TY 2023 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) CHRISTINE BIEGE MHA BSN...................................................................... FORMER TRUSTEE	0.00 ................. 60.00			X	0	321,052	740
(2) JANE A DANISH...................................................................... FORMER SECRETARY	0.00 ................. 40.00			X	111,867	0	14,049
(3) JOHN R FLETCHER...................................................................... FORMER PRESIDENT/TRUSTEE	0.00 ................. 0.00			X	49,680	0	0
(4) BARBARA ANN C FORTE...................................................................... SECRETARY	28.00 ................. 12.00		X		64,218	0	9,076
(5) ANTOINETTE M FRITZ...................................................................... VICE CHAIRPERSON	1.00 ................. 0.50	X	X		0	0	0
(6) ROBERT HINKLE...................................................................... TRUSTEE	0.50 ................. 0.25	X			0	0	0
(7) MARK IMBRIACO...................................................................... TRUSTEE	0.50 ................. 0.25	X			0	0	0
(8) BRYAN G KANE MD...................................................................... TRUSTEE	20.00 ................. 40.00	X			0	404,692	1,020
(9) GREGORY G KILE...................................................................... FORMER TRUSTEE	0.00 ................. 0.00			X	0	127,238	0
(10) LINDA L LAPOS MD...................................................................... TRUSTEE	0.50 ................. 0.25	X			0	0	0
(11) JOSEPH LETTIERE...................................................................... TRUSTEE	0.50 ................. 0.25	X			0	0	0
(12) MARK J LOBITZ DO...................................................................... CHAIRPERSON	1.00 ................. 0.50	X	X		0	0	0
(13) THOMAS J MARCHOZZI MBA CPA...................................................................... TREASURER	3.00 ................. 57.00		X		0	1,588,506	19,579
(14) VICKY PEREZ...................................................................... TRUSTEE	1.00 ................. 0.00	X			0	0	0
(15) MARYANNE C PETRILLA...................................................................... TRUSTEE	1.00 ................. 0.00	X			0	0	0
(16) TERRENCE J PURCELL MBA...................................................................... TRUSTEE	10.00 ................. 40.00	X			0	481,673	17,792
(17) ANTHONY RYBA...................................................................... TRUSTEE	1.00 ................. 0.00	X			0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
HEALTHTRUST WORKFORCE SOLUTIONS LLC PO BOX 742697 ATLANTA,GA303742697	STAFFING SERVICES	3,166,339
HAZLETON ANESTHESIA SERVICES 100 COMMERCE DR NEW ROCHELLE,NY10801	MEDICAL SERVICES	2,378,217
OBHG PENNSYLVANIA PC 777 LOWNDES HILL RD GREENVILLE,SC29607	PHYSICIAN SERVICES	1,623,285
ADVANCED INPATIENT MEDICINE - LEHIGH LL 7250 PARKWAY DR STE 500 HANOVER,MD21076	PHYSICIAN SERVICES	1,602,509
PINNACLE CLEANING SERVICE PO BOX 128 MOUNTAIN TOP,PA18707	HOUSEKEEPING SERVICES	524,576
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 9

- 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

2023

Open to Public
Inspection

Name of the organization

LEHIGH VALLEY HOSPITAL-HAZLETON

Employer identification number

23-2421970

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) 2023

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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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 2023 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2023. 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—2022. 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—2023. 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—2022. 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) 2023

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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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 2023 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2023. 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—2022. 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) 2023

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) 2023

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) 2023

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) 2023

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 2023 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-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, 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 2023. 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 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

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) 2023

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

2023

Name of the organization

LEHIGH VALLEY HOSPITAL-HAZLETON

Employer identification number

23-2421970

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) (2023)

Schedule B (Form 990) (2023) Page 2

Name of organization LEHIGH VALLEY HOSPITAL-HAZLETON

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) (2023)

Schedule B (Form 990) (2023)

Page 3

Name of organization LEHIGH VALLEY HOSPITAL-HAZLETON		Employer identification number 23-2421970

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) (2023)

Schedule B (Form 990) (2023)

Page 4


Name of organization LEHIGH VALLEY HOSPITAL-HAZLETON			Employer identification number 23-2421970
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) (2023)

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

right arrow

Complete if the organization is described below. 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

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-HAZLETON

Employer identification number

23-2421970

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 .................................................................... right arrow

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 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

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 ..... right arrow

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

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

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) 2022

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 right arrow

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 right arrow

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) 2019	(b) 2020	(c) 2021	(d) 2022	(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) 2022

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)? ........

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

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

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

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

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

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

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

Yes

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

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

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

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

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

Part III-A

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

Yes

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

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

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

Part III-B

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

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

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

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

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

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

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

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

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

Part IV

Supplemental Information

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

Return Reference	Explanation
PART II-B, LINE 1:	LEHIGH VALLEY HOSPITAL - HAZLETON IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE HOSPITAL & HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA (HAP). A PERCENTAGE OF THE DUES PAID TO THESE ORGANIZATIONS GOES TOWARDS LOBBYING EFFORTS. THEIR MISSION IS TO ADVANCE THE HEALTH OF INDIVIDUALS AND COMMUNITIES TO LEAD, REPRESENT, AND SERVE HEALTH CARE PROVIDER ORGANIZATIONS THAT ARE ACCOUNTABLE TO THE COMMUNITY AND COMMITTED TO HEALTH IMPROVEMENT. THE MEMBERSHIP DUES FOR AHA AND HAP ARE PAID BY LEHIGH VALLEY HOSPITAL, INC. THEREFORE, THE LOBBYING PORTION OF THE DUES ARE REFLECTED ON THE LEHIGH VALLEY HOSPITAL, INC. FORM 990, SCHEDULE C.

Return Reference

Explanation

PART II-B, LINE 1:

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

Schedule C (Form 990) 2022

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.
right arrow

Attach to Form 990.
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-HAZLETON

Employer identification number

23-2421970

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 July 25, 2006, 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 right arrow

Number of states where property subject to conservation easement is located right arrow

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
right arrow

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

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 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

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 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

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

Cat. No. 52283D

Schedule D (Form 990) 2022

Page 2

Part III

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

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

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

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

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

Yes No

Part IV

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

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

Yes No


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

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

Yes No

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

Part V

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

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

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

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

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

Term endowment right arrow

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 .....	8,410,000		8,410,000
b	Buildings ....	66,518,816	17,394,469	49,124,347
c	Leasehold improvements	719,193	159,309	559,884
d	Equipment ....	30,729,285	19,094,069	11,635,216
e	Other .....	4,582,186		4,582,186
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				74,311,633

Schedule D (Form 990) 2022

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)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

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

(a) Description				(b) Book value

(1)
(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
DEFERRED COMPENSATION PLANS	1,669,828
PENSION LIABILITY	928,576
COST SETTLEMENT RESERVES - THIRD PARTIES	2,018,719
PROFESSIONAL INSURANCE LIABILITY	1,829,220
CURRENT PORTION DEBT - THIRD PARTIES	3,274,490
LONG TERM PORTION - THIRD PARTY	23,983,761



Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	33,704,594
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) 2022

Page 4

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

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

Part XIII

Supplemental Information

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

Return Reference

Explanation

PART X, LINE 2:

LVHN, ITS HOSPITALS, AND OTHER SUBSIDIARIES ARE GENERALLY EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, EXCEPT FOR TAX IMPOSED ON UNRELATED BUSINESS INCOME. THE MOST RECENT DETERMINATION LETTER, RECEIVED BY THE ORGANIZATION, IS DATED MAY 1, 2014. LVHN AND ITS SUBSIDIARIES ACCOUNT FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740. THE ORGANIZATION'S FOR-PROFIT COMPONENTS RECOGNIZE DEFERRED TAX ASSETS AND LIABILITIES FOR THE FUTURE TAX IMPACT OF TEMPORARY DIFFERENCES BETWEEN AMOUNTS RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS AND THEIR RESPECTIVE TAX BASES AND THE FUTURE BENEFIT OF UTILIZATION NET OPERATING LOSS CARRYFORWARDS. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. INCOME TAXES OF THE ORGANIZATION'S TAX-EXEMPT AND FOR-PROFIT COMPONENTS ARE NOT MATERIAL TO THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS.

Schedule D (Form 990) 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.
Medium right arrow

Attach to Form 990.
Medium right arrow

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

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

LEHIGH VALLEY HOSPITAL-HAZLETON

Employer identification number

23-2421970

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) . . .	1,787,424		1,787,424	1.300 %
b	Medicaid (from Worksheet 3, column a) . . . . .	30,266,986	23,627,902	6,639,084	4.830 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	0
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	32,054,410	23,627,902	8,426,508	6.130 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	323,514		323,514	0.240 %
f	Health professions education (from Worksheet 5) . . .	257,243		257,243	0.190 %
g	Subsidized health services (from Worksheet 6) . . . .	6,929,839	2,094,040	4,835,799	3.520 %
h	Research (from Worksheet 7) .	0
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	0
j	Total. Other Benefits . .	7,510,596	2,094,040	5,416,556	3.950 %
k	Total. Add lines 7d and 7j .	39,565,006	25,721,942	13,843,064	10.080 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023

Schedule H (Form 990) 2023

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. ......

1,873,978

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. ......

521,923

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).....

39,986,724

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

42,156,498

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

-2,169,774

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	10.000 %	0 %	0 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2023

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	LEHIGH VALLEY HOSPITAL - HAZLETON 700 E BROAD ST HAZLETON,PA18201 WWW.LVHN.ORG 083701	X	X	X

Schedule H (Form 990) 2023

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 - HAZLETON
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) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	LEHIGH VALLEY HOSPITAL - HAZLETON
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) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	LEHIGH VALLEY HOSPITAL - HAZLETON
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) 2023

Page 7

Part VFacility Information (continued)

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

	LEHIGH VALLEY HOSPITAL - HAZLETON
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) 2023

