TY 2017 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)
(1) JAMES GEIGER...................................................................... TRUSTEE	1.00 ................. 60.00	X		470,655	0	28,389
(2) JOSEPH E PATRUNO MD...................................................................... TRUSTEE	1.00 ................. 60.00	X		0	386,391	27,168
(3) KATHY O'BRIEN...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(4) KIRSTEN ANTHONY...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(5) MARK LOBITZ DO...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(6) MARTIN K TILL...................................................................... TRUSTEE/CHAIR	1.00 .................	X	X	0	0	0
(7) PATRICIA MARTIN MD...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(8) PAUL VIKNER...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(9) STEVEN R FOLLETT...................................................................... TRUSTEE/VICE CHAIR	1.00 .................	X	X	0	0	0
(10) SUSAN C YEE...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(11) WILLIAM KENT...................................................................... TRUSTEE/PRESIDENT, LVH	60.00 .................	X		599,709	0	19,496
(12) WILLIAM MASON...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(13) MATTHEW SORRENTINO...................................................................... SECRETARY (AS OF 4/1/2018)	1.00 ................. 60.00		X	0	0	0
(14) ROBERT THOMAS...................................................................... ASST TREASURER	1.00 ................. 60.00		X	279,267	0	21,517
(15) TERRY CAPUANO...................................................................... PRESIDENT	60.00 .................		X	1,174,664	0	38,635
(16) THOMAS MARCHOZZI...................................................................... TREASURER (AS OF 1/1/2018)	1.00 ................. 60.00		X	0	0	0
(17) THOMAS V WHALEN MD...................................................................... ASSISTANT SECRETARY	1.00 ................. 60.00		X	1,162,765	0	38,422

(A) Name and business address	(B) Description of services	(C) Compensation
CROTHALL HEALTHCARE INC 13028 COLLECTION CENTER DRIVE CHICAGO,IL60693	HOUSEKEEPING SERVICES	16,961,331
SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURGH,PA152516170	FOOD SERVICE	10,937,063
MARSH CLEARSIGHT LLC 540 W MADISON STREET CHICAGO,IL60661	CONSULTING	5,455,847
GE HEALTHCARE IITS USA 40 IDX DRIVE SOUTH BURLINGTON,VT05403	COMPUTER SERVICES	3,629,170
DIGITAL HEALTH CONSULTING 2500 BEE CAVE ROAD BLDG 1 STE 300 AUSTIN,TX78746	CONSULTING	2,842,895
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 110

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

LEHIGH VALLEY HOSPITAL

Employer identification number

23-1689692

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2019

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2019. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2018. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2019. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2018. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2019

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2019

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2019

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2019 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Name of the organization

LEHIGH VALLEY HOSPITAL

Employer identification number

23-1689692

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization LEHIGH VALLEY HOSPITAL

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 3

Name of organization LEHIGH VALLEY HOSPITAL		Employer identification number 23-1689692

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 4


Name of organization LEHIGH VALLEY HOSPITAL			Employer identification number 23-1689692
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

LEHIGH VALLEY HOSPITAL

Employer identification number

23-1689692

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2019

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2019

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Yes

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Yes

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

47,602

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

750

Total. Add lines 1c through 1i ....................................................................................................

48,352

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	PART II-B, LINE 1D: MAILINGS WERE ELECTRONIC, NO POSTAGE PART II-B, LINE 1G: REPRESENTS COSTS INCLUDED TO PREPARE FOR, AND TRAVEL TO, VISITS WITH LAWMAKERS OR CONTACT VIA PHONE OR EMAIL ON A VARIETY OF HEALTHCARE, HOSPITAL AND BUDGETARY ISSUES. ALSO INCLUDES THE LOBBYING PORTION OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION, THE HOSPITAL & HEALTHCARE ASSOCIATION OF PENNSYLVANIA, AND THE NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION. PART II-B, LINE 1I: REPRESENTS GRASSROOTS ACTIVITIES ENCOURAGING OTHERS TO CONTACT LAWMAKERS AT THE STATE LEVEL AS DEFINED BY PENNSYLVANIA LAW.

Return Reference

Explanation

PART II-B, LINE 1:

PART II-B, LINE 1D: MAILINGS WERE ELECTRONIC, NO POSTAGE PART II-B, LINE 1G: REPRESENTS COSTS INCLUDED TO PREPARE FOR, AND TRAVEL TO, VISITS WITH LAWMAKERS OR CONTACT VIA PHONE OR EMAIL ON A VARIETY OF HEALTHCARE, HOSPITAL AND BUDGETARY ISSUES. ALSO INCLUDES THE LOBBYING PORTION OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION, THE HOSPITAL & HEALTHCARE ASSOCIATION OF PENNSYLVANIA, AND THE NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION. PART II-B, LINE 1I: REPRESENTS GRASSROOTS ACTIVITIES ENCOURAGING OTHERS TO CONTACT LAWMAKERS AT THE STATE LEVEL AS DEFINED BY PENNSYLVANIA LAW.

Schedule C (Form 990 or 990EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

LEHIGH VALLEY HOSPITAL

Employer identification number

23-1689692

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2019

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	154,145,565	139,988,904	138,923,072	138,587,046	120,067,970
b	Contributions ...	-286,153	2,556,444	5,295,781	231,046	2,458,029
c	Net investment earnings, gains, and losses	10,443,683	15,657,618	-469,223	3,543,583	18,987,135
d	Grants or scholarships ...	-777,782	681,627	724,933	752,196	381,163
e	Other expenditures for facilities and programs ...	-2,728,637	3,375,774	3,035,793	2,686,407	2,544,925
f	Administrative expenses ....
g	End of year balance ......	160,796,676	154,145,565	139,988,904	138,923,072	138,587,046

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

32.000 %

Term endowment SchDMd Bullet

68.000 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	76,266,576		76,266,576
b	Buildings ....	1,054,193,750	611,679,927	442,513,823
c	Leasehold improvements	95,165,744	38,722,551	56,443,193
d	Equipment ....	563,603,044	337,438,329	226,164,715
e	Other .....	281,871,189	119,327,804	162,543,385
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				963,931,692

Schedule D (Form 990) 2019

Page 3

Part VII

InvestmentsOther Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1)INVESTMENT-LEHIGH VALLEY PHYSICIAN HOSPITAL ORG. (50.00%)	13,151,276	C
(2)INVESTMENT-HEALTH NETWORK LABORATORIES (95.99%)	143,191,439	C
(3)INVESTMENT-FAIRGROUNDS MEDICAL CENTER	356,056	C
(4)INVESTMENT-GRAND VIEW-LEHIGH VALLEY HEALTH SERVICES	301,899	C
(5)INVESTMENT-LEHIGH VALLEY IMAGING	31,718,102	C
(6)INVESTMENT-WELLER HEALTH EDUCATION CENTER	1	C
(7)INVESTMENT-KUTZTOWN MEDICAL CENTER	-1,712	C
(8)INVESTMENT-WESTGATE PROFESSIONAL CENTER	6,206,000	C
(9)INVESTMENT-SECURE HEALTHCARE INFORMATION MANAGEMENT	-102,000	C
(10)INVESTMENT-LEHIGH VALLEY HEALTH NETWORK RISK RETENTION GROUP	5,000	C
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	194,826,061

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	298,101,001
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2019

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART V, LINE 4:

THE ENDOWMENT FUNDS ARE USED FOR CONTINUING EDUCATION, SCHOLARSHIPS, RESEARCH, CLINICAL EQUIPMENT, AND NURSING AWARDS.

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.

Schedule D (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization
LEHIGH VALLEY HOSPITAL

Employer identification number

23-1689692

Part I

Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

YesNo

If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total . . . . . . . . . . . . . . . . . . . .

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

PA, NJ, NY, MD, FL

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2019

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 NITE LITES (event type)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	1,202,014	1,202,014
2	Less: Contributions . . . .
3	Gross income (line 1 minus line 2) . . . . . .	1,202,014	1,202,014

4	Cash prizes . . . . .
5	Noncash prizes . . . .
6	Rent/facility costs . . . .	132,686	132,686
7	Food and beverages . . .	183,194	183,194
8	Entertainment . . . .	36,864	36,864
9	Other direct expenses . . .	149,550	149,550
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .		502,294
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .		699,720

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2019

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

LEHIGH VALLEY HOSPITAL

Employer identification number

23-1689692

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	11,205,474		11,205,474	0.700 %
b	Medicaid (from Worksheet 3, column a) . . . . .	233,671,151	130,232,865	103,438,286	6.460 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	244,876,625	130,232,865	114,643,760	7.160 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	7,372,927		7,372,927	0.460 %
f	Health professions education (from Worksheet 5) . . .	7,284,936		7,284,936	0.460 %
g	Subsidized health services (from Worksheet 6) . . . .	15,383,185	1,894,299	13,488,886	0.840 %
h	Research (from Worksheet 7) .	2,580,005		2,580,005	0.160 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	219,058		219,058	0.010 %
j	Total. Other Benefits . .	32,840,111	1,894,299	30,945,812	1.930 %
k	Total. Add lines 7d and 7j .	277,716,736	132,127,164	145,589,572	9.090 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019

Schedule H (Form 990) 2019

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	115,129	115,129	0.010 %
8	Workforce development
9	Other
10	Total	115,129	115,129	0.010 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

7,378,853

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

1,518,071

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

312,605,792

Enter Medicare allowable costs of care relating to payments on line 5.....

375,311,280

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-62,705,488

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 LVHN RECIPROCAL RISK RETENTION GROUP	MALPRACTICE INSURANCE	20.000 %	0 %	0 %
22 HEALTH NETWORK LABORATORIES LLC	LABORATORY SERVICES	97.930 %	0 %	0 %
33 HEALTH NETWORK LABORATORIES LP	LABORATORY SERVICES	95.990 %	0 %	0 %
44 LEHIGH VALLEY PHYSICIAN HOSPITAL ORGANIZATION INC	HEALTH CARE SERVICES	50.000 %	0 %	0 %
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2019

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)									Other (describe)
1	LEHIGH VALLEY HOSPITAL 1200 S CEDAR CREST BLVD ALLENTOWN,PA18103 WWW.LVHN.ORG 530201	X	X	X	X	X	X	X	ER-OTHER - PEDIATRIC ER

Schedule H (Form 990) 2019

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	LEHIGH VALLEY HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.LVHN.ORG/ABOUT_US/COMMUNITY_HEALTH_NEEDS_ASSESSMENT_REPORTS

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.LVHN.ORG/ABOUT_US/COMMUNITY_HEALTH_NEEDS_ASSESSMENT_REPORTS

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2019

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	LEHIGH VALLEY HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.LVHN.ORG/OUR_SERVICES/KEY_SUPPORT_SERVICES/FINANCIAL_ASSISTANCE

The FAP application form was widely available on a website (list url):

WWW.LVHN.ORG/OUR_SERVICES/KEY_SUPPORT_SERVICES/FINANCIAL_ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
WWW.LVHN.ORG/OUR_SERVICES/KEY_SUPPORT_SERVICES/FINANCIAL_ASSISTANCE

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	LEHIGH VALLEY HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	LEHIGH VALLEY HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2019

