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) NACHO ABIA...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(2) KIRSTEN H ANTHONY...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(3) ROBERT A BEGLIOMINI PHARMD MBA...................................................................... TRUSTEE	60.00 .................	X		828,521	0	26,473
(4) DEBORAH A BREN DO...................................................................... TRUSTEE	1.00 ................. 60.00	X		0	392,488	18,771
(5) BETH A BROOKE CPA...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(6) STEVEN R FOLLETT MBA...................................................................... CHAIRPERSON/TRUSTEE	1.00 .................	X	X	0	0	0
(7) LINDA V GREEN PHD...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(8) RANJU GUPTA MD...................................................................... TRUSTEE	1.00 ................. 60.00	X		0	543,388	24,966
(9) JOEL C HOFFMAN...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(10) BRYAN G KANE MD...................................................................... TRUSTEE	1.00 ................. 60.00	X		0	404,692	1,020
(11) THOMAS J MARCHOZZI MBA CPA...................................................................... TREASURER	20.00 ................. 40.00		X	1,588,506	0	19,579
(12) JAMES C MILLER...................................................................... TRUSTEE	60.00 .................	X		636,051	0	25,459
(13) KATHERINE E O'BRIEN...................................................................... VICE CHAIRPERSON/TRUSTEE	1.00 .................	X	X	0	0	0
(14) JOHN M PIERRO MBA...................................................................... PRESIDENT, LVH/TRUSTEE	60.00 .................	X	X	1,436,806	0	25,459
(15) MICHAEL A ROSSI MD MBA...................................................................... TRUSTEE	20.00 ................. 40.00	X		1,442,873	0	17,748
(16) ROBERT L THOMAS CPA...................................................................... ASSISTANT TREASURER	20.00 ................. 40.00		X	643,340	0	9,574
(17) ANNETTE WHITE ESQ...................................................................... SECRETARY	20.00 ................. 40.00		X	934,582	0	27,302

(A) Name and business address	(B) Description of services	(C) Compensation
HEALTHTRUST WORKFORCE SOLUTIONS LLC 1000 SAWGRASS CORPORATE PARKWAY 6T SUNRISE,FL333232873	STAFFING SERVICES	54,934,340
PRICEWATERHOUSECOOPERS ADVISORY SERVICES 4040 W BOY SCOUT BOUELVARD TAMPA,FL336075750	CONSULTING SERVICES	12,589,754
KING & SPALDING LLP 1180 PEACHTREE STREET NE ATLANTA,GA303093521	LEGAL SERVICES	6,426,354
INSIGHT GLOBAL LLC 4170 ASHFORD DUNWOODY ROAD BROOKHAVEN,GA303191442	STAFFING SERVICES	3,646,098
PROFESSIONAL ANESTHESIA SERVICES OF NORT 7918 MAIN STREET SUITE 204 FOGELSVILLE,PA180510488	STAFFING SERVICES	3,600,573
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 133

- 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

Employer identification number

23-1689692

Part I

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

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

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

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

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

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

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

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

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

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

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

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

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

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

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

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

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

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

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

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

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

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


Total

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

Cat. No. 11285F

Schedule A (Form 990) 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

Employer identification number

23-1689692

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

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

General Rule

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

Special Rules

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

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

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

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

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

Cat. No. 30613XSchedule B (Form 990) (2023)

Schedule B (Form 990) (2023) Page 2

Name of organization LEHIGH VALLEY HOSPITAL

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 3

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

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 4


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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

Schedule B (Form 990) (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

Employer identification number

23-1689692

Part I-A

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

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

Political campaign activity expenditures. See instructions .................................................................... 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)? ........

Yes

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

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

Yes

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

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

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

Yes

195,998

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

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

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

195,998

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

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

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

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

Part III-A

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

Yes

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

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

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

Part III-B

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

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

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

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

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

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

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

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

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

Part IV

Supplemental Information

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

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

Return Reference

Explanation

PART II-B, LINE 1:

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

Schedule C (Form 990) 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

Employer identification number

23-1689692

Part I

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

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

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

Yes No

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

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 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 ....	213,115,206	213,548,115	220,733,060	172,453,138	164,819,500
b	Contributions ...	2,402,926	173,134	14,131,700	9,782,866	10,366,994
c	Net investment earnings, gains, and losses	19,460,461	14,809,167	-13,602,449	43,413,305	2,832,340
d	Grants or scholarships ...	5,185,147	10,278,647	2,248,056	602,067	810,934
e	Other expenditures for facilities and programs ...	6,175,650	5,136,563	5,466,140	4,314,182	4,754,762
f	Administrative expenses ....
g	End of year balance ......	223,617,796	213,115,206	213,548,115	220,733,060	172,453,138

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

Board designated or quasi-endowment right arrow

0 %

Permanent endowment right arrow

39.814 %

Term endowment right arrow

60.186 %

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 .....	16,810,476		16,810,476
b	Buildings ....	1,379,252,771	751,945,007	627,307,764
c	Leasehold improvements	191,324,895	141,498,922	49,825,973
d	Equipment ....	613,800,278	374,251,668	239,548,610
e	Other .....	608,052,033	270,354,156	337,697,877
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				1,271,190,700

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
ASSET RETIREMENT OBLIGATION	3,934,789
CAPITAL LEASES	146,015,215
COST SETTLEMENT RESERVES WITH THIRD PARTIES	6,188,343
CURRENT PORTION DEBT - LEASE ACCOUNTING	28,322,372
DEFERRED COMPENSATION PLAN	30,611,857
LONG-TERM DEBT - LEASE ACCOUNTING	170,927,063
OTHER	21,757,803
PENSION LIABILITY	9,526,555
PROFESSIONAL INSURANCE LIABILITY RESERVES	92,083,743
WORKERS COMPENSATION	7,349,736
ACCRUED INTEREST	94,157
OTHER LONG-TERM DEBT	29,330,000
DEFERRED FINANCING COSTS	-238,379
INTERCOMPANY DEBT	185,624,387
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	731,527,641
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 V, LINE 4:

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

PART X, LINE 2:

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

Schedule D (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

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

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

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

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization
LEHIGH VALLEY HOSPITAL

Employer identification number

23-1689692

Part I

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

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

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

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

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

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

YesNo

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

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










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

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

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

Cat. No. 50083H

Schedule G (Form 990) 2023

Page 2

Part II

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

		(a) Event #1 NITE LITES (event type)	(b) Event #2 GOLF OUTING (event type)	(c) Other events 3 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	854,295	461,350	393,563	1,709,208
2	Less: Contributions . . . .	47,000	450	2,850	50,300
3	Gross income (line 1 minus line 2) . . . . . .	807,295	460,900	390,713	1,658,908

4	Cash prizes . . . . .		2,500		2,500
5	Noncash prizes . . . .		4,000		4,000
6	Rent/facility costs . . . .	16,759	85,836	16,514	119,109
7	Food and beverages . . .	261,581	78,606		340,187
8	Entertainment . . . .	38,250		17,787	56,037
9	Other direct expenses . . .	72,267	20,762	51,887	144,916
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				666,749
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .				992,159

Part III

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

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

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

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

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

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

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

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

YesNo

If "No," explain:

10a

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

YesNo

If "Yes," explain:

Schedule G (Form 990) 2023

Page 3

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

YesNo

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

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

YesNo

Indicate the percentage of gaming activity conducted in:

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

13a

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

13b

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

Name

Address

15a

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

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

YesNo

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

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

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

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

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

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

YesNo

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

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

Part IV

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

Return Reference	Explanation

Schedule G (Form 990) 2023

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

Employer identification number

23-1689692

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

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

Yes

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

Yes

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

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

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

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

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

Yes

100% 150% 200% Other %

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

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

Yes

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

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

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

Yes

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

Yes

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

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

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

Yes

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

Yes

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	7,067,023		7,067,023	0.210 %
b	Medicaid (from Worksheet 3, column a) . . . . .	445,264,779	217,000,048	228,264,731	6.810 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	452,331,802	217,000,048	235,331,754	7.020 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	15,319,736		15,319,736	0.460 %
f	Health professions education (from Worksheet 5) . . .	51,637,638	14,953,753	36,683,885	1.090 %
g	Subsidized health services (from Worksheet 6) . . . .	274,005,736	200,232,705	73,773,031	2.200 %
h	Research (from Worksheet 7) .	7,231,921	2,448,306	4,783,615	0.140 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	1,147,745		1,147,745	0.030 %
j	Total. Other Benefits . .	349,342,776	217,634,764	131,708,012	3.920 %
k	Total. Add lines 7d and 7j .	801,674,578	434,634,812	367,039,766	10.940 %

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. ......

19,878,546

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. ......

4,795,053

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).....

