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        <BusinessNameLine1>Lehigh Valley Hospital</BusinessNameLine1>
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        <City>Allentown</City>
        <State>PA</State>
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      <Name>Edward F O'Dea</Name>
      <Title>Sr VP Finance and CFO</Title>
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      <DateSigned>2013-05-10</DateSigned>
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      <NameOfPrincipalOfficerPerson>Ronald W Swinfard</NameOfPrincipalOfficerPerson>
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      <Description>LVH offers a continuum of health care promotion, prevention, diagnosis, treatment and rehabilitation to the community. Extensive outpatient and educational services are provided at locations throughout the region and are a part of a healthcare network established by LVH to meet the medical, surgical and educational needs of the residents of the Lehigh Valley and beyond.The following summary reflects the general classification of acute care beds as of June 30, 2012.Medical/Surgical-380, Obstetrics/Gynecology-37, Medical/Surgical Intensive Care Unit-32, Cardiac Intensive Care Unit-12, Neonatal Intensive Care Unit-32, Pediatric Intensive Care Unit-8, Open Heart Unit-9, Burn Unit-18, Trauma/Neuro Intensive Care Unit-14, Neuroscience Intensive Care Unit-14, Transitional Trauma Unit-30, Pediatric Unit-28, Psychiatry (Adult)-52, Psychiatry (Adolescent)-13, Transitional Open Heart Unit-30, Progressive Coronary Care Unit-32, Total-741. In addition, LVH operates 27 bassinets in its Nursery.LVH serves as a referral center for approximately two million residents of surrounding counties in eastern Pennsylvania, with a special focus in the following key areas:Cardiovascular ServicesLVH is one of the largest cardiovascular programs in the Commonwealth of Pennsylvania. LVH performed 821 open-heart surgeries and 10,837 cardiac catheterization and electrophysiology procedures during the fiscal year ended June 30, 2012. It consistently ranks in the top 1% in the nation for heart attack survival. It received five of a possible eight "lower than expected" mortality ratings for coronary artery bypass graft and valve procedures in the Cardiac Surgery in Pennsylvania 2008-2009 report published by the Pennsylvania Health Care Cost Containment Council. In addition to operating one of the most experienced cardiac programs in the country, LVH's heart and heart surgery program was cited as a "high performer" in US News and World Report in their Best Hospitals national rankings. LVH's Regional Heart Center provides disease prevention, acute care and rehabilitation services, including but not limited to:Medical Cardiology, Interventional Cardiology (Diagnostic, Therapeutic, Peripheral Vascular), Electrophysiology (Diagnostic, Therapeutic), Open Heart Surgery (Complex Heart Valve Surgery, Transaortic Valve Replacement, Ventricular Assist Device), Vascular Surgery (Acute Aortic Treatment, Peripheral Arterial Disease, Carotid Stenting), Cardiac Rehabilitation, Specialized Programs-Cardiovascular Prevention Program, Woman's Heart Program, Heart Disease and Pregnancy,MI Alert Program,Therapeutic Hypothermia, Sports Cardiology,Hypertrophic Cardiomyopathy,Arrhythmia Care,Pacer/ICD Lead Removal.Neurosciences ServicesLVH provides treatment for stroke, brain tumors, aneurysms, back problems and other neurological disorders that accounted for 7,030 admissions during the fiscal year ended June 30, 2012 in the following areas: Neurosurgery, Pain Management, Neurology, Neuropsychology, Neuro-Imaging, Neuro-Oncology, Neuro-Interventional Radiology. LVH provides stroke services through its Regional Comprehensive Stroke Program which began operations in July, 2002. Since that time, the Stroke Center has treated 11,859 patients from northeastern Pennsylvania and western New Jersey. In addition, LVH was the first primary stroke center in the Lehigh Valley certified by the Joint Commission and was the first stroke program to be surveyed for Comprehensive Stroke Center status in Pennsylvania.Orthopedic ServicesThe Division of Orthopedic Surgery treats musculoskeletal disorders of the upper and lower extremities as well as the spine. Subspecialists with fellowship credentials provide the following services: joint replacement, spinal disorders, sports medicine, hand and wrist surgery, foot and ankle surgery, orthopedic trauma and pediatric orthopedics. In the fiscal year ended June 30, 2012, there were 7,758 total orthopedic cases of which 4,163 were inpatient and 3,595 were outpatient. In 2012, the LVH Orthopedic program was recognized by US News and World Report for being in the top 50 orthopedic programs in the country.Behavioral Health ServicesLVH operates inpatient behavioral health programs for adolescents and adults. The combined programs rank first in total beds in use, admissions, patient days and occupancy rate in Lehigh, Northampton, Carbon, Monroe, Schuylkill, and Berks counties. Clinical programs include psychiatric, psychological, nursing, dual diagnosis, psychiatric rehabilitation, social work and discharge planning services. LVH also provides ambulatory behavioral healthcare, including: Psychiatric Evaluation Service program in all three hospital emergency departments Three Partial Hospital programs for adults and adolescents Several large outpatient group practices providing multidisciplinary short-term treatment to children, adolescents, adults and geriatric patients Two outpatient mental health clinics for seriously and persistently mentally ill adults Two residential treatment sites, supporting and educating adults in independent living skills. Both these sites and the clinics are funded in part, under a contract with Lehigh County Department of Human Services through funds provided by County of Lehigh and the Pennsylvania Department of Public Welfare.Psychiatric Home Care servicesConsultation /Liaison Psychiatry, Education and Research and service offerings to schools, nursing homes and other community agencies round out LVH's contribution to the health and well-being of the region.Trauma and Burn ServicesIn 1981, LVH became the first hospital in Pennsylvania to be designated as a Level I Trauma Center and is currently the second largest trauma program in Pennsylvania, admitting 3,635 patients in the fiscal year ended June 30, 2012. This program provides comprehensive trauma care and serves as a major regional resource covering a ten county area and a patient base of more than two million. LVH is also one of four Level I trauma programs in the state with additional qualifications in pediatric trauma. The Lehigh Valley Hospital Trauma Program provides a continuum of care