TY 2022 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/1099-NEC)
(1) KIRSTEN H ANTHONY...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(2) ROBERT BEGLIOMINI PHARMD MBA...................................................................... PRESIDENT, LVH/TRUSTEE	60.00 .................	X		713,484	0	30,611
(3) DEBORAH A BREN DO...................................................................... TRUSTEE	1.00 ................. 60.00	X		0	358,471	26,375
(4) BETH A BROOKE CPA...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(5) STEVEN R FOLLETT MBA...................................................................... CHAIRPERSON/TRUSTEE	1.00 .................	X	X	0	0	0
(6) LINDA V GREEN PHD...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(7) RANJU GUPTA MD...................................................................... TRUSTEE	1.00 ................. 60.00	X		0	505,775	33,107
(8) JOEL C HOFFMAN...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(9) BRYAN G KANE MD...................................................................... TRUSTEE	1.00 ................. 60.00	X		0	397,626	0
(10) THOMAS MARCHOZZI MBA CPA...................................................................... TREASURER	20.00 ................. 40.00		X	1,418,647	0	26,460
(11) JAMES C MILLER...................................................................... PRESIDENT, LVH-M/TRUSTEE	60.00 .................	X		528,670	0	31,021
(12) BRIAN A NESTER DO...................................................................... PRESIDENT/CEO, LVHN/TRUSTEE	20.00 ................. 40.00	X		2,897,358	0	28,408
(13) KATHERINE E O'BRIEN...................................................................... VICE CHAIRPERSON/TRUSTEE	1.00 .................	X	X	0	0	0
(14) JOHN M PIERRO MBA...................................................................... EXECUTIVE VICE PRESIDENT/CHIEF OPERATING OFFICER	60.00 .................	X		1,269,553	0	31,107
(15) MICHAEL A ROSSI MD MBA...................................................................... ASSISTANT SECRETARY	20.00 ................. 40.00		X	1,417,395	0	23,609
(16) WILLIAM H SPENCE MBA...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(17) ROBERT L THOMAS CPA...................................................................... ASSISTANT TREASURER	20.00 ................. 40.00		X	485,890	0	10,376

(A) Name and business address	(B) Description of services	(C) Compensation
HEALTHTRUST WORKFORCE SOLUTIONS LLC 1000 SAWGRASS CORPORATE PARKWAY 6T SUNRISE,FL333232873	STAFFING SERVICES	74,522,392
PRICEWATERHOUSECOOPERS ADVISORY SERVICES 4040 W BOY SCOUT BOUELVARD TAMPA,FL336075750	CONSULTING SERVICES	5,332,866
KLINE & SPECTER PC 1525 LOCUST STREET 19TH FLOOR PHILADELPHIA,PA191023719	LEGAL SERVICES	4,000,000
VERSALUS HEALTH LLC PO BOX 536764 PITTSBURGH,PA152535909	REVENUE CYCLE SERVICES	3,172,959
CLOUDMED SOLUTIONS LLC 5700 GRANITE PARKWAY SUITE 940 PLANO,TX750246643	CONSULTING SERVICES	2,914,911
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 124

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

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

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

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

OMB No. 1545-0047

2022

Open to Public
Inspection

Name of the organization

LEHIGH VALLEY HOSPITAL

Employer identification number

23-1689692

Part I

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

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

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

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

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 33 1/3% 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 33 1/3% 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 on 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) 2022

Page 2

Part II

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

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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 5 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 2022 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2022. 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—2021. 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—2022. 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—2021. 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) 2022

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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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 on 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 5 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 2022 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2021 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2022 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2021 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2022. 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—2021. 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) 2022

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) .

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

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 on 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 on 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) 2022

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 on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2022

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 0.015 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 0.035	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) 2022

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2022 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2022	(iii) Distributable Amount for 2022
1 Distributable amount for 2022 from Section C, line 6
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2022:
a From 2017.......
b From 2018.......
c From 2019.......
d From 2020.......
e From 2021.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2022 distributable amount
i Carryover from 2017 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2022 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2022 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2022, 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 2022. 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 2023. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2018.....
b Excess from 2019.....
c Excess from 2020.....
d Excess from 2021.....
e Excess from 2022.....

Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022

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) 2022

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

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

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

OMB No. 1545-0047

2022

Name of the organization

LEHIGH VALLEY HOSPITAL

Employer identification number

23-1689692

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

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

General Rule

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

Special Rules

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

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

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

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

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

Cat. No. 30613XSchedule B (Form 990) (2022)

Schedule B (Form 990) (2022) Page 2

Name of organization LEHIGH VALLEY HOSPITAL

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2022)

Schedule B (Form 990) (2022)

Page 3

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

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2022)

Schedule B (Form 990) (2022)

Page 4


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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

Schedule B (Form 990) (2022)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

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

2021

Open to Public
Inspection

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

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

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

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

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

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

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

Name of the organization

LEHIGH VALLEY HOSPITAL

Employer identification number

23-1689692

Part I-A

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

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

Political campaign activity expenditures. See instructions .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

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

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

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

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

Yes No

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

Yes No

If "Yes," describe in Part IV.

Part I-C

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

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

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

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

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

Yes No

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

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

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

Cat. No. 50084S

Schedule C (Form 990) 2021

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) 2018	(b) 2019	(c) 2020	(d) 2021	(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) 2021

Page 3

Part II-B

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

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

(a)

Yes|No

(b)

Amount

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

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

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

Yes

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

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

Yes

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

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

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

Yes

235,822

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

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

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

235,822

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

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

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

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

Part III-A

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

Yes

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

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

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

Part III-B

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

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

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

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

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

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

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

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

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

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

Return Reference	Explanation
PART II-B, LINE 1:	PART II-B, LINE 1D: MAILINGS WERE ELECTRONIC, NO POSTAGE OR OTHER COSTS. PART II-B, LINE 1G: REPRESENTS LABOR COSTS OF SALARIED EMPLOYEES AND OUTSIDE CONTRACTED STATE LOBBYIST TO PREPARE FOR AND MEET WITH OR ELECTRONICALLY CONTACT GOVERNMENT OFFICIALS ON A VARIETY OF HEALTHCARE, HOSPITAL, AND BUDGETARY ISSUES. ALSO INCLUDES THE LOBBYING PORTION OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION, THE HOSPITAL & HEALTHCARE ASSOCIATION OF PENNSYLVANIA, AND THE NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION.

Return Reference

Explanation

PART II-B, LINE 1:

PART II-B, LINE 1D: MAILINGS WERE ELECTRONIC, NO POSTAGE OR OTHER COSTS. PART II-B, LINE 1G: REPRESENTS LABOR COSTS OF SALARIED EMPLOYEES AND OUTSIDE CONTRACTED STATE LOBBYIST TO PREPARE FOR AND MEET WITH OR ELECTRONICALLY CONTACT GOVERNMENT OFFICIALS ON A VARIETY OF HEALTHCARE, HOSPITAL, AND BUDGETARY ISSUES. ALSO INCLUDES THE LOBBYING PORTION OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION, THE HOSPITAL & HEALTHCARE ASSOCIATION OF PENNSYLVANIA, AND THE NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION.

Schedule C (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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

Attach to Form 990.
SchDMd Bullet

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

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

LEHIGH VALLEY HOSPITAL

Employer identification number

23-1689692

Part I

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

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

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

Yes No

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

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


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

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

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

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

Yes No

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

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

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

Yes No

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

Part III

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

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

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

(i)

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

(ii)

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

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

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

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

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

Cat. No. 52283D

Schedule D (Form 990) 2021

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 ....	213,548,115	220,733,060	172,453,138	164,819,500	160,796,676
b	Contributions ...	173,134	14,131,700	9,782,866	10,366,994	598,124
c	Net investment earnings, gains, and losses	14,809,167	-13,602,449	43,413,305	2,832,340	8,930,195
d	Grants or scholarships ...	10,278,647	2,248,056	602,067	810,934	844,070
e	Other expenditures for facilities and programs ...	5,136,563	5,466,140	4,314,182	4,754,762	4,661,425
f	Administrative expenses ....
g	End of year balance ......	213,115,206	213,548,115	220,733,060	172,453,138	164,819,500

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

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

40.884 %

Term endowment SchDMd Bullet

59.116 %

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 .....	164,298,969		164,298,969
b	Buildings ....	1,424,938,576	801,792,926	623,145,650
c	Leasehold improvements	111,131,382	80,073,564	31,057,818
d	Equipment ....	737,794,959	399,934,871	337,860,088
e	Other .....	323,715,597	130,432,842	193,282,755
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				1,349,645,280

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other 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

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

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1)INVESTMENT-LEHIGH VALLEY PHYSICIAN HOSPITAL ORG. (50.00%)	19,733,574	C
(2)INVESTMENT-HEALTH NETWORK LABORATORIES (96.69%)	208,744,655	C
(3)INVESTMENT-FAIRGROUNDS MEDICAL CENTER (7.48%)	379,242	C
(4)INVESTMENT-GRAND VIEW-LEHIGH VALLEY HEALTH SERVICES (33.30%)	480,779	C
(5)INVESTMENT-LEHIGH VALLEY IMAGING (72.00%)	34,131,953	C
(6)INVESTMENT-WELLER HEALTH EDUCATION CENTER	1	C
(7)INVESTMENT-LEHIGH VALLEY HEALTH NETWORK RISK RETENTION GROUP (20.00%)	5,000	C
(8)INVESTMENT-WESTGATE PROFESSIONAL CENTER (100.00%)	6,206,000	C
(9)INVESTMENT-CAPITAL RX	2,500,000	C
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	272,181,204

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

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	418,251,612
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) 2021

Page 4

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

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

Part XIII

Supplemental Information

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

Return Reference

Explanation

PART V, LINE 4:

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

PART X, LINE 2:

LEHIGH VALLEY HEALTH NETWORK (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) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

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

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

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

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization
LEHIGH VALLEY HOSPITAL

Employer identification number

23-1689692

Part I

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

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

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

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

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

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

YesNo

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

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










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

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

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

Cat. No. 50083H

Schedule G (Form 990) 2022

Page 2

Part II

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

		(a) Event #1 NITE LITES (event type)	(b) Event #2 GOLF OUTING (event type)	(c) Other events 2 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	965,847	426,560	273,078	1,665,485
2	Less: Contributions . . . .	176,500	10,400	19,910	206,810
3	Gross income (line 1 minus line 2) . . . . . .	789,347	416,160	253,168	1,458,675

4	Cash prizes . . . . .		2,500		2,500
5	Noncash prizes . . . .		4,275		4,275
6	Rent/facility costs . . . .	232,384	55,000	8,438	295,822
7	Food and beverages . . .	187,202	60,000	32,200	279,402
8	Entertainment . . . .	10,500		6,045	16,545
9	Other direct expenses . . .	217,965	33,081	12,333	263,379
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				861,923
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .				596,752

Part III

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

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

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

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

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

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

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

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

YesNo

If "No," explain:

10a

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

YesNo

If "Yes," explain:

Schedule G (Form 990) 2022

Page 3

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

YesNo

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

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

YesNo

Indicate the percentage of gaming activity conducted in:

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

13a

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

13b

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

Name

Address

15a

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

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

YesNo

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

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

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

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

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

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

YesNo

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

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

Part IV

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

Return Reference	Explanation

Schedule G (Form 990) 2022

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 20a.
MediumBullet

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

LEHIGH VALLEY HOSPITAL

Employer identification number

23-1689692

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

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

Yes

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

Yes

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

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

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

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

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

Yes

100% 150% 200% Other %

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

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

Yes

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

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

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

Yes

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

Yes

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

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

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

Yes

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

Yes

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	6,056,361		6,056,361	0.200 %
b	Medicaid (from Worksheet 3, column a) . . . . .	417,881,240	240,313,542	177,567,698	5.950 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	423,937,601	240,313,542	183,624,059	6.150 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	15,889,537		15,889,537	0.530 %
f	Health professions education (from Worksheet 5) . . .	45,946,300	13,875,515	32,070,785	1.070 %
g	Subsidized health services (from Worksheet 6) . . . .	228,816,251	172,400,699	56,415,552	1.890 %
h	Research (from Worksheet 7) .	5,811,907	2,880,487	2,931,420	0.100 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	704,592		704,592	0.020 %
j	Total. Other Benefits . .	297,168,587	189,156,701	108,011,886	3.610 %
k	Total. Add lines 7d and 7j .	721,106,188	429,470,243	291,635,945	9.760 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022

Schedule H (Form 990) 2022

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 Healthcare Financial Management Association Statement No. 15? ..........................

Yes

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

14,764,993

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. ......

3,527,746

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).....

490,976,835

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

543,390,711

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

-52,413,876

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

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

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

Yes

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

Yes

Part IV

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

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 LVHN RECIPROCAL RISK RETENTION GROUP	MALPRACTICE INSURANCE	20.000 %	0 %	0 %
22 HEALTH NETWORK LABORATORIES LLC	LABORATORY SERVICES	97.930 %	0 %	0 %
33 HEALTH NETWORK LABORATORIES LP	LABORATORY SERVICES	96.690 %	0 %	0 %
44 LEHIGH VALLEY PHYSICIAN HOSPITAL ORGANIZATION INC	HEALTH CARE SERVICES	50.000 %	0 %	0 %
55 WESTGATE PROFESSIONAL CENTER INC	REAL ESTATE SERVICES	100.000 %	0 %	0 %
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2022

Page

Part VFacility Information

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

Schedule H (Form 990) 2022

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

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

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

Yes

Community Health Needs Assessment

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

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

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

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The significant health needs of the community

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

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

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

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

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 21

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/CHNA

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 21

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

Yes

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

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) 2022

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

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

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

Yes

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

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

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

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

Yes

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

Yes

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

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

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

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

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

Other (describe in Section C)

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

Yes

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

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

WWW.LVHN.ORG/GET-FINANCIAL-ASSISTANCE

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

WWW.LVHN.ORG/GET-FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
WWW.LVHN.ORG/GET-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) 2022

Page 6

Part VFacility Information (continued)

Billing and Collections

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

Yes

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

Yes

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

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

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

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

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

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

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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

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

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

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

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

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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

Yes

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 7

Part VFacility Information (continued)