505,137,110

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

545,242,601

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

-40,105,491

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	30.000 %	0 %	0 %
22 HEALTH NETWORK LABORATORIES LLC	LABORATORY SERVICES	100.000 %	0 %	0 %
34 LEHIGH VALLEY PHYSICIAN HOSPITAL ORGANIZATION INC	HEALTH CARE SERVICES	50.000 %	0 %	0 %
45 LEHIGH VALLEY IMAGING LLC	IMAGING SERVICES	72.000 %	0 %	0 %
56 CARBON-SCHUYLKILL ENDOSCOPY CENTER INC	ENDOSCOPY SERVICES	51.000 %	0 %	0 %
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)									Other (describe)
1	LEHIGH VALLEY HOSPITAL 1200 S CEDAR CREST BLVD ALLENTOWN,PA18103 WWW.LVHN.ORG 530201	X	X	X	X	X	X	X	ER - OTHER - PEDIATRIC ER

Schedule H (Form 990) 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
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
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
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
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	PART V, SECTION B, LINE 5: FOR THE PURPOSES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), LVHN DEFINES THE COMMUNITY IT SERVES AS ALL INDIVIDUALS LIVING WITHIN THE COUNTIES THAT CONTAIN OUR HOSPITAL CAMPUSES. LVHN IS REQUIRED TO PRODUCE A CHNA HEALTH PROFILE FOR EACH OF OUR LICENSED FACILITIES TO ADDRESS THE LOCAL CONTEXT OF THE DIFFERENT COMMUNITIES WE SERVE. THEREFORE, LVHN HAS PRODUCED SEVEN CHNA HEALTH PROFILES FOR OUR LEHIGH VALLEY HOSPITAL (LVH) CAMPUSES: LVH-CARBON (CARBON COUNTY); LVH-DICKSON CITY (LACKAWANNA COUNTY); LVH-HAZLETON (LUZERNE COUNTY); LVH-POCONO (MONROE COUNTY); LVH-CEDAR CREST, LVH-17TH STREET, AND LVHN-1503 N. CEDAR CREST (LEHIGH COUNTY); LVH-HECKTOWN OAKS, LVH-MUHLENBERG, AND LVHN-HIGHLAND AVENUE (NORTHAMPTON COUNTY); AND LVH-SCHUYLKILL (SCHUYLKILL COUNTY).WE ADDITIONALLY ASSESSED HEALTH NEEDS WITHIN THE CITY OF ALLENTOWN TO REFLECT THE URBAN COMMUNITY SURROUNDING OUR 17TH STREET CAMPUS IN THE LEHIGH COUNTY REPORT. WITHIN THE ENTIRE GEOGRAPHIC POPULATION THAT MAKES UP THE COMMUNITIES WE SERVE, WE PLACE A GREATER EMPHASIS ON INCLUDING INDIVIDUALS IN THE COMMUNITY WHO ARE EXPERIENCING HEALTH DISPARITIES TO A GREATER EXTENT OR WHO ARE AT RISK FOR NEGATIVE HEALTH OUTCOMES BECAUSE OF THE SOCIAL AND ENVIRONMENTAL FACTORS INFLUENCING THEIR HEALTH.IT IS WELL DOCUMENTED THAT THE CLINICAL CARE PROVIDED TO COMMUNITY MEMBERS ONLY ACCOUNTS FOR A SMALL PORTION OF AN INDIVIDUAL'S OVERALL HEALTH. THERE ARE MANY OTHER FACTORS THAT OCCUR OUTSIDE THE DOCTOR'S OFFICE AND HOSPITAL WALLS THAT INFLUENCE HEALTH BEYOND MEDICAL CARE. THEY INCLUDE:- SOCIAL AND ECONOMIC FACTORS, SUCH AS EDUCATION, EMPLOYMENT, AND SOCIAL SUPPORT,- PHYSICAL ENVIRONMENT FACTORS, SUCH AS HOUSING, TRANSPORTATION, AND AIR QUALITY,- HEALTH BEHAVIORS, SUCH AS SMOKING, DRINKING, DIET, AND EXERCISE.THEREFORE, THE CHNA HEALTH PROFILE PROVIDES INFORMATION ABOUT HEALTH CARE AS WELL AS OTHER HEALTH FACTORS FOLLOWED BY HEALTH OUTCOMES. THERE ARE TWO TYPES OF DATA INCLUDED IN THE CHNA HEALTH PROFILES. THE FIRST TYPE IS QUANTITATIVE DATA, OR NUMBERS AND STATISTICS ABOUT THE OVERALL POPULATION IN THE COMMUNITY. THESE STATISTICS COME FROM A VARIETY OF LOCAL, STATE, AND NATIONAL SOURCES INCLUDING THE CENSUS, THE CENTER FOR DISEASE CONTROL, THE DEPARTMENT OF EDUCATION, AND THE CENTERS FOR MEDICAID AND MEDICARE SERVICES. MOST OF THESE DATA POINTS ARE COMPILED TOGETHER THROUGH A PLATFORM CALLED SPARKMAP FROM CARES AT THE UNIVERSITY OF MISSOURI EXTENSION, WHICH LVHN USES AS THE STARTING POINT FOR ITS CHNA HEALTH PROFILES, ADDING OTHER KEY STATE AND LOCAL DATA SOURCES TO THE DATA PROVIDED THROUGH THIS HEALTH REPORT.IN ADDITION, NON-PROFIT HOSPITAL SYSTEMS ARE REQUIRED TO OBTAIN INPUT FROM INDIVIDUALS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING THOSE WITH PUBLIC HEALTH EXPERTISE AND THE VULNERABLE POPULATIONS. LVHN CHOSE TO OBTAIN THIS INPUT THROUGH COMMUNITY CONVERSATIONS AND KEY STAKEHOLDER INTERVIEWS WITH COMMUNITY MEMBERS AND LEADERS. THIS TYPE OF DATA IS REFERRED TO AS QUALITATIVE DATA. FOR EACH CAMPUS, WE PARTNERED WITH AN EXTERNAL COMMUNITY COLLABORATOR WHO HAS EXPERIENCE IN QUALITATIVE DATA COLLECTION TO CONDUCT THESE FOCUS GROUPS AND INTERVIEWS ON LVHN'S BEHALF. THIS PROCESS PROVIDED COMMUNITY MEMBERS WITH AN INDEPENDENT AND OBJECTIVE OPPORTUNITY TO IDENTIFY AND SHARE THEIR PERSONAL EXPERIENCES AND PERSPECTIVE ON THE MOST PRESSING HEALTH NEEDS FACING THEIR COMMUNITY AS WELL AS WHERE THEY WOULD LIKE LVHN TO FOCUS ITS ATTENTION. IN CARBON COUNTY, LVH PARTNERED WITH EAST CENTRAL AREA HEALTH EDUCATION CENTER, A NONPROFIT LOCATED IN LEHIGHTON WHICH FOCUSES ON IMPROVING HEALTHCARE ACCESS AND BUILDING A QUALITY HEALTHCARE WORKFORCE. IN LEHIGH AND NORTHAMPTON COUNTIES, LVH PARTNERED WITH TWO FACULTY MEMBERS FROM CEDAR CREST COLLEGE. THE FOCUS GROUPS AND INTERVIEWS WERE CONDUCTED BETWEEN NOVEMBER 2021 AND JANUARY 2022. IN LEHIGH COUNTY, WHERE OUR CEDAR CREST, 17TH STREET, AND 1503 NORTH CEDAR CREST CAMPUSES ARE LOCATED, 54 PARTICIPANTS WERE INVOLVED IN COMMUNITY CONVERSATIONS AND 4 ADDITIONAL KEY STAKEHOLDERS WERE INTERVIEWED. IN NORTHAMPTON COUNTY, WHERE OUR MUHLENBERG, HECKTOWN OAKS, AND HIGHLAND AVENUE CAMPUSES ARE LOCATED, 42 PARTICIPANTS WERE INVOLVED IN COMMUNITY CONVERSATIONS AND 5 ADDITIONAL KEY STAKEHOLDERS WERE INTERVIEWED. IN CARBON COUNTY, WHERE OUR CARBON CAMPUS IS LOCATED, 24 PARTICIPANTS WERE INVOLVED IN COMMUNITY CONVERSATIONS AND 6 ADDITIONAL KEY STAKEHOLDERS WERE INTERVIEWED.BELOW IS A SUMMARY OF THE ORGANIZATIONS REPRESENTED