TY 2018 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) ANTHONY BARAN...................................................................... TRUSTEE	1.00 ................. 3.00	X		0	0
(2) DEBRA C BLASCHAK...................................................................... TRUSTEE	1.00 ................. 3.00	X		0	0
(3) JEANNE BOYER PORTER...................................................................... VICE CHAIRPERSON/TRUSTEE	1.00 ................. 3.00	X	X	0	0
(4) HARRY CIAVARELLA...................................................................... TRUSTEE (AS OF 3/13/2019)	1.00 ................. 3.00	X		0	0
(5) DOUGLAS CRESWELL...................................................................... TRUSTEE (AS OF 6/12/2019)	1.00 ................. 3.00	X		0	0
(6) ANTOINETTE EVERDALE...................................................................... TRUSTEE (AS OF 3/13/2019)	1.00 ................. 3.00	X		0	0
(7) DARNELL FURER...................................................................... TRUSTEE	1.00 ................. 3.00	X		0	0
(8) RICHARD GONZALEZ...................................................................... TRUSTEE	1.00 ................. 3.00	X		0	0
(9) THOMAS L KENNEDY ESQ...................................................................... TRUSTEE	1.00 ................. 3.00	X		0	0
(10) WILLIAM E KIRWAN CPA ESQ...................................................................... CHAIRPERSON/TRUSTEE	1.00 ................. 3.00	X	X	0	0
(11) AMRIT P NARULA MD...................................................................... TRUSTEE	1.00 ................. 3.00	X		0	0
(12) WILLIAM J REPPY...................................................................... PRESIDENT/TRUSTEE	40.00 ................. 1.00	X	X	344,243	19,545
(13) LAWRENCE RIDDLES MD...................................................................... TRUSTEE	40.00 ................. 1.00	X		417,747	19,545
(14) FRANKLIN K SCHOENEMAN...................................................................... TRUSTEE	1.00 ................. 3.00	X		0	0
(15) E LORI SMITH...................................................................... TREASURER/TRUSTEE	1.00 ................. 3.00	X	X	0	0
(16) JONATHAN TARSON...................................................................... TRUSTEE (AS OF 6/12/2019)	1.00 ................. 3.00	X		0	0
(17) TIMOTHY F TWARDZIK...................................................................... SECRETARY/TRUSTEE	1.00 ................. 3.00	X	X	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
EMCARE INC 7032 COLLECTIONS CENTER DRIVE CHICAGO,IL606930001	PHYSICIAN STAFFING	2,463,977
INTEGRATED MEDICAL GROUP PC 82 TUNNEL ROAD POTTSVILLE,PA179013869	PHYSICIAN STAFFING	1,703,681
SODEXO INC AND AFFILIATES PO BOX 360170 PITTSBURGH,PA152516922	DIETARY SERVICES	1,119,371
ALLENTOWN ANESTHESIA ASSOCIATES INC 4905 W TILGHMAN STREET SUITE 250 ALLENTOWN,PA181049131	PHYSICIAN STAFFING	920,000
MARSH USA INC 1166 AVENUE OF THE AMERICAS NEW YORK,NY100362708	CONSULTING SERVICES	561,965
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 22

- 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 the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

LEHIGH VALLEY HOSPITAL - SCHUYLKILL

Employer identification number

23-1352202

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) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. 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—2017. 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—2018. 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—2017. 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) 2018

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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. 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—2017. 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) 2018

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) 2018

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) 2018

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) 2018

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 2018 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-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, 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 2018. 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 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

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) 2018

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

2018

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 - SCHUYLKILL

Employer identification number

23-1352202

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) 2018

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) 2015	(b) 2016	(c) 2017	(d) 2018	(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) 2018

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

(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)? ........

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

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

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? .......................

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

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

Yes

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

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:	LEHIGH VALLEY HOSPITAL - SCHUYLKILL IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE HOSPITAL & HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA (HAP). A PERCENTAGE OF THE DUES PAID TO THESE ORGANIZATIONS GOES TOWARDS LOBBYING EFFORTS. THEIR MISSION IS TO ADVANCE THE HEALTH OF INDIVIDUALS AND COMMUNITIES TO LEAD, REPRESENT, AND SERVE HEALTH CARE PROVIDER ORGANIZATIONS THAT ARE ACCOUNTABLE TO THE COMMUNITY AND COMMITTED TO HEALTH IMPROVEMENT. THE MEMBERSHIP DUES FOR AHA AND HAP ARE PAID BY LEHIGH VALLEY HOSPITAL, INC. THEREFORE, THE LOBBYING PORTION OF THE DUES ARE REFLECTED ON THE LEHIGH VALLEY HOSPITAL, INC. FORM 990, SCHEDULE C.

Return Reference

Explanation

PART II-B, LINE 1:

LEHIGH VALLEY HOSPITAL - SCHUYLKILL IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE HOSPITAL & HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA (HAP). A PERCENTAGE OF THE DUES PAID TO THESE ORGANIZATIONS GOES TOWARDS LOBBYING EFFORTS. THEIR MISSION IS TO ADVANCE THE HEALTH OF INDIVIDUALS AND COMMUNITIES TO LEAD, REPRESENT, AND SERVE HEALTH CARE PROVIDER ORGANIZATIONS THAT ARE ACCOUNTABLE TO THE COMMUNITY AND COMMITTED TO HEALTH IMPROVEMENT. THE MEMBERSHIP DUES FOR AHA AND HAP ARE PAID BY LEHIGH VALLEY HOSPITAL, INC. THEREFORE, THE LOBBYING PORTION OF THE DUES ARE REFLECTED ON THE LEHIGH VALLEY HOSPITAL, INC. FORM 990, SCHEDULE C.

Schedule C (Form 990 or 990EZ) 2018

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 the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

LEHIGH VALLEY HOSPITAL - SCHUYLKILL

Employer identification number

23-1352202

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 SFAS 116 (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 SFAS 116 (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 SFAS 116 (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) 2018

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 ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

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

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

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 .....	3,340,004		3,340,004
b	Buildings ....	33,641,318	8,848,415	24,792,903
c	Leasehold improvements
d	Equipment ....	8,808,182	4,120,967	4,687,215
e	Other .....	5,057,535	1,937,069	3,120,466
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				35,940,588

Schedule D (Form 990) 2018

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
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
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)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

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
(1) DUE FROM AFFILIATES				28,702,510
(2) GOODWILL				46,619,695
(3) SERP INVESTMENT				206,719
(4) DEFERRED COMP INSURANCE				778,722
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				76,307,646

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
OBLIGATION UNDER CAPITAL LEASE	250,822
DUE TO AFFILIATES	26,505,923
ACCRUED PENSION LIABILITY	21,090,823
DEFERRED REVENUE	14,880
ESTIMATED MALPRACTICE LIABILITY	1,580,034
SERP LIABILITY	206,719
DEFERRED COMP INSURANCE	778,722
PA SALES TAX PAYABLE	944
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	50,428,867
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) 2018

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 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) 2018

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

2018

Open to Public Inspection

Name of the organization

LEHIGH VALLEY HOSPITAL - SCHUYLKILL

Employer identification number

23-1352202

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) . . .	975,366		975,366	0.710 %
b	Medicaid (from Worksheet 3, column a) . . . . .	24,961,489	1,555,858	23,405,631	17.150 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	25,936,855	1,555,858	24,380,997	17.860 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	234,691		234,691	0.170 %
f	Health professions education (from Worksheet 5) . . .	46,875		46,875	0.030 %
g	Subsidized health services (from Worksheet 6) . . . .	4,781,585	2,648,934	2,132,651	1.560 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	32,020		32,020	0.020 %
j	Total. Other Benefits . .	5,095,171	2,648,934	2,446,237	1.780 %
k	Total. Add lines 7d and 7j .	31,032,026	4,204,792	26,827,234	19.640 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

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.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(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
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare 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. ......

5,394,488

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. ......

1,154,960

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).....

46,959,626

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

46,847,047

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

112,579

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 %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2018

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)
1	LEHIGH VALLEY HOSPITAL - SCHUYLKILL 420 SOUTH JACKSON STREET POTTSVILLE,PA17901 WWW.LVHN.ORG 421001	X	X	X

Schedule H (Form 990) 2018

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 - SCHUYLKILL
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 18

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

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 18

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

Yes

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

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) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	LEHIGH VALLEY HOSPITAL - SCHUYLKILL
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) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	LEHIGH VALLEY HOSPITAL - SCHUYLKILL
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

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

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) 2018

Page 7

Part VFacility Information (continued)

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

	LEHIGH VALLEY HOSPITAL - SCHUYLKILL
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) 2018

