2012-05-11T10:27:56-05:00 2011-06-30 990 2010-07-01 231689692 Lehigh Valley Hospital LEHI 6104028000 2100 Mack Blvd Allentown PA 181035622 Edward F O'Dea 6104027501 2012-05-11 2010 2016-02-24 21:20:13Z Ronald W Swinfard 2100 Mack Blvd Allentown PA 181035622 1612257814 0 X www.lvhn.org X 1971 PA Our mission is to heal, comfort and care for the people of our community by providing advanced and compassionate health care of superior quality and value, supported by education and research. 7 4 5791 1159 1010006 1010006 15059635 18821114 888515783 967379218 16086375 14121867 18736231 23386299 938398024 1023708498 291380 247489 0 0 357740665 380431474 0 0 1852479 536726198 568525912 894758243 949204875 43639781 74503623 1198817322 1336010242 748053844 645026959 450763478 690983283 X Our mission is to heal, comfort and care for the people of our community by providing advanced and compassionate health care of superior quality and value, supported by education and research. 0 0 917632049 994806245 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 the Hospital to meet the medical, surgical and educational needs of the residents of the Lehigh Valley and beyond.The following reflects the general classification of operating acute care beds as of June 30, 2011:Medical/Surgical-371, Obstetrics/Gynecology-37, Medical/Surgical Intensive Care Unit-32, Intensive Coronary Care Unit-12, Neonatal Intensive Care Unit-32, Pediatric Intensive Care Unit-7, Open Heart Unit-9, Burn Unit-18, Trauma/Neuro Intensive Care Unit-14, Neuro Science ICU-14, Transitional Trauma Unit-30, Pediatric Unit-28, Psychiatry (Adult)-52, Psychiatry (Adolescent)-13, Transitional Open Heart Unit-30, and Progressive Coronary Care Unit-32. Total acute care beds - 731. 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:Neurosciences Services: LVH provides comprehensive Neuroscience services with sub-specialists in stroke and vascular neurology, epilepsy, neuromuscular disease, movement disorders, Parkinson's disease, multiple sclerosis, headaches, pain management, neuropsychiatry, neuro-oncology, degenerative brain disease, cognitive disorders, minimally invasive surgery, cranial base surgery, complex spine surgery, neurovascular surgery, traumatic brain injury, neuro-radiology and neurointerventional radiology.Orthopedic Services:The Division of Orthopedic Surgery treats musculoskeletal disorders of the upper and lower extremities as well as the spine. The program has been nationally recognized by US News & World Report. Orthopedic surgeons, greater that 75% fellowship-trained, provide sub-specialty care in the following: joint replacement, spinal disorders, sports medicine, hand and wrist surgery, foot and ankle surgery, orthopedic trauma and pediatric orthopedic care. Clinical outcomes are monitored for quality assurance and educational purposes.Bariatric Services:Lehigh Valley Hospital's bariatric surgery program, recognized by the American College of Surgeons Bariatric Surgery Center Network as a Level 1a Center of Excellence, provides comprehensive, quality-measured, medical and surgical weight management services. Led by a board certified bariatric medicine physician and bariatric surgeons, a multidisciplinary team including a nurse practitioner, dieticians, behavior health specialists and exercise physiologists provide pre-operative, operative and post-operative care.Behavioral Health Services:LVH operates the largest community-hospital based acute-care inpatient mental health program for adolescents and adults in the Lehigh Valley and surrounding regions, based upon the number of total beds and patient days, providing crisis stabilization, psychiatric, psychological, and social services. LVH also provides ambulatory care including: partial hospitalization programs for adolescents and adults; outpatient mental health clinics for chronically and severely mentally ill adults; short-term, outpatient treatment services for children, adolescents, adults, older adults and families; emergency services; and a mental health linkage with home care services. LVH Psychiatry also provides a residential rehabilitation program, teaching independent living skills to the chronically mentally ill; consultation / liaison services; and education and research. Finally, LVH Psychiatry integrates behavioral health services within a variety of our network medical and specialty practices, and has established linkages with the broader community as well, e.g. providing Psychiatrist and counseling services to a number of local colleges.Women's ServicesLVHN offers programs and services designed to provide complete care for women in the Lehigh Valley