2024-05-13T12:17:19-05:00 2023-06-30 990 2022-07-01 232421970 LEHIGH VALLEY HOSPITAL-HAZLETON LEHI 4842241876 PO BOX 4000 ALLENTOWN PA 18105 ROBERT THOMAS ASSISTANT TREASURER 4842241876 2024-05-09 ROBERT THOMAS XXX-XX-XXXX 0 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X TERRENCE PURCELL PO BOX 4000 ALLENTOWN PA 18105 193246437 0 X WWW.LVHN.ORG X 1985 PA WE HEAL, COMFORT AND CARE FOR THE PEOPLE OF OUR COMMUNITY BY PROVIDING ADVANCED AND COMPASSIONATE HEALTH CARE OF SUPERIOR QUALITY AND VALUE, SUPPORTED BY EDUCATION AND CLINICAL RESEARCH. 14 11 926 15 0 0 46950 132954 139491643 152136577 7020015 5295991 14580839 2413982 161139447 159979504 0 0 0 0 51261843 51511385 0 0 0 75888122 85361604 127149965 136872989 33989482 23106515 317465847 343431915 80579813 87140201 236886034 256291714 X WE HEAL, COMFORT AND CARE FOR THE PEOPLE OF OUR COMMUNITY BY PROVIDING ADVANCED AND COMPASSIONATE HEALTH CARE OF SUPERIOR QUALITY AND VALUE, SUPPORTED BY EDUCATION AND CLINICAL RESEARCH. 0 0 115838198 155923589 LEHIGH VALLEY HOSPITAL-HAZLETON (LVH-H) IS PART OF LEHIGH VALLEY HEALTH NETWORK (LVHN), A MULTI-HOSPITAL SYSTEM LOCATED IN ALLENTOWN, PENNSYLVANIA. LVH-H IS THE ONLY INPATIENT HEALTH CARE PROVIDER IN THE GREATER HAZLETON AREA SERVING A POPULATION OF OVER 80,000 PEOPLE WITHIN THREE COUNTIES, INCLUDING A SIGNIFICANT INCREASE IN THE HISPANIC POPULATION. WE OFFER QUALITY CONTINUUM OF CARE SERVICES BEGINNING AT BIRTH IN THE FAMILY BIRTH AND NEWBORN CENTER, ACUTE INPATIENT MEDICAL AND SURGICAL SERVICES, EMERGENCY SERVICES, INPATIENT REHAB AT THE GUNDERSON CENTER FOR INPATIENT REHABILITATION AND HOME CARE SERVICES THROUGH LEHIGH VALLEY HOME CARE-HAZLETON. OUTPATIENT DIAGNOSTIC TESTING AND REHAB SERVICES ARE PROVIDED AT THE HEALTH & WELLNESS CENTER AT HAZLETON (PA), THE HEALTH CENTER AT MOUNTAIN TOP (PA) AND LVHN-STATION CIRCLE (HAZLE TOWNSHIP, PA), AS WELL AS OUTPATIENT CANCER TREATMENT AT THE LVHN CANCER CENTER-HAZLETON. LEHIGH VALLEY PHYSICIAN GROUP (LVPG), A SUBSIDIARY OF LVHN, IS A MULTI-SPECIALTY MEDICAL OUTPATIENT CARE PROVIDER. LVPG-HAZLETON (LVPG-H) IS THE OUTPATIENT MEDICAL PROVIDER GROUP ALIGNED WITH LVH-H. ADDITIONALLY, LVH-H HAS A ROBUST COMMUNITY ENGAGEMENT PROGRAM THAT DELIVERS HEALTH AND WELLNESS EDUCATION PROGRAMS AND HEALTH SCREENINGS FREE OF CHARGE TO THE COMMUNITY. A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS CONDUCTED EVERY THREE YEARS. WE DELIVER OUR PROGRAMS AND SERVICES WITH COMPASSION AND HIGH STANDARDS OF QUALITY TO THE RESIDENTS OF GREATER HAZLETON REGARDLESS OF RACE, SEX, RELIGION, OR ECONOMIC STATUS.STRATEGIC DIRECTIONSTRATEGIC PLANNING IN HEALTH CARE ORGANIZATIONS INVOLVES CREATING OBJECTIVES AND SETTING GOALS FOR WHERE THE ORGANIZATION SEES ITSELF LONG TERM AND HOW IT CAN STRENGTHEN ACCESS TO EFFICIENT AND AFFORDABLE CARE TO THE COMMUNITY SERVED. LVH-H'S THREE-YEAR STRATEGIC GOALS AND PRIORITIES INCLUDE INCREASED PATIENT SATISFACTION, PROVIDER RECRUITMENT, IMPROVED EMERGENCY DEPARTMENT SERVICES WITH FOCUSES ON TRANSFERS AND ADMISSIONS, REDUCTION IN LENGTH OF STAY, INTEGRATION OF MUSCULOSKELETAL (MSK) SERVICES AND BUILDING OF A NEW CANCER CENTER. THE MASTER FACILITIES PLAN THAT WAS DEVELOPED IN FY 2022 CONTINUED INTO FY2023, TO INCLUDE THE HEALTH & WELLNESS CENTER AT HAZLETON AND CLINICS AT STATION CIRCLE AND 1000 ALLIANCE DRIVE (DESSEN CENTER), TO BEST DETERMINE WHAT SERVICES WOULD BEST BE LOCATED AT THESE FACILITIES TO ALLOW GREATER ACCESS TO PRIMARY AND SPECIALTY HEALTH CARE TO MEET THE GROWING NEEDS OF OUR COMMUNITY.QUALITY CAREQUALITY HEALTH CARE IS CARE THAT IS SAFE, EFFECTIVE, PATIENT-CENTERED, TIMELY, EFFICIENT, AND EQUITABLE. AT LVHN, OUR MISSION IS TO HEAL, COMFORT AND CARE FOR OUR COMMUNITY. THIS IS DONE THROUGH COLLABORATION WITH ALL LEVELS OF HEALTH CARE PROVIDERS. STANDARD OF CARE AND BEST PRACTICES ARE ALWAYS THE GOAL. THROUGH CONTINUOUS QUALITY IMPROVEMENT ACTIVITIES, WE STRIVE TO IDENTIFY WAYS TO BRING ABOUT IMPROVEMENTS THAT RESULT IN IMPROVED OUTCOMES FOR OUR PATIENTS. THIS INVOLVES A TEAM EFFORT THAT STRIVES TO ENCOURAGE COLLABORATION ACROSS ALL DISCIPLINES AND ENABLE BEST USE OF OUR AVAILABLE RESOURCES. PROCESSES SPECIFIC TO QUALITY MANAGEMENT INCLUDE MONITORING AND EVALUATING DATA, FORMULATING STRATEGIES FOR IMPROVEMENT, AND SHARING INFORMATION WITH KEY STAKEHOLDERS TO INITIATE PROCESS CHANGES AS NEEDED. SPECIFIC AREAS OF ATTENTION INCLUDES: CARE OF PATIENTS WITH STROKE, HEART FAILURE, SEPSIS, ALL CAUSE READMISSION RATES, MORTALITY, PATIENT SAFETY AND RISK MANAGEMENT ALONG WITH COMPLIANCE WITH STATE DEPARTMENT OF HEALTH REGULATIONS AS WELL AS THOSE OF THE ACCREDITATION COMMISSION FOR HEALTHCARE. BELOW ARE SOME EXAMPLES OF PROGRAMS AT LVH-H AND SOME RECOGNITIONS FROM FY23 THAT ILLUSTRATE OUR COMMITMENT TO BEST PRACTICES AND QUALITY PATIENT OUTCOMES:- ACHIEVED LEAPFROG SAFETY GRADE "A" FOR SPRING 2023- CMS 4 STAR RATING FOR 2023- RECEIVED AMERICAN HEART ASSOCIATION GET WITH THE GUIDELINES 2023 STROKE GOLD PLUS WITH TARGET: STROKE HONOR ROLL ELITE AND TARGET: TYPE 2 DIABETES HONOR ROLL ACHIEVEMENT AWARD- RECEIVED AMERICAN HEART ASSOCIATION GET WITH THE GUIDELINES 2023 HEART FAILURE GOLD PLUS WITH TARGET: HEART FAILURE HONOR ROLL AND TARGET: TYPE 2 DIABETES HONOR ROLL ACHIEVEMENT AWARD- ACHIEVED CHEST PAIN CENTER ACCREDITATION FROM AMERICAN COLLEGE OF CARDIOLOGY JUNE 2023- ACCREDITED WITH ATLS AS LEVEL IV TRAUMA CENTER THROUGH OCTOBER 2025. - RECOGNIZED BY HEALTHGRADES FOR CLINICAL ACHIEVEMENT FOR CARE OF HEART ATTACK, HIP FRACTURE TREATMENT, STROKE TREATMENT AND C-SECTION DELIVERY. - LVH-HAZLETON IS A MEMBER OF VIZIENT, INC., THE NATION'S LARGEST HEALTH CARE PERFORMANCE IMPROVEMENT COMPANY THAT COMPARES HOSPITAL QUALITY AND PATIENT SATISFACTION. HAZLETON RANKED 120 OUT OF 267 HOSPITALS IN OUR COHORT FY2023 AND CONTINUES TO FOCUS ON PATIENT SAFETY AND EVIDENCE-BASED GUIDELINES TO PROVIDE QUALITY CARE TO PATIENTS. NEW/EXPANDED SERVICESLVH-H IS ALWAYS LOOKING FOR WAYS TO PROVIDE OUR COMMUNITY WITH ACCESS TO QUALITY MEDICAL CARE, WHETHER IT IS THROUGH NEW OR ENHANCED SERVICES OR BY DIRECTING THEM TO SPECIALIZED CARE AT ONE OF OUR SISTER HOSPITALS AT LVHN. HERE ARE JUST SOME OF THE NEW OR ENHANCED SERVICES LVH-H PROVIDED IN FY 2023.COMPREHENSIVE CANCER CENTERIN FY2023, CONSTRUCTION OCCURRED ON THE CANCER CENTER AT LVH-HAZLETON. COMPLETED IN SUMMER 2023, THE NEW 32,000 SQ. FT., $20 MILLION CANCER CENTER HOUSES MEDICAL ONCOLOGY WITH SEVEN EXAM ROOMS, A PROCEDURE ROOM AND A PHLEBOTOMY LAB; RADIATION ONCOLOGY WITH TWO EXAM ROOMS, A PROCEDURE ROOM, A LINEAR ACCELERATOR AND A CT/SIM; AN INFUSION SUITE WITH 14 PRIVATE INFUSION ROOMS; AND A SESSION SUITE WITH TWO EXAM ROOMS AND ONE PROCEDURE ROOM FOR ROTATING PROVIDERS. PREVIOUSLY, INFUSION SERVICES WERE PROVIDED AT AN OFF-SITE MEDICAL OFFICE THAT QUICKLY OUTGREW ITS SPACE, AND PATIENTS WHO NEEDED RADIATION THERAPY NEEDED TO TRAVEL TO OTHER LOCATIONS DUE TO LACK OF SERVICE IN THE COMMUNITY. THE NEED WAS CLEAR, AND THIS EXPANSION ALLOWS PATIENTS TO RECEIVE MANY OF THEIR TREATMENTS IN A CENTRALIZED LOCATION WITHOUT THE NEED TO TRAVEL LONG DISTANCES.EMERGENCY SERVICES SINCE BECOMING A LEVEL IV TRAUMA CENTER IN 2015, THE TRAUMA PROGRAM AT LVH-H HAS CONTINUED TO PROVIDE OPTIMAL CARE AND REDUCE THE LIKELIHOOD OF DEATH OR DISABILITY TO INJURED PATIENTS WHO ENTER ITS EMERGENCY DEPARTMENT (ED). BECAUSE OF THE CONTINUED EFFORTS OF INCESSANTLY BEING PREPARED TO STABILIZE AND TREAT THE MOST SERIOUS LIFE-THREATENING AND DISABLING INJURIES PRIOR TO TRANSFER TO A LEVEL 1 TRAUMA CENTER, THE PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION (PTSF) IN FY 2022 HAS REACCREDITED LVH-HAZLETON AS A LEVEL IV TRAUMA CENTER FOR THE NEXT FOUR YEARS. THIS IS THE MAXIMUM NUMBER OF YEARS A TRAUMA CENTER MAY BE ACCREDITED.LVH-HAZLETON EMERGENCY DEPARTMENT (ED), ALONG WITH ALL OUR HEALTH NETWORK HOSPITALS, CONTINUES TO BE CHALLENGED WITH HIGH PATIENT VOLUMES. AN EMERGENCY DEPARTMENT PATIENT