LEHIGH VALLEY HOSPITAL-HAZLETON: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
LEHIGH VALLEY HOSPITAL-HAZLETON (EIN 23-2421970)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-11
IRS object ID
201621329349302277
Schema version
2014v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-11T12:01:36-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN232421970EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Northeastern Pennsylvania Health CorpBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt
Phone5705014000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 E Broad StAddressLine1Txt
CityHazletonCityNm
State AbbreviationPAStateAbbreviationCd
ZIP18201ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonEdward F O'DeaPersonNm
Person TitleExec VP & CFOPersonTitleTxt
Phone6104027501PhoneNum
Signature2016-05-11SignatureDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBrian A NesterPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 E Broad StAddressLine1Txt
CityHazletonCityNm
State AbbreviationPAStateAbbreviationCd
ZIP18201ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$202,586,539GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttp://hazleton.lvhn.org/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1985FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionWe heal, comfort and care for the people of our community by providing advanced and compassionate health care of superior quality and value, supported by education and clinical research.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee899TotalEmployeeCnt
Total Volunteers5TotalVolunteersCnt
Total Gross UBI$757,313TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$116,269NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$238,186PYContributionsGrantsAmt
CY Contributions Grants$252,029CYContributionsGrantsAmt
PY Program Service Revenue$57,596,443PYProgramServiceRevenueAmt
CY Program Service Revenue$119,840,534CYProgramServiceRevenueAmt
PY Investment Income$4,743,224PYInvestmentIncomeAmt
CY Investment Income$4,613,882CYInvestmentIncomeAmt
PY Other Revenue$754,546PYOtherRevenueAmt
CY Other Revenue$1,121,268CYOtherRevenueAmt
PY Total Revenue$63,332,399PYTotalRevenueAmt
CY Total Revenue$125,827,713CYTotalRevenueAmt
PY Grants And Similar Paid$25,011PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$90,738CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$26,744,887PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$54,545,510CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$28,074,914PYOtherExpensesAmt
CY Other Expenses$54,940,094CYOtherExpensesAmt
PY Total Expenses$54,844,812PYTotalExpensesAmt
CY Total Expenses$109,576,342CYTotalExpensesAmt
PY Revenues Less Expenses$8,487,587PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$16,251,371CYRevenuesLessExpensesAmt
Total Assets BOY$144,293,845TotalAssetsBOYAmt
Total Assets EOY$151,668,170TotalAssetsEOYAmt
Total Liabilities BOY$69,702,131TotalLiabilitiesBOYAmt
Total Liabilities EOY$62,459,224TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$74,591,714NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$89,208,946NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWe heal, comfort and care for the people of our community by providing advanced and compassionate health care of superior quality and value, supported by education and clinical research.MissionDesc
Significant New Program SrvcYes (1)SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$92,150,647ExpenseAmt
Grant$90,738GrantAmt
Revenue$122,529,182RevenueAmt
DescLehigh Valley Hospital-Hazleton provides a full range of hospital inpatient, outpatient, therapeutic, diagnostic, imaging, maternity and rehabilitation care, as well as emergency room services to the residents of Greater Hazleton, regardless of race, religion, or economic status. See Schedule O for new projects done to enhance the quality and efficiency of our mission. View our community report at http://hazleton.lvhn.org/Desc
Total Program Service Expenses$92,150,647TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document116IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee899EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The OrganizationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5705014972PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 E Broad StAddressLine1Txt
CityHazletonCityNm
State AbbreviationPAStateAbbreviationCd
ZIP18201ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Thomas L Kennedy Esquire
Chair-Board of Trustee0.00Yes (X)$0$0$0
Arvind Srinivasan MD
Vice Chair-Board of Trustee0.00Yes (X)$0$0$0
John R Madden PhD
Member-Board of Trustee0.00Yes (X)$0$0$0
Michael J Leib
Member-Board of Trustee0.00Yes (X)$0$0$0
Jill T Snyder DO
Member-Board of Trustee0.00Yes (X)$0$0$0
Philip J Benyo MD
Member-Board of Trustee0.50Yes (X)$0$488,259$21,85040.00
Anthony P Veglia MD
Member-Board of Trustee0.00Yes (X)$0$0$0
Mark J Lobitz DO
Member-Board of Trustee0.00Yes (X)$0$0$0
Michael A Washinsky DO
Member-Board of Trustee1.00Yes (X)$0$233,507$18,581
Anthony Cusatis
Member-Board of Trustee0.00Yes (X)$0$0$0
Susan C Yee
Member-Board of Trustee0.00Yes (X)$0$0$0
Linda L Lapos MD
Member-Board of Trustee0.00Yes (X)$0$0$0
Terry Capuano
Ex Officio LVHN Member Rep0.30Yes (X)$0$797,002$38,76160.00
John R Fletcher
President, Ex Officio44.00$374,524$0$10,33916.00Yes (X)
William C Bauer
Assistant Treasurer44.00$265,263$0$36,47216.00Yes (X)
Edward F O'Dea
Treasurer1.00$0$660,544$42,76260.00Yes (X)
Jane Danish
Secretary29.00$101,061$0$31,01711.00Yes (X)
Barbara A Forte
Assistant Secretary29.00$59,336$0$3,31511.00Yes (X)
Michael Golden
Chief Nursing Officer44.00$197,544$0$34,58316.00Yes (X)
Anthony Valente
VP of Medical Affairs22.00$212,840$0$35,0968.00Yes (X)
Donald A Patten
Physician32.00$284,393$0$36,8580.00Yes (X)
Joseph G Ciotola
Physician32.00$221,356$0$36,3870.00Yes (X)
John P Amentler
Physician40.00$212,716$0$8,6100.00Yes (X)
James D Edwards
Former President44.00$223,637$0$29,04616.00Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,152,670TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,179,312TotReportableCompRltdOrgAmt
Total Other Compensation$383,677TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K30IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Hazleton Anesthesia Services
10 Commerce DrNew RochelleNY10801Anesthesia service$1,872,054
Philips Healthcare
22100 Bothell Everett HwyBothellWA980218431Biomedical equip maintenance Serv$760,540
Laboratory Corp of America
PO Box 12140BurlingtonNC27216Laboratory service$702,876
McKay Consulting Inc
8590 Business Park DrShreveportLA71105Consulting service$622,675
Marval Medical
149 N Vine StHazletonPA18201Hospitalist service$445,104
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K26CntrctRcvdGreaterThan100KCnt
Fundraising$906FundraisingAmt
Government Grants$212,413GovernmentGrantsAmt