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, 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 - SCHUYLKILL	PART V, SECTION B, LINE 5: FOR THE PURPOSES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), LVHN DEFINES THE COMMUNITY IT SERVES AS ALL INDIVIDUALS LIVING WITHIN THE COUNTIES THAT CONTAIN OUR HOSPITAL CAMPUSES. LVHN IS REQUIRED TO PRODUCE A CHNA HEALTH PROFILE FOR EACH OF OUR LICENSED FACILITIES IN ORDER TO ADDRESS THE LOCAL CONTEXT OF THE DIFFERENT COMMUNITIES WE SERVE. THEREFORE, LVHN HAS PRODUCED FOUR CHNA HEALTH PROFILES FOR OUR FOUR DIFFERENT LEHIGH VALLEY HOSPITAL CAMPUSES: LEHIGH VALLEY HOSPITAL - CEDAR CREST, 17TH STREET, AND MUHLENBERG, LEHIGH VALLEY HOSPITAL - SCHUYLKILL, LEHIGH VALLEY HOSPITAL - HAZLETON, AND LEHIGH VALLEY HOSPITAL - POCONO. FOR LEHIGH VALLEY HOSPITAL - CEDAR CREST, 17TH STREET, AND MUHLENBERG, THE COMMUNITY IS DEFINED AS LEHIGH AND NORTHAMPTON COUNTIES (ALSO KNOWN AS THE LEHIGH VALLEY). WE ADDITIONALLY ASSESSED HEALTH NEEDS WITHIN THE CITY OF ALLENTOWN TO REFLECT THE URBAN COMMUNITY SURROUNDING OUR 17TH STREET CAMPUS. FOR LEHIGH VALLEY HOSPITAL - SCHUYLKILL, THE HEALTH PROFILE PRESENTS THE HEALTH NEEDS OF COMMUNITY MEMBERS IN SCHUYLKILL COUNTY. FOR LEHIGH VALLEY HOSPITAL - HAZLETON, THE CHNA HEALTH PROFILE PROVIDES INFORMATION ABOUT THE HEALTH NEEDS FOR LUZERNE COUNTY WITH SPECIFIC INFORMATION ABOUT THE CITY OF HAZLETON WHERE IT WAS AVAILABLE. FINALLY, FOR LEHIGH VALLEY HOSPITAL - POCONO, THE COMMUNITY IS DEFINED AS RESIDENTS WITHIN MONROE COUNTY.WITHIN THE ENTIRE GEOGRAPHIC POPULATION THAT MAKES UP THE COMMUNITIES WE SERVE, WE PLACE A GREATER EMPHASIS ON INCLUDING INDIVIDUALS IN THE COMMUNITY WHO ARE EXPERIENCING HEALTH DISPARITIES TO A GREATER EXTENT OR WHO ARE AT-RISK FOR NEGATIVE HEALTH OUTCOMES AS A RESULT OF THE SOCIAL AND ENVIRONMENTAL FACTORS INFLUENCING THEIR HEALTH.IT IS WELL DOCUMENTED THAT THE CLINICAL CARE PROVIDED TO COMMUNITY MEMBERS ONLY ACCOUNTS FOR A SMALL PORTION OF AN INDIVIDUAL'S OVERALL HEALTH. THERE ARE MANY OTHER FACTORS THAT OCCUR OUTSIDE THE DOCTOR'S OFFICE AND HOSPITAL WALLS THAT INFLUENCE HEALTH BEYOND MEDICAL CARE. THEY INCLUDE:- SOCIAL AND ECONOMIC FACTORS, SUCH AS EDUCATION, EMPLOYMENT, AND SOCIAL SUPPORT- PHYSICAL ENVIRONMENT FACTORS, SUCH AS HOUSING, TRANSPORTATION, AND AIR QUALITY- HEALTH BEHAVIORS, SUCH AS SMOKING, DRINKING, DIET, AND EXERCISETHEREFORE, THE CHNA HEALTH PROFILE PROVIDES INFORMATION ABOUT HEALTH CARE AS WELL AS OTHER HEALTH FACTORS FOLLOWED BY HEALTH OUTCOMES. THERE ARE TWO TYPES OF DATA INCLUDED IN THE CHNA HEALTH PROFILES. THE FIRST TYPE IS QUANTITATIVE DATA, OR NUMBERS AND STATISTICS ABOUT THE OVERALL POPULATION IN THE COMMUNITY. THESE STATISTICS COME FROM A VARIETY OF LOCAL, STATE AND NATIONAL SOURCES INCLUDING THE CENSUS, THE CENTER FOR DISEASE CONTROL, THE DEPARTMENT OF EDUCATION, AND THE CENTERS FOR MEDICAID AND MEDICARE SERVICES. A MAJORITY OF THESE DATA POINTS ARE COMPILED TOGETHER THROUGH A PLATFORM CALLED THE CARES ENGAGEMENT NETWORK HEALTH PLAN TOOL, WHICH LVHN USES AS THE STARTING POINT FOR ITS CHNA HEALTH PROFILES, ADDING OTHER KEY STATE AND LOCAL DATA SOURCES TO THE DATA PROVIDED THROUGH THIS HEALTH REPORT.IN ADDITION, NON-PROFIT HOSPITAL SYSTEMS ARE REQUIRED TO OBTAIN INPUT FROM INDIVIDUALS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING THOSE WITH PUBLIC HEALTH EXPERTISE AND THE VULNERABLE POPULATIONS. LVHN CHOSE TO OBTAIN THIS INPUT THROUGH FOCUS GROUPS AND INTERVIEWS WITH COMMUNITY MEMBERS AND LEADERS. THIS TYPE OF DATA IS REFERRED TO AS QUALITATIVE DATA. WE PARTNERED WITH AN EXTERNAL COMMUNITY COLLABORATOR FOR EACH CAMPUS WHO HAS EXPERIENCE IN QUALITATIVE DATA COLLECTION TO CONDUCT THESE FOCUS GROUPS AND INTERVIEWS ON LVHN'S BEHALF. THIS PROCESS PROVIDED COMMUNITY MEMBERS WITH AN INDEPENDENT AND OBJECTIVE OPPORTUNITY TO IDENTIFY AND SHARE THEIR PERSONAL EXPERIENCES AND PERSPECTIVE ON THE MOST PRESSING HEALTH NEEDS FACING THEIR COMMUNITY AS WELL AS WHERE THEY WOULD LIKE LVHN TO FOCUS ITS ATTENTION. IN SCHUYLKILL COUNTY, WHICH CONTAINS LEHIGH VALLEY HOSPITAL - SCHUYLKILL, THE PARTNER WAS SCHUYLKILL VISION, A SMALL NON-PROFIT, COMMUNITY ORGANIZING GROUP IN THE COUNTY. FIVE FOCUS GROUPS AND FIVE INTERVIEWS WERE CONDUCTED BETWEEN JUNE AND AUGUST 2018 WITH A TOTAL OF 73 PARTICIPANTS IN SCHUYLKILL COUNTY.BELOW IS A SUMMARY OF THE ORGANIZATIONS REPRESENTED IN THE SCHUYLKILL COUNTY FOCUS GROUPS AND INTERVIEW AS WELL AS A SUMMARY OF THE DEMOGRAPHICS OF THOSE WHO PARTICIPATED. RESIDENTS, INCLUDING THOSE FROM LOW-INCOME POPULATIONS, WERE ALSO INCLUDED IN THE FOCUS GROUPS AND INTERVIEW IN EACH COUNTY.ORGANIZATIONS REPRESENTED:DIAKON SENIOR CENTERDIVINE MERCY CATHOLIC CHURCHINTERFAITH HEALTH NETWORKMINERSVILLE FEDERALLY QUALIFIED HEALTH CENTERNEW RINGGOLD COMMUNITY FIRE COMPANY NURSE FAMILY PARTNERSHIPPOTTSVILLE AREA SCHOOL DISTRICTSCHUYLKILL COMMUNITY ACTIONSCHUYLKILL COUNTY MENTAL HEALTHST. PETER'S UCC CHURCH DEMOGRAPHICS:GENDER: 67% FEMALE, 33% MALEAVERAGE AGE: 48; AGE RANGE: 17-82RACE: 83.7% WHITE, 16.2% OTHERETHNICITY: 65% NON-HISPANIC, 35% HISPANIC (OF ANY RACE)EDUCATION: 37% SOME COLLEGE OR HIGHER, 35% HIGH SCHOL DIPLOMA OR G.E.D., 21% LESS THAN HIGH SCHOOLEMPLOYMENT: 40% EMPLOYED, 21% HOMEMAKER, 26% RETIRED OR NOT EMPLOYED
LEHIGH VALLEY HOSPITAL - SCHUYLKILL	PART V, SECTION B, LINE 6A: LVHN HAS PRODUCED FOUR CHNA HEALTH PROFILES FOR OUR FOUR DIFFERENT LEHIGH VALLEY HOSPITAL CAMPUSES: LEHIGH VALLEY HOSPITAL - CEDAR CREST, 17TH STREET, AND MUHLENBERG, LEHIGH VALLEY HOSPITAL - SCHUYLKILL, LEHIGH VALLEY HOSPITAL - HAZLETON, AND LEHIGH VALLEY HOSPITAL - POCONO. FOR LEHIGH VALLEY HOSPITAL - CEDAR CREST, 17TH STREET, AND MUHLENBERG, THE COMMUNITY IS DEFINED AS LEHIGH AND NORTHAMPTON COUNTIES (ALSO KNOWN AS THE LEHIGH VALLEY). WE ADDITIONALLY ASSESSED HEALTH NEEDS WITHIN THE CITY OF ALLENTOWN TO REFLECT THE URBAN COMMUNITY SURROUNDING OUR 17TH STREET CAMPUS. FOR LEHIGH VALLEY HOSPITAL - SCHUYLKILL, THE HEALTH PROFILE PRESENTS THE HEALTH NEEDS OF COMMUNITY MEMBERS IN SCHUYLKILL COUNTY. FOR LEHIGH VALLEY HOSPITAL - HAZLETON, THE CHNA HEALTH PROFILE PROVIDES INFORMATION ABOUT THE HEALTH NEEDS FOR LUZERNE COUNTY WITH SPECIFIC INFORMATION ABOUT THE CITY OF HAZLETON WHERE IT WAS AVAILABLE. FINALLY, FOR LEHIGH VALLEY HOSPITAL - POCONO, THE COMMUNITY IS DEFINED AS RESIDENTS WITHIN MONROE COUNTY.WITHIN THE ENTIRE GEOGRAPHIC POPULATION THAT MAKES UP THE COMMUNITIES WE SERVE, WE PLACE A GREATER EMPHASIS ON INCLUDING INDIVIDUALS IN THE COMMUNITY WHO ARE EXPERIENCING HEALTH DISPARITIES TO A GREATER EXTENT OR WHO ARE AT-RISK FOR NEGATIVE HEALTH OUTCOMES AS A RESULT OF THE SOCIAL AND ENVIRONMENTAL FACTORS INFLUENCING THEIR HEALTH.
LEHIGH VALLEY HOSPITAL - SCHUYLKILL	PART V, SECTION B, LINE 6B: REPRESENTATIVES OF THE COMMUNITY INCLUDED:DIAKON SENIOR CENTERDIVINE MERCY CATHOLIC CHURCHINTERFAITH HEALTH NETWORKMINERSVILLE FEDERALLY QUALIFIED HEALTH CENTERNEW RINGGOLD COMMUNITY FIRE COMPANY NURSE FAMILY PARTNERSHIPPOTTSVILLE AREA SCHOOL DISTRICTSCHUYLKILL COMMUNITY ACTIONSCHUYLKILL COUNTY MENTAL HEALTHST. PETER'S UCC CHURCH