and surrounding communities. LVHN has comprehensive patient and family centered obstetric and gynecology services with a special focus on prenatal care. This includes private birthing rooms for labor, delivery, and recovery with a full range of birthing options for low or high risk mothers and babies. Comprehensive obstetric and gynecology, specialty and subspecialty care include maternal-fetal (high risk) medicine, midwifery, gynecological oncology, pelvic reconstructive surgery, and infertility / reproductive endocrinology. A Woman Care Program offering informative education series, a variety of support groups, community events focused on women, a library and special classes on prenatal care, postpartum exercise, parenting, and breastfeeding consultation along with a special program for first time parents is a sampling of what LVHN provides. Pregnancy 101, childbirth classes in English and Spanish, Maternity Tours, Sibling Tours, Car Seat safety events am inspections compliment LVHN's comprehensive women's services. The development and implementation of www.lvhn.org/pregnancy website was completed October 2010.Infants / Children / Young AdultsLVHN offers comprehensive inpatient and outpatient pediatric care by combining a philosophy of patient and family centered care with diagnostic, medical, and surgical interventions. Services are provided through the collaborative efforts of community, child life specialist and hospital based physicians and subspecialists. Pediatric specialty services include adolescent medicine, allergy, anesthesiology, cardiology, child abuse, critical care medicine / intensivists, dentistry, developmental / rehabilitative pediatrics, endocrinology, gastroenterology, gynecology, pediatric hospitalist, hematology / oncology, neonatology, neurology, ophthalmology, orthopedics, plastic and reconstructive surgery, psychiatry, pulmonology, radiology, rheumatology, general surgery, urology, and trauma & burn care. LVHN operates a 32 bed Level IIIb Neonatal Intensive Care Unit, 8 neonatal continuum of care beds, a 8 bed pediatric intensive care unit, a 28 bed pediatric inpatient unit, and a 13 bed adolescent psychiatric unit. Ambulatory services provided by LVHN include general pediatric outpatient clinic, a pediatric subspecialty center, and a pediatric ambulatory surgery unit.Magnet Status for Nursing Excellence:In 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, this 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.Cardiology & Cardio-Thoracic Surgery: Lehigh Valley Hospital (LVH) is one of the largest cardiovascular providers in the State of Pennsylvania. LVH performed 1,468 heart and vascular surgeries and 11,295 catheterization and electrophysiology procedures during the fiscal year ending June 30, 2011. In addition to operating one of the most experienced cardiac programs in the country, LVH's Heart and Vascular Center has been recognized as having one of the best heart attack survival rates in the State of PA and in the Nation. LVH's Heart and Vascular Center offers disease prevention, advanced diagnostic and therapeutic services including: medical cardiology, diagnostic and therapeutic interventional and electrophysiology services, advanced non-invasive cardiac imaging (CT, MR, Calcium Scoring), open heart and vascular surgery. We continue to offer innovative programs and centers of excellence that treat: acute myocardial infarction, advanced heart failure and valvular disease, hypertrophic cardiomyopathy, heart rhythm disorders and heart disease and pregnancy. The Center is actively engaged in research and education through its Cardiovascular Research Institute and its three year Cardiology Fellowship program. Continued from 4(a)Trauma & Burn Services: In 1981, LVH became the first hospital in Pennsylvania to be designated as a Level I Trauma Center and is currently the largest trauma program in eastern Pennsylvania. LVH is also one of four programs in the state with added qualifications in pediatric trauma. The program provides comprehensive trauma care and services, including education and research, and is a major regional resource serving a ten county area and a patient base of over 2.5 million people. LVH coordinates pre-hospital emergency medical services and provides 24 hour a day air ambulance service operating four helicopters in eastern Pennsylvania and western New Jersey. The Lehigh Valley Hospital Trauma program provides a continuum of care for the trauma patient with providing 24/7/365 in house coverage. A trauma rehabilitation team completes the continuum of trauma care. LVH also serves as a regional Burn Center, verified by the American