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 - HAZLETON	PART V, SECTION B, LINE 5: FOR THE PURPOSES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), LVHN DEFINES THE COMMUNITY IT SERVES AS ALL INDIVIDUALS LIVING WITHIN THE COUNTIES THAT CONTAIN OUR HOSPITAL CAMPUSES. LVHN IS REQUIRED TO PRODUCE A CHNA HEALTH PROFILE FOR EACH OF OUR LICENSED FACILITIES TO ADDRESS THE LOCAL CONTEXT OF THE DIFFERENT COMMUNITIES WE SERVE. THEREFORE, LVHN HAS PRODUCED SEVEN CHNA HEALTH PROFILES FOR OUR LEHIGH VALLEY HOSPITAL (LVH) CAMPUSES: LVH-CARBON (CARBON COUNTY); LVH-DICKSON CITY (LACKAWANNA COUNTY); LVH-HAZLETON (LUZERNE COUNTY); LVH-POCONO (MONROE COUNTY); LVH-CEDAR CREST, LVH-17TH STREET, AND LVH-1503 NCC (LEHIGH COUNTY); LVH-MUHLENBERG, LVH-HECKTOWN OAKS, AND LVHN-HIGHLAND AVENUE (NORTHAMPTON COUNTY).WE ADDITIONALLY ASSESSED HEALTH NEEDS WITHIN THE CITY OF HAZLETON TO REFLECT THE URBAN COMMUNITY SURROUNDING OUR HAZLETON CAMPUS IN THE LUZERNE COUNTY REPORT, WHERE DATA WAS AVAILABLE. WITHIN THE ENTIRE GEOGRAPHIC POPULATION THAT MAKES UP THE COMMUNITIES WE SERVE, WE PLACE A GREATER EMPHASIS ON INCLUDING INDIVIDUALS IN THE COMMUNITY WHO ARE EXPERIENCING HEALTH DISPARITIES TO A GREATER EXTENT OR WHO ARE AT RISK FOR NEGATIVE HEALTH OUTCOMES BECAUSE OF THE SOCIAL AND ENVIRONMENTAL FACTORS INFLUENCING THEIR HEALTH. IT IS WELL DOCUMENTED THAT THE CLINICAL CARE PROVIDED TO COMMUNITY MEMBERS ONLY ACCOUNTS FOR A SMALL PORTION OF AN INDIVIDUAL'S OVERALL HEALTH. THERE ARE MANY OTHER FACTORS THAT OCCUR OUTSIDE THE DOCTOR'S OFFICE AND HOSPITAL WALLS THAT INFLUENCE HEALTH BEYOND MEDICAL CARE. THEY INCLUDE:- SOCIAL AND ECONOMIC FACTORS, SUCH AS EDUCATION, EMPLOYMENT, AND SOCIAL SUPPORT- PHYSICAL ENVIRONMENT FACTORS, SUCH AS HOUSING, TRANSPORTATION, AND AIR QUALITY- HEALTH BEHAVIORS, SUCH AS SMOKING, DRINKING, DIET, AND EXERCISETHEREFORE, THE CHNA HEALTH PROFILE PROVIDES INFORMATION ABOUT HEALTH CARE AS WELL AS OTHER HEALTH FACTORS FOLLOWED BY HEALTH OUTCOMES. THERE ARE TWO TYPES OF DATA INCLUDED IN THE CHNA HEALTH PROFILES. THE FIRST TYPE IS QUANTITATIVE DATA, OR NUMBERS AND STATISTICS ABOUT THE OVERALL POPULATION IN THE COMMUNITY. THESE STATISTICS COME FROM A VARIETY OF LOCAL, STATE, AND NATIONAL SOURCES INCLUDING THE CENSUS, THE CENTER FOR DISEASE CONTROL, THE DEPARTMENT OF EDUCATION, AND THE CENTERS FOR MEDICAID AND MEDICARE SERVICES. MOST OF THESE DATA POINTS ARE COMPILED TOGETHER THROUGH A PLATFORM CALLED SPARKMAP FROM CARES AT THE UNIVERSITY OF MISSOURI EXTENSION, WHICH LVHN USES AS THE STARTING POINT FOR ITS CHNA HEALTH PROFILES, ADDING OTHER KEY STATE AND LOCAL DATA SOURCES TO THE DATA PROVIDED THROUGH THIS HEALTH REPORT.IN ADDITION, NON-PROFIT HOSPITAL SYSTEMS ARE REQUIRED TO OBTAIN INPUT FROM INDIVIDUALS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING THOSE WITH PUBLIC HEALTH EXPERTISE AND THE VULNERABLE POPULATIONS. LVHN CHOSE TO OBTAIN THIS INPUT THROUGH COMMUNITY CONVERSATIONS AND KEY STAKEHOLDER INTERVIEWS WITH COMMUNITY MEMBERS AND LEADERS. THIS TYPE OF DATA IS REFERRED TO AS QUALITATIVE DATA. FOR EACH CAMPUS, WE PARTNERED WITH AN EXTERNAL COMMUNITY COLLABORATOR WHO HAS EXPERIENCE IN QUALITATIVE DATA COLLECTION TO CONDUCT THESE FOCUS GROUPS AND INTERVIEWS ON LVHN'S BEHALF. THIS PROCESS PROVIDED COMMUNITY MEMBERS WITH AN INDEPENDENT AND OBJECTIVE OPPORTUNITY TO IDENTIFY AND SHARE THEIR PERSONAL EXPERIENCES AND PERSPECTIVE ON THE MOST PRESSING HEALTH NEEDS FACING THEIR COMMUNITY AS WELL AS WHERE THEY WOULD LIKE LVHN TO FOCUS ITS ATTENTION. IN LUZERNE COUNTY, LVH-HAZLETON PARTNERED WITH NEXT EDGE STRATEGIES, AN ORGANIZATION THAT FOCUSES ON STRATEGIC DESIGN AND APPRECIATIVE INQUIRY. THE FOCUS GROUPS AND INTERVIEWS WERE CONDUCTED BETWEEN NOVEMBER 2021 AND JANUARY 2022. IN LUZERNE COUNTY, WHERE OUR HAZLETON CAMPUS IS LOCATED, 68 PARTICIPANTS WERE INVOLVED IN COMMUNITY CONVERSATIONS AND 5 ADDITIONAL KEY STAKEHOLDERS WERE INTERVIEWED.BELOW IS A SUMMARY OF THE ORGANIZATIONS REPRESENTED IN THE COMMUNITY CONVERSATIONS AND INTERVIEWS AS WELL AS A SUMMARY OF THE DEMOGRAPHICS OF THOSE WHO PARTICIPATED. RESIDENTS, INCLUDING THOSE FROM LOW-INCOME POPULATIONS AND OTHER GROUPS OF FOCUS, WERE ALSO INCLUDED IN THE COMMUNITY CONVERSATIONS.ORGANIZATIONS REPRESENTED IN LUZERNE COUNTY:HAZLETON AREA SCHOOL DISTRICTHAZLETON INTEGRATION PROJECTGREATER HAZLETON CHAMBER OF COMMERCEGREATER HAZLETON CAN-DOPENNSYLVANIA CAREERLINK LUZERNE COUNTY/HAZLETONUNITED WAY OF GREATER HAZLETONDEMOGRAPHICS OF LUZERNE COUNTY:GENDER: 85% FEMALE, 15% MALEAVERAGE AGE: 44, AGE RANGE: 23-72RACE: 63% WHITE, 21% MULTI-RACIAL, 16% OTHER RACEETHNICITY: 53% NON-HISPANIC, 47% HISPANIC (OF ANY RACE)
LEHIGH VALLEY HOSPITAL - HAZLETON	PART V, SECTION B, LINE 6A: LVHN HAS PRODUCED SEVEN CHNA HEALTH PROFILES FOR OUR LEHIGH VALLEY HOSPITAL (LVH) CAMPUSES: LVH-CARBON (CARBON COUNTY); LVH-DICKSON CITY (LACKAWANNA COUNTY); LVH-HAZLETON (LUZERNE COUNTY); LVH-POCONO (MONROE COUNTY); LVH-CEDAR CREST, LVH-17TH STREET, AND LVH-1503 NCC (LEHIGH COUNTY); LVH-MUHLENBERG, LVH-HECKTOWN OAKS, AND LVHN-HIGHLAND AVENUE (NORTHAMPTON COUNTY).WE ADDITIONALLY ASSESSED HEALTH NEEDS WITHIN THE CITY OF ALLENTOWN TO REFLECT THE URBAN COMMUNITY SURROUNDING OUR LVH-17TH STREET CAMPUS IN THE LEHIGH COUNTY REPORT, AND THE LUZERNE COUNTY REPORT INCLUDES INFORMATION ABOUT THE HEALTH NEEDS IN THE CITY OF HAZLETON WHERE IT WAS AVAILABLE. WITHIN THE ENTIRE GEOGRAPHIC POPULATION THAT MAKES UP THE COMMUNITIES WE SERVE, WE PLACE A GREATER EMPHASIS ON INCLUDING INDIVIDUALS IN THE COMMUNITY WHO ARE EXPERIENCING HEALTH DISPARITIES TO A GREATER EXTENT OR WHO ARE AT RISK FOR NEGATIVE HEALTH OUTCOMES BECAUSE OF THE SOCIAL AND ENVIRONMENTAL FACTORS INFLUENCING THEIR HEALTH.
LEHIGH VALLEY HOSPITAL - HAZLETON	PART V, SECTION B, LINE 6B: ORGANIZATIONS REPRESENTED IN LUZERNE COUNTY:HAZLETON AREA SCHOOL DISTRICTHAZLETON INTEGRATION PROJECTGREATER HAZLETON CHAMBER OF COMMERCEGREATER HAZLETON CAN-DOPENNSYLVANIA CAREERLINK LUZERNE COUNTY/HAZLETONUNITED WAY OF GREATER HAZLETON
LEHIGH VALLEY HOSPITAL - HAZLETON	PART V, SECTION B, LINE 7D: OUR COMMUNITY HEALTH NEEDS ASSESSMENT IS ALSO AVAILABLE UPON REQUEST.
LEHIGH VALLEY HOSPITAL - HAZLETON	PART V, SECTION B, LINE 11: PRIORITY AREA: SCHOOL-BASED BEHAVIORAL HEALTH (SBBH) AND PREVENTIVE HEALTHTHE 2022 CHNA PROCESS FOR LUZERNE COUNTY REVEALED INCREASING MENTAL HEALTH CONCERNS, INCLUDING INCREASED SUBSTANCE ABUSE, PARTICULARLY AMONG YOUTH. AS A RESULT, AN IMPLEMENTATION PLAN PRIORITY IS TO INCREASE BEHAVIORAL HEALTH CARE FOR STUDENTS BY PROVIDING ACCESS TO ON-SITE OR TELEHEALTH CARE. 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. SERVICES PROVIDED TO STUDENTS AND THEIR FAMILIES USE TRAUMA-INFORMED, EVIDENCE-BASED, FAMILY-ALLIED, AND CULTURALLY RESPONSIVE APPROACHES. EACH YEAR, 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 AND EACH THERAPIST CARRIES A CASELOAD OF 35 STUDENTS.THE SCHOOL-BASED BEHAVIORAL HEALTH PROGRAM WAS PLEASED TO ENTER A PARTNERSHIP WITH HAZLETON AREA SCHOOL DISTRICT TO PROVIDE MENTAL HEALTH SERVICES TO STUDENTS IN THE DISTRICT IN 2022. THE SEARCH FOR A SCHOOL-BASED OUTPATIENT THERAPIST FOR THE HAZLETON AREA SCHOOL DISTRICT WAS CHALLENGING AND TOOK LONGER THAN EXPECTED. CREATIVE MEASURES WERE TAKEN TO GENERATE CANDIDATE INTEREST, INCLUDING ATTENDANCE AT LOCAL JOB FAIRS AND EVENTS, AND CANVASSING SURROUNDING AGENCIES, COLLEGES, AND UNIVERSITIES TO BUILD COMMUNITY RELATIONSHIPS. THE POSITION WAS FILLED EARLY IN FY2024.THE CASELOAD REMAINED FULL THROUGHOUT THE YEAR, AND SATISFACTION WITH THE SERVICE WAS EXPRESSED BY STUDENTS, PARENTS, SCHOOL STAFF, AND SCHOOL ADMINISTRATORS. TELEHEALTH SERVICES WERE SET UP AT THE HAZLETON AREA SCHOOL DISTRICT DURING FY2024. THERAPISTS HAVE BEEN PROMOTING TELEHEALTH AND ENCOURAGING PEOPLE TO TAKE ADVANTAGE OF THE SERVICE, ESPECIALLY WHEN MEETING WITH STUDENTS WHO ARE SICK OR PARTICIPATING IN EDUCATION OUTSIDE OF THE PRIMARY SCHOOL CLINIC LOCATION, AND TO INCLUDE FAMILY MEMBERS IN THERAPY SESSIONS. OF SERVICES PROVIDED DURING FY2024, ABOUT 1% OF SERVICES WERE CONDUCTED THROUGH TELEHEALTH.IN FY2024, OVER 150 HOURS OF IN-KIND SERVICES WERE ALSO PROVIDED TO SCHOOLS IN THE LUZERNE COUNTY AREA. THESE HOURS WERE USED TO PROVIDE MENTAL HEALTH SERVICES FOR UNINSURED AND UNDERINSURED STUDENTS, ASSIST FAMILIES TO OBTAIN MEDICAL ASSISTANCE AND PROPER GUARDIANSHIP PAPERWORK FOR THEIR CHILDREN, AND TO PROVIDE MENTAL HEALTH AWARENESS, EDUCATION AND CONSULTATION TO PARTNER DISTRICTS AND THEIR COMMUNITIES. HIGHLIGHTS INCLUDE:-- THE SCHOOL-BASED PROGRAM HELPED FACILITATE A SCHOOL SUPPLY DRIVE AT THE START OF THE 2023-24 SCHOOL YEAR TO BENEFIT YOUTH IN CARBON COUNTY SCHOOL SERVICE SITES.-- THE SCHOOL-BASED TEAM CONDUCTED A HOLIDAY SPONSORSHIP DRIVE TO PROVIDE GIFTS AND MEALS FOR SEVERAL FAMILIES WHOSE CHILDREN RECEIVE SERVICES IN THE LUZERNE COUNTY AREA IN FY2024.-- SCHOOL-BASED THERAPIST ATTENDED A BACK-TO-SCHOOL NIGHT AND YOUTH EVENTS TO SHARE INFORMATION ABOUT THE PROGRAM AND INCREASE MENTAL HEALTH AWARENESS.