All Other Contributions$38,710AllOtherContributionsAmt
Noncash Contributions$636NoncashContributionsAmt
Total Contributions$252,029TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Outpatient Revenue621990$62,726,730$61,969,417$757,313
Inpatient Revenue621990$55,527,884$55,527,884
EHR Revenue621990$1,585,920$1,585,920
FieldValueIRS element (for citing)
Total Program Service Revenue$119,840,534TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,127,652TotalRevenueColumnAmt
Exclusion$2,127,652ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$118,181RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$118,181RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$118,181TotalRevenueColumnAmt
Exclusion$118,181ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$79,229,954SecuritiesAmt
Other$3,326OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$76,709,056SecuritiesAmt
Other$37,994OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,520,898SecuritiesAmt
Other-$34,668OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,486,230TotalRevenueColumnAmt
Related Or Exempt Func Income$2,486,230RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$55,132FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$906ContriRptFundraisingEventAmt
Fundraising Direct Expenses$11,776FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$43,356TotalRevenueColumnAmt
Exclusion$43,356ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria & Gift Shop Revenue900099$496,550$496,550
MSA Revenue - HWC541610$188,331$188,331
Equity in Affiliates900003$58,679$58,679

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$216,171TotalRevenueColumnAmt
Related Or Exempt Func Income$216,171RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$959,731OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$125,827,713TotalRevenueColumnAmt
Related Or Exempt Func Income$122,529,182RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$757,313UnrelatedBusinessRevenueAmt
Exclusion$2,289,189ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$90,738TotalAmt
Program Services$90,738ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,698,556TotalAmt
Program Services$564,769ProgramServicesAmt
Management And General$1,133,787ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$40,687,512TotalAmt
Program Services$34,391,164ProgramServicesAmt
Management And General$6,296,348ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,075,967TotalAmt
Program Services$932,154ProgramServicesAmt
Management And General$143,813ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,029,459TotalAmt
Program Services$6,904,743ProgramServicesAmt
Management And General$1,124,716ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,054,016TotalAmt
Program Services$2,583,407ProgramServicesAmt
Management And General$470,609ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$250,115TotalAmt
Program Services$115ProgramServicesAmt
Management And General$250,000ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$180,263TotalAmt
Program Services$180,263ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$14,303TotalAmt
Management And General$14,303ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$6,306TotalAmt
Management And General$6,306ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$124,127TotalAmt
Management And General$124,127ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,062,668TotalAmt
Program Services$5,954,607ProgramServicesAmt
Management And General$108,061ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$289,825TotalAmt
Program Services$3,217ProgramServicesAmt
Management And General$286,608ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,370,170TotalAmt
Program Services$1,526,135ProgramServicesAmt
Management And General$844,035ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$780,445TotalAmt
Program Services$457,556ProgramServicesAmt
Management And General$322,889ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,845,105TotalAmt
Program Services$2,582,624ProgramServicesAmt
Management And General$262,481ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$156,927TotalAmt
Program Services$124,325ProgramServicesAmt
Management And General$32,602ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$43,627TotalAmt
Program Services$32,336ProgramServicesAmt
Management And General$11,291ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$984,711TotalAmt
Management And General$984,711ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,455,360TotalAmt
Program Services$1,922,592ProgramServicesAmt
Management And General$3,532,768ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$962,042TotalAmt
Program Services$556,381ProgramServicesAmt
Management And General$405,661ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Medical Supplies$11,412,538$11,412,538
Practice Support$9,642,425$9,642,425
Bad Debt Expense$8,350,897$8,350,897
Equipment Rental & Main$2,026,034$2,026,034

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,982,206TotalAmt
Program Services$1,911,627ProgramServicesAmt
Management And General$1,070,579ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$109,576,342TotalAmt
Program Services$92,150,647ProgramServicesAmt
Management And General$17,425,695ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,777BOYAmt
EOY$1,775EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,126,092BOYAmt
EOY$3,779,880EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$8,486,602BOYAmt
EOY$9,125,222EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,956,873BOYAmt
EOY$1,760,343EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,032,535BOYAmt
EOY$1,040,830EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$46,720,793LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,391,862LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$40,297,343BOYAmt
EOY$38,328,931EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$78,116,030BOYAmt
EOY$93,432,701EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$566,533BOYAmt
EOY$202,833EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$8,710,060BOYAmt
EOY$3,995,655EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$144,293,845BOYAmt
EOY$151,668,170EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$12,404,717BOYAmt
EOY$11,467,369EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,481,189BOYAmt
EOY$1,125,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$27,415,000BOYAmt
EOY$25,765,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$27,401,225BOYAmt
EOY$24,101,855EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$69,702,131BOYAmt
EOY$62,459,224EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$73,851,865BOYAmt
EOY$88,447,674EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$83,201BOYAmt
EOY$118,570EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$656,648BOYAmt