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
LEHIGH VALLEY HOSPITAL	PART V, SECTION B, LINE 5: THE COUNCIL'S COMMUNITY NEEDS ASSESSMENT FOCUSED ON THE HEALTH STATUS OF THE LEHIGH VALLEY (LEHIGH AND NORTHAMPTON COUNTIES). THE CHNA APPROACH INCORPORATED BEST PRACTICE STANDARDS AS RECOMMENDED BY THE AMERICAN PUBLIC HEALTH ASSOCIATION AND THE ASSOCIATION FOR COMMUNITY HEALTH IMPROVEMENT OF THE AMERICAN HOSPITAL ASSOCIATION. THE COUNCIL EMPLOYED SEVERAL HEALTH ASSESSMENT TECHNIQUES THAT USED BOTH QUALITATIVE AND QUANTITATIVE DATA. THERE WERE THREE FORMS OF DATA USED BY THE HCC TO CREATE THE CHNA. FIRST, THE MEMBER AGENCIES OF THE HCC PROVIDED GUIDANCE ABOUT SOME OF THE KEY ISSUES THEIR INSTITUTIONS FACE REGARDING THE HEALTH OF PEOPLE IN THE LEHIGH VALLEY. THE DISCUSSIONS AT THE MONTHLY HCC MEETINGS PROVIDED MEANINGFUL INSIGHT INTO THE PRIORITIES AND ROOT CAUSES THAT WERE FURTHER INVESTIGATED THROUGH SECONDARY DATA SOURCES AND THROUGH QUALITATIVE METHODS.SECOND, A THOROUGH REVIEW OF SECONDARY DATA SOURCES WAS CONDUCTED. ALL SOURCES AND INDICATORS UTILIZED IN THE FIRST COMMUNITY HEALTH NEEDS ASSESSMENT HEALTH PROFILE FROM 2013 WERE UPDATED. THEN, THE HCC GROUP REQUESTED THE INCLUSION OF MANY ADDITIONAL INDICATORS THAT WERE ALSO GATHERED FROM SECONDARY SOURCES. THE COMPLETE LIST OF SECONDARY SOURCES CONSULTED THROUGHOUT THE CHNA HEALTH PROFILE PROCESS IS AS FOLLOWS:COUNTY HEALTH RANKINGS: WWW.COUNTYHEALTHRANKINGS.ORGCOMMUNITY COMMONS: WWW.COMMUNITYCOMMONS.ORGCDC WONDER: WWW.WONDER.CDC.GOVCDC COMMUNITY HEALTH STATUS INDICATORS: WWW.CDC.GOV/COMMUNITYHEALTH/HOMENATIONAL CENTER FOR HEALTH STATISTICS HEALTH INDICATORS WAREHOUSE: WWW.HEALTHINDICATORS.GOVPENNSYLVANIA DEPARTMENT OF HEALTH: WWW.HEALTH.PA.GOVPENNSYLVANIA DEPARTMENT OF EDUCATION: WWW.EDUCATION.PA.GOV AMERICAN COMMUNITY SURVEY: WWW.CENSUS.GOV/PROGRAMS-SURVEYS/ACSQUALITATIVE INFORMATION WAS COLLECTED THROUGH THREE DIFFERENT FOCUS GROUPS. ONE WAS CONDUCTED IN LEHIGH COUNTY, ONE WAS CONDUCTED IN NORTHAMPTON COUNTY, AND THE THIRD COMPRISED TEENS BETWEEN THE AGES OF 13-19 FROM BOTH LEHIGH AND NORTHAMPTON COUNTIES. THE FOCUS GROUPS SOLICITED INFORMATION ABOUT THE NEEDS OF THE COMMUNITY, PARTICULARLY VULNERABLE POPULATIONS, AND RANKED THOSE NEEDS. ST. LUKE'S UNIVERSITY HEALTH NETWORK CONDUCTED A FOCUS GROUP IN ALLENTOWN WITH KEY STAKEHOLDERS IN 2015, AND MADE THE RESULTS AVAILABLE TO THE HCC FOR USE IN THE CHNA HEALTH PROFILE.GOOD SHEPHERD REHABILITATION NETWORK ALSO COMMISSIONED A STUDY CONDUCTED BY THE LEHIGH VALLEY RESEARCH CONSORTIUM IN 2015 CALLED, "THE LEHIGH VALLEY DISABILITY COMMUNITY: RE-EXAMINING COMMUNITY NEEDS & OPPORTUNITIES." GOOD SHEPHERD SHARED THIS REPORT WITH THE HCC FOR USE IN THE CHNA HEALTH PROFILE. THERE WERE TWO FOCUS GROUP SESSIONS DURING EVENING HOURS, AND PARTICIPANTS ONLY ATTENDED ONE SESSION. THE SESSIONS WERE NOT VIDEO TAPED, BUT THEY WERE AUDIO TAPED TO ENSURE THE DISCUSSION WAS CAPTURED APPROPRIATELY. THE CONTENT OF THE FOCUS GROUP DISCUSSION ELICITED FEEDBACK AND SUGGESTIONS FROM THE GROUP REGARDING INCREASING OUR COLLECTIVE UNDERSTANDING OF HOW, AS HEALTH CARE PROVIDERS, WE CAN WORK TO SUPPORT HEALTHY BEHAVIORS, HEALTHY SOCIAL INFLUENCES, AND MAKE THE ACCESS TO HEALTH CARE MORE MEANINGFUL AND EFFECTIVE. THE FOCUS GROUP DISCUSSED ISSUES COMMON TO EVERYONE LIVING IN THE LEHIGH VALLEY. THE FOCUS GROUP QUESTIONS DID NOT INCLUDE DISCUSSIONS ABOUT PARTICULAR PROVIDERS, DISCUSSIONS ABOUT SPECIFIC HEALTH SYSTEMS IN THE LEHIGH VALLEY, OR COMPARISONS AND/OR DEBATES ABOUT PARTICULAR HEALTH ISSUES (I.E. IT'S HARDER TO HAVE DIABETES THAN HEART DISEASE, ETC.).NORTHAMPTON AND LEHIGH COMMUNITY COLLEGE CAMPUSES WERE SELECTED AS THE LOCATIONS FOR THE TWO FOCUS GROUPS. BY SELECTING THESE LOCATIONS WE WERE ABLE TO MAXIMIZE DIVERSE PARTICIPATION BY HAVING LOCATIONS IN NORTHAMPTON COUNTY AND LEHIGH COUNTY, HAVE SESSIONS AFTER TRADITIONAL WORK HOURS TO MAKE IT CONVENIENT FOR WORKERS, HAVE SESSIONS DURING THE WEEK SO THEY DO NOT CONFLICT WITH WEEKEND ACTIVITIES AND REFRESHMENTS WERE AVAILABLE. KIDSPEACE, AN HCC MEMBER AGENCY THAT HAS AS A SPECIALTY AREA PROVIDING MENTAL HEALTH CARE FOR CHILDREN AND YOUTH, VOLUNTEERED TO HAVE ONE OF THEIR TEEN SUPPORT GROUPS SERVE AS A FOCUS GROUP TO GATHER FEEDBACK FROM YOUNG PEOPLE. THE HCC GROUP AGREED TO UTILIZE THE KIDSPEACE TEEN GROUP AS A THIRD FOCUS GROUP. THE YOUTH FOCUS GROUP WAS COMPRISED OF EIGHT TEENS RANGING IN AGE FROM 13-19 WHO RESIDE IN A VARIETY OF DIFFERENT TOWNS AND SCHOOL DISTRICTS IN LEHIGH AND NORTHAMPTON COUNTIES. THE GROUP MEETS WEEKLY ON THURSDAY EVENINGS AT A COMMUNITY SITE OPERATED BY KIDSPEACE. CONSENT TO PARTICIPATE IN THE FOCUS GROUP WAS GIVEN TO KIDSPEACE BY THE TEENS AND THEIR PARENTS. THE HCC PROJECT MANAGER TOGETHER WITH THE KIDSPEACE STAFF RESPONSIBLE FOR THE TEEN GROUP CONDUCTED THE FOCUS GROUP.THE PROCESS, METHODS AND CONTENT OF THE YOUTH FOCUS GROUP DISCUSSION WAS CONDUCTED IN EXACTLY THE SAME WAY AS THE ADULT GROUPS, USING THE SAME TOOLS. THE MAJOR DIFFERENCE WAS THAT ALL PARTICIPANTS WERE ALREADY ENGAGED IN SERVICES WITH KIDSPEACE, AND WERE NOT RECRUITED IN EQUAL NUMBERS BY THE OTHER HCC MEMBER AGENCIES.
LEHIGH VALLEY HOSPITAL	PART V, SECTION B, LINE 6A: THE HEALTH CARE COUNCIL OF THE LEHIGH VALLEY IS COMPRISED OF REPRESENTATIVES FROM EACH OF THE FIVE NON-PROFIT HOSPITALS IN THE LEHIGH VALLEY: GOOD SHEPHERD REHABILITATION NETWORK, KIDSPEACE, LEHIGH VALLEY HEALTH NETWORK, SACRED HEART HOSPITAL NETWORK (ST. LUKE'S SACRED HEART CAMPUS), ST. LUKE'S UNIVERSITY HEALTH NETWORK, THE ALLENTOWN AND BETHLEHEM HEALTH BUREAUS, NEIGHBORHOOD HEALTH CENTERS OF THE LEHIGH VALLEY, AND THE DOROTHY RIDER POOL HEALTH CARE TRUST. EACH AGENCY SENDS 1-3 REPRESENTATIVES, TYPICALLY REPRESENTING STAFF WHO HAVE RESPONSIBILITY FOR COMMUNITY WORK.
LEHIGH VALLEY HOSPITAL	PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS MAILED TO KEY COMMUNITY LEADERS AND WAS PROVIDED PRESS COVERAGE IN THE COMMUNITY NEWSPAPER AND LOCAL TELEVISION STATION.
LEHIGH VALLEY HOSPITAL	PART V, SECTION B, LINE 11: COMMUNITY ENGAGEMENT1.1 CONNECT WITH LOCAL FEDERALLY QUALIFIED HEALTH CENTER (NHCLV), COMMUNITY AND FAITH-BASED ORGANIZATIONS TO SUPPORT THE DIVERSE HEALTH NEEDS OF OUR COMMUNITIES - MAINTAIN STAKEHOLDER LISTING AND AREAS OF COMMON INTEREST; DATES WE MET. THEY HAD A 1 YEAR CELEBRATION FOR THE HEALTH CENTER AT MOUNTAINTOP IN APRIL 2017. IT WAS A WEEK-LONG HEALTH FAIR THAT INCORPORATED COMMUNITY PARTNERS, INCLUDING PHARMACIES AND LOCAL WELLNESS CENTERS.SINCE FEBRUARY 2017, THE DEPARTMENT OF COMMUNITY HEALTH (DCH) DEVELOPED A WORK PLAN, A SCRIPT DETAILING THE PURPOSE/GOAL OF OUR INITIATIVES, TARGET AUDIENCE AND DELIVERABLES, AND TARGETED QUESTIONNAIRES TO USE AS GUIDELINES AS WE MEET WITH COMMUNITY-BASED ORGANIZATIONS (CBOS); WE HAVE PURCHASED THE NECESSARY MATERIALS FOR THIS INITIATIVE (I.E. BRANDED FOLDERS, COPIES OF THE CHNA IMPLANTATION PLAN TO BE DISTRIBUTED TO CBOS). DCH HAS PRIORITIZED MEETING WITH FAITH-BASED ORGANIZATIONS (FBOS) TO START. WE REACHED OUT TO A FEW DOZEN CHURCHES AND MET WITH AND ASSESSED 5 FBOS AS OF JUNE 30, 2017.1.2 PARTNER WITH UNITED WAY 211 TO CREATE AND MAINTAIN A DATABASE (UW211 EAST) OF COMMUNITY RESOURCES, ACCESSIBLE TO LVHN CASE MANAGERS, CLINICIANS, PATIENTS, CAREGIVERS AND COMMUNITY ORGANIZATIONS. IN FY17, 150 RESOURCES WERE UPDATED ON THE PA211 EAST WEBSITE, THERE WERE 2,326 VISITS TO THE PA211 EAST WEBSITE AND 5,015 PHONE CALLS WERE MADE WITHIN LEHIGH AND NORTHAMPTON COUNTIES.1.3 EDUCATE AND SUPPORT PATIENTS, CAREGIVERS AND COMMUNITY MEMBERS AROUND ADVANCE CARE PLANNING (ACP). HOST COMMUNITY BASED CONVERSATIONS TO EDUCATE ABOUT ADVANCE CARE PRINCIPLES, SHARED DECISION-MAKING. ENCOURAGE COMPLETION OF ACP DOCUMENTS.IN FY17, A STRATEGIC PLAN WAS ESTABLISHED TO FOCUS YEARLY EFFORTS FOR ENGAGING THE COMMUNITY. 370 COMMUNITY MEMBERS PARTICIPATED IN CONVERSATIONS ABOUT THEIR FUTURE ADVANCE HEALTHCARE PLANS. SEVERAL METHODS OF ENGAGEMENT WERE UTILIZED IN THE PAST FISCAL YEAR WHICH RESULTED IN FOUR CONVERSATION GAMES, TWO VIDEO AND DISCUSSION EVENTS, AND TWO INFORMATION TABLES IN PARTNERSHIP WITH FIVE LOCAL ORGANIZATIONS. PARTICIPANTS IN THE EVENTS WERE ASSESSED ON THEIR KNOWLEDGE OF ADVANCE DIRECTIVES (AD) AND WHETHER PARTICIPANTS HAD COMPLETED AN AD. DEMOGRAPHIC INFORMATION INDICATES THE MAJORITY OF PARTICIPANTS WERE FEMALE (72%), HAVE POST-HIGH SCHOOL EDUCATION (79%) AND WERE OVER THE AGE OF 65 (56.5%). AMONG THE 321 PARTICIPANTS, THE MAJORITY (87.2%) UNDERSTOOD OR HAD HEARD ABOUT AN AD. AMONG A SUB-SET OF 172 RESPONDENTS, LESS THAN HALF OF THE PARTICIPANTS (47.7%) HAVE COMPLETED AN AD.2.1 PROMOTE LVHN COMMUNITY EXCHANGE (CE) TIME-BANKING PROGRAM TO INCREASE SOCIAL CONNECTIONS.IN FY17, 110 MEMBERS EXCHANGED 1,150 HOURS. AN ANNUAL MEMBER SATISFACTION SURVEY WAS ADMINISTERED AND APPROXIMATELY 75% OF MEMBERS SURVEYED FELT THAT THEIR PARTICIPATION IN COMMUNITY EXCHANGE INCREASED THEIR INVOLVEMENT IN THE COMMUNITY. IN SPRING 2017, FUNDING FOR THE PROGRAM ENDED AND IT WAS TRANSITIONED TO A MEMBER-LED, SELF-SERVICE MODEL.3.1 LVHN'S STREET MEDICINE PROGRAM PROVIDES MEDICAL CARE WITHIN DEFINED SHELTER-BASED CLINICS AND ON "STREET ROUNDS" TO THE UNSHELTERED.IN FY17, THE STREET MEDICINE PROGRAM SAW 973 HOMELESS PATIENTS IN AN OUTPATIENT SETTING AND WERE CONSULTED FOR 231 PATIENTS WHO WERE ADMITTED TO THE HOSPITAL. PATIENTS ASSOCIATED WITH THE STREET MEDICINE PROGRAM ATTENDED THE EMERGENCY DEPARTMENT ON 1,872 OCCASIONS IN FY17 AND WERE ADMITTED TO THE HOSPITAL 595 TIMES.3.2 STREET MEDICINE COLLABORATES WITH LVHN CASE MANAGEMENT, COMMUNITY COLLABORATORS TO PROVIDE CASE MANAGEMENT SERVICES, IMPROVE ACCESS TO INSURANCE, AND INTRODUCE PATIENTS TO A MEDICAL HOME WHEN READY.IN FY17, STREET MEDICINE PATIENT INSURANCE BREAKDOWN WAS AS FOLLOWS: AMONG PATIENTS SEEN IN THE OUTPATIENT SETTING, 43% WERE SELF-PAY, 40% HAD MEDICAID, 12% HAD MEDICARE, 2.7% HAD COMMERCIAL INSURANCE, AND 2% HAD BLUES CROSS PLANS. AMONG PATIENTS IN THE INPATIENT SETTING, 18% WERE SELF-PAY, 50% HAD MEDICAID, 25% HAD MEDICARE, 2% HAD COMMERCIAL INSURANCE, AND 4.5% HAD BLUE CROSS PLANS.3.3 HOST AND/OR PARTICIPATE IN A MULTI-SECTOR DISCUSSION ON HOUSING AND HEALTH WITH AREA STAKEHOLDERS.IN RESPONSE TO THE 2016 CHNA, REPRESENTATIVES FROM LEHIGH VALLEY HEALTH NETWORK (LVHN)'S DEPARTMENT OF COMMUNITY HEALTH, THE DOROTHY RIDER POOL HEALTH CARE TRUST, AND DESALES UNIVERSITY CAME TOGETHER TO CREATE A SYMPOSIUM EXPLORING THE INTERSECTION OF HOUSING AND HEALTH. THE FORUM WAS DESIGNED FOR KEY LEADERS IN THE LEHIGH VALLEY TO LEARN, CONNECT, AND ACT TO IMPROVE THE QUALITY OF LIFE IN THE LEHIGH VALLEY.THE EVENT WAS HELD ON SEPTEMBER 16, 2016 AT DESALES UNIVERSITY AND 158 PEOPLE WERE INVITED. THE KEYNOTE SPEAKER, JOHN T. COOK, PHD, MAED FROM CHILDREN'S HEALTHWATCH IN BOSTON, CHALLENGED ATTENDEES TO CONSIDER "HOUSING AS A VACCINE" THAT CAN PREVENT A WIDE RANGE OF FUTURE PROBLEMS. LOCAL EXPERTS FROM EDUCATION, YOUTH SERVICES, AND LEGAL SERVICES, SHARED THEIR EXPERIENCE REGARDING HOW HOUSING AND HEALTH AFFECT THEIR WORK IN THE LEHIGH VALLEY.4.1 HEALTH ADVOCACY PROGRAM: PROVIDE SUPPORT, NAVIGATION AND PROBLEM-SOLVING ASSISTANCE FOR PATIENTS WITH SOCIAL NEEDS, USING SPECIALLY TRAINED UNIVERSITY STUDENTS INTERESTED IN THE HEALTH PROFESSION OR SOCIAL SCIENCES.IN FY17, 153 PATIENTS WERE ENROLLED IN THE HEALTH ADVOCACY PROGRAM. OF THOSE PATIENTS, THERE WERE 89 PATIENTS WHO SUCCESSFULLY CONNECTED TO RESOURCES. STARTING IN JANUARY 2017, HAP BEGAN ADMINISTERING A PERCEIVED STRESS SCALE. 62 PATIENTS SAW A 7% DECREASE IN THEIR PERCEIVED STRESS AFTER BEING CONNECTED WITH RESOURCES.4.2 PILOT A CIVIL LEGAL ASSISTANCE PROGRAM IN COLLABORATION WITH NORTH PENN LDGAL SERVICES FOR PATIENTS WITH LEGAL ISSUES THAT AFFECT THEIR HEALTH AND WELL-BEING.IN FY17, 266 REFERRALS WERE MADE TO NORTH PENN LEGAL SERVICES RESULTING IN 199 OPEN CASES. THE TOP THREE REASONS FOR REFERRAL WERE HOUSING, CUSTODY, AND PUBLIC UTILITIES. MANY OF THE CASES TAKE LONG-PERIODS OF TIME TO CONCLUDE AND WILL CONTINUE INTO FY18. 5.1 HEALTHY CORNER STORE INITIATIVE (HCSI): SEVERAL LOCAL CORNER STORES IN LOW INCOME COMMUNITIES HAVE BEEN IDENTIFIED AND ENCOURAGED TO ADD > 4 HEALTHY FOOD ITEMS TO THEIR STORE INVENTORY AFTER BASELINE ASSESSMENT. STORE OWNERS RECEIVE TRAINING BY STAFF ON HOW TO DISPLAY AND SELL HEALTHY FOOD ITEMS. FOLLOW-UP ASSESSMENTS DETERMINE ADHERENCE TO RECOMMENDATIONS.THE HEALTHY CORNER STORE INITIATIVE IN THE LEHIGH VALLEY HAS ENROLLED AT TOTAL OF 52 CORNER STORES IN THE 3 MAJOR CITIES, 50% IN ALLENTOWN (26), 35% IN BETHLEHEM (18), AND 15% IN EASTON (8), WHICH ARE PROPORTIONATELY IN LINE WITH THE SIZE OF THE CITIES. ADDITIONALLY, 100% OF THE ENROLLED CORNER STORES IN ALLENTOWN HAVE ADDED 4 NEW HEALTHY FOOD PRODUCTS TO THEIR INVENTORY (94% IN BETHLEHEM AND 75% IN EASTON). OVERALL, 94% OF THE STORES IN THE LEHIGH VALLEY HAVE IMPLEMENTED ALL CORE COMPONENTS OF THE PROGRAM (49 OF THE 52 ENROLLED CORNER STORES). 5.2 PARTICIPATION IN THE REGIONAL FOOD POLICY COUNCIL WHICH SEEKS TO IMPROVE FOOD SECURITY IN THE LEHIGH VALLEY AND TO SUPPORT GROWTH IN THE LOCAL FOOD ECONOMY.LVHN PARTICIPATED IN AT LEAST 75% OF FOOD POLICY COUNCIL MEETINGS AND EVENTS. THE MISSION OF LVFPC IS TO PROMOTE AN ENVIRONMENTALLY HEALTHY FOOD SYSTEM BY STRENGTHENING THE LOCAL FOOD ECONOMY, INCREASING ACCESS TO FRESH FOODS FOR EVERYONE, REDUCING FOOD INSECURITY, AND SUPPORTING LOCAL FARMING IN THE LEHIGH VALLEY. WE FOCUS ON FOOD ACCESS WHICH IS ONE OF THE THREE LVFPC PRIORITY STRATEGIES (FOOD AGGREGATION AND LAND USE BEING THE OTHER TWO PRIORITIES). OUR ROLE IS TO CO-CHAIR THE CONSUMER EDUCATION WORKING GROUP, WHICH WILL WORK TOWARD A COMPREHENSIVE, CONSISTENT NUTRITION EDUCATION EFFORT IN THE LEHIGH VALLEY, WORKING TO INFLUENCE EACH OF THE LEVELS OF THE SOCIO-ECOLOGICAL PUBLIC HEALTH MODEL (I.E. INDIVIDUAL, INTERPERSONAL, ORGANIZATIONAL, COMMUNITY, AND PUBLIC POLICY).5.3 FOOD COLLECTION DRIVES: NONPERISHABLE FOOD IS COLLECTED AT LVHN'S DRIVE-THROUGH FLU VACCINE EVENTS AND BY EMPLOYEES THROUGHOUT THE YEAR TO ASSIST LOCAL FOOD CUPBOARDS.18,000 POUNDS OF FOOD WERE COLLECTED AND DONATED DURING LVHN'S DRIVE THROUGH FLU VACCINE EVENTS.6.2 IMPLEMENT PARENTING CLASSES WITHIN ACHIP AND IN COLLABORATION WITH OTHER LOCAL AGENCIES; PILOT STRATEGIES TO INCREASE ENGAGEMENT.IN FY17, A TOTAL OF 22 PARENTS PARTICIPATED IN PARENTING CLASSES OFFERED IN DOWNTOWN ALLENTOWN. FIVE PARENTS COMPLETED THE ENTIRE 8 WEEK PROGRAM. EFFORTS ARE UNDERWAY TO INCREASE ENGAGEMENT IN THE CLASSES AND PARENTS' ABILITY TO COMPLETE ALL SESSIONS.IN FY18, A TOTAL OF 23 PARENTS PARTICIPATED IN PARENTING CLASSES OFFERED IN DOWNTOWN ALLENTOWN AND SHOWED A SIGNIFICANT INCREASE IN PARENTING SKILLS FROM THE BEGINNING TO THE END OF THE PROGRAM.
LEHIGH VALLEY HOSPITAL	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)	AT-RISK POPULATIONS1.1 DEPRESSION SCREENING: WITHIN PRACTICES USING EPIC ELECTRONIC HEALTH RECORD, IMPLEMENT ANXIETY/DEPRESSION SCREENING USING PHQ-2/9 (A STANDARDIZED TOOL); PROVIDE FEEDBACK TO CLINICIANS REGARDING THEIR SCREENING RATES.IN FY17, 58% OF PATIENTS, AGE 12 YEARS AND OLDER WITHOUT AN ACTIVE DIAGNOSIS OF DEPRESSION OR BIPOLAR DISORDER, WERE SCREENED FOR DEPRESSION, AND, IF POSITIVE, HAD A FOLLOW UP PLAN BETWEEN JULY AND DECEMBER 2016. THIS PERCENTAGE INCREASED TO 60% BETWEEN JANUARY AND JUNE OF 2017.65% OF PATIENTS, AGE 12 YEARS AND OLDER WITHOUT AN ACTIVE DIAGNOSIS OF DEPRESSION OR BIPOLAR DISORDER, WERE SCREENED FOR DEPRESSION, AND, IF POSITIVE, HAD A FOLLOW UP PLAN IN FY18.1.2 ASSESS AND IMPROVE TREATMENT AND REFERRAL WORKFLOWS FOR PATIENTS WHO SCREEN POSITIVE FOR DEPRESSION WITH PHQ-9 WITHIN SELECTED PRIMARY CARE PRACTICES; PHQ SCORE >9 IN ADULTS, >5 IN CHILDREN AND ADOLESCENTSIN FY 17, 6,051 BEHAVIORAL HEALTH REFERRALS WERE MADE. 77% WERE REFERRED TO INTERNAL PROVIDERS. 23% WERE REFERRED TO NON-LVHN PROVIDERS. IN ADDITION, A WORK GROUP WAS ESTABLISHED TO ADDRESS HOW TO BETTER ASSIST PATIENT ACCESS TO BEHAVIORAL HEALTH CARE. A DISCUSSION IS UNDERWAY ON HOW TO OPTIMIZE THIS WORKFLOW.IN FY 18, 4,363 BEHAVIORAL HEALTH REFERRALS WERE MADE. 85% WERE REFERRED TO INTERNAL PROVIDERS. 15% WERE REFERRED TO NON-LVHN PROVIDERS.2.1 PUBLIC HEALTH INFORMATIONAL CAMPAIGN TO PROMOTE IMPORTANCE OF EARLY IDENTIFICATION OF DEPRESSION AND CONNECTING TO TREATMENT FOR BEHAVIORAL HEALTH ISSUES; EMPLOYEE ASSISTANCE PROGRAMS. "TELL YOUR STORY CAMPAIGN."IN FY17, INITIAL CONVERSATIONS WERE HELD ABOUT THE IDEA OF A PUBLIC HEALTH CAMPAIGN TO REDUCE STIGMA AROUND MENTAL HEALTH. LVHN LEADERSHIP FROM MARKETING, COMMUNITY HEALTH, AND PSYCHIATRY ENGAGED IN THE PLANNING OF THIS CAMPAIGN. THE CAMPAIGN WILL BE ENTITLED "TELL YOUR STORY AND IS ALSO BEING DONE IN ALIGNMENT WITH THE LOCAL CHAPTER OF THE NATIONAL ASSOCIATION FOR MENTAL ILLNESS (NAMI) AND LOCAL DIGITAL STORYTELLING EFFORTS WITHIN ALLENTOWN. FY17 PRIMARILY INCLUDED PLANNING AND DEVELOPMENT AND CONTINUES THROUGH FY18 WITH EXPANSION TO THE COUNTIES OUTSIDE OF THE LEHIGH VALLEY.IN FY18, SIX DIGITAL STORIES WERE DEVELOPED TO HIGHLIGHT STORIES OF INDIVIDUALS WHO HAVE STRUGGLED WITH MENTAL HEALTH ISSUES, INCLUDING DEPRESSION. IN FY19, A COMMUNICATION PLAN WILL BE IMPLEMENTED TO SHARE THESE STORIES.4.1 INPATIENT BEHAVIORAL HEALTH UNIT TEAM PROVIDES SAFE ACUTE PSYCHIATRIC CARE FOR COMMUNITY FOCUSED ON SAFETY AND STABILIZATION.6,022 PSYCHIATRIC EVALUATIONS WERE COMPLETED WITHIN THE EMERGENCY DEPARTMENT IN FY17. IN ADDITION, 2,454 PSYCHIATRIC INPATIENT ADMISSIONS OCCURRED IN FY17.IN FY18, 4,177 PSYCHIATRIC EVALUATIONS WERE COMPLETED WITHIN THE EMERGENCY DEPARTMENT. IN ADDITION, 2,384 PSYCHIATRIC INPATIENT ADMISSIONS OCCURRED IN FY18.4.2 PARTIAL/RESIDENTIAL PROGRAMS (ADULT AND ADOLESCENT TRANSITIONS, ALTERNATIVES AND TRANSITIONAL LIVING CENTER) PROVIDE INTENSIVE TREATMENT, EDUCATION AND SUPPORT, IMPROVING COMMUNITY FUNCTION AND AVOIDING UNNECESSARY HOSPITALIZATIONS.THERE WERE 1,558 ADMISSIONS TO PARTIAL/RESIDENTIAL PROGRAMS FOR A TOTAL OF 15,324 DAYS IN FY17.THERE WERE 1,483 ADMISSIONS TO PARTIAL/RESIDENTIAL PROGRAMS FOR A TOTAL OF 14,919 DAYS IN FY18.4.3 OUTPATIENT PSYCHIATRIC CARE: MULTIPLE PROGRAMS PROVIDE EVALUATION, DIAGNOSIS AND TREATMENT FOR MEMBERS OF OUR COMMUNITY.THERE WERE 1,806 NEW PATIENTS IN THE OUTPATIENT CLINICS FOR A TOTAL OF 58,245 VISITS ACROSS 7 CLINICAL SITES.IN FY18, THERE WERE 2,035 NEW PATIENTS IN THE OUTPATIENT CLINICS FOR A TOTAL OF 52,118 VISITS ACROSS 7 CLINICAL SITES.5.1 COMMUNITY ASTHMA EDUCATION PROGRAM (CAEP) FOR CHILDREN - ENGAGES COMMUNITY HEALTH WORKERS TO CONDUCT INDIVIDUAL AND GROUP EDUCATION SESSIONS AND IN-HOME ASSESSMENTS FOR ASTHMA TRIGGER REMEDIATION.THE CAEP PROGRAM ENDED IN APRIL 2017, DUE TO FUNDING CONSTRAINTS. AMONG 84 PATIENTS WHO COMPLETED THE PROGRAM BETWEEN JUNE AND DECEMBER OF 2016, STATISTICALLY SIGNIFICANT IMPROVEMENTS (P < .05) WERE DEMONSTRATED IN THE FOLLOWING AREAS: ASTHMA-RELATED KNOWLEDGE, PARENTS' ABILITY TO PROPERLY ADMINISTER ASTHMA MEDICATION, THE NUMBER OF DAYS THE CHILD EXPERIENCED ANY ASTHMA SYMPTOMS, THE NUMBER OF NIGHTS THE CHILD WOKE UP DURING THE NIGHT DUE TO ASTHMA, THE NUMBER OF DAYS THE CHILD USED HIS OR HER RESCUE INHALER OR NEBULIZER TREATMENT. EMERGENCY DEPARTMENT VISITS AND IN-PATIENT HOSPITALIZATIONS ALSO DECREASED FROM 6 MONTHS BEFORE PARTICIPATION IN THE PROGRAM TO 6 MONTHS AFTER PARTICIPATION AMONG THE 84 FAMILIES WHO COMPLETED THE PROGRAM. WE CONTINUE TO EXPLORE NEW WAYS TO ADDRESS ASTHMA AMONG PEDIATRIC POPULATIONS AND TO CONTINUE TO PROVIDE EFFECTIVE SERVICES TO FAMILIES WHO ARE STRUGGLING TO MANAGE THEIR CHILD'S ASTHMA.5.2 GERIATRIC WORKFORCE ENHANCEMENT PROGRAM (GWEP) - ENGAGES COMMUNITY HEALTH WORKERS (CHWS) TO PARTNER WITH NURSES IN CONDUCTING HOME VISITS TO GERIATRIC PATIENTS (AND THEIR CAREGIVERS) WITH CHRONIC ILLNESSES OR MEMORY-RELATED DISORDERS, INCLUDING ALZHEIMER'S DISEASE. CHWS ASSESS PATIENTS' SOCIAL NEEDS AND PROVIDE CONNECTIONS TO COMMUNITY RESOURCES.29 CLASSES ADDRESSING CHRONIC DISEASE SELF-MANAGEMENT, DEMENTIA, FALL PREVENTION, AND HOME SAFETY FOR COMMUNITY-DWELLING OLDER ADULTS WERE HELD DURING FY17. 205 INDIVIDUALS PARTICIPATED IN THOSE CLASSES.34 CLASSES ADDRESSING CHRONIC DISEASE SELF-MANAGEMENT, DEMENTIA, FALL PREVENTION, AND HOME SAFETY FOR COMMUNITY-DWELLING OLDER ADULTS WERE HELD DURING FY18. 453 INDIVIDUALS PARTICIPATED IN THOSE CLASSES.5.3 SEE ALLENTOWN CHILDREN'S HEALTH IMPROVEMENT PROJECT IN COMMUNITY ENGAGEMENT SECTION (6.2).6.1 POPULATION HEALTH DEPARTMENT (COMMUNITY CARE TEAMS - NURSE CASE MANAGER, SOCIAL WORKER, BEHAVIORAL HEALTH SPECIALIST, +/- PHARMACIST, TRANSITIONS OF CARE CALL CENTER AND CENTRALIZED PAYER RESOURCES) WILL ENGAGE AND MANAGE PATIENTS IN THEIR HEALTH AND ADDRESS BARRIERS TO CARE.IN FY17, OVER 2,500 PATIENTS WERE SERVED BY THE CCT. FOR THESE CCT MANAGED PATIENTS, THERE WAS AN AVERAGE DECREASE IN INPATIENT ENCOUNTERS OF 140 FROM 6 MONTHS PRIOR TO THE INTERVENTION TO 6 MONTHS POST INTERVENTION. IN ADDITION, ED UTILIZATION DECREASED BY AN AVERAGE OF 156 VISITS FOR THIS PATIENT POPULATION FROM THE 6 MONTHS PRIOR TO BEING SERVED BY THE CCT TEAM TO THE 6 MONTHS AFTER WORKING WITH THE CCT TEAM. IN FY18, OVER 5,000 PATIENTS WERE SERVED BY THE CCT. FOR THESE CCT MANAGED PATIENTS, THERE WAS AN AVERAGE DECREASE IN INPATIENT ENCOUNTERS OF 108 FROM 6 MONTHS PRIOR TO THE INTERVENTION TO 6 MONTHS POST INTERVENTION. IN ADDITION, ED UTILIZATION DECREASED BY AN AVERAGE OF 96 VISITS FOR THIS PATIENT POPULATION FROM THE 6 MONTHS PRIOR TO BEING SERVED BY THE CCT TEAM TO THE 6 MONTHS AFTER WORKING WITH THE CCT TEAM. 6.2 SOCIAL WORKERS PLACED IN PRACTICES SERVED BY POPULATION HEALTH DEPARTMENT WILL ASSIST PATIENTS IN OBTAINING MEDICATIONS THEY CANNOT AFFORD.IN FY17, 1,515 MEDICATION ORDERS WERE PLACED ACROSS 34 PRACTICES, RESULTING $2,546,363 WORTH OF MEDICATIONS OBTAINED.IN FY18, 2,362 MEDICATION ORDERS WERE PLACED ACROSS 41 PRACTICES, RESULTING IN $3,991,739 WORTH OF MEDICATIONS OBTAINED.6.3 SOCIAL WORKERS PLACED IN PRACTICES SERVED BY POPULATION HEALTH DEPARTMENT ASSIST ELIGIBLE PATIENTS IN APPLYING FOR SOCIAL SECURITY DISABILITY INCOME USING THE SOAR PROCESS.SOAR IS A PROGRAM DESIGNED TO INCREASE ACCESS TO SSI/SSDI FOR ELIGIBLE ADULTS WHO ARE EXPERIENCING, OR AT RISK OF, HOMELESSNESS AND HAVE A MENTAL ILLNESS. FOUR TOTAL SOAR APPLICATIONS WERE COMPLETED IN FY17; 3 APPROVED AND 1 WAS DENIED. IN FY18, 4 SOAR APPLICATIONS WERE COMPLETED, 2 WERE APPROVED, AND 2 WERE PENDING.8.1 LV CHILDREN'S HOSPITAL CHILD ADVOCACY CENTER ADDRESSES NEEDS OF CHILDREN WHO ARE AT RISK FOR OR ARE VICTIMS OF VIOLENCE AND/OR NEGLECT. CHILD PROTECTION TEAM RESOURCES ARE AVAILABLE WITHIN EMERGENCY DEPARTMENT, INPATIENT UNITS AND IN AN OUTPATIENT SETTING FOR AGENCY AND COMMUNITY REFERRALS. FOLLOW-UP SERVICES, COMMUNITY OUTREACH AND PROFESSIONAL EDUCATIONAL PROGRAMS ARE ALSO AVAILABLE.AS PART OF THE FOUNDATIONAL WORK OF ESTABLISHING A CHILD ADVOCACY CENTER, A CLINICAL PATHWAY FOR CHILDREN WITH SUSPICIOUS BRUISING WAS APPROVED AND PUBLISHED BY THE NETWORK IN FEBRUARY 2017. A CLINICAL PATHWAY FOR SKELETAL SURVEYS IS ALSO BEING DEVELOPED. A NO HIT ZONE WAS APPROVED AND ROLLED OUT IN THE NETWORK IN JUNE 2017. A TRAINING WAS HELD FOR 17 TF-CBT THERAPISTS FOR 1 DAY IN MARCH 2017, AND 7 OF 22 TFCBT THERAPISTS HAVE ACHIEVED CERTIFICATION. IN FY18, THERE WERE 1,593 REPORTED CASES OF CHILD ABUSE, 131 SUBSTANTIATED CASES, 214 MEDICAL EXAMS AND 254 FORENSIC EXAMS WERE PERFORMED, AND 593 TOTAL CHILDREN WERE SERVED BY THE CHILDREN'S ADVOCACY CENTER (CAC).