-- SCHOOL-BASED THERAPISTS, AIDED BY STUDENTS IN THERAPY, CONSTRUCTED CREATIVE, VISUAL REMINDERS AND INTERACTIVE ACTIVITIES AS REMINDERS OF THE IMPORTANCE OF MENTAL HEALTH. -- SCHOOL-BASED BEHAVIORAL HEALTH LEADERSHIP PARTNERED WITH HAZLETON AREA SCHOOL DISTRICT LEADERSHIP TO PRESENT WORK SCHOOL-BASED MENTAL HEALTH WORK AT THE LPPIH COMMUNITY HEALTH SYMPOSIUMALTHOUGH SERVICES WERE ONLY INITIATED IN FY2024, OVER 25 REFERRALS WERE RECEIVED, AND ALMOST 200 THERAPY SESSIONS WERE COMPLETED. DURING FY2024, MOST STUDENTS SERVED BY SBBH WERE WHITE (43%), 34% WERE HISPANIC/LATINX, AND 6% WERE BLACK/AFRICAN AMERICAN. OF THE SERVICES PROVIDED: 46% OF THOSE SERVED WERE ELEMENTARY SCHOOL AGED (KINDERGARTEN TO GRADE 5), 25% WERE MIDDLE SCHOOL AGED (GRADES 6 THROUGH 8), AND 29% WERE HIGH SCHOOL AGED. THE TOP THREE REASONS FOR REFERRAL WERE FAMILY ISSUES (45%), ANXIETY (45%), DEPRESSION (44%).SCHOOL-BASED BEHAVIORAL HEALTH 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), AND THE STRENGTHS AND DIFFICULTIES QUESTIONNAIRE (SDQ). IN FY2023, SCHOOL-BASED BEHAVIORAL HEALTH ALSO IMPLEMENTED USE OF THE REVISED CHILD ANXIETY AND DEPRESSION SCALE (RCADS) AS A CLINICAL ASSESSMENT TOOL TO SCREEN FOR ANXIETY AND DEPRESSION.-- IN FY2024, THE RESULTS OF THE HOPE SCALE SHOWED THAT BETWEEN ONSET OF TREATMENT TO DISCHARGE, TOTAL "HOPE" SCORES INCREASED BY 12%. IN FY2023, THEY HAD INCREASED BY 16%.-- USING THE PEARLS, 34% OF YOUTH HAD ONE TO THREE ADVERSE LIFE EXPERIENCES IN FY2024. 45% OF YOUTH HAD ONE TO THREE ADVERSE LIFE EXPERIENCES IN FY2023.-- SCORES ON THE SDQ INDICATED THAT FROM ONSET OF TREATMENT TO DISCHARGE, STUDENTS SHOWED DECREASED IMPAIRMENT ON ALL FOUR SCALES. IN FY2024, RESULTS WERE AS FOLLOWS: EMOTIONAL SYMPTOMS (20% DECREASE); CONDUCT PROBLEMS (5% DECREASE); HYPERACTIVITY/INATTENTION (12% DECREASE); AND PEER ISSUES (4% DECREASE). IN FY2023, RESULTS WERE AS FOLLOWS: EMOTIONAL SYMPTOMS (15% DECREASE); CONDUCT PROBLEMS (13% DECREASE); HYPERACTIVITY/INATTENTION (10% DECREASE); AND PEER ISSUES (10% DECREASE).SCHOOL-BASED BEHAVIORAL HEALTH ALSO ADMINISTERS SATISFACTION SURVEYS TO YOUTH, THEIR CAREGIVERS, AND SCHOOL PARTNERS. IN FY2024, 80% OF YOUTH AND 75% OF CAREGIVERS SAID THERAPY HAD A POSITIVE IMPACT ON THE YOUTH'S HOME BEHAVIOR WHILE 85% OF YOUTH AND 88% OF CAREGIVERS SAID THE THERAPY HAD A POSITIVE IMPACT ON THE YOUTH'S SCHOOL BEHAVIOR. 100% OF SCHOOL PARTNERS SAID THAT TREATMENT MAKES A POSITIVE IMPACT ON THE STUDENT'S FUNCTIONING AT SCHOOL. IN FY2023, 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.
LEHIGH VALLEY HOSPITAL - HAZLETON	PART V, SECTION B, LINE 18E: COLLECTION ACTIVITIES ARE LIMITED TO HOSPITAL SENDING FOUR STATEMENTS REQUESTING PAYMENT. THE STATEMENTS INCLUDE INFORMATION ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, SOLICITING THE PATIENTS PARTICIPATION IN THE FINANCIAL ASSISTANCE PROGRAM.
PART V, SECTION B, LINE 11 (CONTINUATION A)	PRIORITY AREA: ADDRESS LANGUAGE BARRIERS TO IMPROVE HEALTH OUTCOMES FOR VULNERABLE POPULATIONSTHE 2022 CHNA PROCESS IN LUZERNE COUNTY REVEALED THAT A LARGE PORTION OF THE POPULATION IN THE COUNTY IS EXPERIENCING SOCIAL AND ECONOMIC DISADVANTAGES, PARTICULARLY AMONG HISPANIC RESIDENTS. SIXTY PERCENT OF THE POPULATION IN HAZLETON IS HISPANIC. ADDITIONALLY, 28% OF THE POPULATION IN HAZLETON HAS LIMITED ENGLISH PROFICIENCY. IN COMMUNITY CONVERSATIONS AND INTERVIEWS, COMMUNITY MEMBERS AND LEADERS FREQUENTLY ACKNOWLEDGED THAT SOCIO-ECONOMIC DISADVANTAGES AND LANGUAGE BARRIERS ARE THE FACTORS THAT ARE UNDERLYING AND INFLUENCING ALL THE OTHER HEALTH-RELATED ISSUES AND CONCERNS THAT RESIDENTS OF HAZLETON AND THROUGHOUT LUZERNE COUNTY ARE FACING. THERE HAS BEEN AN INCREASE IN JOBS IN WAREHOUSES, BUT THESE JOBS MAKE IT DIFFICULT TO MISS WORK FOR HEALTH-RELATED ISSUES. THERE IS A LACK OF ACCESSIBLE TRANSPORTATION, AND RENTAL PRICES ARE INCREASING. THE COMPOUNDING NATURE OF THESE BARRIERS MAKE IT DIFFICULT TO PRIORITIZE FAMILY WELL-BEING AND INDIVIDUAL HEALTH. ONE PARTICIPANT NOTED THAT "SOCIOECONOMIC ISSUES TIE EVERYTHING TOGETHER, BUT THEY ARE EXACERBATED BY A BASIC LACK OF KNOWLEDGE ON GOOD HEALTH AND RESOURCES." THE LACK OF CULTURAL AND LANGUAGE RESOURCES IS THE PRIMARY BARRIER FOR HISPANIC INDIVIDUALS.WITHIN HAZLETON, THERE IS A GROWING AND VIBRANT HISPANIC POPULATION. COMMUNITY MEMBERS AND LEADERS WHO PARTICIPATED IN COMMUNITY CONVERSATIONS HIGHLIGHTED THAT THERE IS A LACK OF CAPABLE TRANSLATORS IN THE COMMUNITY, AND OFTEN THE TRANSLATIONS ON SIGNS IN THE COMMUNITY ARE NOT A CORRECT REFLECTION OF THE SPANISH LANGUAGE. AS IT RELATES TO HEALTHCARE, THE LACK OF BILINGUAL CLINICIANS OR INTERPRETERS WHO UNDERSTAND MEDICAL TERMINOLOGY WELL CAN RESULT IN A BREAKDOWN OF COMMUNICATION. PATIENTS FEEL THEY DO NOT UNDERSTAND THE MEDICAL INFORMATION THEY ARE TOLD OR HOW TO PROPERLY FOLLOW THROUGH ON INSTRUCTIONS THEY ARE GIVEN. COMMUNITY MEMBERS SUGGESTED INCENTIVIZING BILINGUAL STUDENTS TO PURSUE CAREERS IN HEALTHCARE TO INCREASE THE AVAILABILITY OF BILINGUAL CLINICIANS. LVH-HAZLETON HAS PRIORITIZED DIVERSIFYING THE STAFF TO BE MORE REFLECTIVE OF THE COMMUNITY BEING SERVED, INCLUDING THROUGH HUMAN RESOURCE RECRUITMENT AND WORKFORCE DEVELOPMENT EFFORTS, AS WELL AS INCREASING ACCESSIBILITY OF SERVICES FOR ALL SEGMENTS OF THE POPULATION.TO ADDRESS THE NEEDS AND CONCERNS UNCOVERED BY OUR 2022 CHNA PROCESS, LVH-HAZLETON HAS COMPLETED THE FOLLOWING IN FY2023 AND FY2024:-- IN 2023, LVPG-HAZLETON HAD 39 SPANISH SPEAKING COLLEAGUES WHICH INCREASED TO 47 IN 2024. IN 2023, THERE WERE 63 SPANISH-SPEAKING COLLEAGUES AT LVH-HAZLETON, AND THAT NEARLY DOUBLED TO 111 IN 2024.-- LVH-HAZLETON HAS BEEN INCREASING THE USE OF INTERPRETERS IN THE HOSPITAL. IN FY2023 TWO BILINGUAL, SPANISH- SPEAKING GUEST SERVICES COLLEAGUES WERE HIRED TO WELCOME PATIENTS AND VISITORS AT THE FRONT DOOR OF THE HOSPITAL AND ASSIST WITH WAYFINDING. BEGINNING IN FY2024 (NOVEMBER 2023), LVH-HAZLETON EMERGENCY DEPARTMENT HIRED A LIVE INTERPRETER FOR EIGHT HOURS PER DAY, MONDAY THROUGH FRIDAY.-- IN LEHIGH VALLEY PHYSICIAN GROUP PEDIATRICS AND OB/GYN IN HAZLETON, INTERPRETERS WERE ALSO ADDED. IN FY2023, LVPG-H OBSTETRICS AND PEDIATRICS BEGAN TO USE VIDYO SOFTWARE WHICH IS ACCESSED THROUGH IPADS. REMOTE TRANSLATION SERVICES WERE IMPROVED IN FY2024 SO THAT PATIENTS, TRANSLATORS, AND CLINICIANS CAN ALL SEE ONE ANOTHER.-- IN OCTOBER 2023, LVH-HAZLETON HELD A FREE FLU SHOT CLINIC FOR EVERYONE IN THE COMMUNITY.-- LVHN INTERPRETER SERVICES COMPLETED A TOUR AND ASSESSMENT OF THE HOSPITAL IN FY2023. IMPROVEMENTS IMPLEMENTED INCLUDE A NEW, ELECTRONIC, BILINGUAL DIRECTORY IN THE HOSPITAL LOBBY AND INCREASING THE USE OF UNIVERSAL SIGNAGE THAT USES IMAGES INSTEAD OF WORDS. BILINGUAL STAFF ALSO ASSISTED WITH TRANSLATIONS IN FY2023.-- LVH-HAZLETON PROVIDES SPANISH LANGUAGE SERVICES IN THE SCHOOLS. IN FY2024, SPANISH-SPEAKING LVPG PROVIDERS PROVIDED 453 PHYSICALS AND IMMUNIZATIONS TO SPANISH-SPEAKING STUDENTS, ALLOWING THEM TO ATTEND SCHOOL. WHEN MEETING WITH THE STUDENTS, CLINICIANS ALSO PROVIDE INFORMATION ABOUT WHERE THEY CAN OBTAIN SPANISH-SPEAKING MEDICAL SERVICES. IN FY2023, LVH-HAZLETON PROVIDED 116 SCHOOL PHYSICALS THROUGH A GRANT FROM THE HAZLETON INTEGRATION PROJECT, WHICH SERVES MOSTLY HISPANIC PEOPLE, OFTEN THOSE WHO ONLY SPEAK SPANISH.-- LVH-HAZLETON ACTIVELY REACHES OUT TO THE SPANISH-SPEAKING COMMUNITY. IN THE FIRST HALF OF FY2023, LVH-HAZLETON LEADERS PARTNERED WITH THE LOCAL ROTARY CLUB TO PROVIDE AND SERVE FOOD EVERY WEEK AT THE SALVATION ARMY. AT THOSE EVENTS, INFORMATION ON AVAILABLE HEALTH-RELATED SERVICES WAS ALSO PROVIDED. ALSO, IN FY2023, A NEW CLINICIAN COMPLETED "FIND A DOC" INTRODUCTORY VIDEO FOR THE COMMUNITY IN AND THE EMERGENCY DEPARTMENT INCREASED LANGUAGE OPTIONS IN FY2023. IN BOTH FY2023 AND FY2024, LVH-HAZLETON PARTICIPATED IN AN ANNUAL CHILDREN'S FESTIVAL THAT ATTRACTS OVER 3,000 CHILDREN AND THEIR FAMILIES. ATTENDEES WERE EDUCATED ON STAYING HEALTHY AND PROVIDED WITH INFORMATION ON OUR SERVICES IN BOTH ENGLISH AND SPANISH. IN FY2024, LVH-HAZLETON HELD TEN LVHI (LEARN VALUABLE HEALTH INFORMATION) KIDS CLUB SESSIONS AT HAZLETON INTEGRATION PROJECT DURING THIS PERIOD. CLOSE TO 100 CHILDREN WERE EDUCATED ON HEALTH-RELATED TOPICS GEARED TOWARD THEIR NEEDS. IN FY2024, LVH-HAZLETON ALSO HOSTED A BACK-TO-SCHOOL HEALTH FAIR IN THE COMMUNITY OF MOUNTAIN TOP.-- IN FY2023, LVH-HAZLETON RELEASED MANY COMMUNICATIONS IN BOTH SPANISH AND ENGLISH. ALL COMMUNICATIONS AROUND COVID TESTING WERE BILINGUAL. A VIDEO ABOUT HOW TO ACCESS TRANSPORTATION TO THE HOSPITAL/EMERGENCY DEPARTMENT WAS PRODUCED BY THE HAZLETON TRANSPORTATION AUTHORITY IN FY2024. THE LVH-HAZLETON TEAM ADDED SPANISH SUBTITLES. THE VIDEO IS SCREENED IN WAITING ROOMS AND HAS GONE OUT TO SOCIAL SERVICES, MEDICAL OFFICES, AND SCHOOLS.-- IN FY2024, FIVE COLLEAGUES IN HAZLETON ATTENDED AN AFTER-HOURS, 13-WEEK CONVERSATIONAL SPANISH COURSE. ADDITIONALLY, ON JUNE 28, 2024, APPROXIMATELY 30 LVH-H LEADERS ATTENDED A TRAINING ON "HIDDEN CULTURAL AND LINGUISTIC BARRIERS TO HEALTHCARE WITHIN THE HISPANIC COMMUNITY."-- LVH-HAZLETON HIRED A SPANISH-SPEAKING REGIONAL PRESIDENT, IN MAY OF 2023, WHO HAS BEEN ACTIVELY ENGAGING THE COMMUNITY. LVH-HAZLETON CONTINUES TO BUILD A PIPELINE OF BILINGUAL INDIVIDUALS. IN FY2023, A BILINGUAL NURSE FROM THE ED PROVIDED A PRESENTATION THROUGH PARTNERS IN EDUCATION--WHICH EXPOSES STUDENTS TO CAREERS IN STEM. ALSO, IN FY2023, FOURTEEN NURSING STUDENTS FROM PUERTO RICO VISITED LVH-HAZLETON. IN FY2023, THE TOTAL NUMBER OF SPANISH-SPEAKING STAFF AT LVH-HAZLETON WAS ROUGHLY 60, WHILE THE TOTAL IN OUR LVPG OFFICES WAS ROUGHLY 40.