EOY$642,702EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$74,591,714BOYAmt
EOY$89,208,946EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$144,293,845BOYAmt
EOY$151,668,170EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$16,251,371ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$3,010,631NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$1,376,492OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$38DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$6,268OtherActivitiesAmt
Total Lobbying Expenditures$6,306TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationItem II-B, Line 1, Item i, represents indirect lobbying activities performed by hospital associations of which we are members.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,534,367OtherCostOrOtherBasisAmt
Depreciation$2,411,540DepreciationAmt
Book Value$21,122,827BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$25,063OtherCostOrOtherBasisAmt
Depreciation$1,822DepreciationAmt
Book Value$23,241BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,226,905OtherCostOrOtherBasisAmt
Depreciation$5,978,500DepreciationAmt
Book Value$7,248,405BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,524,458OtherCostOrOtherBasisAmt
Book Value$1,524,458BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$38,328,931TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
SERP PROVISION$13,048,326
ACCRUED M/A SETTLEMENTS$9,180,348
PENSION PAYABLE - DC PLAN$664,334
CAPITALIZED LEASES$124,002
MALPRACTICE LIABILITY EST$785,753
DUE FROM AFFILIATES$157,904
MISCELLANEOUS LIABILITIES$141,188
FieldValueIRS element (for citing)
Total Liability$24,101,855TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationIn 2014, the Organization adopted Financial Accounting Standards Board (FASB) Interpretation No. 48 "Accounting for Uncertainty in Income Taxes" ("FIN 48"). FIN 48 has become a part of ASC 740, FIN 48/ASC 740 establishes that the financial statement effects of a tax position taken or expected to be taken are to be recognized in the financial statements when it is more likely than not, based on technical merits, that the position will be sustained upon IRS examination, FIN 48 became effective for fiscal year 2014 for the Organization, upon becoming affiliated with Lehigh Valley Health Network. The Organization has analyzed tax positions taken on federal income tax returns for all open tax years for the taxable entities and has determined that as of June 30, 2015, there are no uncertain tax positions taken or expected to be taken that would require recognition in the financial statements. The Organization has analyzed specific criteria regarding the exempt 501(c)(3) status for the tax exempt entities and has determined that as of June 30, 2015, the Organization is compliant with the qualifications for exemption from Federal income tax.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Golf TournamentEvent1Nm
Gross Receipts Event1$55,768GrossReceiptsEvent1Amt
Charitable Contri Event1$636CharitableContriEvent1Amt
Gross Revenue Event1$55,132GrossRevenueEvent1Amt
Non Cash Prizes Event1$745NonCashPrizesEvent1Amt
Rent Facility Costs Event1$6,788RentFacilityCostsEvent1Amt
Food And Beverage Event1$1,193FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$3,050OtherDirectExpensesEvent1Amt
Event2Annual Giving Fund DriveEvent2Nm
Gross Receipts Event2$270GrossReceiptsEvent2Amt
Charitable Contri Event2$270CharitableContriEvent2Amt
Gross Receipts Total$56,038GrossReceiptsTotalAmt
Charitable Contributions Tot$906CharitableContributionsTotAmt
Gross Revenue Total Events$55,132GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$745NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$6,788RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$1,193FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$3,050OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$11,776DirectExpenseSummaryEventsAmt
Net Income Summary$43,356NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,130,500TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,130,500NetCommunityBenefitExpnsAmt
Total Expense0.03090TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,952,928TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,099,162DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,853,766NetCommunityBenefitExpnsAmt
Total Expense0.05780TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,083,428TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,099,162DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,984,266NetCommunityBenefitExpnsAmt
Total Expense0.08870TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$562,688TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$157,755DirectOffsettingRevenueAmt
Net Community Benefit Expns$404,933NetCommunityBenefitExpnsAmt
Total Expense0.00400TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$136,617TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,925DirectOffsettingRevenueAmt
Net Community Benefit Expns$119,692NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$547,887TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$547,887NetCommunityBenefitExpnsAmt
Total Expense0.00540TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$90,738TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$90,738NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,337,930TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$174,680DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,163,250NetCommunityBenefitExpnsAmt
Total Expense0.01150TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$24,421,358TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,273,842DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,147,516NetCommunityBenefitExpnsAmt
Total Expense0.10020TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$249,002TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$249,002NetCommunityBenefitExpnsAmt
Total Expense0.00250TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,475TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,475NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,822TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,822NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$319,076TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$319,076NetCommunityBenefitExpnsAmt
Total Expense0.00320TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$578,375TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$578,375NetCommunityBenefitExpnsAmt
Total Expense0.00580TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$8,350,897BadDebtExpenseAmt
Bad Debt Expense Attributable$1,176,975BadDebtExpenseAttributableAmt
Reimbursed By Medicare$39,471,751ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$37,846,796CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$1,624,955MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 Beltway Health LPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesMedical Office Space RentalPrimaryActivitiesTxt