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

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

Yes

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

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

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

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

The hospital facility used a prospective Medicare or Medicaid method

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

If "Yes," explain in Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2022

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
LEHIGH VALLEY HOSPITAL	PART V, SECTION B, LINE 5: FOR THE PURPOSES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), LVHN DEFINES THE COMMUNITY IT SERVES AS ALL INDIVIDUALS LIVING WITHIN THE COUNTIES THAT CONTAIN OUR HOSPITAL CAMPUSES. LVHN IS REQUIRED TO PRODUCE A CHNA HEALTH PROFILE FOR EACH OF OUR LICENSED FACILITIES TO ADDRESS THE LOCAL CONTEXT OF THE DIFFERENT COMMUNITIES WE SERVE. THEREFORE, LVHN HAS PRODUCED SEVEN CHNA HEALTH PROFILES FOR OUR LEHIGH VALLEY HOSPITAL (LVH) CAMPUSES: LVH-CARBON (CARBON COUNTY); LVH-DICKSON CITY (LACKAWANNA COUNTY); LVH-HAZLETON (LUZERNE COUNTY); LVH-POCONO (MONROE COUNTY); LVH-CEDAR CREST, LVH-17TH STREET, AND LVHN-1503 N. CEDAR CREST (LEHIGH COUNTY); LVH-HECKTOWN OAKS, LVH-MUHLENBERG, AND LVHN-HIGHLAND AVENUE (NORTHAMPTON COUNTY); AND LVH-SCHUYLKILL (SCHUYLKILL COUNTY).WE ADDITIONALLY ASSESSED HEALTH NEEDS WITHIN THE CITY OF ALLENTOWN TO REFLECT THE URBAN COMMUNITY SURROUNDING OUR 17TH STREET CAMPUS IN THE LEHIGH COUNTY REPORT. WITHIN THE ENTIRE GEOGRAPHIC POPULATION THAT MAKES UP THE COMMUNITIES WE SERVE, WE PLACE A GREATER EMPHASIS ON INCLUDING INDIVIDUALS IN THE COMMUNITY WHO ARE EXPERIENCING HEALTH DISPARITIES TO A GREATER EXTENT OR WHO ARE AT RISK FOR NEGATIVE HEALTH OUTCOMES BECAUSE OF THE SOCIAL AND ENVIRONMENTAL FACTORS INFLUENCING THEIR HEALTH.IT IS WELL DOCUMENTED THAT THE CLINICAL CARE PROVIDED TO COMMUNITY MEMBERS ONLY ACCOUNTS FOR A SMALL PORTION OF AN INDIVIDUAL'S OVERALL HEALTH. THERE ARE MANY OTHER FACTORS THAT OCCUR OUTSIDE THE DOCTOR'S OFFICE AND HOSPITAL WALLS THAT INFLUENCE HEALTH BEYOND MEDICAL CARE. THEY INCLUDE:- SOCIAL AND ECONOMIC FACTORS, SUCH AS EDUCATION, EMPLOYMENT, AND SOCIAL SUPPORT,- PHYSICAL ENVIRONMENT FACTORS, SUCH AS HOUSING, TRANSPORTATION, AND AIR QUALITY,- HEALTH BEHAVIORS, SUCH AS SMOKING, DRINKING, DIET, AND EXERCISE.THEREFORE, THE CHNA HEALTH PROFILE PROVIDES INFORMATION ABOUT HEALTH CARE AS WELL AS OTHER HEALTH FACTORS FOLLOWED BY HEALTH OUTCOMES. THERE ARE TWO TYPES OF DATA INCLUDED IN THE CHNA HEALTH PROFILES. THE FIRST TYPE IS QUANTITATIVE DATA, OR NUMBERS AND STATISTICS ABOUT THE OVERALL POPULATION IN THE COMMUNITY. THESE STATISTICS COME FROM A VARIETY OF LOCAL, STATE, AND NATIONAL SOURCES INCLUDING THE CENSUS, THE CENTER FOR DISEASE CONTROL, THE DEPARTMENT OF EDUCATION, AND THE CENTERS FOR MEDICAID AND MEDICARE SERVICES. MOST OF THESE DATA POINTS ARE COMPILED TOGETHER THROUGH A PLATFORM CALLED SPARKMAP FROM CARES AT THE UNIVERSITY OF MISSOURI EXTENSION, WHICH LVHN USES AS THE STARTING POINT FOR ITS CHNA HEALTH PROFILES, ADDING OTHER KEY STATE AND LOCAL DATA SOURCES TO THE DATA PROVIDED THROUGH THIS HEALTH REPORT.IN ADDITION, NON-PROFIT HOSPITAL SYSTEMS ARE REQUIRED TO OBTAIN INPUT FROM INDIVIDUALS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING THOSE WITH PUBLIC HEALTH EXPERTISE AND THE VULNERABLE POPULATIONS. LVHN CHOSE TO OBTAIN THIS INPUT THROUGH COMMUNITY CONVERSATIONS AND KEY STAKEHOLDER INTERVIEWS WITH COMMUNITY MEMBERS AND LEADERS. THIS TYPE OF DATA IS REFERRED TO AS QUALITATIVE DATA. FOR EACH CAMPUS, WE PARTNERED WITH AN EXTERNAL COMMUNITY COLLABORATOR WHO HAS EXPERIENCE IN QUALITATIVE DATA COLLECTION TO CONDUCT THESE FOCUS GROUPS AND INTERVIEWS ON LVHN'S BEHALF. THIS PROCESS PROVIDED COMMUNITY MEMBERS WITH AN INDEPENDENT AND OBJECTIVE OPPORTUNITY TO IDENTIFY AND SHARE THEIR PERSONAL EXPERIENCES AND PERSPECTIVE ON THE MOST PRESSING HEALTH NEEDS FACING THEIR COMMUNITY AS WELL AS WHERE THEY WOULD LIKE LVHN TO FOCUS ITS ATTENTION. IN CARBON COUNTY, LVH PARTNERED WITH EAST CENTRAL AREA HEALTH EDUCATION CENTER, A NONPROFIT LOCATED IN LEHIGHTON WHICH FOCUSES ON IMPROVING HEALTHCARE ACCESS AND BUILDING A QUALITY HEALTHCARE WORKFORCE. IN LEHIGH AND NORTHAMPTON COUNTIES, LVH PARTNERED WITH TWO FACULTY MEMBERS FROM CEDAR CREST COLLEGE. THE FOCUS GROUPS AND INTERVIEWS WERE CONDUCTED BETWEEN NOVEMBER 2021 AND JANUARY 2022. IN LEHIGH COUNTY, WHERE OUR CEDAR CREST, 17TH STREET, AND 1503 NORTH CEDAR CREST CAMPUSES ARE LOCATED, 54 PARTICIPANTS WERE INVOLVED IN COMMUNITY CONVERSATIONS AND 4 ADDITIONAL KEY STAKEHOLDERS WERE INTERVIEWED. IN NORTHAMPTON COUNTY, WHERE OUR MUHLENBERG, HECKTOWN OAKS, AND HIGHLAND AVENUE CAMPUSES ARE LOCATED, 42 PARTICIPANTS WERE INVOLVED IN COMMUNITY CONVERSATIONS AND 5 ADDITIONAL KEY STAKEHOLDERS WERE INTERVIEWED. IN CARBON COUNTY, WHERE OUR CARBON CAMPUS IS LOCATED, 24 PARTICIPANTS WERE INVOLVED IN COMMUNITY CONVERSATIONS AND 6 ADDITIONAL KEY STAKEHOLDERS WERE INTERVIEWED.BELOW IS A SUMMARY OF THE ORGANIZATIONS REPRESENTED IN THE COMMUNITY CONVERSATIONS AND INTERVIEWS AS WELL AS A SUMMARY OF THE DEMOGRAPHICS OF THOSE WHO PARTICIPATED. RESIDENTS, INCLUDING THOSE FROM LOW-INCOME POPULATIONS AND OTHER GROUPS OF FOCUS, WERE ALSO INCLUDED IN THE COMMUNITY CONVERSATIONS IN EACH COUNTY.ORGANIZATIONS REPRESENTED IN LEHIGH COUNTY:ALLENTOWN HEALTH BUREAUBIG BROTHERS/BIG SISTERSCEDAR CREST COLLEGECOMMUNITIES THAT CARE (CATASAUQUA)COMMUNITIES THAT CARE (WHITEHALL/COPLAY)LEHIGH CARBON COMMUNITY COLLEGELEHIGH COUNTY SPECIAL PROGRAM OF OFFENDERS IN REHABILITATION AND EDUCATIONLEHIGH GAP NATURE CENTERRIPPLE COMMUNITY CENTERDEMOGRAPHICS OF PARTICIPANTS IN LEHIGH COUNTY:GENDER: 65% FEMALE, 35% MALEAVERAGE AGE: 50, AGE RANGE: 22-70RACE: 92% WHITE, 5% BLACK/AFRICAN AMERICAN, 3% MULTI-RACIALETHNICITY: 95% NON-HISPANIC, 5% HISPANIC (OF ANY RACE)ORGANIZATIONS REPRESENTED IN NORTHAMPTON COUNTY:BETHLEHEM AREA SCHOOL DISTRICTBETHLEHEM HEALTH BUREAUEASTON AREA SCHOOL DISTRICT (PAXINOSA ELEMENTARY SCHOOL)FORKS UNITED CHURCH OF CHRISTGREATER EASTON DEVELOPMENT PARTNERSHIPLEHIGH VALLEY PLANNING COMMISSIONNORTHAMPTON COMMUNITY COLLEGENORTHAMPTON COUNTY GOVERNMENTSLATE BELT CHAMBER OF COMMERCEDEMOGRAPHICS OF PARTICIPANTS IN NORTHAMPTON COUNTY:GENDER: 67% FEMALE, 33% MALEAVERAGE AGE: 49, AGE RANGE: 23-74RACE: 73% WHITE, 13% MULTI-RACIAL, 13% OTHER RACEETHNICITY: 87% NON-HISPANIC, 13% HISPANIC (OF ANY RACE)ORGANIZATIONS REPRESENTED IN CARBON COUNTY:CANCER SUPPORT COMMUNITY OF THE GREATER LEHIGH VALLEYCARBON COUNTY COMMUNITY FOUNDATIONGREATER LEHIGH VALLEY UNITED WAYJIM THORPE ROTARY CLUBTURN TO USWEATHERLY AREA SCHOOL DISTRICT (WEATHERLY HIGH SCHOOL)DEMOGRAPHICS OF PARTICIPANTS IN CARBON COUNTY:GENDER: 91% FEMALE, 9% MALEAVERAGE AGE: 50, AGE RANGE: 24-65RACE: 91% WHITE, 9% ASIANETHNICITY: 100% NON-HISPANIC
LEHIGH VALLEY HOSPITAL	PART V, SECTION B, LINE 6A: LVHN HAS PRODUCED SEVEN CHNA HEALTH PROFILES FOR OUR LEHIGH VALLEY HOSPITAL (LVH) CAMPUSES: LVH-CARBON (CARBON COUNTY); LVH-DICKSON CITY (LACKAWANNA COUNTY); LVH-HAZLETON (LUZERNE COUNTY); LVH-POCONO (MONROE COUNTY); LVH-CEDAR CREST, LVH-17TH STREET, AND LVHN-1503 N. CEDAR CREST (LEHIGH COUNTY); LVH-HECKTOWN OAKS, LVH-MUHLENBERG, AND LVHN-HIGHLAND AVENUE (NORTHAMPTON COUNTY); AND LVH-SCHUYLKILL (SCHUYLKILL COUNTY).WE ADDITIONALLY ASSESSED HEALTH NEEDS WITHIN THE CITY OF ALLENTOWN TO REFLECT THE URBAN COMMUNITY SURROUNDING OUR 17TH STREET CAMPUS IN THE LEHIGH COUNTY REPORT, AND THE LUZERNE COUNTY REPORT INCLUDES INFORMATION ABOUT THE HEALTH NEEDS IN THE CITY OF HAZLETON WHERE IT WAS AVAILABLE. WITHIN THE ENTIRE GEOGRAPHIC POPULATION THAT MAKES UP THE COMMUNITIES WE SERVE, WE PLACE A GREATER EMPHASIS ON INCLUDING INDIVIDUALS IN THE COMMUNITY WHO ARE EXPERIENCING HEALTH DISPARITIES TO A GREATER EXTENT OR WHO ARE AT RISK FOR NEGATIVE HEALTH OUTCOMES BECAUSE OF THE SOCIAL AND ENVIRONMENTAL FACTORS INFLUENCING THEIR HEALTH.
LEHIGH VALLEY HOSPITAL	PART V, SECTION B, LINE 6B: ORGANIZATIONS REPRESENTED IN LEHIGH COUNTY:ALLENTOWN HEALTH BUREAUBIG BROTHERS/BIG SISTERSCEDAR CREST COLLEGECOMMUNITIES THAT CARE (CATASAUQUA)COMMUNITIES THAT CARE (WHITEHALL/COPLAY)LEHIGH CARBON COMMUNITY COLLEGELEHIGH COUNTY SPECIAL PROGRAM OF OFFENDERS IN REHABILITATION AND EDUCATIONLEHIGH GAP NATURE CENTERRIPPLE COMMUNITY CENTERORGANIZATIONS REPRESENTED IN NORTHAMPTON COUNTY:BETHLEHEM AREA SCHOOL DISTRICTBETHLEHEM HEALTH BUREAUEASTON AREA SCHOOL DISTRICT (PAXINOSA ELEMENTARY SCHOOL)FORKS UNITED CHURCH OF CHRISTGREATER EASTON DEVELOPMENT PARTNERSHIPLEHIGH VALLEY PLANNING COMMISSIONNORTHAMPTON COMMUNITY COLLEGENORTHAMPTON COUNTY GOVERNMENTSLATE BELT CHAMBER OF COMMERCEORGANIZATIONS REPRESENTED IN CARBON COUNTY:CANCER SUPPORT COMMUNITY OF THE GREATER LEHIGH VALLEYCARBON COUNTY COMMUNITY FOUNDATIONGREATER LEHIGH VALLEY UNITED WAYJIM THORPE ROTARY CLUBTURN TO USWEATHERLY AREA SCHOOL DISTRICT (WEATHERLY HIGH SCHOOL)
LEHIGH VALLEY HOSPITAL	PART V, SECTION B, LINE 7D: OUR COMMUNITY HEALTH NEEDS ASSESSMENT IS ALSO AVAILABLE UPON REQUEST.
LEHIGH VALLEY HOSPITAL	PART V, SECTION B, LINE 11: PRIORITY AREA: MENTAL HEALTH PREVENTION AND EDUCATION (LEHIGH AND NORTHAMPTON COUNTIES) LEHIGH VALLEY HOSPITAL'S CHNA CALLED ATTENTION TO THE ONGOING CONCERNS THAT RESIDENTS HAVE REGARDING THE MENTAL HEALTH OF PEOPLE IN THEIR COMMUNITY. PARTICIPANTS FELT THAT ONE'S MENTAL HEALTH IS AS IMPORTANT AS ONE'S PHYSICAL HEALTH. THEY NOTED THAT WHILE MENTAL HEALTH WAS A CHALLENGE PRIOR TO THE PANDEMIC, THE SOCIAL ISOLATION AND SENSE OF LOSS THAT COVID-19 HAS FORCED EVERYONE TO EXPERIENCE HAS FURTHER EMPHASIZED THE NEED. SOME PEOPLE ARE NOW SELF-MEDICATING, WHICH IS A CONCERN. COMMUNITY MEMBERS FELT THAT IT IS VERY DIFFICULT TO FIND HELP WHEN DEALING WITH MENTAL HEALTH ISSUES, PARTICULARLY FOR PEOPLE WITH A DUAL DIAGNOSIS (MENTAL HEALTH DISORDER AND SUBSTANCE USE DISORDER). CONCERN WAS EXPRESSED ABOUT MARGINALIZATION AND INEQUITIES, ESPECIALLY FOR BLACK AND BROWN COMMUNITY MEMBERS, THOSE EXPERIENCING HOMELESSNESS, AND INDIVIDUALS WITHIN THE LGBTQ COMMUNITY. IN ADDITION TO WHAT WE HEARD FROM FOCUS GROUPS, WE ALSO KNOW (FROM DATA FROM THE CENTERS FOR DISEASE CONTROL) THAT LEHIGH AND NORTHAMPTON COUNTIES BOTH HAVE HIGH RATES OF SUICIDE (14.7 AND 16.4 PER 100,000 RESPECTIVELY). AS THERE IS STILL STIGMA ATTACHED TO NEEDING HELP FOR MENTAL HEALTH ISSUES, OUR GOAL IS TO DECREASE STIGMA AND INCREASE THE SKILLS OF PROFESSIONALS AND COMMUNITY MEMBERS TO RECOGNIZE MENTAL HEALTH CONCERNS AND PROMOTE MENTAL WELLNESS.PARTICIPANTS FELT THAT THE YOUNGER GENERATION TALKS MORE ABOUT MENTAL HEALTH, BUT THERE IS ALSO A GROWING CONCERN ABOUT SUICIDE AMONG YOUTH. IN OUR REGION, SUICIDE IS THE SECOND LEADING CAUSE OF DEATH AMONG TEENS. COMMUNITY MEMBERS NOTED THAT THERE IS A NEED FOR ADDITIONAL MENTAL HEALTH SERVICES (E.G., INPATIENT, COUNSELORS) AND FOR PREVENTION EFFORTS, SUCH AS TEACHING HEALTHY COPING SKILLS. THEY WOULD ALSO LIKE TO SEE LVHN PRESENT A MORE ENGAGED, POSITIVE, EMPATHIC, INTERACTIVE PRESENCE IN THE COMMUNITY AND DO MORE TO ENGAGE MARGINALIZED MEMBERS OF THE COMMUNITY. IN RESPONSE TO THE CONCERNS OUTLINED ABOVE, LEHIGH VALLEY HOSPITAL PRIORITIZED OPPORTUNITIES TO PROVIDE MENTAL HEALTH EDUCATION AND TO CONNECT WITH INDIVIDUALS WHO MIGHT BENEFIT FROM MENTAL HEALTH CARE AND INFORM THEM ABOUT AVAILABLE SERVICES. WE HAVE FOUND THAT HEALTH FAIRS AND COMMUNITY EVENTS PROVIDE CONVENIENT AND HIGHLY ACCESSIBLE WAYS FOR INDIVIDUALS TO TALK AND LEARN ABOUT MENTAL HEALTH AND MENTAL HEALTH CARE OPTIONS. WE HAVE PROVIDED THESE OPPORTUNITIES THROUGHOUT OUR COMMUNITIES WITH AN EYE TOWARD ENGAGING A WIDE VARIETY OF PEOPLE AND GROUPS. THE FOLLOWING EVENTS WERE COMPLETED IN FY23 BY THE DEPARTMENT OF PSYCHIATRY:SPONSORED ELEVEN DIFFERENT COMMUNITY EVENTS FOCUSED ON MENTAL HEALTH OVER THE COURSE OF FY23. THESE INCLUDED WALKS/RUNS, WELLNESS FAIRS AND EVENTS, A GOLF OUTING, AND A COMMUNITY DAY. OFFERED PRESENTATIONS AND TRAININGS IN THE COMMUNITY. IN MAY, DR. OMAR OFFERED A TWO-DAY SEMINAR ON SUICIDE PREVENTION IN BETHLEHEM. IT WAS ATTENDED BY 284 SCHOOL PRINCIPALS, GUIDANCE COUNSELORS, LVHN STAFF AND COMMUNITY MEMBERS WITH A SPECIAL INTEREST IN SUICIDE PREVENTION. IN JUNE, WE PARTICIPATED IN A TRAINING ABOUT INFANT AND EARLY CHILDHOOD MENTAL HEALTH. OUR STAFF SPOKE AT A LEHIGH/NORTHAMPTON CONFERENCE AND STRATEGIC PLANNING GROUP OF ABOUT 100 PEOPLE WORKING ON OLDER ADULT MENTAL HEALTH. ONE OF OUR CLINICIANS OFFERED TWO INTERNAL PRESENTATIONS ON SUICIDE PREVENTION; IN MAY 70 COLLEAGUES ATTENDED, AND IN SEPTEMBER 90 COLLEAGUES ATTENDED. IN OCTOBER, THE DEPARTMENT OF PSYCHIATRY HOSTED A SAFETY SYMPOSIUM, FOCUSED ON MAINTAINING SAFETY IN THE WORKPLACE. SPEAKERS WERE INVITED WHO HAD A SPECIAL INTEREST IN VIOLENCE PREVENTION, INTERVENTION, AND MITIGATION STRATEGIES. THIS EVENT WAS ATTENDED BY 125 COLLEAGUES ACROSS THE NETWORK. PARTICIPATED IN LEHIGH COUNTY'S SUICIDE PREVENTION AND INTERVENTION COMMITTEE AND HAVE A COLLEAGUE ON THE BOARD OF THE AMERICAN FOUNDATION FOR SUICIDE PREVENTION (AFSP). HOSTED SURVIVORS OF SUICIDE, A SUPPORT GROUP FOR LOVED ONES PROVIDED BY AFSP, AT LEHIGH VALLEY HOSPITAL-CEDAR CREST. COLLABORATED WITH NORTHAMPTON COUNTY TO DIRECT $600,000 IN ARPA FUNDS TO SECURE A GRANT FOR A VAN TO PROVIDE MOBILE SERVICES WHICH MAY INCLUDE MENTAL HEALTH AND OTHER SCREENINGS. IMPLEMENTATION WILL OCCUR IN FY2024. AS A RESPONSE FROM A REQUEST RECEIVED BY NORTHAMPTON COUNTY, THE DEPARTMENT OF PSYCHIATRY CREATED THE AREA'S FIRST WARM HAND-OFF PROCEDURE. PATIENTS RESIDING IN NORTHAMPTON AND LEHIGH COUNTIES, WHO HAVE EXPERIENCED A SUICIDE ATTEMPT, ARE NOW OFFERED THE SERVICES OF A DESIGNATED COUNTY CASEWORKER UPON DISCHARGE, WHO WILL THEN ENSURE COORDINATION AND ACCESS TO CARE IN THE COMING WEEKS. ADDITIONALLY, IN MAY OF 2023, THE LEONARD PARKER POOL INSTITUTE FOR HEALTH, A RELATED ORGANIZATION, SPONSORED A SPEAKER EVENT WITH VISIBLE HANDS COLLABORATIVE, OUT OF PITTSBURGH, TO PROVIDE A DEMONSTRATION OF INTEGRATED COMMUNITY THERAPY, A PEER-LED GROUP FACILITATION TECHNIQUE WHICH HAS BEEN SHOWN TO EFFECTIVELY HELP COMMUNITY MEMBERS ADDRESS DAILY CONCERNS AND LIMIT THE BURDEN ON THE MENTAL HEALTH SYSTEM.PRIORITY AREA: SCHOOL-BASED BEHAVIORAL HEALTH (LEHIGH, NORTHAMPTON, AND CARBON COUNTIES) ANOTHER WAY THAT LVHN IS COMMITTED TO ADDRESS THE MENTAL HEALTH NEEDS OF THE COMMUNITY IS THROUGH SCHOOL-BASED BEHAVIORAL HEALTH SERVICES. AS A RESULT OF THESE CONCERNS, A GOAL WAS SET TO INCREASE BEHAVIORAL HEALTH CARE FOR STUDENTS BY PROVIDING ACCESS TO ON-SITE OR TELEHEALTH CARE. WE ARE INVESTED IN ASSURING THAT SERVICES PROVIDED TO STUDENTS AND THEIR FAMILIES USE TRAUMA-INFORMED, EVIDENCE-BASED, FAMILY-ALLIED, AND CULTURALLY RESPONSIVE APPROACHES. THE LEHIGH VALLEY REILLY CHILDREN'S HOSPITAL SCHOOL-BASED BEHAVIORAL HEALTH (SBBH) PROGRAM PARTNERS WITH SCHOOL DISTRICTS ACROSS THE HEALTH NETWORK'S SERVICE AREA TO REMOVE BARRIERS TO MENTAL HEALTH TREATMENT BY PROVIDING OUTPATIENT THERAPY FOR STUDENTS DURING THE SCHOOL DAY. EACH YEAR, HUNDREDS OF CHILDREN WHO OTHERWISE WOULD NOT HAVE ACCESS TO MENTAL HEALTH TREATMENT ARE ABLE TO PARTICIPATE IN SCHOOL-BASED THERAPY TO HELP THEM ADDRESS THEIR TRAUMA, IMPROVE THEIR SCHOOL PERFORMANCE, AND STRENGTHEN THEIR OVERALL WELL-BEING. THE PROGRAM IS LICENSED THROUGH THE DEPARTMENT OF HUMAN SERVICES TO ENABLE BILLING THROUGH MEDICAL ASSISTANCE AND EACH THERAPIST CARRIES A CASELOAD OF 25 TO 35 STUDENTS.SPECIFICALLY, THE CHNA PROCESS FOR LVH-CARBON (LVH-C) REVEALED INCREASING MENTAL HEALTH CONCERNS, INCLUDING INCREASED SUBSTANCE ABUSE, PARTICULARLY AMONG YOUTH. CARBON COUNTY RESIDENTS AND LEADERS WHO PARTICIPATED IN COMMUNITY MEETINGS SHARED THAT MENTAL HEALTH ISSUES ARE UNDERLYING MANY OF THE OTHER SOCIAL AND HEALTH ISSUES SEEN IN THE COMMUNITY. THERE HAS BEEN AN INCREASE IN ALCOHOL AND DRUG USE, LEADING TO MORE SUICIDES, INCLUDING AMONG YOUTH. EVEN THOUGH THERE IS A GROWING NEED, THERE ARE LIMITED RESOURCES IN THE COUNTY TO ADDRESS MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES. THERE IS A WEAK SUPPORT SYSTEM, AND THERE ARE NOT ENOUGH COUNSELORS OR HOSPITAL SERVICES. DATA FROM THE CENTERS FOR DISEASE CONTROL, WHICH WERE REVIEWED AS PART OF LVH-C'S CHNA PROCESS, REVEALED THAT CARBON COUNTY'S SUICIDE RATE (24.2/100,000) IS WELL ABOVE THE PENNSYLVANIA STATE SUICIDE RATE (13.8). THIS YEAR, LVHN'S GOAL WAS TO AUGMENT THERAPEUTIC SERVICES AND REDUCE WAIT LISTS. A SCHOOL-BASED TELE-THERAPIST WAS ADDED FOR THE LEHIGH VALLEY SITES. TELEHEALTH WAS VALUED TO PROVIDE SERVICES TO STUDENTS WHO WERE SICK OR PARTICIPATING IN EDUCATION OUTSIDE OF THE PRIMARY SCHOOL CLINIC LOCATION, AND TO INCLUDE FAMILY MEMBERS IN THERAPY SESSIONS. OF MENTAL HEALTH SERVICES PROVIDED DURING FY23, 10% WERE CONDUCTED THROUGH TELEHEALTH.NEW FOR THE PROGRAM THIS YEAR WAS THE DEVELOPMENT OF THE SCHOOL-BASED BEHAVIORAL HEALTH INTERNSHIP PROGRAM. THIS PROGRAM WAS ESTABLISHED TO ENGAGE GRADUATE LEVEL COUNSELING AND SOCIAL WORK STUDENTS IN SCHOOL-BASED MENTAL HEALTH WORK, AND TO SUPPORT THE TIER 3 COUNSELING SERVICES OF OUR CLINICAL TEAM. THE SCHOOL-BASED BEHAVIORAL HEALTH PROGRAM WELCOMED THREE GRADUATE LEVEL INTERNS TO OUR PROGRAM IN SEPTEMBER 2022. THE INTERN TEAM FOCUSED ON PSYCHOEDUCATION AND RESOURCE FINDING. WITH CLINICAL OVERSIGHT, THE INTERNS DEVELOPED CURRICULUM FOR THREE TIER 2, PSYCHOEDUCATIONAL GROUPS ON LGBTQ+ INCLUSIVITY, LIFE SKILLS, AND MINDFULNESS. IN SPRING 2023, THESE THREE GROUPS WERE IMPLEMENTED ACROSS SEVERAL SCHOOL SITES. GROUPS WERE OPEN TO ALL STUDENTS FREE OF CHARGE AND TOOK PLACE ONCE PER WEEK, OVER THE COURSE OF 8-10 WEEKS. THE INTERN TEAM ALSO HELPED TO CREATE A RESOURCE GUIDE, WHICH IS USED TO HELP FAMILIES CONNECT WITH COMMUNITY SUPPORTS.
LEHIGH VALLEY HOSPITAL	PART V, SECTION B, LINE 18E: COLLECTION ACTIVITIES ARE LIMITED TO HOSPITAL SENDING FOUR STATEMENTS REQUESTING PAYMENT. THE STATEMENTS INCLUDE INFORMATION ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, SOLICITING THE PATIENTS PARTICIPATION IN THE FINANCIAL ASSISTANCE PROGRAM.
PART V, SECTION B, LINE 11 (CONTINUATION A)	IN FY23, OVER 700 REFERRALS WERE RECEIVED, 692 STUDENTS RECEIVED SERVICES, AND OVER 8,000 THERAPY SESSIONS WERE COMPLETED. IN-KIND HOURS WERE USED TO SUPPORT CLINICAL WORK. MOST HOURS WERE ALLOCATED TO PROVIDE THERAPY TO UNINSURED STUDENTS, AND IN-KIND HOURS WERE ALSO USED TO ASSIST FAMILIES WITH MEDICAL ASSISTANCE APPLICATIONS AND RESOURCE FINDING, ATTEND SCHOOL MEETINGS, OBSERVE STUDENTS IN THE CLASSROOM, AND ENGAGE IN BEHAVIOR MANAGEMENT PLANNING. TO HELP MEET THE DEMAND FOR SERVICES, SEVEN SCHOOL-BASED THERAPISTS WERE ADDED ALONG WITH AN ADMINISTRATIVE SUPPORT STAFF. DURING THE YEAR, MOST STUDENTS SERVED BY SBBH WERE WHITE (50%), 30% WERE HISPANIC/LATINX, AND 14% WERE BLACK/AFRICAN AMERICAN. SERVICES WERE NEARLY EQUALLY DIVIDED ACROSS ELEMENTARY, MIDDLE, AND HIGH SCHOOL AGED STUDENTS: 35% OF THOSE SERVED WERE ELEMENTARY SCHOOL AGED (KINDERGARTEN TO GRADE 5), 33% WERE MIDDLE SCHOOL AGED (GRADES 6 THROUGH 8), AND 32% WERE HIGH SCHOOL AGED. THE TOP THREE REASONS FOR REFERRAL WERE ANXIETY (24%), DEPRESSION (16%), AND FAMILY ISSUES (10%). OUR PROGRAM PARTNERED WITH LEHIGH AND NORTHAMPTON COUNTY SUICIDE TASK FORCE WHO PRESENTED COMMUNITY EDUCATION SESSIONS ON SUICIDE EDUCATION AND PREVENTION. OUR SCHOOL-BASED THERAPISTS SUPPORTED THESE EVENTS BY STAFFING BREAKOUT/COMFORT ROOMS FOR PARTICIPANTS OF THESE SERIES, WHICH WERE PRESENTED ACROSS LEHIGH AND NORTHAMPTON COUNTY SCHOOL DISTRICTS. ONE OF OUR SCHOOL-BASED THERAPISTS OFFERED GUIDANCE TO ASSIST A LOCAL ORGANIZATION WITH THE CREATION OF A COMFORT ROOM FOR YOUTH. SCHOOL-BASED THERAPISTS SUPPORTED SCHOOL PARTNERS WITH RESOURCES FOR INCIDENTS SUCH AS SUDDEN LOSS OF A STUDENT OR FACULTY MEMBER, THREATS OF VIOLENCE, AND ANNIVERSARIES OF LOSS. SCHOOL-BASED THERAPISTS ALSO ATTENDED EVENTS SUCH AS BACK-TO-SCHOOL NIGHT, YOUTH SPORTING EVENTS, RESOURCE FAIRS, AND STUDENT BOOK CLUBS. OVER THE SCHOOL YEAR OUR THERAPISTS, AIDED BY STUDENTS IN THERAPY, CONSTRUCTED CREATIVE, VISUAL REMINDERS AND INTERACTIVE ACTIVITIES AS REMINDERS OF THE IMPORTANCE OF MENTAL HEALTH. THESE PROJECTS WERE IN KEY LOCATIONS THROUGHOUT THE SCHOOL, SUCH AS SCHOOL-BASED SATELLITE OFFICES, HALLWAYS, BULLETIN BOARDS, CLASSROOM, AND OFFICE DOORS. THE SBBH PROGRAM USES FOUR VALIDATED ASSESSMENT TOOLS TO DRIVE TREATMENT AND MEASURE THE OUTCOMES OF CLIENTS: THE CHILDREN'S HOPE SCALE, THE PEDIATRIC ACES AND RELATED LIFE EVENTS SCREENER (PEARLS), THE REVISED CHILD ANXIETY AND DEPRESSION SCALE (RCADS), AND THE STRENGTHS AND DIFFICULTIES QUESTIONNAIRE (SDQ). THE RESULTS OF THE HOPE SCALE SHOWED THAT BETWEEN ONSET OF TREATMENT TO DISCHARGE, TOTAL "HOPE" SCORES INCREASED BY 16%.USING THE PEARLS, 45% OF YOUTH HAD ONE TO THREE ADVERSE LIFE EXPERIENCES.SCORES ON THE SDQ INDICATED THAT FROM ONSET OF TREATMENT TO DISCHARGE, STUDENTS SHOWED DECREASED IMPAIRMENT ON ALL FOUR SCALES: EMOTIONAL SYMPTOMS (15% DECREASE); CONDUCT PROBLEMS (13% DECREASE); HYPERACTIVITY/INATTENTION (10% DECREASE); AND PEER ISSUES (10% DECREASE). THE SBBH PROGRAM ALSO ADMINISTERS SATISFACTION SURVEYS TO YOUTH, THEIR CAREGIVERS, AND SCHOOL PARTNERS. IN FY23, 100% OF YOUTH AND PARENTS REPORTED THAT THEIR THERAPIST LISTENED TO THEIR CONCERNS AND THAT THEIR HEALTH INFORMATION IS TREATED CONFIDENTIALLY. ONE HUNDRED PERCENT OF SCHOOL PARTNERS REPORTED THAT THE PROGRAM PROVIDES QUALITY CARE, MAKES A DIFFERENCE IN THE STUDENT'S FUNCTIONING AT SCHOOL, THAT IN-KIND HOURS ARE HELPFUL, AND THAT STAFF ARE RESPECTFUL.PRIORITY AREA: HOUSING INSTABILITY (NORTHAMPTON COUNTY) PARTICIPANTS IN THE LEHIGH VALLEY HOSPITAL'S CHNA EXPRESSED CONCERN ABOUT HOUSING INSTABILITY IN NORTHAMPTON COUNTY. THEY WERE CONCERNED ALSO ABOUT THE LACK OF SAFETY AND THE FOOD INSECURITY THAT OFTEN ACCOMPANY HAVING UNSTABLE HOUSING. IN ONE LOCAL DISTRICT ALONE, THERE ARE BETWEEN 700 AND 800 STUDENTS WHO ARE HOMELESS. IN FY23, WITH A GOAL OF STRENGTHENING PARTNERSHIP BETWEEN THE HEALTH SYSTEM, COUNTY PARTNERS, AND COMMUNITY-BASED ORGANIZATIONS TO REDUCE GAPS IN UNSTABLE HOUSING AS PATIENTS ARE RELEASED FROM THE HOSPITAL, LEHIGH VALLEY HOSPITAL HAS COMPLETED THE FOLLOWING ACTIVITIES: PARTICIPATED IN A STRATEGIC PLANNING TASK FORCE ON HOUSING IN BETHLEHEM. THE TASK FORCE IS WORKING WITH A HOUSING CONSULTANT. PROVIDED A LETTER OF SUPPORT FOR THE BETHLEHEM HOUSING AUTHORITY FOR HUD CHOICE, MIXED-INCOME HOUSING DEVELOPMENT FOR PEMBROKE (UP TO $50K FOR PLANNING GRANT AND POTENTIAL FOR $30-50M IMPLEMENTATION GRANT).CONNECTED PATIENTS TO HOUSING RESOURCES. CARE MANAGEMENT HELPS NAVIGATE THE PROCESS.PRIORITY AREA: ACCESS TO PRIMARY CARE AND OTHER PREVENTIVE SERVICES IN RURAL AREAS (CARBON COUNTY) LVH-CARBON'S CHNA PROCESS UNDERSCORED THAT THERE IS A LACK OF PRIMARY CARE PROVIDERS AND SERVICES THROUGHOUT THE COUNTY. IN NEARLY ALL COMMUNITY MEETINGS AND INTERVIEWS, COMMUNITY MEMBERS SPOKE ABOUT THE LACK OF TRANSPORTATION TO GET TO SERVICES IN CARBON COUNTY. PARTICIPANTS SHARED THAT TRANSPORTATION LIMITS COMMUNITY MEMBERS' ABILITY TO GET TO HEALTHCARE SERVICES AND CHILDCARE. CURRENTLY, RESIDENTS MUST TRAVEL LONG DISTANCES TO GET TO HOSPITALS AND THERE IS NOT A LOT OF AVAILABLE PUBLIC TRANSPORTATION TO GET TO SERVICES. MANY COUNTY RESIDENTS DO NOT HAVE PRIMARY CARE CLOSE TO THEIR HOMES. MANY COMMUNITY RESIDENTS AND LEADERS REPORTED A LACK OF PREVENTIVE SERVICES, IN PARTICULAR PRIMARY CARE PROVIDERS, OB-GYN PROVIDERS, AND PEDIATRICIANS. IT IS A CHALLENGE TO FIND A DOCTOR WHO IS TAKING NEW PATIENTS. SOME COMMUNITY MEMBERS ALSO LACK INSURANCE OR DO NOT WANT TO USE THEIR INSURANCE BECAUSE OF HIGH DEDUCTIBLES. THE LACK OF PROVIDERS AND NEED FOR BETTER INSURANCE CREATE BARRIERS FOR COMMUNITY MEMBERS TO ACCESS PREVENTIVE HEALTH SERVICES. HOWEVER, THEY ALSO ARE EXCITED ABOUT THE NEW HOSPITALS THAT ARE BEING BUILT IN THE COUNTY TO CREATE CLOSER ACCESS TO SPECIALIZED OR URGENT CARE SERVICES. KNOWING THIS, LVH-CARBON HAS SET A GOAL FOR IMPROVING ACCESS TO PRIMARY CARE AND PREVENTIVE SERVICES THROUGHOUT THE COUNTY DURING THIS CHNA CYCLE. LVH-CARBON IS WORKING TOWARD EXPANDING PRIMARY CARE PRACTICES, ADDING HEALTH CARE SERVICE ACCESS POINTS, AND INCREASING OPPORTUNITIES FOR PREVENTIVE HEALTH SCREENINGS THROUGHOUT THE COUNTY, PARTICULARLY IN THE RURAL AREAS. TO ADDRESS THIS CONCERN, LVH-CARBON HAS BEEN ADDING MEDICAL PROVIDERS IN OUR RURAL AREAS. LVH-CARBON HAS ALSO BEEN REACHING OUT TO COMMUNITY MEMBERS TO INFORM THEM ABOUT THE HEALTH CARE SERVICES THAT ARE AVAILABLE TO THEM. THERE IS NOW A CRNP AVAILABLE IN CARBON COUNTY EVERY DAY. THE FOLLOWING PROVIDERS HAVE BEEN ADDED IN FY23:- FRANCIS BRACONARO, MD - INTERNAL MEDICINE, CARBON- DAVID O'GUREK, MD - FAMILY MEDICINE, LEHIGHTON- MARISSA MARSH, CRNP - FAMILY MEDICINE, LEHIGHTON- TAMMY MERRIFIELD, CRNP - INTERNAL MEDICINE, CARBON LVH-CARBON HAS REACHED OUT TO THE COMMUNITY AT SEVERAL EVENTS THROUGHOUT THE FISCAL YEAR. IN ADDITION TO PROVIDING TARGETED, TOPICAL INFORMATION, THESE EVENTS ALSO HELP TO CREATE AN AWARENESS OF THE PRIMARY CARE SERVICES OFFERED BY LVHN AND HELP THE COMMUNITY TO BECOME MORE KNOWLEDGEABLE ABOUT AND COMFORTABLE WITH SEEKING TREATMENT. EVENTS INCLUDED THE FOLLOWING:DRIVING SIMULATORS HAVE BEEN SHOWN TO BE AN EFFECTIVE TOOL FOR EDUCATING DRIVERS ABOUT SAFETY. WE OFFERED EVENTS AT FOUR LOCAL SCHOOLS AND A COMMUNITY HEALTH FAIR. TOTAL ATTENDANCE NUMBERED 741 PEOPLE.THREE LVHN SAFETY TOWN PEDIATRIC INJURY PREVENTION EVENTS WERE PROVIDED AT SCHOOLS AND COMMUNITY LOCATIONS. 567 STUDENTS ATTENDED.ANOTHER SCHOOL EVENT INCLUDED A "STOP THE BLEED" BLEEDING AND TOURNIQUET TRAINING. 191 STAFF AT LEHIGHTON MIDDLE SCHOOL ATTENDED.LVH-CARBON HAS BEEN ACTIVELY PARTICIPATING IN CARBON COMMUNITY FOUNDATION KIDZONE MEETINGS ABOUT PEDIATRIC INJURY PREVENTION (MEETINGS WERE IN JULY, AUGUST, SEPTEMBER, OCTOBER, JANUARY, MARCH, AND APRIL). THE GROUP PROVIDES SAFETY SEAT CHECKS, ANNUAL SAFETY ACTIVITY FOR NON-PROFITS. SCREENING EVENTS THAT HAVE BEEN PROVIDED INCLUDE HERNIA SCREENING (INSTITUTE FOR SURGICAL EXCELLENCE), GENERAL HEALTH SCREENINGS AT A COMMUNITY CENTER, AND BALANCE SCREENINGS AT A FARMER'S MARKET.BECAUSE PROPER USE OF CAR SEATS CAN HELP PREVENT INJURY IN CHILDREN, WE HAVE ALSO OFFERED TWO CHILD SAFETY SEAT CHECKS IN THE COMMUNITY (WITH A TOTAL ATTENDANCE OF 14 PARENTS/GUARDIANS).INFORMATION SESSIONS HAVE BEEN OFFERED ON CPR AND STROKE AWARENESS BY OUR (HEART AND VASCULAR INSTITUTE), STOP THE BLEED AND CPR (BY OUR EMS AT A FARMER'S MARKET), CPR TRAINING (TO 25 STAFF AT BELTZVILLE STATE PARK), STROKE PREVENTION (BY OUR NEUROSCIENCE INSTITUTE AT LEHIGHTON SCHOOL DISTRICT), PUBLIC HEALTH (BY OUR OUTPATIENT REHABILITATION), AND TYPES OF CARE AVAILABLE IN PRIMARY AND GENERAL HOSPITAL SERVICES (PRESENTED TO THE PUBLIC AND TO OUR BOARD OF ADVISORS).LVH-CARBON HAS PARTICIPATED IN HEALTH FAIRS AT THE LEHIGHTON SCHOOL DISTRICT AND MORRIS ELEMENTARY SCHOOL.
PART V, SECTION B, LINE 11 (CONTINUATION B)	A COMMUNITY SAFETY EVENT WAS HELD AT MAUCH CHUNK LAKE IN MAY, CO-SPONSORED WITH THE CARBON COMMUNITY FOUNDATION.BREAST HEALTH SERVICES WERE PROMOTED THROUGH THE CARBON CHAMBER'S WOMEN IN BUSINESS GROUP.IN PARTNERSHIP WITH CARBON COMMUNITY FOUNDATION, AUTOMATED EXTERNAL DEFRIBULATORS WERE PLACED IN THE COMMUNITY (INCLUDING AT BELTZVILLE STATE PARK).