Burn Association, for both adult and pediatric burn patients. A new, 18 bed burn unit, which opened in January 2008, offers state of the art burn care to patients in eastern Pennsylvania, western New Jersey and southwestern New York. Continued from 4(b)-Estimated Value of Free Care, Community Service,Charitable Contributions, and professional and Community Education - Medicare Shortfall 58,270,568, Medical Assistance Shortfall 25,327,299, Uncompensated Charity Care 12,086,969, Bad Debt 13,159,020, Clinics Subsidy 12,425,926, TRICARE (CHAMPUS) Shortfall 368,734, Blue Cross Special Care & CHIP Shortfall 379,772, Real Estate Taxes Paid on Owned and Leased Property 1,422,830, Salisbury Township School District Agreement (includes 50% add-on value for voluntary agreements) 165,599, Stipend to Salisbury Township 34,213, Financial Support to City of Allentown 145,000, Stipend to City of Allentown 45,000, Free Pap Tests, Mammograms & Ultrasounds-City of Allentown 122,292, Laboratory Tests & Consultative Services - City of Allentown 13,871, Physical Examinations - Firefighters & HazMat Personnel 82,595, Contribution to Western Salisbury Volunteer Fire Company 15,000, School Health 327,356, Communities in Schools 57,247, Value of Volunteer Assistance, 1,745,575, Neighborhood Health Centers of the Lehigh Valley 651,807, Transitional Living Centers 272,168, Community Health & Health Studies Department 1,328,244, AIDS Activities Office 333,634, Healthy You Programs 109,457, Lehigh Valley Hospital Cancer Center (includes Patient Support & Education, Community Education & Screening Programs) 373,503, George E. Moerkirk Emergency Medicine Institute 447,138, Pastoral Care 836,112, Patient Representative - Press, Ganey Patient Survey 204,480, Foreign Language & Sign Language Interpreting Service 661,942, Public Affairs Activities: Community Health Education Programs 435,309, Patient Education Publications 32,888, Materials to Promote Health-Related Activities 339,634, Physician Referral & Health Information Line 362,206, Community Outreach in-kind, Voluntarism in-kind, Contributions 214,070, Free Oral Trauma Surgery Care 340,171, Ambulance Transport Costs 130,271, Transportation For Discharged Patients 34,398, Pharmaceuticals For Discharged Patients 342,305, Pharmacy Financial Coordinator 43,515, Infection Control Community Service (Includes free flu vaccine) 282,965, Nurse Practitioner - Children's Advocacy Center of Lehigh Valley 42,119, Chairman, Department of Pediatrics Community Service in-kind, Dental Screenings & Free Procedures in-kind, Division of Education - Office of Student Affairs in-kind, Helwig Diabetes Center Education & Outreach Programs in-kind, Weight Management Center Support Groups & Outreach in-kind, Library Services to the Community in-kind, Stroke Center Community Education Programs in-kind, Heart & Vascular Center Community Education in-kind, Comprehensive Wound, Skin & 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 $134,013,202 Medical Education 8,749,443 Patient Education 309,308 Nursing Education 10,293,447 Research Activities net of Grant Funding 2,566,910 Subtotal $21,919,108 Total $155,932,310 917632049 1 1 0 1 0 0 0 0 1 1 1 1 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 1 1 0 0 1 606 0 1 5791 1 1 1 0 0 0 0 1 1 0 0 0 0 X 7 4 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 PA X X X The Organization 4848840130 2100 Mack Blvd Allentown PA 181035622 Richard Fleming 1.00 X 0 0 0 William F Hecht 1.00 X 0 0 0 Matthew M McCambridge MD 1.00 X 80000 0 0 Stephen K Klasko MD 1.00 X 0 0 0 Ronald W Swinfard MD 60.00 X X 887782 0 21318 Kathryn P Taylor 1.00 X 0 0 0 Daniel H Weiss 1.00 X 0 0 0 Martin K Till 1.00 X 0 0 0 Terry Capuano 60.00 X 674712 0 21318 Keith Weinhold 60.00 X 291815 0 21318 James Geiger 60.00 X 282320 0 21318 Brian Hardner 60.00 X 239243 0 20968 Anne Panik 60.00 X 310820 0 21318 Debby Patrick 60.00 X 239326 0 20973 Elliot J Sussman MD 0.00 X 1636653 0 21318 Stuart S Paxton 0.00 X 168569 0 16674 Mary Kay Grim 60.00 X 359876 0 21318 5171116 0 207841 175 1 1 0 Pulmonary Associates PC 1210 S Cedar Crest Blvd Suite 23 Allentown PA 18103 Physician Services 3436120 VSAS Orthopaedics 1250 S Cedar Crest Blvd Suite 11 Allentown PA 18103 Physician Services 2506215 Lehigh Area Medical Associates 1255 S Cedar Crest Blvd Suite 22 Allentown PA 18103 Physician Services 2005909 Anchor Health Properties LLC 1300 N Grant Avenue-Suite 209 Wilmington DE 19806 Construction Management 1721604 IMR Limited 20 Unico Drive Hazelton PA 18202 Information Services 1034592 44 5672230 13148884 180429 18821114 Inpatient Revenue 624100 634964911 634964911 Outpatient Revenue 