Schedule H (Form 990) 2023

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) 2023

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 PARENT COMPANY OF LEHIGH VALLEY HOSPITAL-HAZLETON.
PART I, LINE 7:	THE COSTING METHODOLOGY IS COST TO CHARGE RATIO FOR PROGRAMS WITH GROSS CHARGES AND DIRECT COSTS FOR PROGRAMS WITHOUT GROSS CHARGES.
PART I, LINE 7G:	THE SUBSIDIZED HEALTH SERVICES AMOUNT OF $ 4,835,799 IS THE DIFFERENCE BETWEEN PAYMENTS AND COSTS FOR ANESTHESIA SERVICES, TELEMEDICINE, AND HOSPITALIST SERVICES. THESE SERVICE EXPENSES ARE NOT INCLUDED IN THE MEDICAL ASSISTANCE SHORTFALL OR UNCOMPENSATED CARE VALUES REPORTED ABOVE.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 16,937,790.
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, 2024, AND 2023, RESPECTIVELY, LVH-HAZLETON RECORDED A PROVISION FOR IMPLICIT PRICE CONCESSIONS OF $18,131,695 AND $13,770,860 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 FY2024 MEDICARE COST REPORT. THE ENTIRE SHORTFALL ON LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT. THE REVENUE AND EXPENSES ARE BOTH DETERMINED USING MEDICARE PRINCIPLES.
PART III, LINE 9B:	FINANCIAL COUNSELING STAFF WILL DETERMINE WHETHER PATIENTS MEET ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE. ACCOUNTS THAT DO NOT MEET THE ELIGIBLILTY REQUIREMENTS WILL BE REFERRED TO AN EXTERNAL RECEIVABLES FOLLOW UP AGENCY, AND IF NOT PAID, REFERRED TO A COLLECTION AGENCY AND SUBSEQUENTLY TRANSFERRED TO BAD DEBT STATUS IF THE ACCOUNTS REMAIN UNPAID.
PART VI, LINE 2:	AS PART OF THE AFFORDABLE CARE ACT, STARTING IN 2013, ALL NON-PROFIT HOSPITALS AND HEALTH CARE SYSTEMS ARE REQUIRED TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS. THE CHNA REPORT EXAMINES THE FACTORS THAT IMPACT THE HEALTH AND WELLNESS OF ALL THE PEOPLE IN A PARTICULAR GEOGRAPHIC AREA. BEYOND ITS REGULATORY FUNCTION, THE CHNA IS AN IMPORTANT OVERVIEW OF THE CURRENT STATE OF HEALTH IN OUR REGION AND IDENTIFIES POTENTIAL AREAS OF CONCERN WHICH INFORMS LEHIGH VALLEY HEALTH NETWORK'S (LVHN) POPULATION HEALTH MANAGEMENT EFFORTS. LVHN'S CHNA INCLUDES A HEALTH PROFILE, A REPORT THAT LOOKS AT ALL THE FACTORS THAT GO INTO MAKING PEOPLE IN A PARTICULAR AREA HEALTHY. THIS INCLUDES SOCIAL AND ENVIRONMENTAL FACTORS LIKE EMPLOYMENT, EDUCATION AND AIR QUALITY, INDIVIDUAL BEHAVIORS LIKE SMOKING OR HEALTHY EATING, AND THE QUALITY AND AVAILABILITY OF HEALTH CARE IN THEIR AREA. THIS INTRODUCTION PROVIDES AN OVERVIEW OF THE 2022 CHNA HEALTH PROFILE AND LVHN'S CHNA PROCESS. THE 2022 HEALTH PROFILE COMBINES DATA AND INFORMATION FROM LOCAL, STATE, AND NATIONAL SOURCES ABOUT DISEASE, THE ENVIRONMENT, SOCIAL FACTORS, AND INDIVIDUAL BEHAVIORS, WITH IDEAS, STORIES, AND EXPERIENCES FROM COMMUNITY MEMBERS AND LEADERS FROM THROUGHOUT THE COUNTIES SERVED BY LVHN. THE SECOND COMPONENT OF THE LVHN'S CHNA INCLUDES AN IMPLEMENTATION PLAN, WHICH OUTLINES OUR PLAN TO ADDRESS THE NEEDS IDENTIFIED IN THE HEALTH PROFILE OVER THE COURSE OF THE NEXT THREE YEARS. THE 2022 CHNA HEALTH PROFILES AND IMPLEMENTATION PLAN ARE PROVIDED AT WWW.LVHN.ORG/CHNA.THE 2022 LVHN CHNA HEALTH PROFILE IS BROKEN OUT INTO THE FOLLOWING SECTIONS: DEMOGRAPHICS, INCOME AND ECONOMICS, EDUCATION, HOUSING AND FAMILIES, OTHER SOCIAL AND ECONOMIC FACTORS, PHYSICAL ENVIRONMENT, CLINICAL CARE AND PREVENTION, HEALTH BEHAVIORS, HEALTH OUTCOMES, AND SPECIAL TOPICS - COVID-19. TO INCREASE THE READABILITY OF THE REPORT, THE COMMUNITY WILL FIND TWO TYPES OF CALL-OUT BOXES THROUGHOUT THE CHNA HEALTH PROFILES. THE FIRST TYPE SUMMARIZES SOME OF THE DATA PRESENTED ON THAT PAGE, PROVIDING EASY-TO-READ, SUMMARY STATEMENTS OF IMPORTANT DATA ABOUT THE COMMUNITY. THE SECOND TYPE PROVIDES INFORMATION FROM THE INTERVIEWS AND COMMUNITY CONVERSATIONS. THESE REPORTS HAVE BEEN REVIEWED AND APPROVED BY LVHN'S BOARD OF TRUSTEES AS WELL AS THE COMMUNITY RELATIONS COMMITTEE OF THE BOARD.VISIT WWW.LVHN.ORG/CHNA TO VIEW THE SIGNIFICANT NEEDS IDENTIFIED IN OUR MOST RECENTLY CONDUCTED CHNA AND HOW WE ARE ADDRESSING THOSE NEEDS.
PART VI, LINE 3:	CONSISTENT WITH THE MISSION AND VALUES OF LEHIGH VALLEY HEALTH NETWORK, IT IS THE POLICY TO PROVIDE MEDICAL CARE TO ALL INDIVIDUALS WITHOUT REGARD TO THEIR ABILITY TO PAY FOR SERVICES. THE PATIENT FINANCIAL ASSISTANCE PROGRAM APPLIES TO UNINSURED AND UNDER-INSURED INDIVIDUALS WHO PARTICIPATE IN THE PROCESS TO EVALUATE THEIR ABILITY TO PAY FOR LVH-H SERVICES.THE FINANCIAL COUNSELORS HELP PATIENTS COMPLETE THE APPLICATION FOR FINANCIAL ASSISTANCE. LVH-H FOLLOWS THE FEDERAL POVERTY GUIDELINES TO EVALUATE ELIGIBILITY. PATIENTS WHOSE FAMILY INCOME FALLS BELOW 200% OF THE FEDERAL POVERTY GUIDELINE WILL HAVE THEIR ENTIRE BALANCE FORGIVEN FOR THEIR QUALIFYING SERVICES AT LVH-H. PATIENTS WITH A FAMILY INCOME BELOW 400% OF THE FEDERAL POVERTY GUIDELINES WILL HAVE A PORTION OF THEIR BALANCE FORGIVEN FOR QUALIFYING SERVICES AT LVH-H.PATIENTS OFTEN EXPRESS FINANCIAL CONCERN OR NEED BY CONTACTING LVH-H PATIENT FINANCIAL COUNSELING DEPARTMENT. THE COUNSELOR EXPLAINS THE AVAILABLE PROGRAMS, SUCH AS PENNSYLVANIA MEDICAL ASSISTANCE, CHIP, THE FEDERAL INSURANCE EXCHANGE AND PATIENT FINANCIAL ASSISTANCE.PATIENTS WILL BE REFERRED TO THE FINANCIAL COUNSELORS WHO WORK WITH UNINSURED AND UNDER-INSURED PATIENTS TO APPLY FOR PENNSYLVANIA MEDICAL ASSISTANCE. THE FINANCIAL COUNSELORS ARE LOCATED ONSITE. THE FINANCIAL COUNSELORS VISIT INPATIENTS IN THEIR ROOMS AND OUTPATIENTS IN THE EMERGENCY DEPARTMENT (ED).INFORMATION REGARDING FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS VIA SIGNAGE IN THE REGISTRATION AREAS AS WELL AS THE ED WAITING ROOM. ALSO, WHEN THE FINANCIAL COUNSELORS ASSIST PATIENTS IN COMPLETING A MEDICAL ASSISTANCE UNINSURED AND UNDER-INSURED APPLICATION, THEY ALSO INFORM THE PATIENT ABOUT THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM. IN ADDITION, LVH-H ADVERTISES OUR FINANCIAL ASSISTANCE PROGRAM ON OUR PUBLIC WEBSITE, AS WELL AS ON ALL BILLING STATEMENTS SENT TO OUT PATIENTS.
PART VI, LINE 4:	THE PRIMARY SERVICE AREA OF LVH-HAZLETON IS LUZERNE COUNTY. THE U.S. CENSUS BUREAU DATA FOR THE 2020 CENSUS INDICATES THE PRIMARY SERVICE AREA POPULATION WAS APPROXIMATELY 325,924. ACCORDING TO 2023 CLARITAS DATA, THE PRIMARY SERVICE AREA POPULATION IS 326,121.DURING THE CALENDAR YEAR 2023, 78.8% OF THE DISCHARGES FROM LVH-HAZLETON WERE RESIDENTS OF THE PRIMARY SERVICE AREA. THE 2020 POPULATION OF THE SECONDARY SERVICE AREA - CARBON AND SCHUYLKILL COUNTIES - WAS APPROXIMATELY 208,564. THE ESTIMATED 2023 POPULATION OF THE SECONDARY SERVICE AREA BASED ON CLARITAS DATA IS 209,224. THE PRIMARY SERVICE AREA OF LVH-HAZLETON IS LUZERNE COUNTY. THE U.S. CENSUS BUREAU DATA FOR THE 2020 CENSUS INDICATES THE PRIMARY SERVICE AREA POPULATION WAS APPROXIMATELY 325,924. ACCORDING TO 2023 CLARITAS DATA, THE PRIMARY SERVICE AREA POPULATION IS 326,121.DURING THE CALENDAR YEAR 2023, 78.8% OF THE DISCHARGES FROM LVH-HAZLETON WERE RESIDENTS OF THE PRIMARY SERVICE AREA. THE 2020 POPULATION OF THE SECONDARY SERVICE AREA - CARBON, AND SCHUYLKILL COUNTIES - WAS APPROXIMATELY 208,564. THE ESTIMATED 2023 POPULATION OF THE SECONDARY SERVICE AREA BASED ON CLARITAS DATA IS 209,224. DURING THE CALENDAR YEAR 2022, 17.7% OF THE DISCHARGES FROM LVH-HAZLETON WERE RESIDENTS OF THE SECONDARY SERVICE AREA. DURING THE CALENDAR YEAR 2023, 3.5% OF THE DISCHARGES FROM LVH-HAZLETON WERE RESIDENTS OUTSIDE THE PRIMARY AND SECONDARY SERVICE AREAS. BASED ON PROPRIETARY DATA ESTIMATES (CLARITAS), THE PRIMARY SERVICE AREA'S CURRENT POPULATION PROJECTION IS AN INCREASE OF 2.0% BY 2028. DURING THE CALENDAR YEAR 2023, 3.5% OF THE DISCHARGES FROM LVH-HAZLETON WERE RESIDENTS OUTSIDE THE PRIMARY AND SECONDARY SERVICE AREAS. BASED ON PROPRIETARY DATA ESTIMATES (CLARITAS), THE PRIMARY SERVICE AREA'S CURRENT POPULATION PROJECTION IS AN INCREASE OF 2.0% BY 2028.
PART VI, LINE 5:	LEHIGH VALLEY HOSPITAL-HAZLETON QUALIFIES AS AN INSTITUTE OF PURELY PUBLIC CHARITY IN PENNSYLVANIA. THIS REGULATION IS REFERRED TO AS ACT 55. TO BE CONSIDERED A PURELY PUBLIC CHARITY, NONPROFITS MUST:(1) ADVANCE A CHARITABLE PURPOSE;(2) DONATE OR RENDER GRATUITOUSLY A SUBSTANTIAL PORTION OF ITS SERVICES;(3) BENEFIT A SUBSTANTIAL AND INDEFINITE CLASS OF PERSONS WHO ARE LEGITIMATE SUBJECTS OF CHARITY;(4) RELIEVE THE GOVERNMENT OF SOME BURDEN; AND(5) OPERATE ENTIRELY FREE FROM PRIVATE PROFIT MOTIVE.LVH-H IS REQUIRED TO REAPPLY FOR THIS CHARITABLE STATUS EVERY FIVE YEARS AND CURRENTLY QUALIFIES THROUGH JULY 31, 2028.