Schedule H (Form 990) 2022

Page 9

Part VFacility Information (continued)

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

Schedule H (Form 990) 2022

Page 10

Part VI

Supplemental Information

Provide the following information.

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

Form and Line Reference	Explanation
PART I, LINE 6A:	THE COMMUNITY BENEFIT REPORT IS ISSUED BY LEHIGH VALLEY HEALTH NETWORK, EIN #22-2458317, THE SOLE CORPORATE MEMBER OF LEHIGH VALLEY HOSPITAL.
PART I, LINE 7:	THE COSTING METHODOLOGY IS COST TO CHARGE RATIO FOR PROGRAMS WITH GROSS CHARGES AND DIRECT COSTS FOR PROGRAMS WITHOUT GROSS CHARGES.
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICES OF $56,415,552 IS THE DIFFERENCE BETWEEN THE COST OF SERVICES PROVIDED IN CLINICS, AND CERTAIN SERVICE LINES DESCRIBED BELOW, AND THE PAYMENTS RECEIVED FOR THOSE SERVICES.SUBSIDIZED HEALTH SERVICES INCLUDE THE OPERATIONS OF THE DENTAL CLINIC, MENTAL HEALTH CLINIC, AND GERIATRICS. THE DENTAL CLINIC IS OPERATED IN CONJUNCTION WITH THE DENTAL RESIDENCY PROGRAM, AND THE OUTPATIENT MENTAL HEALTH CLINIC PROVIDES EVALUATION, COUNSELING, AND CASE MANAGEMENT SERVICES TO RESIDENTS OF LEHIGH AND NORTHAMPTON COUNTIES.SUBSIDIZED HEALTH SERVICES ALSO INCLUDE PRACTICE AREAS WHERE LOCALIZED AND/OR NATIONAL PHYSICIAN SHORTAGES EXIST, SUCH AS IN OBSTETRICS, ONCOLOGY, ENDOCRINOLOGY, NEPHROLOGY, PSYCHIATRY, AND NEONATOLOGY. LEHIGH VALLEY HOSPITAL ALSO PROVIDES SUBSIDIZED HEALTH SERVICES IN NUMEROUS MEDICALLY UNDERSERVED AREAS (MUAS), AS IDENTIFIED BY THE CATHOLIC HEALTH ASSOCIATION. THE OPERATIONS OF EIGHT OF THE 17TH STREET CLINICS WERE TRANSFERRED TO VALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER AS OF JULY 1, 2020. VALLEY HEALTH PARTNERS IS DESIGNATED AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) LOOK-ALIKE.SUBSIDIZED HEALTH SERVICES ARE NOT INCLUDED IN THE MEDICAL ASSISTANCE SHORTFALL OR UNCOMPENSATED CHARITY CARE VALUE REPORTED PRIOR. SUBSIDIZED HEALTH SERVICES DO INCLUDE $245,817 OF THE WAGE AND BENEFIT EXPENSE OF DENTAL RESIDENTS WHO PROVIDED CARE TO CLINIC PATIENTS. THIS AMOUNT HAS BEEN DEDUCTED FROM THE TOTAL VALUE OF MEDICAL EDUCATION, WHICH IS PRESENTED AS PART OF HEALTH PROFESSIONS EDUCATION ON SCHEDULE H, PART II, LINE 7F.IN ADDITION, LEHIGH VALLEY HEALTH NETWORK FORGAVE REPAYMENT OF A $7,000,000 LOAN IT MADE TO VALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER (VHP), WHICH INTENDS TO BECOME DESIGNATED AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) LOOK-ALIKE. VALLEY HEALTH PARTNERS ASSUMED THE OPERATIONS OF THE EIGHT 17TH ST. CLINICS PREVIOUSLY OPERATED BY THE NETWORK. A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) LOOK-ALIKE IS A COMMUNITY HEALTH CENTER THAT PROVIDES COMPREHENSIVE PRIMARY CARE AND OTHER SERVICES SUCH AS INTERPRETATION, TRANSPORTATION AND HEALTH EDUCATION FOR THE COMMUNITY POPULATION. AN FQHC LOOK-ALIKE DOES NOT TURN PATIENTS AWAY BASED ON THEIR ABILITY TO PAY AND REMOVES FINANCIAL BARRIERS FOR RECEIVING CARE. FQHC LOOK-ALIKES RECEIVE ENHANCED REIMBURSEMENT FROM MEDICAID AND MEDICARE TO PROVIDE WHOLE-PERSON CARE, CREATING OPPORTUNITIES FOR THE HEALTH CENTER TO LOOK BEYOND MEDICAL CARE AND FOCUS ON SOCIAL DETERMINANTS OF HEALTH THAT COULD BE SOME OF THE UNDERLYING CAUSES OF POOR HEALTH.
PART I, LN 7 COL(F):	THE AMOUNT OF BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX, LINE 25 IS $96,786,906.
PART III, LINE 2:	PATIENT ACCOUNTS WRITTEN OFF AS BAD DEBT ARE IDENTIFIED. THE COST TO PROVIDE CARE TO THESE PATIENTS IS CALCULATED BY MULTIPLYING THE TOTAL CHARGES WRITTEN OFF AS BAD DEBT BY THE COST TO CHARGE RATIO.
PART III, LINE 3:	THIS AMOUNT IS THE COST TO PROVIDE CARE TO UNINSURED PATIENTS THAT DO NOT PARTICIPATE IN THE PROCESS TO DETERMINE IF THEY ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE COST IS DETERMINED USING COST TO CHARGE RATIOS. THE RATIONALE FOR INCLUDING THE COST TO PROVIDE CARE TO UNINSURED PATIENTS THAT DO NOT PARTICIPATE IN THE FINANCIAL ASSISTANCE PROCESS IS THE HOSPITAL'S EXPERIENCE WITH UNINSURED PATIENTS THAT DO PARTICIPATE IN THE FINANCIAL ASSISTANCE PROGRAM. WHEN THE HOSPITAL EVALUATES UNINSURED PATIENTS FOR FINANCIAL ASSISTANCE, THE MOST COMMON FINDING IS THAT UNINSURED PATIENTS HAVE INCOME LESS THAN 400% OF THE FEDERAL POVERTY GUIDELINE AND QUALIFY FOR FINANCIAL ASSISTANCE. THE HOSPITAL BELIEVES THAT UNINSURED PEOPLE WHO CHOOSE NOT TO PARTICIPATE IN THE FINANCIAL ASSISTANCE PROCESS AND HAVE THEIR ACCOUNTS WRITTEN OFF AS BAD DEBT, HAVE INCOME THAT WOULD QUALIFY FOR THE HOSPITAL FINANCIAL ASSISTANCE PROGRAM.
PART III, LINE 4:	THE ORGANIZATION ESTIMATES AN IMPLICIT PRICE CONCESSION RELATED TO UNINSURED ACCOUNTS, NET OF THE AGB (AMOUNTS GENERALLY BILLED) DISCOUNT, TO RECORD THE NET SELF-PAY ACCOUNTS RECEIVABLE AT THE ESTIMATED AMOUNTS THE ORGANIZATION EXPECTS TO COLLECT. COINSURANCES AND DEDUCTIBLES WITHIN THE THIRD-PARTY PAYER AGREEMENTS ARE THE PATIENT'S RESPONSIBILITY SO THE ORGANIZATION INCLUDES THESE AMOUNTS IN THE SELF-PAY ACCOUNTS RECEIVABLE AND CONSIDERS THESE AMOUNTS IN ITS DETERMINATION OF THE PROVISION FOR UNCOLLECTIBLE DEBTS BASED ON HISTORICAL COLLECTION EXPERIENCE. FOR THE YEARS ENDED JUNE 30, 2023, AND 2022, RESPECTIVELY, LVH RECORDED A PROVISION FOR IMPLICIT PRICE CONCESSIONS OF $200,183,000 AND $69,997,000 AS A DIRECT REDUCTION TO PATIENT SERVICES REVENUES.IN INSTANCES WHERE THE ORGANIZATION BELIEVES A PATIENT HAS THE ABILITY TO PAY FOR SERVICES AND, AFTER APPROPRIATE COLLECTION EFFORTS, PAYMENT IS NOT MADE, THE UNPAID PORTION OF THE ACCOUNT BALANCE IS WRITTEN-OFF TO THE PROVISION FOR BAD DEBTS. AMOUNTS RECORDED AS PROVISION FOR BAD DEBTS DO NOT INCLUDE CHARITY CARE.
PART III, LINE 8:	THE SOURCE OF THE MEDICARE ALLOWABLE COSTS RELATING TO REVENUE RECEIVED FROM MEDICARE IS THE FY2023 MEDICARE COST REPORT. THE ENTIRE SHORTFALL ON LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT. THE REVENUE AND EXPENSES ARE BOTH DETERMINED USING MEDICARE PRINCIPLES.
PART III, LINE 9B:	FINANCIAL COUNSELING STAFF WILL DETERMINE WHETHER PATIENTS MEET ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE. ACCOUNTS THAT DO NOT MEET THE ELIGIBLILTY REQUIREMENTS WILL BE REFERRED TO AN EXTERNAL RECEIVABLES FOLLOW UP AGENCY, AND IF NOT PAID, REFERRED TO A COLLECTION AGENCY AND SUBSEQUENTLY TRANSFERRED TO BAD DEBT STATUS IF THE ACCOUNTS REMAIN UNPAID.
PART VI, LINE 2:	AS PART OF THE AFFORDABLE CARE ACT, STARTING IN 2013, ALL NON-PROFIT HOSPITALS AND HEALTH CARE SYSTEMS ARE REQUIRED TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS. THE CHNA REPORT EXAMINES THE FACTORS THAT IMPACT THE HEALTH AND WELLNESS OF ALL THE PEOPLE IN A PARTICULAR GEOGRAPHIC AREA. BEYOND ITS REGULATORY FUNCTION, THE CHNA IS AN IMPORTANT OVERVIEW OF THE CURRENT STATE OF HEALTH IN OUR REGION AND IDENTIFIES POTENTIAL AREAS OF CONCERN WHICH INFORMS LEHIGH VALLEY HEALTH NETWORK'S (LVHN) POPULATION HEALTH MANAGEMENT EFFORTS. LVHN'S CHNA INCLUDES A HEALTH PROFILE, A REPORT THAT LOOKS AT ALL THE FACTORS THAT GO INTO MAKING PEOPLE IN A PARTICULAR AREA HEALTHY. THIS INCLUDES SOCIAL AND ENVIRONMENTAL FACTORS LIKE EMPLOYMENT, EDUCATION AND AIR QUALITY, INDIVIDUAL BEHAVIORS LIKE SMOKING OR HEALTHY EATING, AND THE QUALITY AND AVAILABILITY OF HEALTH CARE IN THEIR AREA. THIS INTRODUCTION PROVIDES AN OVERVIEW OF THE 2022 CHNA HEALTH PROFILE AND LVHN'S CHNA PROCESS. THE 2022 HEALTH PROFILE COMBINES DATA AND INFORMATION FROM LOCAL, STATE, AND NATIONAL SOURCES ABOUT DISEASE, THE ENVIRONMENT, SOCIAL FACTORS, AND INDIVIDUAL BEHAVIORS, WITH IDEAS, STORIES, AND EXPERIENCES FROM COMMUNITY MEMBERS AND LEADERS FROM THROUGHOUT THE COUNTIES SERVED BY LVHN. THE SECOND COMPONENT OF THE LVHN'S CHNA INCLUDES AN IMPLEMENTATION PLAN, WHICH OUTLINES OUR PLAN TO ADDRESS THE NEEDS IDENTIFIED IN THE HEALTH PROFILE OVER THE COURSE OF THE NEXT THREE YEARS. THE 2022 CHNA HEALTH PROFILES AND IMPLEMENTATION PLAN ARE PROVIDED AT WWW.LVHN.ORG/CHNA.THE 2022 LVHN CHNA HEALTH PROFILE IS BROKEN OUT INTO THE FOLLOWING SECTIONS: DEMOGRAPHICS, INCOME AND ECONOMICS, EDUCATION, HOUSING AND FAMILIES, OTHER SOCIAL AND ECONOMIC FACTORS, PHYSICAL ENVIRONMENT, CLINICAL CARE AND PREVENTION, HEALTH BEHAVIORS, HEALTH OUTCOMES, AND SPECIAL TOPICS - COVID-19. TO INCREASE THE READABILITY OF THE REPORT, THE COMMUNITY WILL FIND TWO TYPES OF CALL-OUT BOXES THROUGHOUT THE CHNA HEALTH PROFILES. THE FIRST TYPE SUMMARIZES SOME OF THE DATA PRESENTED ON THAT PAGE, PROVIDING EASY-TO-READ, SUMMARY STATEMENTS OF IMPORTANT DATA ABOUT THE COMMUNITY. THE SECOND TYPE PROVIDES INFORMATION FROM THE INTERVIEWS AND COMMUNITY CONVERSATIONS. THESE REPORTS HAVE BEEN REVIEWED AND APPROVED BY LVHN'S BOARD OF TRUSTEES AS WELL AS THE COMMUNITY RELATIONS COMMITTEE OF THE BOARD.VISIT WWW.LVHN.ORG/CHNA TO VIEW THE SIGNIFICANT NEEDS IDENTIFIED IN OUR MOST RECENTLY CONDUCTED CHNA AND HOW WE ARE ADDRESSING THOSE NEEDS.
PART VI, LINE 3:	CONSISTENT WITH THE MISSION AND VALUES OF LEHIGH VALLEY HEALTH NETWORK, IT IS THE POLICY TO PROVIDE MEDICAL CARE TO ALL INDIVIDUALS WITHOUT REGARD TO THEIR ABILITY TO PAY FOR SERVICES. THE FINANCIAL ASSISTANCE POLICY APPLIES TO UNINSURED AND UNDER-INSURED INDIVIDUALS WHO PARTICIPATE IN THE PROCESS TO EVALUATE THEIR ABILITY TO PAY FOR LVHN SERVICES.PATIENTS ARE IDENTIFIED BY LVHN REGISTRATION, BENEFITS AND VERIFICATION, CUSTOMER SERVICE, AND FINANCIAL COUNSELORS AS BEING IN FINANCIAL NEED. THE FINANCIAL COUNSELORS HELP PATIENTS COMPLETE THE APPLICATION FOR FINANCIAL ASSISTANCE. LVHN FOLLOWS THE FEDERAL POVERTY GUIDELINES TO EVALUATE ELIGIBILITY. PATIENTS WHOSE FAMILY INCOME FALLS BELOW 200% OF THE FEDERAL POVERTY GUIDELINE WILL HAVE THEIR ENTIRE BALANCE FORGIVEN FOR THEIR QUALIFYING SERVICES AT A PARTICIPATING LVHN PROVIDER. PATIENTS WITH A FAMILY INCOME BELOW 400% OF THE FEDERAL POVERTY GUIDELINES WILL HAVE A PORTION OF THEIR BALANCE FORGIVEN FOR QUALIFYING SERVICES AT A PARTICIPATING LVHN PROVIDER. PATIENTS ARE EVALUATED FOR NO COST OR REDUCED PREMIUM INSURANCE PLANS. THE LVHN FINANCIAL COUNSELORS WILL OFFER INFORMATION TO PATIENTS WHO ARE INTERESTED IN SEEING IF THEY QUALIFY FOR THESE PROGRAMS OFFERED BY COMMERCIAL INSURANCE COMPANIES.PATIENTS OFTEN EXPRESS FINANCIAL CONCERN OR NEED BY CONTACTING THE LVHN CUSTOMER SERVICE DEPARTMENTS. THE CUSTOMER SERVICE REPRESENTATIVES EXPLAIN THE PROGRAMS AVAILABLE; FINANCIAL ASSISTANCE AND SUPPORT IN APPLYING FOR MEDICAL ASSISTANCE OR INSURANCE THROUGH THE FEDERAL HEALTH INSURANCE EXCHANGE. PATIENTS WILL BE REFERRED TO THE FINANCIAL COUNSELORS WHO WORK WITH PATIENTS TO APPLY FOR PENNSYLVANIA MEDICAL ASSISTANCE. THE FINANCIAL COUNSELORS ARE LOCATED ONSITE. THE FINANCIAL COUNSELORS VISIT PATIENTS IN THEIR INPATIENT ROOMS, IN THE CANCER CENTER, AND IN THE EMERGENCY DEPARTMENT. IN ADDITION, LVHN ADVERTISES FINANCIAL ASSISTANCE IN THE LOCAL NEWSPAPER, ON OUR PUBLIC WEBSITE AND ON THE STATEMENTS SENT TO OUR PATIENTS.
PART VI, LINE 4:	LEHIGH VALLEY HOSPITAL, INC. (LVH) IS A PENNSYLVANIA NOT-FOR-PROFIT MEMBERSHIP CORPORATION EXEMPT FROM FEDERAL INCOME TAXES AS A CORPORATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE LVH PRIMARY SERVICE AREA CONSISTS OF LEHIGH, NORTHAMPTON, AND CARBON COUNTIES. BASED ON THE U.S. CENSUS BUREAU'S INFORMATION, FOR THE 2020 DECENNIAL CENSUS, THE PRIMARY SERVICE AREA POPULATION WAS ESTIMATED TO BE 752,257. ACCORDING TO THE U.S CENSUS BUREAU, THE 2022 ESTIMATED POPULATION FOR THE THREE-COUNTY AREA IS 760,303. DURING THE CALENDAR YEAR 2022, 81.0% OF THE DISCHARGES FROM LVH-ALLENTOWN/MUHLENBERG WERE RESIDENTS OF THE PRIMARY SERVICE AREA. THE SECONDARY SERVICE AREA CONSISTS OF BERKS, LUZERNE, MONROE, SCHUYLKILL, BUCKS, AND MONTGOMERY COUNTIES. THE 2020 DECENNIAL CENSUS POPULATION FOR THIS AREA AS 2,568,890. THE 2022 U.S. CENSUS BUREAU ESTIMATED POPULATION OF THE SECONDARY SERVICE AREA IS 2,576,857. DURING THE CALENDAR YEAR 2022, 17.8% OF THE DISCHARGES FROM LVH-ALLENTOWN/MUHLENBERG WERE RESIDENTS OF THE SECONDARY SERVICE AREA. DURING THE CALENDAR YEAR 2022, 1.3% OF THE DISCHARGES FROM LVH-ALLENTOWN/MUHLENBERG WERE RESIDENTS OUTSIDE THE PRIMARY AND SECONDARY SERVICE AREAS. BASED ON PROPRIETARY DATA ESTIMATES (CLARITAS), THE CURRENT POPULATION ESTIMATE OF THE PRIMARY SERVICE AREA FIVE-YEAR GROWTH RATE TO 2028 IS APPROXIMATELY 1.6%.
PART VI, LINE 5:	LEHIGH VALLEY HOSPITAL QUALIFIES AS AN INSTITUTION OF PURELY PUBLIC CHARITY IN PENNSYLVANIA. THIS REGULATION IS REFERRED TO AS ACT 55. TO BE CONSIDERED A PURELY PUBLIC CHARITY, NONPROFITS MUST:(1) ADVANCE A CHARITABLE PURPOSE; (2) DONATE OR RENDER GRATUITOUSLY A SUBSTANTIAL PORTION OF ITS SERVICES; (3) BENEFIT A SUBSTANTIAL AND INDEFINITE CLASS OF PERSONS WHO ARE LEGITIMATE SUBJECTS OF CHARITY; (4) RELIEVE THE GOVERNMENT OF SOME BURDEN; AND (5) OPERATE ENTIRELY FREE FROM PRIVATE PROFIT MOTIVE.LVH IS REQUIRED TO REAPPLY FOR THIS CHARITABLE STATUS EVERY FIVE YEARS AND CURRENTLY QUALIFIES THROUGH OCTOBER 31, 2025.
PART III, SECTION B. MEDICARE, LINE 8	MEDICARE PROGRAM COSTS INCLUDED IN THE ANNUAL LVHN COMMUNITY BENEFIT REPORT NOT INCLUDED OR ALLOWABLE IN THE MEDICARE COST REPORT IN FY2023 TOTALED $281,277,210. THIS INCLUDES COSTS OF MEDICARE MANAGED CARE, PRACTICE SUBSIDIES TO LEHIGH VALLEY PHYSICIAN GROUP (LVPG), NON-REIMBURSEABLE INTEREST EXPENSE, SUBSIDIES TO LEHIGH VALLEY ANESTHESIA SERVICES (LVAS), UNIVERSITY OF SOUTH FLORIDA SCHOOL COSTS, AND DISALLOWABLE RELATED ORGANIZATION COSTS.