IN THE COMMUNITY CONVERSATIONS AND INTERVIEWS AS WELL AS A SUMMARY OF THE DEMOGRAPHICS OF THOSE WHO PARTICIPATED. RESIDENTS, INCLUDING THOSE FROM LOW-INCOME POPULATIONS AND OTHER GROUPS OF FOCUS, WERE ALSO INCLUDED IN THE COMMUNITY CONVERSATIONS IN EACH COUNTY.ORGANIZATIONS REPRESENTED IN LEHIGH COUNTY:ALLENTOWN HEALTH BUREAUBIG BROTHERS/BIG SISTERSCEDAR CREST COLLEGECOMMUNITIES THAT CARE (CATASAUQUA)COMMUNITIES THAT CARE (WHITEHALL/COPLAY)LEHIGH CARBON COMMUNITY COLLEGELEHIGH COUNTY SPECIAL PROGRAM OF OFFENDERS IN REHABILITATION AND EDUCATIONLEHIGH GAP NATURE CENTERRIPPLE COMMUNITY CENTERDEMOGRAPHICS OF PARTICIPANTS IN LEHIGH COUNTY:GENDER: 65% FEMALE, 35% MALEAVERAGE AGE: 50, AGE RANGE: 22-70RACE: 92% WHITE, 5% BLACK/AFRICAN AMERICAN, 3% MULTI-RACIALETHNICITY: 95% NON-HISPANIC, 5% HISPANIC (OF ANY RACE)ORGANIZATIONS REPRESENTED IN NORTHAMPTON COUNTY:BETHLEHEM AREA SCHOOL DISTRICTBETHLEHEM HEALTH BUREAUEASTON AREA SCHOOL DISTRICT (PAXINOSA ELEMENTARY SCHOOL)FORKS UNITED CHURCH OF CHRISTGREATER EASTON DEVELOPMENT PARTNERSHIPLEHIGH VALLEY PLANNING COMMISSIONNORTHAMPTON COMMUNITY COLLEGENORTHAMPTON COUNTY GOVERNMENTSLATE BELT CHAMBER OF COMMERCEDEMOGRAPHICS OF PARTICIPANTS IN NORTHAMPTON COUNTY:GENDER: 67% FEMALE, 33% MALEAVERAGE AGE: 49, AGE RANGE: 23-74RACE: 73% WHITE, 13% MULTI-RACIAL, 13% OTHER RACEETHNICITY: 87% NON-HISPANIC, 13% HISPANIC (OF ANY RACE)ORGANIZATIONS REPRESENTED IN CARBON COUNTY:CANCER SUPPORT COMMUNITY OF THE GREATER LEHIGH VALLEYCARBON COUNTY COMMUNITY FOUNDATIONGREATER LEHIGH VALLEY UNITED WAYJIM THORPE ROTARY CLUBTURN TO USWEATHERLY AREA SCHOOL DISTRICT (WEATHERLY HIGH SCHOOL)DEMOGRAPHICS OF PARTICIPANTS IN CARBON COUNTY:GENDER: 91% FEMALE, 9% MALEAVERAGE AGE: 50, AGE RANGE: 24-65RACE: 91% WHITE, 9% ASIANETHNICITY: 100% NON-HISPANIC
LEHIGH VALLEY HOSPITAL	PART V, SECTION B, LINE 6A: LVHN HAS PRODUCED SEVEN CHNA HEALTH PROFILES FOR OUR LEHIGH VALLEY HOSPITAL (LVH) CAMPUSES: LVH-CARBON (CARBON COUNTY); LVH-DICKSON CITY (LACKAWANNA COUNTY); LVH-HAZLETON (LUZERNE COUNTY); LVH-POCONO (MONROE COUNTY); LVH-CEDAR CREST, LVH-17TH STREET, AND LVHN-1503 N. CEDAR CREST (LEHIGH COUNTY); LVH-HECKTOWN OAKS, LVH-MUHLENBERG, AND LVHN-HIGHLAND AVENUE (NORTHAMPTON COUNTY); AND LVH-SCHUYLKILL (SCHUYLKILL COUNTY).WE ADDITIONALLY ASSESSED HEALTH NEEDS WITHIN THE CITY OF ALLENTOWN TO REFLECT THE URBAN COMMUNITY SURROUNDING OUR 17TH STREET CAMPUS IN THE LEHIGH COUNTY REPORT, AND THE LUZERNE COUNTY REPORT INCLUDES INFORMATION ABOUT THE HEALTH NEEDS IN THE CITY OF HAZLETON WHERE IT WAS AVAILABLE. WITHIN THE ENTIRE GEOGRAPHIC POPULATION THAT MAKES UP THE COMMUNITIES WE SERVE, WE PLACE A GREATER EMPHASIS ON INCLUDING INDIVIDUALS IN THE COMMUNITY WHO ARE EXPERIENCING HEALTH DISPARITIES TO A GREATER EXTENT OR WHO ARE AT RISK FOR NEGATIVE HEALTH OUTCOMES BECAUSE OF THE SOCIAL AND ENVIRONMENTAL FACTORS INFLUENCING THEIR HEALTH.
LEHIGH VALLEY HOSPITAL	PART V, SECTION B, LINE 6B: ORGANIZATIONS REPRESENTED IN LEHIGH COUNTY:ALLENTOWN HEALTH BUREAUBIG BROTHERS/BIG SISTERSCEDAR CREST COLLEGECOMMUNITIES THAT CARE (CATASAUQUA)COMMUNITIES THAT CARE (WHITEHALL/COPLAY)LEHIGH CARBON COMMUNITY COLLEGELEHIGH COUNTY SPECIAL PROGRAM OF OFFENDERS IN REHABILITATION AND EDUCATIONLEHIGH GAP NATURE CENTERRIPPLE COMMUNITY CENTERORGANIZATIONS REPRESENTED IN NORTHAMPTON COUNTY:BETHLEHEM AREA SCHOOL DISTRICTBETHLEHEM HEALTH BUREAUEASTON AREA SCHOOL DISTRICT (PAXINOSA ELEMENTARY SCHOOL)FORKS UNITED CHURCH OF CHRISTGREATER EASTON DEVELOPMENT PARTNERSHIPLEHIGH VALLEY PLANNING COMMISSIONNORTHAMPTON COMMUNITY COLLEGENORTHAMPTON COUNTY GOVERNMENTSLATE BELT CHAMBER OF COMMERCEORGANIZATIONS REPRESENTED IN CARBON COUNTY:CANCER SUPPORT COMMUNITY OF THE GREATER LEHIGH VALLEYCARBON COUNTY COMMUNITY FOUNDATIONGREATER LEHIGH VALLEY UNITED WAYJIM THORPE ROTARY CLUBTURN TO USWEATHERLY AREA SCHOOL DISTRICT (WEATHERLY HIGH SCHOOL)
LEHIGH VALLEY HOSPITAL	PART V, SECTION B, LINE 7D: OUR COMMUNITY HEALTH NEEDS ASSESSMENT IS ALSO AVAILABLE UPON REQUEST.
LEHIGH VALLEY HOSPITAL	PART V, SECTION B, LINE 11: PRIORITY AREA: MENTAL HEALTH PREVENTION AND EDUCATION (LEHIGH AND NORTHAMPTON COUNTIES)LVH-LEHIGH VALLEY'S 2022 CHNA CALLED ATTENTION TO THE ONGOING CONCERNS THAT RESIDENTS HAVE REGARDING THE MENTAL HEALTH OF PEOPLE IN THEIR COMMUNITY. PARTICIPANTS FELT THAT ONE'S MENTAL HEALTH IS AS IMPORTANT AS ONE'S PHYSICAL HEALTH. THEY NOTED THAT WHILE MENTAL HEALTH WAS A CHALLENGE PRIOR TO THE PANDEMIC, THE SOCIAL ISOLATION AND SENSE OF LOSS THAT COVID-19 HAS FORCED EVERYONE TO EXPERIENCE HAS FURTHER EMPHASIZED THE NEED. SOME PEOPLE ARE NOW SELF-MEDICATING, WHICH IS A CONCERN. COMMUNITY MEMBERS FELT THAT IT IS VERY DIFFICULT TO FIND HELP WHEN DEALING WITH MENTAL HEALTH ISSUES, PARTICULARLY FOR PEOPLE WITH A DUAL DIAGNOSIS (MENTAL HEALTH DISORDER AND SUBSTANCE USE DISORDER). CONCERN WAS EXPRESSED ABOUT MARGINALIZATION AND INEQUITIES, ESPECIALLY FOR BLACK AND BROWN COMMUNITY MEMBERS, THOSE EXPERIENCING HOMELESSNESS, AND INDIVIDUALS WITHIN THE LGBTQ COMMUNITY. IN ADDITION TO WHAT WE HEARD FROM FOCUS GROUPS, WE ALSO KNOW FROM DATA FROM THE CENTERS FOR DISEASE CONTROL THAT LEHIGH AND NORTHAMPTON COUNTIES BOTH HAVE HIGH RATES OF SUICIDE (14.7 AND 16.4 PER 100,000 RESPECTIVELY).AS THERE IS STILL STIGMA ATTACHED TO NEEDING HELP FOR MENTAL HEALTH ISSUES, LVH-LEHIGH VALLEY'S GOAL IS TO DECREASE STIGMA AND INCREASE THE SKILLS OF PROFESSIONALS AND COMMUNITY MEMBERS TO RECOGNIZE MENTAL HEALTH CONCERNS AND PROMOTE MENTAL WELLNESS. PARTICIPANTS FELT THAT THE YOUNGER GENERATION TALKS MORE ABOUT MENTAL HEALTH, BUT