Schedule H (Form 990) 2023

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
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Attach to Form 990.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

LEHIGH VALLEY HOSPITAL-HAZLETON

Employer identification number

23-2421970

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) 2023

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)
1CHRISTINE BIEGE MHA BSN FORMER TRUSTEE	(i) (ii)	0 ------------- 283,577	0 ------------- 35,374	0 ------------- 2,101	0 ------------- 0	0 ------------- 740	0 ------------- 321,792	0 ------------- 0
2JANE A DANISH FORMER SECRETARY	(i) (ii)	107,475 ------------- 0	7,373 ------------- 0	-2,981 ------------- 0	0 ------------- 0	14,049 ------------- 0	125,916 ------------- 0	0 ------------- 0
3JOHN R FLETCHER FORMER PRESIDENT/TRUSTEE	(i) (ii)	0 ------------- 0	0 ------------- 0	49,680 ------------- 0	0 ------------- 0	0 ------------- 0	49,680 ------------- 0	0 ------------- 0
4BRYAN G KANE MD TRUSTEE	(i) (ii)	0 ------------- 352,682	0 ------------- 49,865	0 ------------- 2,145	0 ------------- 0	0 ------------- 1,020	0 ------------- 405,712	0 ------------- 0
5GREGORY G KILE FORMER TRUSTEE	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 127,238	0 ------------- 0	0 ------------- 0	0 ------------- 127,238	0 ------------- 0
6THOMAS J MARCHOZZI MBA CPA TREASURER	(i) (ii)	0 ------------- 926,505	0 ------------- 281,562	0 ------------- 380,439	0 ------------- 0	0 ------------- 19,579	0 ------------- 1,608,085	0 ------------- 0
7TERRENCE J PURCELL MBA TRUSTEE	(i) (ii)	0 ------------- 419,321	0 ------------- 62,570	0 ------------- -218	0 ------------- 0	0 ------------- 17,792	0 ------------- 499,465	0 ------------- 0
8ROBERT L THOMAS CPA ASSISTANT TREASURER	(i) (ii)	0 ------------- 428,974	0 ------------- 67,583	0 ------------- 146,783	0 ------------- 0	0 ------------- 9,574	0 ------------- 652,914	0 ------------- 0
9TAMMY TORRES DNP PRESIDENT/TRUSTEE	(i) (ii)	230,769 ------------- 0	9,000 ------------- 0	7,236 ------------- 0	0 ------------- 0	341 ------------- 0	247,346 ------------- 0	0 ------------- 0
10MELISSA N CURTO VP, PATIENT CARE OPERATIONS	(i) (ii)	197,625 ------------- 0	23,788 ------------- 0	647 ------------- 0	0 ------------- 0	308 ------------- 0	222,368 ------------- 0	0 ------------- 0
11RAYMOND J BERNARDI VP, OPERATIONS	(i) (ii)	191,351 ------------- 0	22,622 ------------- 0	-3,067 ------------- 0	0 ------------- 0	8,498 ------------- 0	219,404 ------------- 0	0 ------------- 0
12TAMMY BONNER REGISTERED NURSE	(i) (ii)	213,492 ------------- 0	500 ------------- 0	-3,847 ------------- 0	0 ------------- 0	17,649 ------------- 0	227,794 ------------- 0	0 ------------- 0
13NICOLE R CAMERON REGISTERED NURSE	(i) (ii)	191,742 ------------- 0	600 ------------- 0	-2,453 ------------- 0	0 ------------- 0	26,821 ------------- 0	216,710 ------------- 0	0 ------------- 0
14CHERYL A CAMPBELL REGISTERED NURSE	(i) (ii)	167,977 ------------- 0	500 ------------- 0	-828 ------------- 0	0 ------------- 0	9,027 ------------- 0	176,676 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2023

Page 3

Part III

Supplemental Information

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

Return Reference

Explanation

PART I, LINES 4A-B

THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT FROM LEHIGH VALLEY HOSPITAL - HAZLETON IN CALENDAR YEAR 2023: JOHN R. FLETCHER, FORMER PRESIDENT/TRUSTEE - $49,680 THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OF LEHIGH VALLEY HOSPITAL, A RELATED ORGANIZATION, IN CALENDAR YEAR 2023: ROBERT L. THOMAS, CPA, ASSISTANT TREASURER - $147,267 THOMAS J. MARCHOZZI, MBA CPA, TREASURER - $181,210

Schedule J (Form 990) 2023

Additional Data

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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.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
LEHIGH VALLEY HOSPITAL-HAZLETON

Employer identification number
23-2421970

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	52480GDW1	11-13-2019	24,920,314	CONSTRUCT, RENOVATE & EQUIP FACILITIES		X		X		X
B	LEHIGH COUNTY GENERAL PURPOSE AUTHORITY	91-1886539	52480GDY7	11-13-2019	18,921,044	REFUND HAZLETON REVENUE NOTE SERIES 2012		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	1,635,336		2,852,180
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	24,974,788		18,921,044
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............	1,020,062
6 Proceeds in refunding escrows ...............			18,849,600
7 Issuance costs from proceeds ...............	120,523		63,463
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	23,824,152
11 Other spent proceeds .............	10,050		7,981
12 Other unspent proceeds .............
13 Year of substantial completion .............	2022		2019
	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
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
16 Has the final allocation of proceeds been made? ..........		X	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2023

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
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X
b Exception to rebate? ........	X		X
c No rebate due? .........		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

Schedule K (Form 990) 2023

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

Part Ⅵ

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

Return Reference	Explanation

Schedule K (Form 990) 2023

Additional Data

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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.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

LEHIGH VALLEY HOSPITAL-HAZLETON

Employer identification number

23-2421970

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. ........................... $

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

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) 2023

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 - FORMER TRUSTEE	PARTNERSHIP IN 94 BRODHEAD ASSOCIATES - FORMER TRUSTEE OF LVH-H	127,365	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) 2023

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.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

LEHIGH VALLEY HOSPITAL-HAZLETON

Employer identification number

23-2421970

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 6	THE ORGANIZATION'S SOLE CORPORATE MEMBER IS LEHIGH VALLEY HEALTH NETWORK, INC.
FORM 990, PART VI, SECTION A, LINE 7A	THE ORGANIZATION'S SOLE CORPORATE MEMBER, LEHIGH VALLEY HEALTH NETWORK, INC., HAS THE POWER TO ELECT, APPOINT, APPROVE, OR REJECT MEMBERS OF THE ORGANIZATION'S GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7B	THE ORGANIZATION'S SOLE CORPORATE MEMBER, LEHIGH VALLEY HEALTH NETWORK, INC., HAS THE POWER TO APPROVE OR REJECT CERTAIN MAJOR OPERATING DECISIONS MADE BY THE ORGANIZATION'S GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11B	THE PROCESS TO REVIEW THE 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 2024 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 JULY 19, 2023 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 JULY 19, 2023 EXECUTIVE COMPENSATION COMMITTEE MEETING. SUMMARY OF METHODOLOGY TO CONDUCT THIS ANALYSIS, SULLIVAN COTTER: COLLECTED BACKGROUND INFORMATION REGARDING LVHN'S OPERATIONS, STRUCTURE, SIZE AND SCOPE, AS WELL AS EACH POSITION'S DUTIES. COMPILED MARKET DATA FOR CEO COUNCIL EXECUTIVES CONSISTENT WITH THE EXECUTIVE COMPENSATION PHILOSOPHY APPROVED BY THE COMMITTEE DURING ITS SEPTEMBER 18, 2023 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 $2.1 BILLION AND $9.3 BILLION (MEDIAN OF $3.8 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, 2024 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 FY2023 NET REVENUES AND PHYSICIAN FTE'S WERE USED AS THE SCOPE SIZE FOR EACH ENTITY.
FORM 990, PART VI, SECTION C, LINE 18	ANOTHER'S WEBSITE - GUIDESTAR. UPON REQUEST - HARD COPIES WITH SENIOR MANAGEMENT AND MARKETING DEPARTMENT.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH ITS ANNUAL REPORT TO THE COMMUNITY. THE ANNUAL REPORT IS DISTRIBUTED TO ALL ATTENDEES AT THE ORGANIZATION'S ANNUAL PUBLIC MEETING. THE ANNUAL REPORT IS AVAILABLE ON THE ORGANIZATION'S WEBSITE - WWW.LVHN.ORG. IN ADDITION, IT IS DISTRIBUTED VIA MAIL TO MEMBERS OF THE COMMUNITY. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART VII, SECTION A:	THE COMPENSATION REPORTED FOR INDIVIDUALS ON THIS FORM 990 REFLECTS RENUMERATION FOR THEIR DUTIES AS EMPLOYEES OF THE ORGANIZATION AND/OR RELATED ORGANIZATIONS. THESE EMPLOYEES DO NOT RECEIVE COMPENSATION PERTAINING TO THEIR ROLES AS TRUSTEES AND/OR OFFICERS.
FORM 990, PART IX, LINE 11G	BANK FEES: PROGRAM SERVICE EXPENSES -317,642. MANAGEMENT AND GENERAL EXPENSES 317,690. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 48. OUTSIDE LAB TEST FEES: PROGRAM SERVICE EXPENSES 6,190,153. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,190,153. PHYSICIAN & OTHER MEDICAL SERV: PROGRAM SERVICE EXPENSES 7,862,444. MANAGEMENT AND GENERAL EXPENSES 1,499,281. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,361,725.
FORM 990, PART XI, LINE 9:	REC OF UNFUNDED PENSION LIAB 430,408. TRANSFERS TO AFFILIATES 5,411,616.

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

Cat. No. 51056K

Schedule O (Form 990) 2023

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.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

LEHIGH VALLEY HOSPITAL-HAZLETON

Employer identification number

23-2421970

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 HEALTH NETWORK		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 (FINAL 12-31-2023) 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 (FINAL 3-31-2024) PO BOX 4000 ALLENTOWN,PA181054000 23-2586770	REAL ESTATE HOLDING CO.	PA	501(C)(2)		LEHIGH VALLEY HEALTH NETWORK		No
(8)LEHIGH VALLEY HOSPITAL PO BOX 4000 ALLENTOWN,PA181054000 23-1689692	HEALTH CARE ORGANIZATION	PA	501(C)(3)	LINE 3	LEHIGH VALLEY HEALTH NETWORK		No
(9)LEHIGH VALLEY HOSPITAL - POCONO PO BOX 4000 ALLENTOWN,PA181054000 24-0795623	HEALTH CARE ORGANIZATION	PA	501(C)(3)	LINE 3	LEHIGH VALLEY HEALTH NETWORK		No
(10)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
(11)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
(12)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
(13)LVHN REALTY HOLDING COMPANY PO BOX 4000 ALLENTOWN,PA181054000 23-2245513	REAL ESTATE RENTALS	PA	501(C)(3)	LINE 12C, III-FI	LEHIGH VALLEY HEALTH NETWORK		No
(14)POCONO AMBULATORY SERVICES INC (FINAL 12-31-2023) PO BOX 4000 ALLENTOWN,PA181054000 23-2611474	HEALTH CARE ORGANIZATION	PA	501(C)(3)	LINE 3	LEHIGH VALLEY HOSPITAL - POCONO		No
(15)POCONO HEALTH FOUNDATION PO BOX 4000 ALLENTOWN,PA181054000 23-2516451	FUNDRAISING	PA	501(C)(3)	LINE 12A, I	LEHIGH VALLEY HOSPITAL - POCONO		No
(16)POCONO HEALTH SYSTEM (FINAL 12-31-2023) PO BOX 4000 ALLENTOWN,PA181054000 23-2336285	SUPPORT RELATED ORGANIZATIONS	PA	501(C)(3)	LINE 12B, II	LEHIGH VALLEY HEALTH NETWORK		No
(17)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	LEHIGH VALLEY HOSPITAL - POCONO		No
(18)POCONO VNA-HOSPICE PO BOX 4000 ALLENTOWN,PA181054000 23-2535297	HEALTH CARE ORGANIZATION	PA	501(C)(3)	LINE 10	LEHIGH VALLEY HOSPITAL - POCONO		No
(19)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