624100 330940443 330940443 Physician Fee Revenue 624100 1473864 1473864 967379218 7537316 7537316 5879986 4997988 881998 881998 881998 589555019 121007 582569625 521850 6985394 -400843 6584551 6584551 1111672 459853 651819 651819 Health Network Labs 621500 13857889 12847883 1010006 Research & Misc. Incom 900099 7513329 7513329 Lehigh Valley PHO 900003 481264 481264 21852482 1023708498 994806245 1010006 9071133 247489 247489 7036117 7036117 286459994 272590807 12739393 1129794 28862238 27669283 1083991 108964 35983330 34470573 1397211 115546 22089795 21150381 853692 85722 1984563 1984563 268365 268365 100422972 93501172 6887603 34197 4344112 1289589 3054523 2655428 2506895 130642 17891 10818364 10708154 110210 24453921 23825917 513312 114692 1208257 1137091 60708 10458 1694206 1556498 124188 13520 16688302 16688302 64582150 64460099 117956 4095 7825769 7825769 Medical Supplies 142584252 142582997 1255 Purchased Services 98329029 95532743 2597921 198365 Bad Debts Expense 56450033 56450033 Other Supplies 4280798 4238110 50881 -8193 Equipment Rental 2092379 2003837 77728 10814 27843012 27907266 -80868 16614 949204875 917632049 29720346 1852479 10850 10853 21065098 3528591 12003111 7152180 126458008 124382143 894266 1123621 7947907 7833516 16480630 15094205 969130593 530331383 445348267 438799210 482181563 639808126 76098844 89606426 10328778 8671371 1198817322 1336010242 86912129 82631847 2181396 2394848 359729000 351205810 34091927 34362783 265139392 174431671 748053844 645026959 X 333542482 551790038 77410335 97224615 39810661 41968630 450763478 690983283 1198817322 1336010242 X 74503623 165716182 X X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 100 0 0 1 54768 0 1 33318 88186 0 Explanation of Other Lobbying Activities: Part II-B, Line 1i: Indirect State lobbying activites - Indirect communication includes communication explaining a principal's position and requesting others to contact elected officials by way of grassroots lobbying. 89400969 1438232 16891409 246433 1708282 105775895 78716975 3372844 9223571 285893 1625502 89401995 96684736 362255 -16234043 650069 1445904 78716975 0.00000 0.33000 0.67000 1 0 4466258 4466258 612204302 309299235 302905067 13865198 4593779 9271419 233835030 164318400 69516630 104759805 52119969 52639836 438799210 Investment-Lehigh Valley Physician Hospital Org.-42.7% 7514466 C Investment-Health Network Laboratories-83.24% 78176653 C Quakertown Health Venture - 50% 3267307 C Investment - Careworks Allentown 106000 C Investment - Careworks Schnecksville 92000 C Investment - Fairgrounds Medical Center 450000 C 89606426 Cost Settlement Reserves with Third Parties 2598417 Deferred Compensation Plan 8465640 Pension Liability 119184441 Workers Compensation 2114200 Professional Insurance Liability Reserves 26374146 Asset Retirement Obligation 4120215 Unrealized Loss on Interest Rate Swap 10659948 Other 914664 174431671 Description of Intended Use of Endowment Funds: Part V, Line 4: The endowment funds are used for continuing education, scholarships, research, clinical equipment, and nursing awards. Description of Uncertain Tax Positions Under FIN 48: Part X: In 2008, the Organization adopted Financial Accounting Standards Board (FASB) Interpretation No. 48 "Accounting for Uncertainty in Income Taxes" ("FIN 48"). FIN 48 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 2008 for the Organization. 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, 2011, 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, 2011 the Organization is compliant with the qualifications for exemption from Federal income tax. Nite Lites 1111672 0 1111672 0 0 0 0 0 459853 1111672 1111672 459853 459853 651819 1 1 X 1 X 400.000000000000 1 X 1 1 0 1 1 12086969 12086969 0.01350 108042506 83142863 24899643 0.02790 120129475 83142863 36986612 0.04140 6049382 6049382 0.00680 14257491 5508048 8749443 0.00980 16180251 2335776 13844475 0.01550 5132311 2565401 2566910 0.00290 214070 214070 0.00020 41833505 10409225 31424280 0.03520 161962980 93552088 68410892 0.07660 57247 57247 0.00010 979163 979163 0.00110 1036410 1036410 0.00120 1 13159020 8536881 235854927 228332566 7522361 X 1 1 1 LVHN Reciprocal Risk Retention Group Malpractice Insurance 0.16670 0.00000 0.00000 2 Health Network Laboratories LLC Laboratory Services 0.85000 0.00000 0.00000 3 Health Network Laboratories LP Laboratory Services 0.81670 0.00000 0.00000 4 Lehigh Valley Physician Hospital Organization Inc Health Care Services 0.45000 0.00000 0.00000 2 1 Lehigh Valley Hospital

1200 S Cedar Crest Blvd Allentown PA 18103

X X X X X 2 Lehigh Valley Hospital

17th Chew Streets Allentown PA 18103

X X X X NA 1 1 Pediatric Specialty Center