THERE IS ALSO A GROWING CONCERN ABOUT SUICIDE AMONG YOUTH. IN OUR REGION, SUICIDE IS THE SECOND LEADING CAUSE OF DEATH AMONG TEENS. COMMUNITY MEMBERS NOTED THAT THERE IS A NEED FOR ADDITIONAL MENTAL HEALTH SERVICES (E.G., INPATIENT, COUNSELORS) AND FOR PREVENTION EFFORTS, SUCH AS TEACHING HEALTHY COPING SKILLS. THEY WOULD ALSO LIKE TO SEE LVHN PRESENT A MORE ENGAGED, POSITIVE, EMPATHIC, INTERACTIVE PRESENCE IN THE COMMUNITY AND DO MORE TO ENGAGE MARGINALIZED MEMBERS OF THE COMMUNITY.IN RESPONSE TO THE CONCERNS OUTLINED ABOVE, LVH-LEHIGH VALLEY PRIORITIZED OPPORTUNITIES TO PROVIDE MENTAL HEALTH EDUCATION AND TO CONNECT WITH INDIVIDUALS WHO MIGHT BENEFIT FROM MENTAL HEALTH CARE AND INFORM THEM ABOUT AVAILABLE SERVICES. WE HAVE FOUND THAT HEALTH FAIRS AND COMMUNITY EVENTS PROVIDE CONVENIENT AND HIGHLY ACCESSIBLE WAYS FOR INDIVIDUALS TO TALK AND LEARN ABOUT MENTAL HEALTH AND MENTAL HEALTH CARE OPTIONS. WE HAVE PROVIDED THESE OPPORTUNITIES THROUGHOUT OUR COMMUNITIES WITH AN EYE TOWARD ENGAGING A WIDE VARIETY OF PEOPLE AND GROUPS.THE FOLLOWING COMMUNITY EVENTS WERE COMPLETED BY THE DEPARTMENT OF PSYCHIATRY IN FY2024.-- PROVIDED ONGOING SUPERVISION AND SUPPORT OF THE INDIVIDUALS WHO WERE TRAINED IN INTEGRATIVE COMMUNITY THERAPY (ICT) DURING FY2023. A MODEL OF PEER SUPPORT WHICH ADDRESSES MENTAL HEALTH NEEDS OF INDIVIDUALS IN THE COMMUNITY WHILE DECREASING THE DEMAND ON THE MENTAL HEALTH SERVICE SYSTEM. BOTH THE TRAINING AND THE IMPLEMENTATION OF ICT WERE INTERNALLY EVALUATED THROUGH SURVEYS, CLASS ASSIGNMENTS, AND LIVE POLLS. EVALUATION RESULTS HAVE BEEN HIGHLY POSITIVE.-- IN APRIL, LVHN SPONSORED A WORKSHOP PRESENTED BY DR. PETER LANGMAN, A PSYCHOLOGIST AND NATIONAL EXPERT ON SCHOOL SHOOTERS. HIS TOPIC WAS "SCHOOL ATTACKERS: PERPETRATORS AND PREVENTION. FIFTY-FIVE PEOPLE ATTENDED THE TWO-HOUR WORKSHOP. ATTENDEES EVALUATED THE WORKSHOP WITH A SCORE OF 4.9/5.-- PARTICIPATED IN MENTAL HEALTH AND SOCIAL DETERMINANTS OF HEALTH SUB-GROUP FOR THE BETHLEHEM COMMUNITY HEALTH NEEDS ASSESSMENT.-- PARTICIPATED IN A TASK FORCE ABOUT MENTAL HEALTH SUPPORT FOR OLDER ADULTS IN LEHIGH AND NORTHAMPTON COUNTIES.-- PROVIDED SPONSORSHIP FOR A SUICIDE-PREVENTION FOCUSED MINOR LEAGUE BASEBALL GAME EVENT.-- PURCHASED THE LICENSE FOR THE FILM MY ASCENSION, WHICH ADDRESSES SUICIDE PREVENTION. BY PURCHASING THE LICENSE, IT CAN BE SHOWN AT ANY TIME. A SCREENING WAS HELD AT LVH-CEDAR CREST AND INCLUDED BOTH THE FILMMAKER AND THE SUBJECT OF THE FILM.-- ALLOWED LVHN COLLEAGUES TO SIT ON LOCAL BOARDS FOR BOTH THE NATIONAL ALLIANCE ON MENTAL ILLNESS AND THE AMERICAN FOUNDATION FOR SUICIDE PREVENTION.-- ENGAGED IN CONVERSATIONS ABOUT PROVIDING MENTAL HEALTH SERVICES AT CEDAR CREST, MUHLENBERG, LAFAYETTE, AND MORAVIAN COLLEGES.-- CONTINUED PARTICIPATION IN THE LEHIGH COUNTY SUICIDE PREVENTION TASK FORCE, WHICH IS OFFERING QUESTION, PERSUADE, REFER TRAININGS IN SCHOOLS TO LEARN HOW TO SUPPORT INDIVIDUALS WHO ARE EXPRESSING SUICIDAL IDEATION.-- PROVIDED "SURVIVORS OF SUICIDE" GROUPS FOR FAMILIES WHO HAVE EXPERIENCED LOSSES.-- PARTICIPATED IN RESILIENT LEHIGH VALLEY, A COALITION OF LOCAL ORGANIZATIONS WHOSE MISSION IS TO CREATE A TRAUMA- AND CULTURALLY-RESPONSIVE LEHIGH VALLEY.-- TRAINED TWO THERAPISTS AS PART OF THE ZERO SUICIDES INITIATIVE. THEY WILL BE OFFERING FREE GROUPS FOR INDIVIDUALS WHO HAVE ATTEMPTED SUICIDE.-- ASSISTED WITH THE PLANNING FOR THE ANNUAL OUT OF THE DARKNESS WALK THROUGH THE AMERICAN FOUNDATION FOR SUICIDE PREVENTION.-- OFFERED A PRESENTATION ABOUT HEALTH CARE PROFESSIONS TO STUDENTS FROM LEHIGH CARBON TECHNICAL INSTITUTE.-- OFFERED EMPOWERED RELIEF CLASSES TO THE COMMUNITY TWELVE TIMES/YEAR. EMPOWERED RELIEF IS A TWO-HOUR, EVIDENCE-BASED VIRTUAL CLASS THAT PROVIDES INDIVIDUALS WITH ESSENTIAL RELIEF SKILLS. IN FY2024, THERE WERE 389 ATTENDEES.-- OFFERED MINDFULNESS BASED STRESS REDUCTION CLASSES. EIGHT-WEEK CLASSES WERE OFFERED IN THIS EVIDENCE-BASED, EXPERIENTIAL GROUP-LEARNING PROGRAM WHICH HAS BEEN SHOWN TO MITIGATE CHRONIC DISEASE, SUBSTANCE ABUSE, ANXIETY, AND DEPRESSION. FORTY-SEVEN PEOPLE PARTICIPATED IN FY2024. HUNDREDS MORE WERE ALSO TRAINED IN THE INTRODUCTORY MINDFULNESS CLASSES: GROWING RESILIENCE WITH MINDFULNESS AND MINDFULNESS ON THE SPOT.THE FOLLOWING EVENTS WERE COMPLETED IN FY2023 BY THE DEPARTMENT OF PSYCHIATRY:-- SPONSORED ELEVEN DIFFERENT COMMUNITY EVENTS FOCUSED ON MENTAL HEALTH OVER THE COURSE OF FY2023. THESE INCLUDED WALKS/RUNS, WELLNESS FAIRS AND EVENTS, A GOLF OUTING, AND A COMMUNITY DAY.-- OFFERED TRAININGS AND PRESENTATIONS IN THE COMMUNITY. IN JANUARY, THIRTY STAFF FROM ALLENTOWN NON-PROFITS WERE TRAINED IN ICT. IN MAY, DR. OMAR, FROM PEDIATRICS, OFFERED A TWO-DAY SEMINAR ON SUICIDE PREVENTION IN BETHLEHEM. IT WAS ATTENDED BY 284 SCHOOL PRINCIPALS, GUIDANCE COUNSELORS, LVHN STAFF, AND COMMUNITY MEMBERS WITH A SPECIAL INTEREST IN SUICIDE PREVENTION. ALSO IN MAY, LVHN OFFERED A WORKSHOP AND DEMONSTRATION PRESENTED BY DRS. KEN THOMPSON AND ADALBERTO BARRETO, PSYCHIATRIST. THEIR TOPIC WAS "FROM HURT TO HEALING: INTEGRATIVE COMMUNITY THERAPY." FIFTY-ONE PEOPLE ATTENDED. IN APRIL, LVH-LEHIGH VALLEY OFFERED A TRAINING BY DR. BOBBY MILSTEIN FROM THE RIPPEL FOUNDATION. HIS TOPIC WAS "BRIDGING SOCIAL NEEDS AND VITAL CONDITIONS: THE ROLES OF HOSPITALS IN ADDRESSING HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE." OVER 40 PEOPLE ATTENDED. IN JUNE, LVH-LEHIGH VALLEY PRESENTED A TRAINING ABOUT INFANT AND EARLY CHILDHOOD MENTAL HEALTH. LVH-LEHIGH VALLEY STAFF ALSO SPOKE AT A LEHIGH/NORTHAMPTON CONFERENCE AND STRATEGIC PLANNING GROUP OF ABOUT 100 PEOPLE WORKING ON OLDER ADULT MENTAL HEALTH. IN OCTOBER, DR. NORRIS SPOKE AT THE ANNUAL HARVEST FULL OF HOPE LOCAL MENTAL HEALTH EVENT ABOUT THE VITAL CONDITIONS FRAMEWORK AND INTEGRATIVE COMMUNITY THERAPY. TWELVE TIMES THROUGHOUT THE YEAR, EMPOWERED RELIEF VIRTUAL CLASSES WERE HELD TO HELP ATTENDEES WITH PAIN MANAGEMENT. IN FY2023, 409 PEOPLE ATTENDED.