FLOW TEAM WAS EXPANDED TO FOCUS ON IMPROVEMENT IN EFFICIENCIES OF OPERATIONS OF THE ED, REDUCE PATIENT WAIT TIMES, PATIENT EXPERIENCE AND IMPROVE PATIENT THROUGHPUT. THIS MULTI-DISCIPLINARY TEAM CONSISTED OF ED STAFF, LAB, RADIOLOGY, PHARMACY, HOUSEKEEPING, FOOD SERVICE, EMS, AND REGISTRATION. INITIATIVES WERE DEVELOPED RESULTING IN A DECREASE IN LEFT WITHOUT BEING SEEN (LWBS) FROM 18 PERCENT TO 2 PERCENT. HOSPICE SERVICES IN PARTNERSHIP WITH LEHIGH VALLEY HOSPICE, INPATIENT AND HOME CARE HOSPICE SERVICES ARE PROVIDED TO OUR LOCAL COMMUNITY. THIS IS THE ONLY INPATIENT HOSPICE PROGRAM SERVING THE GREATER HAZLETON AREA. THE PROGRAM MODEL IS DESIGNED TO DELIVER PATIENT-CENTERED CARE RATHER THAN DISEASE-CENTERED CARE AND TO PROVIDE COMFORT AND CARE TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES. IN FY23, HOSPICE SERVICES WERE PROVIDED TO 46 LVH-H PATIENTS FOR A TOTAL OF 221 DAYS OF CARE WHICH WAS AN INCREASE FROM PRIOR YEAR. TELEHEALTH SERVICESAS TECHNOLOGY HAS ADVANCED, THE WAYS HEALTH CARE CAN BE PROVIDED HAVE CHANGED AND ADVANCED TOO. AT LVH-H, PATIENTS ARE BENEFITING FROM SECURE TELEHEALTH TECHNOLOGY THAT ALLOWS THEM TO ACCESS AND RECEIVE QUALITY, SPECIALIZED CARE CONVENIENTLY. IN FY 2023, LVH-H ADDED INPATIENT TELEHEALTH HEME/ONCOLOGY TO ITS GROWING LIST OF TELEHEALTH SERVICES THAT INCLUDE INFECTIOUS DISEASE, NEUROLOGY, ADVANCED INTENSIVE CARE UNIT (AICU), BURN, NEUROSURGERY, TOXICOLOGY, PSYCHIATRIC EVALUATIONS, MATERNAL FETAL MEDICINE, AND PALLIATIVE CARE. ORTHOPEDIC AND OCCUPATIONAL HEALTH LVHN ACQUIRED COORDINATED HEALTH, A REGIONAL LEADER IN ORTHOPEDICS AND SPORTS MEDICINE, IN 2019. IN FY23, LVH-H AND LVPG-H CONTINUED TO PLAN FOR OPERATIONAL AND CLINICAL MUSCULOSKELETAL AND OCCUPATIONAL MEDICINE INTEGRATION TO PROVIDE BETTER, QUICKER ACCESS TO OUR PATIENTS AND TO MEET THE GROWING NEEDS OF OUR PATIENTS. SCHOOL-BASED BEHAVIORAL HEALTH PROGRAMAN ATHLETIC TRAINING CONTRACT BETWEEN LVH-H AND THE HAZLETON AREA SCHOOL DISTRICT (HASD) CONTINUES FOR THE NEXT NINE YEARS. THE CONTRACT INCLUDES A NON-ATHLETIC COMPONENT WHEREBY LVHN BROUGHT PHYSICAL AND MENTAL HEALTH EDUCATION TO THE CLASSROOMS IN BOTH VIRTUAL AND IN-PERSON METHODS. LVHN CONTINUES TO PURSUE RECRUITMENT FOR THE ADDITION OF A SCHOOL-BASED BEHAVIORAL HEALTH PROGRAM FOR HASD. THIS PROGRAM'S GOAL WILL BE TO MEASURABLY IMPROVE STUDENTS' MENTAL HEALTH AND RESILIENCY IN THE HAZLETON AREA SCHOOL DISTRICT BY LAUNCHING EVIDENCE-BASED INDIVIDUAL THERAPY AND CASE MANAGEMENT SERVICES FOR STUDENTS ALONG WITH MENTAL HEALTH EDUCATION FOR FACULTY TO HELP STUDENTS ADDRESS THEIR TRAUMA, IMPROVE THEIR SCHOOL PERFORMANCE, AND STRENGTHEN THEIR OVERALL WELL-BEING.PROVIDER AND STAFF RECRUITMENT SIGNIFICANT INVESTMENT INTO RECRUITMENT OF PRIMARY AND SPECIALTY PHYSICIANS AND ADVANCED PRACTICE CLINICIANS TO MEET THE GROWING NEEDS OF OUR COMMUNITY CONTINUED FOR LVH-H AND LVPG-H IN FY 2023. DESPITE THE HISTORICAL CHALLENGES TO ATTRACT PROVIDERS TO OUR SMALL COMMUNITY, LVPG-H WAS SUCCESSFUL IN RECRUITING THE FOLLOWING NUMBER OF CLINICIANS: ORTHOPEDIC SURGERY (5), OB-GYN (5), FAMILY MEDICINE (5), INTERNAL MEDICINE (4), CARDIOLOGY (4), AND PEDIATRICS (2). IN ADDITION, ONE CLINICIAN IN EACH OF THE FOLLOWING AREAS: GENERAL SURGERY, HEMATOLOGY-ONCOLOGY, OCCUPATIONAL MEDICINE, SPORTS MEDICINE, UROLOGY, INPATIENT PHYSICAL MEDICINE AND REHAB, ENDOCRINOLOGY, AND BARIATRIC MEDICINE DURING THE FISCAL YEAR. A COMPREHENSIVE STRATEGIC PLAN CONTINUES TO IDENTIFY AND VALIDATE THE NUMBER OF NEW PROVIDERS NEEDED TO SUFFICIENTLY CARE FOR OUR COMMUNITY AND THE BEST LOCATIONS TO PLACE THESE PROVIDERS.CLINICAL STAFFING WAS AND CONTINUES TO BE A HIGH PRIORITY FOR THE HEALTH NETWORK, PARTICULARLY FOR NURSES. NURSING SHORTAGES PERSISTED, REQUIRING A COSTLY LABOR FORCE TO PROVIDE CARE TO THE COMMUNITY. LVH-H FOCUSED ON REDUCTION OF TEMPORARY LABOR AND RECRUITMENT OF PERMANENT STAFF. INITIATIVES AND OFFERINGS THAT WERE UNDERTAKEN TO RECRUIT NURSES AND OTHER HEALTH CARE PROFESSIONALS INCLUDE:- EMERGENCY STAFFING OPERATIONS COMMITTEE (ESOC)- NURSING RECRUITMENT EVENTS REGIONALLY AND EXPANDED TO PUERTO RICO AND INTERNATIONAL LOCATIONS - VISITING AREA COLLEGES WITH MEDICAL PROGRAMS- OFFERING SIGN-ON BONUSES- COLLEAGUE REFERRAL BONUSES- CRISIS PAY- COMPETITIVE WAGES- BUILDING RELATIONSHIPS WITH AREA COLLEGES AND UNIVERSITIES WITH NURSING AND OTHER CLINICAL PROGRAMSTECHNOLOGY/EQUIPMENT/FACILITIESADDITIONAL FACILITY RENOVATIONS TO THE HOSPITAL, WHICH WERE NOT INCLUDED IN THE MOST RECENT HOSPITAL RENOVATIONS AND MODERNIZATION PROJECT, BEGAN IN FY22. THESE INCLUDE RENOVATING AND UPDATING EQUIPMENT IN TWO OF THE HOSPITAL'S OPERATING ROOMS, A NEW ROOF FOR THE RENOVATED SECTION OF THE EMERGENCY DEPARTMENT, CHANGING OF AIR HANDLER UNITS AND WATERPROOFING THE BUILDING, UPGRADING INTERIORS OF THE PATIENT AND STAFF ELEVATORS, MISCELLANEOUS WINDOW AND PLUMBING REPAIRS/REPLACEMENTS AND UPGRADING PATIENT BATHROOMS. THESE RENOVATIONS CONTINUED INTO FY23 ALONG WITH UPGRADE THE FIRE ALARM AND REPLACEMENT OF THE ELEVATOR IN THE EMPLOYMENT TECHNOLOGY CENTER BUILDING, PARKING LOT REPAIRS, REPLACEMENT OF ROOFTOP A/C UNITY PHARMACY/PURGE UNIT CHILLER, RENOVATIONS OF FLOORS AND WALLS AND ADDITION OF CORRIDOR DOORS IN BASEMENT OF HOSPITAL, AND PAVING OF PARKING LOT AT DESSEN CENTER.- INCREASED EDUCATION AND UTILIZATION OF LANGUAGE TECHNOLOGY TO ENSURE ADEQUATE DELIVERY OF HEALTHCARE AND PATIENTS' UNDERSTANDING AND PARTNERSHIP IN THEIR DECISION-MAKING. COMMUNITY HEALTH NEEDS ASSESSMENT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CONDUCTED IN 2019 WAS CONCLUDED IN DECEMBER 2022.ACCESS TO CARE FOR VULNERABLE POPULATIONSINITIATIVES:- MEDICATION ASSISTANCE- CONNECTION TO HEALTH INSURANCE AND FINANCIAL ASSISTANCEHEALTH PROMOTION AND PREVENTION - PROMOTE FREE AND LOW-COST HEALTH-CARE SCREENINGS IN COMMUNITIES WITH UNDERSERVED POPULATIONSINITIATIVES:- PREVENTATIVE HEALTH SCREENINGS AND SERVICES- HEALTH PROMOTIONS AND FAIRSINCLUSION AND DIVERSITYINITIATIVES:- WORKED TO ENHANCE EVEN FURTHER LANGUAGE AND COMMUNICATION EFFORTS THROUGH INTERPRETER SERVICES (VIRTUAL AND TRAINED INTERPRETER STAFF)- SUPPORTED DEVELOPMENT OF A CULTURALLY COMPETENT ORGANIZATION THROUGH CULTURAL AWARENESS AND STAFF EDUCATIONSOCIAL DETERMINANTS OF HEALTH - IMPROVE ACCESS TO HEALTH FOOD AND REDUCE OBESITY RATES IN OUR COMMUNITIESINITIATIVES:- PARTNERED WITH LOCAL COMMUNITY ORGANIZATIONS THAT PROVIDE ACCESS TO HEALTHY FOOD - PROVIDED FITNESS AND NUTRITION EDUCATION WITHIN THE COMMUNITYBEHAVIORAL HEALTH NEED TO BETTER ADDRESS BEHAVIORAL HEALTH IN THE COMMUNITY WITH FOCUS ON MENTAL HEALTH, SUBSTANCE ABUSE AND SUICIDE PREVENTIONINITIATIVES:- DEVELOPED A CENTRALIZED REFERRAL PROCESS FOR OUTPATIENT BEHAVIORAL HEALTH SERVICES. - CONTINUED PARTNERSHIP WITH NORTHEAST COUNSELING TO PROVIDE PSYCHIATRIC EVALUATION SERVICES IN THE LVH-H EMERGENCY DEPARTMENT.- IMPLEMENTED THE USE OF TELE-PSYCHIATRY FOR INPATIENTS.- EDUCATED STAFF IN PSYCHIATRY, SURGERY, FAMILY MEDICINE, NEUROLOGY AND INTERNAL MEDICINE ABOUT SUBSTANCE USE DISORDER AND OPIOID-RELATED ISSUES.- CONTINUED TO COLLABORATE WITH THE COUNTY DRUG AND ALCOHOL COUNCIL TO DELIVER WARM HAND-OFF SERVICES IN BOTH THE ED AND INPATIENTS SETTINGS. THERE WERE 143 WARM HAND-OFFS AT LVH-HAZLETON IN FY 2022.THE NEXT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN MID-2022 AND BASED ON THE RESULTS OF THE ASSESSMENT, PRIORITY AREAS WERE IDENTIFIED FOR THE THREE-YEAR PERIOD 2023-2025.SPECIFIC INITIATIVES WERE DEVELOPED AND IMPLEMENTED AROUND THE FOLLOWING PRIORITIES THROUGH PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS:- SCHOOL-BASED BEHAVIORAL HEALTH AND PREVENTATIVE HEALTH SERVICES FOR YOUTH.- PROVIDE MENTAL HEALTH SERVICES AND PREVENTIVE HEALTH SERVICES TO CHILDREN IN HAZLETON, INCLUDING DENTAL SERVICES AND IMMUNIZATIONS. - ADDRESS LANGUAGE BARRIERS IN HEALTH CARE TO IMPROVE HEALTH OUTCOMES FOR VULNERABLE POPULATIONS.