVISION FOR BAD DEBTS RELATED TO UNINSURED ACCOUNTS NET OF THE AGB DISCOUNT TO RECORD THE NET SELF-PAY ACCOUNTS RECEIVABLE AT THE ESTIMATED AMOUNTS THE ORGANIZATION EXPECTS TO COLLECT. COINSURANCES AND DEDUCTIBLES WITHIN THE THIRD-PARTY PAYER AGREEMENTS ARE THE PATIENT'S RESPONSIBILITY SO THE ORGANIZATION INCLUDES THESE AMOUNTS IN THE SELF-PAY ACCOUNTS RECEIVABLE AND CONSIDERS THESE AMOUNTS IN ITS DETERMINATION OF THE PROVISION FOR BAD DEBTS BASED ON HISTORICAL COLLECTION EXPERIENCE.IN INSTANCES WHERE THE ORGANIZATION BELIEVES A PATIENT HAS THE ABILITY TO PAY FOR SERVICES AND, AFTER APPROPRIATE COLLECTION EFFORT, PAYMENT IS NOT MADE, THE AMOUNT OF SERVICES NOT PAID IS WRITTEN-OFF AS BAD DEBTS. AMOUNTS RECORDED AS PROVISION FOR BAD DEBTS DO NOT INCLUDE CHARITY CARE. THE PROVISION FOR BAD DEBTS FOR THE YEARS ENDED JUNE 30, 2017 AND 2016, WAS $10,370,000 AND $12,720,000 RESPECTIVELY. PART III, LINE 8: THE SOURCE OF THE MEDICARE ALLOWABLE COSTS RELATING TO REVENUE RECEIVED FROM MEDICARE IS THE FY 2017 MEDICARE COST REPORT. THE REVENUE AND EXPENSES ARE BOTH DETERMINED USING MEDICARE PRINCIPLES. PART III, LINE 9B: FINANCIAL COUNSELING STAFF WILL DETERMINE WHETHER PATIENTS MEET ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE. ACCOUNTS THAT DO NOT MEET THE ELIGIBLILTY REQUIREMENTS WILL BE REFERRED TO AN EXTERNAL RECEIVABLES FOLLOW UP AGENCY, AND IF NOT PAID REFERRED TO A COLLECTION AGENCY AND SUBSEQUENTLY TRANSFERRED TO BAD DEBT STATUS IF THE ACCOUNTS REMAIN UNPAID. PART VI, LINE 2: THE HEALTH CARE COUNCIL OF THE LEHIGH VALLEY (HCCLV) USED QUANTITATIVE AND QUALITATIVE METHODS TO ASSESS THE HEALTH CARE NEEDS OF THE LEHIGH VALLEY COMMUNITY. THERE WERE THREE FORMS OF DATA USED BY THE HCCLV TO CREATE THE CHNA. FIRST, THE MEMBER AGENCIES OF THE HCCLV PROVIDED GUIDANCE ABOUT SOME OF THE KEY ISSUES THEIR INSTITUTIONS FACE REGARDING THE HEALTH OF PEOPLE IN THE LEHIGH VALLEY. THE DISCUSSIONS AT THE MONTHLY HCCLV MEETINGS PROVIDED MEANINGFUL INSIGHT INTO THE PRIORITIES AND ROOT CAUSES THAT WERE FURTHER INVESTIGATED THROUGH SECONDARY DATA SOURCES AND THROUGH QUALITATIVE METHODS.SECOND, A THOROUGH REVIEW OF SECONDARY DATA SOURCES WAS CONDUCTED. ALL SOURCES AND INDICATORS UTILIZED IN THE FIRST COMMUNITY HEALTH NEEDS ASSESSMENT HEALTH PROFILE FROM 2013 WERE UPDATED. THEN, THE HCCLV GROUP REQUESTED THE INCLUSION OF MANY ADDITIONAL INDICATORS THAT WERE ALSO GATHERED FROM SECONDARY SOURCES. THE COMPLETE LIST OF SECONDARY SOURCES CONSULTED THROUGHOUT THE CHNA HEALTH PROFILE PROCESS IS AS FOLLOWS:- COUNTY HEALTH RANKINGS WWW.COUNTYHEALTHRANKINGS.ORG- COMMUNITY COMMONS: WWW.COMMUNITYCOMMONS.ORG- CDC WONDER: WWW.WONDER.CDC.GOV- CDC COMMUNITY HEALTH STATUS INDICATORS: WWW.CDC.GOV/COMMUNITYHEALTH/HOME- NATIONAL CENTER FOR HEALTH STATISTICS HEALTH INDICATORS WAREHOUSE: WWW.HEALTHINDICATORS.GOV- PENNSYLVANIA DEPARTMENT OF HEALTH: WWW.HEALTH.PA.GOV- PENNSYLVANIA DEPARTMENT OF EDUCATION: WWW.EDUCATION.PA.GOV - AMERICAN COMMUNITY SURVEY: WWW.CENSUS.GOV/PROGRAMS-SURVEYS/ACSQUALITATIVE INFORMATION WAS COLLECTED THROUGH THREE DIFFERENT FOCUS GROUPS. ONE WAS CONDUCTED IN LEHIGH COUNTY, ONE WAS CONDUCTED IN NORTHAMPTON COUNTY, AND THE THIRD COMPRISED TEENS BETWEEN THE AGES OF 13-19 FROM BOTH LEHIGH AND NORTHAMPTON COUNTIES. THE FOCUS GROUPS SOLICITED INFORMATION ABOUT THE NEEDS OF THE COMMUNITY, PARTICULARLY VULNERABLE POPULATIONS, AND RANKED THOSE NEEDS. PART VI, LINE 3: CONSISTENT WITH THE MISSION AND VALUES OF LEHIGH VALLEY HEALTH NETWORK, IT IS THE POLICY TO PROVIDE MEDICAL CARE TO ALL INDIVIDUALS WITHOUT REGARD TO THEIR ABILITY TO PAY FOR SERVICES. THE FINANCIAL ASSISTANCE POLICY APPLIES TO UNINSURED AND UNDER-INSURED INDIVIDUALS WHO PARTICIPATE IN THE PROCESS TO EVALUATE THEIR ABILITY TO PAY FOR LVHN SERVICES.PATIENTS ARE IDENTIFIED BY LVHN REGISTRATION, BENEFITS AND VERIFICATION, CUSTOMER SERVICE, AND FINANCIAL COUNSELORS AS BEING IN FINANCIAL NEED. THE FINANCIAL COUNSELORS HELP PATIENTS COMPLETE THE APPLICATION FOR FINANCIAL ASSISTANCE. LVHN FOLLOWS THE FEDERAL POVERTY GUIDELINES TO EVALUATE ELIGIBILITY. PATIENTS WHOSE FAMILY INCOME FALLS BELOW 200% OF THE FEDERAL POVERTY GUIDELINE WILL HAVE THEIR ENTIRE BALANCE FORGIVEN FOR THEIR QUALIFYING SERVICES AT A PARTICIPATING LVHN PROVIDER. PATIENTS WITH A FAMILY INCOME BELOW 400% OF THE FEDERAL POVERTY GUIDELINES WILL HAVE A PORTION OF THEIR BALANCE FORGIVEN FOR QUALIFYING SERVICES AT A PARTICIPATING LVHN PROVIDER. PATIENTS ARE EVALUATED FOR NO COST OR REDUCED PREMIUM INSURANCE PLANS. THE LVHN FINANCIAL COUNSELORS WILL OFFER INFORMATION TO PATIENTS WHO ARE INTERESTED IN SEEING IF THEY QUALIFY FOR THESE PROGRAMS OFFERED BY COMMERCIAL INSURANCE COMPANIES.PATIENTS OFTEN EXPRESS FINANCIAL CONCERN OR NEED BY CONTACTING THE LVHN CUSTOMER SERVICE DEPARTMENTS. THE CUSTOMER SERVICE REPRESENTATIVES EXPLAIN THE PROGRAMS AVAILABLE; FINANCIAL ASSISTANCE AND SUPPORT IN APPLYING FOR MEDICAL ASSISTANCE OR INSURANCE THROUGH THE FEDERAL HEALTH INSURANCE EXCHANGE. PATIENTS WILL BE REFERRED TO THE FINANCIAL COUNSELORS WHO WORK WITH PATIENTS TO APPLY FOR PENNSYLVANIA MEDICAL ASSISTANCE. THE FINANCIAL COUNSELORS ARE LOCATED ONSITE. THE FINANCIAL COUNSELORS VISIT PATIENTS IN THEIR INPATIENT ROOMS, IN THE CANCER CENTER, AND IN THE EMERGENCY DEPARTMENT. IN ADDITION, LVHN ADVERTISES FINANCIAL ASSISTANCE IN THE LOCAL NEWSPAPER, ON OUR PUBLIC WEBSITE AND ON THE STATEMENTS SENT TO OUR PATIENTS. PART VI, LINE 4: LEHIGH VALLEY HOSPITAL-MUHLENBERG (LVH-MUHLENBERG) IS A PENNSYLVANIA NOT-FOR-PROFIT MEMBERSHIP CORPORATION EXEMPT FROM FEDERAL INCOME TAXES AS A CORPORATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE PRIMARY SERVICE AREA OF LVH-MUHLENBERG IS COMPRISED THE EASTERN PORTION OF LEHIGH COUNTY AND ALL OF NORTHAMPTON COUNTY. BASED ON U.S. CENSUS BUREAU DATA FOR THE YEAR 2010 CENSUS, THE POPULATION OF THE PRIMARY SERVICE AREA WAS APPROXIMATELY 413,156 PEOPLE. DURING