PART V, SECTION B, LINE 11 (CONTINUATION B)	ACCESS TO CARE1.1 MAINTAIN AND BROADLY COMMUNICATE LEHIGH VALLEY HEALTH NETWORK'S FINANCIAL ASSISTANCE POLICY, PROVIDING FREE OR DISCOUNTED CARE FOR QUALIFYING PATIENTS.FOR THE LEHIGH VALLEY CEDAR CREST, 17TH STREET, AND MUHLENBERG CAMPUSES, 17,349 APPLICATIONS (WHICH CAN INCLUDE MORE THAN ONE PATIENT IN A FAMILY) WERE RECEIVED FOR THE FINANCIAL ASSISTANCE PROGRAM IN FY17. ALL APPLICATIONS WERE REVIEWED WITHIN 5 DAYS OF BEING RECEIVED, WHICH RESULTED IN 22,347 PATIENTS BEING APPROVED FOR FINANCIAL ASSISTANCE AND 4,042 PATIENTS BEING DENIED.IN FY18, 31,246 APPLICATIONS WERE RECEIVED FOR THE FINANCIAL ASSISTANCE PROGRAM. THIS RESULTED IN 22,426 PATIENTS APPROVED FOR FINANCIAL ASSISTANCE AND 2,135 PATIENTS BEING DENIED.2.3 IMPROVEMENT IN TIMELY ACCESS TO PRIMARY CARE CLINICIAN SERVICES.25 VIRTUAL EXPRESSCARE VISITS OCCURRED AT BANGOR HEALTH CENTER IN FY17 (MUHLENBERG SPECIFIC). THE GOAL IS THAT NEW PATIENTS IN PRIMARY CARE WILL BE SCHEDULED WITHIN 7 DAYS OF REQUESTED APPOINTMENT; NEW PATIENT APPOINTMENT IN SPECIALTY SERVICES WILL BE SCHEDULED WITHIN 14 DAYS OF A REQUESTED APPOINTMENT. AT START OF FY17, LVPG TOTAL NEW PATIENT APPOINTMENT LAG WAS 48.37% (THIS IS THE TOTAL PERCENTAGE OF PATIENTS THAT WERE SCHEDULED WITHIN THE 7/14 DAY TIME FRAME AS NOTED ABOVE) - 46.05% FOR PRIMARY CARE AND 49.3% FOR SPECIALTY. AS OF 2/28/17, LVPG TOTAL NEW PATIENT APPOINTMENT LAG IS 51.44%, WITH 53.13% OF APPOINTMENTS FOR PRIMARY CARE AND 50.79% FOR SPECIALTY CARE SCHEDULED WITHIN THE 7/14 DAY TIME FRAME. VACANT CLINICIAN POSITIONS (INCLUDING CLINICIAN FMLAS) ARE CONTRIBUTING TO THIS LAG. STRATEGIES TO HELP IMPROVE THIS LAG INCLUDE DIRECT SCHEDULING AND ONE CALL/ONE CLICK AND OPEN SCHEDULING. IN FY18, 58,952 PRIMARY CARE VISITS OCCURRED ACROSS ALL MUHLENBERG PRACTICES. TRACKING OF LAG TIMES IS IN TRANSITION AND WILL BE REVISITED IN FY19.7.1 PROVIDE LVHN COLLEAGUES WITH CULTURAL, LINGUISTIC TRAINING VIA VARIETY OF DELIVERY MECHANISMS.IN FY17, A CULTURAL AWARENESS E-LEARNING MODULE ENTITLED: PATIENT VOICES (ETIQUETTE FOR THE CARE OF PEOPLE WITH DISABILITIES) WAS INCLUDED IN THE TLC BUNDLES. PART 1 HAD 12,056 COURSE COMPLETIONS (A 98.77% COMPLETION RATE) AND PART 2 HAD 11,779 COURSE COMPLETIONS (A 97.66% COMPLETION RATE).IN FY18, 1TLC BUNDLE WAS OFFERED WITH 12,882 COURSE COMPLETIONS (98%OF LVHN COLLEAGUES). ALSO, 64 IN-PERSON EDUCATIONS SESSIONS WERE OFFERED.7.2 PATIENT'S PREFERRED LANGUAGE FOR HEALTH CARE DISCUSSIONS IS RECORDED AT TIME OF REGISTRATION.IN FY 17, NEARLY 600,000 PATIENTS (INPATIENT AND OUTPATIENT) HAD THEIR PREFERRED LANGUAGE DOCUMENTED, ACROSS 68 LANGUAGES. 83% PREFER ENGLISH, 3.68% PREFER SPANISH, AND 0.22% PREFER ARABIC, WITH THE REMAINING PATIENTS PREFERRING OTHER LANGUAGES.IN FY18, NEARLY 600,000 PATIENTS HAD THEIR PREFERRED LANGUAGE DOCUMENTED, ACROSS 68 LANGUAGES. 83% OF PATIENTS PREFER ENGLISH, 4.5% PREFER SPANISH, AND 0.2% PREFER ARABIC. APPROXIMATELY 8% HAVE AN UNSPECIFIED PREFERRED LANGUAGE.7.3 ASSESS AVAILABILITY OF LANGUAGE ASSISTANCE RESOURCES IN ALL CARE DELIVERY SITES TO MEET NEEDS OF PATIENTS WITH LIMITED ENGLISH PROFICIENCYIN FY 17, THERE WERE 9,011 LIVE ENCOUNTERS WITH INTERPRETERS AT CEDAR CREST, 17TH STREET, AND MUHLENBERG TOTALING 180,318 INTERPRETING MINUTES. AT LVH CEDAR CREST AND 17TH STREET CAMPUSES, 39,300 INTERPRETING ENCOUNTERS OCCURRED VIA IPAD AND 22,757 ENCOUNTERS VIA PHONE. AT MUHLENBERG, 3,478 INTERPRETING ENCOUNTERS OCCURRED VIA IPAD AND 1,036 ENCOUNTERS VIA PHONE.IN FY18, 12,974 LIVE ENCOUNTERS WITH INTERPRETERS OCCURRED TOTALING 319,779 INTERPRETING MINUTES. AT LVH-CEDAR CREST AND 17TH STREET THERE WERE 24,290 ENCOUNTERS VIA IPAD AND 13, 819 ENCOUNTERS VIA PHONE. AT MUHLENBERG THERE WERE 3,478 ENCOUNTERS VIA IPAD AND 1,649 ENCOUNTERS VIA PHONE.PREVENTION AND WELLNESS1.1 CAPTURE (BMI) DATA FOR LVHN PATIENTS THROUGH EPIC (LVHN'S ELECTRONIC HEALTH RECORD); ANALYZE AGGREGATED DATA TO IDENTIFY OPPORTUNITIES FOR PRACTICE-BASED OR PROGRAMMATIC INTERVENTIONS.1.2 IDENTIFY AND REFER PATIENTS IDENTIFIED AS "HIGH RISK" (BY VIRTUE OF LIFESTYLE ISSUES OR CO-MORBID CONDITIONS) TO LVHN AND COMMUNITY RESOURCES TO ASSIST WITH PATIENT ENGAGEMENT, EDUCATION, MOTIVATION AND SUPPORT FOR MANAGEMENT OF THEIR CONDITION.DATA BELOW REFERS TO 1.1 AND 1.2:BETWEEN JULY AND DECEMBER OF 2016, OUT OF A TOTAL OF 207,377 PATIENTS 18 YEARS AND OLDER, 75% HAD A BMI DOCUMENTED, AND IF OUTSIDE NORMAL PARAMETERS, A FOLLOW UP PLAN IS DOCUMENTED. OUT OF A TOTAL OF 186,673 PATIENTS 18 YEARS AND OLDER, 76% HAD A BMI DOCUMENTED, AND IF OUTSIDE NORMAL PARAMETERS, A FOLLOW UP PLAN IS DOCUMENTED BETWEEN JANUARY AND JUNE OF 2017. IN FY18, OUT OF A TOTAL OF 232,842 PATIENTS 18 YEARS AND OLDER, 74% HAD A BMI DOCUMENTED, AND IF OUTSIDE NORMAL PARAMETERS, A FOLLOW UP PLAN IS DOCUMENTED.1.3 COMMUNITY CANVAS: A SCHOOL- AND COMMUNITY-BASED EDUCATIONAL PROGRAM THAT INCLUDES IN-SCHOOL INSTRUCTION AND EVENING PROGRAMS FOR FAMILIES OF ELEMENTARY STUDENTS, AND EMPHASIZES WELLNESS THROUGH HEALTHY HABITS AND GOOD NUTRITION. IN 2016-17 SCHOOLS IN EASTON AND WHITEHALL ARE INCLUDED IN THE PROGRAM.IN THE 2016-2017 SCHOOL YEAR, THE COMMUNITY CANVAS PROGRAM ENGAGED SIX ELEMENTARY SCHOOLS IN THE EASTON AND WHITEHALL SCHOOL DISTRICTS. 2,225 UNIQUE STUDENTS PARTICIPATED WITH A TOTAL OF 8,725 TOTAL REACHES ACROSS THE SCHOOLS. COMMUNITY CANVAS UTILIZED A PRE AND POST-TEST TO ASSESS LEARNINGS FROM THE PROGRAM. SOME KEY FINDINGS INCLUDE: BETWEEN 67% AND 72% OF STUDENTS KNEW YOU SHOULD HAVE AT LEAST 5 SERVINGS OF FRUIT AND VEGETABLES PER DAY. ALSO, 72.9% OF THE STUDENTS KNEW THAT ALL THE FAST FOOD RESTAURANTS SHOWN HAVE SOME HEALTHY FOOD AVAILABLE AND SOME "HEALTHIER" FAST FOOD RESTAURANTS HAD SOME VERY UNHEALTHY FOOD. OVERALL, THERE WAS A SIGNIFICANT INCREASE IN KNOWLEDGE GAINED IN-CLASSROOM AND REINFORCED AT HOME VIA HANDOUTS PROVIDED.IN THE 2017-2018 SCHOOL YEAR, COMMUNITY CANVAS EXPANDED TO 8 SCHOOLS. THE PROGRAM ENGAGED 2,730 UNIQUE STUDENTS AND TEACHERS ACROSS 105 UNIQUE CLASSROOMS. 66 CLASSROOMS PARTICIPATED IN "GARDEN IN A CLASSROOM."1.4 SURGICAL WEIGHT MANAGEMENT INFORMATION SESSIONS: INFORMATION EVENTS HELD MONTHLY, FACILITATED BY THE WEIGHT MANAGEMENT CENTER'S REGISTERED NURSE PATIENT NAVIGATOR. PARTICIPANTS ARE PROVIDED WITH OPTIONS AVAILABLE AT THE CENTER FOR MEDICALLY SUPPORTED, NONSURGICAL WEIGHT MANAGEMENT. ATTENDEES LEARN HOW THE TEAM OF PHYSICIANS, RN PATIENT NAVIGATOR, REGISTERED DIETITIANS AND BEHAVIORAL HEALTH SPECIALISTS CAN TAILOR AN INDIVIDUALIZED, SAFE AND EFFECTIVE PROGRAM OF DIET, NUTRITION, EXERCISE AND LIFESTYLE CHANGES.IN FY17, 2,124 INDIVIDUALS SIGNED UP FOR FREE INFORMATION EVENTS ABOUT NONSURGICAL WEIGHT MANAGEMENT SERVICES. 1,552 PEOPLE ATTENDED THE EVENTS, 75% OF WHOM WERE POTENTIAL SURGERY CANDIDATES. 546 INDIVIDUALS WHO ATTENDED AN EVENT, ALSO SCHEDULED A PHYSICAL. IN FY18, 1,680 INDIVIDUALS SIGNED UP FOR FREE INFORMATION EVENTS ABOUT NONSURGICAL WEIGHT MANAGEMENT SERVICES. 1,276 PEOPLE ATTENDED THE EVENTS, 58% OF WHOM WERE POTENTIAL SURGERY CANDIDATES. 656 INDIVIDUALS WHO ATTENDED AN EVENT, ALSO SCHEDULED A PHYSICAL.3.1 FREE MASS INFLUENZA IMMUNIZATION "DRIVE-THROUGH" PROGRAM HELD AT TWO MAJOR VENUES IN THE LEHIGH VALLEY REGION.18,120 COMMUNITY MEMBERS RECEIVED THE FLU VACCINE THROUGH THE DRIVE-THRU PROGRAM IN 2017. $331,200 PROVIDED IN FREE CARE FOR FLU VACCINE AND SUPPLIES.IN 2018, 10,017 COMMUNITY MEMBERS RECEIVED THE FLU VACCINE THROUGH THE DRIVE-THRU PROGRAM. THE DOLLAR AMOUNT OF FREE CARE AND SUPPLIES HAS NOT BEEN MADE AVAILABLE YET.3.2 FREE INFLUENZA VACCINE CLINICS WITHIN REGIONAL SOUP KITCHENS AND HOMELESS SHELTERS TO REACH VULNERABLE PATIENTS AT RISK FOR INFLUENZA.64 FLU VACCINES WERE ADMINISTERED ACROSS 6 CLINICAL SITES IN FY17.IN FY18, 162 PATIENTS WERE VACCINATED.4.1 DENTAL SEALANT PROGRAM; PROVIDES SECOND AND THIRD-GRADE CHILDREN FROM LOWER-INCOME COMMUNITIES IN BOTH ALLENTOWN AND EASTON SCHOOL DISTRICTS ACCESS TO DENTAL SEALANTS, AN EVIDENCE BASED FORM OF PREVENTIVE ORAL HEALTH CARE. CHILDREN ALSO RECEIVE A TOOTHBRUSH AND INSTRUCTION IN HOW TO USE.IN ALLENTOWN SCHOOL DISTRICT IN FY17, 1,447 STUDENTS RETURNED THEIR CONSENT FORMS, 733 RECEIVED AN EXAM, AND 567 STUDENTS HAD THEIR TEETH SEALED. IN EASTON AREA SCHOOL DISTRICT, 618 STUDENTS RETURNED THEIR CONSENT FORMS, 233 RECEIVED AN EXAM, AND 186 RECEIVED SEALANTS. IN TOTAL 2,214 SEALANTS WERE PLACED IN FY17. THIS PROGRAM WAS DISCONTINUED IN FY18.
PART V, SECTION B, LINE 11 (CONTINUATION C)	4.2 BUILDING 21 OF ALLENTOWN SCHOOL DISTRICT HEALTH CARE CAREER DISCOVERY PROGRAM EXPOSES STUDENTS TO A WIDE VARIETY OF HEALTH CARE CAREERS AND POSITIVE ADULT ROLE MODELS IN AUTHENTIC, REAL-WORLD SETTINGS. YEAR 1 PILOT COMPLETE WITH GOAL OF CREATING AN EVIDENCE BASED, FOUR-YEAR MODEL. YEAR 2 PILOT WITH PROGRAM EXPANSION TO TWO OTHER HIGH SCHOOLS IN ALLENTOWN SCHOOL DISTRICT.THE LEHIGH VALLEY HEALTH NETWORK DEPARTMENT OF EDUCATION PROVIDED SEVERAL YOUTH PROGRAMMING OPPORTUNITIES THROUGHOUT FY17. A CURRICULUM WAS OFFERED AT THE BETHLEHEM AREA VOCATIONAL TECHNICAL SCHOOL WHICH WAS DESIGNED TO PROVIDE STUDENTS WITH THE NECESSARY INFORMATION AND SKILLS TO BE CONSIDERED SAFE IN A CLINICAL ENVIRONMENT. IT FOCUSED ON SEVERAL CLINICAL COMPONENTS FOR A MULTIFOCAL OVERVIEW OF PROFESSIONAL HEALTH CAREERS. THERE WERE 38 GRADUATES FROM THE PROGRAM, AND 100% OF THE GRADUATES ENROLLED IN POST-SECONDARY EDUCATION.LVHN ALSO PARTNERED WITH LEHIGH CAREER AND TECHNICAL INSTITUTE, PENN STATE LEHIGH VALLEY, AND LEHIGH CARBON COMMUNITY COLLEGE TO OFFER A DUAL-ENROLLMENT PROGRAM TO STUDENTS WHICH COMBINES COLLEGE LEVEL SCIENCE COURSES, HONORS HEALTH CURRICULA, AND OBSERVATION IN A HEALTHCARE SETTING. THERE WERE 49 GRADUATES FROM THE PROGRAM, AND 100% OF THE GRADUATES ENROLLED IN POST-SECONDARY EDUCATION.LVHN ALSO OFFERED A HEALTH CARE CAREER DISCOVERY DAY WHICH EXPOSES STUDENTS TO A WIDE VARIETY OF HEALTH CARE CAREERS AND POSITIVE ADULT ROLE MODELS IN AUTHENTIC, REAL-WORLD SETTINGS. 329 STUDENTS PARTICIPATED IN HEALTH CARE CAREER DISCOVERY PROGRAMMING. A SIMILAR PROGRAM WAS ALSO OFFERED TO THE CHILDREN OF LVHN STAFF (9TH-12TH GRADE) WHICH EXPOSED CHILDREN TO A WIDE VARIETY OF CAREERS, FIELDS OF STUDY, AND POSITIVE ADULT ROLE MODELS WHO DEMONSTRATE PROFESSIONALISM. 64 STUDENTS PARTICIPATED.IN FY18, AT THE BETHLEHEM AREA VOCATIONAL TECHNICAL SCHOOL, 41 STUDENTS GRADUATED FROM THE PROGRAM, 98% OF WHOM WENT ON TO POST-SECONDARY EDUCATION. AT THE LEHIGH CAREER AND TECHNICAL INSTITUTE, 58 STUDENTS GRADUATED FROM THE PROGRAM, 100% OF WHICH WENT ON TO POST-SECONDARY EDUCATION. AT LVHN'S HEALTHCARE CAREER DISCOVERY DAY, 407 STUDENTS PARTICIPATED WITH 41 LVHN DEPARTMENTS PARTICIPATING.4.3 PROVISION OF SCHOOL-BASED HEALTH SERVICES TO ELEMENTARY, MIDDLE AND HIGH SCHOOL STUDENTS, ADDRESSING DEFICIENT PHYSICALS AND VACCINES.IN FY17, PLANNING MEETINGS WERE HELD, AN MOU WAS DRAFTED, AND APPROVAL WAS RECEIVED FOR BEHAVIORAL HEALTH SERVICES AND WELLNESS EDUCATION IN THE ALLENTOWN SCHOOLS. SCHOOL-BASED HEALTH SERVICES ARE PRESENT AT FIVE SCHOOLS: SOUTH MOUNTAIN MIDDLE SCHOOL, LINCOLN LEADERSHIP ACADEMY, MOSSER ELEMENTARY SCHOOL, CENTRAL ELEMENTARY SCHOOL, AND EXECUTIVE EDUCATION ACADEMY CHARTER SCHOOL. 128 STUDENTS HAD NOT COMPLETE PHYSICALS AND IMMUNIZATIONS. OF THOSE 128, 44 RETURNED CONSENTS AND 21 COMPLETED THE REQUIREMENTS. IN FY18, SCHOOL-BASED HEALTH SERVICES WERE PRESENT AT FIVE SCHOOLS: SOUTH MOUNTAIN MIDDLE SCHOOL, LINCOLN LEADERSHIP ACADEMY, MOSSER ELEMENTARY SCHOOL, CENTRAL ELEMENTARY SCHOOL, AND EXECUTIVE EDUCATION ACADEMY CHARTER SCHOOL. 275 STUDENTS RETURNED CONSENTS AND OF THOSE 275, 105 RECEIVED PHYSICALS.5.1 ENSURE ALL CHWS WORKING WITHIN LVHN RECEIVE TRAINING IN CHW COMPETENCIES.100% OF CHWS WHO HAVE BEEN WORKING AT LVHN FOR MORE THAN 3 MONTHS DURING FY17 COMPLETED THE AHEC TRAINING (N = 9). COMMUNITY HEALTH WORKERS ARE AN EXPANDING WORKFORCE IN HEALTH CARE IN THE LEHIGH VALLEY. IT IS IMPORTANT FOR ALL CHWS TO BE ABLE TO DEMONSTRATE CERTAIN COMPETENCIES IN ORDER FOR THEM TO BE SUCCESSFUL IN THEIR JOB ROLES. NO ADDITIONAL CHWS WERE HIRED IN FY18.5.2 DEPLOY CHWS IN PROGRAMS AND PRACTICES THAT SERVE INDIVIDUALS AND FAMILIES WITH SOCIAL AND ECONOMIC NEEDS.IN FY17, 9 CHWS WORKING AT LVHN PROVIDED PATIENTS OR COMMUNITY RESIDENTS WITH LINKS TO COMMUNITY BASED SERVICES AND SOCIAL SUPPORT. TARGET POPULATIONS INCLUDE FAMILIES WITH YOUNG CHILDREN, ELDERLY INDIVIDUALS, AND FAMILIES IN THE SCHOOL SYSTEM. CHWS ARE BEST SUITED TO WORK WITH PATIENTS AND FAMILIES WHO ARE STRUGGLING WITH THE BURDENS OF SOCIAL DETERMINANTS OF HEALTH. THEY CAN HELP TO ALLEVIATE THESE BURDENS, ENABLING PATIENT AND FAMILIES TO BETTER MANAGE THEIR HEALTH AND IMPROVE THE QUALITY OF THEIR LIVES. THESE 9 CHWS CONTINUED TO WORK WITH THE SAME TARGET POPULATIONS AS FY17 IN FY18.
PART V, SECTION B, LINE 11 (CONTINUATION D)	6.1 GUIDELINE DEVELOPMENT FOR ACUTE AND CHRONIC PAIN MANAGEMENT, PATIENT SCREENING FOR SAFE PRESCRIBING OF OPIOID ANALGESICS; PHYSICIAN OUTREACH AND EDUCATION.23 SMALL GROUP/PRACTICE SESSIONS AND 11 LARGE GROUP EDUCATION SESSIONS WERE HELD IN FY 17 REACHING OVER 350 PROVIDERS, CLINICAL AND OFFICE STAFF, AND RESIDENTS.43 SMALL GROUP/PRACTICE SESSIONS AND 15 LARGE GROUP EDUCATION SESSIONS WERE HELD IN FY 18 REACHING OVER 3,000 PROVIDERS, CLINICAL AND OFFICE STAFF, AND RESIDENTS.7.2 MAKE D & A RESOURCE LISTINGS AVAILABLE TO CLINICAL SETTINGS, CASE MANAGERS, SOCIAL WORKERS.LISTINGS OF DRUG AND ALCOHOL RESOURCES ARE COMPILED FOR 7 COUNTIES IN THE AREA. THE PROVIDERS IN THE RESOURCE LIST ARE THE AGENCIES THAT LVHN PROVIDERS REFER TO FOR SUBSTANCE ABUSE/ADDICTION SERVICES. LVHN PSYCHIATRY DEPARTMENT DEVELOPED A CENTRAL LOCATION THAT HOUSES ALL OF THE RESOURCE LISTINGS FOR PROVIDERS.8.1 HOST AND SPONSOR COMMUNITY-BASED OPIOID-ABUSE PREVENTION PRESENTATIONS TARGETED TO SCHOOLS, PARENTS; INCLUDE OUTREACH TO FAMILIES EXPERIENCING ADDICTION. AN OPIOID TASK FORCE WAS ESTABLISHED AND A CHARTER WAS DRAFTED. THE TEAM MET MONTHLY IN PREPARATION FOR A SUBSTANCE USE DISORDERS SYMPOSIUM TO BE HELD IN THE FALL OF 2017. COLLEAGUES FROM LVHN DEPARTMENT OF EDUCATION WERE ENGAGED IN MONTHLY MEETINGS, AS WAS LVHN MARKETING. LEADERS FROM THE ACO, EMERGENCY DEPARTMENT, AND TOXICOLOGY WERE ALSO PRESENT AT THE MEETINGS TO PROVIDE FEEDBACK AND ALIGN EFFORTS WITH NETWORK SUBSTANCE USE INITIATIVES ALREADY UNDERWAY.IN FY18, A 3 SESSION SYMPOSIUM, ENTITLED, "SAVING LIVES THROUGH INTERVENTION: SUBSTANCE USE DISORDERS" WAS OFFERED TO LVHN PROVIDERS. IT OFFERED CME CREDITS AT THE LVHN CEDAR CREST CAMPUS FOR MORE THAN 100 ATTENDEES.9.1 PROVIDE EDUCATIONAL OUTREACH TO VULNERABLE POPULATIONS IN URBAN AREAS ABOUT COLON CANCER SCREENING AND ASSIST WITH ACCESS TO SCREENING OPTIONS.10 COMMUNITY MEMBERS PARTICIPATED IN 5 PATIENT AND STAKEHOLDER ADVISORY COMMITTEE MEETINGS IN FY 17. IN ADDITION, ONE COMMUNITY HEALTH FAIR WAS HELD WITH 253 ATTENDEES, 2 PATIENT FOCUS GROUPS WERE HELD WITH 12 ATTENDEES, AND 3 NETWORK STAKEHOLDER INTERVIEWS WERE CONDUCTED. NO ADDITIONAL ACTIVITIES TOOK PLACE IN FY18.9.2 ENGAGE COMMUNITY MEMBERS, PATIENTS, PAYERS, EMPLOYERS AND HEALTH CARE SYSTEMS THROUGH A LEARNING COMMUNITY MODEL DESIGNED TO DEVELOP COMMON AGENDA FOR REDUCING COLORECTAL (CRC) AND LUNG CANCER (LCA) SCREENING DISPARITIES AMONG MINORITY POPULATIONS.FUNDED BY THE PATIENT CENTERED OUTCOMES RESEARCH INSTITUTE (PCORI), THE REDUCING CANCER DISPARITIES BY ENGAGING STAKEHOLDERS (RCADES) PROJECT BEGAN ON NOVEMBER 1, 2015. THE RCADES PROJECT AIMS TO FORM A NEW "COLLECTIVE IMPACT LEARNING COMMUNITY" TO ADVANCE THE IDENTIFICATION, ADAPTATION, AND USE OF EVIDENCE-BASED INTERVENTIONS THAT REDUCE CANCER SCREENING DISPARITIES IN HEALTH SYSTEMS.THE RCADES LEARNING COMMUNITY INCLUDES A COORDINATING TEAM FROM THE CENTER FOR HEALTH DECISIONS (CHD) AT THOMAS JEFFERSON UNIVERSITY (THE "BACKBONE ORGANIZATION"); A STEERING COMMITTEE; A LEHIGH VALLEY HEALTH NETWORK PATIENT AND STAKEHOLDER ADVISORY COMMITTEE (LVHN-PASAC); A DELAWARE VALLEY ACCOUNTABLE CARE ORGANIZATION PATIENT AND STAKEHOLDER ADVISORY COMMITTEE (DVACO-PASAC); AND OTHER KEY STAKEHOLDERS, INCLUDING PATIENTS, CLINICIANS, HEALTH SYSTEM ADMINISTRATORS, INSURERS, EMPLOYERS, AND OTHER KEY STAKEHOLDERS. THE GOAL OF THIS LEARNING COMMUNITY IS TO EXPLORE MOVING EVIDENCE-BASED INTERVENTIONS INTO PRACTICE AND POPULATION HEALTH MANAGEMENT. IN FY 17 AND FY18, 72 COMMUNITY MEMBERS PARTICIPATED IN A SERIES OF 14 SESSIONS FOR THE LVHN-PASAC; ALL REPORTED THAT PARTICIPATION HELPED THEM BETTER UNDERSTAND THE IMPLEMENTATION PROCESS. 10.1 PUBLIC HEALTH MESSAGING CAMPAIGN TO ENCOURAGE EARLY PREGNANCY CARE.INITIAL STEPS HAVE BEEN TAKEN TO COLLECT DEMOGRAPHIC INFORMATION TO BETTER UNDERSTAND THE APPROPRIATE TARGET AUDIENCE FOR THIS CAMPAIGN. THE WORK WILL CONTINUE INTO FY18. A NEW TOWER OPENED UP IN FY18 FOR LABOR AND DELIVERY AT OUR MUHLENBERG CAMPUS.CEDAR CREST/17TH STREET-SPECIFIC TACTICSCOMMUNITY ENGAGEMENT6.1 OUTREACH TO YOUNG MOTHERS, CHILDREN AND FAMILIES IN THE ALLENTOWN PROMISE NEIGHBORHOOD, USING COMMUNITY HEALTH WORKERS AND A NURSE NAVIGATOR TO PROVIDE EDUCATION, SUPPORT, CONNECTION TO HEALTH CARE AND SOCIAL SERVICES - GOALS INCLUDE SUPPORTING FAMILIES, EARLY CHILDHOOD EDUCATION, IMPROVING HEALTH AND HEALTH CARE UTILIZATION.FROM JANUARY 2017 THROUGH JUNE 2018, 271 FAMILIES ENROLLED IN THE ALLENTOWN CHILDREN'S HEALTH IMPROVEMENT PROJECT. MORE THAN 800 CONNECTIONS MADE BY CHWS TO COMMUNITY RESOURCES, THE TOP THREE BEING HOUSING, SOCIAL SUPPORT, AND CHILD EDUCATION. 52 PARENTS PARTICIPATED IN GROUP-BASED EDUCATION SESSIONS AND 27 PARENTS COMPLETED A KNOWLEDGE AND SKILLS SURVEY AT THE BEGINNING AND END. THE 27 PARENTS WHO PARTICIPATED IN THE PRE AND POST TEST SHOWED A STATISTICALLY SIGNIFICANT IMPROVEMENT IN THEIR PARENTING SKILLS.6.3 EARLY HEAD START - SAFESTART PROGRAM PROVIDES QUALITY EARLY CHILDHOOD EDUCATION TO YOUNG CHILDREN OF FAMILIES INVOLVED WITH PA'S OFFICE OF CHILDREN AND YOUTH. GOALS INCLUDE; ADDRESSING HEALTH PROBLEMS, DEVELOPMENTAL DELAYS AND EMOTIONAL TRAUMA.IN SCHOOL YEAR 2016-2017, 29 CHILDREN AGES 9-36 MONTHS WERE SERVED IN THE EARLY HEAD START/SAFESTART PROGRAM. IN SCHOOL YEAR 2017-2018, 36 CHILDREN AGES 9-36 MONTHS WERE SERVED IN THE PROGRAM. ALL AGE GROUPS OF THE CHILDREN SHOWED IMPROVEMENT IN AREAS OF SOCIAL AND EMOTIONAL DEVELOPMENT AND PHYSICAL DEVELOPMENT DURING BOTH SCHOOL YEARS. THEY ALSO SHOWED IMPROVEMENTS IN HEALTH OUTCOMES INCLUDING PHYSICALS, DENTAL EXAMS, AND IMMUNIZATIONS.AT-RISK POPULATIONS7.1 IMPROVE CAPACITY BY OFFERING ADDITIONAL STI CLINIC SERVICES AT 17TH ST. CAMPUS (INCLUDING EVENING HOURS) TO ADDRESS COMMUNITY NEED AND TO SUPPLEMENT SERVICES OFFERED BY ALLENTOWN HEALTH BUREAU (AHB).A CONTRACT WITH THE STATE HAS NOT BEEN EXECUTED, AND THE NETWORK IS WORKING THROUGH BARRIERS WITH THE PA ATTORNEY GENERAL'S OFFICE. THE LAUNCH OF THE STI CLINIC WILL BE DELAYED UNTIL FY18.THE PROGRAM RECEIVED A FULLY EXECUTED PREFERRED PROVIDER AGREEMENT FROM THE STATE OF PENNSYLVANIA AND THE STAFF IS NOW IN THE PROCESS OF DEVELOPING A BUSINESS PLAN WITH THE HOPES OF LAUNCHING THE PROGRAM IN FALL 2018.PREVENTION AND WELLNESS2.1 HEALTHY LATINAS PILOT PROGRAM: HEALTHY LATINAS IS A COMMUNITY-BASED, MULTICOMPONENT INTERVENTION TARGETING OVERWEIGHT AND OBESE HISPANIC ADOLESCENT FEMALES AND THEIR MOTHERS OR CAREGIVERS. AIM OF THIS PROGRAM IS TO PROMOTE HEALTHY HABITS, PHYSICAL ACTIVITY AND BODY IMAGE AS WELL AS DECREASE UNHEALTHY WEIGHT GAIN. HEALTHY LATINAS IS A PILOT PROGRAM BASED ON A SUCCESSFUL MODEL, HEALTHY CHICAS, IMPLEMENTED IN MIAMI, FLA.THE HEALTHY LATINAS PILOT PROJECT WAS IMPLEMENTED IN FY18. 11 PARTICIPANTS CONSENTED TO THE PROGRAM ATTENDING AN AVERAGE OF 6.83 CLASSES (OUT OF TEN POSSIBLE CLASSES) WITH 4 PARTICIPANTS COMPLETING THE PROGRAM. WHILE A SMALL SAMPLE, THESE 4 SHOWED INCREASED KNOWLEDGE IN HEALTHY FOOD CHOICE, INCREASED PHYSICAL ACTIVITY, AND IMPROVED BODY IMAGE AND SELF-ESTEEM.4.4 ELECT PREGNANT AND PARENTING PROGRAM FOR AT-RISK POPULATION: COMMUNITY HEALTH STAFF TEACHES HEALTH-RELATED TOPICS AT WILLIAM ALLEN HS EACH MONTH.IN OCTOBER 2016 THROUGH APRIL 2017 THERE WERE 22 PARTICIPANTS IN THE ELECT PROGRAM. THE PROGRAM ENDED IN APRIL 2017 DUE TO A LOSS OF PROGRAM FUNDING AND A CHANGE OF DIRECTION FOR THE ALLENTOWN SCHOOL DISTRICT.7.1 IMPROVE COMMUNICATION PROCESS FOR REFERRALS FOR ASSESSMENT BY COUNTY DRUG & ALCOHOL (D & A) PROVIDERS. PILOT LIAISON IN ED FOR "WARM HAND-OFFS" TO D & A FROM LVHN CLINICIANS.FROM JANUARY 2017 THROUGH JUNE 2018, 101 PATIENTS WERE SCREENED BY AN ADDICTION RECOVERY SPECIALIST IN THE EMERGENCY DEPARTMENT. OF THOSE REFERRALS, ALCOHOL WAS THE MAIN SUBSTANCE USED (37.5%) AND THE REMAINDER USED WERE NARCOTICS (62.5%) AFTER SCREENING, 63% OF THE REFERRALS WERE SENT BACK HOME WITH A REFERRAL TO OUTPATIENT TREATMENT, AND 27% WERE REFERRED DIRECTLY TO AN INPATIENT REHABILITATION FACILITY. THE HOST PROGRAM BEGAN AT LVHN IN JANUARY 2017. 153 REFERRALS WERE MADE TO THE HOST PROGRAM FROM JANUARY 2017 THROUGH JUNE 2018.
PART V, SECTION B, LINE 11 (CONTINUATION E)	MUHLENBERG-SPECIFIC TACTICSAT-RISK POPULATIONS3.1 BEHAVIORAL HEALTH INTEGRATION PILOT: CO-LOCATED MEDICAL AND BEHAVIORAL HEALTH CARE SAMSHA GRANT SITE. IMPLEMENTATION OF A REVERSE CO-LOCATION MODEL OF CARE FOR SERIOUSLY MENTALLY ILL PATIENTS TO INCLUDE NURSE CARE COORDINATION AND PARTICIPATION IN WELLNESS EVENTS. IN FY17 92 PATIENTS WERE REFERRED BY THE CO-LOCATED PRIMARY CARE CLINICIAN AT THE WHOLE HEALTH CONNECTIONS CLINIC AND SUCCESSFULLY SEEN BY THE SPECIALIST OR RECEIVED NECESSARY SERVICES. 53 PATIENTS PARTICIPATED IN WELLNESS ACTIVITIES AT THE WHOLE HEALTH CONNECTIONS CLINIC. WELLNESS ACTIVITIES INCLUDE SUPPORT GROUPS, TOBACCO CESSATION, YOGA, AND SOLUTIONS FOR WELLNESS, AN EVIDENCED BASED PROGRAM THAT PROMOTES ADOPTION OF HEALTHY BEHAVIORS AROUND PHYSICAL ACTIVITY AND DIET AMONG PATIENTS WITH SERIOUS MENTAL ILLNESS.IN FY18, 136 PATIENTS WERE REFERRED AND 102 PATIENTS PARTICIPATED IN WELLNESS ACTIVITIES.ACCESS TO CARE AND HEALTH EQUITY2.1 EXPANSION OF PRIMARY CARE SERVICES FOR VULNERABLE POPULATIONS.A TOTAL OF 34,397 PRIMARY CARE VISITS OCCURRED IN FY 17 IN NORTHAMPTON COUNTY. A TOTAL OF 39,389 ADDITIONAL VISITS OCCURRED AT EXPRESSCARE IN NORTHAMPTON COUNTY.IN FY18, 38,388 PRIMARY CARE VISITS OCCURRED IN NORTHAMPTON COUNTY. A TOTAL OF 13,721 EXPRESSCARE VISITS OCCURRED IN NORTHAMPTON COUNTY.2.2 RECRUITMENT OF PRIMARY CARE CLINICIANS TO SUPPORT TIMELY ACCESS TO CARE.9 NEW PROVIDERS HAVE BEEN ADDED OVER THE COURSE OF FY17 IN PRIMARY CARE IN NORTHAMPTON COUNTY. THERE WERE 8 PROVIDERS AT THE BEGINNING OF FY17 AND 17 PROVIDERS AT THE END OF FY17 AND GOING INTO FY18.3.1 PALMER TOWNSHIP AND EASTON HEALTH CENTERS (OPENED SUMMER 2017) WILL PROVIDE IMPROVED FACE-TO-FACE AND TELEMEDICINE ACCESS TO COMPLEX DISEASE CARE.SIX NEW PROVIDERS HAVE BEEN ADDED OVER THE COURSE OF FY17 IN SPECIALTY CARE IN NORTHAMPTON COUNTY. THERE WERE 4 PROVIDERS AT THE BEGINNING OF FY17 AND 10 PROVIDERS AT THE END OF FY17. A TOTAL OF 2,123 VISITS OCCURRED IN SPECIALTY CARE, AND 1,444 UNIQUE PATIENTS WERE SEEN. SEVEN OF THE 10 SPECIALTY CARE AREAS ONLY BEGAN SEEING PATIENTS IN JUNE OF 2017.IN FY18, A TOTAL OF 12,844 VISITS OCCURRED IN SPECIALTY CARE IN NORTHAMPTON COUNTY AND 12,205 UNIQUE PATIENTS WERE SEEN.PREVENTION AND WELLNESS2.2 REDEDICATION OF THE "HEALTH & WELLNESS CENTER," WHICH OFFERS FITNESS, REHAB AND OTHER HEALTH PROMOTION SERVICES.THE REDEDICATION OF THE HEALTH & WELLNESS CENTER OCCURRED IN MAY OF 2014 AND CONTINUES TO BE IN OPERATION THROUGH FY 17 AND 18.10.2 DEVELOPMENT OF NEW PAVILION ON LVH-M CAMPUS THAT WILL IMPROVE ACCESS TO FAMILY BIRTH AND NEWBORN CARE SERVICES1,314 PATIENTS RECEIVED OB CARE BETWEEN NOVEMBER 2016 (WHEN THE MATERNITY CARE PATHWAY WAS IMPLEMENTED) AND FEBRUARY 2017 WITH 4.6% RECEIVING INITIAL CARE AT 13 WEEKS OR LATER. 2748 PATIENTS RECEIVED OB CARE BETWEEN JANUARY 2017 AND JUNE 2017 WITH 4.4% RECEIVING INITIAL CARE AT 13 WEEKS OR LATER. IN FY 18, A TOTAL OF 3,132 UNIQUE PATIENTS STARTED OB CARE. OF THIS NUMBER, THE NUMBER OF UNIQUE PATIENTS WHO ARE "NEW" TO THE NETWORK WAS 282. OF THOSE UNIQUE PATIENTS, THE PERCENTAGE OF PATIENTS WHO PRESENTED FOR OB CARE AT 13 WEEKS OR GREATER IN THIS TIME FRAME WAS NEARLY 6%.