- DIVERSIFY STAFF AT LVH-HAZLETON TO BE MORE REFLECTIVE OF THE COMMUNITY BEING SERVED, INCLUDING THROUGH HUMAN RESOURCE RECRUITMENT AND WORKFORCE DEVELOPMENT EFFORTS.COMMUNITY ENGAGEMENT- LVH-H HELD ITS ANNUAL FREE COMMUNITY DRIVE-THRU FLU SHOT CLINIC IN FY 2023. THE CLINIC PROVIDED MORE THAN 300 FREE VACCINES AND WAS WELL RECEIVED BY THE COMMUNITY. VACCINES WERE AGAIN PROVIDED TO ADULTS AND CHILDREN 6 MONTHS TO 12 YEARS OF AGE. - LVH-H CONTINUED TO SUPPORT COMMUNITY NON-PROFIT ORGANIZATIONS THROUGH MONETARY SPONSORSHIPS. IN FY 2022, APPROXIMATELY $75,000 WAS AWARDED TO SUPPORT CHNA-RELATED AND OTHER ACTIVITIES.- LVH-H CONTINUED ITS OUTREACH TO SENIORS IN OUR COMMUNITY THROUGH THE VITALCHOICE PROGRAM. THE PROGRAM IS DESIGNED TO HELP MEMBERS IN THEIR PERSONAL HEALTH AND WELLNESS JOURNEY BY PROVIDING THEM WITH MORE CHOICES, SERVICES, CONVENIENCE, AND WELLNESS PROGRAMS. IN ADDITION, THE PROGRAM FEATURES AN LVHN FITNESS CENTER DISCOUNT, ENROLLMENT IN SILVER SNEAKERS (IF INSURANCE APPLIES), FREE ANNUAL WELLNESS ASSESSMENT, AND COMPLIMENTARY, PERSONALIZED TRAINING SESSION. VITALCHOICE ALSO KEEPS MEMBERS ENGAGED AND ACTIVE THROUGH SOCIAL AND ENRICHMENT PROGRAMS INCLUDING FREE PICNICS AND "LUNCH AND LEARNS" ON HEALTHCARE TOPICS AND SERVICES AND PARTNERSHIP PRESENTATIONS WITH THE PENNSYLVANIA STATE POLICE FOR SENIORS.- LVH-HAZLETON WAS THE PROUD WINNER OF THE 2023 STANDARD SPEAKER READER'S CHOICE AWARDS IN THE FOLLOWING HEALTH CATEGORIES: - BEST HOSPITAL-LVH-HAZLETON- BEST PATIENT CARE-LVH-HAZLETON- BEST PLACE TO WORK MEDICAL- BEST MEDICAL PRACTICE- BEST ORTHOPEDIC SERVICES- BEST PEDIATRICIAN- BEST OBSTETRICIAN/GYNECOLOGIST- BEST PODIATRIST- BEST PHYSICAL THERAPY- BEST REHABILITATION CENTER- BEST SURGEON 115838198 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 1 60 0 1 926 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X X X THE ORGANIZATION 4842241876 PO BOX 4000 ALLENTOWN PA 18105 CHRISTINE BIEGE MHA BSN TRUSTEE 1.00 59.00 X 0 224676 432 ANTHONY N CUSATIS CHAIRPERSON (TO 3/31) 1.00 0.25 X X 0 0 0 JANE A DANISH SECRETARY 28.00 12.00 X 123065 0 20859 JOHN R FLETCHER FORMER PRESIDENT/TRUSTEE 0.00 0.00 X 628476 0 17415 BARBARA A FORTE ASSISTANT SECRETARY 28.00 12.00 X 62674 0 10879 ANTOINETTE M FRITZ TRUSTEE 0.50 0.25 X 0 0 0 ROBERT HINKLE TRUSTEE 0.50 0.25 X 0 0 0 GREGORY G KILE FORMER TRUSTEE 0.00 0.00 X 0 974558 5964 LINDA L LAPOS MD TRUSTEE 0.50 0.25 X 0 0 0 MICHAEL J LEIB TRUSTEE 0.50 0.25 X 0 0 0 MARK J LOBITZ DO VICE CHAIRPERSON/ACTING CHAIRPERSON (AS OF 4/1/23) 0.50 0.25 X X 0 0 0 THOMAS J MARCHOZZI MBA CPA TREASURER 3.00 57.00 X 0 1418647 26460 VICKI PEREZ TRUSTEE 1.00 0.00 X 0 0 0 MARYANNE C PETRILLA TRUSTEE 1.00 0.00 X 0 0 0 TERRENCE J PURCELL MBA PRESIDENT/TRUSTEE (TO 6/14) 20.00 40.00 X X 0 444309 20591 ANTHONY RYBA TRUSTEE 1.00 0.00 X 0 0 0 STEPHEN SEACH TRUSTEE 0.50 0.25 X 0 0 0 ROBERT L THOMAS CPA ASSISTANT TREASURER 3.00 57.00 X 0 485890 10376 TAMMY TORRES DNP PRESIDENT/TRUSTEE (AS OF 6/14) 60.00 0.00 X X 0 0 0 ELIZABETH WRIGHT TRUSTEE 1.00 0.00 X 0 0 0 NICOLE R CAMERON REGISTERED NURSE 40.00 X 252161 0 29229 MELISSA N CURTO VP, PATIENT CARE OPERATIONS 40.00 X 231714 0 0 RAYMOND J BERNARDI VP, OPERATIONS 40.00 X 220871 0 11026 MARY ELLEN DONOHUE REGISTERED NURSE 40.00 X 204180 0 12208 CHERYL A CAMPBELL REGISTERED NURSE 40.00 X 204097 0 10606 1927238 3548080 176045 113 1 1 0 HEALTHTRUST WORKFORCE SOLUTIONS LLC PO BOX 742697 ATLANTA GA 303742697 STAFFING SERVICES 4274539 HAZLETON ANESTHESIA SERVICES 100 COMMERCE DR NEW ROCHELLE NY 10801 MEDICAL SERVICES 2307237 ADVANCED INPATIENT MEDICINE - LEHIGH LL 7250 PARKWAY DR STE 500 HANOVER MD 21076 PHYSICIAN SERVICES 1460316 PINNACLE CLEANING SERVICE PO BOX 128 MOUNTAIN TOP PA 18707 HOUSEKEEPING SERVICES 499966 FRESENIUS MANAGEMENT SERVICES 16343 COLLECTION CENTER DR CHICAGO IL 60693 PHYSICIAN SERVICES 188628 6 132954 132954 OUTPATIENT REVENUE 621990 83827569 83827569 INPATIENT REVENUE 621990 63495454 63495454 FEMA COVID REVENUE 921990 4813554 4813554 152136577 3922961 3922961 1653232 1405247 247985 247985 247985 33232116 2600 31851865 9821 1380251 -7221 1373030 1373030 OTHER OPERATING REVENUE 621990 2165997 2165997 2165997 159979504 155923589 0 3922961 X 217477 217477 37401169 36756675 644494 1456324 1427161 29163 9558807 9523040 35767 2877608 2851482 26126 24116649 15337896 8778753 50286 50286 174056 167483 6573 174242 159845 14397 5299940 4874305 425635 139705 135725 3980 12084 11684 400 1701220 77338 1623882 4521023 3040216 1480807 997419 997419 MEDICAL SUPPLIES 18712399 18499882 212517 BAD DEBT EXPENSE 12267706 11606547 661159 PURCHASED SERVICES 9378176 6257024 3121152 CONTRACT LABOR 3725074 3726324 -1250 4091625 1168094 2923531 136872989 115838198 21034791 0 1219 1221 37924020 7932753 16705643 19370789 25522508 63066264 3158026 3376998 129476 198782 104683075 33784405 57837323 70898670 144874452 147971029 11854460 11961164 18109757 17332142 1348963 1322103 317465847 343431915 13380166 24324800 3858748 -158951 40043282 38870540 23297617 24103812 80579813 87140201 X 235925312 255031659 960722 1260055 236886034 256291714 317465847 343431915 X 23106515 4255815 299337 -8255987 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 0 0 PART II-B, LINE 1: LEHIGH VALLEY HOSPITAL - HAZLETON IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE HOSPITAL & HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA (HAP). A PERCENTAGE OF THE DUES PAID TO THESE ORGANIZATIONS GOES TOWARDS LOBBYING EFFORTS. THEIR MISSION IS TO ADVANCE THE HEALTH OF INDIVIDUALS AND COMMUNITIES TO LEAD, REPRESENT, AND SERVE HEALTH CARE PROVIDER ORGANIZATIONS THAT ARE ACCOUNTABLE TO THE COMMUNITY AND COMMITTED TO HEALTH IMPROVEMENT. THE MEMBERSHIP DUES FOR AHA AND HAP ARE PAID BY LEHIGH VALLEY HOSPITAL, INC. THEREFORE, THE LOBBYING PORTION OF THE DUES ARE REFLECTED ON THE LEHIGH VALLEY HOSPITAL, INC. FORM 990, SCHEDULE C. 8410000 8410000 44249349 15429504 28819845 603661 106170 497491 30153891 18248731 11905160 21266174 21266174 70898670 DEFERRED COMPENSATION PLANS 1322103 PENSION LIABILITY 933538 COST SETTLEMENT RESERVES - THIRD PARTIES 2790087 PROFESSIONAL INSURANCE LIABILITY 2277718 CURRENT PORTION DEBT - THIRD PARTIES 2638820 LONG TERM PORTION - THIRD PARTY 14141546 24103812 X PART X, LINE 2: LVHN, ITS HOSPITALS, AND OTHER SUBSIDIARIES ARE GENERALLY EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, EXCEPT FOR TAX IMPOSED ON UNRELATED BUSINESS INCOME. THE MOST RECENT DETERMINATION LETTER, RECEIVED BY THE ORGANIZATION, IS DATED MAY 1, 2014. LVHN AND ITS SUBSIDIARIES ACCOUNT FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740. THE ORGANIZATION'S FOR-PROFIT COMPONENTS RECOGNIZE DEFERRED TAX ASSETS AND LIABILITIES FOR THE FUTURE TAX IMPACT OF TEMPORARY DIFFERENCES BETWEEN AMOUNTS RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS AND THEIR RESPECTIVE TAX BASES AND THE FUTURE BENEFIT OF UTILIZATION NET OPERATING LOSS CARRYFORWARDS. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. INCOME TAXES OF THE ORGANIZATION'S TAX-EXEMPT AND FOR-PROFIT COMPONENTS ARE NOT MATERIAL TO THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. 