THE FISCAL YEAR 2017, APPROXIMATELY 91.7% OF THE DISCHARGES FROM LVH-MUHLENBERG WERE RESIDENTS OF THE PRIMARY SERVICE AREA. ACCORDING TO THE AMERICAN COMMUNITY SURVEY (U.S. CENSUS), THE ESTIMATED POPULATION FOR THE PRIMARY SERVICE AREA IN 2016 WAS 483,868.THE 2010 POPULATION OF THE SECONDARY SERVICE AREA WAS APPROXIMATELY 294,855. DURING THE FISCAL YEAR 2017, APPROXIMATELY 5.9% OF THE DISCHARGES FROM LVH-MUHLENBERG WERE RESIDENTS OF THE SECONDARY SERVICE AREA. ACCORDING TO THE AMERICAN COMMUNITY SURVEY (U.S. CENSUS) THE ESTIMATED POPULATION FOR THE SECONDARY SERVICE AREA IN 2016 WAS 255,258BASED ON U.S. CENSUS BUREAU DATA, THE CURRENT POPULATION OF THE COMBINED PRIMARY AND SECONDARY LVH-MUHLENBERG SERVICE AREAS IS PROJECTED TO INCREASE APPROXIMATELY 1.64% BY THE YEAR 2018, BASED ON THE EXTRAPOLATION OF THE POPULATION CAGR FROM CENSUS YEAR 2000 - 2010. DURING THE FISCAL YEAR 2016, 2.3% OF THE DISCHARGES FROM LVH-MUHLENBERG WERE RESIDENTS OUTSIDE THE PRIMARY AND SECONDARY SERVICE AREAS. DISCHARGES FROM THE SECONDARY AND TERTIARY SERVICES ARE WIDELY DISPERSED FOR PATIENTS OF LVH-MUHLENBERG. SINCE THESE PATIENTS ARE RANDOMLY DISTRIBUTED IT IS DIFFICULT TO DEFINE SECONDARY AND TERTIARY SERVICE AREAS. IT IS ASSUMED THE SECONDARY AND TERTIARY SERVICES AREA FOR LVH-MUHLENBERG WILL MIRROR THOSE OF LVH-CC. PART VI, LINE 5: LEHIGH VALLEY HOSPITAL - MUHLENBERG QUALIFIES AS AN INSTITUTION OF PURELY PUBLIC CHARITY IN PENNSYLVANIA. THIS REGULATION IS REFERRED TO AS ACT 55. TO BE CONSIDERED A PURELY PUBLIC CHARITY, NONPROFITS MUST: (1) ADVANCE A CHARITABLE PURPOSE; (2) DONATE OR RENDER GRATUITOUSLY A SUBSTANTIAL PORTION OF ITS SERVICES; (3) BENEFIT A SUBSTANTIAL AND INDEFINITE CLASS OF PERSONS WHO ARE LEGITIMATE SUBJECTS OF CHARITY; (4) RELIEVE THE GOVERNMENT OF SOME BURDEN; AND (5) OPERATE ENTIRELY FREE FROM PRIVATE PROFIT MOTIVE.LVHM IS REQUIRED TO REAPPLY FOR THIS CHARITABLE STATUS EVERY FIVE YEARS AND CURRENTLY QUALIFIES THROUGH FEBRUARY 28, 2021. PART VI, LINE 6: LVHN'S COMMUNITY HEALTH NEEDS IMPLEMENTATION PLANS HAVE BEEN PREPARED IN RESPONSE TO CONCERNS IDENTIFIED IN THE CHNA REPORTS. EACH LICENSED FACILITY WITHIN LVHN - LVH CEDAR CREST/LVH 17TH STREET, LVH MUHLENBERG, LVH HAZLETON AND THE TWO NEW CAMPUSES AT LVH SCHUYLKILL (LVH SOUTH JACKSON AND LVH EAST NORWEGIAN) - HAS PREPARED AN IMPLEMENTATION PLAN. OUR IMPLEMENTATION PLANS INCLUDE ACTIVITIES DESIGNED TO ADDRESS NEEDS WITHIN OUR COMMUNITIES, WHILE ALSO PROMOTING HEALTH. NOTE THAT THE IMPLEMENTATION PLANS ARE PRESENTED IN TWO SEPARATE DOCUMENTS - ONE FOR THELVH SCHUYLKILL CAMPUSES AND ONE FOR THE OTHER LVHN COMMUNITIES. SCHUYLKILL HEALTH SYSTEM CONDUCTED ITS COMMUNITY HEALTH NEEDS ASSESSMENT PRIOR TO JOINING LVHN. WHILE WE WORKED TOGETHER TO CRAFT ITS IMPLEMENTATION PLAN, THE TEAM AT LVH SCHUYLKILL AND THE RESIDENTS OF SCHUYLKILL COUNTY HAVE A MUCH DEEPER UNDERSTANDING OF WHAT NEEDS TO BE DONE THERE. WE FELT IT WAS IMPORTANT TO PRESENT