for the trauma patient with one of eight trauma surgeons in-house 24 hours a day covering a 14 bed Trauma/Neuro Intensive Care unit as well as a 28 bed Transitional Trauma unit. A trauma rehabilitation team completes this continuum of trauma care.LVH also provides a Regional Burn Center operating 18 beds serving northeastern Pennsylvania, western New Jersey and parts of New York. The Regional Burn Center is the largest burn program in Pennsylvania, admitting 687 patients in fiscal year 2012 and has received certification from the American Burn Association and the American College of Surgeons to provide comprehensive inpatient and outpatient care for both adult and pediatric patients. Since 2008, the Regional Burn Center has implemented a TeleBurn service, which provides rapid access to our comprehensive burn care to more than 45 hospitals in Pennsylvania and New Jersey.In addition, LVH coordinates pre-hospital emergency medical services and provides a 24 hour-a-day air ambulance service operating four helicopters covering eastern Pennsylvania and western New Jersey. Lehigh Valley Hospital MedEvac performs over 1,500 flights annually, including both on-scene and inter-facility patient transports.Magnet Status for Nursing ExcellenceIn August 2002, the American Nurses Credentialing Center (ANCC) granted Magnet designation to LVH and LVH-Muhlenberg, the first full-service hospitals in Pennsylvania to receive the recognition. Developed by the ANCC in 1994, the Magnet designation is the American Nurses Association's highest honor for excellence in nursing and recognizes both hospitals as national leaders in nursing education, research, patient satisfaction, quality care, job retention and the central role of nursing in the organization. Magnet designation is for a period of four years, at which time an organization must reapply. The reapplication process is intense, necessitating that hospitals demonstrate increasingly higher standards than previous applications. In 2006 and 2011, LVHN hospitals were redesignated as Magnet hospitals, continuing to demonstrate the required evidence of a practice environment in which professional nurses and interdisciplinary colleagues deliver the highest standards of quality care.</Description>
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        <Description>Continued from 4(a)-Cancer ServicesThe John and Dorothy Morgan Cancer Center offers a range of cancer services in two convenient, patient-focused locations, one at the Cedar Crest Site and another in Bethlehem at the Muhlenberg campus. The program is a selected member of the prestigious National Community Cancer Centers Program (NCCCP) administered by the National Cancer Institute(NCI). Cancer care programs include prevention, detection, diagnosis, and all forms of therapy, plus clinical trials, rehabilitation and the evaluation of cancer-related care. The Cancer Center is a partner with H.Lee Moffitt Cancer Center of Tampa, Florida and the Wistar Scientific and Biology Institute of Philadelphia, PA both of who are NCI designated cancer centers.Cancer Center facilities include physicians' offices, conference rooms, private education and counseling areas, multi-purpose treatment area for infusions, procedure room and radiation oncology facilities including:Linear accelerators (6),CT Simulators,Stereotaxic Body Radiosurgery Therapy,Brachytherapy-high and low dose rate,Gamma Knife,3-D treatment planning,Intensity Modulated Radiation Therapy,Image Guided Radiation Therapy.The faculty of the Cancer Center is composed of physicians who are cancer care specialists and board-certified in all fields of cancer therapy and evaluation. In addition, LVH participates in the 1-800-PA-CANCER telephone line, the Pennsylvania Department of Health's toll-free cancer information and resource phone number. Specially trained nurses from LVH provide callers with information about institutions, agencies, services and programs in the caller's communities that meet their cancer-related needs.In calendar year 2011, the Cancer Center saw over 3,117 new cancer patients, making the Center the fourth largest in Pennsylvania. An analysis of the Pennsylvania State Tumor Registry data shows that LVH has 12% of the estimated cancer market share in LVH's nine-county market, including 62% in Lehigh County, 30% in Northampton County and 30% in Carbon County. Inpatient oncology admissions were 3,904 in the fiscal year ended June 30, 2012 and outpatient volumes were 86,208 radiation treatments, 64,397 infusion treatments and 51,872 breast procedures. Women's ServicesLVH offers programs and services designed to provide complete care for women in the Lehigh Valley. LVH delivered 4,153 babies during the fiscal year ended June 30, 2012. LVH maintains a special focus on prenatal care as a component of its comprehensive obstetric and gynecology services. The department of Obstetrics and Gynecology at LVH provides a variety of services to the women in the Greater Lehigh Valley and surrounding communities within Northeastern Pennsylvania. The Obstetrical portion of the department provides a vast array of services for both routine and high risk, complex obstetrical patients.Obstetrics - Physicians and Certified midwives provide general obstetrical care within LVH. Midwives offer their patients a family centered approach to low risk prenatal and general delivery care. They are independent allied health professionals who enjoy staff privileges and work under a collaborative agreement with designated physicians. General Obstetrics provide care to low to medium risk pregnancies and handle most deliveries at LVH.Maternal Fetal Medicine - These physicians have specialized training and are available to provide complex, high risk prenatal care which includes: genetic counseling, amniocentesis, chorionic villus sampling and ultrasound. They currently reside on the Labor and Delivery and Perinatal Units to provide direct patient care, supervision and assist to ensure patients receive quality care.Gynecology - LVH maintains a special focus on procedural and technological gynecological interventions (Gyn minimally invasive surgery), laparoscopic surgery, preoperative consultation and evaluation of pre-invasive and invasive gynecologic malignancies (cancer care), pelvic floor disorders (Urogynecology) and Reproductive Endocrinology &amp; Infertility.Women's services offers preventative care programs in a variety of lecture based series covering issues addressing young, middle and older females related to wellness and prevention. These include diverse support groups, community health fairs related to women, bilingual prenatal education, childbirth classes, lactation consultation and postpartum depression. "Our First" program is designed to address the needs of first