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

Cat. No. 50135Y

Schedule R (Form 990) 2023

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) CHP-LVHN JV LLC 1509 BANKS STREET HOUSTON,TX770066019 86-3918453	HOSPITAL OPERATIONS	DE	N/A					No			No
(2) EASTERN PENNSYLVANIA ENDOSCOPY CENTER LLC 1501 N CEDAR CREST BLVD STE 100 ALLENTOWN,PA181042309 84-2257961	ENDOSCOPY SERVICES	PA	N/A					No			No
(3) FAIRGROUNDS MEDICAL CENTER 400 N 17TH STREET STE 102 ALLENTOWN,PA181045052 23-2530427	REAL ESTATE RENTALS	PA	N/A					No			No
(4) HAZLETON SURGERY CENTER LLC 17480 DALLAS PARKWAY STE 210 DALLAS,TX752877304 20-1232531	SURGICAL SERVICES	PA	N/A					No			No
(5) HEALTH NETWORK LABORATORIES LLC (FINAL 03-31-2024) 794 ROBLE ROAD ALLENTOWN,PA181099110 23-2932802	LABORATORY SERVICES	PA	N/A					No			No
(6) HEALTH NETWORK LABORATORIES LLC 794 ROBLE ROAD ALLENTOWN,PA181099110 23-2948774	LABORATORY SERVICES	PA	N/A					No			No
(7) LEHIGH VALLEY IMAGING LLC 1247 S CEDAR CREST BLVD STE 105 ALLENTOWN,PA181036202 46-4551937	IMAGING SERVICES	PA	N/A					No			No
(8) LVHN RECIPROCAL RISK RETENTION GROUP 151 MEETING STREET STE 301 CHARLESTON,SC294012238 20-0037118	INSURANCE SERVICES	PA	LEHIGH VALLEY HEALTH NETWORK	RELATED		11,024,385		No		Yes		10.000 %
(9) MONROE ENDOSCOPY CENTER LLC 1501 N CEDAR CREST BLVD STE 100 ALLENTOWN,PA181042309 88-4118030	ENDOSCOPY SERVICES	PA	N/A					No			No
(10) NAZARETH ENDOSCOPY CENTER LLC 1501 N CEDAR CREST BLVD STE 110 ALLENTOWN,PA181042309 82-4072967	ENDOSCOPY SERVICES	PA	N/A					No			No
(11) POCONO AMBULATORY SURGERY CENTER LTD 1 STORM STREET STROUDSBURG,PA183602406 23-2611442	SURGICAL SERVICES	PA	N/A					No			No
(12) POCONO HEALTH SYSTEM INVESTMENT COLLABORATIVE LP PO BOX 4000 ALLENTOWN,PA181054000 47-2125419	INVESTMENTS	PA	N/A					No			No
(13) SCHUYLKILL HEALTH SYSTEM MEDICAL MALL LP PO BOX 4000 ALLENTOWN,PA181054000 23-2514813	REAL ESTATE RENTALS	PA	N/A					No			No
(14) 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) CARBON SCHUYLKILL ENDOSCOPY CENTER INC 400 S NINTH STREET LEHIGHTON,PA182351812 73-1662391	ENDOSCOPY SERVICES	PA	N/A	S					No
(2) LEHIGH VALLEY ANESTHESIA SERVICES PC (FINAL 09-30-2023) PO BOX 4000 ALLENTOWN,PA181054000 23-3906125	ANESTHESIA SERVICES	PA	N/A	C					No
(3) LEHIGH VALLEY HEALTH SERVICES INC PO BOX 4000 ALLENTOWN,PA181054000 23-2263665	HEALTH CARE RELATED SERVICES	PA	N/A	C					No
(4) LEHIGH VALLEY PHYSICIAN HOSPITAL ORGANIZATION INC 1605 N CEDAR CREST BLVD STE 411 ALLENTOWN,PA181042323 23-2750430	HEALTH CARE RELATED SERVICES	PA	N/A	C					No
(5) POPULYTICS INC PO BOX 4000 ALLENTOWN,PA181054000 23-2539282	HEALTH CARE RELATED SERVICES	PA	N/A	C					No
(6) SCHUYLKILL HEALTH SYSTEM DEVELOPMENT CORPORATION (FINAL 03-31-2024) PO BOX 4000 ALLENTOWN,PA181054000 23-2432417	REAL ESTATE RENTALS	PA	N/A	C					No
(7) SCHUYLKILL MEDICAL PLAZA - CONDOMINIUM ASSOCIATION PO BOX 4000 ALLENTOWN,PA181054000 23-2931821	CONDOMINIUM ASSOCIATION	PA	N/A	C					No
(8) SPECTRUM HEALTH VENTURES INC PO BOX 4000 ALLENTOWN,PA181054000 23-2391479	HEALTH CARE RELATED SERVICES	PA	N/A	C					No

Schedule R (Form 990) 2023

Page 3

Part V

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

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

Yes

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

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

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

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

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

Yes

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

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

Yes

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

Yes

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

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

Schedule R (Form 990) 2023

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) 2023

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) 2023

Additional Data

Software ID:
Software Version:

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	132,954	411,499
9	Program service revenue (Part VIII, line 2g) .........	152,136,577	197,768,394
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	5,295,991	-1,943,857
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	2,413,982	2,670,145
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	159,979,504	198,906,181
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	51,511,385	56,915,348
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	85,361,604	97,406,602
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	136,872,989	154,321,950
19	Revenue less expenses. Subtract line 18 from line 12.......	23,106,515	44,584,231
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	343,431,915	415,106,281
21	Total liabilities (Part X, line 26).............	87,140,201	101,939,419
22	Net assets or fund balances. Subtract line 21 from line 20.....	256,291,714	313,166,862