1 1 X 1 X 1 X 1 1 0 1 1 187910 187910 0.00150 28348407 22513632 5834775 0.04680 0 28536317 22513632 6022685 0.04830 204683 204683 0.00160 59576 59576 0.00050 3861288 3861288 0.03100 0 0 4125547 4125547 0.03310 32661864 22513632 10148232 0.08140 1 1463517 407605 34138308 39164815 -5026507 X 1 1 2 LVHN RECIPROCAL RISK RETENTION GROUP MALPRACTICE INSURANCE 0.10000 0.00000 0.00000 1 1 LEHIGH VALLEY HOSPITAL - HAZLETON 700 E BROAD ST HAZLETON PA 18201 WWW.LVHN.ORG 083701 X X X LEHIGH VALLEY HOSPITAL - HAZLETON 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X WWW.LVHN.ORG/CHNA X X 1 21 1 WWW.LVHN.ORG/CHNA 0 1 X 200.000000000000 400.000000000000 X X X 1 1 X X X X 1 X WWW.LVHN.ORG/GET-FINANCIAL-ASSISTANCE X WWW.LVHN.ORG/GET-FINANCIAL-ASSISTANCE X WWW.LVHN.ORG/GET-FINANCIAL-ASSISTANCE X X X X X 1 X 0 X X X 1 X 0 0 LEHIGH VALLEY HOSPITAL - HAZLETON PART V, SECTION B, LINE 5: FOR THE PURPOSES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), LVHN DEFINES THE COMMUNITY IT SERVES AS ALL INDIVIDUALS LIVING WITHIN THE COUNTIES THAT CONTAIN OUR HOSPITAL CAMPUSES. LVHN IS REQUIRED TO PRODUCE A CHNA HEALTH PROFILE FOR EACH OF OUR LICENSED FACILITIES TO ADDRESS THE LOCAL CONTEXT OF THE DIFFERENT COMMUNITIES WE SERVE. THEREFORE, LVHN HAS PRODUCED SEVEN CHNA HEALTH PROFILES FOR OUR LEHIGH VALLEY HOSPITAL (LVH) CAMPUSES: LVH-CARBON (CARBON COUNTY); LVH-DICKSON CITY (LACKAWANNA COUNTY); LVH-HAZLETON (LUZERNE COUNTY); LVH-POCONO (MONROE COUNTY); LVH-CEDAR CREST, LVH-17TH STREET, AND LVH-1503 NCC (LEHIGH COUNTY); LVH-MUHLENBERG, LVH-HECKTOWN OAKS, AND LVHN-HIGHLAND AVENUE (NORTHAMPTON COUNTY).WE ADDITIONALLY ASSESSED HEALTH NEEDS WITHIN THE CITY OF HAZLETON TO REFLECT THE URBAN COMMUNITY SURROUNDING OUR HAZLETON CAMPUS IN THE LUZERNE COUNTY REPORT, WHERE DATA WAS AVAILABLE. WITHIN THE ENTIRE GEOGRAPHIC POPULATION THAT MAKES UP THE COMMUNITIES WE SERVE, WE PLACE A GREATER EMPHASIS ON INCLUDING INDIVIDUALS IN THE COMMUNITY WHO ARE EXPERIENCING HEALTH DISPARITIES TO A GREATER EXTENT OR WHO ARE AT RISK FOR NEGATIVE HEALTH OUTCOMES BECAUSE OF THE SOCIAL AND ENVIRONMENTAL FACTORS INFLUENCING THEIR HEALTH. IT IS WELL DOCUMENTED THAT THE CLINICAL CARE PROVIDED TO COMMUNITY MEMBERS ONLY ACCOUNTS FOR A SMALL PORTION OF AN INDIVIDUAL'S OVERALL HEALTH. THERE ARE MANY OTHER FACTORS THAT OCCUR OUTSIDE THE DOCTOR'S OFFICE AND HOSPITAL WALLS THAT INFLUENCE HEALTH BEYOND MEDICAL CARE. THEY INCLUDE:- SOCIAL AND ECONOMIC FACTORS, SUCH AS EDUCATION, EMPLOYMENT, AND SOCIAL SUPPORT- PHYSICAL ENVIRONMENT FACTORS, SUCH AS HOUSING, TRANSPORTATION, AND AIR QUALITY- HEALTH BEHAVIORS, SUCH AS SMOKING, DRINKING, DIET, AND EXERCISETHEREFORE, THE CHNA HEALTH PROFILE PROVIDES INFORMATION ABOUT HEALTH CARE AS WELL AS OTHER HEALTH FACTORS FOLLOWED BY HEALTH OUTCOMES. THERE ARE TWO TYPES OF DATA INCLUDED IN THE CHNA HEALTH PROFILES. THE FIRST TYPE IS QUANTITATIVE DATA, OR NUMBERS AND STATISTICS ABOUT THE OVERALL POPULATION IN THE COMMUNITY. THESE STATISTICS COME FROM A VARIETY OF LOCAL, STATE, AND NATIONAL SOURCES INCLUDING THE CENSUS, THE CENTER FOR DISEASE CONTROL, THE DEPARTMENT OF EDUCATION, AND THE CENTERS FOR MEDICAID AND MEDICARE SERVICES. MOST OF THESE DATA POINTS ARE COMPILED TOGETHER THROUGH A PLATFORM CALLED SPARKMAP FROM CARES AT THE UNIVERSITY OF MISSOURI EXTENSION, WHICH LVHN USES AS THE STARTING POINT FOR ITS CHNA HEALTH PROFILES, ADDING OTHER KEY STATE AND LOCAL DATA SOURCES TO THE DATA PROVIDED THROUGH THIS HEALTH REPORT.IN ADDITION, NON-PROFIT HOSPITAL SYSTEMS ARE REQUIRED TO OBTAIN INPUT FROM INDIVIDUALS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING THOSE WITH PUBLIC HEALTH EXPERTISE AND THE VULNERABLE POPULATIONS. LVHN CHOSE TO OBTAIN THIS INPUT THROUGH COMMUNITY CONVERSATIONS AND KEY STAKEHOLDER INTERVIEWS WITH COMMUNITY MEMBERS AND LEADERS. THIS TYPE OF DATA IS REFERRED TO AS QUALITATIVE DATA. FOR EACH CAMPUS, WE PARTNERED WITH AN EXTERNAL COMMUNITY COLLABORATOR WHO HAS EXPERIENCE IN QUALITATIVE DATA COLLECTION TO CONDUCT THESE FOCUS GROUPS AND INTERVIEWS ON LVHN'S BEHALF. THIS PROCESS PROVIDED COMMUNITY MEMBERS WITH AN INDEPENDENT AND OBJECTIVE OPPORTUNITY TO IDENTIFY AND SHARE THEIR PERSONAL EXPERIENCES AND PERSPECTIVE ON THE MOST PRESSING HEALTH NEEDS FACING THEIR COMMUNITY AS WELL AS WHERE THEY WOULD LIKE LVHN TO FOCUS ITS ATTENTION. IN LUZERNE COUNTY, LVH-HAZLETON PARTNERED WITH NEXT EDGE STRATEGIES, AN ORGANIZATION THAT FOCUSES ON STRATEGIC DESIGN AND APPRECIATIVE INQUIRY. THE FOCUS GROUPS AND INTERVIEWS WERE CONDUCTED BETWEEN NOVEMBER 2021 AND JANUARY 2022. IN LUZERNE COUNTY, WHERE OUR HAZLETON CAMPUS IS LOCATED, 68 PARTICIPANTS WERE INVOLVED IN COMMUNITY CONVERSATIONS AND 5 ADDITIONAL KEY STAKEHOLDERS WERE INTERVIEWED.BELOW IS A SUMMARY OF THE ORGANIZATIONS REPRESENTED IN THE COMMUNITY CONVERSATIONS AND INTERVIEWS AS WELL AS A SUMMARY OF THE DEMOGRAPHICS OF THOSE WHO PARTICIPATED. RESIDENTS, INCLUDING THOSE FROM LOW-INCOME POPULATIONS AND OTHER GROUPS OF FOCUS, WERE ALSO INCLUDED IN THE COMMUNITY CONVERSATIONS.ORGANIZATIONS REPRESENTED IN LUZERNE COUNTY:HAZLETON AREA SCHOOL DISTRICTHAZLETON INTEGRATION PROJECTGREATER HAZLETON CHAMBER OF COMMERCEGREATER HAZLETON CAN-DOPENNSYLVANIA CAREERLINK LUZERNE COUNTY/HAZLETONUNITED WAY OF GREATER HAZLETONDEMOGRAPHICS OF LUZERNE COUNTY:GENDER: 85% FEMALE, 15% MALEAVERAGE AGE: 44, AGE RANGE: 23-72RACE: 63% WHITE, 21% MULTI-RACIAL, 16% OTHER RACEETHNICITY: 53% NON-HISPANIC, 47% HISPANIC (OF ANY RACE) LEHIGH VALLEY HOSPITAL - HAZLETON PART V, SECTION B, LINE 6A: LVHN HAS PRODUCED SEVEN CHNA HEALTH PROFILES FOR OUR LEHIGH VALLEY HOSPITAL (LVH) CAMPUSES: LVH-CARBON (CARBON COUNTY); LVH-DICKSON CITY (LACKAWANNA COUNTY); LVH-HAZLETON (LUZERNE COUNTY); LVH-POCONO (MONROE COUNTY); LVH-CEDAR CREST, LVH-17TH STREET, AND LVH-1503 NCC (LEHIGH COUNTY); LVH-MUHLENBERG, LVH-HECKTOWN OAKS, AND LVHN-HIGHLAND AVENUE (NORTHAMPTON COUNTY).WE ADDITIONALLY ASSESSED HEALTH NEEDS WITHIN THE CITY OF ALLENTOWN TO REFLECT THE URBAN COMMUNITY SURROUNDING OUR LVH-17TH STREET CAMPUS IN THE LEHIGH COUNTY REPORT, AND THE LUZERNE COUNTY REPORT INCLUDES INFORMATION ABOUT THE HEALTH NEEDS IN THE CITY OF HAZLETON WHERE IT WAS AVAILABLE. WITHIN THE ENTIRE GEOGRAPHIC POPULATION THAT MAKES UP THE COMMUNITIES WE SERVE, WE PLACE A GREATER EMPHASIS ON INCLUDING INDIVIDUALS IN THE COMMUNITY WHO ARE EXPERIENCING HEALTH DISPARITIES TO A GREATER EXTENT OR WHO ARE AT RISK FOR NEGATIVE HEALTH OUTCOMES BECAUSE OF THE SOCIAL AND ENVIRONMENTAL FACTORS INFLUENCING THEIR HEALTH. LEHIGH VALLEY HOSPITAL - HAZLETON PART V, SECTION B, LINE 6B: ORGANIZATIONS REPRESENTED IN LUZERNE COUNTY:HAZLETON AREA SCHOOL DISTRICTHAZLETON INTEGRATION PROJECTGREATER HAZLETON CHAMBER OF COMMERCEGREATER HAZLETON CAN-DOPENNSYLVANIA CAREERLINK LUZERNE COUNTY/HAZLETONUNITED WAY OF GREATER HAZLETON LEHIGH VALLEY HOSPITAL - HAZLETON PART V, SECTION B, LINE 7D: OUR COMMUNITY HEALTH NEEDS ASSESSMENT IS ALSO AVAILABLE UPON REQUEST. LEHIGH VALLEY HOSPITAL - HAZLETON PART V, SECTION B, LINE 11: PRIORITY AREA: SCHOOL-BASED BEHAVIORAL HEALTH (SBBH) AND PREVENTIVE HEALTH THE CHNA PROCESS FOR LUZERNE COUNTY REVEALED INCREASING MENTAL HEALTH CONCERNS, INCLUDING INCREASED SUBSTANCE ABUSE, PARTICULARLY AMONG YOUTH. AS A RESULT, A GOAL WAS SET TO INCREASE BEHAVIORAL HEALTH CARE FOR STUDENTS BY PROVIDING ACCESS TO ON-SITE OR TELEHEALTH CARE. LVHN IS INVESTED IN ASSURING THAT SERVICES PROVIDED TO STUDENTS AND THEIR FAMILIES USE TRAUMA-INFORMED, EVIDENCE-BASED, FAMILY-ALLIED, AND CULTURALLY RESPONSIVE APPROACHES. THE SCHOOL-BASED BEHAVIORAL HEALTH PROGRAM WAS PLEASED TO ENTER A PARTNERSHIP WITH HAZLETON AREA SCHOOL DISTRICT TO PROVIDE MENTAL HEALTH SERVICES TO STUDENTS IN THE DISTRICT. THE SEARCH FOR A SCHOOL-BASED OUTPATIENT THERAPIST BEGAN IN THE SPRING OF 2022. AS THE POSITION REMAINED UNFILLED DUE TO STAFFING CHALLENGES, CREATIVE MEASURES WERE TAKEN TO GENERATE CANDIDATE INTEREST, INCLUDING ATTENDANCE TO LOCAL JOB FAIRS AND EVENTS, AND CANVASSING SURROUNDING AGENCIES, COLLEGES, AND UNIVERSITIES TO BUILD COMMUNITY RELATIONSHIPS. AS FY23 ENDED, WE HAD NOT YET HIRED BUT WERE INTERVIEWING WITH PROMISING CANDIDATES (A POSITION WAS FILLED EARLY IN FY24). THE LEHIGH VALLEY REILLY CHILDREN'S HOSPITAL SCHOOL-BASED BEHAVIORAL HEALTH (SBBH) PROGRAM PARTNERS WITH SCHOOL DISTRICTS ACROSS THE HEALTH NETWORK'S SERVICE AREA TO REMOVE BARRIERS TO MENTAL HEALTH TREATMENT BY PROVIDING OUTPATIENT THERAPY FOR STUDENTS DURING THE SCHOOL DAY. EACH YEAR, HUNDREDS OF CHILDREN WHO OTHERWISE WOULD NOT HAVE ACCESS TO MENTAL HEALTH TREATMENT ARE ABLE TO PARTICIPATE IN SCHOOL-BASED THERAPY TO HELP THEM ADDRESS THEIR TRAUMA, IMPROVE THEIR SCHOOL PERFORMANCE AND STRENGTHEN THEIR OVERALL WELL-BEING. THE PROGRAM IS LICENSED THROUGH THE DEPARTMENT OF HUMAN