Schoenersville Road Bethlehem PA 18017

Pediatric Unit 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. 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: CLINICS SUBSIDY The clinics subsidy of $12,425,926 is the difference between clinic payments and clinic costs. The clinics subsidy includes the operations of the Medical and Surgical Clinics, Outpatient Pediatrics, 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'11, program operating expenditures exceeded program revenues and reimbursements by $272,168. 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'11, the AIDS Activities Office's active patients received one or more of the following services:1. HIV testing and counseling (A free service open to the public as a state-designated Department of Health lab site).2. Prevention counseling.3. 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.4. Coordination and monitoring of inpatient and outpatient clinical therapies, and education provided by registered nurses certified in AIDS care.5. Nutritional assessments and interventions.6. Adherence counseling.7. Availability of local clinical trials and referral to regional trials.8. 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.9. HIV outreach, prevention education, and testing in community settings (was previously in-house only).10. Hepatitis C treatment provided by a physician board-certified in internal medicine and specializing in HCV care.11. Hepatitis C education by nurses specially educated in the disease as well as prevention and adherence counseling.12. Support groups for HIV and HCV.13. Mental health counseling by a licensed clinical social worker specializing in people living with HIV and HCV.14. The AAO Food Bank, supported by private donations.15. HepA, HepB, & Hep A/B vaccines provided by the PA DOH High Risk Immunization program.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'11 was $333,634, net of payments.FREE ORAL TRAUMA SURGERY CAREIn FY 11, Lehigh Valley Hospital paid $340,171 to private oral surgery practices to provide oral trauma surgery care to hospital patients.AMBULANCE TRANSPORT COSTSLehigh Valley Hospital incurred total ambulance costs of $130,271 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'11 was $342,305. 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. 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:Central School-Line 7More than 800 students at Central School in the Allentown School District, Allentown, Pa., and their families benefit from care provided by our pediatric health center. A health care team provides care that includes basic health care, asthma management, immunizations, counseling and community outreach. We know poor health robs children of their ability to be good students. For 15 years, this project has worked to promote academic success at this inner city elementary school. Communities in Schools of the Lehigh Valley-Line 3We are a longtime partner of Communities in Schools of the Lehigh Valley, a program for adolescents at risk for dropping out of school. About 200 Allentown-area high school students attend the program at Lehigh Valley Hospital-17th Street, Allentown, Pa. In addition to classroom instruction, they get mentoring, tutoring and training in job readiness and life skills,in short, a great start for a healthy and successful future. Da Vinci Science Center-Line 9We recognize science isn't confined to test tubes. So our clinicians partner with the Da Vinci Discovery Center of Science and Technology in Allentown, Pa., to develop interactive displays that introduce young minds to health care. The center has approximately 100,000 visitors each year. The Pennsylvania Regional Community Policing Institute - Line 6We partner with The Pennsylvania Regional Community Policing Institute to help keep our community safe. We recognize medical health is directly related to the well-being of a community, and it takes cooperation from all levels of government to improve quality of life in our community. For instance, the institute provides homeland security, crime prevention, and emergency preparedness training to community members, police offers and other emergency responders. Sixth Street Shelter-Line 7The Sixth Street Shelter in Allentown provides free, basic care to uninsured adults. We offer physicals for employment, driver's licenses and school applications. If you need more specialized care, you will be referred to The Caring Place at 933 Hamilton St., Allentown, or to the Lehigh Valley Physician's Practice at Lehigh Valley Hospital-17th street.The Caring Place Family Health Program at 933 Hamilton St., Allentown, Pa., offers