Schedule H (Form 990) 2022

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

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

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

Attach to Form 990.
lBullet

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

OMB No. 1545-0047

2022

Open to Public
Inspection

Name of the organization
LEHIGH VALLEY HOSPITAL

Employer identification number
23-1689692

Part I

General Information on Grants and Assistance

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

Yes No

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

Part II

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

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

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

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

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

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

Cat. No. 50055P

Schedule I (Form 990) 2022

Page 2

Part III

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

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

(1) NURSING LOANS AND SCHOLARSHIPS	271	2,764,935	BOOK
(2) JIROLANO TUITION AIDE SCHOLARSHIP	1	600	BOOK
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

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

Return Reference

Explanation

PART I, LINE 2:

IN 2023, THE PROMISSORY NOTE LOAN AGREEMENT WAS SUBSTANTIALLY EXPANDED TO INCLUDE BSN, ASN, LPN, AND DIPLOMA OF NURSING PROGRAMS; INCLUDING EXPANSION OF AGREEMENTS FOR ACCELERATED PROGRAM STUDENTS VIA ACADEMIC PARTNERSHIPS. PAYMENT FOR BSN STUDENTS WAS $40,000-$50,000, DEPENDING ON AREA OF SPECIALTY; ASN $15,000-$20,000, DEPENDING ON AREA OF SPECIALTY, DIPLOMA $25,000, AND LPN AT $10,000. CRITERIA FOR LOAN AGREEMENTS TO STUDENTS IN A REGISTERED NURSE PROGRAM ARE A COMPLETED APPLICATION, ONE LETTER OF RECOMMENDATION FROM THEIR MOST RECENT CLINICAL INSTRUCTORS OR DEMONSTRATED SUCCESSFUL LVHN EMPLOYMENT, AN OFFICIAL TRANSCRIPT DEMONSTRATING AN OVERALL GPA OF 3.0 OR HIGHER. IF ABOVE INFORMATION IS SUBMITTED AND CONSIDERED FAVORABLE, A LOAN AGREEMENT IS OFFERED IN WRITING FOR THEM TO REVIEW. IF CANDIDATE VERBALLY ACCEPTS, WE INVITE THEM TO MAKE AN APPOINTMENT TO SIGN THE CONTRACT. WE NOTARIZE THE CONTRACT AFTER WE HAVE BOTH REVIEWED AND SIGNED. THEIR COMMITMENT BACK TO THE HOSPITAL IS FOR TWO YEARS FROM THE DATE OF HIRE IN THE NEW GRADUATE/RN POSITION. (SOME CANDIDATES ARE CURRENT EMPLOYEES IN OTHER POSITIONS, SO WE CONSIDER ONLY THE HIRE DATE OF THE REGISTERED NURSE POSITION TOWARD THE WORK COMMITMENT.) IF CANDIDATE DOES NOT FULFILL THEIR COMMITMENT, THE LOAN AGREEMENT DOLLARS ARE PRO-RATED AND REPAYMENT IS DUE IMMEDIATELY, PLUS INTEREST. FOR FISCAL YEAR 2023, WE HAVE ELIMINATED NOTARIZATION AND HAVE APPROVED ELECTRONIC SIGNATURE OF THE FORMS. SCHOLARSHIPS ARE OFFERED TO CURRENT REGISTERED NURSE EMPLOYEES. AN APPLICATION IS COMPLETED ALONG WITH A LETTER OF RECOMMENDATION FROM THEIR DIRECT SUPERVISOR/DIRECTOR, A COPY OF THEIR MOST RECENT PERFORMANCE EVALUATION, DEMONSTRATING A PERFORMANCE EVALUATION SCORE OF 3.0 OR HIGHER FOR BSN AND MSN. IF RN IS CURRENTLY ACTIVE IN A PROGRAM, AN OFFICIAL COPY OF THEIR CURRENT TRANSCRIPT WOULD ALSO BE REQUIRED. EMPLOYEES MUST BE CURRENTLY ENROLLED IN A NURSING PROGRAM PRIOR TO APPLYING FOR THE SCHOLARSHIP. IF EMPLOYEE ACCEPTS AND SIGNS A "RECEIPT OF NURSING EDUCATION TUITION PAYMENTS PROGRAM NOTE, THERE IS NO PAYBACK OR WORK COMMITMENT REQUIRED UPON GRADUATION OR SEPARATION. THERE WERE A TOTAL OF 271 NEW AND EXISTING LOAN AGREEMENTS AWARDED IN FY2023. PAYMENT CONTINUED ON COMMITTED BSN, MSN AND DNP RECIPIENTS. THE TOTAL FUNDS USED FOR ALL LOAN AGREEMENTS AND SCHOLARSHIPS WAS $2,764,935.

Schedule I (Form 990) 2022

Additional Data

Software ID:
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- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

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

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

Attach to Form 990.
SchJMediumBullet

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

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

LEHIGH VALLEY HOSPITAL

Employer identification number

23-1689692

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

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

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

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

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

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

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

Yes

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

Yes

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Cat. No. 50053T

Schedule J (Form 990) 2022

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, 1099-MISC compensation, and/or 1099-NEC			(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)
1ROBERT BEGLIOMINI PHARMD MBA PRESIDENT, LVH/TRUSTEE	(i) (ii)	523,957 ------------- 0	129,585 ------------- 0	59,942 ------------- 0	0 ------------- 0	30,611 ------------- 0	744,095 ------------- 0	0 ------------- 0
2DEBORAH A BREN DO TRUSTEE	(i) (ii)	0 ------------- 306,495	0 ------------- 55,057	0 ------------- -3,081	0 ------------- 0	0 ------------- 26,375	0 ------------- 384,846	0 ------------- 0
3RANJU GUPTA MD TRUSTEE	(i) (ii)	0 ------------- 460,733	0 ------------- 47,650	0 ------------- -2,608	0 ------------- 0	0 ------------- 33,107	0 ------------- 538,882	0 ------------- 0
4BRYAN G KANE MD TRUSTEE	(i) (ii)	0 ------------- 344,725	0 ------------- 50,140	0 ------------- 2,761	0 ------------- 0	0 ------------- 0	0 ------------- 397,626	0 ------------- 0
5THOMAS MARCHOZZI MBA CPA TREASURER	(i) (ii)	839,262 ------------- 0	394,134 ------------- 0	185,251 ------------- 0	0 ------------- 0	26,460 ------------- 0	1,445,107 ------------- 0	0 ------------- 0
6JAMES C MILLER PRESIDENT, LVH-M/TRUSTEE	(i) (ii)	425,218 ------------- 0	109,917 ------------- 0	-6,465 ------------- 0	0 ------------- 0	31,021 ------------- 0	559,691 ------------- 0	0 ------------- 0
7BRIAN A NESTER DO PRESIDENT/CEO, LVHN/TRUSTEE	(i) (ii)	1,512,558 ------------- 0	889,703 ------------- 0	495,097 ------------- 0	0 ------------- 0	28,408 ------------- 0	2,925,766 ------------- 0	0 ------------- 0
8JOHN M PIERRO MBA EXECUTIVE VICE PRESIDENT/CHIEF OPERA	(i) (ii)	873,146 ------------- 0	402,560 ------------- 0	-6,153 ------------- 0	0 ------------- 0	31,107 ------------- 0	1,300,660 ------------- 0	0 ------------- 0
9MICHAEL A ROSSI MD MBA ASSISTANT SECRETARY	(i) (ii)	790,434 ------------- 0	403,176 ------------- 0	223,785 ------------- 0	0 ------------- 0	23,609 ------------- 0	1,441,004 ------------- 0	0 ------------- 0
10ROBERT L THOMAS CPA ASSISTANT TREASURER	(i) (ii)	385,181 ------------- 0	101,318 ------------- 0	-609 ------------- 0	0 ------------- 0	10,376 ------------- 0	496,266 ------------- 0	0 ------------- 0
11ANNETTE WHITE ESQ SECRETARY	(i) (ii)	611,492 ------------- 0	248,400 ------------- 0	-6,110 ------------- 0	0 ------------- 0	35,243 ------------- 0	889,025 ------------- 0	0 ------------- 0
12STEPHEN ZIENIEWICZ TRUSTEE	(i) (ii)	706,569 ------------- 0	92,000 ------------- 0	18,366 ------------- 0	0 ------------- 0	21,380 ------------- 0	838,315 ------------- 0	0 ------------- 0
13EDWARD DOUGHERTY SVP & CHIEF BUSINESS DEVELOPMENT OFF	(i) (ii)	634,362 ------------- 0	238,140 ------------- 0	133,681 ------------- 0	0 ------------- 0	23,159 ------------- 0	1,029,342 ------------- 0	0 ------------- 0
14GREGORY G KILE CHIEF INSURANCE OFFICER	(i) (ii)	227,992 ------------- 0	283,838 ------------- 0	462,728 ------------- 0	0 ------------- 0	5,964 ------------- 0	980,522 ------------- 0	0 ------------- 0
15RONALD S FREUDENBERGER PHYSICIAN-IN-CHIEF, CARDIAC INSTITUT	(i) (ii)	705,372 ------------- 0	179,550 ------------- 0	51,489 ------------- 0	0 ------------- 0	31,021 ------------- 0	967,432 ------------- 0	0 ------------- 0
16MICHAEL MINEAR MS SVP & CHIEF INFORMATION OFFICER	(i) (ii)	543,034 ------------- 0	230,820 ------------- 0	126,961 ------------- 0	0 ------------- 0	20,859 ------------- 0	921,674 ------------- 0	0 ------------- 0
17LYNN TURNER CHIEF HUMAN RESOURCES OFFICER	(i) (ii)	532,965 ------------- 0	210,661 ------------- 0	141,384 ------------- 0	0 ------------- 0	0 ------------- 0	885,010 ------------- 0	0 ------------- 0
18JOSEPH E PATRUNO MD FORMER TRUSTEE	(i) (ii)	0 ------------- 370,111	0 ------------- 34,750	0 ------------- -4,979	0 ------------- 0	0 ------------- 35,057	0 ------------- 434,939	0 ------------- 0
19MARTIN K TILL FORMER TRUSTEE	(i) (ii)	0 ------------- 622,911	0 ------------- 197,478	0 ------------- -27,758	0 ------------- 0	0 ------------- 25,704	0 ------------- 818,335	0 ------------- 0

Schedule J (Form 990) 2022

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 INDIVIDUALS PARTICIPATED IN THE 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OF LEHIGH VALLEY HOSPITAL IN CALENDAR YEAR 2022: ROBERT BEGLIOMINI, PHARMD, MBA, PRESIDENT, LVH-M/TRUSTEE - $61,469 THOMAS MARCHOZZI, MBA, CPA, TREASURER - $185,009 BRIAN A. NESTER, DO, PRESIDENT/CEO, LVHN/TRUSTEE - $480,452 MICHAEL A. ROSSI, MD, MBA, ASSISTANT SECRETARY - $210,076 EDWARD DOUGHERTY, SVP & CHIEF BUSINESS DEVELOPMENT OFFICER - $130,875 GREGORY G. KILE, CHIEF INSURANCE OFFICER - $23,423 RONALD S. FREUDENBERGER, PHYSICIAN-IN-CHIEF, CARDIAC INSTITUTE - $53,506 MICHAEL MINEAR, MS, SVP & CHIEF INFORMATION OFFICER - $116,078 LYNN TURNER, CHIEF HUMAN RESOURCES OFFICER - $133,002 THE FOLLOWING INDIVIDUAL PARTICIPATED IN THE 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OF LEHIGH VALLEY PHYSICIAN GROUP, A RELATED ORGANIZATION, IN CALENDAR YEAR 2022: RANJU GUPTA, MD, TRUSTEE - $21,754 THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT FROM LEHIGH VALLEY HOSPITAL IN CALENDAR YEAR 2022: GREGORY G. KILE, CHIEF INSURANCE OFFICER - $435,000

Schedule J (Form 990) 2022

Additional Data

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- TIN:

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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 instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
LEHIGH VALLEY HOSPITAL

Employer identification number
23-1689692

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	LEHIGH COUNTY GENERAL PURPOSE AUTHORITY	91-1886539	52480GCB8	12-12-2012	154,924,763	CONSTRUCT, RENOVATE, EQUIP FACILITIES; REFUND 10/17/01, 5/21/03 ISSUES		X		X		X
B	LEHIGH COUNTY GENERAL PURPOSE AUTHORITY	91-1886539	52480GCF9	07-30-2015	72,969,788	CONSTRUCT, RENOVATE, EQUIP FACILITIES		X		X		X
C	LEHIGH COUNTY GENERAL PURPOSE AUTHORITY	91-1886539	52480GCX0	09-15-2016	152,250,999	REFUND 9/15/05, 6/4/08 ISSUES		X		X		X
D	LEHIGH COUNTY GENERAL PURPOSE AUTHORITY	91-1886539	52480GDW1	11-13-2019	385,174,237	CONSTRUCT, RENOVATE, EQUIP FACILITIES; REFUND 4/1/11, 2/15/12, 6/1/12 ISSUES		X		X		X
	LEHIGH COUNTY GENERAL PURPOSE AUTHORITY	91-1886539	52480GDY7	11-13-2019	129,198,956	REFUND 4/1/11, 7/30/15 ISSUES		X		X		X
	NORTHAMPTON COUNTY GENERAL PURPOSE AUTHORITY	23-3007498		11-13-2020	18,243,597	CONSTRUCT & EQUIP FACILITIES		X		X		X
	CARBON COUNTY HOSPITAL AUTHORITY	23-2280834	14086AAA3	09-07-2022	85,000,000	REFINANCE OR REIMBURSE COSTS TO CONSTRUCT & EQUIP FACILITIES		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	515,000		1,245		11,280,000		16,725,075
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	154,924,763		72,994,964		152,250,999		386,355,270
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............			2,533				22,578,519
6 Proceeds in refunding escrows ...............	74,558,690				150,509,413		100,005,000
7 Issuance costs from proceeds ...............	1,860,390		1,125,000		1,741,586		1,864,063
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	78,500,000		71,869,964		7,807,021		261,752,250
11 Other spent proceeds .............	5,683		36,000		6,911,293		155,438
12 Other unspent proceeds .............			18,083,569		1,511,379
13 Year of substantial completion .............	2012		2017		2017		2022
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X			X		X	X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........	X			X	X			X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2021

Page 2

Part Ⅲ

Private Business Use

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

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X		X
b Exception to rebate? ........	X		X		X		X
c No rebate due? .........		X		X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X		X		X

Schedule K (Form 990) 2021

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

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

Part Ⅵ

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

Return Reference	Explanation

Schedule K (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

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

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

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

Attach to Form 990.
SchKMediumBullet

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

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
LEHIGH VALLEY HOSPITAL

Employer identification number
23-1689692

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	LEHIGH COUNTY GENERAL PURPOSE AUTHORITY	91-1886539	52480GCB8	12-12-2012	154,924,763	CONSTRUCT, RENOVATE, EQUIP FACILITIES; REFUND 10/17/01, 5/21/03 ISSUES		X		X		X
B	LEHIGH COUNTY GENERAL PURPOSE AUTHORITY	91-1886539	52480GCF9	07-30-2015	72,969,788	CONSTRUCT, RENOVATE, EQUIP FACILITIES		X		X		X
C	LEHIGH COUNTY GENERAL PURPOSE AUTHORITY	91-1886539	52480GCX0	09-15-2016	152,250,999	REFUND 9/15/05, 6/4/08 ISSUES		X		X		X
D	LEHIGH COUNTY GENERAL PURPOSE AUTHORITY	91-1886539	52480GDW1	11-13-2019	385,174,237	CONSTRUCT, RENOVATE, EQUIP FACILITIES; REFUND 4/1/11, 2/15/12, 6/1/12 ISSUES		X		X		X
	LEHIGH COUNTY GENERAL PURPOSE AUTHORITY	91-1886539	52480GDY7	11-13-2019	129,198,956	REFUND 4/1/11, 7/30/15 ISSUES		X		X		X
	NORTHAMPTON COUNTY GENERAL PURPOSE AUTHORITY	23-3007498		11-13-2020	18,243,597	CONSTRUCT & EQUIP FACILITIES		X		X		X
	CARBON COUNTY HOSPITAL AUTHORITY	23-2280834	14086AAA3	09-07-2022	85,000,000	REFINANCE OR REIMBURSE COSTS TO CONSTRUCT & EQUIP FACILITIES		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	515,000		1,245		11,280,000		16,725,075
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	154,924,763		72,994,964		152,250,999		386,355,270
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............			2,533				22,578,519
6 Proceeds in refunding escrows ...............	74,558,690				150,509,413		100,005,000
7 Issuance costs from proceeds ...............	1,860,390		1,125,000		1,741,586		1,864,063
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	78,500,000		71,869,964		7,807,021		261,752,250
11 Other spent proceeds .............	5,683		36,000		6,911,293		155,438
12 Other unspent proceeds .............			18,083,569		1,511,379
13 Year of substantial completion .............	2012		2017		2017		2022
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X			X		X	X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........	X			X	X			X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2021

Page 2

Part Ⅲ

Private Business Use

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

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X		X
b Exception to rebate? ........	X		X		X		X
c No rebate due? .........		X		X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X		X		X

Schedule K (Form 990) 2021

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

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

Part Ⅵ

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

Return Reference	Explanation

Schedule K (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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

Attach to Form 990 or Form 990-EZ.
MediumBullet

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

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

LEHIGH VALLEY HOSPITAL

Employer identification number

23-1689692

Part I

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

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

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

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

Part II

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

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






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

Part III

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

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

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

Cat. No. 50056A

Schedule L (Form 990) 2021

Page 2

Part IV

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

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) SUSAN C YEE - TRUSTEE	PARTNER IN 94 BRODHEAD ASSOCIATES - TRUSTEE OF LVH	125,905	94 BRODHEAD ASSOCIATES LEASES OFFICE SPACE TO LVPG AT FAIR MARKET VALUE.		No

Part V

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

Return Reference	Explanation

Schedule L (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

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

Attach to Form 990.
Right pointing arrow large image

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

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

LEHIGH VALLEY HOSPITAL

Employer identification number

23-1689692

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..	X		10,375	FAIR MARKET VALUE
5 Clothing and household goods .......	X		259,353	FAIR MARKET VALUE
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...	X	22	6,301	FAIR MARKET VALUE
20 Drugs and medical supplies .	X	1	70,590	FAIR MARKET VALUE
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( SERVICES )	X	10	1,316,516	FAIR MARKET VALUE
26 Other ( TOYS/ACTIVITIES )	X	89	52,497	FAIR MARKET VALUE
27 Other ( GIFT CARDS )	X	97	15,756	COST
28 Other ( )

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

Yes

30a

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

30a

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

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

Yes

32a

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

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

32a

If "Yes," describe in Part II.

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

describe in Part II.

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

Cat. No. 51227J

Schedule M (Form 990) (2022)

Page 2

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

Return Reference	Explanation

Schedule M (Form 990) (2022)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