LEHIGH VALLEY HOSPITAL - SCHUYLKILL	PART V, SECTION B, LINE 7D: OUR COMMUNITY HEALTH NEEDS ASSESSMENT IS ALSO AVAILABLE UPON REQUEST.
LEHIGH VALLEY HOSPITAL - SCHUYLKILL	PART V, SECTION B, LINE 11: COMMUNITY ENGAGEMENT1.1 PROMOTE LVHN COMMUNITY EXCHANGE (CE) TIME-BANKING PROGRAM TO INCREASE SOCIAL CONNECTIONS, NEIGHBORS HELPING NEIGHBORS.IN THE FALL OF 2017, COMMUNITY EXCHANGE LEADERSHIP MET WITH SCHUYLKILL VISION AND COUNTY REPRESENTATIVES TO DISCUSS CREATING A TIME BANK IN SCHUYLKILL COUNTY. DURING THE FORMATIVE PROCESS, COMMUNITY EXCHANGE'S FUNDING ENDED FOR THE PROGRAM IN THE LEHIGH VALLEY. SCHUYLKILL PARTNERS CONTINUED TO EXPLORE POTENTIAL WAYS TO INCLUDE TIMEBANKING IN THE WORK IN THE COUNTY.2.1 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.SCHUYLKILL COUNTY'S UNITED WAY HAS A CORRESPONDING STAFF MEMBER WHO IS RESPONSIBLE FOR UPDATING COUNTY RESOURCES IN UNITED WAY 211 AND A RESOURCE LISTING AVAILABLE TO COMMUNITY MEMBERS IN SCHUYLKILL COUNTY. THERE IS CURRENTLY NO FORMAL COLLABORATION WITH LVH-SCHUYLKILL, AT THIS TIME. AT-RISK POPULATIONS2.1 PUBLIC HEALTH DESTIGMATIZATION AND INFORMATIONAL CAMPAIGN TO PROMOTE IMPORTANCE OF EARLY IDENTIFICATION, CONNECTION TO TREATMENT, EMPLOYEE ASSISTANCE PROGRAMSIN FY17, THE AIM WAS TO PARTNER WITH LVHN DEPARTMENTS OF PSYCHIATRY, COMMUNITY HEALTH AND MARKETING TO DEVELOP A PUBLIC HEALTH CAMPAIGN ENTITLED "TELL YOUR STORY" TO REDUCE STIGMA AROUND MENTAL HEALTH IN PARTNERSHIP WITH NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI). THIS ALSO INCLUDED LOCAL DIGITAL STORYTELLING EFFORTS WITHIN ALLENTOWN. FY18 INCLUDED ON-GOING PLANNING AND DEVELOPMENT OF THESE EFFORTS WITH EXPANSION TO THE COUNTIES OUTSIDE OF THE LEHIGH VALLEY. THIS WORK HAS EVOLVED INTO WORK BEING LED BY SCHUYLKILL COUNTY VISION AND SCHUYLKILL COUNTY MENTAL HEALTH THROUGH THE RESILIENCY PROJECT, TRAUMA-INFORMED TRAINING, AND THE SUICIDE PREVENTION TASK FORCE. LVH-SCHUYLKILL IS A PARTICIPANT AND PARTNER IN THESE COALITIONS AND WILL CONTINUE TO INVEST IN THIS WORK IN THE 2019 IMPLEMENTATION PLAN.3.1 IN COOPERATION WITH THE CENTER FOR COUNSELING SERVICES, THE MATERNITY TEAM AND OTHERS FROM LVHSCHUYLKILL E. NORWEGIAN STREET, LVH SCHUYLKILL S. JACKSON STREET WILL CONTINUE TO OFFER A TOBACCO CESSATION PROGRAM THROUGH CHILDBIRTH FOR MOTHER AND PARTNER.3.2 DEVELOP A TOBACCO USE SURVEY FOR THE CHILDBIRTH CLASS AND AT TIME OF CHILDBIRTH.3.3 OFFER TIME TO QUIT PROGRAM, 5-6-WEEK COACHING SESSION, AT EITHER THE HOSPITAL, COMPREHENSIVE WOMEN'S HEALTH.LVH-SCHUYLKILL RECEIVED A DEPARTMENT OF HEALTH GRANT TO CREATE A SURVEY TO ASSESS CURRENT AND HISTORICAL USE OF TOBACCO DURING PREGNANCY, AS WELL AS DETERMINE KNOWLEDGE OF HARMFUL EFFECTS OF PRIMARY AND SECONDARY TOBACCO USE WHILE PREGNANT. THOSE WHO COMPLETED THE SURVEY WERE ALSO OFFERED RESOURCES FOR TOBACCO CESSATION. THE PROPOSED SERVICE FOCUSED ON POINTS OF INTERSECTION BETWEEN THE PATIENT AND THE HEALTHCARE DELIVERY SYSTEM DURING PREGNANCY. THIS INCLUDED OB-GYN PRACTICE, LABOR AND DELIVERY, AND CHILDBIRTH CLASSES. SURVEYS WERE ADMINISTERED BETWEEN APRIL 2017 AND JUNE 2017. GRANT OUTCOMES ARE AS FOLLOWS:-- THE GOAL WAS TO COLLECT 40 SURVEYS, AND THIS GOAL WAS SURPASSED BY COLLECTING 60 SURVEYS. OF THE 60 WHO COMPLETED THE SURVEY, 33% REPORTED SMOKING DAILY OR SOME DAYS WITHIN THE LAST 30 DAYS WHILE PREGNANT. 70% OF THOSE USING TOBACCO, USED IT DAILY. -- 65% WERE COLLECTED AT THE TIME OF INITIAL OB APPOINTMENT AT PHYSICIAN PRACTICE OFFICE. -- 11 PARTICIPANTS REPORTED A QUIT ATTEMPT WITHIN THE LAST 30 DAYS, AND 8 REFERRALS WERE MADE TO THE PA QUIT LINE. -- 1 OF THE 8 INDIVIDUALS REFERRED, ENGAGED WITH TIME TO QUIT. -- IN FY18, THE SURVEY CONTINUED TO BE ADMINISTERED. A TOTAL OF 598 SURVEYS WERE COMPLETED, AND 40 REFERRALS WERE MADE TO THE PA QUIT LINE.-- IN FY19, 461 SURVEYS WERE COMPLETED, AND 18 REFERRALS WERE MADE TO THE PA QUIT LINE.FROM THESE SURVEYS, WE HAVE LEARNED THE FOLLOWING:-- THE PATIENTS DEMONSTRATED AN UNDERSTANDING OF THE DANGERS IF CONTINUED NICOTINE USE WHILE PREGNANT AS WELL AS THE IMPORTANCE OF QUITTING-- PATIENTS HAD DIFFICULTY MOVING FROM CONTEMPLATION TO ACTION -- OPTIONS OF FACE TO FACE COUNSELING OR QUITLINE REFERRAL DID NOT YIELD SIGNIFICANT DIFFERENCE IN FOLLOW UP.3.4 PROMOTE TOBACCO CESSATION PROGRAMS TO OTHER OB/GYN PRACTICES ON THE MEDICAL STAFF.EVERY NEW OB PATIENT RECEIVES AN INFORMATION PACKET WITH INFORMATION ABOUT SMOKING CESSATION AND THE RISKS OF SMOKING AND ALL ARE COUNSELED ABOUT SMOKING AND PREGNANCY. -- IN FY17, THE PROCESS BEGAN WITH STAFF ASKING PATIENTS, "DO YOU SMOKE? AND IF YES, "HOW MUCH?". IN FY18, 100% OF PATIENTS COMPLETED THE TOBACCO SURVEY AT EACH APPOINTMENT WITH THE EXCEPTION OF JULY 2017, IN WHICH 63% OF PATIENTS COMPLETED THE SURVEY.-- IN FY19, 94% OF PATIENTS COMPLETED THE SURVEY AT EACH APPOINTMENT.ACCESS TO CARE1.1 MAINTAIN AND BROADLY COMMUNICATE LVHN'S FINANCIAL ASSISTANCE POLICY (FAP), PROVIDING FREE OR DISCOUNTED CARE FOR QUALIFYING PATIENTS.-- IN FY17, 449 FINANCIAL ASSISTANCE PROGRAM (FAP) APPLICATIONS WERE RECEIVED. 414 WERE APPROVED, 32 WERE DENIED, AND 3 WERE PENDING REVIEW. AVERAGE DAY TO TURNAROUND WAS 5 DAYS. -- IN FY18, 432 FAP APPLICATIONS WERE RECEIVED. 309 APPLICATIONS WERE APPROVED, 32 WERE DENIED, AND 91 ARE PENDING.-- IN FY19, 797 APPLICATIONS WERE RECEIVED. OF THOSE, 582 WERE APPROVED, 61 WERE DENIED, AND 154 ARE PENDING.3.1 RECRUIT PRIMARY CARE CLINICIANS TO IMPROVE ACCESS TO CARE FOR MEMBERS OF COMMUNITY.A FIVE YEAR RECRUITMENT PLAN WAS DEVELOPED AND INITIATED TO SUPPORT RECRUITMENT OF PRIMARY CARE CLINICIANS. THE HIRED PROVIDERS WERE FOR FAMILY MEDICINE, INTERNAL MEDICINE, AND PEDIATRICS. FROM FY17 TO FY19, 10 PHYSICIANS AND 5 APCS WERE HIRED.4.1 PROVIDE LVHN COLLEAGUES WITH CULTURAL, LINGUISTIC TRAINING VIA A VARIETY OF DELIVERY MECHANISMS.ONGOING CULTURAL AND LINGUISTIC TRAINING IS PROVIDED FOR ALL CAMPUSES AT LVHN THROUGH NEW EMPLOYEE ORIENTATION AS WELL AS THE LEARNING CURVE (TLC) QUARTERLY E-LEARNING EDUCATION BUNDLES. IN ADDITION, CAMPUSES-SPECIFIC CULTURAL AND LINGUISTIC TRAINING OPPORTUNITIES ARE PROVIDED AS NEEDED. IN FY17, LVHN'S DIVERSITY AND CULTURAL LIAISON PROVIDED AN EDUCATION SESSION TO THE LVH-SCHUYLKILL MANAGEMENT TEAM. THERE WERE 49 PARTICIPANTS IN ATTENDANCE.IN FY19, A TOTAL OF 91 PRESENTATIONS ON CULTURAL SENSITIVITY WERE PROVIDED THROUGHOUT THE NETWORK, REACHING A TOTAL 4,740 EMPLOYEES BY LVHN'S DIVERSITY AND CULTURAL LIAISON. IN ADDITION, A SESSION ON CULTURAL SENSITIVITY WAS OFFERED TO EMPLOYEES FROM FOR THE LVPG-H AND LVPG-S PRACTICES. IN APRIL 2019, AN EXTERNAL GUEST, ROBBIN CHAPMAN, WHO IS AN EXPERT ON UNCONSCIOUS BIAS IN THE WORKPLACE, PRESENTED AT THE NETWORK-WIDE MONTHLY MANAGER MEETING. APPROXIMATELY 250 EMPLOYEES ATTENDED THE PRESENTATION ENTITLED, "I CAN BE MYSELF AROUND HERE: POWERING THE FUTURE WITH COLLEAGUE ENGAGEMENT".4.2 PATIENT'S PREFERRED LANGUAGE FOR HEALTH CARE DISCUSSIONS IS RECORDED AT TIME OF REGISTRATION.FY17: AT LVH-SCHUYLKILL SOUTH JACKSON, 71,014 UNIQUE PATIENTS HAD A DOCUMENTED LANGUAGE RECORDED AT TIME OF REGISTRATION INCLUSIVE OF INPATIENT AND OUTPATIENT ENCOUNTERS. AT LVH- SCHUYLKILL EAST NORWEGIAN, AN ADDITIONAL 38,234 UNIQUE PATIENTS HAD A DOCUMENTED LANGUAGE RECORDED AT TIME OF REGISTRATION INCLUSIVE OF INPATIENT AND OUTPATIENT ENCOUNTERS.FY18: AT LVH-SCHUYLKILL SOUTH JACKSON, 71,291 UNIQUE PATIENTS HAD A DOCUMENTED LANGUAGE RECORDED AT TIME OF REGISTRATION INCLUSIVE OF INPATIENT AND OUTPATIENT ENCOUNTERS. AT LVH- SCHUYLKILL EAST NORWEGIAN. 38,709 UNIQUE PATIENTS HAD A DOCUMENTED LANGUAGE RECORDED AT TIME OF REGISTRATION INCLUSIVE OF INPATIENT AND OUTPATIENT ENCOUNTERS. THERE WERE 20 PREFERRED LANGUAGES IDENTIFIED INCLUDING ENGLISH. FY19: AT LVH-SCHUYLKILL SOUTH JACKSON, 71,497 UNIQUE PATIENTS HAD A DOCUMENTED LANGUAGE RECORDED AT TIME OF REGISTRATION INCLUSIVE OF INPATIENT AND OUTPATIENT ENCOUNTERS. AT LVH- SCHUYLKILL EAST NORWEGIAN, 47,502 UNIQUE PATIENTS HAD A DOCUMENTED LANGUAGE RECORDED AT TIME OF REGISTRATION INCLUSIVE OF INPATIENT AND OUTPATIENT ENCOUNTERS. THERE ARE 20 PREFERRED LANGUAGES IDENTIFIED INCLUDING ENGLISH.