Schedule H (Form 990) 2019

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2019

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 6A:	THE COMMUNITY BENEFIT REPORT IS ISSUED BY LEHIGH VALLEY HEALTH NETWORK, EIN #22-2458317, THE SOLE CORPORATE MEMBER 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:	THE CLINICS SUBSIDY OF $12,473,905 IS THE DIFFERENCE BETWEEN CLINIC PAYMENTS AND CLINIC COSTS. THE CLINICS SUBSIDY INCLUDES THE OPERATIONS OF THE MEDICAL AND SURGICAL CLINICS, CHILDREN'S CLINIC, THE DENTAL CLINIC, THE CENTER FOR WOMEN'S MEDICINE, THE FAMILY HEALTH CENTER, GERIATRICS, AND THE MENTAL HEALTH CLINIC. THE CLINICS SUBSIDY IS NOT INCLUDED IN THE MEDICAL ASSISTANCE SHORTFALL OR UNCOMPENSATED CHARITY CARE VALUE 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 $ 36,264,739.
PART II, COMMUNITY BUILDING ACTIVITIES:	LEHIGH VALLEY HOSPITAL'S SCHOOL HEALTH PROGRAM PROVIDES FREE ON-SITE CLINICAL SERVICES, IMMUNIZATIONS, AND HEALTH EXAMS FOR STUDENTS AT LOCAL ELEMENTARY, MIDDLE AND HIGH SCHOOLS. THE NET COST OF DIRECT SERVICES PROVIDED TO THESE STUDENTS IN FY18 WAS $20,129. IN ADDITION, LEHIGH VALLEY HOSPITAL CONTRIBUTED $95,000 FOR PHASE TWO OF THE DEVELOPMENT OF LINDBERG PARK IN SALISBURY TOWNSHIP.
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:	BAD DEBTS - THE ORGANIZATION RECORDS A PROVISION FOR BAD DEBTS RELATED TO UNINSURED ACCOUNTS NET OF THE AGB DISCOUNT TO RECORD THE NET SELF-PAY ACCOUNTS RECEIVABLE AT THE ESTIMATED AMOUNTS THE ORGANIZATION EXPECTS TO COLLECT. COINSURANCES AND DEDUCTIBLES WITHIN THE THIRD-PARTY PAYER AGREEMENTS ARE THE PATIENT'S RESPONSIBILITY SO THE ORGANIZATION INCLUDES THESE AMOUNTS IN THE SELF-PAY ACCOUNTS RECEIVABLE AND CONSIDERS THESE AMOUNTS IN ITS DETERMINATION OF THE PROVISION FOR BAD DEBTS BASED ON HISTORICAL COLLECTION EXPERIENCE.IN INSTANCES WHERE THE ORGANIZATION BELIEVES A PATIENT HAS THE ABILITY TO PAY FOR SERVICES AND, AFTER APPROPRIATE COLLECTION EFFORT, PAYMENT IS NOT MADE, THE AMOUNT OF SERVICES NOT PAID IS WRITTEN-OFF AS BAD DEBTS. AMOUNTS RECORDED AS PROVISION FOR BAD DEBTS DO NOT INCLUDE CHARITY CARE. THE PROVISION FOR BAD DEBTS FOR THE YEARS ENDED JUNE 30, 2018 AND 2017, WAS $52,583,000 AND $48,120,000 RESPECTIVELY.
PART III, LINE 8:	THE SOURCE OF THE MEDICARE ALLOWABLE COSTS RELATING TO REVENUE RECEIVED FROM MEDICARE IS THE FY '18 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. THE HOSPITAL IS PROVIDING THE COMMUNITY A BENEFIT IN EXCESS OF MEDICARE PAYMENTS.
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:	THE HEALTH CARE COUNCIL OF THE LEHIGH VALLEY (HCCLV) USED QUANTITATIVE AND QUALITATIVE METHODS TO ASSESS THE HEALTH CARE NEEDS OF THE LEHIGH VALLEY COMMUNITY. THERE WERE THREE FORMS OF DATA USED BY THE HCCLV TO CREATE THE CHNA. FIRST, THE MEMBER AGENCIES OF THE HCCLV PROVIDED GUIDANCE ABOUT SOME OF THE KEY ISSUES THEIR INSTITUTIONS FACE REGARDING THE HEALTH OF PEOPLE IN THE LEHIGH VALLEY. THE DISCUSSIONS AT THE MONTHLY HCCLV MEETINGS PROVIDED MEANINGFUL INSIGHT INTO THE PRIORITIES AND ROOT CAUSES THAT WERE FURTHER INVESTIGATED THROUGH SECONDARY DATA SOURCES AND THROUGH QUALITATIVE METHODS.SECOND, A THOROUGH REVIEW OF SECONDARY DATA SOURCES WAS CONDUCTED. ALL SOURCES AND INDICATORS UTILIZED IN THE FIRST COMMUNITY HEALTH NEEDS ASSESSMENT HEALTH PROFILE FROM 2013 WERE UPDATED. THEN, THE HCCLV GROUP REQUESTED THE INCLUSION OF MANY ADDITIONAL INDICATORS THAT WERE ALSO GATHERED FROM SECONDARY SOURCES. THE COMPLETE LIST OF SECONDARY SOURCES CONSULTED THROUGHOUT THE CHNA HEALTH PROFILE PROCESS IS AS FOLLOWS:- COUNTY HEALTH RANKINGS: WWW.COUNTYHEALTHRANKINGS.ORG- COMMUNITY COMMONS: WWW.COMMUNITYCOMMONS.ORG- CDC WONDER: WWW.WONDER.CDC.GOV- CDC COMMUNITY HEALTH STATUS INDICATORS: WWW.CDC.GOV/COMMUNITYHEALTH/HOME- NATIONAL CENTER FOR HEALTH STATISTICS HEALTH INDICATORS WAREHOUSE: WWW.HEALTHINDICATORS.GOV- PENNSYLVANIA DEPARTMENT OF HEALTH: WWW.HEALTH.PA.GOV- PENNSYLVANIA DEPARTMENT OF EDUCATION: WWW.EDUCATION.PA.GOV - AMERICAN COMMUNITY SURVEY: WWW.CENSUS.GOV/PROGRAMS-SURVEYS/ACSQUALITATIVE INFORMATION WAS COLLECTED THROUGH THREE DIFFERENT FOCUS GROUPS. ONE WAS CONDUCTED IN LEHIGH COUNTY, ONE WAS CONDUCTED IN NORTHAMPTON COUNTY, AND THE THIRD COMPRISED TEENS BETWEEN THE AGES OF 13-19 FROM BOTH LEHIGH AND NORTHAMPTON COUNTIES. THE FOCUS GROUPS SOLICITED INFORMATION ABOUT THE NEEDS OF THE COMMUNITY, PARTICULARLY VULNERABLE POPULATIONS, AND RANKED 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 FINANCIAL ASSISTANCE POLICY 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 FINANCIAL ASSISTANCE. LVHN 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 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; FINANCIAL ASSISTANCE AND SUPPORT IN APPLYING FOR MEDICAL ASSISTANCE OR INSURANCE THROUGH THE FEDERAL HEALTH INSURANCE EXCHANGE. PATIENTS WILL BE REFERRED TO THE FINANCIAL COUNSELORS WHO WORK WITH PATIENTS TO APPLY FOR PENNSYLVANIA MEDICAL ASSISTANCE. THE FINANCIAL COUNSELORS ARE LOCATED ONSITE. THE FINANCIAL COUNSELORS VISIT PATIENTS IN THEIR INPATIENT ROOMS, 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. THE PRIMARY SERVICE AREA OF LVH-CC 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 712,481 IN 2010. ACCORDING TO THE AMERICAN COMMUNITY SURVEY (U.S. CENSUS), THE ESTIMATED POPULATION FOR THE THREE-COUNTY AREA IN 2017 WAS 725,701.DURING THE FISCAL YEAR 2018, 71.3% OF THE DISCHARGES FROM LVH-CC 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 2017 POPULATION OF THE SECONDARY SERVICE AREA WAS APPROXIMATELY 1,551,122. DURING THE FISCAL YEAR 2018, 25.2% 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, TO INCREASE APPROXIMATELY 1.46% BY THE YEAR 2019, BASED ON THE EXTRAPOLATION OF THE POPULATION CAGR* FROM CENSUS YEAR 2000 - 2010. DURING THE FISCAL YEAR 2018 3.5% OF THE DISCHARGES FROM LVH-CC WERE RESIDENTS OUTSIDE THE PRIMARY AND SECONDARY SERVICE AREAS.
PART VI, LINE 5:	LEHIGH VALLEY HOSPITAL QUALIFIES AS AN INSTITUTION OF PURELY PUBLIC CHARITY IN PENNSYLVANIA. THIS REGULATION IS REFERRED TO AS ACT 55. TO BE CONSIDERED A PURELY PUBLIC CHARITY, NONPROFITS MUST: (1) ADVANCE A CHARITABLE PURPOSE; (2) DONATE OR RENDER GRATUITOUSLY A SUBSTANTIAL PORTION OF ITS SERVICES; (3) BENEFIT A SUBSTANTIAL AND INDEFINITE CLASS OF PERSONS WHO ARE LEGITIMATE SUBJECTS OF CHARITY; (4) RELIEVE THE GOVERNMENT OF SOME BURDEN; AND (5) OPERATE ENTIRELY FREE FROM PRIVATE PROFIT MOTIVE.LVH IS REQUIRED TO REAPPLY FOR THIS CHARITABLE STATUS EVERY FIVE YEARS AND CURRENTLY QUALIFIES THROUGH OCTOBER 31, 2020.
PART VI, LINE 6:	LVHN'S COMMUNITY HEALTH NEEDS IMPLEMENTATION PLANS HAVE BEEN PREPARED IN RESPONSE TO CONCERNS IDENTIFIED IN THE CHNA REPORTS. EACH LICENSED FACILITY WITHIN LVHN - LVH CEDAR CREST/LVH 17TH STREET, LVH MUHLENBERG, LVH HAZLETON AND TWO NEW CAMPUSES AT LVH SCHUYLKILL (LVH SOUTH JACKSON AND LVH EAST NORWEGIAN) - HAS PREPARED AN IMPLEMENTATION PLAN. OUR IMPLEMENTATION PLANS INCLUDE ACTIVITIES DESIGNED TO ADDRESS NEEDS WITHIN OUR COMMUNITIES, WHILE ALSO PROMOTING HEALTH. NOTE THAT THE IMPLEMENTATION PLANS ARE PRESENTED IN TWO SEPARATE DOCUMENTS - ONE FOR THE LVH SCHUYLKILL CAMPUSES AND ONE FOR THE OTHER LVHN COMMUNITIES. SCHUYLKILL HEALTH SYSTEM CONDUCTED ITS COMMUNITY HEALTH NEEDS ASSESSMENT PRIOR TO JOINING LVHN. WHILE WE WORKED TOGETHER TO CRAFT ITS IMPLEMENTATION PLAN, THE TEAM AT LVH SCHUYLKILL AND THE RESIDENTS OF SCHUYLKILL COUNTY HAVE A MUCH DEEPER UNDERSTANDING OF WHAT NEEDS TO BE DONE THERE. WE FELT IT WAS IMPORTANT TO PRESENT SCHUYLKILL'S CHNA REPORT AND IMPLEMENTATION PLAN AS A SEPARATE "MATCHED SET". THE IMPLEMENTATION PLANS ARE PRESENTED IN A TABLE FORMAT AND ARE ORGANIZED BY FOUR KEY FOCUS AREAS: COMMUNITY ENGAGEMENT, AT-RISK POPULATIONS, ACCESS TO CARE AND HEALTH EQUITY, AND PREVENTION AND WELLNESS. WITHIN EACH KEY FOCUS AREA, OBJECTIVES AND TACTICS ARE DESCRIBED. THESE ADDRESS "PRIORITY AREAS" NAMED IN THE CHNA REPORTS (HOUSING AND HOMELESSNESS, FOR EXAMPLE). EACH LVHN CAMPUS HAS ITS OWN COLUMN, WITH THEIR SPECIFIC TACTICS MARKED. SOME ACTIVITIES WILL BE ADOPTED ACROSS MULTIPLE CAMPUSES. COMMUNITY COLLABORATORS FOR A PARTICULAR ITEM ALSO ARE LISTED.THE IMPLEMENTATION PLANS FOR ALL FACILITIES ARE FOUND AT WWW.LVHN.ORG/ABOUT_US/COMMUNITY_HEALTH_NEEDS_ASSESSMENT/COMMUNITY_HEALTH_NEEDS_IMPLEMENTATION_PLANS
PART III, SECTION B. MEDICARE, LINE 8	MEDICARE PROGRAM COSTS INCLUDED IN THE ANNUAL LVHN COMMUNITY BENEFIT REPORT NOT INCLUDED OR ALLOWABLE IN THE MEDICARE COST REPORT TOTALED $146,272,372. THIS INCLUDES COSTS OF MEDICARE MANAGED CARE, LVPG PRACTICE SUBSIDIES, NON-REIMBURSEABLE INTEREST EXPENSE, LVAS SUBSIDY, UNIVERSITY OF SOUTH FLORIDA SCHOOL COSTS, AND DISALLOWABLE RELATED ORGANIZATION COSTS.