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

2021

Open to Public
Inspection

Name of the organization

LEHIGH VALLEY HOSPITAL

Employer identification number

23-1689692

Return Reference	Explanation
FORM 990, PART III, LINE 4C, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED):	REHABILITATION SERVICES - THE DIVISION OF REHABILITATION PROVIDES COMPREHENSIVE PROGRAMS THROUGH A CONTINUUM DESIGNED TO MEET THE NEEDS OF PATIENTS OF ALL AGES WHO ARE RECOVERING FROM ILLNESS OR INJURY. THE DIVISION PROVIDES INTENSIVE REHABILITATIVE MEDICINE AND NURSING CARE COMBINED WITH PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY SERVICES AT ITS STATE-OF-THE-ART INPATIENT REHABILITATION CENTERS WITH 34 BEDS AT LVH-CEDAR CREST AND 28 BEDS AT LVH-MUHLENBERG. FOR PATIENTS UNABLE TO TOLERATE AGGRESSIVE THERAPY SERVICES, LVH PROVIDES SHORT-TERM MEDICAL, NURSING, AND REHABILITATIVE CARE AT ITS 52-BED TRANSITIONAL SKILLED UNIT LOCATED AT LVH-17TH STREET. THE DIVISION ALSO OFFERS CONVENIENT AND ACCESSIBLE OUTPATIENT THERAPY SERVICES SERVING THE COMMUNITY WITH OVER 53 LOCATIONS. IN FY2023, THE OUTPATIENT DIVISION EXPANDED ACCESS POINTS TO INCLUDE NEW LOCATIONS IN MACUNGIE AND AT THE VERO, A SENIOR LIVING FACILITY IN NORTHAMPTON COUNTY WHILE ALSO OPENING ITS FIRST NEUROLOGIC REHABILITATION DESTINATION CENTER IN ALLENTOWN. THE REHABILITATION DIVISION OFFERS ADVANCED CARE IN OVER 30 CLINICAL SPECIALTY AREAS INCLUDING NEUROLOGIC REHAB, ORTHOPEDICS, SPORTS MEDICINE, WOMEN'S HEALTH, ONCOLOGY REHAB, AUDIOLOGY, AND PEDIATRIC THERAPY SERVICES. TO INCREASE ACCESS, THE DIVISION HAS INCREASED ITS OFFERING OF OUTPATIENT THERAPY OFFERED WITHIN A PATIENT'S HOME OFFERING OVER 8,500 VISITS IN THIS CAPACITY IN FY2023. ADDITIONALLY, THE INPATIENT REHABILITATION CENTERS LVH-CEDAR CREST AND LVH-MUHLENBERG PROVIDED INTENSIVE REHABILITATIVE SERVICE TO 1,193 PATIENTS. OUTPATIENT REHABILITATION PROVIDED 343,606 PATIENT VISITS AT LVH-CEDAR CREST AND LVH-MUHLENBERG LOCATIONS. AT A NETWORK LEVEL, LVHN'S REHABILITATION SERVICES DIVISION CURRENTLY STANDS AS THE LARGEST PROVIDER OF REHABILITATIVE CARE IN THE REGION WITH INPATIENT REHABILITATION SERVICES EMBEDDED WITHIN 5 HOSPITALS AND OUTPATIENT SERVICES EXCEEDING 525,000 PATIENT VISITS ACROSS ALL CAMPUSES. LEHIGH VALLEY REILLY CHILDREN'S HOSPITAL (LVRCH OF LVHN AT LVH AND LVH-MUHLENBERG) - INTRODUCED IN MAY 2012, LEHIGH VALLEY REILLY CHILDREN'S HOSPITAL (LVRCH) OFFERS THE MOST WIDE-RANGING, SPECIALIZED HEALTH CARE SERVICES FOR CHILDREN OF ANY FACILITY IN THE REGION. LVRCH HAS THE REGION'S ONLY: CHILDREN'S EMERGENCY DEPARTMENT, LEVEL IV NEONATAL INTENSIVE CARE UNIT (NICU), CHILDREN'S AMBULATORY SURGERY CENTER, AND CHILDREN'S CANCER AND INFUSION CENTER LOCATED AT LVH-CEDAR CREST. IT ALSO HAS THE REGION'S ONLY CHILD ADVOCACY CENTER AT LVH-17TH STREET. LVRCH OF LVHN HAS BEEN A FULL INSTITUTIONAL MEMBER OF THE CHILDREN'S HOSPITAL ASSOCIATION FOR 10 YEARS AND HAS HAD A PEDIATRIC RESIDENCY TRAINING PROGRAM FOR 11 YEARS. LVRCH ALSO HAS A LEVEL II NICU AND AN ADOLESCENT INPATIENT PSYCHIATRIC UNIT AT LVH-MUHLENBERG. IT HAS A PEDIATRIC SLEEP CENTER, AND A PEDIATRIC CYSTIC FIBROSIS CENTER. IT HAS MULTIPLE SURGICAL AND MEDICAL SPECIALISTS WHO PROVIDE CARE WITHIN LVRCH AND PROVIDES SERVICES TO CHILDREN WITH BLEEDING DISORDERS THROUGH THE LVH HEMOPHILIA TREATMENT CENTER. THROUGH OUR SCHOOL-BASED BEHAVIORAL HEALTH SERVICES LVRCH PROVIDES MENTAL HEALTH CARE TO STUDENTS IN 56 SCHOOLS FROM 14 SCHOOL DISTRICTS ACROSS THE REGION. LVRCH PROVIDES CARE FOR CHILDREN WITH MEDICAL COMPLEXITY IN CONCERT WITH THE VALLEY HEALTH PARTNERS CHILDREN'S CLINIC AT LVH-17TH STREET AND LVPG PEDIATRICS AT TREXLERTOWN AND HAS THE REGION'S ONLY CHILDREN'S EXPRESSCARES AT TWO SITES. IN JULY OF 2021, LVRCH OPENED AN EXPANDED PEDIATRIC INTENSIVE CARE UNIT, INCREASING BEDS FROM EIGHT TO 12 AS WELL AS A NEW AND EXPANDED CHILDREN'S EMERGENCY DEPARTMENT AND PEDIATRIC OBSERVATION UNIT. THE PAST FISCAL YEAR, 6,007 CHILDREN WERE ADMITTED TO THE LVRCH (INCLUDING OBSERVATIONS) AND 31,468 RECEIVED CARE IN THE CHILDREN'S EMERGENCY DEPARTMENT. THE LVRCH-AFFILIATED PROFESSIONALS AND STAFF ARE COMMITTED TO IMPROVING THE HEALTH AND WELL-BEING OF CHILDREN IN THE REGION. THEY ARE ACTIVE MEMBERS OF CHILDREN'S HOSPITALS' SOLUTIONS FOR PATIENT SAFETY, A NATIONAL ORGANIZATION OF OVER 135 CHILDREN'S HOSPITALS, WHICH PROMOTES PATIENT SAFETY THROUGH SHARING OF OUTCOMES AND PROCESS METRICS AND COLLABORATIVE INNOVATION. THEY HAVE DEVELOPED 30 CLINICAL PATHWAYS, WHICH DRIVE HIGH-QUALITY, EFFICIENT CARE. LVRCH PROVIDES SPECIALIZED PEDIATRIC TRAUMA AND BURN CARE, PEDIATRIC CANCER CARE AND EXPERT INPATIENT CARE IN THE PEDIATRIC AND NEONATAL INTENSIVE CARE UNITS AND ON THE PEDIATRIC MEDICAL-SURGICAL AND OBSERVATION UNIT. LVHN'S BOARD-CERTIFIED PHYSICIANS PROVIDE CHILDREN'S CARE IN GREATER THAN 30 PEDIATRIC SPECIALTIES INCLUDING PEDIATRIC SURGERY, PEDIATRIC UROLOGY, PEDIATRIC ENT, PEDIATRIC PLASTIC SURGERY, PEDIATRIC ORTHOPEDICS, PEDIATRIC NEUROSURGERY, PEDIATRIC ANESTHESIA, PEDIATRIC RADIOLOGY, PEDIATRIC HEMATOLOGY-ONCOLOGY, PEDIATRIC PULMONOLOGY, PEDIATRIC NEUROLOGY, PEDIATRIC ENDOCRINOLOGY, PEDIATRIC INFECTIOUS DISEASE, PEDIATRIC RHEUMATOLOGY, PEDIATRIC GASTROENTEROLOGY, PEDIATRIC HOSPITAL MEDICINE, NEONATOLOGY, PEDIATRIC CRITICAL CARE MEDICINE, PEDIATRIC EMERGENCY MEDICINE, ADOLESCENT MEDICINE, DEVELOPMENTAL PEDIATRICS, PEDIATRIC NEUROPSYCHOLOGY, CHILD PROTECTION MEDICINE, AND CHILD AND ADOLESCENT PSYCHIATRY. IN PARTNERSHIP WITH VALLEY HEALTH PARTNERS AND COMMUNITY SERVICES FOR CHILDREN, LVRCH PROVIDES AND SUPPORTS EDUCATIONAL SERVICES THROUGH THE ALLENTOWN CHILDREN'S HEALTH IMPROVEMENT PROJECT (ACHIP), A COMMUNITY-BASED NEEDS ASSESSMENT, RESOURCE CONNECTION, AND FAMILY EMPOWERMENT SERVICE FOR FAMILIES WITH CHILDREN UNDER FIVE YEARS OLD. THE WELLER HEALTH EDUCATION SERVICE LINE PROVIDES HIGHLY REGARDED CURRICULA-BASED HEALTH PROGRAMS ADMINISTERED BY PROFESSIONAL EDUCATORS TO OVER 30,000 STUDENTS EACH YEAR IN 25 SCHOOL DISTRICTS ACROSS THE REGION. LVRCH PROMOTES SAFETY AND HEALTHY LIVING IN VARIOUS FORUMS THROUGHOUT THE YEAR. THE MOST NOTABLE IS OUR COMMUNITY CANVAS PROGRAM, WHICH IN PARTNERSHIP WITH THE KELLYN FOUNDATION PROVIDES PROGRAMS IN 20 ELEMENTARY SCHOOLS THAT PROMOTE GOOD NUTRITION AND HEALTHY LIVING. IMAGING SERVICES - IMAGING SERVICES PROVIDES A VARIETY OF DIAGNOSTIC AND THERAPEUTIC PROCEDURES FOR PATIENTS OF ALL AGES, 24 HOURS A DAY, SEVEN DAYS PER WEEK. RADIOLOGY SERVICES INCLUDE THE PROVISION OF EMERGENT, ACUTE, PREVENTIVE, CONSULTATIVE, DIAGNOSTIC, AND THERAPEUTIC IMAGING TO PATIENTS IN THE EMERGENCY, SURGICAL, INPATIENT AND OUTPATIENT SETTINGS OF LVHN. THE DEPARTMENT PERFORMED 218,785 DIAGNOSTIC STUDIES AND PROCEDURES IN FY2023. OUTPATIENTS ACCOUNTED FOR 80% OF THESE EXAMINATIONS, WHILE INPATIENTS ACCOUNTED FOR THE REMAINING 20%.SERVICES ARE PROVIDED AT MULTIPLE SITES. AT LVH-CEDAR CREST, THE FOLLOWING SERVICES ARE OFFERED: VASCULAR LAB, ULTRASOUND, COMPUTERIZED TOMOGRAPHY, NUCLEAR MEDICINE, DIAGNOSTIC IMAGING, INTERVENTIONAL RADIOLOGY AND NEURORADIOLOGY. IMAGE MANAGEMENT SERVICES, MAGNETIC RESONANCE IMAGING (MRI), DEXA, AND PET-CT SERVICES ARE PROVIDED THROUGH AN AFFILIATED PARTNER. AT LVH-17TH STREET, THE FOLLOWING SERVICES ARE OFFERED: DIAGNOSTIC IMAGING, COMPUTERIZED TOMOGRAPHY, ULTRASOUND, VASCULAR LAB, AND IMAGE MANAGEMENT SERVICES. SERVICES AT LVH-MUHLENBERG INCLUDE VASCULAR LAB, ULTRASOUND, COMPUTERIZED TOMOGRAPHY, NUCLEAR MEDICINE, DIAGNOSTIC IMAGING, INTERVENTIONAL RADIOLOGY, SPECT-CT, AND MOBILE PET-CT, AS WELL AS IMAGE MANAGEMENT SERVICES. MAGNETIC RESONANCE IMAGING (MRI) SERVICES ARE PROVIDED AT LVH-MUHLENBERG FOR BOTH INPATIENT AND OUTPATIENT THROUGH AN AFFILIATED PARTNER. THE LVH-TILGHMAN CAMPUS OFFERS DIAGNOSTIC IMAGING SERVICES FOR THE EXPRESS CARE AND ORTHOPEDIC SURGERY DIVISION. LIMITED ULTRASOUND/VASCULAR IMAGING IS ALSO PROVIDED FOR INPATIENTS. THE RADIOLOGY DEPARTMENT OFFERS DIAGNOSTIC IMAGING AND ULTRASOUND AT THE FOLLOWING HEALTH CENTER LOCATIONS: BETHLEHEM TOWNSHIP, RICHLAND TOWNSHIP, FOGELSVILLE, HAMBURG (DIAGNOSTIC ONLY), MOSELEM SPRINGS, AND TREXLERTOWN. THE HEALTH CENTER AT BATH OFFERS DEXA, DIAGNOSTIC IMAGING, ULTRASOUND SERVICES AND PHLEBOTOMY. THE HEALTH CENTER AT BANGOR OFFERS DEXA, DIAGNOSTIC IMAGING, AND ULTRASOUND SERVICES. IMAGING SERVICES AT CETRONIA ROAD INCLUDE COMPUTERIZED TOMOGRAPHY, DEXA, DIAGNOSTIC IMAGING, MRI, AND ULTRASOUND SERVICES. DIAGNOSTIC IMAGING SERVICES ARE OFFERED AT 1101 CEDAR CREST AND AIRPORT ROAD.
FORM 990, PART III, LINE 4C, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED):	THERE ARE VARIOUS IMAGING SERVICES PROVIDED THROUGH AN AFFILIATED PARTNER INCLUDING LVH-HECKTOWN OAKS, LVH-CARBON, AND OUTPATIENT IMAGING SERVICES AT HEALTH & WELLNESS CENTERS INCLUDING PENNSBURG AND MUHLENBERG (1770 BATHGATE). LVH-HECKTOWN OAKS SERVICES INCLUDE MRI, CT, PET/CT, ULTRASOUND AND DIAGNOSTIC IMAGING. IMAGING SERVICES AT LVH-CARBON INCLUDE MRI, CT, ULTRASOUND, DIAGNOSTIC IMAGING AND BONE DENSITOMETRY. SHELL SPACE EXISTS AT THIS LOCATION FOR FUTURE EXPANSION TO INCLUDE FLUOROSCOPY SERVICES. PENNSBURG IMAGING SERVICES INCLUDE DIAGNOSTIC IMAGING AND ULTRASOUND. THE HEALTH & WELLNESS CENTER AT MUHLENBERG PROVIDES CT & MRI SERVICES. FY2024 PLANS INCLUDE CONTINUATION AND EXPANSION OF NUCLEAR MEDICINE THERANOSTICS PROGRAM AT LVH-CEDAR CREST AND THE OPENING LVH-MACUNGIE AND LVH-GILBERTSVILLE HOSPITALS INCLUDING DIAGNOSTIC IMAGING, ULTRASOUND/VASCULAR, CT AND MRI. PHARMACY SERVICES - LEHIGH VALLEY PHARMACY SERVICES OFFERS A FULL RANGE OF PHARMACY SERVICES IN THREE CONVENIENT, PATIENT-FOCUSED LOCATIONS: LVH-CEDAR CREST, LVH-17TH STREET, AND LVH-MUHLENBERG. ADDITIONALLY, PRESCRIPTION PICK-UP LOCATIONS ARE AVAILABLE AT LVH-HECKTOWN OAKS AND LVH-CARBON TO BETTER SERVE PATIENTS BEING DISCHARGED FROM THESE FACILITIES AS WELL AS OUR LVHN COLLEAGUES. THE SPECIALTY PHARMACY AND HOME INFUSION PHARMACY, LOCATED AT 2024 LEHIGH STREET IN ALLENTOWN, PROVIDED HOME INFUSION AND SPECIALTY PHARMACY SERVICES TO RESIDENTS OF SURROUNDING COUNTIES IN EASTERN PENNSYLVANIA. PHARMACY SERVICES INCLUDE PRESCRIPTIONS, COMPOUNDING, SPECIALTY MEDICATIONS, VACCINATIONS, OVER THE COUNTER, HERBAL/ALTERNATIVE MEDICATIONS, PERSONAL CARE PRODUCTS, FIRST AID, WOUND CARE, OSTOMY, KNEE BRACES, ORTHOTICS, VASCULAR GARMENTS, POST-MASTECTOMY, BREAST PROSTHESES, DIABETIC SUPPLIES, AND HOME INFUSION. THE RETAIL PHARMACIES ARE ACCREDITED BY THE BOARD OF CERTIFICATION/ACCREDITATION INTERNATIONAL, THE SPECIALTY PHARMACY IS ACCREDITED BY UTILIZATION REVIEW ACCREDITATION COMMISSION (URAC), THE NATION'S LEADER IN PHARMACY ACCREDITATION, AND THE HOME INFUSION PHARMACY IS ACCREDITED BY COMMUNITY HEALTH ACCREDITATION PROGRAM. THE RETAIL PHARMACIES ARE EQUIPPED WITH WORKFLOW, COUNTING CELL, AND BAR CODE SCANNING TECHNOLOGY. PILLS IN A POUCH COMPLIANCE PACKAGING, BEDSIDE DELIVERY, AND CONVENIENCE SHIPPING ARE ALSO OFFERED. IN FISCAL YEAR 2023, 444,750 PRESCRIPTIONS WERE FILLED, AND 5,679 INFUSION PATIENTS WERE SERVICED. THE LVHN INPATIENT PHARMACY SERVICES ARE NATIONALLY RECOGNIZED FOR EFFORTS IN MEDICATIONS SAFETY AND ADVANCES IN TECHNOLOGY. THE DEPARTMENT UTILIZES ADVANCED MEDICATION SAFETY TECHNOLOGIES INCLUDING COMPUTERIZED PROVIDER ORDER ENTRY, BEDSIDE BARCODING MEDICATION VERIFICATION, TWO MEDICATION DISPENSING ROBOTS, AND AUTOMATED DISPENSING CABINETS. THE STAFF HAS BOARD CERTIFIED CLINICAL PHARMACY SPECIALISTS IN THE AREAS OF INFECTIOUS DISEASE, ADULT AND PEDIATRIC ONCOLOGY, TRAUMA, BURN, CRITICAL CARE, PEDIATRICS, CARDIOLOGY, SOLID ORGAN TRANSPLANT, EMERGENCY MEDICINE, ENDOCRINOLOGY, AND INTERNAL MEDICINE. THE DEPARTMENT USES A UNIT-BASED MODEL TO PROVIDE PHARMACY SERVICES AT THE POINT OF CARE. GUIDED BY THE QUADRUPLE AIM, PHARMACY SERVICES CONTINUES TO INNOVATE, PROVIDING THE HIGHEST LEVEL OF CARE TO OUR PATIENTS THROUGH OUTSTANDING CLINICAL SERVICES, AND A DISTRIBUTION MODEL THAT PROVIDES SAFETY AND EFFICIENCIES LIKE NO OTHER. COMMUNITY PRACTICES AND PROGRAMS - LOCATED IN THE HEART OF ALLENTOWN, LEHIGH VALLEY HOSPITAL (LVH)-17TH STREET WAS FOUNDED 125 YEARS AGO AND IS THE ORIGINAL HOSPITAL IN THE 14-CAMPUS LEHIGH VALLEY HEALTH NETWORK HOSPITAL SYSTEM. WALKABLE AND EASILY ACCESSIBLE VIA PUBLIC TRANSPORTATION, LVH-17TH STREET IS A HUB OF COMMUNITY WELLNESS OFFERING A RANGE OF ESSENTIAL PROGRAMS AND SERVICES FOR ALLENTOWN'S MOST VULNERABLE RESIDENTS INCLUDING BUT NOT LIMITED TO: EMERGENCY CARE, AMBULATORY SURGERY, BREAST HEALTH SERVICES, A MENTAL HEALTH CARE CLINIC, INPATIENT HOSPICE CARE, INPATIENT REHABILITATION SERVICES AND A FULL-SERVICE PHARMACY. IN ADDITION, LVH-17TH STREET IS HOME TO SEVERAL COMMUNITY PRACTICES AND PROGRAMS THAT PROVIDE QUALITY, COMPASSIONATE CARE FOR ALL MEMBERS OF THE COMMUNITY, WITH THE MAJORITY OF PATIENTS EITHER QUALIFYING FOR MEDICAID OR HAVING NO INSURANCE, INCLUDING: INTERPRETER SERVICES WHICH IMPROVES OUTCOMES AND REDUCES HEALTH CARE DISPARITIES FOR NON-ENGLISH SPEAKING PATIENTS AND THOSE WHO ARE DEAF AND HARD OF HEARING THROUGH IN-PERSON, VIDEO, AND PHONE INTERPRETING PROVIDED BY CERTIFIED MEDICAL INTERPRETERS; COMPREHENSIVE HEALTH SERVICES WHICH IS THE REGION'S LARGEST HEALTH CARE PROVIDER FOR PATIENTS LIVING WITH OR AFFECTED BY HUMAN IMMUNODEFICIENCY VIRUS (HIV) AND SERVES OVER 1,000 PATIENTS; LVPG GERIATRICS AND THE FLEMING MEMORY CENTER WHICH PROVIDE SPECIALIZED GERIATRIC PATIENT CARE AS WELL AS SUPPORT AND GUIDANCE TO PATIENTS AND FAMILIES AFFECTED BY MEMORY LOSS; THE JOHN VAN BRAKLE CHILD ADVOCACY CENTER WHICH AIMS TO MINIMIZE THE TRAUMA CHILDREN EXPERIENCE DURING A CHILD ABUSE INVESTIGATION BY COORDINATING SERVICES IN A SINGLE CHILD-FRIENDLY LOCATION; THE 17TH STREET DENTAL CLINIC WHICH PROVIDES COMPREHENSIVE DENTAL CARE TO CHILDREN AND ADULTS IN THE HOSPITAL SETTING AND VIA A MOBILE UNIT; THE HEPATITIS CARE CENTER WHICH PROVIDES SPECIALTY CARE FOCUSED ON VIRAL HEPATITIS; AND, THE SCHOOL-BASED BEHAVIORAL HEALTH PROGRAM WHICH PROVIDES LICENSED OUTPATIENT MENTAL HEALTH SERVICES TO HUNDREDS OF UNINSURED AND UNDERINSURED CHILDREN ANNUALLY. IN ADDITION, LVH-17TH STREET OFFERS FOOD SECURITY PROGRAMS FOR PATIENTS IN NEED AND SERVES AS A CENTRALIZED LOCATION FOR PATIENTS TO ACCESS OTHER RESOURCES INCLUDING FINANCIAL COUNSELING AND LEGAL SUPPORT. INTEGRATED CARE COORDINATION- IN 2014, LVHN ADOPTED A VISION STATEMENT: TO BECOME AN INNOVATIVE LEADER IN POPULATION HEALTH MANAGEMENT. SINCE THEN, LVHN HAS BEEN BUILDING ITS CAPACITY AND COMPETENCIES TO ACHIEVE THIS VISION. LVHN DEFINES POPULATION HEALTH (PH) AS THE HEALTH AND HEALTH OUTCOMES OF A GROUP OF INDIVIDUALS, INCLUDING HOW THOSE OUTCOMES ARE DISTRIBUTED ACROSS THE GROUP. PH HAS GAINED SIGNIFICANT TRACTION IN LVHN OVER THE LAST FEW YEARS, EVEN THOUGH CURRENTLY LESS THAN 10% OF PAYMENT COMES THROUGH VALUE ARRANGEMENTS. NONETHELESS, LVHN HAS DONE THE GROUNDWORK FOR THE EVENTUALITY THAT THE NATION'S FINANCING MODEL WILL CHANGE TO SUPPORT THE EXECUTION OF A VALUE-DRIVEN, POPULATION HEALTH-BASED DELIVERY SYSTEM. IT IS WITH THIS IN MIND LVHN HAS BEGUN TO CREATE A CULTURE OF DELIVERING THE RIGHT INTERVENTION FOR A SPECIFIC PATIENT IN THE LEAST COSTLY POINT IN THE CARE CONTINUUM; AND, CREATING VALUE FOR PATIENTS AND PAYERS SO THAT LVHN IS RECOGNIZED AND REIMBURSED FOR THAT KIND OF CARE. THE INTEGRATED CARE COORDINATION DEPARTMENT SEAMLESSLY INTEGRATES CARE COORDINATION EFFORTS ACROSS THE NETWORK WITH BOTH INPATIENT AND AMBULATORY CLINICAL ASSETS. THE FOLLOWING IS AN OVERVIEW OF THE PH RESOURCES DEPLOYED AND COMPLETED IN FY2023: COMMUNITY CARE TEAMS (CCT) - CCT(S) WORK WITH HIGH-RISK PATIENTS BASED ON PREDETERMINED RISK STRATIFICATION, PAYER ARRANGEMENT, AND PROVIDER CLINICAL JUDGMENT. CCT(S) HAVE A CARE MANAGER, A PHARMACIST, A BEHAVIORAL HEALTH SPECIALIST, A SOCIAL WORKER, COMMUNITY HEALTH WORKERS, AND/OR MEDICATION ASSISTANCE COORDINATORS. THEY COLLABORATE WITH LEHIGH VALLEY PHYSICIAN GROUP AND MEDICAL ASSOCIATES OF THE LEHIGH VALLEY (MATLV) PRIMARY CARE AND SPECIALTY PRACTICES TO FACILITATE THE MANAGEMENT OF THE MOST COMPLEX PATIENTS (THESE ARE THE TOP 5% HIGH-RISK LVHN PATIENTS. CCT(S) COVER OVER 100 PRIMARY CARE PRACTICES AND SPECIALTY PRACTICES ACROSS SEVEN COUNTIES. NURSE-DRIVEN PROTOCOLS AND SPECIALTY REFERRALS ALLOW FOR SEAMLESS COLLABORATION WITH OACIS (OPTIMIZING ADVANCED COMPLEX ILLNESS SUPPORT) HOME-BASED CONSULT SERVICE, HOME CARE, REMOTE PATIENT MONITORING, AND OTHER LVHN NETWORK SERVICES. IN FY2023, CCT(S) TOUCHED OVER 16,799 UNIQUE PATIENTS AND OVER 57,218 TOTAL PATIENT CONTACTS BY PHONE, PORTAL COMMUNICATION, VIDEO VISITS, OR FACE-TO-FACE VISITS. IN ADDITION TO WORKING TO HELP PATIENTS GAIN INSURANCE, FOOD, SHELTER, AND TRANSPORTATION. IN FY2023, CCT(S) FACILITATED OVER $6 MILLION IN FREE PRESCRIPTION MEDICATIONS. SECURING THESE MEDICATIONS REDUCES AMBULATORY CARE SENSITIVE ADMISSIONS AND UNNECESSARY EMERGENCY DEPARTMENT VISITS. OVER THE LAST NINE FISCAL YEARS, THIS PROGRAM HAS SECURED OVER $44 MILLION IN FREE AND DISCOUNTED PRESCRIPTIONS FOR LVHN PATIENTS.
FORM 990, PART III, LINE 4C, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED):	IN FY2023, LVHN SCREENED APPROXIMATELY 73,000 PATIENT ENCOUNTERS FOR SOCIAL DETERMINANTS OF HEALTH (SDOH) CONCERNS AND 2,500 REFERRALS FOR POPULATION HEALTH CARE MANAGEMENT OR SOCIAL SERVICE INTERVENTION WERE PLACED DUE TO POSITIVE SCREENS. OF THOSE PATIENTS REFERRED TO POPULATION HEALTH FOR FURTHER ASSESSMENT AND INTERVENTION, CCT SOCIAL WORKERS PLACED OVER 1,700 REFERRALS TO COMMUNITY-BASED ORGANIZATIONS IN THE FIND HELP PLATFORM. TO IMPROVE REFERRAL RATES FOR POSITIVE SDOH SCREENS, THE NETWORK LAUNCHED NEW SDOH SCREENING DOMAINS (UTILITIES, HEALTH LITERACY) AND REVISED THE (+) SCREEN BEST PRACTICE ADVISORY (BPA) TO TRIGGER THE SCREENER TO PLACE A REFERRAL TO POPULATION HEALTH WHEN A SIGNIFICANT NEED WAS IDENTIFIED. THE CCT TOOK A MULTIDISCIPLINARY APPROACH TO THIS PROJECT IN AN OVERALL ATTEMPT TO IMPROVE THE OVERALL CARE OF A PATIENT LIVING WITH ASTHMA. CHWS, NURSE CARE MANAGERS, AND CLINICAL PHARMACISTS COLLABORATE TO ENSURE PATIENTS ARE ON EVIDENCE-BASED MEDICATION REGIMENS, HAVE ASTHMA ACTION PLANS IN PLACE, RECEIVE TOBACCO CESSATION SUPPORT, ARE UP TO DATE ON IMMUNIZATIONS, AND UNDERSTAND APPROPRIATE INHALER TECHNIQUE. SO FAR, THE PROJECT TEAM HAS OUTREACHED TO 400 PATIENTS WITH ASTHMA, SCREENED 140 WITH ASTHMA USING THE EVIDENCE-BASED ASTHMA CONTROL TEST (ACT), ENROLLED 37 PATIENTS IN THE PROGRAM, REFERRED 21 PATIENTS TO SCA, CHANGED MEDICATIONS ON 15 PATIENTS, CREATED 6 ASTHMA ACTION PLANS, AND ACCEPTED 3 PATIENTS FOR REMEDIATION SERVICES. INTEGRATED CARE TRANSITIONS - THE INTEGRATED CARE TRANSITIONS TEAM CONSISTS OF A CENTRALIZED TRANSITION OF CARE (TOC) CALL CENTER, CARE NAVIGATION, AND REMOTE PATIENT MONITORING (RPM). ACROSS THESE TEAMS, A TOTAL OF 53,000 PATIENTS WERE CONTACTED EITHER WHILE IN A HOSPITAL SETTING OR POST-DISCHARGE AFTER A HOSPITAL STAY IN FY2023 THAT ARE ATTRIBUTED TO OUR LEHIGH VALLEY PHYSICIAN HOSPITAL ORGANIZATION (LVPHO) PRIMARY CARE PRACTICES. THESE NUMBERS REPRESENT THE CALLS MADE FOR DISCHARGES FROM ONE OF OUR LVH HOSPITALS OR FOR ATTRIBUTED PATIENTS SEEN IN ANOTHER NON-LVHN FACILITY. THROUGHOUT FY2023, EFFORTS CONTINUED TO FOCUS ON INCREASING THE PERCENTAGE OF PATIENTS THAT HAVE A TIMELY FOLLOW-UP VISIT POST-DISCHARGE. THE PERCENT OF PATIENTS SEEN WITHIN SEVEN DAYS WAS 49.49%. RPM CONSISTS OF TWO MAIN LEVELS OF CARE ENGAGING PATIENTS THROUGH LVHN AT HOME AND STANDARD RPM. THE LVHN AT HOME PROGRAM IS A COLLABORATIVE EFFORT BETWEEN RPM, HOME CARE, AND THE ACUTE CARE BRIDGE CLINIC (MATERNAL FETAL MEDICINE PROVIDES THE MEDICAL SUPPORT FOR HIGH-RISK PREGNANCY). IN FY2023, THERE WERE 211 PATIENTS ENGAGED IN LVHN AT HOME. STANDARD RPM IS THE TRADITIONAL RPM PROGRAM WHERE PATIENTS ARE MONITORED FOR APPROXIMATELY 90 DAYS FOR THEIR CHRONIC CONDITION. IN FY2023, THERE WERE 15,161 PATIENTS ENGAGED IN STANDARD RPM, AVERAGING ABOUT 1,300 PATIENTS/MONTH. INPATIENT CARE MANAGEMENT - THE INPATIENT CARE MANAGEMENT TEAM CONSISTS OF REGISTERED NURSE AND MASTER'S IN SOCIAL WORK CARE MANAGERS ALONG WITH SOCIAL SERVICE SUPPORT STAFF TO PROVIDE CARE MANAGEMENT SERVICES. THIS TEAMS SERVED OVER 85,000 ACUTE CARE HOSPITALIZED PATIENTS AT 14 LOCATIONS THROUGHOUT THE NETWORK. INPATIENT CARE MANAGEMENT ASSESSES PATIENTS FOR DISCHARGE PLANNING NEEDS INCLUDING SOCIAL DETERMINANTS OF HEALTH, RISKS FOR READMISSION AND RISK FOR NEED OF A POST-ACUTE FACILITY STAY. THE TEAM FOCUSED ON LINKING PATIENTS TO OUR AMBULATORY CARE MANAGEMENT RESOURCES: CARES PROGRAM AND THE CCT TEAMS. IN ADDITION, THE WHY NOT HOME CAMPAIGN FOCUSED ON DECREASING SNF UTILIZATION. THE GREATEST IMPACT WAS A NEARLY 12% REDUCTION IN UTILIZATION. THIS REDUCTION ALSO CONTRIBUTES TO DECREASING TOTAL COST OF CARE AND LOS. IN FY2023, THE IN-PATIENT CARE MANAGEMENT TEAM PROVIDED $343,277 OF SUPPORT TO INDIGENT CARE. THIS FUNDING PROVIDED EMERGENCY HOUSING, SUPPLIES, TRANSPORTATION, AND MEDICATION TO FACILITATE SAFE DISCHARGES BACK TO THE COMMUNITY. MAGNET STATUS FOR NURSING EXCELLENCE - IN AUGUST 2002, THE AMERICAN NURSES CREDENTIALING CENTER (ANCC) GRANTED MAGNET DESIGNATION TO LVH-CEDAR CREST AND LVH-MUHLENBERG, THE FIRST FULL-SERVICE HOSPITALS IN PENNSYLVANIA TO RECEIVE THE RECOGNITION. DEVELOPED BY THE ANCC IN 1994, THE MAGNET DESIGNATION IS THE AMERICAN NURSES ASSOCIATION'S HIGHEST HONOR FOR EXCELLENCE IN NURSING AND RECOGNIZES LEHIGH VALLEY HOSPITAL AS A NATIONAL AND GLOBAL LEADER IN NURSING EDUCATION, RESEARCH, PATIENT SATISFACTION, EVIDENCED-BASED CARE, IMPROVED PATIENT OUTCOMES, JOB RETENTION AND THE CENTRAL ROLE OF NURSING IN THE ORGANIZATION. HEALTH CARE ORGANIZATIONS MUST REAPPLY FOR MAGNET RECOGNITION EVERY FOUR YEARS. AN ORGANIZATION REAPPLYING FOR MAGNET RECOGNITION MUST PROVIDE DOCUMENTED EVIDENCE TO DEMONSTRATE HOW STAFF MEMBERS SUSTAINED AND IMPROVED MAGNET CONCEPTS, PERFORMANCE, AND QUALITY OVER THE FOUR-YEAR PERIOD SINCE THE ORGANIZATION RECEIVED ITS MOST RECENT RECOGNITION. ADDITIONALLY, RE-DESIGNATING ORGANIZATIONS MUST UNDERGO A SITE VISIT BY A TEAM OF MAGNET APPRAISERS WHO SPEND TIME INTERACTING WITH NURSES AND OTHER COLLEAGUES TO VALIDATE, VERIFY AND AMPLIFY COMPLIANCE AND ENCULTURATION OF KEY MAGNET MODEL COMPONENTS WHICH INCLUDE TRANSFORMATIONAL LEADERSHIP; STRUCTURAL EMPOWERMENT; EXEMPLARY PROFESSIONAL PRACTICE; NEW KNOWLEDGE, INNOVATIONS, AND IMPROVEMENTS; AND EMPIRICAL QUALITY RESULTS. IN 2006, 2011, 2016, AND 2020, LVH WAS RE-DESIGNATED AS A MAGNET HOSPITAL, CONTINUING TO DEMONSTRATE THE REQUIRED EVIDENCE OF A PRACTICE ENVIRONMENT IN WHICH PROFESSIONAL NURSES AND INTERDISCIPLINARY COLLEAGUES LEAD THE REFORMATION OF HEALTH CARE AND THE CARE OF THE PATIENT, FAMILY, AND COMMUNITY. IN FY2024, LVH WILL SUBMIT OUR APPLICATION FOR A 6TH DESIGNATION.
FORM 990, PART VI, SECTION A, LINE 6	THE ORGANIZATION'S SOLE CORPORATE MEMBER IS LEHIGH VALLEY HEALTH NETWORK, INC.
FORM 990, PART VI, SECTION A, LINE 7A	THE ORGANIZATION'S SOLE CORPORATE MEMBER, LEHIGH VALLEY HEALTH NETWORK, INC., HAS THE POWER TO ELECT, APPOINT, APPROVE, OR REJECT MEMBER'S OF THE ORGANIZATION'S GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7B	THE ORGANIZATION'S SOLE CORPORATE MEMBER, LEHIGH VALLEY HEALTH NETWORK, INC., HAS THE POWER TO APPROVE OR REJECT CERTAIN MAJOR OPERATING DECISIONS MADE BY THE ORGAZINATION'S GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11B	THE PROCESS TO REVIEW THE FORM 990'S INCLUDES: DRAFT 1 OF THE RETURNS IS REVIEWED IN DETAIL WITH A FOCUS ON ACCURACY, COMPLETENESS, AND PERSPECTIVE BY THE LVHN VICE-PRESIDENT, FINANCE & CONTROLLER. DRAFT 2 OF THE RETURNS IS REVIEWED BY THE EXECUTIVE VICE PRESIDENT AND CHIEF FINANCIAL OFFICER. ALL COMPENSATION DISCLOSURES ARE REVIEWED BY THE DIRECTOR, COMPENSATION - HUMAN RESOURCES. DRAFT 3 OF THE RETURNS IS REVIEWED TOGETHER WITH THE PRESIDENT & CEO, THE EXECUTIVE VICE PRESIDENT & CHIEF FINANCIAL OFFICER, THE VICE-PRESIDENT, FINANCE & CONTROLLER, AND THE ADMINISTRATOR, TAX. FINAL RETURNS ARE PROVIDED TO THE FULL BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	IN JANUARY 2016, LVHN IMPLEMENTED AN ELECTRONIC TOOL DESIGNED TO SEND NOTIFICATIONS AND TRACK DISCLOSURES REPORTED ON CONFLICT OF INTEREST QUESTIONNAIRES. THE NETWORK ALSO EXPANDED THE SCOPE OF THE CONFLICT OF INTEREST OR COMMITMENT POLICY, SUCH THAT ADDITIONAL COLLEAGUES ARE NOW REQUIRED TO COMPLETE A QUESTIONNAIRE EACH YEAR. PRIOR TO JANUARY, THE VP, INTERNAL AUDIT AND COMPLIANCE SERVICES ISSUED A NOTICE TO BOARD MEMBERS AND MEMBERS OF THE SENIOR MANAGEMENT COUNCIL WHEN IT WAS TIME FOR THEM TO SUBMIT THEIR CONFLICT OF INTEREST QUESTIONNAIRES. THE VP ALSO INSTRUCTED MEMBERS OF THE SENIOR MANAGEMENT COUNCIL TO IDENTIFY AND REQUEST COMPLETED CONFLICT OF INTEREST QUESTIONNAIRES FROM INDIVIDUALS WHO HAD POTENTIAL CONFLICTS OF INTEREST AND TO PROVIDE HER WITH THE IDENTITY OF THOSE INDIVIDUALS. COMPLIANCE SERVICES TRACKED COMPLETION OF THE QUESTIONNAIRES. ALL PHYSICIANS ON LVHN'S MEDICAL STAFF ARE ALSO REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. MEDICAL STAFF SERVICES MONITORS THIS PROCESS TO ENSURE THAT ALL PHYSICIANS COMPLY. POTENTIAL CONFLICTS ARE MANAGED BY THE LVHN CONFLICT OF INTEREST COMMITTEE AND/OR BY THE BOARD OF TRUSTEES, DEPENDING ON WHOSE INTEREST(S) POSE THE CONFLICT AND THE NATURE OF THE CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15	LEHIGH VALLEY HEALTH NETWORK 2023 EXECUTIVE COMPENSATION REVIEW IN COMPLIANCE WITH THE REBUTTABLE PRESUMPTION OF REASONABLENESS PROCESS OUTLINED IN THE INTERMEDIATE SANCTIONS REGULATIONS (ISSUED UNDER SECTION 4958 OF THE INTERNAL REVENUE CODE); SULLIVAN COTTER AND ASSOCIATES, INC. (SULLIVAN COTTER) QUALIFIES AS AN INDEPENDENT EXECUTIVE COMPENSATION EXPERT, SPECIALIZING IN THE HEALTH CARE INDUSTRY. SULLIVAN COTTER PROVIDES ADVICE TO THE LEHIGH VALLEY HEALTH NETWORK EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES TO SUPPORT ITS ATTAINMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS REGULATIONS. THEY ALSO SUPPORT THE COMMITTEE IN ENSURING THAT THE LVHN EXECUTIVE COMPENSATION PROGRAM IS COMPETITIVE AND ALIGNED WITH THE ORGANIZATION'S EXECUTIVE COMPENSATION PHILOSOPHY. CHIEF EXECUTIVE OFFICER TOTAL COMPENSATION REVIEW: PROGRAM ANALYSIS: ANALYZE THE MARKET POSITION OF TOTAL COMPENSATION (BASE SALARY, INCENTIVE, BENEFITS, AND PERQUISITES) FOR LVHN'S PRESIDENT AND CHIEF EXECUTIVE OFFICER (CEO) IN RELATION TO CEO MARKET DATA OBTAINED FOR A DEFINED PEER GROUP OF COMPARABLE HEALTH SYSTEMS. THIS INCLUDES THE PREPARATION OF TALLY SHEETS FOR THE PRESIDENT AND CEO AS WELL AS AN ANALYSIS OF FORM 990 COMPENSATION DATA. THEY ASSESS THE ALIGNMENT OF THE PRESIDENT AND CEO'S COMPENSATION WITH LVHN'S COMPENSATION PHILOSOPHY AND NOTE THE IMPLICATIONS OF THE REVIEW. SULLIVAN COTTER'S ANALYSES AND FINDINGS ARE SUMMARIZED IN A REPORT TO THE COMMITTEE THAT PROVIDES A REASONABLENESS OPINION FOR THE INTERMEDIATE SANCTIONS COMPLIANCE. THE REPORT WAS PROVIDED BY SULLIVAN COTTER AT THE AUGUST 16, 2022 EXECUTIVE COMPENSATION COMMITTEE MEETING. CEO COUNCIL EXECUTIVE TOTAL COMPENSATION REVIEW: PROGRAM ANALYSIS: ANALYZE THE MARKET POSITION OF TOTAL COMPENSATION (SALARIES, INCENTIVES, BENEFITS, AND PERQUISITES) FOR LVHN'S CEO COUNCIL EXECUTIVES (APPROXIMATELY 10 TOTAL POSITIONS) IN RELATION TO COMPARABLE POSITIONS IN PEER ORGANIZATIONS. THIS INCLUDES THE PREPARATION OF TALLY SHEETS FOR EACH INDIVIDUAL. SULLIVAN COTTER'S ANALYSES AND FINDINGS ARE SUMMARIZED IN A REPORT TO THE COMMITTEE THAT ALSO PROVIDES AN OPINION OF REASONABLENESS FOR INTERMEDIATE SANCTIONS COMPLIANCE. THE REPORT WAS PROVIDED BY SULLIVAN COTTER AT THE AUGUST 16, 2022 EXECUTIVE COMPENSATION COMMITTEE MEETING. SUMMARY OF METHODOLOGY TO CONDUCT THIS ANALYSIS, SULLIVAN COTTER: COLLECTED BACKGROUND INFORMATION REGARDING LVHN'S OPERATIONS, STRUCTURE, SIZE AND SCOPE, AS WELL AS EACH POSITION'S DUTIES. COMPILED MARKET DATA FOR CEO COUNCIL EXECUTIVES CONSISTENT WITH THE EXECUTIVE COMPENSATION PHILOSOPHY APPROVED BY THE COMMITTEE DURING ITS SEPTEMBER 22, 2022 MEETING: THE MARKET DATA USED FOR LVHN SYSTEM EXECUTIVES IN THIS ASSESSMENT ARE AN EQUALLY WEIGHTED BLEND OF: (1) LVHN'S COMMITTEE-APPROVED PEER GROUP OF 25 NOT-FOR-PROFIT HEALTH SYSTEMS LOCATED IN THE NORTHEAST (EXCLUDING NEW YORK CITY) WITH NET OPERATING REVENUES BETWEEN $2.0 BILLION AND $9.0 BILLION (MEDIAN OF $3.2 BILLION); AND (2) NATIONAL DATA REFLECTING ORGANIZATIONS OF SIMILAR SCOPE AND SIZE TO LVHN. PEER GROUP AND NATIONAL MARKET DATA WERE ABSTRACTED FROM SULLIVAN COTTER'S 2022 SURVEY OF MANAGER AND EXECUTIVE COMPENSATION IN HOSPITALS AND HEALTH SYSTEMS, AS WELL AS OTHER PUBLISHED COMPENSATION SURVEYS REFLECTING PAY AT COMPARABLY SIZED ORGANIZATIONS, WHICH INCLUDED NATIONAL HOSPITALS AND NATIONAL MEDICAL GROUPS. COMPILED MARKET DATA FOR THE LVHN CLINICAL CHAIRS PREPARED BY THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES (AAMC) FOR THE CHAIRS OF CLINICAL DEPARTMENTS IN MEDICAL SCHOOLS, LVHN'S TRADITIONAL COMPARATOR GROUP FOR THESE JOBS. ADJUSTED THE MARKET DATA TO AN EFFECTIVE DATE OF JANUARY 1, 2023 AT AN ANNUALIZED RATE OF 3.0% BASED ON SALARY INCREASE TRENDS. COMPARED EACH COMPONENT OF LVHN'S BENEFIT PROGRAM AGAINST TYPICAL MARKET BENEFIT PRACTICES IN HEALTH SYSTEMS AND HOSPITALS BASED ON MULTIPLE PUBLISHED SURVEYS, SUPPLEMENTED BY SULLIVAN COTTER'S PROPRIETARY DATA AND EXPERIENCE. DEVELOPED MARKET TOTAL COMPENSATION DATA BY COMBINING MARKET TCC WITH TYPICAL MARKET BENEFIT COSTS. COMPARED LVHN'S TC TO MARKET RATES AND ASSESSED OVERALL POSITIONING. FOR PHYSICIAN EXECUTIVES HAVING BOTH CLINICAL AND ADMINISTRATIVE ROLES, RELEVANT MARKET DATA WERE COLLECTED BASED ON FTE ALLOCATION. SULLIVAN COTTER HAS NOT COMPLETED AN ASSESSMENT OF THE PHYSICIANS' PRODUCTIVITY OR THE FAIR MARKET VALUE (FMV) OF THEIR CLINICAL COMPENSATION, AS LVHN HAS ADVISED THAT SUCH AMOUNTS ARE APPROPRIATE AND WITHIN FMV. SULLIVAN COTTER USED THE FOLLOWING METHODOLOGY TO ASSESS THE COMPETITIVENESS AND REASONABLENESS OF LVHN'S EXECUTIVE TOTAL COMPENSATION LEVELS: COLLECTED BACKGROUND INFORMATION REGARDING LVHN'S OPERATIONS, STRUCTURE, SIZE AND SCOPE. COLLECTED INFORMATION ON EACH CEO COUNCIL EXECUTIVE MEMBER'S CURRENT COMPENSATION. DATA COLLECTED INCLUDE BASE SALARIES, ANNUAL INCENTIVE OPPORTUNITY LEVELS (TARGET AND MAXIMUM), ACTUAL ANNUAL INCENTIVE PAYOUT AMOUNTS, ANNUAL COSTS OF ALL STANDARD AND SUPPLEMENTAL BENEFITS AND ANNUAL COST AND DESCRIPTION OF EXECUTIVE PERQUISITES. REVIEWED JOB DESCRIPTIONS AND ORGANIZATIONAL CHARTS TO IDENTIFY EACH POSITION'S FUNCTIONAL RESPONSIBILITIES AND REPORTING RELATIONSHIPS. SELECTED THE APPROPRIATE BENCHMARK POSITION MATCH FOR EACH POSITION AND APPLIED PREMIUMS/DISCOUNTS TO THE MARKET DATA IN INSTANCES WHERE LVHN'S JOB DUTIES DIFFER MATERIALLY FROM BENCHMARK POSITION MATCHES. POSITION MATCHES AND MARKET ADJUSTMENTS WERE REVIEWED WITH LVHN'S SENIOR VICE PRESIDENT, HUMAN RESOURCES AND COMPENSATION STAFF. LVHN'S PROJECTED FY2022 NET REVENUES AND PHYSICIAN FTE'S WERE USED AS THE SCOPE SIZE FOR EACH ENTITY.
FORM 990, PART VI, SECTION C, LINE 18	LEHIGH VALLEY HOSPITAL'S FORM 990 IS AVAILABLE ON THE ORGANIZATION'S WEBSITE - WWW.LVHN.ORG. IT IS ALSO AVAILABLE ON GUIDESTAR (ANOTHER'S WEBSITE) AND UPON REQUEST; PRINTED COPIES ARE HELD BY SENIOR MANAGEMENT AND BY THE MARKETING DEPARTMENT. THE ORGANIZATION'S FORM 990-T IS ONLY AVAILABLE UPON REQUEST.
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 ORGANIZATIONS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9:	UNFUNDED PENSION 40,094,972. TRANSFERS TO/FROM AFFILIATES 33,066,006.