LEHIGH VALLEY HOSPITAL - SCHUYLKILL	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 PATIENT'S PARTICIPATION IN THE FINANCIAL ASSISTANCE PROGRAM.
PART V, SECTION B, LINE 11 (CONTINUATION)	4.3 ASSESS AVAILABILITY OF LANGUAGE-ASSISTANCE RESOURCES IN ALL CARE DELIVERY SITES TO MEET NEEDS OF PATIENTS WITH LIMITED ENGLISH PROFICIENCY.LVHN PROVIDES INTERPRETING SERVICES AT NO CHARGE TO FOREIGN LANGUAGE AND SIGN LANGUAGE SPEAKING PATIENTS AND FAMILY MEMBERS. LVHN EMPLOYS TEN FULL-TIME INTERPRETERS IN THE INTERPRETER SERVICES DEPARTMENT. THERE ARE OVER 250 ADDITIONAL TRAINED MEDICAL INTERPRETERS WORKING IN OTHER POSITIONS AT LVHN, AS WELL AS COMMUNITY (NON-EMPLOYEES) INTERPRETERS. LVHN ALSO HAS A CONTRACTED TELEPHONIC INTERPRETING SERVICE CALLED CYRACOM FOR LANGUAGES AND HOURS NOT COVERED BY THE LIVE INTERPRETERS, AND PURCHASES SIGN LANGUAGE INTERPRETING SERVICES FROM TWO OUTSIDE VENDORS, STRATUS VIDEO FOR VIDEO REMOTE INTERPRETING (VRI) AND BERKS DEAF AND HARD OF HEARING SERVICES FOR LIVE SIGN LANGUAGE INTERPRETATION. IN ADDITION, LVHN HAS SUCCESSFULLY IMPLEMENTED A NEW SERVICE OF VRI VIA AN IPAD FOR THE LANGUAGES OF SPANISH, ASL, VIETNAMESE, CANTONESE, MANDARIN, RUSSIAN, SOMALI, BURMESE, FRENCH, HAITIAN CREOLE, HMONG, KOREAN, BOSNIAN, NEPALI, POLISH, AND PORTUGUESE. IN FY 17, A SITE VISIT WAS HELD AT LVH- SCHUYLKILL TO CONDUCT A NEEDS ASSESSMENT. LVH- SCHUYLKILL RECEIVED IPADS TO USE FOR LANGUAGE TRANSLATIONS WHICH WILL BE ROLLED OUT IN FY18. IN FY18, 101 INTERPRETER VIDEO CALLS WERE MADE USING 678 MINUTES AND RESULTED IN $588.10 IN CHARGES. IN FY19, THE NUMBER OF INTERPRETER VIDEO CALLS MADE INCREASED TO 261, RESULTING IN A TOTAL OF 2,814 MINUTES. THIS IS A 158% INCREASE ACROSS FISCAL YEARS.PREVENTION AND WELLNESS1.2 REDUCE NO-SHOWS FOR MAMMOGRAMS BY COMMUNICATING A REMINDER FOR SCHEDULED PATIENTS AND CALLING NO-SHOWS TO RESCHEDULE. THOSE UNABLE TO BE REACHED FOR NO-SHOW WILL BE SENT A LETTER.THE AVERAGE NO SHOW RATE FOR MAMMOGRAMS BETWEEN AUGUST THROUGH DECEMBER 2016 WAS 8.3%. THE AVERAGE NO SHOW RATE FOR JANUARY THROUGH JUNE 2017 WAS 5.9%.IN FY18, THE AVERAGE NO SHOW RATE WAS 7.38%. IN FY19, THE AVERAGE NO SHOW RATE WAS 8.5%.2.1 GUIDELINE DEVELOPMENT FOR ACUTE AND CHRONIC PAIN MANAGEMENT, PATIENT SCREENING FOR SAFE PRESCRIBING OF OPIOID ANALGESICS; PHYSICIAN OUTREACH AND EDUCATIONIN AUGUST 2016, LVH- SCHUYLKILL BEGAN USING OPIOID OVERDOSE RISK ASSESSMENT SCALE AND GIVING OPIOID PATIENTS NARCAN UNIVERSAL STANDING ORDERS TO OBTAIN NARCAN AT PHARMACIES. IN FY18, THE OPIOID PATHWAYS AND LINKAGE TO TREATMENT COMMITTEE CONDUCTED THREE EDUCATION SESSIONS WITH A TOTAL OF 30 PROVIDERS. THESE THREE SESSIONS INCLUDED AN OPIOID PRESCRIBER FOCUS GROUP, CHRONIC PAIN AND ADDICTION MEDICINE SYMPOSIUM, AND A RURAL ACCESS TO MEDICATION PROGRAMS (RAMP) TRAINING. IN ADDITION, TWO LARGE-GROUP PRESENTATIONS FOR LVHN EMPLOYEES INCLUDING LVH- SCHUYLKILL EMPLOYEES. THESE PRESENTATIONS WERE HELD AT THE LVPG MEMBER MEETING AND A FAMILY MEDICINE AND INTERNAL MEDICINE SAFE PRESCRIBING TRAINING. IN TOTAL THOSE TRAININGS REACHED OVER 700 EMPLOYEES.IN FY19, THE OPIOID PATHWAYS AND LINKAGE TO TREATMENT COMMITTEE CONDUCTED TWO COMMUNITY-BASED PRESENTATIONS, ONE OF WHICH WAS FOR EMS PROVIDERS, WITH A TOTAL OF 85 PEOPLE IN ATTENDANCE. IN ADDITION, THEY EXPLORED THE FEASIBILITY OF TELE-MAT AND ANALYZED DATA REGARDING THE NUMBER OF SUBSTANCE USE DISORDER CASES THAT WERE COMING INTO THE EMERGENCY DEPARTMENT.3.1 INVESTIGATE FEASIBILITY OF WORKING WITH LOCAL LAW ENFORCEMENT AND COMMUNITY ORGANIZATIONS TO OFFER A DRUG GIVE-BACK DAYLVH- SCHUYLKILL REACHED OUT TO THE LOCAL SHERIFF'S DEPARTMENT TO DISCUSS PARTNERSHIP ON DRUG GIVE-BACK DAY IN DECEMBER 2016. MULTIPLE ATTEMPTS HAVE BEEN MADE TO DISCUSS, HOWEVER, BOTH ORGANIZATIONS HAVE NOT BEEN ABLE TO CONNECT TO DETERMINE IF THIS IS FEASIBLE. THE DIALOGUE CONTINUED THROUGH FY18 AND A DRUG GIVE-BACK DAY WAS ORGANIZED BETWEEN LVH- SCHUYLKILL AND CVS. IT WAS HELD IN AUGUST 2018 DURING THE SCHUYLKILL DRUG AWARENESS DAY. 4.2 DEVELOP AND IMPLEMENT PROTOCOLS FOR TIMELY REFERRALS TO DRUG & ALCOHOL TREATMENT SYSTEM FOR PATIENTS WHO PRESENT TO THE EMERGENCY DEPARTMENT WITH ADDICTION-RELATED PROBLEMS.A REFERRAL SYSTEM WAS NOT OFFICIALLY ESTABLISHED IN FY 17, BUT ONE MEETING WAS HELD IN FEBRUARY 2017 TO DISCUSS COMMUNITY-BASED AGENCY NARCAN EDUCATION SYSTEM. THIS WILL CONTINUE TO BE DEVELOPED IN FY 18. IN MARCH OF 2017, A MEETING WAS HELD WITH CARE MANAGEMENT AND THE ED ON IMPROVING PATIENT FLOW FOR SUBSTANCE ABUSE CASES IN THE ED AND FACILITATING "WARM HAND-OFFS." A WARM HAND-OFF PROTOCOL WAS ESTABLISHED WITH THE COUNTY DRUG AND ALCOHOL SERVICES TO ENSURE CASE MANAGERS AND MENTAL HEALTH PROVIDES, EITHER INTERNALLY OR EXTERNALLY, ARE AVAILABLE TO MEET PATIENTS IN THE EMERGENCY DEPARTMENT WHEN THEY ARE STRUGGLING WITH SUBSTANCE ABUSE. AN ASSESSMENT CAN BE DONE IN THE ED AND A REFERRAL MADE DIRECTLY TO THE APPROPRIATE LEVEL OF TREATMENT. WITH THE ESTABLISHMENT OF THIS PROTOCOL, 100 REFERRALS WERE MADE TO DRUG AND ALCOHOL SERVICES FROM LVH- SCHUYLKILL IN FY18. IN FY19, THE WARM HAND-OFF PROTOCOL FROM THE EMERGENCY DEPARTMENT TO DRUG AND ALCOHOL SERVICES WAS FORMALIZED. IN THE SECOND HALF OF THE FISCAL YEAR, LVH- SCHUYLKILL EMPLOYEES PLACED 6 REFERRALS TO DRUG AND ALCOHOL SERVICES.5.1 ESTABLISH AND MAINTAIN CLOSE WORKING RELATIONSHIP WITH SCHUYLKILL COUNTY DRUG & ALCOHOL PROGRAM AND RESOURCES.IN FY 17, LVH- SCHUYLKILL HELD 5 MEETINGS WITH COLLEAGUES IN SCHUYLKILL COUNTY DRUG AND ALCOHOL. OUT OF THESE MEETINGS THERE WILL BE A NEW SERVICE CONTRACT FOR A GROUP PROVIDED TO CRIMINAL JUSTICE PATIENTS GOING THROUGH THE DRUG COURT IN THE COUNTY. THE GROUP WILL CONTINUE TO MEET THROUGH FY18. 