-- PROVIDED TRAINING FOR LVH-LEHIGH VALLEY STAFF. AN LVH-LEHIGH VALLEY CLINICIAN OFFERED TWO INTERNAL PRESENTATIONS ON SUICIDE PREVENTION (IN MAY, 70 COLLEAGUES ATTENDED, AND IN SEPTEMBER, 90 COLLEAGUES ATTENDED). IN OCTOBER, THE DEPARTMENT OF PSYCHIATRY HOSTED A SAFETY SYMPOSIUM, FOCUSED ON MAINTAINING SAFETY IN THE WORKPLACE. SPEAKERS PRESENTED ON VIOLENCE PREVENTION, INTERVENTION, AND MITIGATION STRATEGIES. THIS EVENT WAS ATTENDED BY 125 COLLEAGUES ACROSS THE NETWORK.-- PARTICIPATED IN LEHIGH COUNTY'S SUICIDE PREVENTION AND INTERVENTION COMMITTEE AND HAVE A COLLEAGUE ON THE BOARD OF THE AMERICAN FOUNDATION FOR SUICIDE PREVENTION (AFSP).-- HOSTED SURVIVORS OF SUICIDE, A SUPPORT GROUP FOR LOVED ONES PROVIDED BY AFSP, AT LVH- LEHIGH VALLEY CAMPUS.-- COLLABORATED WITH NORTHAMPTON COUNTY TO DIRECT $600,000 IN ARPA FUNDS TO SECURE A GRANT FOR A VAN TO PROVIDE MOBILE SERVICES WHICH MAY INCLUDE MENTAL HEALTH AND OTHER SCREENINGS. IMPLEMENTATION WILL OCCUR IN FY2024.-- CREATED THE AREA'S FIRST WARM HAND-OFF PROCEDURE IN RESPONSE TO A REQUEST RECEIVED BY NORTHAMPTON COUNTY. PATIENTS RESIDING IN NORTHAMPTON AND LEHIGH COUNTIES, WHO HAVE EXPERIENCED A SUICIDE ATTEMPT, ARE NOW OFFERED THE SERVICES OF A DESIGNATED COUNTY CASEWORKER UPON DISCHARGE, WHO WILL THEN ENSURE COORDINATION AND ACCESS TO CARE IN THE COMING WEEKS.
LEHIGH VALLEY HOSPITAL	PART V, SECTION B, LINE 18E: COLLECTION ACTIVITIES ARE LIMITED TO HOSPITAL SENDING FOUR STATEMENTS REQUESTING PAYMENT. THE STATEMENTS INCLUDE INFORMATION ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, SOLICITING THE PATIENTS PARTICIPATION IN THE FINANCIAL ASSISTANCE PROGRAM.
PART V, SECTION B, LINE 11 (CONTINUATION A)	-- MINDFULNESS CLASSES WERE OFFERED TO THE COMMUNITY. IN FY2023, THERE WERE 35 PARTICIPANTS IN THE 8-WEEK MINDFULNESS BASED STRESS REDUCTION PROGRAM AND MANY MORE ATTENDED AN INTRODUCTORY-LEVEL CLASS.PRIORITY AREA: SCHOOL-BASED BEHAVIORAL HEALTH (LEHIGH AND NORTHAMPTON COUNTIES)THE 2022 CHNA PROCESS FOR LVH-LEHIGH VALLEY REVEALED INCREASING MENTAL HEALTH CONCERNS, INCLUDING INCREASED SUBSTANCE ABUSE, PARTICULARLY AMONG YOUTH. LEHIGH AND NORTHAMPTON COUNTY RESIDENTS AND LEADERS WHO PARTICIPATED IN COMMUNITY MEETINGS SHARED THAT MENTAL HEALTH ISSUES ARE UNDERLYING MANY OF THE OTHER SOCIAL AND HEALTH ISSUES SEEN IN THE COMMUNITY. THERE HAS BEEN AN INCREASE IN ALCOHOL AND DRUG USE, LEADING TO MORE SUICIDES, INCLUDING AMONG YOUTH. EVEN THOUGH THERE IS A GROWING NEED, THERE ARE LIMITED RESOURCES IN THE COUNTY TO ADDRESS MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES. THERE IS A WEAK SUPPORT SYSTEM, AND THERE ARE NOT ENOUGH COUNSELORS OR HOSPITAL SERVICES. DATA FROM THE CENTERS FOR DISEASE CONTROL, WHICH WERE REVIEWED AS PART OF LVH 'S CHNA PROCESS, REVEALED THAT LEHIGH AND NORTHAMPTON COUNTY'S SUICIDE RATE (24.2/100,000) IS WELL ABOVE THE PENNSYLVANIA STATE SUICIDE RATE (13.8).AS A RESULT OF THESE CONCERNS, A GOAL WAS SET TO INCREASE BEHAVIORAL HEALTH CARE FOR STUDENTS BY PROVIDING ACCESS TO ON-SITE OR TELEHEALTH THERAPY. SERVICES PROVIDED TO STUDENTS AND THEIR FAMILIES USE TRAUMA- INFORMED, EVIDENCE-BASED, FAMILY-ALLIED, AND CULTURALLY RESPONSIVE APPROACHES. THE LEHIGH VALLEY REILLY CHILDREN'S HOSPITAL SCHOOL-BASED BEHAVIORAL HEALTH (SBBH) PROGRAM PARTNERS WITH SCHOOL DISTRICTS ACROSS THE HEALTH NETWORK'S SERVICE AREA TO REMOVE BARRIERS TO MENTAL HEALTH TREATMENT BY PROVIDING OUTPATIENT THERAPY FOR STUDENTS DURING THE SCHOOL DAY. EACH YEAR, HUNDREDS OF CHILDREN WHO OTHERWISE WOULD NOT HAVE ACCESS TO MENTAL HEALTH TREATMENT ARE ABLE TO PARTICIPATE IN SCHOOL-BASED THERAPY TO HELP THEM ADDRESS THEIR TRAUMA, IMPROVE THEIR SCHOOL PERFORMANCE, AND STRENGTHEN THEIR OVERALL WELL-BEING. THE PROGRAM IS LICENSED THROUGH THE DEPARTMENT OF HUMAN SERVICES AND EACH THERAPIST CARRIES A CASELOAD OF 35 STUDENTS.CASELOADS REMAINED FULL IN FY2024, AND SATISFACTION WITH THE SERVICE WAS EXPRESSED BY STUDENTS, PARENTS, SCHOOL STAFF, AND SCHOOL ADMINISTRATORS. WHILE FACE-TO-FACE SERVICES WERE THE PRIMARY MODALITY FOR TREATMENT, TELEHEALTH WAS VALUED TO PROVIDE SERVICES TO STUDENTS WHO WERE NOT ONSITE AT THE SCHOOL BUILDING DUE TO ILLNESS, INCLEMENT WEATHER, OR ALTERNATIVE PLACEMENT. TELEHEALTH WAS ALSO USED TO INCREASE FAMILY PARTICIPATION IN YOUTH THERAPY SESSIONS, EXPAND SERVICES IN SITES WITH WAITLISTS, AND TO INCREASE THE SERVICE AREA TO INCLUDE STUDENTS AT SCHOOL SITES WITHOUT IN-PERSON SERVICES, SUCH AS FREEDOM AND LIBERTY HIGH SCHOOLS IN BETHLEHEM AREA SCHOOL DISTRICT. OF ENCOUNTERS CONDUCTED IN LEHIGH AND NORTHAMPTON COUNTIES DURING FY2024, 9% WERE CONDUCTED THROUGH TELEHEALTH. TEN PERCENT OF SERVICES WERE PROVIDED THROUGH TELEHEALTH IN FY2023.IN FY2024, OVER 1,300 HOURS OF IN-KIND SERVICES WERE PROVIDED TO SCHOOLS IN THE LEHIGH AND NORTHAMPTON 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 DIRECTOR OF SBBH CO-CHAIRED AN AD HOC STUDENT MENTAL HEALTH STEERING COMMITTEE IN THE ALLENTOWN SCHOOL DISTRICT (ASD) TO HELP THE DISTRICT BETTER UNDERSTAND AND OPTIMIZE THE PROVISION OF MENTAL HEALTH SERVICES FROM LOCAL PROVIDERS WITHIN THE DISTRICT.