SERVICES TO ENABLE BILLING THROUGH MEDICAL ASSISTANCE AND EACH THERAPIST CARRIES A CASELOAD OF 25 - 35 STUDENTS. THIS YEAR, OUR GOAL WAS TO AUGMENT THERAPEUTIC SERVICES AND REDUCE THE WAITING LISTS. SCHOOL-BASED TELEHEALTH SERVICES ALSO INCREASED THIS YEAR, WITH THIS BEING THE FIRST YEAR TELETHERAPY WAS OFFERED IN MONROE COUNTY. TELEHEALTH WAS VALUED AS A MEANS TO PROVIDE SERVICES TO STUDENTS WHO WERE SICK OR PARTICIPATING IN EDUCATION OUTSIDE OF THE PRIMARY SCHOOL CLINIC LOCATION, AND AS A WAY TO INCLUDE FAMILY MEMBERS IN THERAPY SESSIONS. OF SERVICES PROVIDED DURING FY23, 10% WERE CONDUCTED THROUGH TELEHEALTH. NEW FOR THE PROGRAM THIS YEAR WAS THE DEVELOPMENT OF THE SCHOOL-BASED BEHAVIORAL HEALTH INTERNSHIP PROGRAM. THIS PROGRAM WAS ESTABLISHED TO ENGAGE GRADUATE LEVEL COUNSELING AND SOCIAL WORK STUDENTS IN SCHOOL-BASED MENTAL HEALTH WORK, AND TO SUPPORT THE TIER 3 COUNSELING SERVICES OF OUR CLINICAL TEAM. WE WELCOMED THREE GRADUATE LEVEL INTERNS TO OUR PROGRAM IN SEPTEMBER 2022. THE INTERN TEAM FOCUSED ON PSYCHOEDUCATION AND RESOURCE FINDING. WITH CLINICAL OVERSIGHT, THE INTERNS DEVELOPED CURRICULUM FOR THREE TIER 2, PSYCHOEDUCATIONAL GROUPS ON LGBTQ+ INCLUSIVITY, LIFE SKILLS, AND MINDFULNESS. IN SPRING 2023, THESE THREE GROUPS WERE IMPLEMENTED ACROSS SEVERAL SCHOOL SITES. GROUPS WERE OPEN TO ALL STUDENTS FREE OF CHARGE AND TOOK PLACE ONCE PER WEEK, OVER THE COURSE OF 8-10 WEEKS. THE INTERN TEAM ALSO HELPED TO CREATE A RESOURCE GUIDE, WHICH IS USED TO HELP FAMILIES CONNECT WITH COMMUNITY SUPPORTS. IN FY23, OVER 700 REFERRALS WERE RECEIVED, 692 STUDENTS RECEIVED SERVICES, AND OVER 8,000 THERAPY SESSIONS WERE COMPLETED. IN-KIND HOURS WERE USED TO SUPPORT CLINICAL WORK. MOST HOURS WERE ALLOCATED TO PROVIDE THERAPY TO UNINSURED STUDENTS, AND IN-KIND HOURS WERE ALSO USED TO ASSIST FAMILIES WITH MEDICAL ASSISTANCE APPLICATIONS AND RESOURCE FINDING, ATTEND SCHOOL MEETINGS, OBSERVE STUDENTS IN THE CLASSROOM, AND ENGAGE IN BEHAVIOR MANAGEMENT PLANNING. TO HELP MEET THE DEMAND FOR SERVICES, SEVEN SCHOOL-BASED THERAPISTS WERE ADDED ALONG WITH AN ADMINISTRATIVE SUPPORT STAFF. DURING THE YEAR, MOST STUDENTS SERVED BY SBBH WERE WHITE (50%), 30% WERE HISPANIC/LATINX, AND 14% WERE BLACK/AFRICAN AMERICAN. SERVICES WERE NEARLY EQUALLY DIVIDED ACROSS ELEMENTARY, MIDDLE, AND HIGH SCHOOL AGED STUDENTS: 35% OF THOSE SERVED WERE ELEMENTARY SCHOOL AGED (KINDERGARTEN TO GRADE 5), 33% WERE MIDDLE SCHOOL AGED (GRADES 6 THROUGH 8), AND 32% WERE HIGH SCHOOL AGED. THE TOP THREE REASONS FOR REFERRAL WERE ANXIETY (24%), DEPRESSION (16%), AND FAMILY ISSUES (10%). ONE OF OUR SCHOOL-BASED THERAPISTS OFFERED GUIDANCE TO ASSIST A LOCAL ORGANIZATION WITH THE CREATION OF A COMFORT ROOM FOR YOUTH. SCHOOL-BASED THERAPISTS SUPPORTED SCHOOL PARTNERS WITH RESOURCES FOR INCIDENTS SUCH AS SUDDEN LOSS OF A STUDENT OR FACULTY MEMBER, THREATS OF VIOLENCE, AND ANNIVERSARIES OF LOSS. SCHOOL-BASED THERAPISTS ALSO ATTENDED EVENTS SUCH AS BACK-TO-SCHOOL NIGHT, YOUTH SPORTING EVENTS, RESOURCE FAIRS, AND STUDENT BOOK CLUBS. OVER THE SCHOOL YEAR OUR THERAPISTS, AIDED BY STUDENTS IN THERAPY, CONSTRUCTED CREATIVE, VISUAL REMINDERS AND INTERACTIVE ACTIVITIES AS REMINDERS OF THE IMPORTANCE OF MENTAL HEALTH. THESE PROJECTS WERE LOCATED IN KEY LOCATIONS THROUGHOUT THE SCHOOL, SUCH AS SCHOOL-BASED SATELLITE OFFICES, HALLWAYS, BULLETIN BOARDS, CLASSROOM, AND OFFICE DOORS. THE SBBH PROGRAM USES FOUR VALIDATED ASSESSMENT TOOLS TO DRIVE TREATMENT AND MEASURE THE OUTCOMES OF CLIENTS: THE CHILDREN'S HOPE SCALE, THE PEDIATRIC ACES AND RELATED LIFE EVENTS SCREENER (PEARLS), THE REVISED CHILD ANXIETY AND DEPRESSION SCALE (RCADS), AND THE STRENGTHS AND DIFFICULTIES QUESTIONNAIRE (SDQ). - THE RESULTS OF THE HOPE SCALE SHOWED THAT BETWEEN ONSET OF TREATMENT TO DISCHARGE, TOTAL "HOPE" SCORES INCREASED BY 16%.- USING THE PEARLS, 45% OF YOUTH HAD ONE TO THREE ADVERSE LIFE EXPERIENCES.- SCORES ON THE SDQ INDICATED THAT FROM ONSET OF TREATMENT TO DISCHARGE, STUDENTS SHOWED DECREASED IMPAIRMENT ON ALL FOUR SCALES: EMOTIONAL SYMPTOMS (15% DECREASE); CONDUCT PROBLEMS (13% DECREASE); HYPERACTIVITY/INATTENTION (10% DECREASE); AND, PEER ISSUES (10% DECREASE). THE SBBH PROGRAM ALSO ADMINISTERS SATISFACTION SURVEYS TO YOUTH, THEIR CAREGIVERS, AND SCHOOL PARTNERS. IN FY23, 100% OF YOUTH AND PARENTS REPORTED THAT THEIR THERAPIST LISTENED TO THEIR CONCERNS AND THAT THEIR HEALTH INFORMATION IS TREATED CONFIDENTIALLY. ONE HUNDRED PERCENT OF SCHOOL PARTNERS REPORTED THAT THE PROGRAM PROVIDES QUALITY CARE, MAKES A DIFFERENCE IN THE STUDENT'S FUNCTIONING AT SCHOOL, THAT IN-KIND HOURS ARE HELPFUL, AND THAT STAFF ARE RESPECTFUL. PRIORITY AREA: ADDRESS LANGUAGE BARRIERS TO IMPROVE HEALTH OUTCOMES FOR VULNERABLE POPULATIONS THE CHNA PROCESS IN LUZERNE COUNTY REVEALED THAT A LARGE PORTION OF THE POPULATION IN THE COUNTY ARE EXPERIENCING SOCIAL AND ECONOMIC DISADVANTAGES, PARTICULARLY AMONG HISPANIC RESIDENTS. SIXTY PERCENT OF THE POPULATION IN HAZLETON IS HISPANIC. ADDITIONALLY, 28% OF THE POPULATION IN HAZLETON HAS LIMITED ENGLISH PROFICIENCY. IN COMMUNITY CONVERSATIONS AND INTERVIEWS, COMMUNITY MEMBERS AND LEADERS FREQUENTLY ACKNOWLEDGED THAT SOCIO-ECONOMIC DISADVANTAGES AND LANGUAGE BARRIERS ARE THE FACTORS THAT ARE UNDERLYING AND INFLUENCING ALL OF THE OTHER HEALTH-RELATED ISSUES AND CONCERNS THAT RESIDENTS OF HAZLETON AND THROUGHOUT LUZERNE COUNTY ARE FACING. THERE HAS BEEN AN INCREASE IN JOBS THROUGH WAREHOUSES, BUT THESE JOBS MAKE IT DIFFICULT TO MISS WORK FOR HEALTH-RELATED ISSUES. THERE IS A LACK OF ACCESSIBLE TRANSPORTATION, AND RENTAL PRICES ARE INCREASING. THE COMPOUNDING NATURE OF THESE BARRIERS MAKE IT DIFFICULT TO PRIORITIZE FAMILY WELL-BEING AND INDIVIDUAL HEALTH. ONE PARTICIPANT NOTED THAT "SOCIOECONOMIC ISSUES TIE EVERYTHING TOGETHER, BUT THEY ARE EXACERBATED BY A BASIC LACK OF KNOWLEDGE ON GOOD HEALTH AND RESOURCES." THE LACK OF CULTURAL AND LANGUAGE RESOURCES IS THE PRIMARY BARRIER FOR HISPANIC INDIVIDUALS. THERE IS A GROWING AND VIBRANT HISPANIC POPULATION WITHIN HAZLETON. COMMUNITY MEMBERS AND LEADERS WHO PARTICIPATED IN COMMUNITY CONVERSATIONS HIGHLIGHTED THAT THERE IS A LACK OF CAPABLE TRANSLATORS IN THE COMMUNITY, AND OFTEN TIMES THE TRANSLATIONS ON SIGNS IN THE COMMUNITY ARE NOT A CORRECT REFLECTION OF THE SPANISH LANGUAGE. AS IT RELATES TO HEALTHCARE, THE LACK OF BILINGUAL CLINICIANS OR TRANSLATORS WHO UNDERSTAND MEDICAL TERMINOLOGY WELL CAN RESULT IN A BREAKDOWN OF COMMUNICATION. PATIENTS FEEL THEY DO NOT UNDERSTAND THE MEDICAL INFORMATION THEY ARE TOLD OR HOW TO PROPERLY FOLLOW THROUGH ON INSTRUCTIONS THEY ARE GIVEN. COMMUNITY MEMBERS SUGGESTED INCENTIVIZING BILINGUAL STUDENTS TO PURSUE CAREERS IN HEALTHCARE IN ORDER TO INCREASE THE AVAILABILITY OF BILINGUAL CLINICIANS. LVH-HAZLETON HAS SET A GOAL OF DIVERSIFYING THE STAFF TO BE MORE REFLECTIVE OF THE COMMUNITY BEING SERVED, INCLUDING THROUGH HUMAN RESOURCE RECRUITMENT AND WORKFORCE DEVELOPMENT EFFORTS. LEHIGH VALLEY HOSPITAL - HAZLETON PART V, SECTION B, LINE 18E: COLLECTION ACTIVITIES ARE LIMITED TO HOSPITAL SENDING FOUR STATEMENTS REQUESTING PAYMENT. THE STATEMENTS INCLUDE INFORMATION ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, SOLICITING THE PATIENTS PARTICIPATION IN THE FINANCIAL ASSISTANCE PROGRAM. PART V, SECTION B, LINE 11 (CONTINUATION A) IN ORDER TO ADDRESS THE NEEDS AND CONCERNS UNCOVERED BY OUR CHNA PROCESS, LVH-H HAS COMPLETED THE FOLLOWING IN FY23:- THE TOTAL NUMBER OF SPANISH-SPEAKING STAFF AT LVH-H IN FY23 WAS ROUGHLY 60, WHILE THE TOTAL IN OUR LVPG OFFICES WAS ROUGHLY 40. FIVE NEW SPANISH-SPEAKING CLINICIANS WERE HIRED ALONG WITH A NEW NURSE. THE NEW LVH-H PRESIDENT THAT STARTED IN FY23 IS ALSO A SPANISH-SPEAKER. - THE EMERGENCY DEPARTMENT (ED) INCREASED LANGUAGE OPTIONS IN FY23. A NEW BILINGUAL CONCIERGE POSITION NOW PROVIDES SERVICES IN THE ED FROM NOON TO 8PM. HE GREETS PEOPLE AND MONITORS THE ENVIRONMENT. INTERPRETER SERVICES IN THE ED WERE EXPANDED TO USE A VIDYO SOFTWARE WHICH INCLUDES VIDEO OPTIONS AND PROVIDE INCREASED CONTINUITY IN INTERPRETERS. - LVPG-H OBSTETRICS AND PEDIATRICS ALSO USE VIDYO SOFTWARE WHICH IS ACCESSED THROUGH IPADS. THEY ALSO HAVE LIVE INTERPRETERS. - MANY OF THE LVH-H COMMUNICATIONS ARE NOW IN BOTH SPANISH AND ENGLISH. ALL COMMUNICATIONS AROUND COVID TESTING WERE BILINGUAL. - SCHOOL-BASED BEHAVIORAL HEALTH HAS BEEN RECRUITING FOR A BILINGUAL THERAPIST. - LVHN INTERPRETER SERVICES COMPLETED A TOUR AND ASSESSMENT OF THE HOSPITAL. IMPROVEMENTS THAT WE HAVE IMPLEMENTED INCLUDE A NEW, ELECTRONIC, BILINGUAL DIRECTORY IN THE HOSPITAL LOBBY AND INCREASING THE USE OF UNIVERSAL SIGNAGE THAT USES IMAGES INSTEAD OF WORDS. - LVH-H IS PROVIDING SCHOOL PHYSICALS THROUGH A GRANT FROM THE HIP (HAZLETON INTEGRATION PROJECT) CENTER, WHICH SERVES MOSTLY HISPANIC PEOPLE, OFTEN THOSE WHO ONLY SPEAK SPANISH.