2018-05-11T07:26:38-05:00 2017-06-30 990 2016-07-01 232866006 SCHUYLKILL HEALTH SYSTEM MEDICAL GROUP INC SCHU 4848840130 700 EAST NORWEGIAN STREET POTTSVILLE PA 17901 THOMAS MARCHOZZI EXECUTIVE VP & CFO 4848840130 2018-05-10 192.234.106.2 2018-05-10 09:54:11 ED P 49837C5433ED37C0D08C9BDB2C3D66DAED5A8D4F 28BB051D3229D9F2DF4AA54AF39A127344D33DD2 2016 2021-01-29 14:40:06Z BRIAN A NESTER 700 EAST NORWEGIAN STREET POTTSVILLE PA 17901 2859509 0 X WWW.SCHUYLKILLHEALTH.COM X 1998 PA PROVIDING HEALTHCARE SERVICES TO THE COMMUNITY. 17 15 10 10 0 0 0 0 2528369 2859509 0 0 0 0 2528369 2859509 0 0 0 0 2952236 3945064 0 0 0 954407 1091323 3906643 5036387 -1378274 -2176878 502925 835208 6102303 8611464 -5599378 -7776256 X TO SUPPORT AND PROMOTE THE PURPOSES OF SCHUYLKILL HEALTH SYSTEM, SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET, SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET, SCHUYLKILL REHABILITATION CENTER, AND ANY OTHER AFFILIATED ENTITY. 1 0 5036387 2859509 RECEIVE, MAINTAIN, AND DISTRIBUTE FUNDS OR OTHER ASSETS AND TO ADMINSTER AND APPLY THE INCOME OR PRINCIPAL THEREOF EXCLUSIVELY FOR THE CHARITABLE, EDUCATIONAL, AND SCIENTIFIC ACTIVITIES OF SCHUYLKILL MEDICAL CENTER - EAST, OR ANY ENTITY SPONSORED BY OR OTHERWISE AFFILIATED WITH SCHUYLKILL HEALTH, WHICH IS AN EXEMPT ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE.PATIENTS SEEN IN FISCAL YEAR 2017: LAUREL BLVD-INTERNAL MEDICINE = 7,180; INTERNAL MEDICINE-CAL BLVD = 2,464; INTERNAL MEDICINE-CRESSONA = 486; PINE GROVE-FAMILY PRACTICE = 5,824; SMG-ORTHOPEDICS = 1,685; CARDIOLOGY-CAL BLVD = 392. 5036387 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 6 0 1 10 1 0 0 0 0 0 0 0 0 0 0 X 17 15 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 700 EAST NORWEGIAN STREET POTTSVILLE PA 17901 WILLIAM J REPPY PRESIDENT 1.00 39.00 X X 0 232873 31391 ANTHONY BARAN VICE CHAIR 1.00 3.00 X X 0 0 0 FRANKLIN K SCHOENEMAN TRUSTEE 1.00 3.00 X 0 0 0 DEBRA C BLASCHAK SECRETARY 1.00 3.00 X X 0 0 0 E LORI SMITH TRUSTEE 1.00 4.00 X 0 0 0 JEANNE BOYER PORTER TREASURER 1.00 3.00 X X 0 0 0 STEVEN I FIELD TRUSTEE 1.00 3.00 X 0 0 0 WILLIAM E KIRWAN CPA ESQ CHAIRMAN 1.00 3.00 X X 0 0 0 SYED SHAH MD TRUSTEE 1.00 3.00 X 0 0 0 TIMOTHY F TWARDZIK TRUSTEE 1.00 3.00 X 0 0 0 ROBERT M ZIMMERMAN JR DO TRUSTEE 1.00 3.00 X 0 0 0 AMRIT F NARULA MD TRUSTEE 1.00 3.00 X 0 0 0 RICHARD GONZALEZ TRUSTEE 1.00 4.00 X 0 0 0 REV HAROLD L HAND TRUSTEE 1.00 3.00 X 0 0 0 THOMAS L KENNEDY ESQ TRUSTEE 1.00 3.00 X 0 0 0 DARNELL FURER TRUSTEE 1.00 3.00 X 0 0 0 THOMAS V WHALEN MD MMM TRUSTEE 1.00 3.00 X 0 943325 15796 ROBERT BORAN JR PHYSICIAN 40.00 0.00 X 263948 0 21909 CRISTIN WEICKER PHYSICIAN 40.00 0.00 X 299086 0 19257 ROBERT DECOLLI PHYSICIAN 40.00 0.00 X 295872 0 22089 RICHARD RUSSELL PHYSICIAN 40.00 0.00 X 263646 0 20452 FARID RAZAVI PHYSICIAN 40.00 0.00 X 185785 0 972 DIANE BORIS VP FINANCE/CFO 0.00 0.00 X 0 157907 21905 SUE CURRY VP NURSING/CNO 0.00 0.00 X 0 170585 25369 1308337 1504690 179140 6 1 1 0 WEATHERBY LOCUMS PO BOX 927633 DALLAS TX 753972633 LOCUM PHYSICIANS - PEDIATRIC & PULMONARY 166178 1 OUTPATIENT REVENUE 621110 2859509 2859509 2859509 2859509 2859509 0 0 3301320 3301320 445603 445603 