-- THE DIRECTOR OF SBBH ATTENDED THE SCHOOL SUPERINTENDENTS ASSOCIATION NATIONAL MENTAL HEALTH CONFERENCE, ALONG WITH ALLENTOWN SCHOOL DISTRICT FACULTY.-- THE ALLENTOWN SCHOOL-BASED THERAPIST PARTNERED WITH THE JEWISH COMMUNITY CENTER TO HELP BUILD A SENSORY ROOM FOR YOUTH.-- THE SCHOOL-BASED PROGRAM HELPED FACILITATE A SCHOOL SUPPLY DRIVE AT THE START OF THE 2023-24 SCHOOL YEAR TO BENEFIT STUDENTS IN LEHIGH AND NORTHAMPTON 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 LEHIGH-NORTHAMPTON COUNTY AREA IN BOTH THE 2023 AND 2024 FY.-- SCHOOL-BASED THERAPISTS ATTENDED BACK-TO-SCHOOL NIGHTS, YOUTH SPORTING EVENTS, RESOURCE FAIRS, AND STUDENT BOOK CLUBS IN ALLENTOWN, BETHLEHEM, EASTON, EAST PENN, AND WHITEHALL SCHOOL DISTRICTS TO OFFER INFORMATION ABOUT THE PROGRAM AND INCREASE MENTAL HEALTH AWARENESS.-- SCHOOL-BASED BEHAVIORAL HEALTH LEADERSHIP PRESENTED SCHOOL-BASED MENTAL HEALTH SERVICES TO THE SCHOOL BOARD AT LEHIGH CAREER AND TECHNICAL INSTITUTE.-- AT EMMAUS HIGH SCHOOL, A SCREENING OF THE FILM MY ASCENSION WAS HELD. THE FILM FOCUSES ON SUICIDE PREVENTION. SCHOOL-BASED THERAPISTS FACILITATED A DROP-IN SPACE FOR THIS EVENT TO SUPPORT STUDENTS AND FAMILIES.-- AT EYER MIDDLE SCHOOL, THERAPISTS MET WITH THE CAST OF A SCHOOL PLAY, MEAN GIRLS, TO HELP THE STUDENTS PROCESS THE IMPLICATIONS OF THE SCRIPT.-- SCHOOL-BASED BEHAVIORAL HEALTH FACILITATED THREE EDUCATIONAL SESSIONS AT THE EAST PENN SCHOOL DISTRICT MENTAL HEALTH SYMPOSIUM ON ANXIETY, DEPRESSION, AND ADHD.-- IN WHITEHALL SCHOOL DISTRICT, SCHOOL-BASED THERAPISTS ATTENDED A FAMILY FUN NIGHT AND PROVIDED RESOURCES AND MINDFULNESS ACTIVITIES. THE SCHOOL-BASED BEHAVIORAL HEALTH PROGRAM ALSO PROVIDED A LETTER OF SUPPORT FOR WHITEHALL'S NEW COMMUNITY BUILDING.-- AT THE EXECUTIVE ACADEMY CHARTER SCHOOL, THE THERAPIST PARTICIPATED IN HEALTH CARE PROFESSIONS DAY.-- SCHOOL-BASED THERAPISTS SUPPORTED SCHOOL PARTNERS WITH RESOURCES AND DROP-IN SUPPORT GROUPS FOR INCIDENTS SUCH AS SUDDEN LOSS OF A STUDENT AND FACULTY MEMBER, THREATS OF VIOLENCE, AND ANNIVERSARIES OF LOSS.-- SCHOOL-BASED THERAPISTS, AIDED BY STUDENTS IN THERAPY, CONSTRUCTED CREATIVE, VISUAL REMINDERS AND INTERACTIVE ACTIVITIES AS REMINDERS OF THE IMPORTANCE OF MENTAL HEALTH. THESE PROJECTS WERE IN KEY LOCATIONS THROUGHOUT THE SCHOOL, SUCH AS SCHOOL-BASED SATELLITE OFFICES, HALLWAYS, BULLETIN BOARDS, CLASSROOM, AND OFFICE DOORS.ALSO, IN FY2024, SCHOOL-BASED BEHAVIORAL HEALTH CONTINUED THE MASTER'S LEVEL INTERNSHIP PROGRAM. THIS PROGRAM WAS ESTABLISHED IN FY2023 TO ENGAGE GRADUATE LEVEL COUNSELING AND SOCIAL WORK STUDENTS IN SCHOOL-BASED MENTAL HEALTH WORK, AND TO SUPPORT THE TIER 3 COUNSELING SERVICES OF THE CLINICAL TEAM.IN FY2023, SCHOOL-BASED BEHAVIORAL HEALTH WELCOMED THREE GRADUATE LEVEL INTERNS TO THE PROGRAM. THAT YEAR, THE INTERN TEAM FOCUSED ON PSYCHOEDUCATION AND RESOURCE FINDING. WITH CLINICAL OVERSIGHT, THE INTERNS DEVELOPED CURRICULUM FOR THREE TIER 2, PSYCHOEDUCATIONAL GROUPS ON LGBTQ+ INCLUSIVITY, LIFE SKILLS, AND MINDFULNESS. IN SPRING 2023, THESE THREE GROUPS WERE IMPLEMENTED ACROSS SEVERAL SCHOOL SITES. IN FY2024, THE PROGRAM WELCOMED FIVE NEW INTERNS WHO CONTINUED THE FACILITATION OF GROUPS, THIS YEAR ON SOCIAL SKILLS AND TEAM BUILDING, TO 126 STUDENTS ACROSS 16 SCHOOL SITES. THE INTERNS ALSO CREATED TIP SHEETS, ACTIVITY SHEETS, AND SHORT VIDEOS TO REFLECT MENTAL HEALTH AND HERITAGE MONTH. THESE RESOURCES WILL CONTINUE TO BENEFIT THE PROGRAM IN FUTURE YEARS. PSYCHOEDUCATIONAL GROUPS OFFERED IN FY2023 AND FY2024 WERE OPEN TO ALL STUDENTS FREE OF CHARGE AND TOOK PLACE ONCE PER WEEK, OVER THE COURSE OF 8-10 WEEKS.IN FY2024, ALMOST 600 NEW STUDENT REFERRALS WERE RECEIVED IN THE LEHIGH AND NORTHAMPTON COUNTY AREA, AND AN ADDITIONAL 200+ STUDENTS CONTINUED SERVICES FROM THE PREVIOUS SCHOOL YEAR. OVER 6,000 THERAPY SESSIONS WERE COMPLETED IN THE LEHIGH AND NORTHAMPTON COUNTY SERVICE AREA. 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, 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.
PART V, SECTION B, LINE 11 (CONTINUATION B)	-- SCORES ON THE SDQ INDICATED THAT FROM ONSET OF TREATMENT TO DISCHARGE, STUDENTS SHOWED DECREASED IMPAIRMENT ON ALL FOUR SCALES. IN FY2024, RESULTS SHOWED THE FOLLOWING: EMOTIONAL SYMPTOMS (20% DECREASE); CONDUCT PROBLEMS (5% DECREASE); HYPERACTIVITY/INATTENTION (12% DECREASE); AND PEER ISSUES (4% DECREASE). IN FY2023, RESULTS SHOWED THE FOLLOWING: 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.PRIORITY AREA: HOUSING INSTABILITY (NORTHAMPTON COUNTY)PARTICIPANTS IN THE LVH-LEHIGH VALLEY CHNA EXPRESSED CONCERN ABOUT HOUSING INSTABILITY IN NORTHAMPTON COUNTY. THEY WERE CONCERNED ALSO ABOUT THE LACK OF SAFETY AND THE FOOD INSECURITY THAT OFTEN ACCOMPANY HAVING UNSTABLE HOUSING. IN ONE LOCAL DISTRICT ALONE, THERE ARE BETWEEN 700 AND 800 STUDENTS WHO ARE HOMELESS. IN FY2023, WITH A GOAL OF STRENGTHENING PARTNERSHIP BETWEEN THE HEALTH SYSTEM, COUNTY PARTNERS, AND COMMUNITY-BASED ORGANIZATIONS TO REDUCE GAPS IN UNSTABLE HOUSING AS PATIENTS ARE RELEASED FROM THE HOSPITAL, LVH-LEHIGH VALLEY HAS COMPLETED THE FOLLOWING ACTIVITIES.IN FY2024, PRESIDENT OF LVH-MUHLENBERG, JIM MILLER, IS AN ACTIVE MEMBER OF THE GREATER EASTON DEVELOPMENT PARTNERSHIP BOARD. THEIR WORK INCLUDES A WEST WARD INITIATIVE.IN FY2023:-- PARTICIPATED IN A STRATEGIC PLANNING TASK FORCE ON HOUSING IN BETHLEHEM. THE TASK FORCE IS WORKING WITH A HOUSING CONSULTANT.-- PROVIDED A LETTER OF SUPPORT FOR THE BETHLEHEM HOUSING AUTHORITY FOR HUD CHOICE, MIXED-INCOME HOUSING DEVELOPMENT FOR PEMBROKE (UP TO $50K FOR PLANNING GRANT AND POTENTIAL FOR $30-50M IMPLEMENTATION GRANT).