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

Cat. No. 51056K

Schedule O (Form 990) 2021

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

2021

Open to Public Inspection

Name of the organization

LEHIGH VALLEY HOSPITAL

Employer identification number

23-1689692

Part I

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

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

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)FAMILY CARE CENTERS INC PO BOX 4000 ALLENTOWN,PA181054000 23-2349341	PHYSICIAN PRACTICE ORGANIZATION	PA	501(C)(3)	LINE 3	LEHIGH VALLEY PHYSICIAN GROUP		No
(2)HAZLETON HEALTH & WELLNESS CENTER PO BOX 4000 ALLENTOWN,PA181054000 23-2580968	STAFFING SERVICES	PA	501(C)(3)	LINE 12B, II	LEHIGH VALLEY HOSPITAL - HAZLETON		No
(3)HAZLETON PROFESSIONAL SERVICES PO BOX 4000 ALLENTOWN,PA181054000 20-5880364	PHYSICIAN PRACTICE ORGANIZATION	PA	501(C)(3)	LINE 3	LEHIGH VALLEY PHYSICIAN GROUP		No
(4)HAZLETON SURGICAL ALLIANCE PO BOX 4000 ALLENTOWN,PA181054000 20-2038456	SURGICAL SERVICES	PA	501(C)(3)	LINE 3	LEHIGH VALLEY HOSPITAL - HAZLETON		No
(5)LEHIGH VALLEY HEALTH NETWORK PO BOX 4000 ALLENTOWN,PA181054000 22-2458317	PARENT COMPANY	PA	501(C)(3)	LINE 12C, III-FI	N/A		No
(6)LEHIGH VALLEY HEALTH NETWORK EMERGENCY MEDICAL SERVICES PO BOX 4000 ALLENTOWN,PA181054000 23-2532377	AMBULATORY MEDICAL SERVICES	PA	501(C)(3)	LINE 10	LEHIGH VALLEY HEALTH NETWORK		No
(7)LEHIGH VALLEY HEALTH NETWORK REALTY HOLDING CO PO BOX 4000 ALLENTOWN,PA181054000 23-2586770	REAL ESTATE HOLDING CO.	PA	501(C)(2)		LEHIGH VALLEY HEALTH NETWORK		No
(8)LEHIGH VALLEY HOSPITAL - COORDINATED HEALTH ALLENTOWN (FINAL 8-9-2022) PO BOX 4000 ALLENTOWN,PA181054000 84-3843850	HEALTH CARE ORGANIZATION	PA	501(C)(3)	LINE 3	LEHIGH VALLEY HEALTH NETWORK		No
(9)LEHIGH VALLEY HOSPITAL - HAZLETON PO BOX 4000 ALLENTOWN,PA181054000 23-2421970	HEALTH CARE ORGANIZATION	PA	501(C)(3)	LINE 3	LEHIGH VALLEY HEALTH NETWORK		No
(10)LEHIGH VALLEY HOSPITAL - POCONO PO BOX 4000 ALLENTOWN,PA181054000 24-0795623	HEALTH CARE ORGANIZATION	PA	501(C)(3)	LINE 3	POCONO HEALTH SYSTEM		No
(11)LEHIGH VALLEY HOSPITAL - SCHUYLKILL PO BOX 4000 ALLENTOWN,PA181054000 23-1352202	HEALTH CARE ORGANIZATION	PA	501(C)(3)	LINE 3	LEHIGH VALLEY HEALTH NETWORK		No
(12)LEHIGH VALLEY PHYSICIAN GROUP PO BOX 4000 ALLENTOWN,PA181054000 23-2700908	PHYSICIAN PRACTICE ORGANIZATION	PA	501(C)(3)	LINE 3	LEHIGH VALLEY HEALTH NETWORK		No
(13)LEONARD PARKER POOL INSTITUTE FOR HEALTH PO BOX 4000 ALLENTOWN,PA181054000 85-1211082	SUPPORT RELATED ORGANIZATIONS	PA	501(C)(3)	LINE 3	LEHIGH VALLEY HOSPITAL		No
(14)LVHN AMBULATORY SURGERY CENTER OF LOPATCONG INC PO BOX 4000 ALLENTOWN,PA181054000 84-4004771	HEALTH CARE ORGANIZATION	NJ	501(C)(3)	LINE 3	LEHIGH VALLEY HOSPITAL		No
(15)LVHN COORDINATED PROFESSIONAL PRACTICE (FINAL 11-14-2022) PO BOX 4000 ALLENTOWN,PA181054000 84-3878831	PHYSICIAN PRACTICE ORGANIZATION	PA	501(C)(3)	LINE 3	LEHIGH VALLEY HOSPITAL		No
(16)LVHN SCRANTON ORTHOPEDIC SPECIALISTS (FINAL 11-14-2022) PO BOX 4000 ALLENTOWN,PA181054000 84-3987128	HEALTH CARE ORGANIZATION	PA	501(C)(3)	LINE 3	LEHIGH VALLEY HEALTH NETWORK		No
(17)MUHLENBERG REALTY CORPORATION PO BOX 4000 ALLENTOWN,PA181054000 23-2245513	REAL ESTATE RENTALS	PA	501(C)(3)	LINE 12C, III-FI	LEHIGH VALLEY HEALTH NETWORK		No
(18)POCONO AMBULATORY SERVICES INC PO BOX 4000 ALLENTOWN,PA181054000 23-2611474	HEALTH CARE ORGANIZATION	PA	501(C)(3)	LINE 3	POCONO HEALTH SYSTEM		No
(19)POCONO HEALTH FOUNDATION PO BOX 4000 ALLENTOWN,PA181054000 23-2516451	FUNDRAISING	PA	501(C)(3)	LINE 12A, I	POCONO HEALTH SYSTEM		No
(20)POCONO HEALTH SYSTEM PO BOX 4000 ALLENTOWN,PA181054000 23-2336285	SUPPORT RELATED ORGANIZATIONS	PA	501(C)(3)	LINE 12B, II	LEHIGH VALLEY HEALTH NETWORK		No
(21)POCONO HEALTH SYSTEM MEDICAL PROFESSIONAL LIABILITY SELF-INSURANCE TRUST PO BOX 4000 ALLENTOWN,PA181054000 20-6560453	SELF-INSURANCE	PA	501(C)(3)	LINE 12A, I	POCONO HEALTH SYSTEM		No
(22)POCONO HEALTHCARE PARTNERS (FINAL 12-31-2022) PO BOX 4000 ALLENTOWN,PA181054000 23-3014006	HEALTH CARE ORGANIZATION	PA	501(C)(3)	LINE 3	POCONO HEALTH SYSTEM		No
(23)POCONO VNA-HOSPICE PO BOX 4000 ALLENTOWN,PA181054000 23-2535297	HEALTH CARE ORGANIZATION	PA	501(C)(3)	LINE 10	POCONO HEALTH SYSTEM		No
(24)SCHUYLKILL HEALTH SYSTEM MEDICAL GROUP INC PO BOX 4000 ALLENTOWN,PA181054000 23-2866006	PHYSICIAN PRACTICE ORGANIZATION	PA	501(C)(3)	LINE 10	LEHIGH VALLEY PHYSICIAN GROUP		No
(25)SCHUYLKILL REHABILITATION CENTER INC (FINAL 3-31-2023) PO BOX 4000 ALLENTOWN,PA181054000 23-2440891	HEALTH CARE ORGANIZATION	PA	501(C)(3)	LINE 3	LEHIGH VALLEY HEALTH NETWORK		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2021

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	(k) Percentage ownership
(1) BELTWAY HEALTH LP (FINAL 12-31-2022) PO BOX 4000 ALLENTOWN,PA181054000 20-3586257	REAL ESTATE RENTALS	PA	N/A					No			No
(2) CHP-LVHN JV LLC 1509 BANKS STREET HOUSTON,TX770066019 86-3918453	HOSPITAL OPERATIONS	DE	N/A					No			No
(3) EASTERN PENNSYLVANIA ENDOSCOPY CENTER LLC 1501 N CEDAR CREST BLVD STE 100 ALLENTOWN,PA181042309 84-2257961	ENDOSCOPY SERVICES	PA	N/A					No			No
(4) FAIRGROUNDS MEDICAL CENTER 400 N 17TH STREET STE 102 ALLENTOWN,PA181045052 23-2530427	REAL ESTATE RENTALS	PA	N/A					No			No
(5) HAZLETON SURGERY CENTER LLC 17480 DALLAS PARKWAY STE 210 DALLAS,TX752877304 20-1232531	SURGICAL SERVICES	PA	N/A					No			No
(6) HEALTH NETWORK LABORATORIES LLC 794 ROBLE ROAD ALLENTOWN,PA181099110 23-2932802	LABORATORY SERVICES	PA	LEHIGH VALLEY HOSPITAL	RELATED	113,733	3,928,093		No			No	97.930 %
(7) HEALTH NETWORK LABORATORIES LP 794 ROBLE ROAD ALLENTOWN,PA181099110 23-2948774	LABORATORY SERVICES	PA	LEHIGH VALLEY HOSPITAL	RELATED	12,852,457	329,629,081		No			No	95.750 %
(8) LEHIGH VALLEY IMAGING LLC 1247 S CEDAR CREST BLVD STE 105 ALLENTOWN,PA181036202 46-4551937	IMAGING SERVICES	PA	LEHIGH VALLEY HOSPITAL	RELATED	50,759,294	45,096,128		No			No	72.770 %
(9) LVHN RECIPROCAL RISK RETENTION GROUP 151 MEETING STREET STE 301 CHARLESTON,SC294012238 20-0037118	INSURANCE SERVICES	PA	LEHIGH VALLEY HEALTH NETWORK	RELATED		19,852,925		No			No	20.000 %
(10) MONROE ENDOSCOPY CENTER LLC 1501 N CEDAR CREST BLVD STE 100 ALLENTOWN,PA181042309 88-4118030	ENDOSCOPY SERVICES	PA	N/A					No			No
(11) NAZARETH ENDOSCOPY CENTER LLC 1501 N CEDAR CREST BLVD STE 110 ALLENTOWN,PA181042309 82-4072967	ENDOSCOPY SERVICES	PA	N/A					No			No
(12) POCONO AMBULATORY SURGERY CENTER LTD 1 STORM STREET STROUDSBURG,PA183602406 23-2611442	SURGICAL SERVICES	PA	N/A					No			No
(13) POCONO HEALTH SYSTEM INVESTMENT COLLABORATIVE LP PO BOX 4000 ALLENTOWN,PA181054000 47-2125419	INVESTMENTS	PA	N/A					No			No
(14) SCHUYLKILL HEALTH SYSTEM MEDICAL MALL LP PO BOX 4000 ALLENTOWN,PA181054000 23-2514813	REAL ESTATE RENTALS	PA	N/A					No			No
(15) UHS-LVHN JV LLC 367 S GULPH ROAD KING OF PRUSSIA,PA194063121 87-1641782	HOSPITAL OPERATIONS	PA	N/A					No			No