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 133,100,240 including grants of $ ) (Revenue $ 194,420,843 )
	LEHIGH VALLEY HOSPITAL - HAZLETON (LVH-H) IS PART OF LEHIGH VALLEY HEALTH NETWORK (LVHN), A MULTI-HOSPITAL SYSTEM LOCATED IN ALLENTOWN, PENNSYLVANIA AND IS THE ONLY INPATIENT HEALTH CARE PROVIDER IN THE GREATER HAZLETON AREA SERVING A POPULATION OF OVER 80,000 PEOPLE WITHIN THREE COUNTIES. THERE IS A CONTINUED INCREASE IN THE HISPANIC COMMUNITY WITH THE POPULATION OF THE CITY OF HAZLETON BEING GREATER THAN 55% HISPANIC, MANY OF WHOM SPEAK SPANISH AS THE PRIMARY AND PREFERRED LANGUAGE. WE OFFER QUALITY CONTINUUM OF CARE SERVICES BEGINNING AT BIRTH IN THE FAMILY BIRTH AND NEWBORN CENTER, ACUTE INPATIENT MEDICAL AND SURGICAL SERVICES, EMERGENCY SERVICES, INPATIENT REHAB AT THE GUNDERSON CENTER FOR INPATIENT REHABILITATION AND HOME CARE SERVICES THROUGH LEHIGH VALLEY HOME CARE-HAZLETON. OUTPATIENT DIAGNOSTIC TESTING AND REHAB SERVICES ARE PROVIDED AT THE HEALTH & WELLNESS CENTER AT HAZLETON, THE HEALTH CENTER AT MOUNTAIN TOP, AND LVHN- STATION CIRCLE IN HAZLE TOWNSHIP, AS WELL AS OUTPATIENT CANCER TREATMENT AT THE LVHN TOPPER CANCER CENTER - HAZLETON. LEHIGH VALLEY PHYSICIAN GROUP (LVPG), A SUBSIDIARY OF LVHN, IS A MULTI-SPECIALTY MEDICAL OUTPATIENT CARE PROVIDER. LVPG-HAZLETON (LVPG-H) IS THE OUTPATIENT MEDICAL PROVIDER GROUP ALIGNED WITH LVH-H. ADDITIONALLY, LVH-H HAS A ROBUST COMMUNITY ENGAGEMENT PROGRAM THAT DELIVERS HEALTH AND WELLNESS EDUCATION PROGRAMS AND HEALTH SCREENINGS FREE OF CHARGE TO THE COMMUNITY. A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS CONDUCTED EVERY THREE YEARS. WE DELIVER OUR PROGRAMS AND SERVICES WITH COMPASSION AND HIGH STANDARDS OF QUALITY TO THE RESIDENTS OF THE GREATER HAZLETON AREA REGARDLESS OF RACE, SEX, RELIGION, OR ECONOMIC STATUS.STRATEGIC DIRECTIONSTRATEGIC PLANNING IN HEALTH CARE ORGANIZATIONS INVOLVES CREATING OBJECTIVES AND SETTING GOALS FOR WHERE THE ORGANIZATION SEES ITSELF LONG TERM AND HOW IT CAN STRENGTHEN ACCESS TO EFFICIENT AND AFFORDABLE CARE TO THE COMMUNITY SERVED. LVH-H'S STRATEGIC GOALS AND PRIORITIES INCLUDE INCREASED PATIENT SATISFACTION, PROVIDER RECRUITMENT, IMPROVED EMERGENCY DEPARTMENT SERVICES WITH FOCUSES ON TRANSFERS AND ADMISSIONS, REDUCTION IN LENGTH OF STAY, INTEGRATION OF MUSCULOSKELETAL (MSK) SERVICES AND GROWTH OF THE NEW CANCER CENTER.THE MASTER FACILITIES PLAN THAT WAS DEVELOPED IN FY22 AND WAS ONGOING IN FY23, CONTINUED INTO FY24 TO INCLUDE THE HEALTH & WELLNESS CENTER AT HAZLETON AND CLINICS AT LVHN - 26 STATION CIRCLE AND 1000 ALLIANCE DRIVE (DESSEN CENTER), TO DETERMINE WHAT SERVICES WOULD BEST BE LOCATED AT THESE FACILITIES TO ALLOW GREATER ACCESS TO PRIMARY AND SPECIALTY HEALTH CARE TO MEET THE GROWING NEEDS OF OUR COMMUNITY. ALL MUSCULOSKELETAL SERVICES WERE COMBINED TO STATION CIRCLE LEAVING SPACE AT THE HEALTH AND WELLNESS CENTER FOR EXPANSION OF OTOLARYNGOLOGIC HEAD & NECK SERVICES AND OBSTETRICS & GYNECOLOGY. THESE RELOCATIONS WILL EVENTUALLY ALLOW FOR INCREASED PRIMARY CARE ACCESS AT 1000 ALLIANCE DRIVE.QUALITY CAREQUALITY HEALTH CARE IS CARE THAT IS SAFE, EFFECTIVE, PATIENT-CENTERED, TIMELY, EFFICIENT, AND EQUITABLE. AT LVHN, OUR MISSION IS TO HEAL, COMFORT AND CARE FOR OUR COMMUNITY. THIS IS DONE THROUGH COLLABORATION WITH ALL LEVELS OF HEALTH CARE PROVIDERS. STANDARD OF CARE AND BEST PRACTICES ARE ALWAYS THE GOAL.THROUGH CONTINUOUS QUALITY IMPROVEMENT ACTIVITIES, WE STRIVE TO IDENTIFY WAYS TO BRING ABOUT IMPROVEMENTS THAT RESULT IN IMPROVED OUTCOMES FOR OUR PATIENTS. THIS INVOLVES A TEAM EFFORT THAT STRIVES TO ENCOURAGE COLLABORATION ACROSS ALL DISCIPLINES AND ENABLE BEST USE OF OUR AVAILABLE RESOURCES. PROCESSES SPECIFIC TO QUALITY MANAGEMENT INCLUDE MONITORING AND EVALUATING DATA, FORMULATING STRATEGIES FOR IMPROVEMENT, AND SHARING INFORMATION WITH KEY STAKEHOLDERS TO INITIATE PROCESS CHANGES AS NEEDED. SPECIFIC AREAS OF ATTENTION INCLUDE CARE OF PATIENTS WITH STROKE, HEART FAILURE, SEPSIS, ALL CAUSE READMISSION RATES, MORTALITY, PATIENT SAFETY AND RISK MANAGEMENT ALONG WITH COMPLIANCE WITH STATE DEPARTMENT OF HEALTH REGULATIONS AS WELL AS THOSE OF THE ACCREDITATION COMMISSION FOR HEALTHCARE. BELOW ARE SOME EXAMPLES OF PROGRAMS AT LVH-H AND SOME RECOGNITIONS FROM FY24 THAT ILLUSTRATE OUR COMMITMENT TO BEST PRACTICES AND QUALITY PATIENT OUTCOMES:- ACHC 3-YEAR ACCREDITATION THROUGH JANUARY 28, 2027- ACHC 3-YEAR PRIMARY STROKE CENTER ACCREDITATION THROUGH FEBRUARY 3, 2027- CMS 3 STAR RATING FOR 2024- RECEIVED AMERICAN HEART ASSOCIATION GET WITH THE GUIDELINES 2024 STROKE GOLD PLUS WITH TARGET: STROKE HONOR ROLL ELITE AND TARGET: TYPE 2 DIABETES HONOR ROLL ACHIEVEMENT AWARD- RECEIVED AMERICAN HEART ASSOCIATION GET WITH THE GUIDELINES 2024 HEART FAILURE GOLD PLUS WITH TARGET: HEART FAILURE HONOR ROLL AND TARGET: TYPE 2 DIABETES HONOR ROLL ACHIEVEMENT AWARD- CHEST PAIN CENTER ACCREDITATION FROM AMERICAN COLLEGE OF CARDIOLOGY THROUGH JULY 21, 2026- ACCREDITED WITH ATLS AS LEVEL IV TRAUMA CENTER THROUGH OCTOBER 2025.- COLLEGE OF AMERICAN PATHOLOGISTS LAB ACCREDITATION THROUGH APRIL 16, 2026- PENNSYLVANIA PERINATAL QUALITY COLLABORATIVE BRONZE DESIGNATION AWARD OBSTETRICS DEPARTMENT FOR MATERNAL SUBSTANCE USE, SUBSTANCE EXPOSED NEWBORN AND IMMEDIATE POST-PARTUM LONG-ACTING REVERSIBLE CONTRACEPTION- LVH-HAZLETON IS A MEMBER OF VIZIENT, INC., THE NATION'S LARGEST HEALTH CARE PERFORMANCE IMPROVEMENT COMPANY THAT COMPARES HOSPITAL QUALITY AND PATIENT SATISFACTION. HAZLETON IS IN A COHORT OF 364 HOSPITALS IN FY2024 AND CONTINUES TO FOCUS ON PATIENT SAFETY AND EVIDENCE-BASED GUIDELINES TO PROVIDE QUALITY CARE TO PATIENTS.NEW/EXPANDED SERVICESLVH-H IS ALWAYS LOOKING FOR WAYS TO PROVIDE OUR COMMUNITY WITH ACCESS TO QUALITY MEDICAL CARE, WHETHER IT IS THROUGH NEW OR ENHANCED SERVICES OR BY DIRECTING THEM TO SPECIALIZED CARE AT ONE OF OUR SISTER HOSPITALS AT LVHN. HERE ARE JUST SOME OF THE NEW OR ENHANCED SERVICES LVH-H PROVIDED IN FY-2024COMPREHENSIVE CANCER CENTERIN AUGUST 2023, THE 32,000 SQ. FT., $20 MILLION TOPPER CANCER CENTER AT LVH-HAZLETON OPENED. THE CENTER HOUSES MEDICAL ONCOLOGY WITH SEVEN EXAM ROOMS, A PROCEDURE ROOM, AND A PHLEBOTOMY LAB; RADIATION ONCOLOGY WITH TWO EXAM ROOMS, A PROCEDURE ROOM, A LINEAR ACCELERATOR, AND A CT/SIM; AN INFUSION SUITE WITH 14 PRIVATE INFUSION ROOMS; AND A SESSION SUITE WITH TWO EXAM ROOMS AND ONE PROCEDURE ROOM FOR ROTATING PROVIDERS. PREVIOUSLY, INFUSION SERVICES WERE PROVIDED AT AN OFF-SITE MEDICAL OFFICE THAT QUICKLY OUTGREW ITS SPACE, AND PATIENTS WHO NEEDED RADIATION THERAPY NEEDED TO TRAVEL TO OTHER LOCATIONS DUE TO LACK OF SERVICE IN THE COMMUNITY. THE NEED WAS CLEAR, AND THIS EXPANSION HAS ALLOWED PATIENTS TO RECEIVE MANY OF THEIR TREATMENTS IN A CENTRALIZED LOCATION WITHOUT THE NEED TO TRAVEL LONG DISTANCES. THERE WAS A 46.6% INCREASE IN PATIENT VISITS IN FY24 VS FY23. THE OPENING OF THIS CENTER ALSO ALLOWED FOR SPACE FOR PULMONARY DOCTORS TO SEE PATIENTS WHICH INCREASED CONVENIENCE TO CARE FOR THOSE PATIENTS DIAGNOSED WITH LUNG CANCER, A PREVALENT CANCER IN THE REGION.EMERGENCY SERVICESSINCE BECOMING A LEVEL IV TRAUMA CENTER IN 2015, THE TRAUMA PROGRAM AT LVH-H HAS CONTINUED TO PROVIDE OPTIMAL CARE AND REDUCE THE LIKELIHOOD OF DEATH OR DISABILITY TO INJURED PATIENTS WHO ENTER ITS EMERGENCY DEPARTMENT (ED). BECAUSE OF THE CONTINUED EFFORTS OF INCESSANTLY BEING PREPARED TO STABILIZE AND TREAT THE MOST SERIOUS LIFE-THREATENING AND DISABLING INJURIES PRIOR TO TRANSFER TO A LEVEL 1 TRAUMA CENTER, THE PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION (PTSF) CONTINUES TO RECOGNIZE LVH-HAZLETON AS A CERTIFIED LEVEL IV TRAUMA CENTER THROUGH OCTOBER 2025.LVH-HAZLETON EMERGENCY DEPARTMENT (ED), ALONG WITH ALL OUR HEALTH NETWORK HOSPITALS, CONTINUES TO BE CHALLENGED WITH HIGH PATIENT VOLUMES. THE EMERGENCY DEPARTMENT PATIENT FLOW TEAM CONTINUES TO FOCUS ON IMPROVEMENT IN EFFICIENCIES OF OPERATIONS OF THE ED, REDUCE PATIENT WAIT TIMES, PATIENT EXPERIENCE AND IMPROVE PATIENT THROUGHPUT. THIS MULTI-DISCIPLINARY TEAM CONSISTED OF ED STAFF, LAB, RADIOLOGY, PHARMACY, HOUSEKEEPING, FOOD SERVICE, EMS, AND REGISTRATION. LVH-H ED CONTINUES TO MAINTAIN STRONG PERFORMANCE OF LEFT WITHOUT BEING SEEN (LWBS) AT .93% AND A 5-PERCENTILE POINT INCREASE IN PATIENT EXPERIENCE IN FY24 VS FY23. ON AVERAGE, THE ED LOS FOR ADMITTED PATIENTS DECREASED BY 84 MINUTES AND ED TO ADMISSION CONVERSION PERCENTAGE IMPROVED BY 1%. THROUGH WELL-ESTABLISHED TEAMS AND PROCESSES, APPROXIMATELY 40% OF TRAUMA PATIENTS CAN REMAIN AT LVH-H FOR SURGERY AND CARE CLOSE TO HOME - THIS IS VERY IMPRESSIVE FOR A COMMUNITY HOSPITAL. IN THE CARE OF PATIENTS PRESENTING WITH CHEST PAIN, SEVERAL CRITICAL ASSESSMENT METRICS (I.E. DOOR TO EKG) SHOWED NOTABLE DECREASES FROM FY23 TO FY24, AND FOR PATIENT WITH STROKE-LIKE SYMPTOMS, MARKED IMPROVEMENTS WERE NOTED IN BOTH DOOR TO CT SCAN (10 MINUTE REDUCTION) AND DOOR TO NEEDLE (12 MINUTE REDUCTION) TIMES IN FY24.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	HOSPICE SERVICESIN PARTNERSHIP WITH LEHIGH VALLEY HOSPICE, INPATIENT AND HOME CARE HOSPICE SERVICES ARE PROVIDED TO OUR LOCAL COMMUNITY. THIS IS THE ONLY INPATIENT HOSPICE PROGRAM SERVING THE GREATER HAZLETON AREA. THE PROGRAM MODEL IS DESIGNED TO DELIVER PATIENT-CENTERED CARE RATHER THAN DISEASE-CENTERED CARE AND TO PROVIDE COMFORT AND CARE TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES. IN FY24, HOSPICE SERVICES WERE PROVIDED TO 50 LVH-H PATIENTS FOR A TOTAL OF 235 DAYS OF CARE WHICH WAS AN INCREASE FROM PRIOR YEAR.TELEHEALTH SERVICESAS TECHNOLOGY HAS ADVANCED, THE WAYS HEALTH CARE CAN BE PROVIDED HAVE CHANGED AND ADVANCED TOO. AT LVH-H, PATIENTS ARE BENEFITING FROM SECURE TELEHEALTH TECHNOLOGY THAT ALLOWS THEM TO ACCESS AND RECEIVE QUALITY, SPECIALIZED CARE CONVENIENTLY. IN FY2024, LVH-H ADDED INPATIENT TELEHEALTH VIRTUAL SURGERY AND TELEHEALTH PHYSIATRY TO ITS GROWING LIST OF TELEHEALTH SERVICES THAT INCLUDE HEME/ONCOLOGY, INFECTIOUS DISEASE, NEUROLOGY, ADVANCED INTENSIVE CARE UNIT (AICU), BURN, NEUROSURGERY, TOXICOLOGY, PSYCHIATRIC EVALUATIONS, MATERNAL FETAL MEDICINE, AND PALLIATIVE CARE.ORTHOPEDIC AND OCCUPATIONAL HEALTH (MELISSA)IN FY24, LVH-H AND LVPG-H CONTINUED THE PLAN FOR OPERATIONAL AND CLINICAL MUSCULOSKELETAL AND OCCUPATIONAL MEDICINE INTEGRATION TO PROVIDE BETTER, QUICKER ACCESS TO OUR PATIENTS AND TO MEET THE GROWING NEEDS OF OUR PATIENTS. IT IS IDEAL FOR PATIENTS TO HAVE ELECTIVE SURGERIES LIKE TOTAL JOINT REPLACEMENTS CLOSE TO HOME WITH COORDINATED CONTINUUM OF CARE FOR OPTIMAL OUTCOMES AND COST CONTAINMENT. FY24 SHOWED AN 12% INCREASE IN TOTAL ORTHOPEDIC SURGICAL VOLUME INCLUDING TOTAL JOINT REPLACEMENTS. ELECTIVE TOTAL JOINT REPLACEMENT VOLUME INCREASED 68.7% IN FY24 VS. FY23, AND LOS DECREASED FROM AN AVERAGE OF 1.93 DAYS IN FY23 TO 1.63 DAYS IN FY24.WITH THE GROWING MANUFACTURING AND E-COMMERCE/DISTRIBUTION FOOTPRINT IN THE AREA, POSITIONING THESE COMPREHENSIVE SERVICES WITHIN ONE OF THE LARGEST INDUSTRIAL PARKS LED TO GREATER RELATIONSHIPS WITH BUSINESSES AND AN INCREASE IN OCCUPATIONAL MEDICINE SERVICES TO MEET THE DEMAND.ATHLETIC TRAINING AND SCHOOL-BASED BEHAVIORAL HEALTH PROGRAMAN ATHLETIC TRAINING (AT) CONTRACT BETWEEN LVH-H AND THE HAZLETON AREA SCHOOL DISTRICT (HASD) CONTINUES FOR THE NEXT 8 YEARS. THIS PARTNERSHIP HAS CONTINUED TO EVOLVE WITH SUPPORT FOR STUDENT ATHLETICS THROUGH STAFFING, SPECIALIZED TRAINING, AND INVESTMENT INTO PREVENTATIVE AND REHABILITATIVE EQUIPMENT AND PROGRAMS. THE CONTRACT ALSO INCLUDES A NON-ATHLETIC COMPONENT WHEREBY LVHN BROUGHT PHYSICAL AND MENTAL HEALTH EDUCATION TO THE CLASSROOMS IN BOTH VIRTUAL AND IN-PERSON METHODS. IN THE SECOND HALF OF FY24, LVHN WAS SUCCESSFUL IN RECRUITING A SCHOOL-BASED BEHAVIORAL HEALTH THERAPIST FOR HASD FOR LIVE IN-PERSON COUNSELING SESSIONS WHICH WAS COMPLEMENTED BY TELE-THERAPY. THIRTY-FIVE STUDENTS WERE REFERRED AND OVER 200 THERAPY SESSIONS WERE COMPLETED. THE PROGRAM IS ACHIEVING ITS GOALS OF IMPROVING STUDENTS' MENTAL HEALTH AND RESILIENCY THROUGH EVIDENCE-BASED INDIVIDUAL THERAPY AND CASE MANAGEMENT SERVICES FOR STUDENTS ALONG WITH MENTAL HEALTH EDUCATION FOR FACULTY TO HELP STUDENTS ADDRESS THEIR TRAUMA. IT HAS ALSO SHOWN IMPROVEMENT IN SCHOOL PERFORMANCE AND STRENGTH IN THEIR OVERALL WELL-BEING.RETAIL PHARMACYPLANS TO BUILD A RETAIL PHARMACY ON THE CAMPUS OF LVH-H WERE INITIATED IN FY24 TO IMPROVE ACCESS TO OVER THE COUNTER AND PRESCRIPTION MEDICATION FOR BOTH COLLEAGUES AND PATIENTS. THE GOAL IS TO ALLOW PATIENTS TO OBTAIN THEIR MEDICATIONS UPON DISCHARGE FROM THE HOSPITAL WITH GREATER EASE TO ENSURE COMPLIANCE WITH THEIR DISCHARGE PLAN OF CARE. PROVIDER AND STAFF RECRUITMENTSIGNIFICANT INVESTMENT INTO RECRUITMENT OF PRIMARY AND SPECIALTY PHYSICIANS AND ADVANCED PRACTICE CLINICIANS TO MEET THE GROWING NEEDS OF OUR COMMUNITY CONTINUED FOR LVH-H AND LVPG-H IN FY 2024. DESPITE THE HISTORICAL CHALLENGES TO ATTRACT PROVIDERS TO OUR SMALL COMMUNITY, LVPG-H WAS AGAIN SUCCESSFUL IN RECRUITING THE FOLLOWING NUMBER OF CLINICIANS: OCCUPATIONAL MEDICINE (1), PODIATRY (1), INTERNAL MEDICINE (1), FAMILY MEDICINE (1), NEUROLOGY (1), AND PEDIATRICS (2). THE LVPG-H STAFFING COMPLIMENT HAS SIGNIFICANTLY IMPROVED AND A COMPREHENSIVE STRATEGIC PLAN CONTINUES TO IDENTIFY AND VALIDATE THE NUMBER OF NEW PROVIDERS NEEDED TO SUFFICIENTLY CARE FOR OUR COMMUNITY AND THE BEST LOCATIONS TO PLACE THESE PROVIDERS.CLINICAL STAFFING WAS AND CONTINUES TO BE A HIGH PRIORITY FOR THE HEALTH NETWORK, PARTICULARLY FOR NURSES. NURSING SHORTAGES PERSISTED, REQUIRING A COSTLY LABOR FORCE TO PROVIDE CARE TO THE COMMUNITY. LVH-H FOCUSED ON REDUCTION OF TEMPORARY LABOR AND RECRUITMENT OF PERMANENT STAFF. INITIATIVES AND OFFERINGS THAT WERE UNDERTAKEN TO RECRUIT NURSES AND OTHER HEALTH CARE PROFESSIONALS INCLUDE:- NURSING RECRUITMENT EVENTS REGIONALLY AND EXPANDED TO PUERTO RICO AND INTERNATIONAL LOCATIONS- VISITING AREA COLLEGES WITH MEDICAL PROGRAMS- OFFERING SIGN-ON BONUSES- COLLEAGUE REFERRAL BONUSES- CRISIS PAY- COMPETITIVE WAGES/MARKET REVIEW AND COMPENSATION ADJUSTMENTS- BUILDING RELATIONSHIPS WITH AREA COLLEGES AND UNIVERSITIES WITH NURSING AND OTHER CLINICAL PROGRAMSTECHNOLOGY/EQUIPMENT/FACILITIESONGOING FACILITY RENOVATIONS TO THE HOSPITAL, WHICH BEGAN IN FY22, CONTINUED INTO FY24 INCLUDING REPAVING OF PARKING LOTS FOR STAFF AND VISITOR SAFETY, CONTINUED BUILDING EXTERIOR IMPROVEMENTS, AND HVAC IMPROVEMENTS. LVH-H INVESTED IN IMPROVED CLINICAL EQUIPMENT TO SUPPORT ORTHOPEDIC GROWTH AND INFECTION PREVENTION INCLUDING AN UPGRADED EQUIPMENT STERILIZER. NEW EQUIPMENT WAS PURCHASED TO OPTIMALLY CARE FOR PREGNANT MOTHERS AND NEWBORN BABIES AS WELL AS MEET THE LANGUAGE BARRIERS OCCURRING IN THE COMMUNITY.INVESTMENTS WERE MADE IN INCREASED EDUCATION, EQUIPMENT, AND UTILIZATION OF LANGUAGE TECHNOLOGY TO ENSURE ADEQUATE DELIVERY OF HEALTHCARE AND PATIENTS' UNDERSTANDING AND PARTNERSHIP IN THEIR DECISION-MAKING.COMMUNITY HEALTH NEEDS ASSESSMENTTHE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN MID-2022 AND BASED ON THE RESULTS OF THE ASSESSMENT, PRIORITY AREAS WERE IDENTIFIED FOR THE THREE-YEAR PERIOD 2023-2025. SPECIFIC INITIATIVES WERE IMPLEMENTED AND CONTINUED IN FY24 AROUND THE FOLLOWING PRIORITIES THROUGH PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS:- SCHOOL-BASED BEHAVIORAL HEALTH AND PREVENTATIVE HEALTH SERVICES FOR YOUTH: - PROVIDE MENTAL HEALTH SERVICES AND PREVENTIVE HEALTH SERVICES TO CHILDREN IN HAZLETON, INCLUDING DENTAL SERVICES AND IMMUNIZATIONS. - AS STATED EARLIER, A SCHOOL-BASED BEHAVIORAL HEALTH THERAPIST WAS HIRED FOR THE HAZLETON AREA SCHOOL DISTRICT - TELE-THERAPY IS ALSO OFFERED TO MEET THE NEEDS OF VIRTUAL LEARNERS OR ALTERNATIVE SCHOOL PLACEMENT, OR FOR HOLIDAYS / SICK ABSENCES. - A SCHOOL-BASED LVPG PHYSICIAN ASSISTANT PROVIDES ONSITE SERVICES FOR REQUIRED SCHOOL PHYSICALS AND VACCINATIONS FOR CHILDREN (VFC)- ADDRESS LANGUAGE BARRIERS IN HEALTH CARE TO IMPROVE HEALTH OUTCOMES FOR VULNERABLE POPULATIONS.- DIVERSIFY STAFF AT LVH-HAZLETON TO BE MORE REFLECTIVE OF THE COMMUNITY BEING SERVED, INCLUDING THROUGH HUMAN RESOURCE RECRUITMENT AND WORKFORCE DEVELOPMENT EFFORTS.- TO COMPLEMENT THE USE OF INTERPRETER IPADS, A LIVE INTERPRETER WAS HIRED FOR THE EMERGENCY DEPARTMENT WHERE TIMELY TRANSLATION AND UNDERSTANDING OF MEDICAL CONCERNS IS NECESSARY.- CONTINUE TO RECRUIT BILINGUAL CLINICAL AND NON-CLINICAL STAFF.- HIRED BILINGUAL GUEST SERVICES STAFF TO WELCOME AND DIRECT PATIENTS AND VISITORS.- LVH-H LEADERSHIP MEMBERS PARTICIPATED IN A PRESENTATION ENTITLED, "HIDDEN CULTURAL & LINGUISTIC BARRIERS TO HEALTHCARE WITHIN THE HISPANIC COMMUNITY" TO BETTER UNDERSTAND CULTURAL VARIATIONS IN ACCESSING HEALTHCARE.- VIDEOS WERE PLACED IN HIGH VISIBLE AREAS IN BOTH ENGLISH AND SPANISH ABOUT AVAILABLE TRANSPORTATION RESOURCES AND EMERGENCY DEPARTMENT CARE.