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 SOLE CORPORATE MEMBER OF LEHIGH VALLEY HOSPITAL.
PART I, LINE 7:	THE COSTING METHODOLOGY IS COST TO CHARGE RATIO FOR PROGRAMS WITH GROSS CHARGES AND DIRECT COSTS FOR PROGRAMS WITHOUT GROSS CHARGES.
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICES OF $73,773,031 IS THE DIFFERENCE BETWEEN THE COST OF SERVICES PROVIDED IN CLINICS, AND CERTAIN SERVICE LINES DESCRIBED BELOW, AND THE PAYMENTS RECEIVED FOR THOSE SERVICES.SUBSIDIZED HEALTH SERVICES INCLUDE THE OPERATIONS OF THE DENTAL CLINIC, MENTAL HEALTH CLINIC, AND GERIATRICS. THE DENTAL CLINIC IS OPERATED IN CONJUNCTION WITH THE DENTAL RESIDENCY PROGRAM, AND THE OUTPATIENT MENTAL HEALTH CLINIC PROVIDES EVALUATION, COUNSELING, AND CASE MANAGEMENT SERVICES TO RESIDENTS OF LEHIGH AND NORTHAMPTON COUNTIES.SUBSIDIZED HEALTH SERVICES ALSO INCLUDE PRACTICE AREAS WHERE LOCALIZED AND/OR NATIONAL PHYSICIAN SHORTAGES EXIST, SUCH AS IN OBSTETRICS, ONCOLOGY, ENDOCRINOLOGY, NEPHROLOGY, NEUROLOGY, PSYCHIATRY, AND NEONATOLOGY. LEHIGH VALLEY HOSPITAL ALSO PROVIDES SUBSIDIZED HEALTH SERVICES IN NUMEROUS MEDICALLY UNDERSERVED AREAS (MUAS), AS IDENTIFIED BY THE CATHOLIC HEALTH ASSOCIATION. THE OPERATIONS OF EIGHT OF THE 17TH STREET CLINICS WERE TRANSFERRED TO VALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER AS OF JULY 1, 2020. VALLEY HEALTH PARTNERS IS DESIGNATED AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) LOOK-ALIKE. SUBSIDIZED HEALTH SERVICES ARE NOT INCLUDED IN THE MEDICAL ASSISTANCE SHORTFALL OR UNCOMPENSATED CHARITY CARE VALUE REPORTED PRIOR. SUBSIDIZED HEALTH SERVICES DO INCLUDE $305,673 OF THE WAGE AND BENEFIT EXPENSE OF DENTAL RESIDENTS WHO PROVIDED CARE TO CLINIC PATIENTS. THIS AMOUNT HAS BEEN DEDUCTED FROM THE TOTAL VALUE OF MEDICAL EDUCATION, WHICH IS PRESENTED LATER IN THIS DOCUMENT.IN ADDITION, LEHIGH VALLEY HEALTH NETWORK FORGAVE REPAYMENT OF A $2,000,000 LOAN IT MADE TO VALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER (VHP), WHICH IS DESIGNATED AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) LOOK-ALIKE. VALLEY HEALTH PARTNERS ASSUMED THE OPERATIONS OF THE EIGHT 17TH ST. CLINICS PREVIOUSLY OPERATED BY THE NETWORK. A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) LOOK-ALIKE IS A COMMUNITY HEALTH CENTER THAT PROVIDES COMPREHENSIVE PRIMARY CARE AND OTHER SERVICES SUCH AS INTERPRETATION, TRANSPORTATION AND HEALTH EDUCATION FOR THE COMMUNITY POPULATION. AN FQHC LOOK-ALIKE DOES NOT TURN PATIENTS AWAY BASED ON THEIR ABILITY TO PAY AND REMOVES FINANCIAL BARRIERS FOR RECEIVING CARE. FQHC LOOK-ALIKES RECEIVE ENHANCED REIMBURSEMENT FROM MEDICAID AND MEDICARE TO PROVIDE WHOLE-PERSON CARE, CREATING OPPORTUNITIES FOR THE HEALTH CENTER TO LOOK BEYOND MEDICAL CARE AND FOCUS ON SOCIAL DETERMINANTS OF HEALTH THAT COULD BE SOME OF THE UNDERLYING CAUSES OF POOR HEALTH.
PART I, LN 7 COL(F):	THE AMOUNT OF BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX, LINE 25 IS $121,930,490.
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 RECORDED A PROVISION FOR IMPLICIT PRICE CONCESSIONS OF $210,350,000 AND $200,183,000 AS A DIRECT REDUCTION TO PATIENT SERVICES REVENUES.IN INSTANCES WHERE THE ORGANIZATION BELIEVES A PATIENT HAS THE ABILITY TO PAY FOR SERVICES AND, AFTER APPROPRIATE COLLECTION EFFORTS, PAYMENT IS NOT MADE, THE UNPAID PORTION OF THE ACCOUNT BALANCE IS WRITTEN-OFF TO THE PROVISION FOR BAD DEBTS. AMOUNTS RECORDED AS PROVISION FOR BAD DEBTS DO NOT INCLUDE CHARITY CARE.
PART III, LINE 8:	THE SOURCE OF THE MEDICARE ALLOWABLE COSTS RELATING TO REVENUE RECEIVED FROM MEDICARE IS THE 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 FINANCIAL ASSISTANCE POLICY APPLIES TO UNINSURED AND UNDER-INSURED INDIVIDUALS WHO PARTICIPATE IN THE PROCESS TO EVALUATE THEIR ABILITY TO PAY FOR LVHN SERVICES.PATIENTS ARE IDENTIFIED BY LVHN REGISTRATION, BENEFITS AND VERIFICATION, CUSTOMER SERVICE, AND FINANCIAL COUNSELORS AS BEING IN FINANCIAL NEED. THE FINANCIAL COUNSELORS HELP PATIENTS COMPLETE THE APPLICATION FOR FINANCIAL ASSISTANCE. LVHN FOLLOWS THE FEDERAL POVERTY GUIDELINES TO EVALUATE ELIGIBILITY. PATIENTS WHOSE FAMILY INCOME FALLS BELOW 200% OF THE FEDERAL POVERTY GUIDELINE WILL HAVE THEIR ENTIRE BALANCE FORGIVEN FOR THEIR QUALIFYING SERVICES AT A PARTICIPATING LVHN PROVIDER. PATIENTS WITH A FAMILY INCOME BELOW 400% OF THE FEDERAL POVERTY GUIDELINES WILL HAVE A PORTION OF THEIR BALANCE FORGIVEN FOR QUALIFYING SERVICES AT A PARTICIPATING LVHN PROVIDER. PATIENTS ARE EVALUATED FOR NO COST OR REDUCED PREMIUM INSURANCE PLANS. THE LVHN FINANCIAL COUNSELORS WILL OFFER INFORMATION TO PATIENTS WHO ARE INTERESTED IN SEEING IF THEY QUALIFY FOR THESE PROGRAMS OFFERED BY COMMERCIAL INSURANCE COMPANIES.PATIENTS OFTEN EXPRESS FINANCIAL CONCERN OR NEED BY CONTACTING THE LVHN CUSTOMER SERVICE DEPARTMENTS. THE CUSTOMER SERVICE REPRESENTATIVES EXPLAIN THE PROGRAMS AVAILABLE; FINANCIAL ASSISTANCE AND SUPPORT IN APPLYING FOR MEDICAL ASSISTANCE OR INSURANCE THROUGH THE FEDERAL HEALTH INSURANCE EXCHANGE. PATIENTS WILL BE REFERRED TO THE FINANCIAL COUNSELORS WHO WORK WITH PATIENTS TO APPLY FOR PENNSYLVANIA MEDICAL ASSISTANCE. THE FINANCIAL COUNSELORS ARE LOCATED ONSITE. THE FINANCIAL COUNSELORS VISIT PATIENTS IN THEIR INPATIENT ROOMS, IN THE CANCER CENTER, AND IN THE EMERGENCY DEPARTMENT. IN ADDITION, LVHN ADVERTISES FINANCIAL ASSISTANCE IN THE LOCAL NEWSPAPER, ON OUR PUBLIC WEBSITE AND ON THE STATEMENTS SENT TO OUR PATIENTS.
PART VI, LINE 4:	LEHIGH VALLEY HOSPITAL, INC. (LVH) IS A PENNSYLVANIA NOT-FOR-PROFIT MEMBERSHIP CORPORATION EXEMPT FROM FEDERAL INCOME TAXES AS A CORPORATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE LVH PRIMARY SERVICE AREA CONSISTS OF LEHIGH, NORTHAMPTON, AND CARBON COUNTIES. BASED ON THE U.S. CENSUS BUREAU'S INFORMATION, FOR THE 2020 DECENNIAL CENSUS, THE PRIMARY SERVICE AREA POPULATION WAS ESTIMATED TO BE 752,257. ACCORDING TO PROPRIETARY DATA (CLARITAS) 2023 ESTIMATED POPULATION FOR THE THREE-COUNTY AREA IS 769,766. DURING THE CALENDAR YEAR 2023, 73.7% OF THE DISCHARGES FROM LVH WERE RESIDENTS OF THE PRIMARY SERVICE AREA. THE SECONDARY SERVICE AREA CONSISTS OF BERKS, LUZERNE, MONROE, SCHUYLKILL, BUCKS, AND MONTGOMERY COUNTIES. THE 2020 DECENNIAL CENSUS POPULATION FOR THIS AREA AS 2,568,890. THE 2023 CLARITAS ESTIMATED POPULATION OF THE SECONDARY SERVICE AREA IS 2,558,973. DURING THE CALENDAR YEAR 2023, 21.6% OF THE DISCHARGES FROM LVH WERE RESIDENTS OF THE SECONDARY SERVICE AREA. DURING THE CALENDAR YEAR 2023, 4.8% OF THE DISCHARGES FROM LVH WERE RESIDENTS OUTSIDE THE PRIMARY AND SECONDARY SERVICE AREAS. BASED ON CLARITAS DATA, THE CURRENT POPULATION ESTIMATE OF THE PRIMARY SERVICE AREA FIVE-YEAR GROWTH RATE TO 2028 IS APPROXIMATELY 2.2%
PART VI, LINE 5:	LEHIGH VALLEY HOSPITAL QUALIFIES AS AN INSTITUTION OF PURELY PUBLIC CHARITY IN PENNSYLVANIA. THIS REGULATION IS REFERRED TO AS ACT 55. TO BE CONSIDERED A PURELY PUBLIC CHARITY, NONPROFITS MUST:(1) ADVANCE A CHARITABLE PURPOSE; (2) DONATE OR RENDER GRATUITOUSLY A SUBSTANTIAL PORTION OF ITS SERVICES; (3) BENEFIT A SUBSTANTIAL AND INDEFINITE CLASS OF PERSONS WHO ARE LEGITIMATE SUBJECTS OF CHARITY; (4) RELIEVE THE GOVERNMENT OF SOME BURDEN; AND (5) OPERATE ENTIRELY FREE FROM PRIVATE PROFIT MOTIVE.LVH IS REQUIRED TO REAPPLY FOR THIS CHARITABLE STATUS EVERY FIVE YEARS AND CURRENTLY QUALIFIES THROUGH OCTOBER 31, 2025.
PART III, SECTION B. MEDICARE, LINE 8	MEDICARE PROGRAM COSTS INCLUDED IN THE ANNUAL LVHN COMMUNITY BENEFIT REPORT NOT INCLUDED OR ALLOWABLE IN THE MEDICARE COST REPORT IN FY2024 TOTALED $377,030,927. THIS INCLUDES COSTS OF MEDICARE MANAGED CARE, PRACTICE SUBSIDIES TO LEHIGH VALLEY PHYSICIAN GROUP (LVPG), NON-REIMBURSEABLE INTEREST EXPENSE, SUBSIDIES TO LEHIGH VALLEY ANESTHESIA SERVICES (LVAS), UNIVERSITY OF SOUTH FLORIDA SCHOOL COSTS, AND DISALLOWABLE RELATED ORGANIZATION COSTS.