1 MEETING WAS HELD IN FY18 DUE TO STAFFING CHANGES. THIS WILL BE REVISITED IN THE FUTURE. IN FY19, THE LVHN COLLEAGUES WORKING ON SUBSTANCE USE AND TREATMENT HAVE HAD ONGOING DIALOGUE WITH THE SCHUYLKILL COUNTY SCA OFFICE AND ARE STILL WORKING ON PROCESSES AROUND WARM HAND-OFF AND OTHER OPPORTUNITIES FOR COLLABORATION (SEE ABOVE). IN ADDITION A COUNTY-WIDE OPIOID TASK FORCE WAS CREATED WHICH COLLEAGUES FROM LVH- SCHUYLKILL ARE PARTICIPATING IN.6.1 WORK WITH SCHUYLKILL PREVENTION PARTNERSHIP TO EDUCATE SCHOOL-AGE CHILDREN IN SCHUYLKILL COUNTYFROM JULY 2016 THROUGH DECEMBER 2016, 143 PRESENTATIONS WERE GIVEN TO 3,170 STUDENTS ACROSS 8 SCHOOLS. FROM JANUARY THROUGH APRIL OF 2017, 99 SCHOOL PRESENTATIONS WERE GIVEN TO MORE THAN 2,600 STUDENTS IN GRADES K-12 ACROSS 7 SCHOOLS. IN FY18, THERE WERE 94 PRESENTATIONS FOR 8,210 STUDENTS ACROSS 35 SCHOOLS. IN FY19, THERE WERE 55 PRESENTATIONS FOR 5,611 STUDENTS ACROSS 18 SCHOOLS.7.1 IN COLLABORATION WITH SCHUYLKILL VISION, SUPPORT SELECTION OF COMMUNITY-BASED ACTIVITIES TO PROMOTE HEALTH, WELLNESS AND NUTRITION IN SCHUYLKILL COUNTY.7.2 INVITE DIETITIANS, COOKS, DIABETIC EDUCATORS AND OTHER HOSPITAL STAFF TO PARTICIPATE IN SCHUYLKILL VISION-SPONSORED HEALTH FAIRS AND EVENTS.THE FOLLOWING IS FOR BOTH 7.1 AND 7.2:DURING FY17, SCHUYLKILL VISION WAS CONTRACTED TO PROVIDE ESTABLISHED HEALTH EDUCATION PROGRAMMING IN THE THREE (3) HEALTHY SCHUYLKILL, PENNSYLVANIA COMMUNITIES: SCHUYLKILL HAVEN; MAHANOY CITY; AND, SHENANDOAH (EACH, A "REGION," TOGETHER, THE "COMMUNITY"). THEY WILL BE PROVIDING PERSONAL AND COMMUNITY EDUCATION ON TOPICS RELATED TO HEALTH AND SAFETY. THESE EDUCATIONAL PROGRAMS WILL BE PROVIDED TO ESTABLISHED COMMUNITY GROUPS OF ALL AGES WITHIN THESE AREAS. IN ADDITION TO EDUCATIONAL PROGRAMS, SCHUYLKILL VISIONS WILL FACILITATE AND/OR LEAD GROUP WALKS AND PHYSICAL ACTIVITY WITHIN THE COMMUNITIES LISTED.IN ADDITION, THEY WILL DEVELOP CURRICULUM AND DISTRIBUTE EDUCATIONAL MATERIALS FOR THE HEALTHY SCHUYLKILL SUMMER PROGRAM IN SCHUYLKILL COUNTY PUBLIC LIBRARIES. THIS PROGRAMMING OFFERS HEALTH RELATED EDUCATION, PRESENTED BY THE SUMMER READING PROGRAM FACILITATORS, TO ALL OF THE CHILDREN AND YOUTH WHO PARTICIPATE IN THE SUMMER READING PROGRAMS. IN FY17, VISION HELD 82 EVENTS AND IN FY18, AN ADDITIONAL 58 EVENTS COVERING 17 TOPICS INCLUDING PERSONAL AND COMMUNITY EDUCATION RELATED TO HEALTH AND SAFETY. THIS WORK EXPANDED IN FY19 TO 104 EVENTS, INCLUDING PREVENTIVE HEALTH SCREENINGS, GARDEN CLEAN-UPS, YOGA, AND HEALTHY SCHUYLKILL SUMMER.SOUTH-JACKSON SPECIFIC TACTICSAT-RISK POPULATIONS1.1 COORDINATE EFFORTS TO PROVIDE MENTAL HEALTH SERVICES, SUPPORT FOR PATIENTS' OTHER CONDITIONS, GROUP AND FAMILY SUPPORT, ETC. WITHIN THE INPATIENT MENTAL HEALTH UNIT.FROM JULY THROUGH DECEMBER 2016, THE REFERRAL PROCESS FOR DRUG AND ALCOHOL SERVICES FROM THE INPATIENT UNIT HAD NOT BEEN ESTABLISHED. MEETINGS WERE HELD TO ESTABLISH TRACKING OF REFERRALS WHICH WENT LIVE JANUARY 2017. IN FY18, 218 PATIENTS WERE REFERRED. 65% OF THOSE REFERRALS ATTENDED THEIR FIRST APPOINTMENT. 108 PATIENTS ATTENDED NUTRITION SESSIONS WITH A DIETICIAN ON THE INPATIENT UNIT. IN FY19, 177 PATIENTS WERE REFERRED. 37% OF THOSE REFERRALS ATTENDED THEIR FIRST APPOINTMENT.
PART V, SECTION B, LINE 11 (CONTINUATION)	ACCESS TO CARE AND HEALTH EQUITY2.1 INVESTIGATE FEASIBILITY OF ESTABLISHING URGENT CARE/EXPRESSCARE ACCESS AT LVHSCHUYLKILL.THE PLAN FOR URGENT CARE WAS DELAYED IN NOVEMBER 2016 DUE TO REGULATORY INTERVENTION THAT REQUIRED LVH- SCHUYLKILL MAINTAIN A FULL SERVICE ED AT BOTH CAMPUSES. THEY ARE CURRENTLY EXPLORING AT LEAST TWO DIFFERENT OPPORTUNITIES FOR URGENT CARE IN THE CITY AND SURROUNDING AREA. WHILE NO DEFINITE DATE YET SET, LVHSCHUYLKILL HAS IDENTIFIED A LIKELY SITE FOR SCHUYLKILL COUNTY'S FIRST EXPRESSCARE AND IS OPTIMISTIC TO INTRODUCE THAT SERVICE BY MARCH OF 2018. ADDITIONALLY, LVHSCHUYLKILL IS IDENTIFYING OTHER LOCATIONS IN SCHUYLKILL COUNTY WHERE EXPRESSCARE SERVICES LIKELY COULD AND WILL BE OFFERED. NO OFFICIAL ACTION HAS YET BEEN TAKEN IN THAT REGARD.IN FY18, THE SOUTH JACKSON AND EAST NORWEGIAN CAMPUSES WERE MERGED UNDER ONE LICENSE. UNDER THE NEW MERGED LICENSE, THE ED AT SOUTH JACKSON STREET IS CURRENTLY SERVING THE NEED FOR AN URGENT CARE. ACUTE SERVICES IN THE ED HAVE ALL BEEN CENTRALIZED TO EAST NORWEGIAN STREET. WHEN THE NEW FAMILY BIRTH AND NEWBORN CENTER OPENS IN JANUARY, THE SOUTH ED WILL CLOSE. IT IS ANTICIPATED THAT THE "FAST TRACK" AREA OF THE EAST ED WILL BECOME MORE AVAILABLE FOR PATIENTS.IN MAY 2019, EXPRESSCARE OPENED. DURING THE MONTHS OF MAY JULY 2019, A TOTAL OF 2,538 PATIENTS WERE SEEN.3.2 RECRUIT VARIOUS SPECIALTY PHYSICIANS TO MEET NEEDS IDENTIFIED IN THE 2016 CHNA.A FIVE YEAR RECRUITMENT GROWTH GRID AND FISCAL BUDGET WAS CREATED TO SUPPORT RECRUITMENT. IN FY18, 13 SPECIALISTS WERE HIRED: 1 CARDIOLOGIST, 1 EMERGENCY MEDICINE, 1 HOSPITAL MEDICINE, 1 OB-GYN, 1 OCCUPATIONAL MEDICINE, 1 PEDIATRIC PHYSICAL MEDICINE AND REHAB, 2 PULMONARY AND CRITICAL CARE, AND 3 RADIOLOGY PHYSICIANS WERE HIRED. 1 HEMATOLOGY/ONCOLOGY AND 1 PSYCH APC WERE HIRED.IN FY19, 3 PHYSICIANS AND 5 APCS WERE RECRUITED AND HIRED. OF THOSE APCS HIRED, 1 IS IN EMERGENCY MEDICINE, 1 IS IN UROLOGY, 2 IN GENERAL SURGERY, AND 1 PSYCHIATRY.PREVENTION AND WELLNESS1.1 OFFER LOW-COST MAMMOGRAMS IN OCTOBER AT WOMEN'S IMAGING CENTER.IN OCTOBER 2016 THERE WERE A TOTAL OF 6 LOW COST MAMMOGRAMS CONDUCTED AND IN OCTOBER 2017 THERE WERE A TOTAL OF 8 LOW COST MAMMOGRAMS CONDUCTED. LVH- SCHUYLKILL NO LONGER OFFERS LOW COST MAMMOGRAMS ON A REGULAR BASIS.1.3 CONTINUE PARTNERSHIP WITH MATERNAL & FAMILY HEALTH SERVICES IN WILKES-BARRE, PA., TO OFFER FREE MAMMOGRAMS FOR THOSE WHO CANNOT AFFORD THIS SCREENING.LVH- SCHUYLKILL WAS NOT ABLE TO FILL THE NP POSITION NEEDED TO SUPPORT THIS TACTIC IN FY17. IN OCTOBER 2017, 8 FREE MAMMOGRAMS WERE PROVIDED; HOWEVER, LVH- SCHUYLKILL IS NO LONGER WORKING WITH MATERNAL & FAMILY HEALTH SERVICES AS THEY DEVELOP THEIR OWN MATERNAL HEALTH SERVICES LOCALLY.1.4 EDUCATE COMMUNITY ON THE IMPORTANCE OF MAMMOGRAMS BY HANDING OUT SELF-BREAST EXAM SHOWER CARDS AT HEALTH FAIRS, SPEAKING ENGAGEMENTS AND ALL LOCAL OB/GYN OFFICES, AS WELL AS MAKE AVAILABLE IN WAITING AREAS OF THE HOSPITAL.IN OCTOBER EVERY YEAR (2017, 2018, AND 2019), 1,500 SELF-BREAST EXAM SHOWER CARDS AND CALENDARS ARE DISTRIBUTED AT BOTH THE IMAGING CENTER AT LVH- SCHUYLKILL AND HOSPITAL EAST CAMPUS.4.1 CREATE A COLLABORATION BETWEEN THE HOSPITAL, SCHUYLKILL COUNTY DRUG & ALCOHOL PROGRAM RESOURCES AND OB/GYN PROVIDERS IN COMMUNITY TO OFFER CONTINUUM OF CARE FOR PREGNANT MOTHERS ADDICTED TO HEROIN, INCLUDING CREATION OF TEAM TO CONSULT WHEN PREGNANT MOTHER IS ADMITTED TO THE HOSPITAL OR IDENTIFIED AT OB/GYN VISIT OFFER NUTRITION, REFERRAL FOR SUBSTANCE USE TREATMENT, AT-HOME SUPPORT, MEDICAL HOME, ETC.IN DECEMBER OF 2016, A MULTIDISCIPLINARY COMMITTEE FOR DRUG ADDICTED OB PATIENTS WAS DEVELOPED AND MET. THEIR GOAL IS TO DEVELOP A PLAN TO BETTER MANAGE THE OB PATIENTS THAT ARE GOING INTO WITHDRAWAL AS WELL AS A PREVENTION STRATEGY. THE FIRST THING THE GROUP IS WORKING ON IS DEVELOPING A STANDING ORDER SETS FOR PATIENTS ADMITTED INTO INPATIENT CARE THAT DEMONSTRATE SYMPTOMS OF WITHDRAWAL DURING THEIR STAY IN ORDER TO BETTER MANAGE THEIR STAY. NO ACTIVITY OCCURRED IN FY18, BUT DISCUSSIONS IN FY19 ARE OCCURRING TO EXPLORE TELE-MED FOR MAT PROVISION AND EXPANSION OF THE CONNECTIONS CLINIC. THE OPERATIONALIZATION OF THIS GRANT WILL OCCUR IN FY12.