time parents in addition to the Healthy Beginnings Plus programs for the underserved, uninsured and under insured patients of the community.Children's Hospital at Lehigh Valley HospitalChildren's Hospital at Lehigh Valley Hospital, introduced in May 2012, offers the most wide-ranging, specialized health care services of any facility in the region. It is the region's only Children's ER, Pediatric Intensive Care Unit and the only associate member of the Children's Hospital Association, the organization that recognizes children's hospitals in the U.S.LVHN completed a "children's care checklist" made by the late Forrest Moyer, MD, the Lehigh Valley's father of pediatrics. LVHN recently accomplished the last two goals on the list for the community by opening the Children's emergency room in 2011 and establishing a pediatric residency program.LVHN's board-certified physicians provide children's care in 28 specialties including critical care, burn care, cancer, pulmonology, neurology, endocrinology including diabetes and gastroenterology. There are also 71 general pediatricians and 81 pediatric specialists on staff. Inpatient pediatric services include 111 licensed beds for general pediatrics, pediatric intensive care, neonatal intensive care and adolescent psychiatry. Children can receive care as an outpatient in the Children's ER at the Cedar Crest Site and the sleep center at the 17th &amp; Chew Site. Other pediatric services included within the health network are the pediatric ambulatory surgery center and the outpatient infusion area at LVH-Muhlenberg in Bethlehem.Pharmacy ServicesHealth Spectrum Pharmacy Services offers a range of pharmacy services in three convenient, patient focused locations: one at the Cedar Crest Site, one at the 17th &amp; Chew Site and one at LVH-Muhlenberg. A fourth pharmacy located near the Cedar Crest Site provides home infusion services to residents of surrounding counties in eastern Pennsylvania. Pharmacy services include prescriptions, compounding, specialty medications, over-the-counter, herbal/alternative medications, personal care products, first aid, wound care, ostomy, knee braces, orthotics, vascular garments, post-mastectomy, breast prostheses, diabetic supplies, and home infusion.The retail pharmacies are accredited by The Board of Certification/Accreditation International and the home infusion pharmacy is accredited by Community Health Accreditation Program. The retail pharmacies are equipped with workflow, counting cell, and bar code scanning technology. Pills in a Pouch compliance packaging is also offered. In fiscal year 2012 354,036 prescriptions were filled and 3,187 infusion patients were serviced.The Lehigh Valley Health Network inpatient pharmacy services are nationally recognized for efforts in medications safety and advances in technology. In 2003, the Institute for Safe Medication Practices recognized LVHN with in annual Cheers Award for safety. The department utilizes advances medications safety technologies including CPOE, Bedside Barcoding Medication verification, two medication dispensing robots, automated dispensing cabinets, and smart IV pump technologies. The staff has board certified clinical pharmacy specialists in the areas of Oncology, Trauma, Burn, Pediatrics, Cardiology, and General Medicine and uses a unit based model to provide pharmacy services at the point of care. The department leaders hold national and regional board level and fellowship positions to provide state of the art leadership in pharmacy practice.</Description>
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        <Description>Continued from 4(b)-Estimated Value of Free Care, Community Service,Charitable Contributions, and Professional and Community Education - Medicare Shortfall 67,475,118, Medical Assistance Shortfall 31,613,830, Uncompensated Charity Care 16,276,000, Bad Debt 15,405,798, Clinics Subsidy 14,926,290, TRICARE (CHAMPUS) Shortfall 341,591, Blue Cross Special Care &amp; CHIP Shortfall 412,861, Real Estate Taxes Paid on Owned and Leased Property 1,514,458, Salisbury Township School District Agreement (includes 50% add-on value for voluntary agreements) 172,223, Stipend to Salisbury Township 127,000, Financial Support to City of Allentown 190,000, Free Pap Tests, Mammograms &amp; Ultrasounds-City of Allentown 177,396, Laboratory Tests &amp; Consultative Services - City of Allentown 13,683, Physical Examinations - Firefighters &amp; HazMat Personnel 61,841, Contribution to Western Salisbury Volunteer Fire Company 15,000, School Health 150,546, Communities in Schools 5,148, Fleetwood Area Weight Management &amp; Healthy Lifestyles 11,739, Value of Volunteer Assistance 1,743,774, Neighborhood Health Centers of the Lehigh Valley 458,601, Transitional Living Centers 395,951, Community Health &amp; Health Studies Department 1,340,427, AIDS Activities Office 394,518, Healthy You Programs 168,303, Lehigh Valley Hospital Cancer Center (includes Patient Support &amp; Education, Community Education &amp; Screening Programs) 553,149, George E. Moerkirk Emergency Medicine Institute 441,256, Pastoral Care 677,704, Patient Representative -Press, Ganey Patient Survey 183,063, Foreign Language &amp; Sign Language Interpreting Service 718,024, Public Affairs Activities: Community Health Education Programs 328,141, Patient Education Publications 255,660, Materials to Promote Health-Related Activities 238,503, Physician Referral &amp; Health Information Line 448,069, Community Outreach in-kind, Voluntarism in-kind, Contributions 216,570, Free Oral Trauma Surgery Care 389,074, Ambulance Transport Costs 131,637, Transportation For Discharged Patients 40,949, Pharmaceuticals For Discharged Patients 408,620, Pharmacy Financial Coordinator 43,435, Infection Control Community Service (Includes free flu vaccine) 188,093, Moselem Springs Seniors Event 1,504, LVHN Couriers Free Transportation Services 113,500, Crucial Conversations Training - Children's Advocacy Center 2,646, Dental Screenings &amp; Free Procedures in-kind, Division of Education - Office of Student Affairs in-kind, Helwig Diabetes Center Education &amp; Outreach Programs in-kind, Chairman, Department of Pediatrics Community Service in-kind, Library Services to the Community in-kind, Dept. of OB/GYN - Community Research Education Week in-kind, Stroke Center Community Education Programs in-kind, Comprehensive Wound, Skin &amp; Ostomy Services Community Education in-kind, Sleep Disorders Center Community Education in-kind, Patient Care Services - Community Service (includes classes, support groups, and Professional Excellence Council activities) in-kind, Trauma Division - Injury Prevention Programs in-kind, Tobacco Treatment Program in-kind. Subtotal $158,771,693 Medical Education 7,826,310 Patient Education 302,788 Nursing Education 11,939,550 Research Activities net of Grant Funding 2,762,470 Subtotal $22,831,118 Total $181,602,811</Description>