Schedule H (Form 990) 2019

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
LEHIGH VALLEY HOSPITAL

Employer identification number
23-1689692

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2019

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) NURSING LOANS AND SCHOLARSHIPS	60	754,287	BOOK
(2) JIROLANO TUITION AIDE SCHOLARSHIP	1	600	BOOK
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

PART I, LINE 2:

LOAN AGREEMENTS - LOAN AGREEMENTS WERE AWARDED TO SENIOR NURSING STUDENTS IN A BACHELOR OF SCIENCE NURSING PROGRAM. CRITERIA FOR LOAN AGREEMENTS TO STUDENTS IN A BSN GRADUATE NURSE PROGRAM ARE: A COMPLETED APPLICATION, AN ASSESSMENT SURVEY, 2 LETTERS OF RECOMMENDATION FROM THEIR MOST RECENT CLINICAL INSTRUCTORS, AN OFFICIAL TRANSCRIPT DEMONSTRATING AN OVERALL GPA OF 3.0 OR HIGHER AND A ONE PAGE ESSAY DESCRIBING THEIR MOTIVATION, LEADERSHIP AND ACADEMIC ACCOMPLISHMENTS IN NURSING. IF ABOVE INFORMATION IS SUBMITTED AND CONSIDERED FAVORABLE, TWO INTERVIEWS ARE SCHEDULED WITH SELECTION COMMITTEE MEMBERS. IF CONSIDERED FAVORABLE AFTER ALL INTERVIEWS HAVE BEEN CONDUCTED, A LOAN AGREEMENT IS OFFERED IN WRITING FOR THEM TO REVIEW. IF CANDIDATE VERBALLY ACCEPTS, WE INVITE THEM TO MAKE AN APPOINTMENT TO SIGN THE CONTRACT. WE NOTARIZE THE CONTRACT AFTER WE HAVE BOTH REVIEWED AND SIGNED. THEIR COMMITMENT BACK TO THE HOSPITAL IS FOR TWO YEARS FROM THE DATE OF HIRE IN THE NEW GRADUATE/RN POSITION. (SOME CANDIDATES ARE CURRENT EMPLOYEES IN OTHER POSITIONS, SO WE CONSIDER ONLY THE HIRE DATE OF THE REGISTERED NURSE POSITION TOWARD THE WORK COMMITMENT.) IF CANDIDATE DOES NOT FULFILL THEIR COMMITMENT, THE LOAN AGREEMENT DOLLARS ARE PRO-RATED AND REPAYMENT IS DUE IMMEDIATELY, PLUS INTEREST. WE HAD NO NEW DNP LOAN AGREEMENTS OFFERED IN FY'18. SCHOLARSHIPS - SCHOLARSHIPS ARE OFFERED TO CURRENT REGISTERED NURSE EMPLOYEES. AN APPLICATION IS COMPLETED ALONG WITH A LETTER OF RECOMMENDATION FROM THEIR DIRECT SUPERVISOR/DIRECTOR, A COPY OF THEIR MOST RECENT PERFORMANCE EVALUATION, DEMONSTRATING A PERFORMANCE EVALUATION SCORE OF 3.0 OR HIGHER FOR BSN, 3.0 OR HIGHER FOR MSN. IF RN IS CURRENTLY IN A PROGRAM, AN OFFICIAL COPY OF THEIR CURRENT TRANSCRIPT WOULD ALSO BE REQUIRED. EMPLOYEES MUST BE CURRENTLY ENROLLED IN A NURSING PROGRAM PRIOR TO APPLYING FOR THE SCHOLARSHIP. IF EMPLOYEE ACCEPTS AND SIGNS A "RECEIPT OF NURSING EDUCATION TUITION PAYMENTS PROGRAM NOTE, THERE IS NO PAYBACK OR WORK COMMITMENT REQUIRED UPON GRADUATION OR SEPARATION. THERE WERE A TOTAL OF 60 LOAN AGREEMENTS, 30 NEW RN-BSN SCHOLARSHIPS AND 26 MSN SCHOLARSHIPS AWARDED IN FY '18. THE TOTAL FUNDS USED FOR ALL LOAN AGREEMENTS AND SCHOLARSHIPS WAS $754,287.00.

Schedule I (Form 990) 2019

Additional Data

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Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

LEHIGH VALLEY HOSPITAL

Employer identification number

23-1689692

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2019

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1JAMES GEIGER TRUSTEE	(i) (ii)	364,712 ------------- 0	61,668 ------------- 0	44,275 ------------- 0	0 ------------- 0	28,389 ------------- 0	499,044 ------------- 0	0 ------------- 0
2JOSEPH E PATRUNO MD TRUSTEE	(i) (ii)	0 ------------- 365,917	0 ------------- 493	0 ------------- 19,981	0 ------------- 0	0 ------------- 27,168	0 ------------- 413,559	0 ------------- 0
3WILLIAM KENT TRUSTEE/PRESIDENT, LVH	(i) (ii)	482,170 ------------- 0	115,000 ------------- 0	2,539 ------------- 0	0 ------------- 0	19,496 ------------- 0	619,205 ------------- 0	0 ------------- 0
4ROBERT THOMAS ASST TREASURER	(i) (ii)	229,685 ------------- 0	51,083 ------------- 0	-1,501 ------------- 0	0 ------------- 0	21,517 ------------- 0	300,784 ------------- 0	0 ------------- 0
5TERRY CAPUANO PRESIDENT	(i) (ii)	668,441 ------------- 0	328,064 ------------- 0	178,159 ------------- 0	0 ------------- 0	38,635 ------------- 0	1,213,299 ------------- 0	0 ------------- 0
6THOMAS V WHALEN MD ASSISTANT SECRETARY	(i) (ii)	666,727 ------------- 0	314,718 ------------- 0	181,320 ------------- 0	0 ------------- 0	38,422 ------------- 0	1,201,187 ------------- 0	0 ------------- 0
7ANTHONY ARDIRE PHYSICIAN	(i) (ii)	392,339 ------------- 0	87,854 ------------- 0	48,853 ------------- 0	0 ------------- 0	29,260 ------------- 0	558,306 ------------- 0	0 ------------- 0
8BRIAN NESTER DO PRESIDENT/CEO LVHN	(i) (ii)	1,088,529 ------------- 0	526,700 ------------- 0	308,877 ------------- 0	0 ------------- 0	49,463 ------------- 0	1,973,569 ------------- 0	0 ------------- 0
9DEBBIE SALAS-LOPEZ ASSOC CHIEF MEDICAL OFFICE	(i) (ii)	554,530 ------------- 0	124,105 ------------- 0	103,020 ------------- 0	0 ------------- 0	32,915 ------------- 0	814,570 ------------- 0	0 ------------- 0
10EDWARD DOUGHERTY SENIOR CHIEF BUSINESS DEVE	(i) (ii)	426,114 ------------- 0	154,514 ------------- 0	98,789 ------------- 0	0 ------------- 0	31,436 ------------- 0	710,853 ------------- 0	0 ------------- 0
11PAUL TIRJAN PRESIDENT, ALLSPIRE	(i) (ii)	507,615 ------------- 0	175,000 ------------- 0	-4,087 ------------- 0	0 ------------- 0	20,639 ------------- 0	699,167 ------------- 0	0 ------------- 0
12GREGORY BRUSKO DO TRUSTEE	(i) (ii)	0 ------------- 452,164	0 ------------- 72,848	0 ------------- 30,979	0 ------------- 0	0 ------------- 24,263	0 ------------- 580,254	0 ------------- 0
13DAVID SPRINGHETTI FORMER SECRETARY	(i) (ii)	407,808 ------------- 0	90,000 ------------- 0	3,924 ------------- 0	0 ------------- 0	18,075 ------------- 0	519,807 ------------- 0	0 ------------- 0
14EDWARD F O'DEA FORMER TREASURER	(i) (ii)	560,080 ------------- 0	298,926 ------------- 0	146,604 ------------- 0	0 ------------- 0	36,088 ------------- 0	1,041,698 ------------- 0	0 ------------- 0
15JAMES A ROTHERHAM FORMER ASST. TREASURER	(i) (ii)	255,646 ------------- 0	45,486 ------------- 0	16,801 ------------- 0	0 ------------- 0	25,898 ------------- 0	343,831 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2019

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINES 4A-B	ANTHONY ARDIRE 46,164 GREGORY BRUSKO, DO 29,422 TERRY CAPUANO 163,074 EDWARD DOUGHERTY 90,772 JAMES F. GEIGER 41,503 BRIAN NESTER, DO 296,106 EDWARD F. O'DEA 141,512 JOSEPH E. PATRUNO, MD 22,559 JAMES A. ROTHERHAM 15,057 DEBBIE SALAS-LOPEZ 100,217 THOMAS V. WHALEN 158,164 THESE AMOUNTS ARE ACCRUALS TO A NONQUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN.

Schedule J (Form 990) 2019

Additional Data

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- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
LEHIGH VALLEY HOSPITAL

Employer identification number
23-1689692

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	LEHIGH COUNTY GENERAL PURPOSE AUTHORITY	91-1886539	52480GBG8	04-01-2011	169,745,000	REFUND 9/12/96 & 4/21/99A ISSUES; REISSUANCE OF 7/7/05 AND 6/5/08 ISSUES		X		X		X
B	LEHIGH COUNTY GENERAL PURPOSE AUTHORITY	91-1886539	999999999	02-15-2012	18,665,000	REFUND 4/15/01 & 10/17/01 ISSUES		X		X		X
C	LEHIGH COUNTY GENERAL PURPOSE AUTHORITY	91-1886539	999999999	06-01-2012	59,745,000	REISSUANCE OF 6/6/08 ISSUE		X		X		X
D	LEHIGH COUNTY GENERAL PURPOSE AUTHORITY	91-1886539	52480GCB8	12-12-2012	154,924,763	CONSTRUCT, RENOVATE & EQUIP FACILITIES; REFUND 10/17/01 AND 5/21/03 ISSUES		X		X		X
	LEHIGH COUNTY GENERAL PURPOSE AUTHORITY	91-1886539	52480GCF9	07-30-2015	147,969,788	CONSTRUCT, RENOVATE & EQUIP FACILITIES		X		X		X
	LEHIGH COUNTY GENERAL PURPOSE AUTHORITY	91-1886539	52480GCX0	09-15-2016	152,250,999	REFUND 9/15/05 & 6/4/08 ISSUES		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	47,615,000		12,770,000		7,620,000		235,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	169,745,000		18,665,000		59,745,000		154,924,763
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............	169,505,000		18,330,782		59,745,000		74,558,690
7 Issuance costs from proceeds ...............	240,000		334,218				1,860,390
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	146,279,735						78,500,000
11 Other spent proceeds .............							5,683
12 Other unspent proceeds .............
13 Year of substantial completion .............	2011		2012		2012		2012
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2018, a current refunding issue)? ........
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2018, an advance refunding issue)? ........
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2019

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X		X
b Exception to rebate? ........	X		X		X		X
c No rebate due? .........		X		X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X		X		X			X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X		X			X		X
b Name of provider ..........	MERRILL LYNCH & GOLDMAN SACHS		JPMORGAN CHASE
c Term of hedge .........	2000.0000000000 %		1040.0000000000 %
d Was the hedge superintegrated? ......		X		X
e Was the hedge terminated? ........		X		X

Schedule K (Form 990) 2019

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?		X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation

Schedule K (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
LEHIGH VALLEY HOSPITAL

Employer identification number
23-1689692

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	LEHIGH COUNTY GENERAL PURPOSE AUTHORITY	91-1886539	52480GBG8	04-01-2011	169,745,000	REFUND 9/12/96 & 4/21/99A ISSUES; REISSUANCE OF 7/7/05 AND 6/5/08 ISSUES		X		X		X
B	LEHIGH COUNTY GENERAL PURPOSE AUTHORITY	91-1886539	999999999	02-15-2012	18,665,000	REFUND 4/15/01 & 10/17/01 ISSUES		X		X		X
C	LEHIGH COUNTY GENERAL PURPOSE AUTHORITY	91-1886539	999999999	06-01-2012	59,745,000	REISSUANCE OF 6/6/08 ISSUE		X		X		X
D	LEHIGH COUNTY GENERAL PURPOSE AUTHORITY	91-1886539	52480GCB8	12-12-2012	154,924,763	CONSTRUCT, RENOVATE & EQUIP FACILITIES; REFUND 10/17/01 AND 5/21/03 ISSUES		X		X		X
	LEHIGH COUNTY GENERAL PURPOSE AUTHORITY	91-1886539	52480GCF9	07-30-2015	147,969,788	CONSTRUCT, RENOVATE & EQUIP FACILITIES		X		X		X
	LEHIGH COUNTY GENERAL PURPOSE AUTHORITY	91-1886539	52480GCX0	09-15-2016	152,250,999	REFUND 9/15/05 & 6/4/08 ISSUES		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	47,615,000		12,770,000		7,620,000		235,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	169,745,000		18,665,000		59,745,000		154,924,763
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............	169,505,000		18,330,782		59,745,000		74,558,690
7 Issuance costs from proceeds ...............	240,000		334,218				1,860,390
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	146,279,735						78,500,000
11 Other spent proceeds .............							5,683
12 Other unspent proceeds .............
13 Year of substantial completion .............	2011		2012		2012		2012
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2018, a current refunding issue)? ........
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2018, an advance refunding issue)? ........
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2019

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X		X
b Exception to rebate? ........	X		X		X		X
c No rebate due? .........		X		X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X		X		X			X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X		X			X		X
b Name of provider ..........	MERRILL LYNCH & GOLDMAN SACHS		JPMORGAN CHASE
c Term of hedge .........	2000.0000000000 %		1040.0000000000 %
d Was the hedge superintegrated? ......		X		X
e Was the hedge terminated? ........		X		X

Schedule K (Form 990) 2019

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?		X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation

Schedule K (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

LEHIGH VALLEY HOSPITAL

Employer identification number

23-1689692

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2019

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) SUSAN C YEE-TRUSTEE	PARTNER IN 94 BRODHEAD ASSOCIATES - TRUSTEE OF LVHN/LVH/LVHM/LVHH/HWC	126,625	94 BRODHEAD ASSOCIATES LEASES OFFICE SPACE TO LVPG AT FAIR MARKET VALUE.		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

LEHIGH VALLEY HOSPITAL

Employer identification number

23-1689692

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....	X	1	4,500	FAIR MARKET VALUE
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..	X		5,000	FAIR MARKET VALUE
5 Clothing and household goods .......	X		64,293	FAIR MARKET VALUE
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...	X	62	17,218	FAIR MARKET VALUE
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( TOYS/ACTIVITIES )	X	168	150,980	FAIR MARKET VALUE
26 Other ( GIFT CARDS )	X	101	19,930	COST
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2019)

Page 2

Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation

Schedule M (Form 990) (2019)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

LEHIGH VALLEY HOSPITAL

Employer identification number

23-1689692

Return Reference	Explanation
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 MEMBER'S 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 ORGAZINATION'S GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11B	THE PROCESS TO REVIEW THE 990'S INCLUDES: DRAFT 1 OF THE RETURNS IS REVIEWED IN DETAIL WITH A FOCUS ON ACCURACY, COMPLETENESS, AND PERSPECTIVE BY THE LVHN VICE-PRESIDENT, FINANCE AND CONTROLLER AND THE LVHN CORPORATE LEGAL COUNSEL. DRAFT 2 OF THE RETURNS IS REVIEWED BY THE EXECUTIVE VICE PRESIDENT & CHIEF FINANCIAL OFFICER. ALL COMPENSATION DISCLOSURES ARE REVIEWED BY THE DIRECTOR, COMPENSATION - HUMAN RESOURCES. DRAFT 3 OF THE RETURNS IS REVIEWED TOGETHER WITH THE PRESIDENT & CEO, THE EXECUTIVE VICE PRESIDENT & CHIEF FINANCIAL OFFICER, THE VICE-PRESIDENT, FINANCE AND CONTROLLER AND THE DIRECTOR, TAX. FINAL RETURNS ARE REVIEWED WITH THE LVHN BOARD LEADERSHIP GROUP (THE BOARD CHAIR AND THREE VICE CHAIRS). COPIES OF ALL 990'S ARE PROVIDED TO THE FULL BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	IN JANUARY 2016, LVHN IMPLEMENTED AN ELECTRONIC TOOL DESIGNED TO SEND NOTIFICATIONS AND TRACK DISCLOSURES REPORTED ON CONFLICT OF INTEREST QUESTIONNAIRES. THE NETWORK ALSO EXPANDED THE SCOPE OF THE CONFLICT OF INTEREST OR COMMITMENT POLICY, SUCH THAT ADDITIONAL COLLEAGUES ARE NOW REQUIRED TO COMPLETE A QUESTIONNAIRE EACH YEAR. PRIOR TO JANUARY, THE VP, INTERNAL AUDIT AND COMPLIANCE SERVICES ISSUED A NOTICE TO BOARD MEMBERS AND MEMBERS OF THE SENIOR MANAGEMENT COUNCIL WHEN IT WAS TIME FOR THEM TO SUBMIT THEIR CONFLICT OF INTEREST QUESTIONNAIRES. THE VP ALSO INSTRUCTED MEMBERS OF THE SENIOR MANAGEMENT COUNCIL TO IDENTIFY AND REQUEST COMPLETED CONFLICT OF INTEREST QUESTIONNAIRES FROM INDIVIDUALS WHO HAD POTENTIAL CONFLICTS OF INTEREST AND TO PROVIDE HER WITH THE IDENTITY OF THOSE INDIVIDUALS. COMPLIANCE SERVICES TRACKED COMPLETION OF THE QUESTIONNAIRES. ALL PHYSICIANS ON LVHN'S MEDICAL STAFF ARE ALSO REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. MEDICAL STAFF SERVICES MONITORS THIS PROCESS TO ENSURE THAT ALL PHYSICIANS COMPLY. POTENTIAL CONFLICTS ARE MANAGED BY THE LVHN CONFLICT OF INTEREST COMMITTEE AND/OR BY THE BOARD OF TRUSTEES, DEPENDING ON WHOSE INTEREST(S) POSE THE CONFLICT AND THE NATURE OF THE CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15	LEHIGH VALLEY HEALTH NETWORK 2018 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 15, 2017 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 12 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 15, 2017 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 13, 2017 MEETING: THE MARKET DATA USED FOR LVHN SYSTEM EXECUTIVES IN THIS ASSESSMENT ARE AN EQUALLY WEIGHTED BLEND OF (1) A PEER GROUP OF 30 NOT-FOR-PROFIT HEALTH SYSTEMS LOCATED IN THE NORTHEAST REGION (EXCLUDING NEW YORK CITY) WITH NET OPERATING REVENUES BETWEEN $1.3 BILLION AND $5.0 BILLION (AVERAGE OF $2.4 BILLION), AND (2) NATIONAL DATA REFLECTING ORGANIZATIONS OF SIMILAR SCOPE AND SIZE TO LVHN. NATIONAL DATA ARE USED WHERE PEER GROUP DATA ARE NOT AVAILABLE. PEER GROUP AND NATIONAL MARKET DATA WERE ABSTRACTED FROM SULLIVAN COTTER'S 2016 SURVEY OF MANAGER AND EXECUTIVE COMPENSATION IN HOSPITALS AND HEALTH SYSTEMS, AS WELL AS OTHER PUBLISHED COMPENSATION SURVEYS REFLECTING PAY AT COMPARABLY SIZED ORGANIZATIONS, WHICH INCLUDED NATIONAL HOSPITALS AND NATIONAL MEDICAL GROUPS. SULLIVAN COTTER NOTES THAT NO MARKET DATA ARE PROVIDED FOR THE SVP, MEDICAL SERVICES AS THE RESPONSIBILITIES OF THAT POSITION ARE UNIQUE, SO NO BENCHMARK DATA ARE AVAILABLE. THEY RECOMMEND THAT THE COMMITTEE ASSESS THE COMPENSATION FOR THAT POSITION BASED ON INTERNAL EQUITY CONSIDERATIONS. COMPILED MARKET DATA FOR THE LVHN CLINICAL CHAIRS PREPARED BY THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES (AAMC) FOR THE CHAIRS OF CLINICAL DEPARTMENTS IN MEDICAL SCHOOLS, LVHN'S TRADITIONAL COMPARATOR GROUP FOR THESE JOBS. ADJUSTED THE MARKET DATA TO AN EFFECTIVE DATE OF JANUARY 1, 2018 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 FY2017 NET REVENUES AND PHYSICIAN FTE'S WERE USED AS THE SCOPE SIZE FOR EACH ENTITY.
FORM 990, PART VI, SECTION C, LINE 18	ANOTHERS WEBSITE - GUIDESTAR. UPON REQUEST - PRINTED 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.
FORM 990, PART XI, LINE 9:	UNFUNDED PENSION 65,608,703. TRANSFERS TO AFFILIATES -47,147,631. TRANSFER FROM LEHIGH VALLEY HOSPITAL-MUHLENBERG 483,031,224.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

LEHIGH VALLEY HOSPITAL

Employer identification number

23-1689692

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)LEHIGH VALLEY HEALTH NETWORK 1200 S CEDAR CREST BLVD ALLENTOWN,PA181036202 22-2458317	PARENT COMPANY	PA	501(C)(3)	LINE 12C, III-FI	N/A		No
(2)LEHIGH VALLEY HOSPITAL-MUHLENBERG 1200 S CEDAR CREST BLVD ALLENTOWN,PA181036202 23-2367707	HEALTH CARE ORGANIZATION	PA	501(C)(3)	LINE 3	LEHIGH VALLEY HEALTH NETWORK		No
(3)LEHIGH VALLEY PHYSICIAN GROUP 1200 S CEDAR CREST BLVD ALLENTOWN,PA181036202 23-2700908	PHYSICIAN PRACTICE ORGANIZATION	PA	501(C)(3)	LINE 3	LEHIGH VALLEY HEALTH NETWORK		No
(4)MUHLENBERG REALTY CORPORATION 1200 S CEDAR CREST BLVD ALLENTOWN,PA181036202 23-2245513	REAL ESTATE RENTALS	PA	501(C)(3)	LINE 12C, III-FI	LEHIGH VALLEY HEALTH NETWORK		No
(5)LEHIGH VALLEY HEALTH NETWORK REALTY HOLDING CO 1200 S CEDAR CREST BLVD ALLENTOWN,PA181036202 23-2586770	REAL ESTATE HOLDING CO.	PA	501(C)(2)		LEHIGH VALLEY HEALTH NETWORK		No
(6)NORTHEASTERN PENNSYLVANIA HEALTH CORP 700 E BROAD STREET HAZLETON,PA182016835 23-2421970	HEALTH CARE ORGANIZATION	PA	501(C)(3)	LINE 3	LEHIGH VALLEY HEALTH NETWORK		No
(7)HAZLETON PROFESSIONAL SERVICES 700 E BROAD STREET HAZLETON,PA182016835 20-5880364	PHYSICIAN PRACTICE ORGANIZATION	PA	501(C)(3)	LINE 3	LEHIGH VALLEY PHYSICIAN GROUP		No
(8)HAZLETON HEALTH & WELLNESS CENTER 700 E BROAD STREET HAZLETON,PA182016835 23-2580968	STAFFING SERVICES	PA	501(C)(3)	LINE 12B, II	NORTHEASTERN PENNSYLVANIA HEALTH CORP		No
(9)HAZLETON SURGICAL ALLIANCE 700 E BROAD STREET HAZLETON,PA182016835 20-2038456	SURGICAL SERVICES	PA	501(C)(3)	LINE 3	NORTHEASTERN PENNSYLVANIA HEALTH CORP		No
(10)SCHUYLKILL HEALTH SYSTEM MEDICAL GROUP INC 700 E NORWEGIAN STREET POTTSVILLE,PA179012710 23-2866006	PHYSICIAN PRACTICE ORGANIZATION	PA	501(C)(3)	LINE 10	LEHIGH VALLEY PHYSICIAN GROUP		No
(11)LEHIGH VALLEY HOSPITAL - SCHUYLKILL 420 S JACKSON STREET POTTSVILLE,PA179013625 23-1352202	HEALTH CARE ORGANIZATION	PA	501(C)(3)	LINE 3	LEHIGH VALLEY HEALTH NETWORK		No
(12)SCHUYLKILL REHABILITATION CENTER INC 420 S JACKSON STREET POTTSVILLE,PA179013625 23-2440891	HEALTH CARE ORGANIZATION	PA	501(C)(3)	LINE 3	LEHIGH VALLEY HEALTH NETWORK		No
(13)SCHUYLKILL MEDICAL CENTER-EAST NORWEGIAN STREET 700 E NORWEGIAN STREET POTTSVILLE,PA179012710 23-0880420	HEALTH CARE ORGANIZATION	PA	501(C)(3)	LINE 3	LEHIGH VALLEY HEALTH NETWORK		No
(14)POCONO HEALTHCARE PARTNERS 206 E BROWN STREET EAST STROUDSBURG,PA183013006 23-3014006	HEALTH CARE ORGANIZATION	PA	501(C)(3)	LINE 3	POCONO HEALTH SYSTEM		No
(15)FAMILY CARE CENTERS INC 206 E BROWN STREET EAST STROUDSBURG,PA183013006 23-2349341	PHYSICIAN PRACTICE ORGANIZATION	PA	501(C)(3)	LINE 3	LEHIGH VALLEY PHYSICIAN GROUP		No
(16)POCONO AMBULATORY SERVICES INC 206 E BROWN STREET EAST STROUDSBURG,PA183013006 23-2611474	HEALTH CARE ORGANIZATION	PA	501(C)(3)	LINE 3	POCONO HEALTH SYSTEM		No
(17)POCONO HEALTH FOUNDATION 206 E BROWN STREET EAST STROUDSBURG,PA183013006 23-2516451	SUPPORT POCONO HEALTH SYSTEM	PA	501(C)(3)	LINE 12A, I	POCONO HEALTH SYSTEM		No
(18)POCONO HEALTH SYSTEM MEDICAL PROFESSIONAL LIABILITY SELF-INSURANCE TRUST 206 E BROWN STREET EAST STROUDSBURG,PA183013006 20-6560453	SELF-INSURANCE	PA	501(C)(3)	LINE 12A, I	POCONO HEALTH SYSTEM		No
(19)POCONO MEDICAL CENTER 206 E BROWN STREET EAST STROUDSBURG,PA183013006 24-0795623	HEALTH CARE ORGANIZATION	PA	501(C)(3)	LINE 3	POCONO HEALTH SYSTEM		No
(20)POCONO VNA-HOSPICE 206 E BROWN STREET EAST STROUDSBURG,PA183013006 23-2535297	HEALTH CARE ORGANIZATION	PA	501(C)(3)	LINE 10	POCONO HEALTH SYSTEM		No
(21)POCONO HEALTH SYSTEM 206 E BROWN STREET EAST STROUDSBURG,PA183013006 23-2336285	SUPPORT POCONO MEDICAL CENTER	PA	501(C)(3)	LINE 12B, II	LEHIGH VALLEY HEALTH NETWORK		No
(22)WEST END COMMUNITY AMBULANCE ASSOCIATION 206 E BROWN STREET EAST STROUDSBURG,PA183013006 23-2532377	AMBULATORY MEDICAL SERVICES	PA	501(C)(3)	LINE 10	POCONO HEALTH SYSTEM		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2019