Org Profit Or Ownership0.43780OrgProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Northeastern Pennsylvania Health CorpBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 E Broad StAddressLine1Txt
CityHazletonCityNm
State AbbreviationPAStateAbbreviationCd
ZIP18201ZIPCd
FieldValueIRS element (for citing)
Website Addresshttp://hazleton.lvhn.org/WebsiteAddressTxt
State License083701StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Northeastern Pennsylvania Health CorporaBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://hazleton.lvhn.orgOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted Website0StrategyPostedWebsiteInd
Strategy AttachedYes (1)StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttp://hazleton.lvhn.orgFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttp://hazleton.lvhn.orgFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttp://hazleton.lvhn.orgFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit Other ActionsYes (X)PermitOtherActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Average Negotiated RatesYes (X)AverageNegotiatedRatesInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Northeastern Pennsylvania Health CorporationPart V, Section B, Line 5: Tripp Upbach,a private healthcare consulting firm headquartered in Pittsburgh, Pennsylvania facilitated and managed a comprehensive community health needs assessment (CHNA) on behalf of Northeastern Pennsylvania Health Corporation, currently doing business as Lehigh Valley Hospital-Hazleton, resulting in the identification of community health needs. The assessment process included input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge and expertise of public health issues.A series of meetings were facilitated by the consultants and the CHNA oversight committee consisting of leadership from Lehigh Valley Hospital-Hazleton (LVH-H). The health of a community is largely related to the characterisitics of its residents. An individual's age, race, gender, education, and ethnicity often directly or indirectly impact health status and access to care. Tripp Upbach completed comprehensive analysis of health status and socio-economic environmental factors related to the health of residents of the hospital community from existing data sources such as state and county public health agencies, the Centers for Disease Control and Prevention (CDC), County Health Rankings, Thomson Reuters, Prevention Quality Indicators (PQI), Community Needs Index (CNI), U.S. Census, Pennsylvania Department of Health, Center for Rural Pennsylvania, and other data sources.Tripp Umbach worked closely with the CHNA oversight committee to identify leaders from organizations that have special knowledge and/or expertise in public and community health. Such persons were interviewed as part of the needs assessment planning process. A series of 13 interviews were completed with key stakeholders in the hospital community between January and April 2013.The consultant worked closely with the CHNA oversight committee to ensure that community members, including under-represented residents, were included in the needs assessment planning process via one focus group conducted by Tripp Umbach in the Lehigh Valley Hospital-Hazleton community in April 2013. Focus group audiences were defined by the CHNA oversight committee utilizing secondary data to identify health needs and deficits in target populations. The focus group audience included residents earning a low income that are Medicaid-ineligible, senior residents earning a low income, and Latino residents.
Northeastern Pennsylvania Health CorporationPart V, Section B, Line 6a: The mission of the Lehigh Valley Hospital-Hazleton (LVH-H) Community Health Needs Assessment (CHNA) is to understand and plan for the current and future health needs of the residents of its community. The goal of the process is to identify the health needs of the communities served by LVH-H, while developing a deeper understanding of community needs and identifying community health priorities. Important to the success of the community needs assessment process is meaningful engagement and input from a broad cross-section of community based organizations, who were partners in the community health needs assessment. In conducting our CHNA, we took into account input from representatives of the community including Lehigh Valley Hospital-Hazleton, Freeland Senior Citizens Center, Buenas Nuevas Church, County Assistance Office-Hazleton District, Greater Hazleton Chamber of Commerce, Bureau of Aging-Hazleton and Freeland Centers, Rural Health Corp NEPA, Serento Gardens (Alcoholism and Drug Addiction Services), Greater Hazleton School District, Penn State University-Hazleton, the Central Susquehanna Intermediate Unit's Migrant Workers Education Program, Lehigh Valley Physician Group-Hazleton's Pediatric Office, United Way of Greater Hazleton, Northeast Counseling Services (Mental Health Services), Hazleton City Police Department, Commission on Economic Opportunity (C.E.O.), Hazleton Integration Project/Hazleton One Community Center, Luzerne County Community College-Hazleton Center, Anthracite Region Center for Independent Living (ARCIL) (Disability Services), Can Do Economic Development Organization, First Federal Foundation, Luzerne Foundation, Hazleton YWCA-YMCA, Catholic Social Services-Hazleton, State Senator John Yudichak-C.O.S, and Luzerne Schuylkill Workforce Investment Board.
Northeastern Pennsylvania Health CorporationPart V, Section B, Line 7d: Our Community Health Needs Assessment is also available upon request.
Northeastern Pennsylvania Health CorporationPart V, Section B, Line 18d: Billing activities include hospital sending four statements requesting payment, along with an SPO-1 letter which requests insurance information and includes information on applying for Medical Assistance, before any collection actions occur. The statements include information about the hospital's Financial Assistance Policy, soliciting the patient's participation in the Financial Assistance Program.
Part V, Section B, Line 16Financial Assistance Policy Website Availability
Northeastern Pennsylvania Health Corpora Part V, Section B, line 16a website:http://hazleton.lvhn.org
Northeastern Pennsylvania Health Corpora Part V, Section B, line 16b website:http://hazleton.lvhn.org
Northeastern Pennsylvania Health Corpora Part V, Section B, line 16c website:http://hazleton.lvhn.org

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:Lehigh Valley Hospital-Hazleton also uses an Asset Test to determine whether an individual is eligible for financial assistance. The only assets that are used for this test are cash balances in bank accounts.