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          <State>PA</State>
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        <NamePerson>Richard Fleming</NamePerson>
        <Title>Honorary Trustee</Title>
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        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>William F Hecht</NamePerson>
        <Title>Trustee</Title>
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      <Form990PartVIISectionA>
        <NamePerson>Matthew M McCambridge MD</NamePerson>
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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Stephen K Klasko MD</NamePerson>
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        <NamePerson>Ronald W Swinfard MD</NamePerson>
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        <NamePerson>Kathryn P Taylor</NamePerson>
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        <NamePerson>Martin K Till</NamePerson>
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        <NamePerson>Daniel H Weiss</NamePerson>
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        <NamePerson>Debby Patrick</NamePerson>
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        <PostedOnWebsite>X</PostedOnWebsite>
        <AttachedToInvoices>X</AttachedToInvoices>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <ProvidedOnAdmission>X</ProvidedOnAdmission>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <PermitOtherActions>X</PermitOtherActions>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <AverageNegotiatedRates>X</AverageNegotiatedRates>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>1</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part I, Line 7g: CLINICS SUBSIDYThe clinics subsidy of $14,926,290 is the difference between clinic payments and clinic costs. The clinics subsidy includes the operations of the Medical and Surgical Clinics, Children's Clinic, the Dental Clinic, the Center for Women's Medicine, the Family Health Center, Geriatrics, Maternal Fetal Medicine, and the Mental Health Clinic. TRANSITIONAL LIVING CENTERSLehigh Valley Health Network administers two Residential Aftercare Programs as a contracted provider for the Lehigh County Department of Human Services. These programs include the Transitional Living Center-Full Care and the Transitional Living Center-Moderate Care. Although the programs receive revenue from clients and reimbursements from Lehigh County, these funds do not fully reimburse program operating expenditures. In FY'12, program operating expenditures exceeded program revenues and reimbursements by $395,951. The Transitional Living Centers serve residents of Lehigh County age 18 and over who have been treated for mental illness and would benefit from a structured residential program. The Full Care site is supervised 24 hours per day and teaches the activities of daily living as designated by the Pa. Department of Welfare to those residents who demonstrate the need for ongoing intensified supervision due to their mental illness. The Moderate Care site is supervised 10 hours per day and is designed to teach activities of daily living to those individuals who demonstrate the need for community reentry support in a less-intensified structure.AIDS ACTIVITIES OFFICEEstablished in 1989, Lehigh Valley Hospital's AIDS Activities Office (AAO) provides clinical and social services to children, adolescents and adults infected and affected by HIV/AIDS and HCV (hepatitis C). In FY'12, the AIDS Activities Office's active patients received one or more of the following services: HIV testing and counseling (A free service open to the public as a state-designated Department of Health lab site). Prevention counseling. Initial and ongoing medical care (including laboratory evaluation, coordination and referral to diagnostic and specialty service, and pharmaceutical treatment regimens) provided by a physician board-certified in infectious diseases and specializing in HIV care. Coordination and monitoring of clinical therapies, and education provided by registered nurses. Nutritional assessments and interventions. Adherence counseling. Case management to insure coverage of basic and social service needs, including housing, employment, outpatient substance abuse treatment, mental health counseling, etc., and providing linkages to care and coordination of specialty treatments. HIV outreach, prevention education, and testing in network community settings Hepatitis C treatment provided by a physician board-certified in internal medicine and specializing in HCV care. Hepatitis C education by nurses specially educated in the disease as well as prevention and adherence counseling. Support groups for HIV Mental health counseling by a licensed clinical social worker specializing in people living with HIV and HCV. The AAO Food Bank, supported by private donations. HepA, HepB, &amp; Hep A/B vaccines Funded originally by the Dorothy Rider Pool Health Care Trust and Lehigh Valley Hospital (LVH), the AIDS Activities Office is currently primarily supported by LVH, Early Intervention Funding (Title III) from the Ryan White Care Act (Human Resources and Services Administration) and AIDSNET (Ryan White Title II funding) and the PA Department of Health. LVH's contribution to the operations of the AIDS Activities Office in FY'12 was $394,518, net of payments.FREE ORAL TRAUMA SURGERY CAREIn FY'12, Lehigh Valley Hospital paid $389,074 to private oral surgery practices to provide oral trauma surgery care to hospital patients.AMBULANCE TRANSPORT COSTSLehigh Valley Hospital incurred total ambulance costs of $131,637 to transport patients to other non-LVHN facilities.PHARMACEUTICALS FOR DISCHARGED PATIENTSPharmaceuticals appropriate to the course of treatment are often provided at no charge to indigent patients upon discharge. The cost of these medications in FY'12 was $408,620.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part I, L7 Col(f): The costing methodology for bad debt expense is the Medicare cost to charge ratio. The ratio of uninsured charges written off as charity was applied to total charges written off as bad debt to estimate the portion of bad debt that is attributed to patients under the hospital charity policy.