- A NEW CLINICIAN COMPLETED "FIND A DOC" INTRODUCTORY VIDEO FOR THE COMMUNITY IN SPANISH.- BILINGUAL STAFF ARE ASSISTING WITH TRANSLATIONS. - LVH-H CONTINUES TO BUILD A PIPELINE OF BILINGUAL INDIVIDUALS. A BILINGUAL NURSE FROM THE ED PROVIDED A PRESENTATION THROUGH PARTNERS IN EDUCATION--WHICH EXPOSES STUDENTS TO CAREERS IN STEM. FOURTEEN NURSING STUDENTS VISITED FROM PUERTO RICO IN JANUARY. PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS ISSUED BY LEHIGH VALLEY HEALTH NETWORK - EIN #22-2458317, THE PARENT COMPANY OF LEHIGH VALLEY HOSPITAL-HAZLETON. PART I, LINE 7: THE COSTING METHODOLOGY IS COST TO CHARGE RATIO FOR PROGRAMS WITH GROSS CHARGES AND DIRECT COSTS FOR PROGRAMS WITHOUT GROSS CHARGES. PART I, LINE 7G: THE SUBSIDIZED HEALTH SERVICES AMOUNT OF $3,861,288 IS THE DIFFERENCE BETWEEN PAYMENTS AND COSTS FOR ANESTHESIA SERVICES, TELEMEDICINE, AND HOSPITALIST SERVICES. THESE SERVICE EXPENSES ARE NOT INCLUDED IN THE MEDICAL ASSISTANCE SHORTFALL OR UNCOMPENSATED CARE VALUES REPORTED ABOVE. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 12,267,706. PART III, LINE 2: PATIENT ACCOUNTS WRITTEN OFF AS BAD DEBT ARE IDENTIFIED. THE COST TO PROVIDE CARE TO THESE PATIENTS IS CALCULATED BY MULTIPLYING THE TOTAL CHARGES WRITTEN OFF AS BAD DEBT BY THE COST TO CHARGE RATIO. PART III, LINE 3: THIS AMOUNT IS THE COST TO PROVIDE CARE TO UNINSURED PATIENTS THAT DO NOT PARTICIPATE IN THE PROCESS TO DETERMINE IF THEY ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE COST IS DETERMINED USING COST TO CHARGE RATIOS. THE RATIONALE FOR INCLUDING THE COST TO PROVIDE CARE TO UNINSURED PATIENTS THAT DO NOT PARTICIPATE IN THE FINANCIAL ASSISTANCE PROCESS IS THE HOSPITAL'S EXPERIENCE WITH UNINSURED PATIENTS THAT DO PARTICIPATE IN THE FINANCIAL ASSISTANCE PROGRAM. WHEN THE HOSPITAL EVALUATES UNINSURED PATIENTS FOR FINANCIAL ASSISTANCE, THE MOST COMMON FINDING IS THAT UNINSURED PATIENTS HAVE INCOME LESS THAN 400% OF THE FEDERAL POVERTY GUIDELINE AND QUALIFY FOR FINANCIAL ASSISTANCE. THE HOSPITAL BELIEVES THAT UNINSURED PEOPLE WHO CHOOSE NOT TO PARTICIPATE IN THE FINANCIAL ASSISTANCE PROCESS AND HAVE THEIR ACCOUNTS WRITTEN OFF AS BAD DEBT, HAVE INCOME THAT WOULD QUALIFY FOR THE HOSPITAL FINANCIAL ASSISTANCE PROGRAM. PART III, LINE 4: THE ORGANIZATION ESTIMATES AN IMPLICIT PRICE CONCESSION RELATED TO UNINSURED ACCOUNTS, NET OF THE AGB (AMOUNTS GENERALLY BILLED) DISCOUNT, TO RECORD THE NET SELF-PAY ACCOUNTS RECEIVABLE AT THE ESTIMATED AMOUNTS THE ORGANIZATION EXPECTS TO COLLECT. COINSURANCES AND DEDUCTIBLES WITHIN THE THIRD-PARTY PAYER AGREEMENTS ARE THE PATIENT'S RESPONSIBILITY SO THE ORGANIZATION INCLUDES THESE AMOUNTS IN THE SELF-PAY ACCOUNTS RECEIVABLE AND CONSIDERS THESE AMOUNTS IN ITS DETERMINATION OF THE PROVISION FOR UNCOLLECTIBLE DEBTS BASED ON HISTORICAL COLLECTION EXPERIENCE. FOR THE YEARS ENDED JUNE 30, 2023, AND 2022, RESPECTIVELY, LVH-HAZLETON RECORDED A PROVISION FOR IMPLICIT PRICE CONCESSIONS OF $13,770,860 AND $6,674,221 AS A DIRECT REDUCTION TO PATIENT SERVICES REVENUES.IN INSTANCES WHERE THE ORGANIZATION BELIEVES A PATIENT HAS THE ABILITY TO PAY FOR SERVICES AND, AFTER APPROPRIATE COLLECTION EFFORTS, PAYMENT IS NOT MADE, THE UNPAID PORTION OF THE ACCOUNT BALANCE IS WRITTEN-OFF TO THE PROVISION FOR BAD DEBTS. AMOUNTS RECORDED AS PROVISION FOR BAD DEBTS DO NOT INCLUDE CHARITY CARE. PART III, LINE 8: THE SOURCE OF THE MEDICARE ALLOWABLE COSTS RELATING TO REVENUE RECEIVED FROM MEDICARE IS THE FY2023 MEDICARE COST REPORT. THE ENTIRE SHORTFALL ON LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT. THE REVENUE AND EXPENSES ARE BOTH DETERMINED USING MEDICARE PRINCIPLES. PART III, LINE 9B: FINANCIAL COUNSELING STAFF WILL DETERMINE WHETHER PATIENTS MEET ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE. ACCOUNTS THAT DO NOT MEET THE ELIGIBLILTY REQUIREMENTS WILL BE REFERRED TO AN EXTERNAL RECEIVABLES FOLLOW UP AGENCY, AND IF NOT PAID, REFERRED TO A COLLECTION AGENCY AND SUBSEQUENTLY TRANSFERRED TO BAD DEBT STATUS IF THE ACCOUNTS REMAIN UNPAID. PART VI, LINE 2: AS PART OF THE AFFORDABLE CARE ACT, STARTING IN 2013, ALL NON-PROFIT HOSPITALS AND HEALTH CARE SYSTEMS ARE REQUIRED TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS. THE CHNA REPORT EXAMINES THE FACTORS THAT IMPACT THE HEALTH AND WELLNESS OF ALL THE PEOPLE IN A PARTICULAR GEOGRAPHIC AREA. BEYOND ITS REGULATORY FUNCTION, THE CHNA IS AN IMPORTANT OVERVIEW OF THE CURRENT STATE OF HEALTH IN OUR REGION AND IDENTIFIES POTENTIAL AREAS OF CONCERN WHICH INFORMS LEHIGH VALLEY HEALTH NETWORK'S (LVHN) POPULATION HEALTH MANAGEMENT EFFORTS. LVHN'S CHNA INCLUDES A HEALTH PROFILE, A REPORT THAT LOOKS AT ALL THE FACTORS THAT GO INTO MAKING PEOPLE IN A PARTICULAR AREA HEALTHY. THIS INCLUDES SOCIAL AND ENVIRONMENTAL FACTORS LIKE EMPLOYMENT, EDUCATION AND AIR QUALITY, INDIVIDUAL BEHAVIORS LIKE SMOKING OR HEALTHY EATING, AND THE QUALITY AND AVAILABILITY OF HEALTH CARE IN THEIR AREA. THIS INTRODUCTION PROVIDES AN OVERVIEW OF THE 2022 CHNA HEALTH PROFILE AND LVHN'S CHNA PROCESS. THE 2022 HEALTH PROFILE COMBINES DATA AND INFORMATION FROM LOCAL, STATE, AND NATIONAL SOURCES ABOUT DISEASE, THE ENVIRONMENT, SOCIAL FACTORS, AND INDIVIDUAL BEHAVIORS, WITH IDEAS, STORIES, AND EXPERIENCES FROM COMMUNITY MEMBERS AND LEADERS FROM THROUGHOUT THE COUNTIES SERVED BY LVHN. THE SECOND COMPONENT OF THE LVHN'S CHNA INCLUDES AN IMPLEMENTATION PLAN, WHICH OUTLINES OUR PLAN TO ADDRESS THE NEEDS IDENTIFIED IN THE HEALTH PROFILE OVER THE COURSE OF THE NEXT THREE YEARS. THE 2022 CHNA HEALTH PROFILES AND IMPLEMENTATION PLAN ARE PROVIDED AT WWW.LVHN.ORG/CHNA.THE 2022 LVHN CHNA HEALTH PROFILE IS BROKEN OUT INTO THE FOLLOWING SECTIONS: DEMOGRAPHICS, INCOME AND ECONOMICS, EDUCATION, HOUSING AND FAMILIES, OTHER SOCIAL AND ECONOMIC FACTORS, PHYSICAL ENVIRONMENT, CLINICAL CARE AND PREVENTION, HEALTH BEHAVIORS, HEALTH OUTCOMES, AND SPECIAL TOPICS - COVID-19. TO INCREASE THE READABILITY OF THE REPORT, THE COMMUNITY WILL FIND TWO TYPES OF CALL-OUT BOXES THROUGHOUT THE CHNA HEALTH PROFILES. THE FIRST TYPE SUMMARIZES SOME OF THE DATA PRESENTED ON THAT PAGE, PROVIDING EASY-TO-READ, SUMMARY STATEMENTS OF IMPORTANT DATA ABOUT THE COMMUNITY. THE SECOND TYPE PROVIDES INFORMATION FROM THE INTERVIEWS AND COMMUNITY CONVERSATIONS. THESE REPORTS HAVE BEEN REVIEWED AND APPROVED BY LVHN'S BOARD OF TRUSTEES AS WELL AS THE COMMUNITY RELATIONS COMMITTEE OF THE BOARD.VISIT WWW.LVHN.ORG/CHNA TO VIEW THE SIGNIFICANT NEEDS IDENTIFIED IN OUR MOST RECENTLY CONDUCTED CHNA AND HOW WE ARE ADDRESSING THOSE NEEDS. PART VI, LINE 3: CONSISTENT WITH THE MISSION AND VALUES OF LEHIGH VALLEY HEALTH NETWORK, IT IS THE POLICY TO PROVIDE MEDICAL CARE TO ALL INDIVIDUALS WITHOUT REGARD TO THEIR ABILITY TO PAY FOR SERVICES. THE PATIENT FINANCIAL ASSISTANCE PROGRAM APPLIES TO UNINSURED AND UNDER-INSURED INDIVIDUALS WHO PARTICIPATE IN THE PROCESS TO EVALUATE THEIR ABILITY TO PAY FOR LVH-H SERVICES.THE FINANCIAL COUNSELORS HELP PATIENTS COMPLETE THE APPLICATION FOR FINANCIAL ASSISTANCE. LVH-H FOLLOWS THE FEDERAL