SCHUYLKILL'S CHNA REPORT AND IMPLEMENTATION PLAN AS A SEPARATE "MATCHED SET". THE IMPLEMENTATION PLANS ARE PRESENTED IN A TABLE FORMAT AND ARE ORGANIZED BY FOUR KEY FOCUS AREAS: COMMUNITY ENGAGEMENT, AT-RISK POPULATIONS, ACCESS TO CARE AND HEALTH EQUITY, AND PREVENTION AND WELLNESS. WITHIN EACH KEY FOCUS AREA, OBJECTIVES AND TACTICS ARE DESCRIBED. THESE ADDRESS "PRIORITY AREAS" NAMED IN THE CHNA REPORTS (HOUSING AND HOMELESSNESS, FOR EXAMPLE). EACH LVHN CAMPUS HAS ITS OWN COLUMN, WITH THEIR SPECIFIC TACTICS MARKED. SOME ACTIVITIES WILL BE ADOPTED ACROSS MULTIPLE CAMPUSES. COMMUNITY COLLABORATORS FOR A PARTICULAR ITEM ALSO ARE LISTED.THE IMPLEMENTATION PLANS FOR ALL FACILITIES ARE FOUND AT: WWW.LVHN.ORG/ABOUT_US/2016_COMMUNITY_HEALTH_NEEDS_ASSESSMENT/COMMUNITY_HEALTH_NEEDS_IMPLEMENTATION_PLANS PART III, SECTION B. MEDICARE, LINE 8 MEDICARE PROGRAM COSTS INCLUDED IN THE ANNUAL LVHN COMMUNITY BENEFIT REPORT NOT INCLUDED OR ALLOWABLE IN THE MEDICARE COST REPORT TOTALED $19,919,151. THIS INCLUDES COSTS OF MEDICARE MANAGED CARE, LVPG PRACTICE SUBSIDIES, NON-REIMBURSEABLE INTEREST EXPENSE, LVAS SUBSIDY, UNIVERSITY OF SOUTH FLORIDA SCHOOL COSTS, AND DISALLOWABLE RELATED ORGANIZATION COSTS. X X X X X 1 1 0 0 0 0 0 0 0 GREGORY BRUSKO DO TRUSTEE 0 416657 0 45981 0 28222 0 0 0 20632 0 511492 0 0 WILLIAM KENT TRUSTEE 0 453135 0 58000 0 2116 0 0 0 10510 0 523761 0 0 JOSEPH E PATRUNO MD TRUSTEE 0 280784 0 75837 0 12782 0 0 0 22644 0 392047 0 0 EDWARD F O'DEA TREASURER (RETIRED 12/31/2017) 0 544344 0 120778 0 113097 0 0 0 17344 0 795563 0 0 JAMES A ROTHERHAM ASSISTANT TREASURER 0 245475 0 36563 0 -4685 0 0 0 12522 0 289875 0 0 DAVID SPRINGHETTI SECRETARY 0 186154 0 9000 0 4502 0 0 0 3381 0 203037 0 0 THOMAS V WHALEN MD ASSISTANT SECRETARY 0 650466 0 145654 0 147205 0 0 0 15796 0 959121 0 0 JAMES GEIGER TRUSTEE/PRESIDENT, LVH-M 0 350605 0 55000 0 41657 0 0 0 10496 0 457758 0 0 ANNE M DAINAUSKI REGISTERED NURSE 154519 0 500 0 -2185 0 0 0 5931 0 158765 0 0 0 ROBERT A BEGLIOMINI VP OPERATIONS 240413 0 30648 0 -5319 0 0 0 22409 0 288151 0 0 0 RHONDA THOMAS PHARMACY 151712 0 11252 0 -2202 0 0 0 9901 0 170663 0 0 0 CARMINE J PELLOSIE EXECUTIVE DIRECTOR, HEALTHWORKS 153520 67854 24809 0 2905 5812 0 0 10614 4718 191848 78384 0 0 JACQUELINE FENICLE VP PATIENT CARE SERVICES 161976 0 17476 0 -3091 0 0 0 11016 0 187377 0 0 0 JARRET R PATTON MD FORMER TRUSTEE 0 127858 0 33333 0 12283 0 0 0 8256 0 181730 0 0 PART I, LINES 4A-B GREGORY BRUSKO, DO $26,988 JARRET PATTON, MD $16,631 JAMES A. ROTHERHAM $12,522 THOMAS V. WHALEN $133,863 EDWARD F. O'DEA $115,850 JAMES GEIGER $41,591 JOSEPH PATRUNO, MD $21,265 CARMINE PELLOSIE $13,385 THESE AMOUNTS ARE ACCRUALS TO A NONQUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. A LEHIGH COUNTY GENERAL PURPOSE AUTHORITY 911886539 52480GAY0 2008-06-04 18876416 CONSTRUCT, RENOVATE & EQUIP FACILITIES 0 0 0 B LEHIGH COUNTY GENERAL PURPOSE AUTHORITY 911886539 52480GBG8 2011-04-01 54648270 