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	COMMUNITY ENGAGEMENT - LVH-H HELD ITS ANNUAL FREE COMMUNITY DRIVE-THRU FLU SHOT CLINIC IN FY 2024. THE CLINIC PROVIDED MORE THAN 300 FREE VACCINES AND WAS WELL RECEIVED BY THE COMMUNITY. VACCINES WERE AGAIN PROVIDED TO ADULTS AND CHILDREN 6 MONTHS TO 12 YEARS OF AGE. - LVH-H CONTINUED TO SUPPORT COMMUNITY NON-PROFIT ORGANIZATIONS THROUGH MONETARY SPONSORSHIPS. - LVH-H CONTINUED ITS OUTREACH TO INDIVIDUALS 60 YEARS OF AGE AND OLDER IN OUR COMMUNITY THROUGH THE VITALCHOICE PROGRAM. THE PROGRAM, WHICH HAS CLOSE TO 400 MEMBERS, IS DESIGNED TO HELP MEMBERS IN THEIR PERSONAL HEALTH AND WELLNESS JOURNEY BY PROVIDING THEM WITH MORE CHOICES, SERVICES, CONVENIENCE, AND WELLNESS PROGRAMS. IN ADDITION, THE PROGRAM FEATURES AN LVHN FITNESS CENTER DISCOUNT, ENROLLMENT IN SILVER SNEAKERS (IF INSURANCE APPLIES), FREE ANNUAL WELLNESS ASSESSMENT, AND COMPLIMENTARY, PERSONALIZED TRAINING SESSION. VITALCHOICE ALSO KEEPS MEMBERS ENGAGED AND ACTIVE THROUGH SOCIAL AND ENRICHMENT PROGRAMS INCLUDING "LUNCH AND LEARNS" ON HEALTH CARE TOPICS AND SERVICES AVAILABLE THROUGH LVHN AND OTHER ORGANIZATIONS SUCH AS THE PENNSYLVANIA STATE POLICE, FREE PICNICS, AND OTHER SOCIAL ACTIVITIES.- LVH-H PARTICIPATED IN 120 COMMUNITY EVENTS IN FY24, WHICH PROVIDED HEALTH RELATED EDUCATION AND HEALTH SCREENINGS. WE PARTNERED WITH VARIOUS ORGANIZATIONS IN THE COMMUNITY TO ASSURE WE REACHED AS MANY PEOPLE IN OUR DIVERSE COMMUNITY AS POSSIBLE. - LVH-H HAS A MEMBERSHIP OF ALMOST 70 STAKEHOLDERS IN OUR COMMUNITY, BOARD OF ASSOCIATES, WHO ATTEND A BI-MONTHLY LUNCHEON MEETING TO KEEP UP TO DATE ON THE SERVICES, PROVIDERS, AND ACCOMPLISHMENTS AT LVH-H AND THE ENTIRE NETWORK. THESE MEMBERS THEN SHARE THE INFORMATION WITH FAMILY, FRIENDS, AND CO-WORKERS.- LVH-H LEADERS ARE ACTIVELY INVOLVED WITH AREA ORGANIZATIONS SUCH AS THE UNITED WAY AND THEIR AGENCIES, AREA CHAMBER OF COMMERCE, ROTARY AND KIWANIS CLUBS, AND HAZLETON INTEGRATION PROJECT, TO NAME A FEW, BY SITTING ON BOARDS AND VOLUNTEERING THEIR TIME TO SUPPORT THEIR MISSION IN OUR COMMUNITY.- LVH-HAZLETON WAS THE PROUD WINNER OF 11 2024 STANDARD SPEAKER READER'S CHOICE AWARDS IN THE FOLLOWING HEALTH CATEGORIES: - BEST HOSPITAL-LVH-HAZLETON- BEST PATIENT CARE-LVH-HAZLETON- BEST PLACE TO WORK MEDICAL- BEST MEDICAL PRACTICE- BEST ORTHOPEDIC SERVICES- BEST PEDIATRICIAN- BEST OBSTETRICIAN/GYNECOLOGIST- BEST PODIATRIST- BEST PHYSICAL THERAPY- BEST REHABILITATION CENTER- BEST SURGEON

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses133,100,240

(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) STEPHEN SEACH ESQ........................................................................ TRUSTEE	0.50 .......................0.25	X			0	0	0
(19) ROBERT L THOMAS CPA........................................................................ ASSISTANT TREASURER	3.00 .......................57.00		X		0	643,340	9,574
(20) TAMMY TORRES DNP........................................................................ PRESIDENT/TRUSTEE	60.00 .......................0.00	X	X		247,005	0	341
(21) ELIZABETH WRIGHT........................................................................ TRUSTEE	1.00 .......................0.00	X			0	0	0
(22) MELISSA N CURTO........................................................................ VP, PATIENT CARE OPERATIONS	40.00 .......................			X	222,060	0	308
(23) RAYMOND J BERNARDI........................................................................ VP, OPERATIONS	40.00 .......................			X	210,906	0	8,498
(24) TAMMY BONNER........................................................................ REGISTERED NURSE	40.00 .......................			X	210,145	0	17,649
(25) NICOLE R CAMERON........................................................................ REGISTERED NURSE	40.00 .......................			X	189,889	0	26,821
(26) CHERYL A CAMPBELL........................................................................ REGISTERED NURSE	40.00 .......................			X	167,649	0	9,027

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	1,473,419	3,566,501	134,474

1	Briefly describe the organization’s mission or most significant activities: WE HEAL, COMFORT AND CARE FOR THE PEOPLE OF OUR COMMUNITY BY PROVIDING ADVANCED AND COMPASSIONATE HEALTH CARE OF SUPERIOR QUALITY AND VALUE, SUPPORTED BY EDUCATION AND CLINICAL RESEARCH.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	14
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	11
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	847
6	Total number of volunteers (estimate if necessary) .............	6	25
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	275,000

f	All other contributions, gifts, grants, and similar amounts not included above		1f	136,499

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

h Total. Add lines 1a-1f.......		411,499

		Business Code
2a	OUTPATIENT REVENUE	621990	118,092,713	118,092,713
b	INPATIENT REVENUE	621990	79,675,681	79,675,681
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		197,768,394

3 Investment income (including dividends, interest, and othersimilar amounts) ......			4,073,839			4,073,839
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	1,602,300
b	Less: rental expenses	6b	1,361,955
c	Rental income or (loss)	6c	240,345
d	Net rental income or (loss).......			240,345	240,345
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	109,065,998	45,250
b	Less: cost or other basis and sales expenses	7b	115,080,973	47,971
c	Gain or (loss)	7c	-6,014,975	-2,721
d	Net gain or (loss).........			-6,017,696	-6,017,696
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
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
11a	OTHER OPERATING REVENUE		621990	2,429,800	2,429,800
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			2,429,800
12	Total revenue. See instructions.....			198,906,181	194,420,843	0	4,073,839

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	320,641	320,641
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........	42,833,958	40,359,010	2,474,948
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,434,012	1,363,376	70,636
9	Other employee benefits .......	8,972,241	8,724,533	247,708
10	Payroll taxes ...........	3,354,496	3,213,791	140,705
11	Fees for services (non-employees):
a	Management ......
b	Legal .........
c	Accounting ...........
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	15,551,926	13,734,955	1,816,971
12	Advertising and promotion ....	8,750	4,793	3,957
13	Office expenses .......	128,829	113,694	15,135
14	Information technology ......	9,060	9,060
15	Royalties ..
16	Occupancy ...........	5,755,539	5,118,843	636,696
17	Travel ............	190,704	182,056	8,648
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	21,423	18,852	2,571
20	Interest ...........	2,580,517		2,580,517
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	3,725,623	2,604,756	1,120,867
23	Insurance ...	1,089,745		1,089,745
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	26,095,045	26,074,206	20,839
b	PURCHASED SERVICES	20,184,998	12,319,749	7,865,249
c	BAD DEBT EXPENSE	16,937,790	16,423,984	513,806
d	CONTRACT LABOR	1,792,586	1,791,336	1,250
e	All other expenses	3,334,067	722,605	2,611,462
25	Total functional expenses. Add lines 1 through 24e	154,321,950	133,100,240	21,221,710	0
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 ........			1,221	1	1,222
2	Savings and temporary cash investments .........			7,932,753	2	11,910,579
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			19,370,789	4	29,382,730
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 ...........			63,066,264	7	100,414,604
8	Inventories for sale or use ............			3,376,998	8	2,770,221
9	Prepaid expenses and deferred charges ......			198,782	9	1,429,570
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	110,959,480
b	Less: accumulated depreciation	10b	36,647,847	70,898,670	10c	74,311,633
11	Investments—publicly traded securities .			147,971,029	11	164,024,024
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..			11,961,164	13	952,250
14	Intangible assets ...............			17,332,142	14	28,239,620
15	Other assets. See Part IV, line 11 ...........			1,322,103	15	1,669,828
16	Total assets. Add lines 1 through 15 (must equal line 33)...			343,431,915	16	415,106,281

17	Accounts payable and accrued expenses .....	24,324,800	17	30,750,700
18	Grants payable ...		18
19	Deferred revenue .........	-158,951	19	-164,132
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..	38,870,540	24	37,648,257
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	24,103,812	25	33,704,594
26	Total liabilities. Add lines 17 through 25..	87,140,201	26	101,939,419

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	255,031,659	27	311,883,605
28	Net assets with donor restrictions ...........	1,260,055	28	1,283,257
	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 ...........	256,291,714	32	313,166,862
33	Total liabilities and net assets/fund balances ........	343,431,915	33	415,106,281