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	(h) Percentage ownership	(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	(h) Percentage ownership	Yes	No
(1) CH EYE SPECIALISTS PC (FINAL 12-31-2022) PO BOX 4000 ALLENTOWN,PA181054000 83-1905823	HEALTH CARE RELATED SERVICES	PA	N/A	C					No
(2) CH UROLOGY SPECIALISTS PC (FINAL 12-31-2022) PO BOX 4000 ALLENTOWN,PA181054000 83-2261980	HEALTH CARE RELATED SERVICES	PA	N/A	C					No
(3) HAZLETON SAINT JOSEPH MEDICAL OFFICE BUILDING INC (FINAL 12-31-2022) PO BOX 4000 ALLENTOWN,PA181054000 23-2500981	MEDICAL OFFICE RENTAL	PA	N/A	C					No
(4) LEHIGH VALLEY ANESTHESIA SERVICES PC PO BOX 4000 ALLENTOWN,PA181054000 23-3906125	ANESTHESIA SERVICES	PA	N/A	C					No
(5) LEHIGH VALLEY HEALTH SERVICES INC PO BOX 4000 ALLENTOWN,PA181054000 23-2263665	HEALTH CARE RELATED SERVICES	PA	N/A	C					No
(6) LEHIGH VALLEY PHYSICIAN HOSPITAL ORGANIZATION INC 1605 N CEDAR CREST BLVD STE 411 ALLENTOWN,PA181042323 23-2750430	HEALTH CARE RELATED SERVICES	PA	LEHIGH VALLEY HOSPITAL	C		27,132,454	50.000 %		No
(7) LVHN COORDINATED PROFESSIONAL PRACTICE OF NJ PC PO BOX 4000 ALLENTOWN,PA181054000 84-4028262	PHYSICIAN PRACTICE ORGANIZATION	NJ	N/A	C					No
(8) POPULYTICS INC PO BOX 4000 ALLENTOWN,PA181054000 23-2539282	HEALTH CARE RELATED SERVICES	PA	N/A	C					No
(9) SCHUYLKILL HEALTH SYSTEM DEVELOPMENT CORPORATION PO BOX 4000 ALLENTOWN,PA181054000 23-2432417	REAL ESTATE RENTALS	PA	N/A	C					No
(10) SCHUYLKILL MEDICAL PLAZA - CONDOMINIUM ASSOCIATION PO BOX 4000 ALLENTOWN,PA181054000 23-2931821	CONDOMINIUM ASSOCIATION	PA	N/A	C					No
(11) SPECTRUM HEALTH VENTURES INC PO BOX 4000 ALLENTOWN,PA181054000 23-2391479	HEALTH CARE RELATED SERVICES	PA	N/A	C					No
(12) WESTGATE PROFESSIONAL CENTER INC (FINAL 12-31-2022) PO BOX 4000 ALLENTOWN,PA181054000 23-1657333	REAL ESTATE RENTALS	PA	LEHIGH VALLEY HOSPITAL	C			100.000 %		No

Schedule R (Form 990) 2021

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

Yes

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

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

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

Yes

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

Yes

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

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

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

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

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

Yes

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

Yes

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

Yes

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

Yes

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

Yes

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

Yes

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

Yes

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

Yes

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

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

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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) WESTGATE PROFESSIONAL CENTER INC	K	20,646	FAIR MARKET VALUE
(2) SCHUYLKILL HEALTH SYSTEM DEVELOPMENT CORPORATION	K	14,747	FAIR MARKET VALUE

Schedule R (Form 990) 2021

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?		(k) Percentage ownership
(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	(k) Percentage ownership

Schedule R (Form 990) 2021

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) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: OUR MISSION IS TO HEAL, COMFORT AND CARE FOR THE PEOPLE OF OUR COMMUNITY BY PROVIDING ADVANCED AND COMPASSIONATE HEALTH CARE OF SUPERIOR QUALITY AND VALUE, SUPPORTED BY EDUCATION AND RESEARCH.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	7
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	13,486
6	Total number of volunteers (estimate if necessary) .............	6	684
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	32,150,974
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	6,716,534

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	20,775,505	39,563,621
9	Program service revenue (Part VIII, line 2g) .........	2,674,118,201	2,999,588,939
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	25,884,844	28,582,791
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	105,647,036	120,545,203
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	2,826,425,586	3,188,280,554
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,653,666	2,765,535
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)	1,012,227,065	1,153,384,692
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 2,668,577
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,677,823,594	1,924,614,784
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	2,691,704,325	3,080,765,011
19	Revenue less expenses. Subtract line 18 from line 12.......	134,721,261	107,515,543
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	3,124,874,214	3,459,128,387
21	Total liabilities (Part X, line 26).............	1,535,495,266	1,688,115,214
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,589,378,948	1,771,013,173

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 2,926,443,179 including grants of $ 2,765,535 ) (Revenue $ 3,091,351,183 )
	LEHIGH VALLEY HOSPITAL (LVH) IS COMPRISED OF EIGHT HOSPITAL CAMPUSES INCLUDING LVH-CEDAR CREST, LVH-MUHLENBERG, LVH-17TH STREET, LVH-TILGHMAN, LVH-HECKTOWN OAKS, LVH-CARBON, LVH-HIGHLAND, AND LVH-1503. LVH OFFERS A CONTINUUM OF PROGRAMS IN HEALTH CARE PROMOTION, PREVENTION, DIAGNOSIS, TREATMENT, AND REHABILITATION TO THE COMMUNITY. EXTENSIVE INPATIENT, OUTPATIENT AND EDUCATIONAL SERVICES ARE PROVIDED AT LOCATIONS THROUGHOUT THE REGION AND ARE PART OF THE LEHIGH VALLEY HEALTH NETWORK (LVHN) ESTABLISHED TO MEET THE MEDICAL, SURGICAL, AND EDUCATIONAL NEEDS OF THE RESIDENTS OF THE LEHIGH VALLEY AND BEYOND. LVH SERVES AS A REFERRAL CENTER FOR APPROXIMATELY TWO MILLION RESIDENTS OF SURROUNDING COUNTIES IN EASTERN PENNSYLVANIA, WITH A SPECIAL FOCUS IN THE FOLLOWING KEY AREAS:LEHIGH VALLEY TOPPER CANCER INSTITUTE - THE LVH PORTION OF THE LEHIGH VALLEY TOPPER CANCER INSTITUTE (LVTCI) OFFERS A RANGE OF CANCER SERVICES IN SIX CONVENIENT PATIENT-FOCUSED LOCATIONS: JOHN AND DOROTHY MORGAN CANCER CENTER AT LVH-CEDAR CREST, THE CANCER CENTER IN BETHLEHEM AT LVH-MUHLENBERG, IN EASTON AT LVH-HECKTOWN OAKS AND PHYSICIAN OFFICES AND INFUSION SERVICES AT THE HEALTH CENTER AT CARBON IN LEHIGHTON. CANCER CARE PROGRAMS INCLUDE PREVENTION, DETECTION, DIAGNOSIS, GENETICS, PATIENT NAVIGATION, NUTRITIONAL SERVICES, SOCIAL AND PSYCHOLOGICAL SUPPORT, REHABILITATION, CLINICAL TRIALS, MULTIDISCIPLINARY/COORDINATED CARE, AND ALL FORMS OF THERAPY. LVTCI BECAME A PARTNER WITH MEMORIAL SLOAN KETTERING CANCER ALLIANCE OF NEW YORK CITY OFFICIALLY IN MARCH 2016 AND MAINTAINS A RESEARCH PARTNERSHIP WITH NATIONAL CANCER INSTITUTE CANCER RESEARCH OPPORTUNITIES. THE LVTCI FACILITIES INCLUDE PHYSICIANS' OFFICES, BREAST HEALTH SERVICES, MULTIDISCIPLINARY CLINICS, CONFERENCE ROOMS, PRIVATE EDUCATION AND COUNSELING AREAS, MULTI-PURPOSE TREATMENT AREAS FOR INFUSIONS, PROCEDURE ROOMS AND RADIATION ONCOLOGY FACILITIES INCLUDING: LINEAR ACCELERATORS, CT SIMULATORS, HIGH DOSE RATE BRACHYTHERAPY, GAMMA KNIFE RADIOSURGERY, SIR-SPHERES (YTTRIUM-90), PROSTATE SEED IMPLANT-LOW DOSE BRACHYTHERAPY, STEREOTACTIC BODY RADIOTHERAPY, LINEAR ACCELERATOR-BASED STEREOTACTIC RADIOSURGERY/STEREOTACTIC RADIOTHERAPY, 3-D TREATMENT PLANNING, INTENSITY MODULATED RADIATION THERAPY, IMAGE-GUIDED RADIATION THERAPY, OPTICAL SURFACE MONITORING SYSTEM, CALYPSO SYSTEM FOR REAL-TIME MOTION AND TARGET TRACKING AND 3D PRINTING.IN CALENDAR YEAR 2022, THE CANCER INSTITUTE ESTIMATES TO HAVE 5,508 NEW ANALYTIC CANCER CASES. INPATIENT ONCOLOGY ADMISSIONS WERE 3,872 IN THE FISCAL YEAR ENDING JUNE 30, 2023, AND OUTPATIENT VOLUMES WERE 1,861 NEW TREATMENT PATIENTS FOR RADIATION PROCEDURES AND 56,664 TREATMENT PATIENTS FOR INFUSION VISITS. IN 2021, THE CANCER INSTITUTE WAS OFFICIALLY RENAMED THE LEHIGH VALLEY TOPPER CANCER INSTITUTE. THE RENAMING HONORS JOE AND MAUREEN TOPPER, WHO MADE A GENEROUS GIFT THAT WILL BE USED TO BRING THE MOST INNOVATIVE AND LIFESAVING CLINICAL TRIALS TO THIS REGION. THEIR GIFT ALSO COMPLEMENTS NETWORK INVESTMENTS IN ADVANCED CANCER TREATMENTS AND TECHNOLOGIES, INCLUDING STEM CELL TRANSPLANTATION AND CELLULAR THERAPIES. OUR MOBILE MAMMOGRAPHY PROGRAM BEGAN SERVICE IN OCTOBER 2018 AND SERVES EIGHT COUNTIES, PROVIDING 3D SCREENING MAMMOGRAMS TO EMPLOYEES AND RESIDENTS IN THE COMMUNITIES WHERE THEY WORK AND RESIDE. LVTCI BEGAN PARTNERING WITH STRATA ONCOLOGY, A PRECISION ONCOLOGY COMPANY IN JUNE OF 2019. THE STRATA-001 TRIAL PERFORMS MOLECULAR PROFILING OF SPECIFIC TYPES OF TUMORS TO HELP MATCH PATIENTS WITH ADVANCED FORMS OF CANCER TO NEW PRECISION TREATMENT OPTIONS. IN ADDITION, THE STRATA SENTINEL TRIAL ENROLLS PATIENTS WITH STAGE I-III SOLID TUMORS; USING THEIR TISSUE AND BLOOD SAMPLES TO CREATE A PERSONALIZED TEST TO TRY TO DETECT RECURRENCE OF THEIR CANCER EARLIER, VIA A BLOOD SAMPLE. THE STRATA PARTNERSHIP POSITIONS LVTCI ON THE LEADING-EDGE OF PROVIDING PATIENTS ACCESS TO THE LATEST TECHNOLOGY AND CLINICAL RESEARCH TO TARGET THEIR SPECIFIC CANCER MUTATION.LEHIGH VALLEY HEART AND VASCULAR INSTITUTE - THE LEHIGH VALLEY HEART AND VASCULAR INSTITUTE IS ONE OF THE LARGEST AND MOST RESPECTED CARDIOVASCULAR PROGRAMS IN PENNSYLVANIA. WITH 70 CARDIOLOGISTS, SEVEN CARDIOTHORACIC SURGEONS, SIX VASCULAR SURGEONS, AND A DEDICATED TEAM OF ADVANCED PRACTICE CLINICIANS AND SUPPORT STAFF, THE HEART AND VASCULAR INSTITUTE AT LVH-CEDAR CREST, LVH-MUHLENBERG, LVH-HECKTOWN OAKS, AND LVH-CARBON OFFERS AN IMPRESSIVE AND COMPREHENSIVE ARRAY OF PREVENTATIVE, DIAGNOSTIC, ACUTE, TERTIARY, AND QUATERNARY CARDIOVASCULAR SERVICES. SPECIALIZED PROGRAMS INCLUDE, BUT ARE NOT LIMITED TO: CARDIAC ARREST MANAGEMENT, CORONARY INTERVENTION, STRUCTURAL HEART, ADVANCED HEART FAILURE & MECHANICAL CIRCULATORY SUPPORT, CARDIO-ONCOLOGY, COMPLEX LIPID MANAGEMENT, COMPREHENSIVE RHYTHM MANAGEMENT, A WOMEN'S HEART AND VASCULAR PROGRAM WITH A DEVELOPED SUBSPECIALTY HEART AND PREGNANCY PROGRAM, NEURO-CARDIOLOGY, AND SPORTS CARDIOLOGY. ADDITIONALLY, THE LEHIGH VALLEY HEART AND VASCULAR INSTITUTE OFFERS MORE THAN 18 CARDIOVASCULAR ACCESS SITES THROUGHOUT THE LVH SERVICE AREA TO ENABLE PATIENTS TO RECEIVE PREMIER CARDIAC CARE CLOSE TO HOME. IN FISCAL YEAR ENDING JUNE 30, 2023, LEHIGH VALLEY HOSPITAL-CEDAR CREST AND LEHIGH VALLEY HOSPITAL-MUHLENBERG PERFORMED 5,227 CARDIAC CATHETERIZATION CASES, 2,330 ELECTROPHYSIOLOGY CASES, 1,278 OPEN HEART SURGERIES, AND 251 TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR) PROCEDURES. FURTHERMORE, THE HEART AND VASCULAR INSTITUTE PROVIDED PRACTICE BASED COMPASSIONATE CARE FOR OVER 250,000 PATIENT ENCOUNTERS.FY2023 WAS ANOTHER ACCOMPLISHED YEAR FOR LVH AND THE LEHIGH VALLEY HEART AND VASCULAR INSTITUTE. THE HEART AND VASCULAR INSTITUTE HAS PRESENCES AT LVH-CEDAR CREST, LVH-17TH STREET, LVH-MUHLENBERG, LVH-HECKTOWN OAKS, LVH-CARBON, LVHN-TILGHMAN, LVHN-1503 N. CEDAR CREST, AND LVHN-HIGHLAND AVENUE TO GIVE PATIENTS ACCESS TO CARDIO-DIAGNOSTIC SERVICES CLOSE TO HOME. IN ADDITION, THE HEART AND VASCULAR INSTITUTE AT LVH ALSO MADE CONTINUED IMPROVEMENTS FROM A PATIENT CARE PERSPECTIVE. OUR INTERDISCIPLINARY CARDIO-ONCOLOGY PROGRAM WAS RECOGNIZED AS A GLOBAL CENTER OF EXCELLENCE BY THE INTERNATIONAL CARDIO-ONCOLOGY SOCIETY (IC-OS). THE GOLD CENTER OF EXCELLENCE RATING FROM IC-OS IS THE HIGHEST LEVEL AWARDED BY THE SOCIETY. JUST 31 HOSPITALS OR HEALTH SYSTEMS IN THE WORLD HAVE GOLD RATINGS, INCLUDING 22 IN THE UNITED STATES. THE HEART AND VASCULAR INSTITUTE AT LVH ALSO MADE SIGNIFICANT INVESTMENTS IN PATIENT CARE AT LVH-CEDAR CREST WITH THE LATEST AND MOST ADVANCED HYBRID PROCEDURE LAB. THE NEW PROCEDURE LAB OFFERS THE LATEST GE ALLIA CARDIAC IMAGING SYSTEM AND IS ONE OF A SELECT FEW OPERATING IN THE UNITED STATES TODAY. USING THIS ADVANCED IMAGING EQUIPMENT ENABLES PHYSICIANS TO PROVIDE THE MOST ADVANCED AND MINIMALLY INVASIVE ENDOVASCULAR AND STRUCTURAL HEART PROCEDURES. THIS INVESTMENT ENABLES LVH AND THE HEART AND VASCULAR INSTITUTE TO CARE FOR THE CARDIOVASCULAR NEEDS OF OUR COMMUNITY WITH THE LATEST TECHNOLOGY TO SUPPORT IMPROVED PATIENT OUTCOMES AND OVERALL PATIENT CARE. OUR PRIORITIZATION OF PATIENT CARE IS FURTHER EVIDENCED BY OUR RECENT DESIGNATIONS PROVIDED BY BLUECROSS BLUESHIELD'S BLUE DISTINCTION IN SPECIALTY CARE. LVH-CEDAR CREST WAS RECOGNIZED AS A BLUE DISTINCTION CENTER+ AND LVH-MUHLENBERG WAS RECOGNIZED AS A BLUE DISTINCTION CENTER. THESE ACCOLADES ARE AWARDED TO FACILITIES THAT DEMONSTRATE AN EXPERTISE IN DELIVERING SPECIALTY CARE.THE LEHIGH VALLEY FLEMING NEUROSCIENCE INSTITUTE - THE LEHIGH VALLEY FLEMING NEUROSCIENCE INSTITUTE PROVIDES TREATMENT FOR STROKE, BRAIN TUMORS, ANEURYSMS, SPINE DISORDERS AND OTHER NEUROLOGICAL DISORDERS IN THE AREAS OF NEUROLOGICAL SURGERY, NEUROLOGY, NEUROPSYCHOLOGY, NEURO ONCOLOGY, AND NEURO OPHTHALMOLOGY. IN ADDITION TO THE ABOVE SERVICES, SPECIALTY PROGRAMS INCLUDE A NEUROMUSCULAR DISEASE PROGRAM, AN ALS CENTER, A NEUROIMMUNOLOGY / MULTIPLE SCLEROSIS PROGRAM, AN EPILEPSY PROGRAM AND MONITORING UNIT, A HEADACHE CENTER, MOVEMENT DISORDERS PROGRAM, GENERAL NEUROLOGY PROGRAM AND MULTIPLE SUBSPECIALTY MULTIDISCIPLINARY PROGRAMS INCLUDING FUNCTIONAL NEUROSURGERY. U.S. NEWS AND WORLD REPORT HAS LEHIGH VALLEY HEALTH NETWORK RANKED AS HIGH PERFORMING IN BOTH NEUROLOGY AND NEUROSURGERY.IN SUBSPECIALTY DEVELOPMENT AND ADVANCEMENTS, THE PROGRAM LAUNCHED THE REGION'S ONLY NEURO-OPHTHALMOLOGY CLINIC, WHICH IS DEVOTED TO DIAGNOSIS AND MANAGEMENT OF NEUROLOGIC DISORDERS AFFECTING EYE AND VISION MOVEMENTS. THIS CLINIC IS UNDER THE DEVELOPMENT AND SUPERVISION OF DRS. CASEY JUDGE AND NEGAR MOHEB, BOTH FELLOWSHIP-TRAINED IN THE SUBSPECIALTY. ADDITIONALLY, THE NEUROSCIENCE INSTITUTE STARTED A MULTIDISCIPLINARY MUSCLE DISEASE CLINIC THAT IS CO-DIRECTED BY DRS. ALISSA ROMANO AND ALISON WALSH. THIS NICHE PROGRAM IS DESIGNED TO DIAGNOSE AND MANAGE MUSCLE DISEASES WITH COLLABORATION AMONG PHYSICIANS AND REHABILITATION SPECIALISTS FROM SEVERAL SPECIALTIES.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	THE HOFFMAN FAMILY DEEP BRAIN STIMULATION PROGRAM WELCOMED A NEW NURSE NAVIGATOR TO THE PROGRAM WHO PROVIDES IMPORTANT EDUCATION AND SUPPORT TO MOVEMENT DISORDERS PATIENTS AS THEY TRAVEL THROUGH THE PROCESS OF PREPARING FOR DBS SURGERY. THIS POSITION HAS ALSO ALLOWED THE PROGRAM TO LAUNCH A NEW SERVICE OFFERING TO RECOVERING STROKE PATIENTS. VAGAL NERVE STIMULATION FOR POST-STROKE RECOVERY IS AN FDA-APPROVED PROCEDURE THAT IS PAIRED WITH REHABILITATION FOR PATIENTS STILL EXPERIENCING UPPER EXTREMITY DYSFUNCTION. THE VAGUS NERVE STIMULATION ACTIVATES THE BRAIN'S ATTENTION SYSTEM BY PROMPTING THE RELEASE OF NEUROMODULATORS TO INTERACT WITH THE MOTOR NEURONS BEING ACTIVATED DURING REHAB, FACILITATING LASTING STRUCTURAL CHANGES.ALL LVHN CERTIFIED STROKE CENTER CAMPUSES WERE RECOGNIZED WITH AWARDS FOR QUALITY CARE IN THE 2023 BEST HOSPITALS EXCLUSIVE RANKINGS FOR STROKE. THESE ACCOLADES EXTEND BEYOND WHAT IS REQUIRED FOR CERTIFICATION AND RECOGNIZES 24 MONTHS OF CONSECUTIVE PERFORMANCE. ACROSS LVHN, WE HAVE RESPONDED TO OVER 2000 STROKE ALERT EMERGENCIES IN THE LAST YEAR WITH AVERAGE INTERVENTION TIMES OF 40 MINUTES, A NUMBER FAR FASTER THAN NATIONAL BENCHMARKS AND PERFORMANCE. ADDITIONALLY, THE LVH-CEDAR CREST COMPREHENSIVE STROKE PROGRAM WAS NAMED A HEALTHGRADES 2024 STROKE CARE EXCELLENCE AWARD WINNER.IN ACCOLADES, SEVERAL OF OUR PROGRAMS WERE RECOGNIZED FOR EXCELLENCE THROUGH AWARDS AND ACCREDITATIONS. THE ALS CENTER IS A PART OF THE HEALEY PLATFORM TRIAL CENTERED AT MASS GEN AND WAS RECOGNIZED AS A TOP ENROLLER. OUR PROGRAM WAS RANKED 6TH OUT OF 57 INTERNATIONAL SITES. THE LABORATORY ACCREDITATION BOARD REACCREDITED THE CEDAR CREST EEG NEURODIAGNOSTIC LAB FOR ANOTHER 5-YEAR TERM. THE LAB RECEIVED THEIR INITIAL ACCREDITATION IN 2007 AND IS BASED ON QUALITY AND COMPLIANCE WITH ESTABLISHED REQUIRED STANDARDS. LEHIGH VALLEY ORTHOPEDIC INSTITUTE - LEHIGH VALLEY ORTHOPEDIC INSTITUTE IS FOCUSED ON THE TREATMENT OF MUSCULOSKELETAL DISORDERS OF THE UPPER AND LOWER EXTREMITIES AS WELL AS THE SPINE. SUBSPECIALISTS WITH FELLOWSHIP CREDENTIALS PROVIDE SERVICES IN THE FOLLOWING CENTERS OF EXCELLENCE: JOINT REPLACEMENT, SPINE SURGERY, SPORTS MEDICINE, HAND AND WRIST SURGERY, FOOT AND ANKLE SURGERY, ORTHOPEDIC TRAUMA, AND PEDIATRIC ORTHOPEDICS. IN FY2023, THERE WERE OVER 10,000 TOTAL ORTHOPEDIC PROCEDURES PERFORMED AT LVH. ACUTE ORTHOPEDIC SERVICES ARE PROVIDED AT LVH-CEDAR CREST, LVH-MUHLENBERG, LVH-HECKTOWN OAKS, LVHN-HIGHLAND AVENUE, LVH-CARBON, AND LVHN-TILGHMAN, WHICH IS THE ONLY AREA HOSPITAL DEDICATED TO ORTHOPEDIC MUSCULOSKELETAL SURGERY. THE LVH ORTHOPEDIC PROGRAM WAS RECOGNIZED AS THE 27TH RANKED PROGRAM IN THE COUNTRY AND #2 IN PENNSYLVANIA BY U.S. NEWS AND WORLD REPORT.LEHIGH VALLEY INSTITUTE FOR SURGICAL EXCELLENCE THE LEHIGH VALLEY INSTITUTE FOR SURGICAL EXCELLENCE CONSISTS OF THE SURGICAL AND ENDOSCOPIC STAFF AND FACILITIES WHERE NEARLY 76,000 PROCEDURES ARE PERFORMED ANNUALLY. SURGICAL PROCEDURES ARE PERFORMED IN 71 OPERATING ROOMS THROUGHOUT LVH, INCLUDING LVH-17TH STREET, LVH-CEDAR CREST, THE LVH CHILDREN'S SURGERY CENTER, LVH-MUHLENBERG, LVH-CARBON, LVH-HECKTOWN OAKS, LVHN-1503 N. CEDAR CREST, LVHN-HIGHLAND AVENUE, AND THE LVHN-TILGHMAN CAMPUSES. THE CHILDREN'S SURGERY CENTER LOCATED ON THE LVH-CEDAR CREST CAMPUS PROVIDES SPECIALIZED CARE FOR OUR PEDIATRIC POPULATION. PATIENT CARE IN THE OPERATING ROOM IS SUPPORTED BY ANESTHESIA SERVICES, SURGICAL PREP AND STAGING, POST ANESTHESIA RECOVERY, AND STERILE PROCESSING DEPARTMENTS, AMONG OTHERS. LVH PERFORMS ENDOSCOPIC PROCEDURES AT SIX LOCATIONS: LVH-CEDAR CREST, THE LVH CHILDREN'S SURGERY CENTER, LVHN-HIGHLAND AVENUE, LVH-CARBON, LVH-HECKTOWN OAKS AND LVH-MUHLENBERG. THE OPERATING ROOM TECHNOLOGIES AND FACILITIES INCLUDE TWO HYBRID OPERATING ROOMS, A TRAUMA CODE RED OPERATING ROOM, 11 DA VINCI SURGICAL ROBOTS, SIX ORTHOPEDIC TOTAL KNEE REPLACEMENT ROBOTS, AND CARDIAC SURGERY OPERATING ROOMS. OPERATING ROOM NURSING STAFF ARE TRAINED TO SUPPORT MULTIPLE SURGICAL DISCIPLINES INCLUDING CARDIAC SURGERY, ORTHOPEDICS, VASCULAR SURGERY, UROLOGY, GENERAL SURGERY, TRANSPLANT SURGERY, GYNECOLOGIC SURGERY, PEDIATRIC SURGERY, AND MANY OTHERS. CUTTING EDGE ENDOSCOPIC TECHNOLOGIES INCLUDE ENDOSCOPIC ULTRASOUND, ENDO-BRONCHIAL ULTRASOUND, AND VIDEO CAPSULE ENDOSCOPY.BEHAVIORAL HEALTH SERVICES - LVH OPERATES INPATIENT BEHAVIORAL HEALTH PROGRAMS FOR ADOLESCENTS AND ADULTS. THE COMBINED PROGRAMS TOTAL 65 BEDS AND SERVES LEHIGH, NORTHAMPTON, CARBON, MONROE, SCHUYLKILL, AND BERKS COUNTIES. CLINICAL PROGRAMS INCLUDE PSYCHIATRIC, PSYCHOLOGICAL, NURSING, DUAL DIAGNOSIS, PSYCHIATRIC REHABILITATION, SOCIAL WORK, AND DISCHARGE PLANNING SERVICES. LVH ALSO PROVIDES AMBULATORY BEHAVIORAL HEALTHCARE, INCLUDING: PSYCHIATRIC EVALUATION SERVICES IN FIVE HOSPITAL EMERGENCY DEPARTMENTS; THREE PARTIAL HOSPITAL PROGRAMS FOR ADULTS AND ADOLESCENTS; SEVERAL LARGE OUTPATIENT GROUP PRACTICES PROVIDING MULTIDISCIPLINARY SHORT-TERM TREATMENT TO CHILDREN, ADOLESCENTS, ADULTS AND OLDER ADULTS; TWO OUTPATIENT MENTAL HEALTH CLINICS FOR SERIOUSLY AND PERSISTENTLY MENTALLY ILL ADULTS; PSYCHIATRIC HOME CARE; AND, TWO RESIDENTIAL TREATMENT SITES, SUPPORTING AND EDUCATING ADULTS IN INDEPENDENT LIVING SKILLS. BOTH OF THESE SITES AND THE CLINICS ARE FUNDED IN PART, UNDER A CONTRACT WITH LEHIGH COUNTY DEPARTMENT OF HUMAN SERVICES THROUGH FUNDS PROVIDED BY COUNTY OF LEHIGH AND THE PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE; PSYCHIATRIC HOME CARE SERVICES; BEHAVIORAL HEALTH INTEGRATION IN MEDICAL/PROGRAMS ON MEDICAL/SURGICAL INPATIENT UNITS AND AMBULATORY, PRIMARY CARE AND SPECIALTY PRACTICES. CONSULTATION /LIAISON PSYCHIATRY, EDUCATION AND RESEARCH AND SERVICE OFFERINGS TO SCHOOLS, AND OTHER COMMUNITY AGENCIES ROUND OUT LVH'S CONTRIBUTION TO THE HEALTH AND WELL-BEING OF THE REGION. A PSYCHIATRIC RESIDENCY WAS ESTABLISHED IN 2019 AND EXPANDED IN 2022. A CHILD AND ADOLESCENT FELLOWSHIP PROGRAM WAS ESTABLISHED IN 2021.TRAUMA AND BURN SERVICES - IN 1981, LVH-CEDAR CREST BECAME THE FIRST HOSPITAL IN PENNSYLVANIA TO BE DESIGNATED AS A LEVEL I TRAUMA CENTER. CURRENTLY, THE NETWORK HAS A TOTAL OF SEVEN TRAUMA PROGRAMS EVALUATING OVER 11,500 PATIENTS IN FY2023. LVH-CEDAR CREST IS ACCREDITED AS BOTH A LEVEL I ADULT AND A LEVEL II PEDIATRIC TRAUMA CENTER, ONE OF ONLY THREE ADULT CENTERS IN PENNSYLVANIA WITH THIS DUAL ACCREDITATION. THIS PROGRAM PROVIDES TRAUMA AND BURN CARE AND SERVES AS A MAJOR REGIONAL RESOURCE COVERING A 10-COUNTY AREA. LVH-MUHLENBERG, A LEVEL II TRAUMA CENTER EVALUATED 2,140 TRAUMA PATIENTS IN FY2023. THESE THREE TRAUMA PROGRAMS PROVIDE A CONTINUUM OF CARE UTILIZING 15 TRAUMA SURGEONS WHO ARE IN HOUSE 24/7/365 DAYS A YEAR. NURSES AT ALL TRAUMA CENTERS IN BOTH THE INTENSIVE CARE UNITS AS WELL AS MEDICAL/SURGICAL UNITS HAVE SPECIALIZED TRAINING IN CARING FOR PATIENTS THAT ARE TRAUMATICALLY INJURED. A TRAUMA REHABILITATION TEAM COMPLETES THIS CONTINUUM OF TRAUMA CARE.LEHIGH VALLEY HOSPITAL ALSO HAS A LEVEL IV TRAUMA CENTER AT LVH-HECKTOWN OAKS. ALL TRAUMA CENTERS ARE VERY ACTIVE IN THE COMMUNITIES THEY SERVE. OVER 14,000 MEMBERS WERE EDUCATED THROUGH ONE OR MORE OF LVHN'S TRAUMA PREVENTION OFFERINGS IN THE PAST YEAR. PROGRAMS INCLUDE SAFETY TOWN EDUCATION AND PROPER HELMET FITTING FOR PEDIATRICS, DRIVING SIMULATORS FOR TEENS, STOP THE BLEED PROGRAMS FOR LAW ENFORCEMENT AND EMS CREWS AND FALL PREVENTION EDUCATION FOR THE GERIATRICS. AS AN ACTIVE MEMBER OF THE TRAUMA SURVIVOR NETWORK, THE LVHN TRAUMA PROGRAMS PROVIDED EDUCATIONAL AND SUPPORT RESOURCES TO INPATIENTS DURING THEIR HOSPITAL STAY AS WELL AS AFTER DISCHARGE. SINCE 2021, LVH-TRAUMA PROGRAM HAS SECURED ALMOST $5 MILLION IN FEDERAL GRANTS TO SUPPORT THEIR VIOLENCE PREVENTION PROGRAM AND TO WORK WITH THE COMMUNITY TO STOP THE CYCLE OF VIOLENCE.THE REGIONAL BURN CENTER AT LVHN IS THE ONLY AMERICAN BURN ASSOCIATION VERIFIED BURN PROGRAM FOR ADULTS AND PEDIATRICS IN THE REGION AND HAS BEEN PROVIDING THIS SPECIALIZED CARE SINCE 1974. OUR BURN PROGRAM CONSISTS OF AN 18 BED IN-PATIENT DEDICATED BURN UNIT AND A FULL SERVICE OUTPATIENT PROGRAM. REFERRALS COME FROM OVER 100 HOSPITALS, URGENT CARE FACILITIES, AND PHYSICIAN PRACTICES. THE BURN RECOVERY CENTER SEES OVER 4,800 VISITS PER YEAR AND PROVIDES LASER TREATMENT TO OVER 50 PTS PER MONTH WHILE ACHIEVING TOP PERFORMANCE WITH AN NRC NET PROMOTER SCORE OF 94.0.