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part II: Community Building Activities are conducted on behalf of Lehigh Valley Health Network, which is the governing entity for Lehigh Valley Hospital and Lehigh Valley Hospital - Muhlenberg. Our Community Partners include:School HealthLehigh Valley Hospital's outpatient pediatric department provides free on-site clinical services and health exams for Central Elementary School's student population. The net cost of direct services provided at the school in FY'12 was $150,546. NEIGHBORHOOD HEALTH CENTERS OF THE LEHIGH VALLEYThe hospital's cost to provide Family Health Services at The Caring Place "New Life" Clinic and Casa Guadalupe "Vida Nueva" Clinic was $458,601 in FY'12.MOSELEM SPRINGS SENIORS EVENTThe Health Center at Moselem Springs conducted a Seniors Event in August 2011. A group of seniors was transported by bus from Hamburg, PA and given a health presentation and tour of the Health Center. Lunch was provided. Staff costs, transportation and other expenses, excluding donated physician time, was $1,504. CRUCIAL CONVERSATIONS TRAINING - CHILDREN'S ADVOCACY CENTEROrganizational Development and Clinical Staff Development staff provided Crucial Conversations Training to Lehigh County employees who are part of the Children's Advocacy Center. Training materials were supplied through a grant from VitalSmarts, the parent company of Crucial Conversations. Unreimbursed staff costs and other expenses to provide the training were $2,646.Communities in SchoolsCommunities in Schools of the Lehigh Valley, Inc., is a non-profit partnership supported by local businesses, human services, government and volunteers who strive to reduce the number of school dropouts. To support this program, classroom, auditorium, and office space, and mailroom services are provided at Lehigh Valley Hospital - 17th and Chew. The value of below market building rental and services provided to the program in FY'12 was $5,148.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 4: BAD DEBTS-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, at charges, as bad debts. Amounts recorded as bad debts expense do not include charity. The amount of bad debts expense for the years ended June 30, 2012 and 2011, at charges, was $66,745,000 and $56,427,000 respectively, and is reported as Bad debts expense on the Combined Statements of Operations.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 8: The source of the Medicare allowable costs relating to revenue received from Medicare is the FY '12 Medicare Cost Report.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 9b: Financial Counseling staff will determine whether patients meet eligibility criteria for financial assistance. Accounts that do not meet the eligiblilty requirements will be referred to the internal collection unit and subsequently transferred to bad debt status if the accounts remain unpaid.When the hospital determines that a Medicare patient is either financially or medically indigent and that he is unable to pay his patient liability, the hospital waives its standard collection procedures, deems the account to be uncollectible, and immediately writes off the unpaid balance to charity.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Lehigh Valley Hospital - Cedar Crest</Identifier>
        <Explanation>Part V, Section B, Line 15e: Collection activities are limited to hospital sending 3 statements requesting payment. If payment is not made, the account is turned over to a primary collection agency for 6 months. If payment is not received after 6 months, the account is turned over to a secondary agency for 3 months. If these collection efforts do not result in payment, the account is written off as a bad debt.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Lehigh Valley Hospital - 17th Street</Identifier>
        <Explanation>Part V, Section B, Line 15e: Collection activities are limited to hospital sending 3 statements requesting payment. If payment is not made, the account is turned over to a primary collection agency for 6 months. If payment is not received after 6 months, the account is turned over to a secondary agency for 3 months. If these collection efforts do not result in payment, the account is written off as a bad debt.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Lehigh Valley Hospital - Cedar Crest</Identifier>
        <Explanation>Part V, Section B, Line 21: All patients receive the same charge for the same service. The expected collection amount for the uninsured is the average payment of non-government payers. Further reductions are based on the patient income and federal poverty guidelines.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Lehigh Valley Hospital - 17th Street</Identifier>
        <Explanation>Part V, Section B, Line 21: All patients receive the same charge for the same service. The expected collection amount for the uninsured is the average payment of non-government payers. Further reductions are based on the patient income and federal poverty guidelines.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 2: Community Health Needs AssessmentThe Health Care Council of the Lehigh Valley (HCCLV) is a newly formed not-for-profit group with representation from Lehigh Valley Health Network, the Dorothy Rider Pool Health Care Trust, St. Luke's University Health Network, Sacred Heart Health Care System, and Good Shepherd Rehabilitation Hospital. The HCCLV is developing a comprehensive regional Community Health Needs Assessment (CHNA) designed to identify the strengths and needs of our community, establish health priorities, and encourage collaborations within the community to take action on health issues, all in an effort to improve the health of residents in our region. Members of the CHHS team have provided leadership in developing the HCCLV group, designing the CHNA, and collecting and analyzing key community health information.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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 Charity Care Policy which incorporates the LHVN Reduced Cost of Care program applies to uninsured and under-insured individuals who participate in the process to evaluate their ability to pay for LVHN services.Patients are identified by LVHN registration, Benefits and Verification, Customer Service, and Financial Counselors as being in financial need. The Financial Counselors help patients complete the application for Reduced Cost of Care. LVHN follows the Federal Poverty Guidelines to evaluate eligibility. Patients whose family income falls bellow 200% of the Federal Poverty guideline will have their entire balance forgiven for their qualifying services at a participating LVHN provider. Patients with a family income below 400% of the Federal Poverty guidelines will have a portion of their balance forgiven for qualifying services at a participating LVHN provider. Patients are evaluated for no cost or reduced premium insurance plans. The LVHN Financial Counselors will offer information to patients who are interested in seeing if they qualify for these programs offered by commercial insurance companies.Patients often express financial concern or need by contacting the LVHN Customer Service departments. The Customer Service representatives explain the programs available; Reduced Cost of Care, Medical Assistance, and a Reduced Patient responsibility for Self Pay patients. 