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) LVHN RECIPROCAL RISK RETENTION GROUP 151 MEETING STREET STE 301 CHARLESTON,SC294012238 20-0037118	INSURANCE	PA	LEHIGH VALLEY HEALTH NETWORK	RELATED		3,387,976		No			No	11.110 %
(2) HEALTH NETWORK LABORATORIES LLC 794 ROBLE ROAD ALLENTOWN,PA181099110 23-2932802	LABORATORY SERVICES	PA	LEHIGH VALLEY HOSPITAL	RELATED	107,405	975,002		No			No	97.930 %
(3) HEALTH NETWORK LABORATORIES LP 794 ROBLE ROAD ALLENTOWN,PA181099110 23-2948774	LABORATORY SERVICES	PA	LEHIGH VALLEY HOSPITAL	RELATED	12,518,721	199,010,926		No			No	95.990 %
(4) LEHIGH VALLEY IMAGING LLC 1230 S CEDAR CREST BLVD ALLENTOWN,PA181036202 46-4551937	IMAGING CENTER	PA	LEHIGH VALLEY HOSPITAL	RELATED	37,722,496	31,652,496		No			No	72.000 %
(5) HAZLETON SURGERY CENTER LLC 17480 DALLAS PARKWAY STE 210 DALLAS,TX752877304 20-1232531	SURGICAL SERVICES	PA	N/A
(6) SCHUYLKILL HEALTH SYSTEM MEDICAL MALL LP 700 SCHUYLKILL MANOR ROAD POTTSVILLE,PA179013849 23-2514813	RENTAL	PA	N/A
(7) POCONO AMBULATORY SURGERY CENTER LTD 1 STORM STREET STROUDSBURG,PA183602406 23-2611442	SURGERY	PA	N/A
(8) POCONO HEALTH SYSTEM INVESTMENT COLLABORATIVE LP 206 E BROWN STREET EAST STROUDSBURG,PA183013006 47-2125419	INVESTMENTS	PA	N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) LEHIGH VALLEY HEALTH SERVICES INC 2100 MACK BLVD ALLENTOWN,PA181035622 23-2263665	HEALTH CARE RELATED SERVICES	PA	N/A	C				No
(2) LEHIGH VALLEY ANESTHESIA SERVICES PC 2100 MACK BLVD ALLENTOWN,PA181035622 23-3096124	ANESTHESIA SERVICES	PA	N/A	C				No
(3) WESTGATE PROFESSIONAL CENTER INC 2100 MACK BLVD ALLENTOWN,PA181035622 23-1657333	REAL ESTATE RENTALS	PA	N/A	C				No
(4) LEHIGH VALLEY PHYSICIAN HOSPITAL ORGANIZATION INC 2100 MACK BLVD ALLENTOWN,PA181035622 23-2750430	HEALTH CARE RELATED SERVICES	PA	N/A	C				No
(5) HAZLETON SAINT JOSEPH MEDICAL OFFICE BUILDING INC 700 E BROAD STREET HAZLETON,PA182016835 23-2500981	MEDICAL OFFICE RENTAL	PA	N/A	C				No
(6) SCHUYLKILL HEALTH SYSTEM DEVELOPMENT CORPORATION 700 E NORWEGIAN STREET POTTSVILLE,PA179012710 23-2432417	PURSUES, IMPLEMENTS, & FURTHERS THE ACTIVITIES & PURPOSES OF THE SYSTEM	PA	N/A	C				No
(7) SCHUYLKILL MEDICAL PLAZA - CONDOMINIUM ASSOCIATION 420 S JACKSON STREET POTTSVILLE,PA179013625 23-2931821	CONDOMINIUM ASSOCIATION	PA	N/A	C				No

Schedule R (Form 990) 2019

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

Yes

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

Yes

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2019

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2019

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2019

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: 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.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	12
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	9
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	8,807
6	Total number of volunteers (estimate if necessary) .............	6	715
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	12,812,612
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	2,042,175

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	20,846,233	24,613,595
9	Program service revenue (Part VIII, line 2g) .........	1,415,303,849	1,552,285,083
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	3,490,664	12,424,951
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	69,637,623	88,089,798
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,509,278,369	1,677,413,427
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	510,479	754,287
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	545,534,854	581,286,971
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 1,244,087
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	950,522,221	1,054,465,813
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,496,567,554	1,636,507,071
19	Revenue less expenses. Subtract line 18 from line 12.......	12,710,815	40,906,356
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,635,743,172	2,365,702,043
21	Total liabilities (Part X, line 26).............	892,126,747	1,076,213,835
22	Net assets or fund balances. Subtract line 21 from line 20.....	743,616,425	1,289,488,208

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,582,353,233 including grants of $ 754,287 ) (Revenue $ 1,632,630,654 )
	LVH OFFERS A CONTINUUM OF PROGRAMS IN HEALTH CARE PROMOTION, PREVENTION, DIAGNOSIS, TREATMENT AND REHABILITATION TO THE COMMUNITY. EXTENSIVE INPATIENT, OUTPATIENT AND EDUCATIONAL SERVICES ARE PROVIDED AT LOCATIONS THROUGHOUT THE REGION AND ARE A PART OF A HEALTHCARE NETWORK ESTABLISHED BY LVH TO MEET THE MEDICAL, SURGICAL AND EDUCATIONAL NEEDS OF THE RESIDENTS OF THE LEHIGH VALLEY AND BEYOND.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:CANCER SERVICES- THE CANCER INSTITUTE OFFERS A RANGE OF CANCER SERVICES IN SIX CONVENIENT, PATIENT-FOCUSED LOCATIONS, JOHN AND DOROTHY MORGAN CANCER INSTITUTE AT THE CEDAR CREST CAMPUS, THE CANCER INSTITUTE IN BETHLEHEM AT THE MUHLENBERG CAMPUS, AND INFUSION SERVICES AT THE HEALTH CENTER IN BANGOR; DALE AND FRANCES HUGHES CANCER INSTITUTE AT LVH-POCONO, EAST STROUDSBURG, LVPG HEMATOLOGY ONCOLOGY ASSOCIATES IN LEHIGHTON AND THE INFUSION CENTER AND HEMATOLOGY ONCOLOGY OFFICES ON AIRPORT BELTWAY IN LEHIGHTON. CANCER CARE PROGRAMS INCLUDE PREVENTION, DETECTION, DIAGNOSIS, GENETICS, PATIENT NAVIGATION, NUTRITIONAL SERVICES, SOCIAL AND PSYCHOLOGICAL SUPPORT, REHABILITATION, CLINICAL TRIALS, MULTIDISCIPLINARY AND COORDINATED CARE, AND ALL FORMS OF THERAPY. THE CANCER INSTITUTE BECAME A PARTNER WITH MEMORIAL SLOAN KETTERING CANCER ALLIANCE OF NEW YORK CITY OFFICIALLY IN MARCH 2016 AND MAINTAINS A RESEARCH PARTNERSHIP WITH THE WISTAR SCIENTIFIC AND BIOLOGY INSTITUTE OF PHILADELPHIA, PA. BOTH OF THESE INSTITUTIONS ARE NCI DESIGNATED CANCER INSTITUTE'S PROGRAMS. CANCER INSTITUTE FACILITIES INCLUDE PHYSICIANS' OFFICES, BREAST HEALTH SERVICES, MULTIDISCIPLINARY CLINICS, CONFERENCE ROOMS, PRIVATE EDUCATION AND COUNSELING AREAS, MULTI-PURPOSE TREATMENT AREA FOR INFUSIONS, PROCEDURE ROOM AND RADIATION ONCOLOGY FACILITIES INCLUDING: LINEAR ACCELERATORS (6), CT SIMULATORS (2), STEREOTACTIC BODY RADIOTHERAPY, BRACHYTHERAPY - HIGH AND LOW DOSE RATE, GAMMA KNIFE RADIOSURGERY, 3-D TREATMENT PLANNING, INTENSITY MODULATED RADIATION THERAPY, IMAGE GUIDED RADIATION THERAPY, OPTICAL SURFACE MONITORING SYSTEM, AND CALYPSO SYSTEM FOR REAL-TIME MOTION AND TARGET TRACKING.THE FACULTY OF THE CANCER INSTITUTE IS COMPOSED OF PHYSICIANS WHO ARE CANCER CARE SPECIALISTS AND BOARD-CERTIFIED IN ALL FIELDS OF CANCER THERAPY AND EVALUATION. IN ADDITION, LVH PARTICIPATES IN THE 1-800-4-CANCER TELEPHONE LINE, THE PENNSYLVANIA DEPARTMENT OF HEALTH'S TOLL-FREE CANCER INFORMATION AND RESOURCE PHONE NUMBER. SPECIALLY TRAINED NURSES FROM LVH PROVIDE CALLERS WITH INFORMATION ABOUT INSTITUTIONS, AGENCIES, SERVICES AND PROGRAMS IN THE CALLER'S COMMUNITIES THAT MEET THEIR CANCER-RELATED NEEDS.IN CALENDAR YEAR 2017, THE CANCER INSTITUTE SAW OVER 4,437 (CC/H/S/P) NEW CANCER PATIENTS. INPATIENT ONCOLOGY ADMISSIONS WERE 3,142 IN THE FISCAL YEAR ENDED JUNE 30, 2018 AND OUTPATIENT VOLUMES WERE 1,629 NEW TREATMENT PATIENTS FOR RADIATION PROCEDURES, AND 43,986 TREATMENT PATIENTS FOR INFUSION VISITS. CARDIOVASCULAR SERVICES- LEHIGH VALLEY HOSPITAL - CEDAR CREST IS THE FLAGSHIP FACILITY FOR THE LEHIGH VALLEY HEART INSTITUTE, ONE OF THE LARGEST AND MOST RESPECTED HEART PROGRAMS IN PENNSYLVANIA. IN FISCAL YEAR ENDING JUNE 30, 2018, LEHIGH VALLEY HOSPITAL - CEDAR CREST PERFORMED 4,177 CARDIAC CATHETERIZATION CASES, 1,395 ELECTROPHYSIOLOGY CASES, 580 OPEN HEART SURGERIES, 164 TRANSAORTIC VALVE REPLACEMENT SURGERIES, AND PROVIDED COMPASSIONATE CARE AT OVER 40,000 LVPG PATIENT VISITS. FURTHERMORE, LEHIGH VALLEY HOSPITAL - CEDAR CREST RANKED IN THE TOP 5% IN THE NATION FOR HEART ATTACK SURVIVAL. WITH 36 CARDIOLOGISTS AND 6 CARDIOTHORACIC SURGEONS, LEHIGH VALLEY HOSPITAL - CEDAR CREST OFFERS AN IMPRESSIVE AND COMPREHENSIVE LIST OF PREVENTATIVE, DIAGNOSTIC, ACUTE, TERTIARY, AND QUATERNARY CARDIOVASCULAR SERVICES. SPECIAL PROGRAMS AT LEHIGH VALLEY HOSPITAL INCLUDE: ADVANCED HEART FAILURE, CARDIAC ARREST MANAGEMENT, CARDIO-ONCOLOGY, COMPLEX LIPID MANAGEMENT, COMPREHENSIVE RHYTHM MANAGEMENT, CORONARY INTERVENTION, HEART AND VASCULAR PROGRAM FOR WOMEN, NEURO-CARDIOLOGY, PERIPHERAL VASCULAR, REGIONAL ACS-STEMI, REGIONAL CARDIOGENIC SHOCK AND MECHANICAL CIRCULATORY SUPPORT, SPORTS CARDIOLOGY, STRUCTURAL HEART, AND VEIN. THE HEART INSTITUTE HAS RECENTLY RECEIVED NUMEROUS AWARDS AND ACCOLADES FOR ITS CARDIOVASCULAR SERVICES. LEHIGH VALLEY HOSPITAL - CEDAR CREST WAS DESIGNATED AS A BLUE DISTINCTION CENTER FOR CARDIAC CARE, AND WAS ALSO RECOGNIZED BY BECKER'S HOSPITAL REVIEW FOR THE SIXTH CONSECUTIVE YEAR AS ONE OF THE 100 HOSPITALS AND HEALTH SYSTEMS WITH GREAT HEART PROGRAMS. IN ADDITION, LEHIGH VALLEY HOSPITAL - CEDAR CREST WAS THE ONLY HOSPITAL IN THE REGION TO RECEIVE ALL THREE OF THE PRESTIGIOUS CARDIOVASCULAR AWARDS IN THE SPECIALTY EXCELLENCE AWARDS FROM HEALTHGRADES; AMERICA'S 50 BEST HOSPITALS FOR CARDIAC SURGERY, AMERICA'S 100 BEST HOSPITALS FOR CARDIAC CARE, AND AMERICA'S 100 BEST HOSPITALS FOR CORONARY INTERVENTION.NEUROSCIENCES SERVICES- THE LVH COMPREHENSIVE NEUROSCIENCE PROGRAM PROVIDES TREATMENT, FOR STROKE, BRAIN TUMORS, SEIZURES, ANEURYSMS, SPINE PROBLEMS, TRAUMA, AND OTHER NEUROLOGICAL DISORDERS. LVH PROVIDES STROKE SERVICES THROUGH ITS REGIONAL COMPREHENSIVE STROKE PROGRAM WHICH BEGAN OPERATIONS IN JULY, 2002. SINCE THAT TIME, THE STROKE CENTER HAS TREATED MORE THAN 21,449 PATIENTS FROM NORTHEASTERN PENNSYLVANIA AND WESTERN NEW JERSEY. IN ADDITION, LVH WAS THE FIRST PRIMARY STROKE CENTER IN THE LEHIGH VALLEY CERTIFIED BY THE JOINT COMMISSION AND WAS THE FIRST STROKE PROGRAM TO BE CERTIFIED AS A COMPREHENSIVE STROKE CENTER IN PENNSYLVANIA. LVH IS ALSO A REGIONAL TELE-STROKE PROVIDER. IN FY18, THE DIVISION OF NEUROSURGERY PERFORMED 1,670 SURGICAL CASES, INCLUDING CUTTING EDGE FUNCTIONAL NEUROSURGERY FOR THE SURGICAL TREATMENT OF MOVEMENT DISORDERS.ORTHOPEDIC SERVICES- THE DIVISION OF ORTHOPEDIC SURGERY TREATS MUSCULOSKELETAL DISORDERS OF THE UPPER AND LOWER EXTREMITIES AS WELL AS THE SPINE. SUBSPECIALISTS WITH FELLOWSHIP CREDENTIALS PROVIDE THE FOLLOWING SERVICES: JOINT REPLACEMENT, SPINAL DISORDERS, SPORTS MEDICINE, HAND AND WRIST SURGERY, FOOT AND ANKLE SURGERY, ORTHOPEDIC TRAUMA AND PEDIATRIC ORTHOPEDICS. IN THE FISCAL YEAR ENDED JUNE 30, 2018, THERE WERE 10,082 TOTAL ORTHOPEDIC PROCEDURES PERFORMED AT LVHN OF WHICH 4,359 WERE INPATIENT AND 5,723 WERE OUTPATIENT. ACUTE ORTHOPEDIC SERVICES ARE PROVIDED AT LVH-CEDAR CREST AND LVHN-TILGHMAN, WHICH IS THE ONLY AREA HOSPITAL DEDICATED TO ORTHOPEDIC MUSCULOSKELETAL SURGERY. FROM 2012-2016, THE LVH ORTHOPEDIC PROGRAM HAS BEEN RECOGNIZED BY US NEWS AND WORLD REPORT FOR BEING A TOP 50 ORTHOPEDIC PROGRAM IN THE COUNTRY. THE LVH ORTHOPEDIC PROGRAM IS ALSO RECOGNIZED BY THE BLUE CROSS AND BLUE SHIELD ASSOCIATION AS A BLUE DISTINCTION+ CENTER AND AETNA.PERIOPERATIVE SERVICES- PERIOPERATIVE SERVICES AT LVHN CONSISTS OF THE SURGICAL AND ENDOSCOPIC STAFF AND FACILITIES WHERE OVER 55,000 PROCEDURES ARE PERFORMED ANNUALLY. SURGICAL PROCEDURES ARE PERFORMED IN 54 OPERATING ROOMS THROUGHOUT LVH, INCLUDING 17TH & CHEW, CEDAR CREST, CHILDREN'S SURGERY CENTER, FAIRGROUNDS SURGICAL CENTER, LVH-MUHLENBERG, AND THE LVHN-TILGHMAN CAMPUSES. THE CHILDREN'S SURGERY CENTER LOCATED ON THE CEDAR CREST CAMPUS PROVIDES SPECIALIZED CARE FOR OUR PEDIATRIC POPULATION. PATIENT CARE IN THE OPERATING ROOM IS SUPPORTED BY ANESTHESIA SERVICES, SURGICAL PREP AND STAGING, POST ANESTHESIA RECOVERY, AND STERILE PROCESSING DEPARTMENTS, AMONG OTHERS. LVH PERFORMS ENDOSCOPIC PROCEDURES AT FOUR LOCATIONS - THE CEDAR CREST SITE, CHILDREN'S SURGERY CENTER, LVH-MUHLENBERG AND FAIRGROUNDS SURGICAL CENTER. THE OPERATING ROOM TECHNOLOGIES AND FACILITIES INCLUDE A HYBRID OPERATING ROOM, A TRAUMA CODE RED OPERATING ROOM, FIVE DA VINCI SURGICAL ROBOTS, INTEGRATED LAPAROSCOPIC OPERATING ROOMS, AND CARDIAC SURGERY OPERATING ROOMS. OPERATING ROOM NURSING STAFF ARE TRAINED TO SUPPORT MULTIPLE SURGICAL DISCIPLINES INCLUDING CARDIAC SURGERY, ORTHOPEDICS, VASCULAR SURGERY, UROLOGY, GENERAL SURGERY, TRANSPLANT SURGERY, GYNECOLOGIC SURGERY, PEDIATRIC SURGERY, AND MANY OTHERS. CUTTING EDGE ENDOSCOPIC TECHNOLOGIES INCLUDE ENDOSCOPIC ULTRASOUND, ENDO-BRONCHIAL ULTRASOUND AND VIDEO CAPSULE ENDOSCOPY.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	BEHAVIORAL HEALTH SERVICES-LVH OPERATES INPATIENT BEHAVIORAL HEALTH PROGRAMS FOR ADOLESCENTS AND ADULTS. THE COMBINED PROGRAMS TOTAL 65 BEDS AND SERVES LEHIGH, NORTHAMPTON, CARBON, MONROE, SCHUYLKILL, AND BERKS COUNTIES. CLINICAL PROGRAMS INCLUDE PSYCHIATRIC, PSYCHOLOGICAL, NURSING, DUAL DIAGNOSIS, PSYCHIATRIC REHABILITATION, SOCIAL WORK AND DISCHARGE PLANNING SERVICES. LVH ALSO PROVIDES AMBULATORY BEHAVIORAL HEALTHCARE, INCLUDING: PSYCHIATRIC EVALUATION SERVICE PROGRAM IN THREE HOSPITAL EMERGENCY DEPARTMENTS; THREE PARTIAL HOSPITAL PROGRAMS FOR ADULTS AND ADOLESCENTS; SEVERAL LARGE OUTPATIENT GROUP PRACTICES PROVIDING MULTIDISCIPLINARY SHORT-TERM TREATMENT TO CHILDREN, ADOLESCENTS, ADULTS AND OLDER ADULTS; TWO OUTPATIENT MENTAL HEALTH CLINICS FOR SERIOUSLY AND PERSISTENTLY MENTALLY ILL ADULTS; TWO RESIDENTIAL TREATMENT SITES, SUPPORTING AND EDUCATING ADULTS IN INDEPENDENT LIVING SKILLS. BOTH THESE SITES AND THE CLINICS ARE FUNDED IN PART, UNDER A CONTRACT WITH LEHIGH COUNTY DEPARTMENT OF HUMAN SERVICES THROUGH FUNDS PROVIDED BY COUNTY OF LEHIGH AND THE PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE; PSYCHIATRIC HOME CARE SERVICES; BH INTEGRATION IN MEDICAL/ PROGRAMS ON MEDICAL/SURGICAL INPATIENT UNITS AND AMBULATORY, PRIMARY CARE AND SPECIALTY PRACTICES. CONSULTATION /LIAISON PSYCHIATRY, EDUCATION AND RESEARCH AND SERVICE OFFERINGS TO SCHOOLS AND OTHER COMMUNITY AGENCIES ROUND OUT LVH'S CONTRIBUTION TO THE HEALTH AND WELL-BEING OF THE REGION.TRAUMA AND BURN SERVICES- IN 1981, LEHIGH VALLEY HOSPITAL BECAME THE FIRST HOSPITAL IN PENNSYLVANIA TO BE DESIGNATED AS A LEVEL I TRAUMA CENTER AND IS CURRENTLY THE SECOND LARGEST TRAUMA PROGRAM IN PENNSYLVANIA, EVALUATING 4,531 TRAUMA PATIENTS IN FY18. THIS PROGRAM PROVIDES COMPREHENSIVE TRAUMA AND BURN CARE AND SERVES AS A MAJOR REGIONAL RESOURCE COVERING A TEN COUNTY AREA AND A PATIENT BASE OF MORE THAN TWO MILLION. LVH IS ACCREDITED AS BOTH A LEVEL I ADULT AND A LEVEL II PEDIATRIC TRAUMA CENTER, ONE OF ONLY TWO ADULT CENTERS IN PENNSYLVANIA WITH THIS DUAL ACCREDITATION. THE LVH TRAUMA PROGRAM PROVIDES A CONTINUUM OF CARE WITH ONE OF TEN TRAUMA SURGEONS IN-HOUSE 24 HOURS A DAY COVERING A 14 BED TRAUMA/NEURO INTENSIVE CARE UNIT AS WELL AS A 28 BED TRANSITIONAL TRAUMA UNIT. A TRAUMA REHABILITATION TEAM COMPLETES THIS CONTINUUM OF TRAUMA CARE. LVH ALSO PROVIDES A REGIONAL BURN CENTER OPERATING 18 BEDS SERVING NORTHEASTERN PENNSYLVANIA, WESTERN NEW JERSEY AND PARTS OF NEW YORK. THE REGIONAL BURN CENTER IS THE LARGEST BURN PROGRAM IN PENNSYLVANIA, WITH 3 FULL TIME BURN SURGEONS ADMITTING 757 PATIENTS IN FISCAL YEAR 2018. THE REGIONAL BURN CENTER IS ACCREDITED BY THE AMERICAN BURN ASSOCIATION AND THE AMERICAN COLLEGE OF SURGEONS. THE REGIONAL BURN CENTER PROVIDES A TELEBURN SERVICE, WHICH PROVIDES RAPID ACCESS TO OUR COMPREHENSIVE BURN CARE TO 47 HOSPITALS, EMERGENCY CARE CLINICS, AND PHYSICIAN OFFICES IN PENNSYLVANIA AND NEW YORK. IN ADDITION, LVH COORDINATES PRE-HOSPITAL EMERGENCY MEDICAL SERVICES AND PROVIDES 24 HOUR-A-DAY AIR AND GROUND AMBULANCE SERVICES. LVH MEDEVAC OPERATES FOUR HELICOPTERS AND 1.5 CRITICAL CARE GROUND TRANSPORT UNITS COVERING EASTERN PENNSYLVANIA AND WESTERN NEW JERSEY. LVH MEDEVAC PERFORMED OVER 1,300 FLIGHTS ANNUALLY AND OUR GROUND TRANSPORT TEAMS COMPLETED OVER 2,200 MISSIONS IN FY18, BOTH ON-SCENE AND INTER-FACILITY TRANSPORTS. OVER 22,000 MEMBERS OF THE COMMUNITY WERE EDUCATED THROUGH ONE OR MORE OF OUR TRAUMA PROGRAM'S PREVENTATIVE CARE OFFERINGS INCLUDING CHILD PASSENGER SAFETY - CAR SEAT INSPECTIONS, OPERATIONS SAFE RIDE (FREE CHILD SEATS), SAFETY TOWN (PRE-K THROUGH AGE 3), DISTRACTED DRIVING / DUI SIMULATORS (HIGH SCHOOL AND COLLEGE AGE), FALL PREVENTION (AGE 55+), CAR FIT (AGE 55+ CAR INSPECTION), STOP THE BLEED (TOURNIQUET APPLICATION) AND DISTRIBUTION OF FREE BICYCLE HELMETS TO PATIENTS. WOMEN'S SERVICES- LVHN OFFERS WIDE-RANGING WOMEN'S HEALTH PROGRAMS AND SERVICES DESIGNED TO PROVIDE COMPLETE, EVIDENCE-BASED CARE FOR WOMEN IN THE LEHIGH VALLEY. DELIVERIES AT LVH TOTALED 3415 DURING THE FISCAL YEAR ENDING JUNE 30, 2018. ON JUNE 20, 2017, THE FAMILY BIRTH AND NEWBORN CENTER OPENED AT THE LVH-M (MUHLENBERG) CAMPUS. DURING THE FIRST FULL FISCAL YEAR OF OPERATIONS ENDING JUNE 30, 2018, THE FAMILY BIRTH AND NEWBORN CENTER AT LVHM DELIVERED 1353 MOTHERS . THEREFORE, OVER THE SAME TIME PERIOD, A TOTAL OF 4773 DELIVERIES OCCURRED AT BOTH LVHN BIRTHING UNITS IN THE LEHIGH VALLEY. THIS REPRESENTS A 9% INCREASE OVER THE PRIOR FISCAL YEAR. A FOCUS ON PRENATAL CARE AS A CHIEF COMPONENT OF ITS COMPREHENSIVE OBSTETRICS AND GYNECOLOGY SERVICES EXPANDED ON NOVEMBER 14, 2016 WITH THE SUCCESSFUL IMPLEMENTATION OF THE MATERNITY CARE PATHWAY IN ALL LEHIGH VALLEY PHYSICIAN GROUP (LVPG) OBSTETRICS AND GYNECOLOGY OFFICE PRACTICES AND THE CENTER FOR WOMEN'S MEDICINE. THE MATERNITY CARE PATHWAY IS AN INCLUSIVE, CARE PLAN PROCESS THAT STANDARDIZES OBSTETRIC CARE AND PATIENT EDUCATION IN ORDER TO MANAGE QUALITY, MINIMIZE VARIATION AND IMPROVE OUTCOMES. A RELATED PATIENT EDUCATION CURRICULUM, APP, AND PRINT BOOK IN ENGLISH AND SPANISH HAVE BEEN ESTABLISHED IN ORDER TO EXPAND AND OPTIMIZE EDUCATION AVAILABLE TO ALL PATIENTS IN FORMATS CONSISTENT WITH THEIR INDIVIDUAL LEARNING PREFERENCES. AT BOTH LVH AND LVHM , GENERAL OBSTETRIC PHYSICIANS AND MATERNAL FETAL MEDICINE PHYSICIANS OFFER COMPLETE MATERNITY CARE SERVICES FOR LOW RISK, HIGH RISK AND VERY COMPLEX OBSTETRIC PATIENTS. IN ADDITION, CERTIFIED NURSE MIDWIVES ARE NOW PRACTICING AT LVH IN COLLABORATION WITH OBSTETRICIANS, TO PROVIDE LOW RISK PRENATAL CARE AND DELIVERY SERVICES WITHIN THEIR SCOPE OF PRACTICE. THE GENERAL OBSTETRICIANS PROVIDE CARE TO LOW, MEDIUM AND APPROPRIATE HIGH RISK PREGNANCIES AND DELIVER THE MAJORITY OF PATIENTS AT LVH-CC AND LVH-M. IN ADDITION TO FULL SERVICE PRENATAL CARE, GENERAL OBSTETRICIANS PROVIDE OFFICE ULTRASONOGRAPHY TO WOMEN AT 14 OFFICE LOCATIONS IN FIVE COUNTIES. IN 2018, LVH OBSTETRICIANS OPENED THE "CONNECTIONS CLINIC" FOR THE CARE OF PREGNANT WOMEN SUFFERING FROM PERINATAL SUBSTANCE ABUSE . THIS MULTIDISCIPLINARY CLINIC BRINGS TOGETHER PROFESSIONAL EXPERTISE FROM OBSTETRICS, PSYCHIATRY, PEDIATRICS, NEONATOLOGY AND PARTNERS WITH ESTABLISHED COMMUNITY RESOURCES TO OFFER PATIENTS COUNSELLING, SUPPORT SERVICES AND TREATMENT DURING PREGNANCY .THE DEPARTMENT OF OBSTETRICS AND GYNECOLOGY ALSO HAS SEVERAL FULL TIME LABORISTS/HOSPIALISTS WHO MANAGE THE DAY TO DAY INPATIENT CARE FOR THE OBSTETRICAL RESIDENCY SERVICE MATERNAL FETAL MEDICINE (MFM) PHYSICIANS WITH HIGHLY SPECIALIZED FELLOWSHIP TRAINING TO CARE FOR THE MOST COMPLEX OBSTETRIC CASES AS WELL AS ALL OF THE HIGHEST RISK OBSTETRIC PATIENTS ARE AVAILABLE "IN-HOUSE" 24/7/365 AT LVH-CC AND SUPPORT LVH-M AS WELL. MFM PHYSICIANS' SERVICES INCLUDE HIGHEST LEVEL ULTRASONOGRAPHY (AND TELEHEALTH SERVICES), FETAL ECHOCARDIOGRAPHY, GENETIC COUNSELING, AMNIOCENTESIS, CHORIONIC VILLUS SAMPLING, COMPLEX DELIVERY SERVICES AND WELL-ESTABLISHED MULTI-DISCIPLINARY PROGRAMS FOR PATIENTS WITH DIABETES IN PREGNANCY AND THOSE WITH HEART DISEASE OR KIDNEY DISEASE IN PREGNANCY LVPG OB/GYN, MFM AND CWM PHYSICIANS AND OFFICE PRACTICES ARE ACCREDITED BY THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE (AIUM) SINCE 1999. ALSO, ,LVH HAS ATTAINED DESIGNATION AS A "BABY FRIENDLY HOSPITAL" , A WHO INITIATIVE DESIGNED TO ASSIST MOTHERS IN THE INITIATION AND MAINTENANCE OF BREASTFEEDING GYNECOLOGY-LVH MAINTAINS A SPECIAL FOCUS ON PROCEDURAL AND TECHNOLOGICAL GYNECOLOGICAL MIS (MINIMALLY INVASIVE SURGERY) INTERVENTIONS, ROBOTICALLY-ASSISTED SURGERY, LAPAROSCOPIC SURGERY, PREOPERATIVE CONSULTATION AND EVALUATION OF PRE-INVASIVE AND INVASIVE GYNECOLOGIC MALIGNANCIES (CANCER CARE), PELVIC FLOOR DISORDERS (UROGYNECOLOGY), CHRONIC PELVIC PAIN AND REPRODUCTIVE ENDOCRINOLOGY & INFERTILITY. LVH AND LVHM HOSPITALS RECEIVED DESIGNATIONS AS CENTERS OF EXCELLENCE IN MINIMALLY INVASIVE GYNECOLOGY (COEMIG). AAGL (AMERICAN ACADEMY OF GYNECOLOGIC LAPAROSCOPY), THE WORLD'S LARGEST GYNECOLOGIC SURGERY ORGANIZATION. SEVERAL OBGYN SURGEONS ARE ALSO COEMIG CERTIFIED. LVPG OB/GYN OFFICE PRACTICES OFFER SCHEDULED AND EMERGENT ON-SITE BEHAVIORAL HEALTH SERVICES TARGETED TO WOMEN PROVIDED BY TWO, IMBEDDED LICENSED PROFESSIONAL COUNSELORS IN CONJUNCTION WITH THE DEPARTMENT OF PSYCHIATRY CARDIOLOGY-LVH OFFERS A WOMEN'S HEART AND VASCULAR PROGRAM LED BY FIVE FEMALE CARDIOLOGISTS WITH EXPERTISE IN TREATING WOMEN WITH HEART DISEASE. WOMEN'S HEALTH SERVICES OFFERS PREVENTATIVE CARE PROGRAMS IN A VARIETY OF LECTURE BASED SERIES COVERING ISSUES ADDRESSING YOUNG, MIDDLE AND OLDER FEMALES RELATED TO WELLNESS AND PREVENTION. THESE INCLUDE DIVERSE SUPPORT GROUPS, COMMUNITY HEALTH FAIRS RELATED TO WOMEN, BILINGUAL PRENATAL EDUCATION, CHILDBIRTH AND PARENTING CLASSES, CPR, SAFE SLEEP, LACTATION CONSULTATION AND POSTPARTUM DEPRESSION/SUPPORT.