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	WOMEN'S SERVICES - LVH OFFERS WIDE-RANGING WOMEN'S HEALTH PROGRAMS AND SERVICES DESIGNED TO PROVIDE COMPLETE, EVIDENCE-BASED CARE FOR WOMEN IN THE LEHIGH VALLEY. OBSTETRICS - DELIVERIES AT LVH-CEDAR CREST TOTALED 3,097 DURING THE FISCAL YEAR ENDING JUNE 30, 2023. IN THE SAME TIME FRAME, DELIVERIES AT LVH-MUHLENBERG TOTALED 1,430. AT LVH-CEDAR CREST, TEAM-BASED OBSTETRICAL CARE IS PROVIDED BY COVERAGE WITH CERTIFIED NURSE MIDWIVES, OBSTETRIC HOSPITALISTS, AND GENERAL OBSTETRICIANS WITH MATERNAL-FETAL MEDICINE SPECIALISTS AVAILABLE FOR HIGH-RISK CONSULTATION. PAIRED WITH OUR LEVEL 4 NICU AND OTHER SPECIALTY SERVICES INCLUDING CRITICAL CARE, THIS CAMPUS SERVES AS A TERTIARY CARE REGIONAL REFERRAL HOSPITAL FOR HIGH-RISK MATERNITY AND NEWBORN CARE BOTH WITHIN AND OUTSIDE OUR NETWORK. THE CARE AT LVH-MUHLENBERG IS OFFERED BY GENERAL OB/GYN PHYSICIANS WITH SOME MIDWIFERY SUPPORT AND IS SUPPORTED BY A LEVEL 2 NICU.BIRTHS THAT OCCUR AT LVH-CEDAR CREST AND LVH-MUHLENBERG ARE PRIMARILY TO PATIENTS WHO RECEIVED PRENATAL CARE AT OUR MANY LEHIGH VALLEY PHYSICIAN GROUP (LVPG) OBSTETRICS AND GYNECOLOGY PRACTICES ACROSS FIVE COUNTIES. A LESSER NUMBER ARE PATIENTS WHO RECEIVE PRENATAL CARE AT THE CENTER FOR WOMEN'S MEDICINE (CWM), PART OF VALLEY HEALTH PARTNERS, LOCATED IN ALLENTOWN. TO SUPPLEMENT THE PRENATAL CARE, ULTRASOUND SERVICES IN THE OFFICE ARE ACCREDITED BY THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE (AIUM). LVPG OB/GYN OFFICE PRACTICES ALSO OFFER ON-SITE BEHAVIORAL HEALTH SERVICES PROVIDED BY FOUR LICENSED PROFESSIONAL COUNSELORS IN CONJUNCTION WITH THE DEPARTMENT OF PSYCHIATRY. THEY ALSO CONTINUE TO OFFER THE CONNECTIONS PROGRAM WHICH PROVIDES SPECIALIZED CARE FOR WOMEN WITH SUBSTANCE USE DISORDERS IN PREGNANCY.MATERNAL FETAL MEDICINE (MFM) SPECIALISTS ARE AVAILABLE FOR CONSULTATION AND FOR RECEIVING OF TRANSPORTS FROM OTHER LVHN CAMPUSES AS WELL AS OTHER HOSPITALS OUTSIDE LVHN. IN ADDITION, THE MFM PRACTICE HAS OFFICE LOCATIONS LOCALLY IN LEHIGH AND NORTHAMPTON COUNTIES, AND THEY PROVIDE SERVICES ON-SITE AND VIRTUALLY TO OUR THREE OTHER REGIONAL DELIVERING HOSPITALS. MFM PHYSICIANS' SERVICES INCLUDE HIGHEST LEVEL ULTRASONOGRAPHY (AND TELEHEALTH SERVICES), FETAL ECHOCARDIOGRAPHY, GENETIC COUNSELING, AMNIOCENTESIS, CHORIONIC VILLUS SAMPLING, COMPLEX DELIVERY SERVICES AND UNIQUE WELL-ESTABLISHED MULTI-DISCIPLINARY PROGRAMS FOR PATIENTS WITH DIABETES, HEART DISEASE, KIDNEY DISEASE, NEUROLOGICAL DISEASE, AND DISORDERS OF THE PLACENTA.IN 2023, LVH-CEDAR CREST WAS RE-DESIGNATED AS BABY FRIENDLY. ADDITIONALLY, LVH-MUHLENBERG ACHIEVED BABY FRIENDLY DESIGNATION STATUS FOR THE FIRST TIME. AT PRESENT, ONLY 595 FACILITIES IN THE US HAVE BEEN AWARDED THIS TITLE. THIS DESIGNATION REFLECTS NETWORK COMMITMENT TO BREASTFEEDING, QUALITY, AND IMPLEMENTATION OF THE 10 STEPS TO SUCCESSFUL BREASTFEEDING. IT ALSO REPRESENTS A THIRD-PARTY VERIFICATION THAT HOLDS THE FACILITIES ACCOUNTABLE FOR BOTH QUALITY AND SAFETY. LVH AND LVH-MUHLENBERG WERE ALSO HONORED TO RECEIVE CAPITAL BLUE CROSS/HIGHMARK BLUE DISTINCTION, U.S. NEWS AND WORLD REPORT TOP PERFORMING MATERNITY HOSPITAL, AND NEWSWEEK FOUR RIBBON DISTINCTION FOR MATERNAL AND NEWBORN CARE.GYNECOLOGY - AMBULATORY WOMEN'S HEALTH IS PROVIDED IN THE SAME LVPG AND CWM PRACTICES NOTED ABOVE. WELL-WOMAN CARE IS OFFERED THROUGH A COMPREHENSIVE PATHWAY INCLUDING ALL THE ELEMENTS RECOMMENDED BY THE NATIONAL WOMEN'S PREVENTIVE SERVICES INITIATIVE. NUMEROUS WOMEN'S HEALTH SPECIALTY PROGRAMS NOW EXIST TO SUPPORT THE UNIQUE NEEDS FOR OUR PATIENTS. THESE PROGRAMS INCLUDE CHRONIC PELVIC PAIN, SEXUAL HEALTH, PEDIATRIC AND ADOLESCENT CARE, ADVANCED GYNECOLOGIC ULTRASOUND, AND OBESITY MEDICINE, WITH SEVERAL OTHERS IN DEVELOPMENT. COMPREHENSIVE AND STATE-OF-THE-ART SURGICAL SERVICES INCLUDE MIS (MINIMALLY INVASIVE SURGERY) INTERVENTIONS WITH ROBOTICALLY ASSISTED, LAPAROSCOPIC, AND VAGINAL SURGERY APPROACHES. IN THE FISCAL YEAR ENDING JUNE 30, 2023, OVER 3,000 SURGICAL CASES WERE PERFORMED BY GENERAL OB/GYN IN LVH-LICENSED FACILITIES, AND ANOTHER 453 WERE PERFORMED BY FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGEONS.AMBULATORY SERVICES - LVH'S AMBULATORY SERVICES INCLUDE HEALTH CENTERS, EXPRESSCARE, WOUND CARE, SLEEP DISORDER CENTERS, ENDOCRINE TESTING, LABORATORY SERVICES, PULMONARY FUNCTION TESTING, IMAGING, BREAST HEALTH SERVICES, CARDIAC AND PULMONARY REHABILITATION, ADULT AND PEDIATRIC OUTPATIENT REHABILITATION, AND HOME CARE AND HOSPICE SERVICES. LVH CONTINUES TO EXPAND ITS HEALTH CENTERS AND OPERATES 28 CENTERS, 19 OF WHICH ARE SITUATED THROUGHOUT THE LEHIGH VALLEY. CORE SERVICES IN MOST OF THE HEALTH CENTERS INCLUDE EXPRESSCARE, FAMILY MEDICINE, IMAGING INCLUDING BREAST HEALTH SERVICES, REHABILITATION, LAB, AND PRIMARY CARE AND SPECIALTY MEDICAL SUITES. THE HEALTH CENTERS LOCATED IN ALLENTOWN AND BETHLEHEM ALSO INCLUDE FITNESS CENTERS PROVIDING ACCESS TO PREVENTION SERVICES AND EDUCATIONAL EVENTS FOR COLLEAGUES AND COMMUNITY MEMBERS. THE SLEEP DISORDER CENTERS ARE IN ALLENTOWN AND BETHLEHEM WITH ADDITIONAL HOME SLEEP TESTING DISTRIBUTION SITES AT THE FOLLOWING LOCATIONS: FOGELSVILLE, HAMBURG, MOSELEM SPRINGS, AND PALMER TOWNSHIP. IN FY2023, AMBULATORY SERVICES EXPANDED ITS SERVICES TO STRENGTHEN COMMUNITY PARTNERSHIPS IN SKILLED NURSING AND HOME HEALTHCARE THROUGH THE CREATION OF THE POST-ACUTE CARE COLLABORATIVE. THIS INITIATIVE SERVES TO IMPROVE QUALITY OUTCOMES AND PATIENT EXPERIENCES AS THEY NAVIGATE THROUGH THE CONTINUUM OF CARE. LEHIGH VALLEY HOME CARE - LEHIGH VALLEY HOME CARE IS A MEDICARE CERTIFIED, JOINT COMMISSION ACCREDITED, STATE LICENSED AND MAGNET DESIGNATED PROVIDER OF SKILLED HOME HEALTH SERVICES SERVING THE GREATER LEHIGH VALLEY AND THE SURROUNDING TERRITORIES. THE HOME HEALTH CARE PROGRAM PROVIDES A FULL SCOPE OF PROFESSIONAL SERVICES IN OUR PATIENTS WHILE KEEPING THEM IN THEIR HOME. WE ASSIST THOSE WHO ARE RECOVERING FROM ILLNESS OR SURGERY THROUGH RESTORATIVE SKILLED SERVICES AND PATIENT EDUCATION. WE USE AN INTERDISCIPLINARY TEAM APPROACH WITH AN EMPHASIS ON HELPING PATIENTS ACHIEVE THEIR GOALS. THE TEAM CONSISTS OF NURSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY AND MEDICAL SOCIAL WORK. IN ADDITION TO OUR PROFESSIONAL SERVICES, WE ALSO PROVIDE CERTIFIED NURSING ASSISTANCE TO THOSE PATIENTS MEETING THE CRITERIA FOR THOSE SERVICES. SPECIALTY AREAS INCLUDE WOUND CARE, CARDIAC CARE, ONCOLOGY, IV THERAPIES AND THERAPY-DRIVEN RESTORATIVE SERVICES. LVHN HOME CARE PARTNERS CLOSELY WITH ALL LEVELS OF THE CARE TRANSITION TEAMS AND COMMUNITY PARTNERS TO ENSURE A COMPLETE WRAPPING OF SERVICES TO THOSE PATIENTS CHOOSING LVHN AS THEIR SERVICE PROVIDER. THE ALLENTOWN OFFICE CURRENTLY SERVES LEHIGH, NORTHAMPTON COUNTY AND PORTIONS OF BERKS, CARBON, AND SCHUYLKILL COUNTIES. WE ARE ACCESSIBLE 24 HOURS A DAY WITH A PROFESSIONAL ON-CALL STAFF. IN FY2023, LEHIGH VALLEY HOME CARE HAD THE PLEASURE OF SERVING AND SUPPORTING 4,142 PATIENTS IN THE COMMUNITY WHILE PROVIDING 67,741 UNIQUE IN-HOME PATIENT VISITS. LEHIGH VALLEY HOSPICE - LEHIGH VALLEY HOSPICE IS A MEDICARE CERTIFIED, JOINT COMMISSION ACCREDITED, STATE LICENSED AND MAGNET DESIGNATED FULL-SERVICE PROVIDER OF HOSPICE SERVICES, INCLUDING A DEDICATED 10-BED INPATIENT UNIT AT LVH-17TH STREET. WE ARE COMMITTED TO PROVIDING AN INTERDISCIPLINARY TEAM APPROACH TO MEETING THE PHYSICAL, SOCIAL, SPIRITUAL, AND EMOTIONAL NEEDS OF BOTH OUR ADULT AND PEDIATRIC PATIENTS AND THEIR FAMILIES DURING THE LAST STAGES OF ILLNESS, THE DYING PROCESS AND THE BEREAVEMENT PERIOD FOLLOWING. LVHN HOSPICE PARTNERS CLOSELY WITH OASIS SERVICES, CASE MANAGEMENT, HOME CARE SERVICES, AND OTHERS TO ENSURE SMOOTH CARE TRANSITIONS FROM THE CURATIVE CARE MODEL TO THE PALLIATIVE CARE FOCUS. THE ALLENTOWN OFFICE CURRENTLY SERVES LEHIGH, NORTHAMPTON, AND CARBON COUNTIES ALONG WITH PORTIONS OF BERKS, LUZERNE, AND SCHUYLKILL COUNTIES. WE ARE ACCESSIBLE 24 HOURS A DAY WITH A PROFESSIONAL ON-CALL STAFF. IN FY2023, LEHIGH VALLEY HOSPICE HAD THE PLEASURE OF SERVING AND SUPPORTING 1,741 PATIENTS IN THE COMMUNITY WHILE PROVIDING 66,850 SERVICE DAYS. IN ADDITION TO THOSE DIRECT SERVICES, THE HOSPICE BEREAVEMENT PROGRAM PROVIDED 2,150 INDIVIDUAL COUNSELING SESSIONS TO CHILDREN, TEENS AND ADULTS WHO WERE IMPACTED BY THE LOSS OF OTHERS.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses2,926,443,179

(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)				(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) ANNETTE WHITE ESQ........................................................................ SECRETARY	20.00 .......................40.00		X			853,782	0	35,243
(19) SUSAN C YEE........................................................................ TRUSTEE	1.00 .......................	X				0	0	0
(20) STEPHEN ZIENIEWICZ........................................................................ TRUSTEE	60.00 .......................	X				816,935	0	21,380
(21) EDWARD DOUGHERTY........................................................................ SVP & CHIEF BUSINESS DEVELOPMENT OFFICER	60.00 .......................			X		1,006,183	0	23,159
(22) GREGORY G KILE........................................................................ CHIEF INSURANCE OFFICER	60.00 .......................			X		974,558	0	5,964
(23) RONALD S FREUDENBERGER........................................................................ PHYSICIAN-IN-CHIEF, CARDIAC INSTITUTE	60.00 .......................			X		936,411	0	31,021
(24) MICHAEL MINEAR MS........................................................................ SVP & CHIEF INFORMATION OFFICER	60.00 .......................			X		900,815	0	20,859
(25) LYNN TURNER........................................................................ CHIEF HUMAN RESOURCES OFFICER	60.00 .......................			X		885,010	0	0
(26) JOSEPH E PATRUNO MD........................................................................ FORMER TRUSTEE	0.00 .......................				X	0	399,882	35,057
(27) MARTIN K TILL........................................................................ FORMER TRUSTEE	0.00 .......................60.00				X	0	792,631	25,704

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	15,104,691	2,454,385	439,461

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	206,810
d	Related organizations		1d
e	Government grants (contributions)		1e	4,568,134

f	All other contributions, gifts, grants, and similar amounts not included above		1f	34,788,677

g	Noncash contributions included in lines 1a - 1f:$		1g	520,233

h Total. Add lines 1a-1f.......		39,563,621

		Business Code
2a	OUTPATIENT REVENUE	621400	1,609,189,187	1,578,087,957	31,101,230
b	INPATIENT REVENUE	621990	1,325,458,140	1,325,458,140
c	HHS COVID REVENUE	621990	64,941,612	64,941,612
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		2,999,588,939

3 Investment income (including dividends, interest, and othersimilar amounts) ......			18,319,791			18,319,791
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		26,055,568	6a
b	Less: rental expenses		19,757,335	6b
c	Rental income or (loss)		6,298,233	6c
d	Net rental income or (loss).......			6,298,233			6,298,233
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	3,857,680	157,451,243	7a
b	Less: cost or other basis and sales expenses	1,654,920	149,391,003	7b
c	Gain or (loss)	2,202,760	8,060,240	7c
d	Net gain or (loss).........			10,263,000	10,263,000
8a	Gross income from fundraising events (not including $ 206,810of contributions reported on line 1c). See Part IV, line 18 ....
			8a	1,458,675
b	Less: direct expenses ...		8b	861,923
c	Net income or (loss) from fundraising events..			596,752			596,752
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	RESEARCH & MISC INCOME		900099	104,132,926	103,943,891	189,035
b	HEALTH NETWORK LABORAT		621500	8,863,134	8,002,425	860,709
c	LEHIGH VALLEY PHO		900003	654,158	654,158
d	All other revenue ....
e	Total. Add lines 11a–11d ......			113,650,218
12	Total revenue. See instructions.....			3,188,280,554	3,091,351,183	32,150,974	25,214,776

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 ...........	2,765,535	2,765,535
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	10,639,927	10,639,927
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........	791,762,800	738,019,229	51,977,954	1,765,617
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	41,204,711	38,495,164	2,620,196	89,351
9	Other employee benefits .......	249,585,213	244,792,362	4,636,226	156,625
10	Payroll taxes ...........	60,192,041	56,276,266	3,785,130	130,645
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	9,910,826	2,091,693	7,819,133
c	Accounting ...........	715,224	67,175	648,049
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)	212,525,281	183,980,495	28,424,681	120,105
12	Advertising and promotion ....	33,182,415	3,404,807	29,777,608
13	Office expenses .......	5,206,457	3,399,914	1,801,566	4,977
14	Information technology ......	49,700,770	46,909,871	2,790,779	120
15	Royalties ..
16	Occupancy ...........	82,881,075	79,973,107	2,881,111	26,857
17	Travel ............	2,245,388	2,103,365	137,833	4,190
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	2,740,613	2,279,803	434,250	26,560
20	Interest ...........	42,909,475	42,909,475
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	123,874,165	123,716,252	157,913
23	Insurance ...	23,054,497	22,381,979	672,518
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	578,141,309	578,094,082	47,227
b	PURCHASED SERVICES	455,276,666	444,441,147	10,774,745	60,774
c	BAD DEBTS EXPENSE	96,786,906	96,786,906
d	CONTRACTED LABOR	83,448,389	80,994,315	2,454,074
e	All other expenses	122,015,328	121,920,310	-187,738	282,756
25	Total functional expenses. Add lines 1 through 24e	3,080,765,011	2,926,443,179	151,653,255	2,668,577
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 ........			18,398	1	21,422
2	Savings and temporary cash investments .........			-9,080,977	2	12,384,439
3	Pledges and grants receivable, net ......			10,356,887	3	17,548,178
4	Accounts receivable, net .............			297,251,974	4	372,201,140
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			65,304,161	7	104,793,308
8	Inventories for sale or use ............			44,725,010	8	51,144,429
9	Prepaid expenses and deferred charges ......			66,126,954	9	73,034,950
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,761,879,483
b	Less: accumulated depreciation	10b	1,412,234,203	1,250,942,171	10c	1,349,645,280
11	Investments—publicly traded securities .			994,908,873	11	871,120,545
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..			264,381,856	13	272,181,204
14	Intangible assets ...............			116,726,071	14	228,359,155
15	Other assets. See Part IV, line 11 ...........			23,212,836	15	106,694,337
16	Total assets. Add lines 1 through 15 (must equal line 33)...			3,124,874,214	16	3,459,128,387

17	Accounts payable and accrued expenses .....	228,400,670	17	208,950,481
18	Grants payable ...		18
19	Deferred revenue .........	66,463,755	19	11,674,360
20	Tax-exempt bond liabilities .........	928,243,022	20	1,032,739,673
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	16,499,088
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	312,387,819	25	418,251,612
26	Total liabilities. Add lines 17 through 25..	1,535,495,266	26	1,688,115,214

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	1,305,290,510	27	1,494,718,250
28	Net assets with donor restrictions ...........	284,088,438	28	276,294,923
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	1,589,378,948	32	1,771,013,173
33	Total liabilities and net assets/fund balances ........	3,124,874,214	33	3,459,128,387