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 PATHS representatives visit patients in their inpatient rooms, in the Cancer Center, and in the Emergency Department. In addition, LVHN advertises Financial Assistance in the local newspaper, on our public website and on the statements sent to our patients.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 4: Lehigh Valley Hospital, Inc. (LVH) is a Pennsylvania not-for-profit membership corporation exempt from federal income taxes as a corporation described in Section 501(c)(3) of the Internal Revenue Code. As of June 30, 2012, LVH operates hospital facilities at three primary locations:17th and Chew Streets in Allentown, Lehigh County, Pennsylvania where 11 acute care beds, 52 skilled nursing beds and 10 inpatient hospice beds are operated; Cedar Crest Boulevard and Interstate 78 in Salisbury Township, Lehigh County, Pennsylvania where 665 acute care beds are operated; LVH also operates 65 psychiatry beds on the LVH-Muhlenberg campus.The primary service area of LVH consists of Lehigh, Northampton and Carbon counties. Based on information available from the U.S. Census Bureau for the year 2010 census, the population of the primary service area was approximately 712,261 people and was estimated to be 726,443 at the end of calendar year 2012. During fiscal year 2012, 73% of the discharges from LVH were residents of the primary service area. The secondary service area consists of Monroe, Berks, Schuylkill and Luzerne counties as well as northern portions of Bucks and Montgomery counties. The 2010 population of the secondary service area was approximately 1,375,956. During fiscal year 2012, 22% of the discharges from LVH were residents of the secondary service area. Based on U.S. Census Bureau data, the current population of the combined primary and secondary LVH service area is projected by Claritas Demographics to increase approximately 5% by the year 2017. During fiscal year 2012, 5% of the discharges from LVH were residents outside the primary and secondary service areas.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 5: Lehigh Valley Hospital qualifies as an Institution of Purely Public Charity in Pennsylvania. This regulation is referred to as Act 55. To be considered a purely public charity, nonprofits must: (1) advance a charitable purpose; (2) donate or render gratuitously a substantial portion of its services; (3) benefit a substantial and indefinite class of persons who are legitimate subjects of charity; (4) relieve the government of some burden; and (5) operate entirely free from private profit motive.LVH is required to reapply for this charitable status every five years and currently qualifies through October 31, 2015.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>Nursing Scholarships</TypeOfGrant>
        <NumberOfRecipients>115</NumberOfRecipients>
        <AmountOfCashGrant>386371</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <MethodOfValuation>Book</MethodOfValuation>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>Jirolano Tuition Aide Scholarship</TypeOfGrant>
        <NumberOfRecipients>1</NumberOfRecipients>
        <AmountOfCashGrant>600</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <MethodOfValuation>Book</MethodOfValuation>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIV>
        <Identifier>Procedure for Monitoring Grants in the U.S.:</Identifier>
        <ReturnReference>Part I, Line 2:</ReturnReference>
        <Explanation>Schedule I, Part I, Line 2: Scholarships are awarded to senior nursing students in a Bachelor of Nursing program and 2nd year nursing students in an Associate Degree program, as well as employees who currently possess a Registered nurse continuing their education towards either a Bachelor's Degree or Master's Degree. Criteria for scholarships to students in a Graduate Nurse program are: submit 2 letters of recommendation from clinical instructors, an official copy of their most current transcript demonstrating a 3.0 GPA or higher, a one page essay describing why they deserve the scholarship and a completed assessment survey. If above information is considered favorable, two interviews are scheduled with selection committee members. If considered favorable after all interviews have been conducted, a scholarship award is offered. If candidate accepts and signs a contract,their commitment back to the hospital is for 2080 hours of employment as a Registered Nurse after successfully completing an internship. If candidate does not fulfill their commitment, the scholarship dollars are pro-rated and repayment is due back. For current employees, an application is completed along with a letter of recommendation from their direct supervisor, a copy of most recent performance evaluation noting an evaluation score of 3.0 or better, and the must be currently enrolled in a nursing program.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
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      <Form990ScheduleJPartII>
        <NamePerson>Ronald W Swinfard MD</NamePerson>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Keith Weinhold</NamePerson>
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        <NamePerson>James Geiger</NamePerson>
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        <NamePerson>Debby Patrick</NamePerson>
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        <NamePerson>Scott Lipkin</NamePerson>
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        <NamePerson>Edward Dougherty</NamePerson>
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        <NamePerson>Elliot J Sussman MD</NamePerson>
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      </Form990ScheduleJPartII>
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        <NamePerson>Joseph G Felkner</NamePerson>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Mary Kay Grim</NamePerson>
        <BaseCompensationFilingOrg>163675</BaseCompensationFilingOrg>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 1a</ReturnReference>
        <Explanation>Travel expenses for companion is paid by Lehigh Valley Hospital for one professional meeting per year for the President/CEO.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Lines 4a-b</ReturnReference>
        <Explanation>Elliot J. Sussman, MD 635,131 Ronald W. Swinfard, MD 264,046 Keith Weinhold 16,599 Mary Kay Grim 15,444 James Geiger 15,613 Scott Lipkin 12,202 Edward Dougherty 3,670 Joseph Felkner 98,628 These amounts are accruals to a nonqualified supplemental executive retirement plan.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Lehigh County General Purpose Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>911886539</IssuerEIN>