free, basic medical care to you and your family, including immunizations and screenings for sexually transmitted diseases and HIV. Gynecological exams and cervical cancer screenings are available to women. As a patient, you'll learn how to care for your own health, and receive support through counseling and support groups.Safety Town - Line 6This portable, interactive "town" is designed to teach children (kindergarten through second grade) how to be safe in their everyday lives. The town depicts how a child travels through a normal day, including home, school, park and neighborhood, while discussing dangers they may encounter along the way. It can be used at school, community and church events. GlitterBug - Line 9This interactive program teaches children how to effectively wash their hands to prevent the spread of germs. Children take part in an experiment with "magic potion lotion." It's made of pretend germs, and when applied to hands, is made visible by a black light. After washing their hands, children see how many germs are removed. Miles of Smiles - Line 7This mobile van helps deliver care to children who need dental care There are an estimated 11,000 children in Allentown, Pa., alone who need dental care but can't afford a trip to the dentist. So Lehigh Valley Health Network, Capital Blue Cross and more than 40 donors joined forces and brought the dentist to them. Miles of Smiles-a dental office on wheels-is a mobile clinic with two treatment rooms. A dentist and dental hygienist provide teeth cleanings, fluoride treatments, X-rays, cavity treatments, simple extractions, and education on proper brushing, flossing and healthy eating. An estimated 3,000 community members-primarily children-will receive dental care with Miles of Smiles annually. The mobile clinic is currently serving children at four Allentown elementary schools, The Caring Place Youth Development Center, Casa Guadalupe and the Sixth Street Shelter.Iron Pigs Partnership - Line 7Kids Run the Bases At every Sunday home game, we sponsor "Kids Run the Bases." During these games, we provide health tips via public address announcements. After the game, children take the field to feel the glory of what it's like to be in the game. We give each child a gift for participating.Education Days Nearly 6,000 students from regional schools come to Coca-Cola Park for Education Days. These game-day events are part of the IronPigs' Swine Smarts program, which helps teachers incorporate elements of baseball into a lesson (like calculating a "batting" average). We add health topics to the curriculum (like the importance of wearing sunscreen and a helmet). We are at the games stressing the fundamentals: physical activity and proper nutrition. Health Fair NightThe interactive health activities we place throughout the concourse during Health Fair Night are a hit. Booths contain information about sleep education, diabetes, proper hand washing, car seat safety and more. There is information and activities for the whole family. Via Partnership - Line 3Through an annual marathon, we partner with Via to support its services for children and adults with disabilities. Each year we partner with Via of the Lehigh Valley to promote healthy living through the Lehigh Valley Health Network Marathon for Via. Via of the Lehigh Valley is a non-profit human service agency that provides services for children and adults with disabilities like autism, cerebral palsy and Down syndrome.Many community members, including health network employees, benefit from Via's services. We share Via's mission to care for its community and value our partnership of hosting events like the marathon. Community members can run in the marathon (as individuals or on a relay team), half-marathon, walk in a 5K (3.1 miles) or volunteer at the event each September. 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, 2011 and 2010, at charges, was $56,427,000 and $61,794,000 respectively, and is reported as Bad debts expense on the Combined Statements of Operations. Part III, Line 8: The source of the Medicare allowable costs relating to revenue received from Medicare is the FY '11 Medicare Cost Report. 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 transfer the unpaid balance to bad debt status. Part VI, Line 2: Community Needs Assessments are conducted on behalf of the Lehigh Valley Health Network, which is the governing entity for Lehigh Valley Hospital and Lehigh Valley Hospital - Muhlenberg. LVHN has developed a collaborative with the regional hospitals to plan for our community needs assessment. The group has met several times and has drafted an assessment plan. 