Schedule H (Form 990) 2018

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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) 2018

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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 7:	LEHIGH VALLEY HOSPITAL - SCHUYLKILL COMPUTED A COST TO CHARGE RATIO USING INFORMATION FROM THE MOST RECENTLY FILED MEDICARE COST REPORT (FYE 6/30/19) FOR THE CALCULATION OF COSTS FOR CHARITY CARE AND MEDICAID. DIRECT COSTS ARE OBTAINED FROM THE HOSPITAL COMPUTER SYSTEM FOR EACH COST CENTER FOR ALL OTHER BENEFITS. INDIRECT COSTS ARE COMPUTED UTILIZING THE MOST RECENTLY FILED MEDICARE COST REPORT (FYE 6/30/19).
PART I, LINE 7G:	THERE ARE NO PHYSICIAN CLINICAL SERVICES INCLUDED.
PART I, LN 7 COL(F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A) IS $13,312,420.
PART III, LINE 2:	AMOUNTS REPORTED AS BAD DEBT EXPENSE ARE REPORTED NET OF APPLICABLE PATIENT PAYMENTS, INSURANCE PAYMENTS AND CONTRACTUAL ALLOWANCES AS WELL AS OTHER HOSPITAL DISCOUNTS FOR WHICH THE PATIENT IS DEEMED ELIGIBLE. THE RATIO OF COSTS-TO-CHARGES (RCC) IS APPLIED TO THE NET AMOUNT TO DETERMINE THE BAD DEBT EXPENSE.
PART III, LINE 3:	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.
PART III, LINE 8:	THE HOSPITAL USES THE COST-TO-CHARGE RATIO TO DETERMINE THE MEDICARE ALLOWABLE COSTS.THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT AS THE HOSPITAL IS TREATING MEDICARE PATIENTS DESPITE THE RISE IN UNREIMBURSED COST.
PART III, LINE 9B:	THE ORGANIZATION DOES HAVE A WRITTEN DEBT COLLECTION POLICY. ALL STAFF INVOLVED IN DEBT COLLECTION (EMPLOYEES OF THE MEDICAL CENTER AND ANY THIRD PARTY AGENCIES) ARE TRAINED ON THE POLICY AS WELL AS THE CHARITY CARE POLICY. IN DEALING WITH PATIENTS IN DEBT COLLECTION, STAFF WILL INFORM PATIENTS OF THE CHARITY CARE POLICY THAT IS AVAILABLE AND ALSO ANY OTHER FINANCIAL ASSISTANCE POLICIES OF THE MEDICAL CENTER THAT MAY BE APPLICABLE TO THE PATIENT. THE STAFF WILL INSTRUCT PATIENTS ON APPROPRIATE PAPERWORK THAT NEEDS TO BE COMPLETED WITH REGARDS TO CHARITY CARE OR FINANCIAL ASSISTANCE.
PART VI, LINE 2:	IN AN EFFORT TO IMPROVE THE OVERALL HEALTH AND WELL-BEING OF THE COMMUNITY, ALL NON-PROFIT HOSPITALS AND HEALTH SYSTEMS MUST IDENTIFY AND EVALUATE THE NEEDS OF THE COMMUNITIES THEY SERVE THROUGH A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS. FOR THE PURPOSES OF THE CHNA, LEHIGH VALLEY HEALTH NETWORK (LVHN) DEFINES "COMMUNITY" AS ALL RESIDENTS LIVING WITHIN THE PRIMARY COUNTIES EACH LICENSED FACILITY SERVES, NAMELY LEHIGH, NORTHAMPTON, SCHUYLKILL, LUZERNE, AND MONROE COUNTIES IN PENNSYLVANIA. THE CHNA HEALTH PROFILE INCLUDES SECONDARY DATA PULLED TOGETHER FROM PUBLICALLY AVAILABLE, STATE AND LOCAL SOURCES SUCH AS THE CENTER FOR DISEASE CONTROL AND THE CENSUS BUREAU. THIS DATA WAS USED TO IDENTIFY THE TOP HEALTH AND SOCIAL NEEDS IN EACH IDENTIFIED COMMUNITY. LVHN THEN PARTNERED WITH COMMUNITY AND EDUCATIONAL INSTITUTIONS TO OBTAIN INPUT (PRIMARY DATA) FROM COMMUNITY MEMBERS IN EACH COUNTY IN ORDER TO VALIDATE THE FINDINGS OF THE SECONDARY DATA COLLECTION. THESE COMMUNITY PARTNERS CONDUCTED FOCUS GROUPS AND KEY INFORMANT INTERVIEWS TO REVIEW THE FINDINGS OF THE SECONDARY DATA COLLECTION AND ALLOW THE COMMUNITY TO IDENTIFY ANY OTHER NEEDS NOT MENTIONED. THE SECONDARY AND PRIMARY DATA WERE THEN COMBINED INTO ONE HEALTH PROFILE FOR EACH COUNTY, WHICH PROVIDES AN OVERVIEW OF THE CURRENT STATE OF HEALTH IN EACH OF THE COUNTIES LVHN SERVES. THESE REPORTS WERE REVIEWED BY LVHN EXECUTIVE LEADERSHIP AT EACH CAMPUS, AND INITIAL HEALTH NEEDS WERE PRIORITIZED BASED ON THE COMMUNITIES INPUT AND LVHN'S ABILITY TO MAKE A DIFFERENCE ON THAT HEALTH NEED. AS PART OF THE AFFORDABLE CARE ACT, STARTING IN 2013, ALL NON-PROFIT HOSPITALS AND HEALTH CARE SYSTEMS ARE REQUIRED TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS. THE CHNA REPORT EXAMINES THE FACTORS THAT IMPACT THE HEALTH AND WELLNESS OF ALL THE PEOPLE IN A PARTICULAR GEOGRAPHIC AREA. BEYOND ITS REGULATORY FUNCTION, THE CHNA IS AN IMPORTANT OVERVIEW OF THE CURRENT STATE OF HEALTH IN OUR REGION AND IDENTIFIES POTENTIAL AREAS OF CONCERN WHICH INFORMS LEHIGH VALLEY HEALTH NETWORK'S (LVHN) POPULATION HEALTH MANAGEMENT EFFORTS. LVHN'S CHNA INCLUDES A HEALTH PROFILE, A REPORT THAT LOOKS AT ALL OF THE FACTORS THAT GO INTO MAKING PEOPLE IN A PARTICULAR AREA HEALTHY. THIS INCLUDES SOCIAL AND ENVIRONMENTAL FACTORS LIKE EMPLOYMENT, EDUCATION AND AIR QUALITY, INDIVIDUAL BEHAVIORS LIKE SMOKING OR HEALTHY EATING, AND THE QUALITY AND AVAILABILITY OF HEALTH CARE IN THEIR AREA. THIS INTRODUCTION PROVIDES AN OVERVIEW OF THE 2019 CHNA HEALTH PROFILE AND LVHN'S CHNA PROCESS. THE 2019 HEALTH PROFILE COMBINES DATA AND INFORMATION FROM LOCAL, STATE AND NATIONAL SOURCES ABOUT DISEASE, THE ENVIRONMENT, SOCIAL FACTORS AND INDIVIDUAL BEHAVIORS, WITH IDEAS, STORIES, AND EXPERIENCES FROM COMMUNITY MEMBERS AND LEADERS FROM THROUGHOUT THE COUNTIES SERVED BY LVHN. THE SECOND COMPONENT OF THE LVHN'S CHNA INCLUDES AN IMPLEMENTATION PLAN, WHICH OUTLINES OUR PLAN TO ADDRESS THE NEEDS IDENTIFIED IN THE HEALTH PROFILE OVER THE COURSE OF THE NEXT THREE YEARS. THE 2019 IMPLEMENTATION PLAN WILL BE SHARED AS A SEPARATE REPORT SOON AFTER THE HEALTH PROFILES ARE RELEASED.THE 2019 LVHN CHNA HEALTH PROFILE IS BROKEN OUT INTO THREE PRIMARY SECTIONS: DEMOGRAPHICS, HEALTH FACTORS, AND HEALTH OUTCOMES. THE DEMOGRAPHICS SECTION INCLUDES INFORMATION THAT PROVIDES A DESCRIPTION OF THE INDIVIDUALS LIVING IN THE COMMUNITY. THE HEALTH FACTORS SECTION INCLUDES INFORMATION ABOUT SOCIAL FACTORS, ENVIRONMENTAL FACTORS, HEALTH BEHAVIORS, AND THE QUALITY AND AVAILABILITY OF HEALTH CARE IN THE AREA. THE FINAL SECTION, HEALTH OUTCOMES, LOOKS AT THE OCCURRENCE OF CHRONIC CONDITIONS, SUCH AS ASTHMA AND HEART DISEASE, AS WELL AS RATES OF CANCER AND THE LEADING CAUSES OF DEATH. TO INCREASE THE READABILITY OF THE REPORT, THE COMMUNITY WILL FIND THREE TYPES OF CALL-OUT BOXES THROUGHOUT THE CHNA HEALTH PROFILES. THE FIRST TYPE SUMMARIZES SOME OF THE DATA PRESENTED ON THAT PAGE IN ORDER TO PROVIDE EASY-TO-READ, SUMMARY STATEMENTS OF IMPORTANT DATA ABOUT THE COMMUNITY. THESE SUMMARY STATEMENTS ARE ALSO COMPILED INTO ONE LIST AT THE END OF THE HEALTH PROFILE. THE SECOND TYPE PROVIDES INFORMATION FROM THE INTERVIEWS AND FOCUS GROUPS. THE THIRD TYPE OF CALL-OUT BOX HIGHLIGHTS DATA SPECIFIC TO LVHN PATIENTS, WHERE IT WAS RELEVANT. THESE REPORTS HAVE BEEN REVIEWED AND APPROVED BY LVHN'S BOARD OF TRUSTEES AS WELL AS THE COMMUNITY RELATIONS COMMITTEE OF THE BOARD.VISIT WWW.LVHN.ORG/ABOUT_US TO VIEW THE SIGNIFICANT NEEDS IDENTIFIED IN OUR MOST RECENTLY CONDUCTED CHNA AND HOW WE ARE ADDRESSING THOSE NEEDS.
PART VI, LINE 3:	EACH PATIENT IS REGISTERED INTO THE HOSPITAL COMPUTER SYSTEM WHEN THEY ARRIVE FOR SERVICES. AS PART OF THE REGISTRATION, INFORMATION IS OBTAINED ON ANY HEALTH INSURANCE THEY HAVE. INDIVIDUALS WITHOUT HEALTH INSURANCE ARE INFORMED AT THAT TIME OF THE MEDICAL CENTER'S CHARITY CARE POLICY. PATIENTS ARE GIVEN INFORMATION ON CONTACTING STAFF WITHIN THE HOSPITAL PATIENT ACCOUNTING DEPARTMENT TO DISCUSS APPLYING FOR THE HOSPITAL CHARITY CARE PROGRAM. SPECIFIC STAFF HAVE BEEN TRAINED AND ARE RESPONSIBLE FOR ADMINISTERING THE CHARITY CARE PROGRAM FOR THE HOSPITAL. HOSPITAL STAFF CONTACT PATIENTS WITHOUT INSURANCE AND EXPLAIN THE POLICY AND THE INFORMATION NEEDED TO APPLY. HOSPITAL STAFF WILL ALSO ASSIST PATIENTS IN APPLYING FOR MEDICAL ASSISTANCE. THEY WILL ALSO ASSIST PATIENTS IN COMPLETING THE APPLICATION AND GATHERING THE NECESSARY FINANCIAL DOCUMENTS.THE HOSPITAL ALSO POSTS INFORMATION WITHIN THE ADMISSION AND EMERGENCY ROOM AREAS INFORMING PATIENTS THAT THERE IS A CHARITY CARE POLICY AVAILABLE. ALL REGISTRATION PERSONNEL ARE TRAINED ON THE POLICY SO THAT THEY ARE ABLE TO INFORM PATIENTS WHEN THEY ARE REGISTERED.OTHER HOSPITAL STAFF MEMBERS THAT MAY COME IN CONTACT WITH PATIENTS ARE ALSO EDUCATED REGARDING THE CHARITY CARE POLICY. THIS WOULD INCLUDE SOCIAL WORKERS, CARE MANAGERS, NURSING STAFF, AND ALL DEPARTMENT DIRECTORS. THE CHARITY CARE POLICY IS AVAILABLE ON THE HOSPITAL INTRANET WHICH IS ACCESSIBLE BY ALL EMPLOYEES. THE HOSPITAL IS ALSO IN THE PROCESS OF PLACING THE POLICY ON THE HOSPITAL WEBSITE.ALL PATIENT ACCOUNTING, CASHIERING, AND COLLECTION STAFF ARE ALSO EDUCATED ON THE CHARITY CARE POLICY AND CAN ASSIST PATIENTS IN APPLYING FOR CHARITY CARE. ALSO ALL THIRD PARTY ORGANIZATIONS THAT WORK ON BEHALF OF THE MEDICAL CENTER IN PERFORMING COLLECTIONS HAVE BEEN EDUCATED ON THE CHARITY CARE POLICY AND CAN ADVISE PATIENTS ON APPLYING FOR THIS BENEFIT.
PART VI, LINE 4:	LEHIGH VALLEY HOSPITAL - SCHUYLKILL (LVH-S) IS LOCATED IN POTTSVILLE, PENNSYLVANIA. THE PRIMARY SERVICE AREA OF LVH-S IS SCHUYLKILL COUNTY. SCHUYLKILL COUNTY IS A RURAL COUNTY IN PENNSYLVANIA, WITH THE CITY OF POTTSVILLE AS THE LARGEST POPULATION CENTER AND THE COUNTY SEAT. THE COUNTY IS COMPRISED OF ONE SMALL CITY AS WELL AS SEVERAL BOROUGHS AND TOWNSHIPS.BASED ON U.S. CENSUS BUREAU DATA FOR THE YEAR 2010 CENSUS, THE POPULATION OF THE PRIMARY SERVICE AREA WAS APPROXIMATELY 148,289 PEOPLE. DURING THE CALENDAR YEAR 2018, ABOUT 94.4% OF THE DISCHARGES FROM LVH-S WERE RESIDENTS OF THE PRIMARY SERVICE AREA. ACCORDING TO THE AMERICAN COMMUNITY SURVEY (U.S. CENSUS), THE ESTIMATED POPULATION FOR THE PRIMARY SERVICE AREA IN 2018 WAS 142,067.THE 2010 POPULATION OF THE SECONDARY SERVICE AREA WAS APPROXIMATELY 1,807,469, AN EXTENSIVE RURAL AREA WITH A SMALL PATIENT DISTRIBUTION THROUGHOUT. DURING THE CALENDAR YEAR 2018, ABOUT 3.7% OF THE DISCHARGES FROM LVH-S WERE RESIDENTS OF THE SECONDARY SERVICE AREA.BASED ON PROPRIETARY DATA ESTIMATES (SCANUS), THE CURRENT POPULATION OF THE COMBINED PRIMARY AND SECONDARY SERVICE AREAS IS PROJECTED, TO INCREASE APPROXIMATELY 2.4% BY THE YEAR 2024. DURING THE CALENDAR YEAR 2018, LESS THAN 1.9% OF THE DISCHARGES FROM LVH-SCHUYLKILL WERE RESIDENTS OUTSIDE THE PRIMARY AND SECONDARY SERVICE AREAS.SCHUYLKILL COUNTY HAS FOUR HOSPITALS SERVING THE COUNTY. LVH-S INCLUDES TWO LOCATIONS: SOUTH JACKSON STREET AND EAST NORWEGIAN STREET, WHICH ARE BOTH LOCATED IN POTTSVILLE AND SERVE THE MAJORITY OF THE COUNTY RESIDENTS. ST. LUKE'S OPERATES THE MINERS MEMORIAL HOSPITAL IN COALDALE, NEAR THE CARBON COUNTY BORDER, AND A HOSPITAL IN ORWIGSBURG THAT IS CO-OWNED WITH GEISINGER.
PART VI, LINE 5:	THE BOARD OF LVH-S IS COMPRISED OF SEVENTEEN INDIVIDUALS, FIFTEEN OF WHOM ARE FROM THE SCHUYLKILL COUNTY COMMUNITY WHO ARE NOT EMPLOYED BY THE HOSPITAL. THEY ARE INVOLVED IN EDUCATION, SOCIAL SERVICES, GERIATRIC SERVICES, MATERNAL/CHILD SERVICES, PRIMARY MEDICAL CARE, CRIMINAL JUSTICE, SMALL BUSINESS AND MANUFACTURING. ALL PHYSICIANS ARE ENCOURAGED TO APPLY FOR MEDICAL STAFF PRIVILEGES FOR THE MEDICAL CENTER.LVH-S ALSO WORKS WITH VARIOUS COMMUNITY ORGANIZATIONS TO HELP IDENTIFY COMMUNITY NEEDS AND WORK TOGETHER TO MEET THOSE NEEDS. THE MEDICAL CENTER HAS INPATIENT ADOLESCENT AND ADULT BEHAVIORAL HEALTH SERVICES AVAILABLE TO THE RESIDENTS OF SCHUYLKILL COUNTY. THIS ALLOWS COUNTY RESIDENTS TO OBTAIN NECESSARY INPATIENT CARE WITHIN THE COUNTY WITHOUT REQUIRING FAMILIES TO TRAVEL OUTSIDE OF THE COUNTY. THE MEDICAL CENTER ALSO HAS A CERTIFIED DIABETES EDUCATOR AVAILABLE TO CONSULT WITH PATIENTS AND ALSO WITH PHYSICIANS WHEN THEY HAVE A PATIENT THAT IS NEWLY DIAGNOSED WITH DIABETES. THE MEDICAL CENTER IS THE ONLY FACILITY IN THE COUNTY WITH A MATERNITY DEPARTMENT AND NEWBORN NURSERY. THIS ALLOWS COUNTY RESIDENTS TO REMAIN IN THE COUNTY FOR MATERNITY CARE. MORE THAN 50% OF THE BIRTHS EACH YEAR ARE MEDICAID.THE EMERGENCY DEPARTMENT OF LVH-S IS A 24-HOUR EMERGENCY ROOM AVAILABLE TO ALL REGARDLESS OF THEIR ABILITY TO PAY. THE MEDICAL CENTER PARTICIPATES IN MANY INSURANCE PROGRAMS SUCH AS MEDICARE, MEDICAID, CHAMPUS, AND VA. THE MEDICAL CENTER ALSO HAS A CHARITY CARE POLICY THAT PROVIDES ASSISTANCE TO ELIGIBLE INDIVIDUALS IN PROVIDING FREE OR DISCOUNTED CARE BASED ON THEIR ABILITY TO PAY AND THE FEDERAL POVERTY GUIDELINES.LVH-S ALSO PROVIDES OPPORTUNITIES TO STUDENTS IN HEALTHCARE FIELDS TO GAIN EXPERIENCE WORKING IN THE HEALTH CARE ENVIRONMENT SUCH AS NURSING STUDENTS (RN AND LPN), PHARMACY STUDENTS, PHYSICIAN ASSISTANT STUDENTS, PHYSICAL THERAPY STUDENTS, RADIOLOGY TECHNICIANS AND MEDICAL ASSISTANTS. THE MEDICAL CENTER ALSO PROVIDES A VOLUNTEER PROGRAM FOR JUNIOR HIGH AND HIGH SCHOOL STUDENTS TO BECOME FAMILIAR WITH THE MEDICAL SERVICES OFFERED AND THE EDUCATIONAL OPPORTUNITIES AVAILABLE WITHIN THE HEALTHCARE ENVIRONMENT.THE HOSPITAL ALSO SPONSORS AND PARTICIPATES IN HEALTH FAIRS AT COMMUNITY EVENTS SUCH AS THE COUNTY FAIR, EVENTS AT THE LOCAL MALL, HEALTH SCREENINGS, BLOOD PRESSURE SCREENINGS AND CLINICS, VETERANS BREAKFAST EVENT, MEALS ON WHEELS, SKIN CANCER SCREENINGS, MAMMOGRAPHY SCREENINGS, SUPPORT GROUPS, AND LOCAL AMERICAN CANCER SOCIETY RELAY FOR LIFE.ANY EXCESS FUNDS THAT ARE GENERATED FROM THE OPERATIONS ARE INVESTED BACK INTO THE MEDICAL CENTER BY PURCHASING THE NECESSARY CAPITAL EQUIPMENT, FUNDING CAPITAL IMPROVEMENT PROJECTS, FUNDING NEW SERVICES, IMPROVING AND EXPANDING EXISTING SERVICES, AND ANY OTHER GENERAL IMPROVEMENTS TO PATIENT CARE.