Part I, Line 6a:The Community Benefit Report is issued by Lehigh Valley Health Network - EIN 22-2458317, the parent company of Lehigh Valley Hospital-Hazleton.
Part I, Line 7:The costing methodology is cost to charge ratio for programs with gross charges and direct costs for programs without gross charges.
Part I, Line 7g:The subsidized health services of $547,887 includes the Telemedicine Services and the Hospitalist Program. These service expenses are not included in the Medical Assistance Shortfall or Uncompensated Charity Care value reported above.
Part I, Ln 7 Col(f):The Bad Debt Expense included on Form 990, Part IX, Line 25(A) is $8,350,897.
Part II, Community Building Activities:Our Community Building Activities include the following:Community Support includes Patient Advocates, Interpretation Services and Patient Satisfaction Surveys.Coalition Building includes activities related to Community Boards such as United Way and the YMCACommunity Health Improvement Advocacy includes employee time volunteering for the free clinic.Workforce Development includes recruitment costs, job shadowing and student clinical advisors.
Part III, Line 2:Amounts reported as bad debt expense are reported net of applicable patient payments, insurance payments and contractual allowances as well as other hospital discounts for which the patient is deemed eligible. The ratio of costs-to-charges (RCC) is applied to the net amount to determine the bad debt expense.
Part III, Line 3:Bad debt expense is calculated using the worksheet provided by IRS instructions. The bad debt expense attributable to patients eligible under our charity care policy was estimated using a sampling of accounts transferred to bad debts that were written off. We ran the patient information that we had through a third-party software package to determine estimated eligibility for charity care had the patient provided the information necessary to complete the charity care application.
Part III, Line 4:The Organization records a provision for bad debts related to uninsured accounts net of the amounts generally billed (AGB) discount to record the net self-pay accounts receivable at the estimated amounts the Organization expects to collect. Coinsurances and deductibles within the third-party payer agreements are the patient's responsibility so the Organization includes these amounts in the self-pay accounts receivable and considers these amounts in its determination of the provision for bad debts based on historical collection experience.In instances where the Organization believes a patient has the ability to pay for services and, after appropriate collection effort, payment is not made, the amount of services not paid is written-off as bad debts. Amounts recorded as Provision for bad debts do not include charity care. The Provision for bad debts for the years ended ended June 30 2015 and 2014, was $5,739,000 and $5,445,755 respectively.
Part III, Line 8:The source of the Medicare allowable costs relating to revenue received from Medicare is the FY '15 Medicare Cost Report. For the current fiscal year, there is no Medicare shortfall using only allowable costs; however, if all costs are considered, a shortfall would exist of $4.6 million. The entire shortfall should be treated as a community benefit. The hospital is providing the community a benefit in excess of Medicare payments.
Part III, Line 9b:Financial Counseling staff assists patients in applying for Medicaid, CHIP, as well as financial assistance under our Financial Assistance Policy. Accounts that do not meet the eligibility requirements will be followed up in-house or referred to an external receivables follow up agency, and if not paid, referred to a collection agency, and, subsequently, transferred to bad debt status if the accounts remain unpaid.
Part VI, Line 2:The objective of this assessment is to analyze traditional health-related indicators, as well as social, demographic, economic, and environmental factors. This project was developed and implemented to meet the individual project goals as defined by the project oversight committee, which included: (1) Assuring that community members, including under-represented residents and those with broad-based racial, ethnic, cultural and linguistic backgrounds are included in the needs assessment process. In addition, persons with special knowledge of, or expertise in public health; federal, tribal, regional, state or local health or other departments or agencies, with current data or other information relevant to the health needs of the community served by the hospital facility; and leaders, representatives or members of medically underserved, low-income and minority populations with chronic disease needs, in the community served by the hospital facility are included in the needs assessment process through data collection and key stakeholder interviews. (2) Obtaining statistically valid information on the health status and socio-economic and environmental factors related to the health of residents in the community and supplementing the general population survey data that is currently available. (3) Developing accurate comparisons to baseline health measures utilizing the most current validated data. (4) Developing a CHNA document as required by the Patient Protection and Affordable Care Act (PPACA). The assessment established the following priorities: (1) Improving access to affordable healthcare (2) Health education and communication (3) Behaviors that impact health.
Part VI, Line 3:Consistent with the mission and values of Lehigh Valley Health Network, it is the policy to provide medical care to all individuals without regard to their ability to pay for services. The Patient Financial Assistance Program applies to uninsured and under-insured individuals who participate in the process to evaluate their ability to pay for LVH-H services.The Financial Counselors help patients complete the application for Financial Assistance. LVH-H follows the Federal Poverty Guidelines to evaluate eligibility. Patients whose family income falls below 200% of the Federal Poverty guideline will have their entire balance forgiven for their qualifying services at LVH-H. Patients with a family income below 400% of the Federal Poverty guidelines will have a portion of their balance forgiven for qualifying services at LVH-H.Patients often express financial concern or need by contacting LVH-H Patient Financial Services Department. The Counselor explains 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 and in the Emergency Department (ED).Information regarding Financial Assistance is provided to patients via signage in the registration areas as well as the ED waiting room. Also, when the Financial Counselors assist patients in completing a Medicare uninsured and under-insured application, they also inform the patient about the Patient Financial Assistance Program. In addition, LVH-H advertises our Financial Assistance Program on our public website, as well as on all billing statements sent to out patients.