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	AMBULATORY SERVICES- LVH'S AMBULATORY SERVICES COMPONENTS INCLUDE HEALTH CENTERS, WOUND CARE, HYPERBARIC OXYGEN, HEALTH SPECTRUM PHARMACIES, SLEEP DISORDER CENTERS, ENDOCRINE TESTING, LAB, FITNESS AND SPORTS PERFORMANCE PROGRAMS. LVHN CONTINUES TO EXPAND ITS PORTFOLIO OF "HEALTH CENTERS AND AS OF JUNE 2018, THERE ARE 26 SITUATED THROUGHOUT MULTIPLE COUNTIES. THE HEALTH CENTERS ARE IN THE FOLLOWING TOWNS; ALLENTOWN, BANGOR, BATH, BETHLEHEM, BETHLEHEM TOWNSHIP, BLAKESLEE, EASTON, EMMAUS, HELLERTOWN, FOGELSVILLE, FRACKVILLE, HAMBURG, HAZLETON, KUTZTOWN, MACUNGIE, MOSELEM SPRINGS, MOUNTAIN TOP, PALMER TOWNSHIP, QUAKERTOWN, TANNERSVILLE AND TREXLERTOWN. THE CORE SERVICES IN MOST OF THE HEALTH CENTERS ARE PRIMARY CARE, BASIC IMAGING, REHABILITATION SERVICES AND/OR LAB SERVICES AND THE THREE HEALTH & WELLNESS CENTERS INCLUDE FITNESS CENTERS ARE IN ALLENTOWN, BETHLEHEM, AND HAZLETON. MANY OF THEM ALSO PROVIDE SPECIALTY CARE AND BREAST HEALTH SERVICES. HEALTH CENTERS AT PALMER TOWNSHIP AND EASTON OPENED IN JUNE 2017. THE HEALTH CENTER AT RICHLAND TOWNSHIP OPENED IN JULY, 2018. FRACKVILLE CAME WITH THE LVH-SCHUYLKILL MERGER EFFECTIVE SEPTEMBER 2016, AND BLAKESLEE CAME WITH THE LVH-POCONO MERGER EFFECTIVE JANUARY 2017.LVHN EXPANDED ITS PORTFOLIO OF "SLEEP DISORDER CENTERS AND AS OF JUNE 2018, THERE WERE 4 IN LAB CENTERS AND 7 ADDITIONAL SITES WHERE PATIENTS CAN RECEIVE THEIR HOME SLEEP TESTING UNITS BESIDES THE IN LAB CENTERS. ONE OF THE 4 LABS CAME WITH THE LVH-SCHUYLKILL MERGER EFFECTIVE SEPTEMBER 2016, ALTHOUGH THIS SITE DOES NOT OFFER HOME SLEEP TESTING. ADDITIONALLY THERE IS A SLEEP LAB IN HAZLETON, ALLENTOWN, AND BETHLEHEM TOWNSHIP. BESIDES THESE THREE IN LAB CENTERS, THE FOLLOWING LOCATIONS OFFER HOME SLEEP TESTING FOR PATIENT CONVENIENCE; ALLENTOWN (CEDAR CREST AND 17TH STREET), FOGELSVILLE, HAMBURG, MOSELEM SPRINGS, BETHLEHEM TOWNSHIP, PALMER TOWNSHIP. REHABILITATION SERVICES- THE DIVISION OF REHABILITATION PROVIDES COMPREHENSIVE PROGRAMS THROUGH THE CONTINUUM DESIGNED TO MEET THE NEEDS OF PATIENTS OF ALL AGES WHO ARE RECOVERING FROM ILLNESS OR INJURY. LVH PROVIDES INTENSIVE REHABILITATIVE MEDICINE AND NURSING CARE COMBINED WITH PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY SERVICES AT ITS STATE OF THE ART 34 BED INPATIENT REHABILITATION CENTER SITUATED WITHIN CEDAR CREST HOSPITAL. FOR PATIENTS UNABLE TO TOLERATE AGGRESSIVE THERAPY SERVICES, LVH PROVIDES SHORT-TERM MEDICAL, NURSING AND REHABILITATIVE CARE AT ITS 52 BED TRANSITIONAL SKILLED UNIT LOCATED ON THE 17TH ST CAMPUS. LVH ALSO OFFERS CONVENIENT AND ACCESSIBLE OUTPATIENT THERAPY SERVICES SERVING THE COMMUNITY AT 45 LOCATIONS ACROSS SEVEN COUNTIES. THE REHABILITATION DIVISION OFFERS ADVANCED REHABILITATIVE CARE IN OVER 30 CLINICAL SPECIALTY AREAS INCLUDING NEUROLOGIC REHAB, ORTHOPEDICS AND SPORTS, WOMEN'S HEALTH, ONCOLOGY REHAB, AUDIOLOGY AND PEDIATRIC THERAPY SERVICES. AT A NETWORK LEVEL, LVHN'S REHABILITATION SERVICES DIVISION NOW SERVES AS THE LARGEST PROVIDER OF REHABILITATIVE CARE IN THE REGION WITH 108 TOTAL INPATIENT REHABILITATION BEDS, 52 SHORT-STAY SKILLED NURSING BEDS AND 45 OUTPATIENT LOCATIONS. LEHIGH VALLEY REILLY CHILDREN'S HOSPITAL- LEHIGH VALLEY HOSPITAL - CEDAR CREST INTRODUCED A CHILDREN'S HOSPITAL IN MAY 2012. IN FY18 LEHIGH VALLEY REILLY CHILDREN'S HOSPITAL (LVRCH) TREATED 4,611 CHILDREN WHO WERE ADMITTED TO OUR HOSPITAL SERVICES AND SAW 270,506 CHILDREN AT OUTPATIENT VISITS. A NEW NICU WAS OPENED AT LEHIGH VALLEY HOSPITAL - MUHLENBERG'S FAMILY BIRTH AND NEWBORN CENTER. THIS NEW NICU EXCEEDED EXPECTATIONS IN VOLUME AND LEVEL OF CARE PROVIDED. THE CHILDREN'S EXPRESSCARE IN PALMER TOWNSHIP ALSO OPENED IN FY18 AND WAS VERY WELL RECEIVED BY THE COMMUNITY. THE CHILDREN'S CANCER AND MULTIPURPOSE INFUSION CENTER OPENED AT THE BEGINNING OF FY18 AS WELL AND COMPLETED THEIR FIRST YEAR OF OPERATIONS. LVRCH CONSISTENTLY DEMONSTRATED EXCELLENCE AND IMPROVEMENT IN HIGH RELIABILITY THROUGHOUT FY18. THROUGH LVRCH'S WORK WITH SOLUTIONS FOR PATIENT SAFETY (SPS) WE ACHIEVED NAVIGATOR STATUS AND IMPLEMENTED ERROR PREVENTION PRACTICES AND BEHAVIORS TRAINING FOR LEADERS AND COLLEAGUES. WE ALSO PARTICIPATED IN NATIONAL PIONEER GROUPS FOR REDUCING PERIPHERAL IV INFILTRATIONS AND UNPLANNED EXTUBATIONS. THESE SAFETY COLLABORATIVES AND RESULTING DEPLOYED PRACTICES RESULTED IN LOWER RATES OF HOSPITAL ACQUIRED CONDITIONS DUE TO THE HIGH USE OF PREVENTION BUNDLES AND ERROR PREVENTION BEHAVIORS BY LEADERS AND COLLEAGUES. WE NOW COMPARE WITH SOME OF THE BEST CHILDREN'S HOSPITAL IN THE COUNTRY. OUR PARTICIPATION IN THE SPS STAFF SAFETY INITIATIVE BEGAN IN FY18 BY SUBMITTING SAFETY DATA FOR OUR INPATIENT UNITS AND HAS DEMONSTRATED THAT OUR COLLEAGUES ARE ALSO AMONG THE SAFEST IN THE COUNTRY. OUR CLINICAL PATHWAY USAGE INCREASED FROM 7 TO 12 AND HAS DECREASED LENGTH OF STAY WHILE IMPROVING OUTCOMES. THE ACUTE PAIN TOOLKIT FOR KIDS WAS DEVELOPED THROUGH COLLABORATIVE EFFORTS OF THE OPIOID STEWARDSHIP COMMITTEE, THE DIVISION OF PEDIATRIC SURGERY, AND THE DIVISION OF PEDIATRIC HOSPITAL MEDICINE. LEHIGH VALLEY REILLY CHILDREN'S HOSPITAL ALSO DEMONSTRATED IMPROVEMENTS IN ENGAGEMENT AND EXPERIENCE. THE FAMILY ADVISORY COUNCIL (FAC) WAS MAINTAINED FOR ANOTHER YEAR WITH INCREASED PARTICIPATION. THE MEMBERS OF THE FAC ASSISTED IN THE DEVELOPMENT OF THE NEW INPATIENT PEDIATRIC UNIT EXPECTED TO OPEN EARLY 2019 AND IN THE IMPLEMENTATION OF WAYFINDING TO THE HECHT FAMILY CHILDREN'S SPECIALTY CENTER. THE PATIENT EXPERIENCE SCORES FOR LVRCH, INPATIENT AND OUTPATIENT, MAINTAINED HIGH SCORES IN THE MAJORITY OF AREAS WITH A MARKED IMPROVEMENT IN THE CHILDREN'S ER. ALSO COMPLETED IN FY18 WAS A HOME GROWN COLLEAGUE SURVEY THAT ASSESSED CURRENT SUCCESSES AND AREAS OF IMPROVEMENT; THE HIGHEST SCORING ITEMS SHOWED PRIDE IN PERSONAL CONTRIBUTIONS, TEAMWORK, AND PERSONAL JOB FIT, WHILE THE AREAS IN NEED OF IMPROVEMENT INCLUDE DEALING WITH BURNOUT, COMMUNICATION ABOUT FUTURE PLANS, AND RECOGNITION OF COLLEAGUE'S IDEAS AND SUGGESTIONS. LVRCH'S COMMUNITY AND POPULATION HEALTH PROGRAMS CONTINUED TO HAVE AN IMPACT ON CHILDREN'S HEALTH THROUGHOUT THE LEHIGH VALLEY. ALLENTOWN CHILDREN'S HEALTH IMPROVEMENT PROJECT EXCEEDED THEIR GOAL FOR FAMILY ENROLLMENTS. COMMUNITY CANVAS PROVIDED EDUCATIONAL PROGRAMS ON HEALTHY HABITS AND NUTRITION IN 8 SCHOOLS. ONE COMMUNITY CANVAS SCHOOL PARTNERED WITH THE KELLYN FOUNDATION TO ALSO BUILD AND MAINTAIN A COMMUNITY GARDEN THAT SUPPLEMENTED THE HEALTHY EATING EDUCATION. WELLER EDUCATION SERVICES WAS ACQUIRED AND INTEGRATED INTO OUR SCHOOL HEALTH PROGRAM. THE CHILD ADVOCACY CENTER SAW A RECORD NUMBER OF INPATIENT AND OUTPATIENT CONSULTS. THE CONNECTIONS CLINIC WAS STARTED TO TREAT NEWBORNS EXPOSED TO OPIOIDS DURING PREGNANCY.

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	IMAGING SERVICES-THE RADIOLOGY DEPARTMENT PROVIDES A VARIETY OF DIAGNOSTIC AND THERAPEUTIC PROCEDURES FOR PATIENTS OF ALL AGES, 24 HOURS PER DAY, SEVEN DAYS PER WEEK. RADIOLOGY SERVICES INCLUDE THE PROVISION OF EMERGENT, ACUTE, PREVENTIVE, CONSULTATIVE, DIAGNOSTIC AND THERAPEUTIC IMAGING TO PATIENTS IN THE EMERGENCY, SURGICAL, INPATIENT AND OUTPATIENT SETTINGS OF LVHN. THE DEPARTMENT PERFORMS AN AVERAGE OF 1,174 PROCEDURES PER DAY. OUTPATIENTS ACCOUNT FOR 75% OF THESE EXAMINATIONS, WHILE INPATIENTS ACCOUNT FOR THE REMAINING 25%. SERVICES ARE PROVIDED AT MULTIPLE SITES: AT THE LVH-CEDAR CREST CAMPUS, THE FOLLOWING SERVICES ARE OFFERED: VASCULAR LAB, ULTRASOUND, COMPUTERIZED TOMOGRAPHY, NUCLEAR MEDICINE, DIAGNOSTIC IMAGING, INTERVENTIONAL RADIOLOGY AND NEURORADIOLOGY, AS WELL AS IMAGE MANAGEMENT SERVICES. MAGNETIC RESONANCE IMAGING (MRI), DEXA, AND PET-CT SERVICES ARE PROVIDED THROUGH AN AFFILIATED PARTNER. THE LVH-MUHLENBERG CAMPUS OFFERS THE FOLLOWING SERVICES: VASCULAR LAB, MRI, ULTRASOUND, COMPUTERIZED TOMOGRAPHY, NUCLEAR MEDICINE, DIAGNOSTIC IMAGING, INTERVENTIONAL RADIOLOGY, AS WELL AS IMAGE MANAGEMENT SERVICES. MAGNETIC RESONANCE IMAGING (MRI) SERVICES ARE PROVIDED AT LVH-MUHLENBERG CAMPUS FOR BOTH INPATIENT AND OUTPATIENT THROUGH AN AFFILIATED PARTNER. AT THE LVH-17TH STREET SITE THE FOLLOWING SERVICES ARE OFFERED: DIAGNOSTIC IMAGING, COMPUTERIZED TOMOGRAPHY, ULTRASOUND, VASCULAR LAB, AND IMAGE MANAGEMENT SERVICES. THE LVH-TILGHMAN SITE OFFERS DIAGNOSTIC IMAGING SERVICES FOR THE EXPRESS CARE AND ORTHOPEDIC SURGERY DIVISION. LIMITED ULTRASOUND/VASCULAR IMAGING IS ALSO PROVIDED FOR INPATIENTS. AT THE LVHN HEALTH CENTER LOCATIONS, THE DEPARTMENTS OFFER DIAGNOSTIC IMAGING AND ULTRASOUND AT THE HEALTH CENTER AT BETHLEHEM TOWNSHIP, HEALTH CENTER AT RICHLAND TOWNSHIP, HEALTH CENTER AT FOGELSVILLE, HEALTH CENTER AT HAMBURG (DIAGNOSTIC ONLY), HEALTH CENTER AT MOSELEM SPRINGS, AND HEALTH CENTER AT TREXLERTOWN. THE HEALTH CENTER AT PALMER TOWNSHIP OFFERS COMPUTERIZED TOMOGRAPHY, DEXA, DIAGNOSTIC IMAGING, AND ULTRASOUND SERVICES. THE HEALTH CENTER AT BATH OFFERS DEXA, DIAGNOSTIC IMAGING, ULTRASOUND SERVICES AND PHLEBOTOMY. THE HEALTH CENTER AT BANGOR OFFERS DEXA, DIAGNOSTIC IMAGING, AND ULTRASOUND SERVICES. IMAGING SERVICES AT CETRONIA ROAD OFFERS COMPUTERIZED TOMOGRAPHY, DEXA, DIAGNOSTIC IMAGING, MRI, AND ULTRASOUND.PHARMACY SERVICES-HEALTH SPECTRUM PHARMACY SERVICES OFFERS A RANGE OF PHARMACY SERVICES IN THREE CONVENIENT, PATIENT FOCUSED LOCATIONS: ONE AT THE CEDAR CREST SITE, ONE AT THE 17TH & CHEW SITE AND ONE AT LVH-MUHLENBERG. A FOURTH PHARMACY LOCATED NEAR THE CEDAR CREST SITE PROVIDES HOME INFUSION SERVICES TO RESIDENTS OF SURROUNDING COUNTIES IN EASTERN PENNSYLVANIA. PHARMACY SERVICES INCLUDE PRESCRIPTIONS, COMPOUNDING, SPECIALTY MEDICATIONS, VACCINATIONS, OVER-THE-COUNTER, HERBAL/ALTERNATIVE MEDICATIONS, PERSONAL CARE PRODUCTS, FIRST AID, WOUND CARE, OSTOMY, KNEE BRACES, ORTHOTICS, VASCULAR GARMENTS, POST-MASTECTOMY, BREAST PROSTHESES, DIABETIC SUPPLIES, AND HOME INFUSION. THE RETAIL PHARMACIES ARE ACCREDITED BY THE BOARD OF CERTIFICATION/ACCREDITATION INTERNATIONAL, AND THE HOME INFUSION PHARMACY IS ACCREDITED BY COMMUNITY HEALTH ACCREDITATION PROGRAM. THE RETAIL PHARMACIES ARE EQUIPPED WITH WORKFLOW, COUNTING CELL, AND BAR CODE SCANNING TECHNOLOGY. PILLS IN A POUCH COMPLIANCE PACKAGING, BEDSIDE DELIVERY, AND CONVENIENCE SHIPPING ARE ALSO OFFERED. IN FISCAL YEAR 2017, 387,645 PRESCRIPTIONS WERE FILLED AND 4,098 INFUSION PATIENTS WERE SERVICED. THE LEHIGH VALLEY HEALTH NETWORK INPATIENT PHARMACY SERVICES ARE NATIONALLY RECOGNIZED FOR EFFORTS IN MEDICATIONS SAFETY AND ADVANCES IN TECHNOLOGY. THE DEPARTMENT UTILIZES ADVANCED MEDICATION SAFETY TECHNOLOGIES INCLUDING CPOE, BEDSIDE BARCODING MEDICATION VERIFICATION, TWO MEDICATION DISPENSING ROBOTS, AND AUTOMATED DISPENSING CABINETS. THE STAFF HAS BOARD CERTIFIED CLINICAL PHARMACY SPECIALISTS IN THE AREAS OF ONCOLOGY, TRAUMA, BURN, PEDIATRICS, CARDIOLOGY, AND GENERAL MEDICINE AND USES A UNIT BASED MODEL TO PROVIDE PHARMACY SERVICES AT THE POINT OF CARE. GUIDED BY THE TRIPLE AIM, PHARMACY SERVICES CONTINUES TO INNOVATE, PROVIDING THE HIGHEST LEVEL OF CARE TO OUR PATIENTS THROUGH OUTSTANDING CLINICAL SERVICES, AND A DISTRIBUTION MODEL THAT PROVIDES SAFETY AND EFFICIENCIES LIKE NO OTHER. COMMUNITY PRACTICES- THE LVHN COMMUNITY PRACTICES PROVIDE QUALITY, COMPASSIONATE CARE FOR ALL MEMBERS OF THE COMMUNITY, WITH THE MAJORITY OF PATIENTS EITHER QUALIFYING FOR MEDICAID OR HAVING NO INSURANCE. PATIENTS HAVE ACCESS TO PRIMARY CARE DOCTORS AND A FULL RANGE OF SPECIALISTS, AS WELL AS ACCESS TO BILINGUAL AND BICULTURAL CAREGIVERS. THE COMMUNITY PRACTICES SEE OVER 150,000 PATIENT VISITS EACH YEAR, WITH THE MAJORITY OF THE POPULATION SERVED BEING OF LATINO DESCENT. THE FOLLOWING SERVICES ARE OFFERED AT THE 17TH & CHEW SITE: COMPREHENSIVE HEALTH SERVICES: SERVING PATIENTS INFECTED OR AFFECTED BY HIV. LVPG GERIATRICS: SPECIALIZED GERIATRIC CARE AS A CONSULTATIVE SERVICE AND SKILLED NURSING FACILITY PRIMARY CARE PROVIDER. THE FLEMING MEMORY CENTER WHICH PROVIDES SUPPORT AND GUIDANCE TO PATIENTS AND FAMILIES AFFECTED BY MEMORY LOSS. CENTER FOR WOMEN'S MEDICINE: COMPREHENSIVE HEALTH CARE FOR WOMEN, IN ADDITION TO A RESIDENCY TEACHING PROGRAM, WHICH FOCUSES ON IMPROVED OUTCOMES FOR WOMEN WITH ROUTINE AND COMPLICATED OB/GYN CONCERNS. CENTRO DE SALUD: BI-LINGUAL/BI-CULTURAL INTERNAL MEDICINE CARE FOR LATINO FAMILIES. CHILDREN'S CLINIC: PRIMARY CARE FOR NEWBORNS THROUGH YOUNG ADULTS, INCLUDING A PEDIATRIC RESIDENCY PROGRAM. CHILD PROTECTIVE SERVICES: CONSULTS PROVIDED INPATIENT AND OUTPATIENT BY A CHILD ABUSE PEDIATRICIAN, LICENSED SOCIAL WORKER AND CRNP, IN COLLABORATION WITH LOCAL COUNTY AGENCIES. DENTAL CLINIC: FULL DENTAL CARE PROVIDED TO CHILDREN AND ADULTS IN THE HOSPITAL SETTING AND MOBILE UNIT, IN ADDITION TO A DENTAL RESIDENCY PROGRAM. HEPATITIS CARE CENTER: SPECIALTY PRACTICE FOCUSED ON VIRAL HEPATITIS. FAMILY HEALTH CENTER: PRIMARY MEDICAL CARE FOR EVERY FAMILY MEMBER IN ADDITION TO A FAMILY MEDICINE RESIDENCY TEACHING PROGRAM. LEHIGH VALLEY PHYSICIANS PRACTICE: INTERNAL MEDICINE PRIMARY/MEDICAL SUBSPECIALTY AND GENERAL SURGICAL/SUBSPECIALTY CARE FOR ADULTS IN ADDITION TO BOTH AN INTERNAL MEDICINE RESIDENCY TEACHING PROGRAM AS WELL AS SURGICAL RESIDENCY TEACHING PROGRAM. MARK J. YOUNG COMMUNITY HEALTH AND WELLNESS CENTER: TEACHING PATIENTS SELF-MANAGEMENT FOR CHRONIC DISEASES SUCH AS DIABETES AND OBESITY. OFFERING A CENTRALIZED LOCATION FOR PATIENTS TO ACCESS RESOURCES THAT PROVIDE SOCIAL SUPPORT: FINANCIAL COUNSELORS, SOCIAL WORKERS, BEHAVIORAL HEALTH SPECIALIST, CARE MANAGERS AND LEGAL SUPPORT.COMMUNITY HEALTH- STREET MEDICINE: THE LVHN STREET MEDICINE TEAM PROVIDES CLINICAL SERVICES FOR THE HOMELESS, SERVING AS THEIR PRIMARY SOURCE OF CARE, PROVIDING MEDICATIONS, LABORATORY TESTING, AND EXAMINATIONS FREE OF CHARGE IN NON-TRADITIONAL SETTINGS. THE TEAM NOT ONLY PROVIDES PRIMARY CARE BUT ALSO FACILITATES MENTAL HEALTH SERVICES, PERSONAL IDENTIFICATION ATTAINMENT, MEDICAID/SOCIAL SECURITY ENROLLMENT, AND HELPS THEM NAVIGATE THE COMPLEX HOUSING PROCESS. IN FY18, A TOTAL OF 822 PATIENTS WERE SERVED THROUGH CLINICS AND STREET OUTREACH FOR A TOTAL OF JUST OVER 1100 VISITS. IN ADDITION, THE STREET MEDICINE TEAM CONDUCTED 303 INPATIENT CONSULTS.VETERANS HEALTH PROGRAM: LVHN'S VHP AIMS TO CARE FOR MILITARY MEN AND WOMEN WHO HAVE PERFORMED MILITARY SERVICE. MAVRIC CORE SERVICES INCLUDE (1) HEALTHCARE ENROLLMENT AND ELIGIBILITY SERVICES, (2) ACCESS TO CARE ASSISTANCE, AND (3) NAVIGATION WITHIN AND AMONG COMPLEX HEALTHCARE SYSTEMS. IN THE FIRST 8 MONTHS OF VHP PROVIDING SERVICES, A TOTAL OF 167 VETERANS AND THEIR FAMILY MEMBERS WERE SERVED. ABOUT 85% OF THE CLIENTS WHO ENGAGED WITH VHP HAD PREVIOUSLY SERVED OR WERE CURRENTLY ACTIVE IN THE MILITARY, AND THE REMAINDER WERE FAMILY MEMBERS/CAREGIVERS. OVER HALF OF THE CLIENTS WERE FROM LEHIGH COUNTY, AND THE REMAINDER WERE PRIMARILY FROM NORTHAMPTON, BERKS, OR BUCKS COUNTIES. ON AVERAGE, VHP IS SEEING AROUND 20 NEW CLIENTS EACH MONTH, WITH BETWEEN 40 AND 50 NEW AND REPEAT CLIENTS BEING SERVED EACH MONTH. BEGINNING IN APRIL 2018, DCH BEGAN CAPTURING IN-PERSON ENCOUNTERS AND CARE COORDINATION SEPARATELY. ABOUT 35% OF THE SERVICES PROVIDED SINCE APRIL WERE CARE COORDINATION AND 65% WERE IN PERSON ENCOUNTERS. THE PRIMARY TWO FOCUS AREAS OF THE SERVICES PROVIDED HAVE BEEN ACCESS TO CARE AND SOCIAL NEEDS. 37.2% OF CLIENTS THAT ANSWERED THE PHQ-2 SCORED 3 OR HIGHER TO MEET CLINICALLY SIGNIFICANT CRITERIA FOR FURTHER EVALUATION FOR DEPRESSION.