POVERTY GUIDELINES TO EVALUATE ELIGIBILITY. PATIENTS WHOSE FAMILY INCOME FALLS BELOW 200% OF THE FEDERAL POVERTY GUIDELINE WILL HAVE THEIR ENTIRE BALANCE FORGIVEN FOR THEIR QUALIFYING SERVICES AT LVH-H. PATIENTS WITH A FAMILY INCOME BELOW 400% OF THE FEDERAL POVERTY GUIDELINES WILL HAVE A PORTION OF THEIR BALANCE FORGIVEN FOR QUALIFYING SERVICES AT LVH-H.PATIENTS OFTEN EXPRESS FINANCIAL CONCERN OR NEED BY CONTACTING LVH-H PATIENT FINANCIAL COUNSELING DEPARTMENT. THE COUNSELOR EXPLAINS THE AVAILABLE PROGRAMS, SUCH AS PENNSYLVANIA MEDICAL ASSISTANCE, CHIP, THE FEDERAL INSURANCE EXCHANGE AND PATIENT FINANCIAL ASSISTANCE.PATIENTS WILL BE REFERRED TO THE FINANCIAL COUNSELORS WHO WORK WITH UNINSURED AND UNDER-INSURED PATIENTS TO APPLY FOR PENNSYLVANIA MEDICAL ASSISTANCE. THE FINANCIAL COUNSELORS ARE LOCATED ONSITE. THE FINANCIAL COUNSELORS VISIT INPATIENTS IN THEIR ROOMS AND OUTPATIENTS IN THE EMERGENCY DEPARTMENT (ED).INFORMATION REGARDING FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS VIA SIGNAGE IN THE REGISTRATION AREAS AS WELL AS THE ED WAITING ROOM. ALSO, WHEN THE FINANCIAL COUNSELORS ASSIST PATIENTS IN COMPLETING A MEDICAL ASSISTANCE UNINSURED AND UNDER-INSURED APPLICATION, THEY ALSO INFORM THE PATIENT ABOUT THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM. IN ADDITION, LVH-H ADVERTISES OUR FINANCIAL ASSISTANCE PROGRAM ON OUR PUBLIC WEBSITE, AS WELL AS ON ALL BILLING STATEMENTS SENT TO OUT PATIENTS. PART VI, LINE 4: THE PRIMARY SERVICE AREA OF LVH-HAZLETON IS LUZERNE COUNTY. THE U.S. CENSUS BUREAU DATA FOR THE 2020 CENSUS INDICATES THE PRIMARY SERVICE AREA POPULATION WAS APPROXIMATELY 325,924. ACCORDING TO 2022 U.S. CENSUS BUREAU ESTIMATES, THE PRIMARY SERVICE AREA POPULATION IS 326,369.DURING THE CALENDAR YEAR 2022, 86.5% OF THE DISCHARGES FROM LVH-HAZLETON WERE RESIDENTS OF THE PRIMARY SERVICE AREA. THE 2020 POPULATION OF THE SECONDARY SERVICE AREA - CARBON, AND SCHUYLKILL COUNTIES - WAS APPROXIMATELY 208,564. THE ESTIMATED 2022 U.S. CENSUS BUREAU ACS POPULATION OF THE SECONDARY SERVICE AREA IS 208,564. DURING THE CALENDAR YEAR 2022, 5.0% OF THE DISCHARGES FROM LVH-HAZLETON WERE RESIDENTS OF THE SECONDARY SERVICE AREA. DURING THE CALENDAR YEAR 2022, 8.4% OF THE DISCHARGES FROM LVH-HAZLETON WERE RESIDENTS OUTSIDE THE PRIMARY AND SECONDARY SERVICE AREAS. BASED ON PROPRIETARY DATA ESTIMATES (CLARITAS), THE PRIMARY SERVICE AREA'S CURRENT POPULATION PROJECTION IS AN INCREASE OF 1.4% BY 2028. PART VI, LINE 5: LEHIGH VALLEY HOSPITAL-HAZLETON QUALIFIES AS AN INSTITUTE OF PURELY PUBLIC CHARITY IN PENNSYLVANIA. THIS REGULATION IS REFERRED TO AS ACT 55. TO BE CONSIDERED A PURELY PUBLIC CHARITY, NONPROFITS MUST:(1) ADVANCE A CHARITABLE PURPOSE;(2) DONATE OR RENDER GRATUITOUSLY A SUBSTANTIAL PORTION OF ITS SERVICES;(3) BENEFIT A SUBSTANTIAL AND INDEFINITE CLASS OF PERSONS WHO ARE LEGITIMATE SUBJECTS OF CHARITY;(4) RELIEVE THE GOVERNMENT OF SOME BURDEN; AND(5) OPERATE ENTIRELY FREE FROM PRIVATE PROFIT MOTIVE.LVH-H IS REQUIRED TO REAPPLY FOR THIS CHARITABLE STATUS EVERY FIVE YEARS AND CURRENTLY QUALIFIES THROUGH JULY 31, 2028. X X X X X 1 1 0 0 0 0 0 0 0 CHRISTINE BIEGE MHA BSN TRUSTEE 0 168023 0 55404 0 1249 0 0 0 432 0 225108 0 0 JOHN R FLETCHER FORMER PRESIDENT/TRUSTEE 175792 0 71989 0 380695 0 0 0 17415 0 645891 0 0 0 GREGORY G KILE FORMER TRUSTEE 0 227992 0 283838 0 462728 0 0 0 5964 0 980522 0 0 THOMAS J MARCHOZZI MBA CPA TREASURER 0 839262 0 394134 0 185251 0 0 0 26460 0 1445107 0 0 TERRENCE J PURCELL MBA PRESIDENT/TRUSTEE (TO 6/14) 0 364539 0 79870 0 -100 0 0 0 20591 0 464900 0 0 ROBERT L THOMAS CPA ASSISTANT TREASURER 0 385181 0 101318 0 -609 0 0 0 10376 0 496266 0 0 NICOLE R CAMERON REGISTERED NURSE 222147 0 33600 0 -3586 0 0 0 29229 0 281390 0 0 0 MELISSA N CURTO VP, PATIENT CARE OPERATIONS 191869 0 39101 0 744 0 0 0 0 0 231714 0 0 0 RAYMOND J BERNARDI VP, OPERATIONS 185777 0 37859 0 -2765 0 0 0 11026 0 231897 0 0 0 MARY ELLEN DONOHUE REGISTERED NURSE 188815 0 21295 0 -5930 0 0 0 12208 0 216388 0 0 0 CHERYL A CAMPBELL REGISTERED NURSE 170220 0 34370 0 -493 0 0 0 10606 0 214703 0 0 0 PART I, LINES 4A-B THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT FROM LEHIGH VALLEY HOSPITAL - HAZLETON IN CALENDAR YEAR 2022: JOHN R. FLETCHER, FORMER PRESIDENT/TRUSTEE - $347,762 THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT FROM LEHIGH VALLEY HOSPITAL, A RELATED ORGANIZATION, IN CALENDAR YEAR 2022: GREGORY G. KILE, FORMER TRUSTEE - $435,000 THE FOLLOWING INDIVIDUAL PARTICIPATED IN THE 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OF LEHIGH VALLEY HOSPITAL - HAZLETON AND RECEIVED A DISTRIBUTION IN CALENDAR YEAR 2022: JOHN R. FLETCHER, FORMER PRESIDENT/TRUSTEE - $17,579 THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OF LEHIGH VALLEY HOSPITAL, A RELATED ORGANIZATION, IN CALENDAR YEAR 2022: GREGORY G. KILE, FORMER TRUSTEE - $23,423 THOMAS J. MARCHOZZI, MBA CPA, TREASURER - $185,009 A LEHIGH COUNTY GENERAL PURPOSE AUTHORITY 911886539 52480GDW1 2019-11-13 24920314 CONSTRUCT, RENOVATE & EQUIP FACILITIES 0 0 0 B LEHIGH COUNTY GENERAL PURPOSE AUTHORITY 911886539 52480GDY7 2019-11-13 18921044 REFUND HAZLETON REVENUE NOTE SERIES 2012 0 0 0 A 1081380 24974788 1020062 120523 23824152 10050 2021 0 0 0 1 B 2310732 18921044 18849600 63463 7981 2019 1 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 A 1 B 1 SUSAN C YEE - FORMER TRUSTEE PARTNERSHIP IN 94 BRODHEAD ASSOCIATES - TRUSTEE LVH 125905 94 BRODHEAD ASSOCIATES LEASES OFFICE SPACE TO LVPG AT FAIR MARKET VALUE. 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S SOLE CORPORATE MEMBER IS LEHIGH VALLEY HEALTH NETWORK, INC. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S SOLE CORPORATE MEMBER, LEHIGH VALLEY HEALTH NETWORK, INC., HAS THE POWER TO ELECT, APPOINT, APPROVE, OR REJECT MEMBERS OF THE ORGANIZATION'S GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION'S SOLE CORPORATE MEMBER, LEHIGH VALLEY HEALTH NETWORK, INC., HAS THE POWER TO APPROVE OR REJECT CERTAIN MAJOR OPERATING DECISIONS MADE BY THE ORGANIZATION'S GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS TO REVIEW THE FORM 990'S INCLUDES: DRAFT 1 OF THE RETURNS IS REVIEWED IN DETAIL WITH A FOCUS ON ACCURACY, COMPLETENESS, AND PERSPECTIVE BY THE LVHN VICE-PRESIDENT, FINANCE & CONTROLLER. DRAFT 2 OF THE RETURNS IS REVIEWED BY THE EXECUTIVE VICE PRESIDENT AND CHIEF FINANCIAL OFFICER. ALL COMPENSATION DISCLOSURES ARE REVIEWED BY THE DIRECTOR, COMPENSATION - HUMAN RESOURCES. DRAFT 3 OF THE RETURNS IS REVIEWED TOGETHER WITH THE PRESIDENT & CEO, THE EXECUTIVE VICE PRESIDENT & CHIEF FINANCIAL OFFICER, THE VICE-PRESIDENT, FINANCE & CONTROLLER, AND THE ADMINISTRATOR, TAX. FINAL RETURNS ARE PROVIDED TO THE FULL BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C IN JANUARY 2016, LVHN IMPLEMENTED AN ELECTRONIC TOOL DESIGNED TO SEND NOTIFICATIONS AND TRACK DISCLOSURES REPORTED ON CONFLICT OF INTEREST QUESTIONNAIRES. THE NETWORK ALSO EXPANDED THE SCOPE OF THE CONFLICT OF INTEREST OR COMMITMENT POLICY, SUCH THAT ADDITIONAL COLLEAGUES ARE NOW REQUIRED TO COMPLETE A QUESTIONNAIRE EACH YEAR. PRIOR TO JANUARY, THE VP, INTERNAL AUDIT AND COMPLIANCE SERVICES ISSUED A NOTICE TO BOARD MEMBERS AND MEMBERS OF THE SENIOR MANAGEMENT COUNCIL WHEN IT WAS TIME FOR THEM TO SUBMIT THEIR CONFLICT OF INTEREST QUESTIONNAIRES. THE VP ALSO INSTRUCTED MEMBERS OF THE SENIOR MANAGEMENT COUNCIL TO IDENTIFY AND REQUEST COMPLETED CONFLICT OF INTEREST QUESTIONNAIRES FROM INDIVIDUALS WHO HAD POTENTIAL CONFLICTS OF INTEREST AND TO PROVIDE HER WITH THE IDENTITY OF THOSE INDIVIDUALS. COMPLIANCE SERVICES TRACKED COMPLETION OF THE QUESTIONNAIRES. ALL PHYSICIANS ON LVHN'S MEDICAL STAFF ARE ALSO REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. MEDICAL STAFF SERVICES MONITORS THIS PROCESS TO ENSURE THAT ALL PHYSICIANS COMPLY. POTENTIAL CONFLICTS ARE MANAGED BY THE LVHN CONFLICT OF INTEREST COMMITTEE AND/OR BY THE BOARD OF TRUSTEES, DEPENDING