Part VI, Line 4:Northeastern Pennsylvania Health Corp, d/b/a Lehigh Valley Hospital-Hazleton (LVH-H) is a Pennsylvania not-for-profit corporation exempt from federal income taxes as a corporation described in Section 501(c)(3) of the Internal Revenue Code.The primary service area of LVH-H consists of Luzerne, Schuykill and Carbon counties.During the fiscal year 2015, 85.7% and 7.6% of the discharges from LVH-H were residents of the primary service and secondary service area, respectively. During the fiscal year 2015, 6.7% of the discharges from LVH-H were residents outside the primary and secondary areas.
Part VI, Line 5:Lehigh Valley Hospital-Hazleton qualifies as an Institure of Purely Public Charity in Pennsylvania. This regulation is referred to as Act 55. To be considered a purely public charity, nonprofits must:(1) advance a charitable purpose;(2) donate or render gratuitously a substantial portion of its services;(3) benefit a substantial and indefinite class of persons who are legitimate subjects of charity;(4) relieve the government of some burden; and(5) operate entirely free from private profit motive.LVH-H is required to reapply for this charitable status every five years and currently qualifies through July 31, 2018.
Part VI, Line 6:The mission of the Lehigh Valley Hospital-Hazleton (LVH-H) Community Health Needs Assessment (CHNA) is to understand and plan for the current and future health needs of the residents of its community. The goal of the process is to identify the health needs of the communities served by LVH-H, while developing a deeper understanding of community needs and identifying community health priorities. The assessment established the following priorities: (1) Improving access to affordable healthcare (2) Health education and communication (3) Behaviors that impact health. Our first objective was to improve access and the health of the community we serve through financial support of a free clinic. Financial support was provided and an Executive Director was hired. The clinic opened on 01/22/2015. Our second objective was to improve the health of the community we serve through education and outreach. Health programs continue to be offered through the Occupational Medicine, nursing and various other clinical departments. These included both educational programs as well as health fairs. Specific health programs were offered in cooperation with the Manufacturers Association of Eastern Pennsylvania to include ergonomics and OSHA guideline training. OSHA partnered in the program. As of 06/30/14, 19 health fairs and programs were held. These programs reached 1,331 participants, 387 health screenings were conducted as a result of the health fairs. Program information was distributed to 277 corporate clients. An additional 3 expanded health fairs were requested and conducted at three corporate partners. Our third objective was to improve access and the health of the community we serve by offering non-traditional hours. Our physician practice, Lehigh Valley Physician Group-Hazleton (LVPG-H) opened an urgent care center (ExpressCare) in July 2014. Hours are Monday through Friday: 8AM to 8PM and Weekends and Holidays: 10AM to 6PM. Evaluation will continue to add additional locations. Our fourth objective was to implement programs that positively affect behaviors that impact health. Several programs were offered in addition to health fairs. Programs included Breast Health, Prostate screening, education in the changes in the Pennsylvania Medicaid insurance products for residents, as well as health education at the Hazleton Integration Program (HIP). Leadership had several meetings with the HIP leadership to understand needs. Financial support was provided and quarterly health programs were established to begin in 2015.
Part III, Section B. Medicare, Line 8Medicare program costs included in the annual LVHN Community Benefit Report not included or allowable in the Medicare Cost Report totaled $9,001,301. The costs of Medicare Managed Care, included in this amount is $2,562,845. The remaining $6,438,456 of costs not included in the Medicare Cost Report consists primarily of LVPG-H practice subsidies, Physician costs in excess of allowable amounts, and other Medicare disallowable costs.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
American Cancer Society
PO Box 2306HazletonPA18201131788491501(c)(3)$12,500To continue the mission of the American Cancer Society to eliminate cancer as a major health problem
American Heart Association
10900-B Stonelake Blvd Suite 320AustinTX78759135613797501(c)(3)$5,000To continue the mission of the American Heart Association to advance the health of communities
Downtown Hazleton Alliance for Progress
20 W Broad StHazletonPA18201464210453501(c)(3)$30,000To continue the mission to revitalize the downtown Hazleton area
Minsi Trails Council
PO Box 20624Lehigh ValleyPA180020624231708585501(c)(3)$7,500To continue the mission of the Boy Scouts of America