REFUND 9/12/96 & 4/21/99A ISSUES; REISSUANCE OF 7/7/05 AND 6/5/08 ISSUES 0 0 0 C LEHIGH COUNTY GENERAL PURPOSE AUTHORITY 911886539 52480GCB8 2012-12-12 75067274 CONSTRUCT, RENOVATE & EQUIP FACILITIES; REFUND 10/17/01 AND 5/21/03 ISSUES 0 0 0 D LEHIGH COUNTY GENERAL PURPOSE AUTHORITY 911886539 52480GCF9 2015-07-30 96890936 CONSTRUCT, RENOVATE & EQUIP FACILITIES 0 0 0 A 18932776 247575 464911 18220290 2010 0 0 1 1 B 54648270 54528750 119520 2011 1 0 1 1 C 75067274 58470215 896598 15700000 461 2012 1 1 1 1 D 96898489 976500 21560989 74361000 2017 0 0 0 1 D 0 0 0 0 0 0 1 A 0 0 1 0 0 0 0 0 0 B 0 0 1 0 1 1 MERRILL LYNCH & GOLDMAN SACHS 20.000000000000 0 0 0 0 0 C 0 0 1 0 0 0 0 0 0 D 0 0 1 0 0 0 0 0 1 A 0 B 0 C 0 D 0 SUSAN C YEE-TRUSTEE PARTNER IN 94 BRODHEAD ASSOCIATES - TRUSTEE OF LVHN/HWC 134496 94 BRODHEAD ASSOCIATES LEASES OFFICE SPACE TO LVPG AT FAIR MARKET VALUE. 0 STEVEN FOLLETT-TRUSTEE PRESIDENT AND CEO OF FOLLETT LLC - TRUSTEE OF LVHN/LVH/LVHM 269121 FOLLETT LLC MANUFACTURES AND SELLS ICE AND WATER DISPENSERS AND MEDICAL GRADE REFRIGERATION EQUIPMENT TO LVH, LVHM, & LVPG AT FAIR MARKET VALUE. 0 X 17481 FAIR MARKET VALUE X 34888 FAIR MARKET VALUE X 25 7541 FAIR MARKET VALUE X GIFT CARDS 143 30221 COST X FAMILY ACTIVITY ITEMS 9 5106 FAIR MARKET VALUE 0 0 0 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 2017 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 16, 2016 EXECUTIVE COMPENSATION COMMITTEE MEETING. SENIOR MANAGEMENT COUNCIL (SMC) TOTAL COMPENSATION REVIEW: PROGRAM ANALYSIS: ANALYZE THE MARKET POSITION OF TOTAL COMPENSATION (SALARIES, INCENTIVES, BENEFITS, AND PERQUISITES) FOR LVHN'S SMC EXECUTIVES AND CLINICAL CHAIRS (APPROXIMATELY 31 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 16, 2016 EXECUTIVE COMPENSATION COMMITTEE MEETING. SUMMARY OF METHODOLOGY TO CONDUCT THIS ANALYSIS, SULLIVAN COTTER: COLLECTED BACKGROUND INFORMATION REGARDING LVHN'S OPERATIONS, STRUCTURE, SIZE AND SCOPE, AS WELL AS EACH POSITION'S DUTIES. COMPILED MARKET DATA FOR SMC EXECUTIVES CONSISTENT WITH THE EXECUTIVE COMPENSATION PHILOSOPHY APPROVED BY THE COMMITTEE DURING ITS SEPTEMBER 13, 2016 MEETING: THE MARKET DATA USED FOR LVHN SYSTEM EXECUTIVES IN THIS ASSESSMENT ARE AN EQUALLY WEIGHTED BLEND OF (1) A PEER GROUP OF 33 NOT-FOR-PROFIT HEALTH SYSTEMS LOCATED IN THE NORTHEAST REGION (EXCLUDING NEW YORK CITY) WITH NET OPERATING REVENUES BETWEEN $1.0 BILLION AND $4.3 BILLION (AVERAGE OF $1.8 BILLION), AND (2) NATIONAL DATA REFLECTING ORGANIZATIONS OF SIMILAR SCOPE AND SIZE TO LVHN. NATIONAL DATA ARE USED WHERE PEER GROUP DATA ARE NOT AVAILABLE. PEER GROUP AND NATIONAL MARKET DATA WERE ABSTRACTED FROM SULLIVAN COTTER'S 2016 SURVEY OF MANAGER AND EXECUTIVE COMPENSATION IN HOSPITALS AND HEALTH SYSTEMS, AS WELL AS OTHER PUBLISHED COMPENSATION SURVEYS REFLECTING PAY AT COMPARABLY SIZED ORGANIZATIONS, WHICH INCLUDED NATIONAL HOSPITALS AND NATIONAL MEDICAL GROUPS. SULLIVAN COTTER NOTES THAT NO