Schedule H (Form 990) 2018

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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

2018

Open to Public Inspection

Name of the organization

LEHIGH VALLEY HOSPITAL - SCHUYLKILL

Employer identification number

23-1352202

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 in 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 in 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) 2018

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)
1WILLIAM J REPPY PRESIDENT/TRUSTEE	(i) (ii)	311,016 ------------- 0	27,819 ------------- 0	5,408 ------------- 0	0 ------------- 0	19,545 ------------- 0	363,788 ------------- 0	0 ------------- 0
2LAWRENCE RIDDLES MD TRUSTEE	(i) (ii)	370,766 ------------- 0	48,000 ------------- 0	-1,019 ------------- 0	0 ------------- 0	19,545 ------------- 0	437,292 ------------- 0	0 ------------- 0
3JONATHAN RUSSO PATHOLOGIST	(i) (ii)	286,749 ------------- 0	500 ------------- 0	-2,312 ------------- 0	0 ------------- 0	19,491 ------------- 0	304,428 ------------- 0	0 ------------- 0
4RICHARD BINDIE DIRECTOR, PATHOLOGY	(i) (ii)	276,330 ------------- 0	0 ------------- 0	73 ------------- 0	0 ------------- 0	19,491 ------------- 0	295,894 ------------- 0	0 ------------- 0
5KRISTINA GUERS REGISTERED NURSE	(i) (ii)	80,009 ------------- 0	0 ------------- 0	97,173 ------------- 0	0 ------------- 0	6,893 ------------- 0	184,075 ------------- 0	0 ------------- 0
6CYNTHIA SCHAFFER REGISTERED NURSE	(i) (ii)	170,055 ------------- 0	500 ------------- 0	-3,684 ------------- 0	0 ------------- 0	21,082 ------------- 0	187,953 ------------- 0	0 ------------- 0
7BRIAN PAUL PHARMACIST	(i) (ii)	152,689 ------------- 0	500 ------------- 0	-2,536 ------------- 0	0 ------------- 0	39,759 ------------- 0	190,412 ------------- 0	0 ------------- 0
8DIANE BORIS VP, FINANCE	(i) (ii)	160,430 ------------- 0	38,227 ------------- 0	-2,152 ------------- 0	0 ------------- 0	14,822 ------------- 0	211,327 ------------- 0	0 ------------- 0
9SUE CURRY CHIEF NURSING OFFICER	(i) (ii)	186,930 ------------- 0	19,546 ------------- 0	-2,806 ------------- 0	0 ------------- 0	15,885 ------------- 0	219,555 ------------- 0	0 ------------- 0
10THOMAS V WHALEN MD MMM FORMER TRUSTEE	(i) (ii)	0 ------------- 683,396	0 ------------- 147,927	0 ------------- 160,082	0 ------------- 0	0 ------------- 33,933	0 ------------- 1,025,338	0 ------------- 0

Schedule J (Form 990) 2018

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

THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT FROM LEHIGH VALLEY HOSPITAL - SCHUYLKILL DURING CALENDAR YEAR 2018: KRISTINA GUERS, REGISTERED NURSE - $97,572 THE FOLLOWING INDIVIDUAL PARTICIPATED IN THE 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN OF LEHIGH VALLEY HOSPITAL, A RELATED ORGANIZATION, AND RECEIVED A DISTRIBUTION IN CALENDAR YEAR 2018: THOMAS V. WHALEN, MD, MMM, FORMER TRUSTEE - $139,213

Schedule J (Form 990) 2018

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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 the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
LEHIGH VALLEY HOSPITAL - SCHUYLKILL

Employer identification number
23-1352202

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	CITY OF POTTSVILLE HOSPITAL AUTHORITY	23-2289554	738435CQ7	12-20-2016	56,602,260	PURCHASE OF HOSPITAL FACILITIES		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	56,774,551
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	772,198
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	55,996,318
11 Other spent proceeds .............
12 Other unspent proceeds .............	6,035
13 Year of substantial completion .............	2018
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....		X
15 Were the bonds issued as part of an advance refunding issue? .....		X
16 Has the final allocation of proceeds been made? ..........		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	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
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X

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

Cat. No. 50193E

Schedule K (Form 990) 2018

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
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
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
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
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

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
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X
b Exception to rebate? ........	X
c No rebate due? .........		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
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2018

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
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
7 Has the organization established written procedures to monitor the requirements of section 148? ...	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

Part Ⅵ

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

Return Reference	Explanation

Schedule K (Form 990) 2018

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

2018

Open to Public
Inspection

Name of the organization

LEHIGH VALLEY HOSPITAL - SCHUYLKILL

Employer identification number

23-1352202

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 MEMBERS OF THE ORGANIZATION'S GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7B	THE ORGANIZATION'S SOLE CORPORATE MEMBER, LEHIGH VALLEY HEALTH NETWORK, INC., HAS THE POWER TO APPROVE OR REJECT CERTAIN MAJOR OPERATING DECISIONS MADE BY THE ORGANIZATION'S GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11B	THE PROCESS TO REVIEW THE 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. 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 2019 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 22, 2018 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 22, 2018 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 18, 2018 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 2017 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, 2019 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 FY2018 NET REVENUES AND PHYSICIAN FTE'S WERE USED AS THE SCOPE SIZE FOR EACH ENTITY.
FORM 990, PART VI, SECTION C, LINE 18	ANOTHER WEBSITE - GUIDESTAR. UPON REQUEST - HARD COPIES WITH SENIOR MANAGEMENT AND MARKETING DEPARTMENT.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH ITS ANNUAL REPORT TO THE COMMUNITY. THE ANNUAL REPORT IS DISTRIBUTED TO ALL ATTENDEES AT THE ORGANIZATIONS ANNUAL PUBLIC MEETING. THE ANNUAL REPORT IS AVAILABLE ON THE ORGANIZATION'S WEBSITE - WWW.LVHN.ORG. IN ADDITION, IT IS DISTRIBUTED VIA MAIL TO MEMBERS OF THE COMMUNITY. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11G	PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 9,030,171. MANAGEMENT AND GENERAL EXPENSES 3,852,117. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,882,288. CREDIT CARD PROCESSING FEES: PROGRAM SERVICE EXPENSES 9,802. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,802. COLLECTION EXPENSE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 706,575. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 706,575. STORAGE FEES: PROGRAM SERVICE EXPENSES 36,706. MANAGEMENT AND GENERAL EXPENSES 7,038. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,744. MAILING & POSTAGE FEES: PROGRAM SERVICE EXPENSES 83,241. MANAGEMENT AND GENERAL EXPENSES 2,834. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 86,075. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 3,511,203. MANAGEMENT AND GENERAL EXPENSES 1,636. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,512,839.
FORM 990, PART XI, LINE 9:	PENSION LIABILITY ADJUSTMENT -6,311,061.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

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

2018

Open to Public Inspection

Name of the organization

LEHIGH VALLEY HOSPITAL - SCHUYLKILL

Employer identification number

23-1352202

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)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
(2)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
(3)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
(4)HAZLETON SURGICAL ALLIANCE 700 E BROAD STREET HAZLETON,PA182016835 20-2038456	SURGICAL SERVICES	PA	501(C)(3)	LINE 3	NORTHEASTERN PENNSYLVANIA HEALTH CORP		No
(5)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
(6)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
(7)LEHIGH VALLEY HOSPITAL 2100 MACK BLVD ALLENTOWN,PA181035622 23-1689692	HEALTH CARE ORGANIZATION	PA	501(C)(3)	LINE 3	LEHIGH VALLEY HEALTH NETWORK		No
(8)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
(9)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
(10)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
(11)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
(12)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
(13)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
(14)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
(15)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
(16)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
(17)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
(18)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
(19)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
(20)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) 2018

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) FAIRGROUNDS MEDICAL CENTER 400 N 17TH STREET STE 102 ALLENTOWN,PA181045052 23-2530427	REAL ESTATE RENTALS	PA	N/A
(2) HAZLETON SURGERY CENTER LLC 17480 DALLAS PARKWAY STE 210 DALLAS,TX752877304 20-1232531	SURGICAL SERVICES	PA	N/A
(3) HEALTH NETWORK LABORATORIES LLC 794 ROBLE ROAD ALLENTOWN,PA181099110 23-2932802	LABORATORY SERVICES	PA	N/A
(4) HEALTH NETWORK LABORATORIES LP 794 ROBLE ROAD ALLENTOWN,PA181099110 23-2948774	LABORATORY SERVICES	PA	N/A
(5) LEHIGH VALLEY IMAGING LLC 1230 S CEDAR CREST BLVD ALLENTOWN,PA181036202 46-4551937	IMAGING SERVICES	PA	N/A
(6) LVHN RECIPROCAL RISK RETENTION GROUP 151 MEETING STREET STE 301 CHARLESTON,SC294012238 20-0037118	INSURANCE SERVICES	PA	LEHIGH VALLEY HEALTH NETWORK	RELATED		3,608,460		No			No	10.000 %
(7) POCONO AMBULATORY SURGERY CENTER LTD 1 STORM STREET STROUDSBURG,PA183602406 23-2611442	SURGICAL SERVICES	PA	N/A
(8) POCONO HEALTH SYSTEM INVESTMENT COLLABORATIVE LP 206 E BROWN STREET EAST STROUDSBURG,PA183013006 47-2125419	INVESTMENTS	PA	N/A
(9) SCHUYLKILL HEALTH SYSTEM MEDICAL MALL LP 700 SCHUYLKILL MANOR ROAD POTTSVILLE,PA179013849 23-2514813	REAL ESTATE RENTALS	PA	SCHUYLKILL HEALTH SYSTEM DEVELOPMENT CORPORATION	INVESTMENT	91,490	362,300		No			No	30.910 %

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) AMERICAN PATIENT TRANSPORT SYSTEMS INC 119 EAST HOLLY STREET HAZLETON,PA182015507 23-3022467	EMS SERVICES	PA	N/A	C				No
(2) HAZLETON SAINT JOSEPH MEDICAL OFFICE BUILDING INC 700 E BROAD STREET HAZLETON,PA182016835 23-2500981	MEDICAL OFFICE RENTAL	PA	N/A	C				No
(3) LEHIGH VALLEY ANESTHESIA SERVICES PC 2100 MACK BLVD ALLENTOWN,PA181035622 23-3906125	ANESTHESIA SERVICES	PA	N/A	C				No
(4) LEHIGH VALLEY HEALTH SERVICES INC 2100 MACK BLVD ALLENTOWN,PA181035622 23-2263665	HEALTH CARE RELATED SERVICES	PA	N/A	C				No
(5) LEHIGH VALLEY PHYSICIAN HOSPITAL ORGANIZATION INC 2100 MACK BLVD ALLENTOWN,PA181035622 23-2750430	HEALTH CARE RELATED SERVICES	PA	N/A	C				No
(6) POPULYTICS INC 2100 MACK BLVD ALLENTOWN,PA181035622 23-2539282	HEALTH CARE RELATED SERVICES	PA	N/A	C				No
(7) SCHUYLKILL HEALTH SYSTEM DEVELOPMENT CORPORATION 700 E NORWEGIAN STREET POTTSVILLE,PA179012710 23-2432417	PURSUES, IMPLEMENTS & FURTHERS ACTIVITIES & PURPOSES OF HEALTH NETWORK	PA	N/A	C				No
(8) SCHUYLKILL MEDICAL PLAZA - CONDOMINIUM ASSOCIATION 420 S JACKSON STREET POTTSVILLE,PA179013625 23-2931821	CONDOMINIUM ASSOCIATION	PA	N/A	C				No
(9) SPECTRUM HEALTH VENTURES INC 2100 MACK BLVD ALLENTOWN,PA181035622 23-2391479	HEALTH CARE RELATED SERVICES	PA	N/A	C				No
(10) WESTGATE PROFESSIONAL CENTER INC 2100 MACK BLVD ALLENTOWN,PA181035622 23-1657333	REAL ESTATE RENTALS	PA	N/A	C				No

Schedule R (Form 990) 2018

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) ............................