Mountain Council on Governments
20 W Broad StHazletonPA18201233054092501(c)(3)$5,000To continue the mission to study community challenges
The Wiltsie Center
1 S CHURCH ST SUITE 200HAZLETONPA18201501(c)(3)$5,000To support the performing arts center in our community.
FieldValueIRS element (for citing)
Total501c3 Org6Total501c3OrgCnt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Philip J Benyo MD
Member-Board of Trustee$0$478,042$0$0$0$10,217$0$0$0$21,850$0$510,109$0$0
Michael A Washinsky DO
Member-Board of Trustee$0$233,507$0$0$0$0$0$0$0$18,581$0$252,088$0$0
Terry Capuano
Ex Officio LVHN Member Rep$0$534,571$0$159,451$0$102,980$0$0$0$38,761$0$835,763$0$0
John R Fletcher
President, Ex Officio$300,624$0$60,000$0$13,900$0$0$0$10,339$0$384,863$0$0$0
William C Bauer
Assistant Treasurer$229,870$0$35,393$0$0$0$0$0$36,472$0$301,735$0$0$0
Edward F O'Dea
Treasurer$0$465,134$0$113,322$0$82,088$0$0$0$42,762$0$703,306$0$0
Michael Golden
Chief Nursing Officer$175,051$0$22,493$0$0$0$0$0$34,583$0$232,127$0$0$0
Anthony Valente
VP of Medical Affairs$188,598$0$24,242$0$0$0$0$0$35,096$0$247,936$0$0$0
Donald A Patten
Physician$276,221$0$0$0$8,172$0$0$0$36,858$0$321,251$0$0$0
Joseph G Ciotola
Physician$221,356$0$0$0$0$0$0$0$36,387$0$257,743$0$0$0
John P Amentler
Physician$212,716$0$0$0$0$0$0$0$8,610$0$221,326$0$0$0
James D Edwards
Former President$53,530$0$120,000$0$50,107$0$0$0$29,046$0$252,683$0$0$0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonSusan C Yee - TrusteePersonNm
FieldValueIRS element (for citing)
Relationship DescriptionPartnership in 94 Brodhead Associates - Trustee of LVHN/LVH/LVHM/LVHH/HWCRelationshipDescriptionTxt
Transaction$123,964TransactionAmt
Transaction94 Brodhead Associates leases office space to LVPG at fair market value.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, line 2Northeastern Pennsylvania Health Corporation, d/b/a Lehigh Valley Hospital-Hazleton continues to pursue opportunities to provide and/or enhance quality services for the community we serve. We continued development and implementation of the Electronic Medical Record (EMR) system to meet Meaningful Use requirements; continued to fulfill commitment to a three-year financial pledge to support a community-based organization's development of a free clinic for the uninsured; continued implementation of our Community Health Needs Assessment plan based on community needs; continued implementation of our strategic plan to recruiting orthopedic and oncology specialists to begin the development of comprehensive orthopedic and oncology programs in our service area; recruited 11 physicians and advance care practitioners to the medical staff to meet the growing health needs of our community; developed and internet-based patient health portal; began a medical staff development plan to support and further the mission of the hospital; made application for Level IV Trauma Center designation; continued extensive work to implement ICD-10 coding; began planning for the development of a health center in Mountain Top, PA to open in March 2016, including physician practices and outpatient diagnostic testing services; started a Veterans Health Initiative to better serve the basic health needs of area veterans.
Form 990, Part VI, Section A, line 6The Organization's sole corporate member is Lehigh Valley Health Network, Inc.
Form 990, Part VI, Section A, line 7aThe 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 7bThe 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 11The 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 12cIn 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 15LEHIGH VALLEY HEALTH NETWORK 2015 Executive Compensation Review In compliance with the rebuttable presumption of reasonableness process outlined in the Intermediate Sanctions regulations (issued under Section 4958 of the Internal Revenue Code); Sullivan Cotter and Associates, Inc. (Sullivan Cotter) qualifies as an independent executive compensation expert, specializing in the health care industry. Sullivan Cotter provides advice to the Lehigh Valley Health Network Executive Compensation Committee of the Board of Trustees to support its attainment of the rebuttable presumption of reasonableness under the Intermediate Sanctions regulations. They also support the committee in ensuring that the LVHN executive compensation program is competitive and aligned with the organization's executive compensation philosophy. Chief Executive Officer Total Compensation Review: Program Analysis: Analyze the market position of total compensation (base salary, incentive, benefits, and perquisites) for LVHN's President and Chief Executive Officer (CEO) in relation to CEO market data obtained for a defined peer group of comparable health systems. This includes the preparation of tally sheets for the President and CEO as well as an analysis of Form 990 compensation data. They assess the alignment of the President and CEO's compensation with LVHN's compensation philosophy and note the implications of the review. Sullivan Cotter's analyses and findings are summarized in a report to the Committee that provides a reasonableness opinion for the Intermediate Sanctions compliance. The report was provided by Sullivan Cotter at the August 17, 2015 Executive Compensation Committee Meeting. Senior Management Council (SMC) Total Compensation Review: Program Analysis: Analyze the market position of total compensation (salaries, incentives, benefits, and perquisites) for LVHN's SMC executives and Clinical Chairs (approximately 30 total positions) in relation to comparable positions in peer organizations. This includes the preparation of tally sheets for each individual. Sullivan Cotter's analyses and findings are summarized in a report to the Committee that also provides an opinion of reasonableness for Intermediate Sanctions compliance. . The report was provided by Sullivan Cotter at the August 17, 2015 Executive Compensation Committee Meeting. Summary of Methodology To conduct this analysis, Sullivan Cotter: Collected background information regarding LVHN's operations, structure, size and scope, as well as each position's duties. Compiled market data for SMC executives consistent with the Executive Compensation Philosophy approved by the Committee during its September 16, 2014 meeting: o 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. o Peer group and national market data were abstracted from Sullivan Cotter's 2014 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. o Sullivan Cotter notes that no market data are provided for the SVP, Medical Services as the responsibilities of that position are unique, so no benchmark data are available. They recommend that the Committee assess the compensation for that position based on internal equity considerations. Compiled market data for the LVHN clinical chairs prepared by the Association of American Medical Colleges (AAMC) for the chairs of clinical departments in medical schools, LVHN's traditional comparator group for these jobs. Adjusted the market data to an effective date of January 1, 2016 at an annualized rate of 3.0% based on salary increase trends. Compared each component of LVHN's benefit program against typical market benefit practices in health systems and hospitals based on multiple published surveys, supplemented by Sullivan Cotter's proprietary data and experience. Developed market total compensation data by combining market TCC with typical market benefit costs. Compared LVHN's TC to market rates and assessed overall positioning. For physician executives having both clinical and administrative roles, relevant market data were collected based on FTE allocation. o Sullivan Cotter has not completed an assessment of the physician's productivity or the Fair Market Value (FMV) of their clinical compensation, as LVHN has advised that such amounts are appropriate and within FMV. Sullivan Cotter used the following methodology to assess the competitiveness and reasonableness of LVHN's executive total compensation levels: Collected background information regarding LVHN's operations, structure, size and scope. Collected information on each Senior Management Council (SMC) member's current compensation. o 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. o 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. o LVHN's projected FY2015 net revenues and physician FTE's were used as the scope size for each entity.