ON WHOSE INTEREST(S) POSE THE CONFLICT AND THE NATURE OF THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 LEHIGH VALLEY HEALTH NETWORK 2023 EXECUTIVE COMPENSATION REVIEW IN COMPLIANCE WITH THE REBUTTABLE PRESUMPTION OF REASONABLENESS PROCESS OUTLINED IN THE INTERMEDIATE SANCTIONS REGULATIONS (ISSUED UNDER SECTION 4958 OF THE INTERNAL REVENUE CODE); SULLIVAN COTTER AND ASSOCIATES, INC. (SULLIVAN COTTER) QUALIFIES AS AN INDEPENDENT EXECUTIVE COMPENSATION EXPERT, SPECIALIZING IN THE HEALTH CARE INDUSTRY. SULLIVAN COTTER PROVIDES ADVICE TO THE LEHIGH VALLEY HEALTH NETWORK EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES TO SUPPORT ITS ATTAINMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS REGULATIONS. THEY ALSO SUPPORT THE COMMITTEE IN ENSURING THAT THE LVHN EXECUTIVE COMPENSATION PROGRAM IS COMPETITIVE AND ALIGNED WITH THE ORGANIZATION'S EXECUTIVE COMPENSATION PHILOSOPHY. CHIEF EXECUTIVE OFFICER TOTAL COMPENSATION REVIEW: PROGRAM ANALYSIS: ANALYZE THE MARKET POSITION OF TOTAL COMPENSATION (BASE SALARY, INCENTIVE, BENEFITS, AND PERQUISITES) FOR LVHN'S PRESIDENT AND CHIEF EXECUTIVE OFFICER (CEO) IN RELATION TO CEO MARKET DATA OBTAINED FOR A DEFINED PEER GROUP OF COMPARABLE HEALTH SYSTEMS. THIS INCLUDES THE PREPARATION OF TALLY SHEETS FOR THE PRESIDENT AND CEO AS WELL AS AN ANALYSIS OF FORM 990 COMPENSATION DATA. THEY ASSESS THE ALIGNMENT OF THE PRESIDENT AND CEO'S COMPENSATION WITH LVHN'S COMPENSATION PHILOSOPHY AND NOTE THE IMPLICATIONS OF THE REVIEW. SULLIVAN COTTER'S ANALYSES AND FINDINGS ARE SUMMARIZED IN A REPORT TO THE COMMITTEE THAT PROVIDES A REASONABLENESS OPINION FOR THE INTERMEDIATE SANCTIONS COMPLIANCE. THE REPORT WAS PROVIDED BY SULLIVAN COTTER AT THE AUGUST 16, 2022 EXECUTIVE COMPENSATION COMMITTEE MEETING. CEO COUNCIL EXECUTIVE TOTAL COMPENSATION REVIEW: PROGRAM ANALYSIS: ANALYZE THE MARKET POSITION OF TOTAL COMPENSATION (SALARIES, INCENTIVES, BENEFITS, AND PERQUISITES) FOR LVHN'S CEO COUNCIL EXECUTIVES (APPROXIMATELY 10 TOTAL POSITIONS) IN RELATION TO COMPARABLE POSITIONS IN PEER ORGANIZATIONS. THIS INCLUDES THE PREPARATION OF TALLY SHEETS FOR EACH INDIVIDUAL. SULLIVAN COTTER'S ANALYSES AND FINDINGS ARE SUMMARIZED IN A REPORT TO THE COMMITTEE THAT ALSO PROVIDES AN OPINION OF REASONABLENESS FOR INTERMEDIATE SANCTIONS COMPLIANCE. THE REPORT WAS PROVIDED BY SULLIVAN COTTER AT THE AUGUST 16, 2022 EXECUTIVE COMPENSATION COMMITTEE MEETING. SUMMARY OF METHODOLOGY TO CONDUCT THIS ANALYSIS, SULLIVAN COTTER: COLLECTED BACKGROUND INFORMATION REGARDING LVHN'S OPERATIONS, STRUCTURE, SIZE AND SCOPE, AS WELL AS EACH POSITION'S DUTIES. COMPILED MARKET DATA FOR CEO COUNCIL EXECUTIVES CONSISTENT WITH THE EXECUTIVE COMPENSATION PHILOSOPHY APPROVED BY THE COMMITTEE DURING ITS SEPTEMBER 22, 2022 MEETING: THE MARKET DATA USED FOR LVHN SYSTEM EXECUTIVES IN THIS ASSESSMENT ARE AN EQUALLY WEIGHTED BLEND OF: (1) LVHN'S COMMITTEE-APPROVED PEER GROUP OF 25 NOT-FOR-PROFIT HEALTH SYSTEMS LOCATED IN THE NORTHEAST (EXCLUDING NEW YORK CITY) WITH NET OPERATING REVENUES BETWEEN $2.0 BILLION AND $9.0 BILLION (MEDIAN OF $3.2 BILLION); AND (2) NATIONAL DATA REFLECTING ORGANIZATIONS OF SIMILAR SCOPE AND SIZE TO LVHN. PEER GROUP AND NATIONAL MARKET DATA WERE ABSTRACTED FROM SULLIVAN COTTER'S 2022 SURVEY OF MANAGER AND EXECUTIVE COMPENSATION IN HOSPITALS AND HEALTH SYSTEMS, AS WELL AS OTHER PUBLISHED COMPENSATION SURVEYS REFLECTING PAY AT COMPARABLY SIZED ORGANIZATIONS, WHICH INCLUDED NATIONAL HOSPITALS AND NATIONAL MEDICAL GROUPS. COMPILED MARKET DATA FOR THE LVHN CLINICAL CHAIRS PREPARED BY THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES (AAMC) FOR THE CHAIRS OF CLINICAL DEPARTMENTS IN MEDICAL SCHOOLS, LVHN'S TRADITIONAL COMPARATOR GROUP FOR THESE JOBS. ADJUSTED THE MARKET DATA TO AN EFFECTIVE DATE OF JANUARY 1, 2023 AT AN ANNUALIZED RATE OF 3.0% BASED ON SALARY INCREASE TRENDS. COMPARED EACH COMPONENT OF LVHN'S BENEFIT PROGRAM AGAINST TYPICAL MARKET BENEFIT PRACTICES IN HEALTH SYSTEMS AND HOSPITALS BASED ON MULTIPLE PUBLISHED SURVEYS, SUPPLEMENTED BY SULLIVAN COTTER'S PROPRIETARY DATA AND EXPERIENCE. DEVELOPED MARKET TOTAL COMPENSATION DATA BY COMBINING MARKET TCC WITH TYPICAL MARKET BENEFIT COSTS. COMPARED LVHN'S TC TO MARKET RATES AND ASSESSED OVERALL POSITIONING. FOR PHYSICIAN EXECUTIVES HAVING BOTH CLINICAL AND ADMINISTRATIVE ROLES, RELEVANT MARKET DATA WERE COLLECTED BASED ON FTE ALLOCATION. SULLIVAN COTTER HAS NOT COMPLETED AN ASSESSMENT OF THE PHYSICIANS' PRODUCTIVITY OR THE FAIR MARKET VALUE (FMV) OF THEIR CLINICAL COMPENSATION, AS LVHN HAS ADVISED THAT SUCH AMOUNTS ARE APPROPRIATE AND WITHIN FMV. SULLIVAN COTTER USED THE FOLLOWING METHODOLOGY TO ASSESS THE COMPETITIVENESS AND REASONABLENESS OF LVHN'S EXECUTIVE TOTAL COMPENSATION LEVELS: COLLECTED BACKGROUND INFORMATION REGARDING LVHN'S OPERATIONS, STRUCTURE, SIZE AND SCOPE. COLLECTED INFORMATION ON EACH CEO COUNCIL EXECUTIVE MEMBER'S CURRENT COMPENSATION. DATA COLLECTED INCLUDE BASE SALARIES, ANNUAL INCENTIVE OPPORTUNITY LEVELS (TARGET AND MAXIMUM), ACTUAL ANNUAL INCENTIVE PAYOUT AMOUNTS, ANNUAL COSTS OF ALL STANDARD AND SUPPLEMENTAL BENEFITS AND ANNUAL COST AND DESCRIPTION OF EXECUTIVE PERQUISITES. REVIEWED JOB DESCRIPTIONS AND ORGANIZATIONAL CHARTS TO IDENTIFY EACH POSITION'S FUNCTIONAL RESPONSIBILITIES AND REPORTING RELATIONSHIPS. SELECTED THE APPROPRIATE BENCHMARK POSITION MATCH FOR EACH POSITION AND APPLIED PREMIUMS/DISCOUNTS TO THE MARKET DATA IN INSTANCES WHERE LVHN'S JOB DUTIES DIFFER MATERIALLY FROM BENCHMARK POSITION MATCHES. POSITION MATCHES AND MARKET ADJUSTMENTS WERE REVIEWED WITH LVHN'S SENIOR VICE PRESIDENT, HUMAN RESOURCES AND COMPENSATION STAFF. LVHN'S PROJECTED FY2022 NET REVENUES AND PHYSICIAN FTE'S WERE USED AS THE SCOPE SIZE FOR EACH ENTITY. FORM 990, PART VI, SECTION C, LINE 18 ANOTHER'S WEBSITE - GUIDESTAR. UPON REQUEST - HARD COPIES WITH SENIOR MANAGEMENT AND MARKETING DEPARTMENT. 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 ORGANIZATION'S ANNUAL PUBLIC MEETING. THE ANNUAL REPORT IS AVAILABLE ON THE ORGANIZATION'S WEBSITE - WWW.LVHN.ORG. IN ADDITION, IT IS DISTRIBUTED VIA MAIL TO MEMBERS OF THE COMMUNITY. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G BANK FEES: PROGRAM SERVICE EXPENSES -4,435. TOTAL EXPENSES -4,435. PORTFOLIO FEES: PROGRAM SERVICE EXPENSES 254,647. TOTAL EXPENSES 254,647. BLOOD PROCESSING FEES: PROGRAM SERVICE EXPENSES 547,231. TOTAL EXPENSES 547,231. OUTSIDE LAB TEST FEES: PROGRAM SERVICE EXPENSES 5,497,922. TOTAL EXPENSES 5,497,922. PHYSICIAN & OTHER MEDICAL SERV: PROGRAM SERVICE EXPENSES 7,457,527. TOTAL EXPENSES 7,457,527. OTHER SERVICES: PROGRAM SERVICE EXPENSES 1,585,004. MANAGEMENT AND GENERAL EXPENSES 8,778,753. TOTAL EXPENSES 10,363,757. FORM 990, PART XI, LINE 9: REC OF UNFUNDED PENSION LIAB 2,181,659. TRANSFERS TO AFFILIATES -10,437,646. FAMILY CARE CENTERS INC PO BOX 4000 ALLENTOWN PA 181054000 232349341 PHYSICIAN PRACTICE ORGANIZATION PA 501(C)(3) LINE 3 LEHIGH VALLEY PHYSICIAN GROUP 0 HAZLETON HEALTH & WELLNESS CENTER PO BOX 4000 ALLENTOWN PA 181054000 232580968 STAFFING SERVICES PA 501(C)(3) LINE 12B, II NORTHEASTERN PENNSYLVANIA HEALTH CORP 0 HAZLETON PROFESSIONAL SERVICES PO BOX 4000 ALLENTOWN PA 181054000 205880364 PHYSICIAN PRACTICE ORGANIZATION PA 501(C)(3) LINE 3 LEHIGH VALLEY PHYSICIAN GROUP 0 HAZLETON SURGICAL ALLIANCE PO BOX 4000 ALLENTOWN PA 181054000 202038456 SURGICAL SERVICES PA 501(C)(3) LINE 3 NORTHEASTERN PENNSYLVANIA HEALTH CORP 0 LEHIGH VALLEY HEALTH NETWORK PO BOX 4000 ALLENTOWN PA 181054000 222458317 PARENT COMPANY PA 501(C)(3) LINE 12C, III-FI N/A 0 LEHIGH VALLEY HEALTH NETWORK EMERGENCY MEDICAL SERVICES PO BOX 4000 ALLENTOWN PA 181054000 232532377 AMBULATORY MEDICAL SERVICES PA 501(C)(3) LINE 10 LEHIGH VALLEY HEALTH NETWORK 0 LEHIGH VALLEY HEALTH NETWORK REALTY HOLDING CO PO BOX 4000 ALLENTOWN PA 181054000 232586770 REAL ESTATE HOLDING CO. 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