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. 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. LVH was formed on January 1, 1988 as a result of the merger of The Allentown Hospital and Lehigh Valley Hospital Center. As of June 30, 2011, LVH operates hospital facilities at three primary locations: 17th and Chew Streets in Allentown, Lehigh County, Pennsylvania, Cedar Crest Boulevard and Interstate 78 in Salisbury Township, Lehigh County, Pennsylvania, 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 2000 decennial census and the 2010 decennial census, the population of the primary service area was approximately 637,958 people in 2000 and was estimated to be 712,501 in 2010.During fiscal year 2011, 73% of the discharges from LVH were residents of the primary service area. The secondary service area consists of Berks, Luzerne, Monroe, and Schuylkill counties as well as northern portions of Bucks and Montgomery counties. The 2000 population of the secondary service area was approximately 1,374,481. During fiscal year 2011, 23% 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 areas is projected by ScanUS Demographics, to increase approximately 15.4% (1% / Yr) (from 2000) by the year 2016. During fiscal year 2011, 4% of the discharges from LVH were residents outside the primary and secondary service areas. Part VI, Line 6: 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. 1 Nursing Scholarships 65 246889 0 Book Jirolano Tuition Aide Scholarship 1 600 0 Book Procedure for Monitoring Grants in the U.S.: Part I, Line 2: 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 based on the following criteria: Two letters of recommendation from Clinical Instructors, an official copy of their most current transcript demonstrating a 3.0 GPA or better, 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 is offered. If candidate signs, 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. X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 Ronald W Swinfard MD 515044 0 140719 0 232019 0 0 0 21318 0 909100 0 0 0 Terry Capuano 463703 0 139500 0 71509 0 0 0 21318 0 696030 0 0 0 Keith Weinhold 218867 0 69875 0 3073 0 0 0 21318 0 313133 0 0 0 James Geiger 220781 0 54213 0 7326 0 0 0 21318 0 303638 0 0 0 Brian Hardner 200884 0 37710 0 649 0 0 0 20968 0 260211 0 0 0 Anne Panik 248490 0 52000 0 10330 0 0 0 21318 0 332138 0 0 0 Debby Patrick 211369 0 30240 0 -2283 0 0 0 20973 0 260299 0 0 0 Elliot J Sussman MD 872544 0 271845 0 492264 0 0 0 21318 0 1657971 0 0 0 Stuart S Paxton 42981 0 125000 0 588 0 0 0 16674 0 185243 0 0 0 Mary Kay Grim 278975 0 62500 0 18401 0 0 0 21318 0 381194 0 0 0 Part I, Line 1a Travel expenses for companion is paid by Lehigh Valley Hospital for one professional meeting per year for the President/CEO. Part I, Line 4b Part I, Line 4b: Elliot J. Sussman, MD 488,685 Ronald W. Swinfard, MD 229,992 Keith Weinhold 10,278 Anne Panik 9,705 Mary Kay Grim 17,634 Terry Capuano 65,176 James Geiger 12,284 These amounts are accruals to a nonqualified supplemental executive retirement plan. Lehigh County General Purpose Authority 911886539 5248053E6 2005-07-07 61000000 refund 4/1/94, 7/25/95 & 11/21/95 issues 0 0 0 Lehigh County General Purpose Authority 911886539 5248053F3 2005-09-15 81000000 construct, renovate & equip facilities 0 0 0 Lehigh County General Purpose Authority 911886539 52480GAY0 2008-06-04 53725184 construct, renovate & equip facilities 0 0 0 Lehigh County General Purpose Authority 911886539 52480GBA1 2008-06-05 52574500 refund 4/2/98 issues 0 0 0 9750000 61000000 58939661 845094 1215245 2005 1 0 1 1 82955467 8199759 908575 2341645 71505488 2007 0 0 1 1 1705700 53885593 704637 1323209 51857747 2010 0 0 1 1 2648250 52574500 51115735 528264 930501 2008 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 1 Merrill Lynch 20.000000000000 0 0 0 0 1 0 0 0 1 MBIA 3.300000000000 1 0 1 0 0 0 0 0 1 0 1 1 Merrill Lynch & Goldman Sachs 20.000000000000 0 0 0 0 1 Lehigh County General Purpose Authority 911886539 52480GAA2 2008-06-06 59745000 refund 8/14/97 & 4/21/99 issues 0 0 0 Lehigh County General Purpose Authority 911886539 52480GBG8 2011-04-01 13920480 refund 6/12/96 & 4/21/99 issues 0 0 0 715000 59745000 59010280 734720 2008 1 0 1 1 13920480 13800000 120480 2011 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 1 0 0 James H Miller-Trustee CEO of PPL Corp., Trustee of LVHN 5711764 PPL provides electric service to LVHN facilities at fair market value rates. 