Form 990, Part VI, Section C, line 18Another's website-Guidestar. Upon request-hard copies with senior management and marketing.
Form 990, Part VI, Section C, line 19The Organization makes its financial statements available to the public through its Annual Report to the community. The Annual Report is distributed to all attendees at the Organization's annual public meeting. In addition, it is distributed via mail to members of the community. The organization's governing documents and conflicts of interest policy are not available to the public.
Form 990, Part XI, line 9:Minimum pension liability 1,763,278. Loss on impairment -184,335. Minority interest - HSA 511,338. Change in temporarily & permanently restricted assets 21,423. Transfers from affiliates -735,212.
Form 990, Part XI, Line 2cThe Audit Committee of the Board of Trustees assumes responsibility for oversight of the audit and selection of an independent auditor.
Form 990, Part VI, Section A, Line 6Lehigh Valley Health Network, a PA non-profit corporation is Northeastern Pennsylvania Health Corporation's sole member. There are no stockholders.
Form 990, Part VI, Section A, Line 7aLehigh Valley Health Network, the sole member, appoints the directors.
Form 990, Part VI, Section A, Line 7bLehigh Valley Health Network, the sole member, makes and ratifies the decisions as specified in Northeastern Pennsylvania Health Corporation's bylaws.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Lehigh Valley Health Network
1200 S Cedar Crest BlvdAllentownPA181036202222458317Parent CompanyPA501(c)(3)Line 3N/A0
Lehigh Valley Hospital
2100 Mack BlvdAllentownPA181035622231689692Health Care OrganizationPA501(c)(3)Line 30Lehigh Valley Health Network
Lehigh Valley Hospital-Muhlenberg
1200 S Cedar Crest BlvdAllentownPA181036202232367707Health Care OrganizationPA501(c)(3)Line 30Lehigh Valley Health Network
Lehigh Valley Physician Group
1200 S Cedar Crest BlvdAllentownPA181036202232700908Physician Practice OrganizationPA501(c)(3)Line 30Lehigh Valley Health Network
Muhlenberg Realty Corporation
1200 S Cedar Crest BlvdAllentownPA181036202232245513Real Estate RentalsPA501(c)(3)Line 30Lehigh Valley Health Network
Lehigh Valley Health Network Realty Holding Co
1200 S Cedar Crest BlvdAllentownPA181036202232586770Real Estate Holding CoPA501(c)(2)0Lehigh Valley Health Network
Hazleton Professional Services
700 E Broad StHazletonPA182016835205880364Physician Practice OrganizationPA501(c)(3)Line 30Lehigh Valley Physician Group
Hazleton Surgical Alliance
700 E Broad StHazletonPA182016835202038456Surgical ServicesPA501(c)(3)Line 30Northeastern Pennsylvania Health Corp
Hazleton Health & Wellness Center
700 E Broad StHazletonPA182016835232580968Staffing ServicesPA501(c)(3)Line 11a, I0Northeastern Pennsylvania Health Corp

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
LVHN Reciprocal Risk Retention Group
151 Meeting Street Suite 310CharlestonSC294012238200037118InsurancePAN/A
Health Network Laboratories LLC
794 Roble RdAllentownPA181099110232932802Laboratory ServicesPAN/A
Health Network Laboratories LP
794 Roble RdAllentownPA181099110232948774Laboratory ServicesPAN/A
Lehigh Magnetic Imaging Center
1230 S Cedar Crest BlvdAllentownPA18103232429007Imaging CenterPAN/A
Lehigh Valley Imaging LLC
1200 Cedar Crest BlvdAllentownPA181036202464551937Imaging ServicesPAN/A
Hazleton Surgery Center LLC
17480 Dallas Pkwy Ste 210DallasTX752877304201232531Surgical ServicesPAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
Lehigh Valley Health Services Inc
2100 Mack BlvdAllentownPA181035622232263665Health Care Related ServicesPAN/AC0
Lehigh Valley Anesthesia Services PC
2100 Mack BlvdAllentownPA181035622233096124Anesthesia ServicesPAN/AC0
Westgate Professional Center Inc
2100 Mack BlvdAllentownPA181035622231657333Real Estate RentalsPAN/AC0
Lehigh Valley Physician Hospital Organization Inc
2100 Mack BlvdAllentownPA181035622232750430Health Care related ServicesPAN/AC0
Hazleton Saint Joseph Medical Office Building Inc
700 E Broad StHazletonPA182016835232500981Medical Office RentalPAC0Northeastern Pennsylvania Health Corp-$6,108$117,7221.00000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Hazleton Saint Joseph Medical Office Building IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeKTransactionTypeTxt
Involved$10,455InvolvedAmt
Method Of Amount DeterminationActual rent amountMethodOfAmountDeterminationTxt

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