	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	POPULATION HEALTH COMMUNITY CARE TEAMS- CURRENT STATE: IN 2014, LVHN ADOPTED A VISION STATEMENT, 'TO BECOME AN INNOVATIVE LEADER IN POPULATION HEALTH (PH) MANAGEMENT.' SINCE THEN, WE'VE BEEN BUILDING OUR CAPACITY AND COMPETENCIES SO THAT WE CAN ACCOMPLISH THIS. WE DEFINE POPULATION HEALTH AS - 'THE HEALTH AND HEALTH OUTCOMES OF A GROUP OF INDIVIDUALS, INCLUDING HOW THOSE OUTCOMES ARE DISTRIBUTED ACROSS THE GROUP.' PH HAS GAINED SIGNIFICANT TRACTION IN OUR ORGANIZATION OVER THE LAST FEW YEARS, EVEN THOUGH CURRENTLY LESS THAN 10% OF OUR PAYMENT COMES THROUGH VALUE ARRANGEMENTS. NONETHELESS, WE HAVE DONE THE GROUNDWORK FOR THE EVENTUALITY THAT THE NATION'S FINANCING MODEL WILL NEED TO CHANGE TO SUPPORT THE EXECUTION OF A VALUE-DRIVEN, POPULATION HEALTH-BASED DELIVERY SYSTEM. IT IS WITH THIS IN MIND WE HAVE BEGUN TO CREATE A CULTURE OF - DELIVER THE RIGHT INTERVENTION FOR A SPECIFIC PATIENT IN THE LEAST COSTLY POINT IN THE CARE CONTINUUM. AND - CREATE VALUE FOR PATIENTS AND OUR PAYERS SO THAT WE ARE RECOGNIZED AND REIMBURSED FOR THAT KIND OF CARE. PH HAS RESOURCES THAT WE DEPLOY TO EXECUTE ON OUR GOALS. THE FOLLOWING IS AN OVERVIEW OF THE WORK THESE RESOURCES COMPLETED IN FY18:COMMUNITY CARE TEAMS (CCT):CCT(S) WORK WITH HIGH-RISK PATIENTS BASED ON PREDETERMINED RISK STRATIFICATION, PAYER ARRANGEMENT AND PROVIDER CLINICAL JUDGMENT. CCT(S) HAVE A CARE MANAGER, A PHARMACIST, A BEHAVIORAL HEALTH SPECIALIST, A SOCIAL WORKER, AND/OR MEDICATION ASSISTANCE COORDINATORS. THEY COLLABORATE WITH LVPG AND MATLAV PRIMARY CARE AND SPECIALTY PRACTICES TO FACILITATE THE MANAGEMENT OF THE MOST COMPLEX PATIENTS (THESE ARE THE TOP 5% HIGH-RISK LVHN PATIENTS. CCT(S) COVER 48 PRIMARY CARE PRACTICES AND SPECIALTY PRACTICES ACROSS FIVE COUNTIES. NURSE DRIVEN PROTOCOLS AND SPECIALTY REFERRALS ALLOW FOR SEAMLESS COLLABORATION WITH OACIS, HOME CARE AND OTHER LVHN NETWORK SERVICES. IN FY18, CCT(S) TOUCHED TOTAL OF 21,797 UNIQUE PATIENTS AND OVER 82,000 PATIENT ENCOUNTERS BY PHONE, PORTAL COMMUNICATION, OR FACE TO FACE VISITS. CCT WORKFLOWS WERE REDESIGNED IN FY18 TO MATCH THE APPROPRIATE DELIVERY INTERVENTION TO MEET THE SPECIFIC CLINICAL NEED OF THE POPULATION AND PROVIDE CARE CLOSER TO HOME. UTILIZING A HUB- AND SPOKE MODEL, CCT(S) WERE CENTRALIZED IN 10 HUBS GEOGRAPHICALLY LOCATED IN OUR PATIENT'S COMMUNITIES. THIS REDESIGN ALLOWED THE CCT(S) TO EXPAND COVERAGE TO 12 ADDITIONAL LVPG FM/IM PRACTICES. IN ADDITION TO WORKING TO HELP PATIENTS GAIN INSURANCE, FOOD, SHELTER AND TRANSPORTATION, IN FY18 CCT(S) FACILITATED OVER $4,046,485 DOLLARS IN FREE PRESCRIPTION MEDICATIONS. SECURING THESE MEDICATIONS REDUCES AMBULATORY CARE SENSITIVE ADMISSIONS AND UNNECESSARY EMERGENCY DEPARTMENT VISITS. OVER THE LAST FIVE FISCAL YEARS, THIS PROGRAM HAS SECURED $8.2 MILLION DOLLARS IN FREE AND DISCOUNTED PATIENTS FOR LVHN PATIENTS. CCT GRANT COLLABORATIONS: GERIATRIC WORKFORCE ENHANCEMENT PROGRAM A GRANT IN THE AMOUNT OF $2.5 MILLION DOLLARS FOCUSED ON DEVELOPING A MODEL THAT WILL FOCUS ON EDUCATION OF THE UPCOMING WORKFORCE AND ENHANCING PATIENT'S CARE. THIS GRANT EXPANDS THE CCT MODEL WITH THE ADDITION OF A COMMUNITY HEALTH WORKER INTO THE HOME OF FRAIL, ELDERLY PATIENTS ATTRIBUTED IN 6 PRIMARY CARE RESIDENCY PRACTICES. THIS PROGRAM SUPPORTED 3,840 TOTAL PATIENTS IN FY18. LASTLY, A SAMSA WHOLE HEALTH CONNECTION GRANT IN THE AMOUNT OF $1.6 MILLION DOLLARS AIMED AT INTEGRATING A PRIMARY CARE PRACTICE WITH THE MENTAL HEALTH CLINIC AT MUHLENBERG. THE EMBEDDED CCT MODEL IS REPLICATED IN THIS LOCATION TO PROVIDE COMPLEX CARE COORDINATION TO CHRONICALLY ILL PATIENTS WITH CONFOUNDING MENTAL ILLNESS ISSUES. THIS PROGRAM SUPPORTED 168 PATIENTS IN FY18.CARE TRANSITIONS & NAVIGATIONSTHE CARE TRANSITIONS & NAVIGATIONS TEAM CONSISTS OF A CENTRALIZED CALL CENTER AND NAVIGATION TEAM. THE CENTRALIZED CALL CENTER CALLED 18,000 UNIQUE PATIENTS DISCHARGED FROM AN LVHN INPATIENT, OBSERVATION OR INPATIENT REHABILITATION UNIT IN FY18 THAT ARE ATTRIBUTED TO OUR PRIMARY CARE PRACTICES. THIS DEPARTMENT FUNCTIONS 7 DAYS/WEEK COVERING ALL OWNED (LVPG) PRIMARY CARE PRACTICES. CALL COMPLIANCE WITHIN 2 BUSINESS DAYS' AVERAGES 90%. TOWARDS THE END OF FY18, THE TRANSITION MODEL TEAM WAS ADDED TO THE CENTRALIZED CALL CENTER TO PROVIDE GAP COVERAGE FOR THOSE DISCHARGED PATIENTS WHO HAVE A PCP OUTSIDE OF LVHN. THIS TEAM OF RN CARE MANAGERS CALLS PATIENTS DISCHARGED WITH HEART FAILURE, SEPSIS, PNEUMONIA, COPD, AND CABG WITHIN 2 BUSINESS DAYS OF DISCHARGE. CARE MANAGEMENT SERVICES ARE THEN PROVIDED FOR UP TO 30 DAYS POST-DISCHARGE. THE SAME SERVICE IS ALSO PROVIDED FOR ALL HIGH-RISK PEDIATRIC PATIENTS. DURING THE LAST 2 MONTHS OF FY2018, THIS TEAM WAS RESPONSIBLE FOR CALLING AN ADDITIONAL 1,300 PATIENTS POST-DISCHARGE.THE NAVIGATION TEAM FORMED IN THE BEGINNING OF FY19, CONSISTING OF BOTH RN CARE NAVIGATORS AND PRE-ENGAGEMENT SPECIALISTS. THIS TEAM WAS CREATED IN RESPONSE TO LVHN'S JOURNEY WITH THE CMS BPCI-A PROGRAM. THE NAVIGATORS WORK WITH PATIENTS ADMITTED FOR TOTAL JOINT REPLACEMENT, SPINAL SURGERY, COPD, AND CARDIAC DEVICE PLACEMENT. PATIENTS ARE FOLLOWED BY NAVIGATION SERVICES FOR 90 DAYS POST-DISCHARGE. IN THE SURGICAL CASES, ATTEMPTS TO ENGAGE THE PATIENT BEGIN PRIOR TO ADMISSION.

	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	FY2018 - ESTIMATED VALUE OF FREE CARE, COMMUNITY SERVICE, CHARITABLE CONTRIBUTIONS, AND PROFESSIONAL AND COMMUNITY EDUCATIONMEDICARE SHORTFALL $208,977,860, MEDICAL ASSISTANCE SHORTFALL 103,438,286, UNCOMPENSATED CHARITY CARE 11,205,474, BAD DEBT 6,998,872, CLINICS SUBSIDY 12,473,905, TRICARE (CHAMPUS) SHORTFALL 1,147,302, REAL ESTATE TAXES PAID ON OWNED AND LEASED PROPERTY 3,048,431, SALISBURY TOWNSHIP SCHOOL DISTRICT AGREEMENT (INCLUDES 50% ADD-ON VALUE FOR VOLUNTARY AGREEMENTS) 217,972, STIPEND TO SALISBURY TOWNSHIP 132,000, FINANCIAL SUPPORT TO CITY OF ALLENTOWN 45,000, LINDBERG PARK SUPPORT 95,000, FREE PAP TESTS, MAMMOGRAMS & ULTRASOUNDS-CITY OF ALLENTOWN 86,942, LABORATORY TESTS & CONSULTATIVE SERVICES-CITY OF ALLENTOWN 13,325, PHYSICAL EXAMINATIONS - FIREFIGHTERS & HAZMAT PERSONNEL 89,635, CONTRIBUTION TO WESTERN SALISBURY VOLUNTEER FIRE COMPANY 40,000, SCHOOL HEALTH 20,129, VALUE OF VOLUNTEER ASSISTANCE 1,611,278, TRANSITIONAL LIVING CENTERS 337,507, DEPARTMENT OF COMMUNITY HEALTH 477,357, COMPREHENSIVE HEALTH SERVICES IN-KIND, LVHN FITNESS 163,907, LEHIGH VALLEY HOSPITAL CANCER CENTER (INCLUDES PATIENT SUPPORT & EDUCATION, COMMUNITY EDUCATION & SCREENING PROGRAMS) 1,457,486, GEORGE E. MOERKIRK EMERGENCY MEDICINE INSTITUTE 445,891, PASTORAL CARE 751,981, PRESS, GANEY PATIENT SURVEY 291,484, FOREIGN LANGUAGE & SIGN LANGUAGE INTERPRETING SERVICE 1,594,322, COMMUNITY HEALTH EDUCATION PROGRAMS 114,559, PATIENT EDUCATION PUBLICATIONS 467,570, MATERIALS TO PROMOTE HEALTH-RELATED ACTIVITIES 273,379, COMMUNITY OUTREACH IN-KIND, VOLUNTARISM IN-KIND, CONTRIBUTIONS 219,058, FREE ORAL TRAUMA SURGERY CARE 481,571, AMBULANCE TRANSPORT COSTS 39,365, TRANSPORTATION FOR DISCHARGED PATIENTS 248,777, PHARMACEUTICALS FOR DISCHARGED PATIENTS 156,538, INFECTION CONTROL COMMUNITY SERVICE (INCLUDES FREE FLU VACCINE) 450,386, LVHN COURIERS FREE TRANSPORTATION SERVICES 119,940, DENTAL SCREENINGS & FREE PROCEDURES IN-KIND, DIVISION OF EDUCATION - OFFICE OF STUDENT AFFAIRS IN-KIND, HELWIG DIABETES CENTER EDUCATION & OUTREACH PROGRAMS IN-KIND, STROKE CENTER COMMUNITY EDUCATION PROGRAMS 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, WEIGHT MANAGEMENT CENTER SUPPORT GROUPS & OUTREACH IN-KIND. SUBTOTAL $357,732,489 MEDICAL EDUCATION $ 7,284,936 NURSING EDUCATION 9,060,097 RESEARCH ACTIVITIES NET OF GRANT FUNDING 2,580,005 SUBTOTAL $18,925,038 TOTAL $376,657,527MAGNET 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, THE MAGNET DESIGNATION IS THE AMERICAN NURSES ASSOCIATION'S HIGHEST HONOR FOR EXCELLENCE IN NURSING AND RECOGNIZES BOTH HOSPITALS AS NATIONAL LEADERS IN NURSING EDUCATION, RESEARCH, PATIENT SATISFACTION, EVIDENCED-BASED CARE, IMPROVED PATIENT OUTCOMES, 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, 2011, AND 2016 LVH AND LVH-MUHLENBERG WERE REDESIGNATED AS MAGNET HOSPITALS, CONTINUING TO DEMONSTRATE THE REQUIRED EVIDENCE OF A PRACTICE ENVIRONMENT IN WHICH PROFESSIONAL NURSES AND INTERDISCIPLINARY COLLEAGUES LEAD THE REFORMATION OF HEALTH CARE AND THE CARE OF THE PATIENT, FAMILY, AND COMMUNITY. IN OCTOBER, 2013, THE MAGNET DESIGNATED HOSPITALS WERE HONORED WITH THE PRESTIGIOUS MAGNET PRIZE FOR INNOVATIONS IN TELEHEALTH. THE MAGNET PRIZE RECOGNIZES INNOVATIVE NURSING PROGRAMS AND PRACTICES IN ANCC MAGNET-DESIGNATED ORGANIZATIONS. THE $25,000 PURSE IS BEING USED TO CONTINUE, ADVANCE, AND DISSEMINATE THE WINNING INNOVATION. DEMONSTRATING OUR COMMITMENT TO NURSING EXCELLENCE AND QUALITY PATIENT CARE, IN 2020, LVH AND LVH-M WILL CONTINUE THE 'JOURNEY TO MAGNET EXCELLENCE' BY PURSUING OUR FIFTH MAGNET REDESIGNATION, TO DATE A FEAT ACCOMPLISHED BY <15 NATIONAL AND INTERNATIONAL HEALTHCARE FACILITIES.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses1,582,353,233

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)			(D) Reportable compensation from the organization (W-2/1099-MISC)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) ANTHONY ARDIRE........................................................................ PHYSICIAN	60.00 .......................	X		529,046	0	29,260
(19) BRIAN NESTER DO........................................................................ PRESIDENT/CEO LVHN	60.00 .......................	X		1,924,106	0	49,463
(20) DEBBIE SALAS-LOPEZ........................................................................ ASSOC CHIEF MEDICAL OFFICE	60.00 .......................	X		781,655	0	32,915
(21) EDWARD DOUGHERTY........................................................................ SENIOR CHIEF BUSINESS DEVE	60.00 .......................	X		679,417	0	31,436
(22) PAUL TIRJAN........................................................................ PRESIDENT, ALLSPIRE	1.00 .......................60.00	X		678,528	0	20,639
(23) GREGORY BRUSKO DO........................................................................ TRUSTEE	1.00 .......................60.00		X	0	555,991	24,263
(24) DAVID SPRINGHETTI........................................................................ FORMER SECRETARY	0.00 .......................		X	501,732	0	18,075
(25) EDWARD F O'DEA........................................................................ FORMER TREASURER	0.00 .......................		X	1,005,610	0	36,088
(26) JAMES A ROTHERHAM........................................................................ FORMER ASST. TREASURER	0.00 .......................		X	317,933	0	25,898

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	10,105,087	942,382	441,664

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	3,360,757

f	All other contributions, gifts, grants, and similar amounts not included above		1f	21,252,838

g	Noncash contributions included in lines 1a - 1f:$		1g	282,011

h Total. Add lines 1a-1f.......		24,613,595

		Business Code
2a	OUTPATIENT REVENUE	624100	815,825,176	804,574,033	11,251,143
b	INPATIENT REVENUE	624100	736,459,907	736,459,907
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		1,552,285,083

3 Investment income (including dividends, interest, and othersimilar amounts) ......			4,868,014			4,868,014
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		11,925,549	6a
b	Less: rental expenses		10,136,717	6b
c	Rental income or (loss)		1,788,832	6c
d	Net rental income or (loss).......			1,788,832			1,788,832
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		235,974,170	7a
b	Less: cost or other basis and sales expenses	7,309	228,409,924	7b
c	Gain or (loss)	-7,309	7,564,246	7c
d	Net gain or (loss).........			7,556,937	7,556,937
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a	1,202,014
b	Less: direct expenses ...		8b	502,294
c	Net income or (loss) from fundraising events..			699,720			699,720
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	RESEARCH & MISC INCOME		900099	74,802,067	74,332,159	469,908
b	HEALTH NETWORK LABS		621500	9,899,796	8,808,235	1,091,561
c	LEHIGH VALLEY PHO		900003	899,383	899,383
d	All other revenue ....
e	Total. Add lines 11a–11d ......			85,601,246
12	Total revenue. See instructions.....			1,677,413,427	1,632,630,654	12,812,612	7,356,566

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	754,287	754,287
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	5,630,851	5,630,851
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	432,319,282	407,594,851	24,027,571	696,860
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	21,816,027	20,200,373	1,571,057	44,597
9	Other employee benefits .......	86,978,317	84,906,384	2,014,383	57,550
10	Payroll taxes ...........	34,542,494	32,722,668	1,768,766	51,060
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	5,201,867	2,099,654	3,102,213
c	Accounting ...........	449,194	22,874	426,320
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	142,672,754	129,279,086	13,310,110	83,558
12	Advertising and promotion ....	8,810,614	7,483,107	1,327,507
13	Office expenses .......	1,695,134	1,563,033	141,972	-9,871
14	Information technology ......	24,088,255	24,031,424	56,831
15	Royalties ..
16	Occupancy ...........	39,956,571	39,732,032	215,896	8,643
17	Travel ............	1,641,941	1,557,036	80,009	4,896
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,930,810	1,826,522	93,892	10,396
20	Interest ...........	23,840,904	23,840,904
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	95,917,669	95,554,950	362,136	583
23	Insurance ...	13,213,177	13,213,177
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	329,194,092	329,194,092
b	PURCHASED SERVICES	267,857,641	264,293,536	3,588,398	-24,293
c	BAD DEBTS EXPENSE	36,264,739	36,034,615		230,124
d	CONTRACTED LABOR	7,413,257	7,413,257
e	All other expenses	54,317,194	53,404,520	822,690	89,984
25	Total functional expenses. Add lines 1 through 24e	1,636,507,071	1,582,353,233	52,909,751	1,244,087
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			6,391	1	12,499
2	Savings and temporary cash investments .........			19,819,564	2	39,186,386
3	Pledges and grants receivable, net ......			19,737,984	3	18,163,008
4	Accounts receivable, net .............			221,980,735	4	245,880,449
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			4,511,189	7	-10,290,780
8	Inventories for sale or use ............			23,597,583	8	27,216,931
9	Prepaid expenses and deferred charges ......			16,303,256	9	18,154,778
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,071,100,303
b	Less: accumulated depreciation	10b	1,107,168,611	714,051,667	10c	963,931,692
11	Investments—publicly traded securities .			432,574,210	11	834,624,275
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..			152,535,305	13	194,826,061
14	Intangible assets ...............			22,353,932	14	22,695,516
15	Other assets. See Part IV, line 11 ...........			8,271,356	15	11,301,228
16	Total assets. Add lines 1 through 15 (must equal line 33)...			1,635,743,172	16	2,365,702,043

17	Accounts payable and accrued expenses .....	114,537,877	17	138,026,092
18	Grants payable ...		18
19	Deferred revenue .........	11,574,843	19	14,090,764
20	Tax-exempt bond liabilities .........	410,943,406	20	625,995,978
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	355,070,621	25	298,101,001
26	Total liabilities. Add lines 17 through 25..	892,126,747	26	1,076,213,835

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........		27
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	743,616,425	32	1,289,488,208
33	Total liabilities and net assets/fund balances ........	1,635,743,172	33	2,365,702,043