MARKET DATA ARE PROVIDED FOR THE SVP, MEDICAL SERVICES AS THE RESPONSIBILITIES OF THAT POSITION ARE UNIQUE, SO NO BENCHMARK DATA ARE AVAILABLE. THEY RECOMMEND THAT THE COMMITTEE ASSESS THE COMPENSATION FOR THAT POSITION BASED ON INTERNAL EQUITY CONSIDERATIONS. COMPILED MARKET DATA FOR THE LVHN CLINICAL CHAIRS PREPARED BY THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES (AAMC) FOR THE CHAIRS OF CLINICAL DEPARTMENTS IN MEDICAL SCHOOLS, LVHN'S TRADITIONAL COMPARATOR GROUP FOR THESE JOBS. ADJUSTED THE MARKET DATA TO AN EFFECTIVE DATE OF JANUARY 1, 2017 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 SENIOR MANAGEMENT COUNCIL (SMC) MEMBER'S CURRENT COMPENSATION. DATA COLLECTED INCLUDE BASE SALARIES, ANNUAL INCENTIVE OPPORTUNITY LEVELS (TARGET AND MAXIMUM), ACTUAL ANNUAL INCENTIVE PAYOUT AMOUNTS, ANNUAL COSTS OF ALL STANDARD AND SUPPLEMENTAL BENEFITS AND ANNUAL COST AND DESCRIPTION OF EXECUTIVE PERQUISITES. REVIEWED JOB DESCRIPTIONS AND ORGANIZATIONAL CHARTS TO IDENTIFY EACH POSITION'S FUNCTIONAL RESPONSIBILITIES AND REPORTING RELATIONSHIPS. SELECTED THE APPROPRIATE BENCHMARK POSITION MATCH FOR EACH POSITION AND APPLIED PREMIUMS/DISCOUNTS TO THE MARKET DATA IN INSTANCES WHERE LVHN'S JOB DUTIES DIFFER MATERIALLY FROM BENCHMARK POSITION MATCHES. POSITION MATCHES AND MARKET ADJUSTMENTS WERE REVIEWED WITH LVHN'S SENIOR VICE PRESIDENT, HUMAN RESOURCES AND COMPENSATION STAFF. LVHN'S PROJECTED FY2016 NET REVENUES AND PHYSICIAN FTE'S WERE USED AS THE SCOPE SIZE FOR EACH ENTITY. FORM 990, PART VI, SECTION C, LINE 18 ANOTHER'S WEBSITE - GUIDESTAR. UPON REQUEST - HARD COPIES WITH SENIOR MANAGEMENT AND MARKETING. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH ITS ANNUAL REPORT TO THE COMMUNITY. THE ANNUAL REPORT IS DISTRIBUTED TO ALL ATTENDEES AT THE ORGANIZATIONS ANNUAL PUBLIC MEETING. IN ADDITION, IT IS DISTRIBUTED VIA MAIL TO MEMBERS OF THE COMMUNITY. THE ORGANIZATIONS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G CREDIT CARD & COLLECTION FEES : PROGRAM SERVICE EXPENSES 73,464. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 73,464. CONSULTING FEES : PROGRAM SERVICE EXPENSES 372,548. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 372,548. CLEANING, LAUNDRY & WASTE : PROGRAM SERVICE EXPENSES 1,069,538. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,069,538. BLOOD PROCESSING FEES : PROGRAM SERVICE EXPENSES 1,932,991. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,932,991. OUTSIDE IMAGING & LAB FEES : PROGRAM SERVICE EXPENSES 16,629,248. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,629,248. OTHER FEES : PROGRAM SERVICE EXPENSES 444,948. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 444,948. PHYSICIAN & PROFESSIONAL FEES : PROGRAM SERVICE EXPENSES 10,118,692. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,118,692. OTHER FEES-PROGSERV-990 : PROGRAM SERVICE EXPENSES -688,758. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -688,758. OTHER FEES-MNGMNT-990 : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 688,758. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 688,758. FORM 990, PART XI, LINE 9: CHANGES IN RESTRICTED ASSETS 340,657. LEHIGH VALLEY HEALTH NETWORK 1200 S CEDAR CREST BLVD ALLENTOWN PA 181036202 222458317 PARENT COMPANY PA 501(C)(3) LINE 12C, III-FI N/A 0 LEHIGH VALLEY HOSPITAL 2100 MACK BLVD ALLENTOWN PA 181035622 231689692 HEALTH CARE ORGANIZATION PA 501(C)(3) LINE 3 LEHIGH VALLEY HEALTH NETWORK 0 LEHIGH VALLEY PHYSICIAN GROUP 1200 S CEDAR CREST BLVD ALLENTOWN PA 181036202 232700908 PHYSICIAN PRACTICE ORGANIZATION PA 501(C)(3) LINE 3 LEHIGH VALLEY HEALTH NETWORK 0 MUHLENBERG REALTY CORPORATION 1200 S CEDAR CREST BLVD ALLENTOWN PA 181036202 232245513 REAL ESTATE RENTALS PA 501(C)(3) LINE 12C, III-FI LEHIGH VALLEY HEALTH NETWORK 0 LEHIGH VALLEY HEALTH NETWORK REALTY HOLDING CO 1200 S CEDAR CREST BLVD ALLENTOWN PA 181036202 232586770 REAL ESTATE HOLDING CO. PA 501(C)(2) LEHIGH VALLEY HEALTH NETWORK 0 NORTHEASTERN PENNSYLVANIA HEALTH CORP 700 E BROAD STREET HAZLETON PA 182016835 232421970 HEALTH CARE ORGANIZATION PA 501(C)(3) LINE 3 LEHIGH VALLEY HEALTH NETWORK 0 HAZLETON PROFESSIONAL SERVICES 700 E BROAD STREET HAZLETON PA 182016835 205880364 PHYSICIAN PRACTICE ORGANIZATION PA 501(C)(3) LINE 3 LEHIGH VALLEY PHYSICIAN GROUP 0 HAZLETON HEALTH & WELLNESS CENTER 700 E BROAD STREET HAZLETON PA 182016835 232580968 STAFFING SERVICES PA 501(C)(3) LINE 12B, II NORTHEASTERN PENNSYLVANIA HEALTH CORP 0 HAZLETON SURGICAL ALLIANCE 700 E BROAD STREET HAZLETON PA 182016835 202038456 SURGICAL SERVICES PA 501(C)(3) LINE 3 NORTHEASTERN PENNSYLVANIA HEALTH CORP 0 SCHUYLKILL HEALTH SYSTEM MEDICAL GROUP INC 700 E NORWEGIAN STREET POTTSVILLE PA 179012710 232866006 PHYSICIAN PRACTICE ORGANIZATION PA 501(C)(3) LINE 10 LEHIGH VALLEY PHYSICIAN GROUP 0 SCHUYLKILL MEDICAL CENTER-SOUTH JACKSON STREET 420 S JACKSON STREET POTTSVILLE PA 179013625 231352202 HEALTH CARE ORGANIZATION PA 501(C)(3) LINE 3 LEHIGH VALLEY HEALTH NETWORK 0 SCHUYLKILL REHABILITATION CENTER INC 420 S JACKSON STREET POTTSVILLE PA 179013625 232440891 HEALTH CARE ORGANIZATION PA 501(C)(3) LINE 3 LEHIGH VALLEY HEALTH NETWORK 0 SCHUYLKILL MEDICAL CENTER-EAST NORWEGIAN STREET 700 E NORWEGIAN STREET POTTSVILLE PA 179012710 230880420 HEALTH CARE ORGANIZATION PA 501(C)(3) LINE 3 LEHIGH VALLEY HEALTH NETWORK 0 POCONO HEALTHCARE PARTNERS 206 E BROWN STREET EAST STROUDSBURG PA 183013006 233014006 HEALTH CARE ORGANIZATION PA 501(C)(3) LINE 3 POCONO HEALTH SYSTEM 0 FAMILY CARE CENTERS INC 206 E BROWN STREET EAST STROUDSBURG PA 183013006 232349341 PHYSICIAN PRACTICE ORGANIZATION PA 501(C)(3) LINE 3 LEHIGH VALLEY PHYSICIAN GROUP 0 POCONO AMBULATORY SERVICES INC 206 E BROWN STREET EAST STROUDSBURG PA 183013006 232611474 HEALTH CARE ORGANIZATION PA 501(C)(3) LINE 3 POCONO HEALTH SYSTEM 0 POCONO HEALTH FOUNDATION 206 E BROWN STREET EAST STROUDSBURG PA 183013006 