198141 198141 369106 369106 18692 18692 41233 41233 121312 121312 74032 74032 65260 65260 MEDICAL SUPPLIES 227627 227627 BAD DEBTS 100024 100024 CONTRACT PERSONNEL 64334 64334 NON MEDICAL SUPPLIES 3592 3592 6111 6111 5036387 5036387 0 0 346202 180983 151914 654216 4809 9 0 0 502925 835208 194486 472392 5907817 8139072 6102303 8611464 X -5599378 -7776256 -5599378 -7776256 502925 835208 -2176878 0 X 0 1 X 1 0 X 1455136 1828983 1974303 2528369 2859509 10646300 1455136 1828983 1974303 2528369 2859509 10646300 0 0 0 10646300 68118 68118 1455136 1828983 2042421 2528369 2859509 10714418 0.99360 0.99240 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: BAD DEBT RECOVERY - 2014 AMOUNT: $ 68,118. 0 DUE TO/FROM AFFILIATES 8139072 8139072 X PART X, LINE 2: LVHN AND OTHER SUBSIDIARIES ARE GENERALLY EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, EXCEPT FOR TAX IMPOSED ON UNRELATED BUSINESS INCOME. THE MOST RECENT DETERMINATION LETTER, RECEIVED BY THE ORGANIZATION, IS DATED MAY 1, 2014. LVHN AND ITS SUBSIDIARIES ACCOUNT FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740. THE ORGANIZATION'S FOR-PROFIT COMPONENTS RECOGNIZE DEFERRED TAX ASSETS AND LIABILITIES FOR THE FUTURE TAX IMPACT OF TEMPORARY DIFFERENCES BETWEEN AMOUNTS RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS AND THEIR RESPECTIVE TAX BASES AND THE FUTURE BENEFIT OF UTILIZATION NET OPERATING LOSS CARRYFORWARDS. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. INCOME TAXES OF THE ORGANIZATION'S TAX-EXEMPT AND FOR-PROFIT COMPONENTS ARE NOT MATERIAL TO THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. 1 1 0 0 0 0 0 0 0 WILLIAM J REPPY PRESIDENT 0 202873 0 30000 0 0 0 5343 0 26048 0 264264 0 0 THOMAS V WHALEN MD MMM TRUSTEE 0 650466 0 145654 0 147205 0 0 0 15796 0 959121 0 0 ROBERT BORAN JR PHYSICIAN 263948 0 0 0 0 0 0 0 21909 0 285857 0 0 0 CRISTIN WEICKER PHYSICIAN 260888 0 38198 0 0 0 0 0 19257 0 318343 0 0 0 ROBERT DECOLLI PHYSICIAN 257674 0 38198 0 0 0 0 0 22089 0 317961 0 0 0 RICHARD RUSSELL PHYSICIAN 239916 0 23730 0 0 0 0 0 20452 0 284098 0 0 0 FARID RAZAVI PHYSICIAN 185785 0 0 0 0 0 0 0 972 0 186757 0 0 0 DIANE BORIS VP FINANCE/CFO 0 157907 0 0 0 0 0 4846 0 17059 0 179812 0 0 SUE CURRY VP NURSING/CNO 0 170585 0 0 0 0 0 5297 0 20072 0 195954 0 0 PART I, LINE 3 COMPENSATION FOR THE CEO IS DETERMINED BY A RELATED ORGANIZATION USING THE FOLLOWING METHODS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION STUDY, AND APPROVAL BY THE BOARD AND COMPENSATION COMMITTEE. PART I, LINES 4A-B THOMAS V. WHALEN, MD $133,863 THE ABOVE AMOUNT IS AN ACCRUAL TO A NONQUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. FORM 990, PART III, LINE 2 SEVERAL NEW PHYSICIANS WERE ADDED TO LEHIGH VALLEY PHYSICIAN GROUP - SCHUYLKILL DURING THE YEAR. PRACTICES WERE ADDED TO CLAUDE A LORD BLVD IN POTTSVILLE FOR INTERNAL MEDICINE AND CARDIOLOGY, A PRACTICE WAS ALSO ADDED IN CRESSONA FOR INTERNAL MEDICINE. ALL THREE OF THESE PRACTICES WERE PART OF THE FORMER POTTSVILLE INTERNIST ASSOCIATES GROUP. LVPG-S ALSO EMPLOYS PEDIATRIC HOSPITALISTS AS WELL AS AN INPATIENT PHYSIATRIST. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S SOLE CORPORATE MEMBER IS LEHIGH VALLEY PHYSICIAN GROUP. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S SOLE CORPORATE MEMBER, LEHIGH VALLEY PHYSICIAN GROUP, 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 PHYSICIAN GROUP, 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 AND CONTROLLER. 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 AND 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 - PRINTED COPIES WITH SENIOR MANAGEMENT AND MARKETING. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, LINE 1 THERE IS AN EXECUTIVE COMMITTEE THAT MEETS AS NEEDED. THE COMMITTEE INCLUDES THE CHAIRMAN, VICE-CHAIRMAN, TREASURER, SECRETARY, AND PRESIDENT/CEO OF THE BOARD OF DIRECTORS. THIS COMMITTEE DOES HAVE THE AUTHORITY TO MAKE DECISIONS, IF NEEDED. LEHIGH VALLEY HEALTH NETWORK 1200 S CEDAR CREST BLVD ALLENTOWN PA 181036202 222458317 PARENT COMPANY PA 501(C)(3) LINE 12C, III-FI N/A 0 LEHIGH VALLEY HOSPITAL 2100 MACK BLVD ALLENTOWN PA 181035622 231689692 HEALTH CARE ORGANIZATION PA 501(C)(3) LINE 3 LEHIGH VALLEY HEALTH NETWORK 0 LEHIGH VALLEY HOSPITAL-MUHLENBERG 1200 S CEDAR CREST BLVD ALLENTOWN PA 181036202 232367707 HEALTH CARE ORGANIZATION PA 501(C)(3) LINE 3 LEHIGH VALLEY HEALTH NETWORK 0 LEHIGH VALLEY PHYSICIAN GROUP 1200 S CEDAR CREST BLVD ALLENTOWN PA 181036202 232700908 PHYSICIAN PRACTICE ORGANIZATION PA 501(C)(3) LINE 3 LEHIGH VALLEY HEALTH NETWORK 0 MUHLENBERG REALTY CORPORATION 1200 S CEDAR CREST BLVD ALLENTOWN PA 181036202 232245513 REAL ESTATE RENTALS PA 501(C)(3) LINE 12C, III-FI LEHIGH VALLEY HEALTH NETWORK 0 LEHIGH VALLEY HEALTH NETWORK REALTY HOLDING CO 1200 S CEDAR CREST BLVD ALLENTOWN PA 181036202 232586770 REAL ESTATE HOLDING CO. 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 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 310 CHARLESTON SC 294012238 200037118 INSURANCE SERVICES PA N/A HEALTH NETWORK LABORATORIES LLC 794 ROBLE ROAD ALLENTOWN PA 181099110 232932802 LABORATORY SERVICES PA N/A HEALTH NETWORK LABORATORIES LP 794 ROBLE ROAD ALLENTOWN PA 181099110 232948774 LABORATORY SERVICES PA N/A LEHIGH MAGNETIC IMAGING CENTER 1230 S CEDAR CREST BLVD ALLENTOWN PA 181036202 232429007 IMAGING CENTER PA N/A LEHIGH VALLEY IMAGING LLC 1200 S CEDAR CREST BLVD ALLENTOWN PA 181036202 464551937 IMAGING SERVICES PA N/A HAZLETON SURGERY CENTER LLC 17480 DALLAS PARKWAY STE 210 DALLAS TX 752877304 201232531 SURGICAL SERVICES PA HAZLETON SURGICAL ALLIANCE RELATED 298698 642381 0 0 0.66500 SCHUYLKILL HEALTH SYSTEM MEDICAL MALL LP 700 SCHUYLKILL MANOR ROAD POTTSVILLE PA 179013849 232514813 REAL ESTATE RENTALS PA N/A POCONO AMBULATORY SURGERY CENTER LTD 1 STORM STREET STROUDSBURG PA 183602406 232611442 SURGICAL SERVICES 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 233906125 ANESTHESIA SERVICES PA N/A C 0 WESTGATE PROFESSIONAL CENTER INC 2100 MACK BLVD ALLENTOWN PA 181035622 231657333 REAL ESTATE RENTALS PA N/A C 0 LEHIGH VALLEY PHYSICIAN HOSPITAL ORGANIZATION INC 2100 MACK BLVD ALLENTOWN PA 181035622 232750430 HEALTH CARE RELATED SERVICES PA N/A C 0 HAZLETON SAINT JOSEPH MEDICAL OFFICE BUILDING INC 700 E BROAD 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 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0