        <CUSIPNumber>5248053F3</CUSIPNumber>
        <DateIssued>2005-09-15</DateIssued>
        <IssuePrice>81000000</IssuePrice>
        <DescriptionOfPurpose>construct, renovate &amp; equip facilities</DescriptionOfPurpose>
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        <NamePerson>Harry Lukens</NamePerson>
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        <NameOfInterestedPerson>
          <NamePerson>Kathryn P Taylor-Trustee</NamePerson>
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        <MethodOfDeterminingRevenues>Fair Market Value</MethodOfDeterminingRevenues>
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        <Description>Jewelry</Description>
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        <MethodOfDeterminingRevenues>Fair Market Value</MethodOfDeterminingRevenues>
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        <Description>IPads, DVD players</Description>
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        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>Epson Projector</Description>
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        <MethodOfDeterminingRevenues>Fair Market Value</MethodOfDeterminingRevenues>
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      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>Digital Camera</Description>
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        <MethodOfDeterminingRevenues>Fair Market Value</MethodOfDeterminingRevenues>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 11</ReturnReference>
        <Explanation>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 Controller and the LVHN Corporate Legal Counsel. Draft 2 of the returns is reviewed by the Chief Financial Officer. All Compensation disclosures are reviewed by the Vice President - Human Resources. In addition, selected information is also reviewed by LVHN external consultants: Compensation information reviewed by the LVHN Compensation consultant and compensation and charitable purpose information reviewed by an additional LVHN consultant. Draft 3 of the returns is reviewed together with the President &amp; CEO, the Chief Financial Officer, the Controller and the Director-Tax. Final Returns are reviewed with LVHN Executive Committee of the Board of Trustees prior to their filing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>Trustees, officers, management and members of the medical staff are required to complete the Conflict of Interest and Commitment questionnaire on an annual basis. Effective August 2008, the questionnaire is completed electronically and stored in a database for ease of reporting and monitoring purposes. Reported conflicts of interests are reported to the Lehigh Valley Health Network Board on an annual basis. The information is also shared with the Pennsylvania Department of Health during their survey process. Those affected within the organization and their immediate supervisors are responsible for ongoing compliance with the Policy both annually and in the interim between declaration periods where possible new conflict situations may arise.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>The Executive Compensation Committee of the Board of Trustees of Lehigh Valley Health Network is authorized to perform its functions for and on behalf of LVHN. Committee Organization: 1. The Committee shall be composed of at least four (4) members of the Board of Trustees, one of whom shall serve as Chair of the Committee. The Committee shall be composed entirely of Trustees who are entirely disinterested members of the Board. The Trustees will have no material relationship to LVHN and/or its Senior Management Council members that may limit their disinterestedness in this role, including that the Trustees (i) must not have any personal interest in the compensation arrangement, (ii) must not be related to or under the control of the person whose compensation is being evaluated, and (iii) must have no material business relationship with LVHN. If a proposed member of the Committee has identified a potential conflict of interest, the issue shall be reviewed by the disinterested members of the Audit Committee which shall report its findings to the Chair of the Executive Compensation Committee. Based on that review, the Chair and the Committee, absent the member with a potential conflict, will make the final determination as to the disinterestedness of the Trustee and the appropriateness of service. From time to time, there may be specific situations which pose a potential conflict of interest. In such instances, the Committee will make the appropriate determination. The Committee may also establish such other procedures as it may deem appropriate with respect to the disinterested status of its members, subject to Board approval. 2. The members and the Chair of the Committee shall be appointed each year by the Board of Trustees in accordance with its policies, and shall serve at the pleasure of the Board of Trustees for such term or terms as the Board of Trustees may determine. The Committee shall conduct its activities in conformity with the requirements of the LVHN By-Laws and the requirements of the Internal Revenue Code of 1986, and Regulations promulgated thereunder, together with any further obligations or requirements as directed by the Board. 3. Each Committee Member shall have the following qualifications: Ability to critically review performance and market practice data and apply relevant information fairly, while properly balancing the competing needs of LVHN's stakeholders. Ability to consider the objectives of linking compensation to performance and retaining high-performing personnel, all in the best interests of LVHN and in accordance with its charitable mission. An understanding of the market place regarding the attraction and retention of Senior Management Council employees and other key personnel. Functions, Duties and Authorities: The Committee on an annual basis shall: Assess the performance of the Chief Executive Officer, determine the Chief Executive Officer's compensation, discuss the appraisal with the CEO and report its determination generally to the full Board. Review the performance of all other members of the Senior Management Council and approve their compensation considering the recommendations of the Chief Executive Officer, and report its determinations generally to the full Board. Review the performance of disqualified persons and other individuals in key leadership positions as determined by the