232516451 SUPPORT POCONO HEALTH SYSTEM PA 501(C)(3) LINE 12A, I POCONO HEALTH SYSTEM 0 POCONO HEALTH SYSTEM MEDICAL PROFESSIONAL LIABILITY SELF-INSURANCE TRUST 206 E BROWN STREET EAST STROUDSBURG PA 183013006 206560453 SELF-INSURANCE PA 501(C)(3) LINE 12A, I POCONO HEALTH SYSTEM 0 POCONO MEDICAL CENTER 206 E BROWN STREET EAST STROUDSBURG PA 183013006 240795623 HEALTH CARE ORGANIZATION PA 501(C)(3) LINE 3 POCONO HEALTH SYSTEM 0 POCONO VNA-HOSPICE 206 E BROWN STREET EAST STROUDSBURG PA 183013006 232535297 HEALTH CARE ORGANIZATION PA 501(C)(3) LINE 10 POCONO HEALTH SYSTEM 0 POCONO HEALTH SYSTEM 206 E BROWN STREET EAST STROUDSBURG PA 183013006 232336285 SUPPORT POCONO MEDICAL CENTER PA 501(C)(3) LINE 12B, II LEHIGH VALLEY HEALTH NETWORK 0 WEST END COMMUNITY AMBULANCE ASSOCIATION 206 E BROWN STREET EAST STROUDSBURG PA 183013006 232532377 AMBULATORY MEDICAL SERVICES PA 501(C)(3) LINE 10 POCONO HEALTH SYSTEM 0 LVHN RECIPROCAL RISK RETENTION GROUP 151 MEETING STREET STE 301 CHARLESTON SC 294012238 200037118 INSURANCE PA LEHIGH VALLEY HEALTH NETWORK RELATED 3290785 0 0 0.11110 HEALTH NETWORK LABORATORIES LLC 794 ROBLE ROAD ALLENTOWN PA 181099110 232932802 LABORATORY SERVICES PA LEHIGH VALLEY HOSPITAL RELATED 12539 146249 0 0 0.14690 HEALTH NETWORK LABORATORIES LP 794 ROBLE ROAD ALLENTOWN PA 181099110 232948774 LABORATORY SERVICES PA LEHIGH VALLEY HOSPITAL RELATED 1454617 26831477 0 0 0.14400 LEHIGH VALLEY IMAGING LLC 1230 S CEDAR CREST BLVD ALLENTOWN PA 181036202 464551937 IMAGING CENTER PA N/A HAZLETON SURGERY CENTER LLC 17480 DALLAS PARKWAY STE 210 DALLAS TX 752877304 201232531 SURGICAL SERVICES TX N/A SCHUYLKILL HEALTH SYSTEM MEDICAL MALL LP 700 SCHUYLKILL MANOR ROAD POTTSVILLE PA 179013849 232514813 RENTAL PA N/A POCONO AMBULATORY SURGERY CENTER LTD 1 STORM STREET STROUDSBURG PA 183602406 232611442 SURGERY PA N/A LEHIGH VALLEY HEALTH SERVICES INC 2100 MACK BLVD ALLENTOWN PA 181035622 232263665 HEALTH CARE RELATED SERVICES PA N/A C 0 LEHIGH VALLEY ANESTHESIA SERVICES PC 2100 MACK BLVD ALLENTOWN PA 181035622 233096124 ANESTHESIA SERVICES PA N/A C 0 WESTGATE PROFESSIONAL CENTER INC 2100 MACK BLVD ALLENTOWN PA 181035622 231657333 REAL ESTATE RENTALS PA LEHIGH VALLEY HOSPITAL - MUHLENBERG C 18587 5222534 1.00000 0 LEHIGH VALLEY PHYSICIAN HOSPITAL ORGANIZATION INC 2100 MACK BLVD ALLENTOWN PA 181035622 232750430 HEALTH CARE RELATED SERVICES PA N/A C 0 HAZLETON SAINT JOSEPH MEDICAL OFFICE BUILDING INC 700 E BROAD STREET HAZLETON PA 182016835 232500981 MEDICAL OFFICE RENTAL PA N/A C 0 SCHUYLKILL HEALTH SYSTEM DEVELOPMENT CORPORATION 700 E NORWEGIAN STREET POTTSVILLE PA 179012710 232432417 PURSUES, IMPLEMENTS, & FURTHERS THE ACTIVITIES & PURPOSES OF THE SYSTEM PA N/A C 0 SCHUYLKILL MEDICAL PLAZA - CONDOMINIUM ASSOCIATION 420 S JACKSON STREET POTTSVILLE PA 179013625 232931821 CONDOMINIUM ASSOCIATION PA N/A C 0 1 0 0 1 1 0 0 0 0 1 1 1 1 1 1 1 1 0 1 WESTGATE PROFESSIONAL CENTER INC K 66000 FAIR MARKET VALUE