0 Kathryn P Taylor-Trustee Board Member of Capital Blue Cross - Trustee of LVHN 90733315 Capital BlueCross is a third party insurer doing business with LVHN. 0 X 5 5541 Fair Market Value X 4 12663 Fair Market Value X Dental Automatic Processor 1 4000 Fair Market Value X (27) Wooden Rocking Horses 1 2025 Fair Market Value X Flat Screen TV 1 750 Fair Market Value 0 1 0 Form 990, Part VI, Section B, line 11 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 Sr. Vice-President-Finance and CFO. All Compensation disclosures are reviewed by the Sr. 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 & CEO, the Sr. Vice-President Finance and CFO, the Sr. V.P Human Resources, the Controller and the Director-Tax. Final Returns are reviewed with LVHN Executive Committee of the Board of Trustees prior to their filing. Form 990, Part VI, Section B, line 12c 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. Form 990, Part VI, Section B, line 15 The Executive Compensation Committee of the Board of Trustees functions as follows: -Members are independent of management -Members are appointed annually by Board of Trustees -Members to have relevant and specified qualifications -Review performance of CEO and other specified senior management and selected physicians -Review succession plans and career development of senior management -Review compensation policy and this Committee Charter -Meet quarterly The Executive Compensation Committee retains an independent compensation consulting firm, specializing in the healthcare industry, to provide comprehensive comparability analyses for all key executives, physicians, and key employees on an annual basis. This consulting firm does no other work for LVHN. Form 990, Part VI, Section C, line 18 Anothers Website - Guidestar. Upon request - hard copies with senior management and marketing. Form 990, Part VI, Section C, line 19 The Organization makes its financial statements available to the public through its Annual Report to the community. The Annual Report is distributed to all attendees at the Organizations annual public meeting. 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. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains on investments: 53,498,652. Unfunded Pension Liability Other Changes in Net Assets Committee - oversight of audit Form 990, Part XI, Line 2c The Audit Committee of the Board of Trustees assumes responsibility for oversight of the audit and selection of an independent auditor. Written Policy - Joint Venture arrangements Form 990, Part VI, Line 16b 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. Compensation of Officers, Directors, Trustees, Key Employees, etc. Form 990, Part VII, Line 1a 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. Lehigh Valley Health Network 1200 S Cedar Crest Blvd Allentown PA 18103 222458317 Parent Company PA 501(c)(3) 509(a)(3) III-FI N/A 0 Lehigh Valley Hospital - Muhlenberg 1200 S Cedar Crest Blvd Allentown PA 18103 232367707 Health Care Organization PA 501(c)(3) 170(b)(1) (A)(iii) Lehigh Valley Health Network 0 Lehigh Valley Physician Group 1200 S Cedar Crest Blvd Allentown PA 18103 232700908 Physician Practice Organization PA 501(c)(3) Line 9 Lehigh Valley Health Network 0 Muhlenberg Realty Corporation 1200 S Cedar Crest Blvd Allentown PA 18103 232245513 Real Estate Rentals PA 501(c)(3) 509(a)(3) III-FI Lehigh Valley Health Network 0 Lehigh Valley Health Network Realty Holding Co 1200 S Cedar Crest Blvd Allentown PA 18103 232586770 Real Estate Holding Co. PA 501(c)(2) 509(a)(3) III-FI Lehigh Valley Health Network 0 Community Ambulatory Care Center 400 North 17th St Suite 300 Allentown PA 18104 232530415 Surgical Center PA N/A LVHN Reciprocal Risk Retention Group 151 Meeting Street Ste 301 Charleston SC 29401 200037118 Insurance PA Lehigh Valley Health Network Related 0 0 Health Network Laboratories LLC 2024 Lehigh Street Allentown PA 18103 232932802 Laboratory Services PA Lehigh Valley Hospital Related 163350 828750 0 0 Health Network Laboratories LP 2024 Lehigh Street Allentown PA 18103 232948774 Laboratory Services PA Lehigh Valley Hospital Related 23179814 86836109 0 0 Lehigh Magnetic Imaging Center 1230 S Cedar Crest Blvd Allentown PA 18103 232429077 Imaging Center PA N/A Lehigh Valley Health Services Inc 2100 Mack Blvd Allentown PA 181035622 232263665 Health Care Related Services PA N/A C Lehigh Valley Anesthesia Services PC 2100 Mack Blvd Allentown PA 181035622 233096124 Anesthesia Services PA N/A C Westgate Professional Center Inc 2100 Mack Blvd Allentown PA 181035622 231657333 Real Estate Rentals PA N/A C Lehigh Valley Physician Hospital Organization Inc 2100 Mack Blvd Allentown PA 181035622 232750430 Health Care Related Services PA Lehigh Valley Hospital C 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 0 0 Lehigh Valley Anesthesia Services PC L 7575432 cost