Committee. Review the succession plan and professional and career development of senior management in the organization. Review the compensation plan for selected physicians, including LVPG. Assure that any applicable compensation arrangement is reviewed by the Committee in accordance with all applicable rules and regulations, including Section 4958 of the Internal Revenue Code or its successor. In particular, the Committee intends that its determinations qualify for the "Rebuttable Presumption of Reasonableness" and thus it will ensure that: A compensation arrangement is approved in advance only by Committee members who do not have a conflict of interest with respect to the arrangement, It relies upon appropriate, independent comparability data prior to making its determination, and The basis for the determination is adequately documented concurrent with the Committee's approval. Adequate documentation requires (i) the terms of compensation, (ii) date of approval, (iii) members present, (iv) the source of comparability information and the data, (v) rationale for compensation levels that fall at the upper end of the comparability data, and (vi) any actions taken with respect to conflicts of interest of any member of the Committee. The documentation must be prepared by the later of the next meeting of the Committee or 60 days after final action and approved within a reasonable time thereafter. The Committee, with respect to the administration of the Retirement Plan shall: Appoint the Plan Administrator Delegate the day-to-day functions of Plan administration to the Plan Administrator. Specifically these delegated duties shall include: convening a pension administration committee, compliance with ERISA and IRS documentation and reporting requirements; oversight and management of the benefit claims appeal process; and preparation and distribution of disclosures to Plan participants, make recommendations to the LVHN Board regarding Retirement Plan design. Specific responsibilities shall include: reviewing and making recommendations on benefit structure, the Plan Document or the Trust Agreement; reviewing and recommending additions or deletions of organizational divisions covered by the Plan. The Committee shall also: Consider and make recommendations to the Board regarding the compensation philosophy for the Senior Management Council. Annually evaluate the performance and function of the Committee, including a review of its compliance with this Charter. Direct the establishment of a process that ensures compensation information is fully and fairly disclosed on the Form 990. Discharge such additional duties and responsibilities as the Board of Trustees may from time to time assign to it.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 18</ReturnReference>
        <Explanation>Anothers Website - Guidestar. Upon request - hard copies with senior management and marketing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>The Organization makes its financial statements available to the public through its Annual Report to the community. The Annual Report is distributed to all attendees at the Organizations annual public meeting. In addition, it is distributed via mail to members of the community. The Organizations governing documents and conflict of interest policy are not made available to the public.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Changes in Net Assets or Fund Balances:</Identifier>
        <ReturnReference>Form 990, Part XI, line 5:</ReturnReference>
        <Explanation>Net unrealized losses on investments: -47,284,439. Unfunded Pension Liability -148,920,436. Equity Transfer from LVHS, Inc 44,734,479. Equity transfer to LVPG -6,148,555. Temporarily restricted cash -1,572,008. Total to Form 990, Part XI, Line 5: -159,190,959.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Committee - oversight of audit</Identifier>
        <ReturnReference>Form 990, Part XI, Line 2c</ReturnReference>
        <Explanation>The Audit Committee of the Board of Trustees assumes responsibility for oversight of the audit and selection of an independent auditor.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Written Policy - Joint Venture arrangements</Identifier>
        <ReturnReference>Form 990, Part VI, Line 16b</ReturnReference>
        <Explanation>Although the organization does not have a written policy with respect to evaluation of participation in joint venture arrangements, no joint venture is entered into without having had the transactional documents reviewed and evaluated by outside counsel and, if necessary, consultants and accountants to assure that the arrangement does not, in any manner, compromise the organization's exempt status and mission.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Compensation of Officers, Directors, Trustees, Key Employees, etc.</Identifier>
        <ReturnReference>Form 990, Part VII, Line 1a</ReturnReference>
        <Explanation>Hours worked by these individuals reflect the combined hours spent as a Board Officer and an Employee of the organization. All compensation, benefits, etc. reported are for work as a member of senior management of the organization. The remainder of the officers, trustees, listed above are volunteers and receive no compensation.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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          <BusinessNameLine1>Lehigh Valley Health Network</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>1200 S Cedar Crest Blvd</AddressLine1>
          <City>Allentown</City>
          <State>PA</State>
          <ZIPCode>18103</ZIPCode>
        </AddressUS>
        <EIN>222458317</EIN>
        <PrimaryActivities>Parent Company</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
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        <ControlledOrg>0</ControlledOrg>
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          <AddressLine1>1200 S Cedar Crest Blvd</AddressLine1>
          <City>Allentown</City>
          <State>PA</State>
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        <PrimaryActivities>Health Care Organization</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
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        <PublicCharityStatus>170(b)(1) (A)(iii)</PublicCharityStatus>
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          <AddressLine1>1200 S Cedar Crest Blvd</AddressLine1>
          <City>Allentown</City>
          <State>PA</State>
          <ZIPCode>18103</ZIPCode>
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        <PrimaryActivities>Physician Practice Organization</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 9</PublicCharityStatus>
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</Return>