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

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

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

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

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

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

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

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 ............................

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

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

Yes

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

Yes

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) 2018

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) 2018

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) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO MAKE A POSITIVE DIFFERENCE IN THE SCOPE AND QUALITY OF HEALTHCARE FOR THE SCHUYLKILL COMMUNITY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	17
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	15
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	1,306
6	Total number of volunteers (estimate if necessary) .............	6	48
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	179,247	131,538
9	Program service revenue (Part VIII, line 2g) .........	48,810,219	149,043,268
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	2,259,871	230,056
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	826,363	2,679,899
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	52,075,700	152,084,761
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
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)	41,340,483	69,849,639
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 1,475
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	28,236,168	79,975,359
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	69,576,651	149,824,998
19	Revenue less expenses. Subtract line 18 from line 12.......	-17,500,951	2,259,763
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	155,180,965	139,187,793
21	Total liabilities (Part X, line 26).............	135,969,599	123,644,855
22	Net assets or fund balances. Subtract line 21 from line 20.....	19,211,366	15,542,938

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 134,898,259 including grants of $ ) (Revenue $ 149,043,268 )
	LEHIGH VALLEY HOSPITAL - SCHUYLKILL (LVH-S), THROUGH THE COMBINED EFFORTS OF ITS HIGHLY QUALIFIED MEDICAL STAFF, EMPLOYEES, AND VOLUNTEERS, OFFERS A BROAD RANGE OF HEALTHCARE SERVICES TO THE RESIDENTS OF SCHUYLKILL COUNTY, PA.INPATIENT HEALTHCARE SERVICES ARE PROVIDED IN MATERNITY, PEDIATRIC, ACUTE AND CRITICAL CARE, ACUTE INPATIENT REHABILITATION UNIT AND BEHAVIORAL HEALTH SERVICES. THERE WERE OVER 40,000 EMERGENCY DEPARTMENT VISITS DURING THE YEAR. LVH-S PROVIDES THE ONLY INPATIENT BEHAVIORAL HEALTH SERVICES IN THE COUNTY. IN FY 19 WE SERVED 165 ADOLESCENT, 771 ADULT AND 201 GERIATRIC (1137 TOTAL ADMISSIONS) IN OUR HOSPITAL. THIS SERVICE TO A VERY VULNERABLE, OFTEN UNDER OR UNINSURED POPULATION CONTINUES MEET A CRITICAL COMMUNITY NEED. ADDITIONAL WE SERVE ANOTHER VULNERABLE POPULATION WITH OUR DRUG AND ALCOHOL COUNSELING CENTER. THIS CENTER HAS NEARLY 7000 PATIENT VISITS PER YEAR.LVH-S PROVIDES A WIDE ARRAY OF DIAGNOSTIC AND TREATMENT PROGRAMS INCLUDING A HOSPITAL-BASED HOME HEALTH DEPARTMENT, PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES, OCCUPATIONAL MEDICINE, AS WELL AS CT, MRI, MAMMOGRAPHY, ULTRASOUND, DEXA SCAN, NUCLEAR MEDICINE, AND OTHER IMAGING TECHNOLOGIES. WITH A HIGH INCIDENCES OF DIABETES AND VASCULAR DISEASE WE SERVE OUR COMMUNITY WITH INTERVENTIONAL RADIOLOGY, WOUND CARE AND HYPERBARIC MEDICINE. THE INDUSTRA-MED PROGRAM OF THE MEDICAL CENTER PROVIDED OCCUPATIONAL AND INDUSTRIAL HEALTH SERVICES TO OVER 200 OF THE REGION'S EMPLOYERS.THE MEDICAL CENTER PROVIDES MANY COMMUNITY OUTREACH AND EDUCATIONAL PROGRAMS THROUGHOUT THE YEAR AS WELL AS SCREENINGS, EVENTS, AND HEALTH FAIR PARTICIPATION. THROUGH A PARTNERSHIP WITH A LOCAL AREA ON AGING GROUP (DIAKON), LVH-S PROVIDES FREE FLU SHOTS TO THE VULNERABLE SENIOR CITIZEN POPULATION. DURING SEVERE FLOODING IN OUR COUNTY, LVH-S PROVIDE FREE FOOD, MEDICAL SUPPLIES, SHOWER FACILITIES AND TETANUS VACCINATIONS TO COMMUNITY MEMBERS AND FIRST RESPONDERS.ON SEPTEMBER 16, 2016, LEHIGH VALLEY HEALTH NETWORK (LVHN) AND SCHUYLKILL HEALTH SYSTEM MERGED, WITH LVHN BECOMING THE PARENT ORGANIZATION OF SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET DBA LEHIGH VALLEY HOSPITAL - SCHUYLKILL SOUTH JACKSON STREET; SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET DBA LEHIGH VALLEY HOSPITAL - SCHUYLKILL EAST NORWEGIAN STREET; SCHUYLKILL HEALTH SYSTEM MEDICAL GROUP, INC. DBA LEHIGH VALLEY PHYSICIAN GROUP SCHUYLKILL; SCHUYLKILL REHABILITATION CENTER, INC. DBA LEHIGH VALLEY HEALTH NETWORK REHABILITATION CENTER SCHUYLKILL; AND SCHUYLKILL HEALTH SYSTEM DEVELOPMENT CORPORATION DBA LEHIGH VALLEY HEALTH NETWORK DEVELOPMENT CORPORATION - SCHUYLKILL.IN ADDITION, SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET AND SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET MERGED EFFECTIVE JUNE 1, 2018. UNDER THE MERGER, SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET IS THE SURVIVING ORGANIZATION. EFFECTIVE UPON MERGER, SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET CHANGED ITS LEGAL NAME TO LEHIGH VALLEY HOSPITAL - SCHUYLKILL.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses134,898,259

(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) DIANE DOYNE........................................................................ ASSISTANT SECRETARY	40.00 .......................	X			63,946	0	12,466
(19) JONATHAN RUSSO........................................................................ PATHOLOGIST	40.00 .......................		X		284,937	0	19,491
(20) RICHARD BINDIE........................................................................ DIRECTOR, PATHOLOGY	40.00 .......................		X		276,403	0	19,491
(21) KRISTINA GUERS........................................................................ REGISTERED NURSE	40.00 .......................		X		177,182	0	6,893
(22) CYNTHIA SCHAFFER........................................................................ REGISTERED NURSE	40.00 .......................		X		166,871	0	21,082
(23) BRIAN PAUL........................................................................ PHARMACIST	40.00 .......................		X		150,653	0	39,759
(24) DIANE BORIS........................................................................ VP, FINANCE	18.00 .......................22.00			X	196,505	0	14,822
(25) SUE CURRY........................................................................ CHIEF NURSING OFFICER	18.00 .......................22.00			X	203,670	0	15,885
(26) THOMAS V WHALEN MD MMM........................................................................ FORMER TRUSTEE	0.00 .......................			X	0	991,405	33,933

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	2,282,157	991,405	222,912

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

f	All other contributions, gifts, grants, and similar amounts not included above		1f	131,538

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		131,538

		Business Code
2a	OUTPATIENT REVENUE	621400	85,326,359	85,326,359
b	INPATIENT REVENUE	621990	62,979,839	62,979,839
c	SCHOOL OF NURSING	611600	737,070	737,070
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		149,043,268

3 Investment income (including dividends, interest, and othersimilar amounts) ......			243,873			243,873
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		516,001
b	Less: rental expenses		438,601
c	Rental income or (loss)		77,400
d	Net rental income or (loss)......			77,400			77,400
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses	13,817
c	Gain or (loss)	-13,817
d	Net gain or (loss).....			-13,817			-13,817
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	MEANINGFUL USE		561439	1,653,313			1,653,313
b	CAFETERIA & VENDING		900099	600,027			600,027
c	GIFT SHOP SALES		900099	100,849			100,849
d	All other revenue ....			248,310			248,310
e	Total. Add lines 11a–11d ......			2,602,499
12	Total revenue. See Instructions......			152,084,761	149,043,268	0	2,909,955

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
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	877,492	877,492
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	56,578,975	52,819,175	3,759,800
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,099,252	1,119,719	-20,467
9	Other employee benefits .......	7,058,272	5,849,397	1,208,875
10	Payroll taxes ...........	4,235,648	3,507,116	728,532
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	6,985	6,985
c	Accounting ...........
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)	17,241,323	12,671,123	4,570,200
12	Advertising and promotion ....	191,703	163,970	26,258	1,475
13	Office expenses .......	455,096	442,440	12,656
14	Information technology ......	367,921	367,921
15	Royalties ..
16	Occupancy ...........	4,915,922	4,480,099	435,823
17	Travel ............	219,578	215,567	4,011
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	29,229	28,222	1,007
20	Interest ...........	2,537,276	2,537,276
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	5,225,661	1,733,453	3,492,208
23	Insurance ...	1,485,918	1,485,918
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	19,301,592	19,158,483	143,109
b	BAD DEBT EXPENSE	13,312,420	13,312,420
c	CONTRACT PERSONNEL	8,748,093	8,748,093
d	PURCHASED SERVICES	2,851,702	2,551,378	300,324
e	All other expenses	3,084,940	2,822,012	262,928
25	Total functional expenses. Add lines 1 through 24e	149,824,998	134,898,259	14,925,264	1,475
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 ........			4,580	1	4,105
2	Savings and temporary cash investments .........			2,803,059	2	3,877,030
3	Pledges and grants receivable, net ......			545,343	3	2,154,862
4	Accounts receivable, net .............			16,070,898	4	11,018,627
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
					6
7	Notes and loans receivable, net ....				7
8	Inventories for sale or use ........			1,394,758	8	1,457,861
9	Prepaid expenses and deferred charges ......			1,551,482	9	1,526,244
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	50,847,039
b	Less: accumulated depreciation	10b	14,906,451	37,805,696	10c	35,940,588
11	Investments—publicly traded securities .			6,718,754	11	6,532,493
12	Investments—other securities. See Part IV, line 11 .....			7,059,646	12	6,035
13	Investments—program-related. See Part IV, line 11 ..			313,810	13	362,302
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			80,912,939	15	76,307,646
16	Total assets. Add lines 1 through 15 (must equal line 34)...			155,180,965	16	139,187,793

17	Accounts payable and accrued expenses .....	15,821,380	17	11,680,025
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	76,435,463	20	61,535,963
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		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	43,712,756	25	50,428,867
26	Total liabilities. Add lines 17 through 25..	135,969,599	26	123,644,855

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	13,428,346	27	9,607,797
28	Temporarily restricted net assets ...........	179,876	28	497,649
29	Permanently restricted net assets	5,603,144	29	5,437,492
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	19,211,366	33	15,542,938
34	Total liabilities and net assets/fund balances ........	155,180,965	34	139,187,793