Schedule H (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

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

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

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

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

Attach to Form 990.
lBullet

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

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
LEHIGH VALLEY HOSPITAL

Employer identification number
23-1689692

Part I

General Information on Grants and Assistance

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

Yes No

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

Part II

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

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

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

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

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

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

Cat. No. 50055P

Schedule I (Form 990) 2023

Page 2

Part III

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

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

(1) NURSING LOANS AND SCHOLARSHIPS	252	3,382,804	BOOK
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

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

Return Reference

Explanation

PART I, LINE 2:

CRITERIA FOR LOAN AGREEMENTS TO STUDENTS IN A REGISTERED NURSE PROGRAM ARE A COMPLETED APPLICATION, ONE LETTER OF RECOMMENDATION FROM THEIR MOST RECENT CLINICAL INSTRUCTORS OR DEMONSTRATED SUCCESSFUL LVHN EMPLOYMENT, AN OFFICIAL TRANSCRIPT DEMONSTRATING AN OVERALL GPA OF 3.0 OR HIGHER. IN FY2023, THE PROMISSORY NOTE LOAN AGREEMENT WAS SUBSTANTIALLY EXPANDED TO INCLUDE BSN, ASN, LPN, AND DIPLOMA OF NURSING PROGRAMS; INCLUDING EXPANSION OF AGREEMENTS FOR ACCELERATED PROGRAM STUDENTS VIA ACADEMIC PARTNERSHIPS. PAYMENT FOR BSN STUDENTS WAS $40,000-$50,000, DEPENDING ON AREA OF SPECIALTY; ASN $15,000-$20,000, DEPENDING ON AREA OF SPECIALTY, DIPLOMA $25,000, AND LPN AT $10,000. IF ABOVE INFORMATION IS SUBMITTED AND CONSIDERED FAVORABLE, A LOAN AGREEMENT IS OFFERED IN WRITING FOR THEM TO REVIEW. IF CANDIDATE VERBALLY ACCEPTS, WE INVITE THEM TO MAKE AN APPOINTMENT TO SIGN THE CONTRACT. WE NOTARIZE THE CONTRACT AFTER WE HAVE BOTH REVIEWED AND SIGNED. THEIR COMMITMENT BACK TO THE HOSPITAL IS FOR TWO YEARS FROM THE DATE OF HIRE IN THE NEW GRADUATE/RN POSITION. (SOME CANDIDATES ARE CURRENT EMPLOYEES IN OTHER POSITIONS, SO WE CONSIDER ONLY THE HIRE DATE OF THE REGISTERED NURSE POSITION TOWARD THE WORK COMMITMENT.) IF CANDIDATE DOES NOT FULFILL THEIR COMMITMENT, THE LOAN AGREEMENT DOLLARS ARE PRO-RATED AND REPAYMENT IS DUE IMMEDIATELY, PLUS INTEREST. IN FY2023, WE ELIMINATED NOTARIZATION AND HAVE APPROVED ELECTRONIC SIGNATURE OF THE FORMS. SCHOLARSHIPS ARE OFFERED TO CURRENT REGISTERED NURSE EMPLOYEES. AN APPLICATION IS COMPLETED ALONG WITH A LETTER OF RECOMMENDATION FROM THEIR DIRECT SUPERVISOR/DIRECTOR, A COPY OF THEIR MOST RECENT PERFORMANCE EVALUATION, DEMONSTRATING A PERFORMANCE EVALUATION SCORE OF 3.0 OR HIGHER FOR BSN AND MSN. IF RN IS CURRENTLY ACTIVE IN A PROGRAM, AN OFFICIAL COPY OF THEIR CURRENT TRANSCRIPT WOULD ALSO BE REQUIRED. EMPLOYEES MUST BE CURRENTLY ENROLLED IN A NURSING PROGRAM PRIOR TO APPLYING FOR THE SCHOLARSHIP. IF EMPLOYEE ACCEPTS AND SIGNS A "RECEIPT OF NURSING EDUCATION TUITION PAYMENTS PROGRAM NOTE, THERE IS NO PAYBACK OR WORK COMMITMENT REQUIRED UPON GRADUATION OR SEPARATION. THERE WERE A TOTAL OF 252 NEW AND EXISTING LOAN AGREEMENTS AWARDED IN FY2024. PAYMENT CONTINUED FOR COMMITTED BSN, MSN, AND DNP RECIPIENTS. THE TOTAL FUNDS USED FOR ALL LOAN AGREEMENTS AND SCHOLARSHIPS WAS $3,382,804.

Schedule I (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

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

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

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

Employer identification number

23-1689692

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

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

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

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

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

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

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

Yes

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

Yes

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Cat. No. 50053T

Schedule J (Form 990) 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)
1ROBERT A BEGLIOMINI PHARMD MBA TRUSTEE	(i) (ii)	651,504 ------------- 0	103,320 ------------- 0	73,697 ------------- 0	0 ------------- 0	26,473 ------------- 0	854,994 ------------- 0	0 ------------- 0
2DEBORAH A BREN DO TRUSTEE	(i) (ii)	0 ------------- 311,096	0 ------------- 82,260	0 ------------- -868	0 ------------- 0	0 ------------- 18,771	0 ------------- 411,259	0 ------------- 0
3RANJU GUPTA MD TRUSTEE	(i) (ii)	0 ------------- 497,220	0 ------------- 49,000	0 ------------- -2,832	0 ------------- 0	0 ------------- 24,966	0 ------------- 568,354	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
5THOMAS J MARCHOZZI MBA CPA TREASURER	(i) (ii)	926,505 ------------- 0	281,562 ------------- 0	380,439 ------------- 0	0 ------------- 0	19,579 ------------- 0	1,608,085 ------------- 0	0 ------------- 0
6JAMES C MILLER TRUSTEE	(i) (ii)	554,419 ------------- 0	88,760 ------------- 0	-7,128 ------------- 0	0 ------------- 0	25,459 ------------- 0	661,510 ------------- 0	0 ------------- 0
7JOHN M PIERRO MBA PRESIDENT, LVH/TRUSTEE	(i) (ii)	956,879 ------------- 0	280,529 ------------- 0	199,398 ------------- 0	0 ------------- 0	25,459 ------------- 0	1,462,265 ------------- 0	0 ------------- 0
8MICHAEL A ROSSI MD MBA TRUSTEE	(i) (ii)	814,148 ------------- 0	252,268 ------------- 0	376,457 ------------- 0	0 ------------- 0	17,748 ------------- 0	1,460,621 ------------- 0	0 ------------- 0
9ROBERT L THOMAS CPA ASSISTANT TREASURER	(i) (ii)	428,974 ------------- 0	67,583 ------------- 0	146,783 ------------- 0	0 ------------- 0	9,574 ------------- 0	652,914 ------------- 0	0 ------------- 0
10ANNETTE WHITE ESQ SECRETARY	(i) (ii)	654,298 ------------- 0	172,197 ------------- 0	108,087 ------------- 0	0 ------------- 0	27,302 ------------- 0	961,884 ------------- 0	0 ------------- 0
11MICHAEL N MINEAR MS SVP & CHIEF INFORMATION OFFICER	(i) (ii)	324,685 ------------- 0	135,538 ------------- 0	769,665 ------------- 0	0 ------------- 0	8,737 ------------- 0	1,238,625 ------------- 0	0 ------------- 0
12EDWARD C DOUGHERTY SVP & CHIEF BUSINESS DEVELOPMENT OFF	(i) (ii)	653,393 ------------- 0	163,848 ------------- 0	269,288 ------------- 0	0 ------------- 0	17,748 ------------- 0	1,104,277 ------------- 0	0 ------------- 0
13LYNN K TURNER CHIEF HUMAN RESOURCES OFFICER	(i) (ii)	548,954 ------------- 0	137,658 ------------- 0	230,146 ------------- 0	0 ------------- 0	1,720 ------------- 0	918,478 ------------- 0	0 ------------- 0
14RONALD S FREUDENBERGER PHYSICIAN-IN-CHIEF, CARDIAC INSTITUT	(i) (ii)	726,392 ------------- 0	114,639 ------------- 0	46,735 ------------- 0	0 ------------- 0	25,459 ------------- 0	913,225 ------------- 0	0 ------------- 0
15SURESH G NAIR MD PHYSICIAN-IN-CHIEF, CANCER INSTITUTE	(i) (ii)	675,676 ------------- 0	95,018 ------------- 0	45,403 ------------- 0	0 ------------- 0	19,579 ------------- 0	835,676 ------------- 0	0 ------------- 0
16BRIAN A NESTER DO FORMER TRUSTEE	(i) (ii)	1,659,828 ------------- 0	583,539 ------------- 0	942,596 ------------- 0	0 ------------- 0	17,748 ------------- 0	3,203,711 ------------- 0	0 ------------- 0
17JOSEPH E PATRUNO MD FORMER TRUSTEE	(i) (ii)	0 ------------- 375,255	0 ------------- 31,700	0 ------------- 456	0 ------------- 0	0 ------------- 26,629	0 ------------- 434,040	0 ------------- 0
18MARTIN K TILL FORMER TRUSTEE	(i) (ii)	0 ------------- 593,292	0 ------------- 202,045	0 ------------- -893	0 ------------- 0	0 ------------- 19,579	0 ------------- 814,023	0 ------------- 0
19STEPHEN ZIENIEWICZ FORMER TRUSTEE	(i) (ii)	275,961 ------------- 0	0 ------------- 0	554,372 ------------- 0	0 ------------- 0	5,481 ------------- 0	835,814 ------------- 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 INDIVIDUALS PARTICIPATED IN THE 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OF LEHIGH VALLEY HOSPITAL IN CALENDAR YEAR 2023: ROBERT A. BEGLIOMINI, PHARMD, MBA, TRUSTEE - $75,482 THOMAS J. MARCHOZZI, MBA, CPA, TREASURER - $181,210 MICHAEL A. ROSSI, MD, MBA, ASSISTANT SECRETARY - $187,689 ROBERT L. THOMAS, CPA, ASSISTANT TREASURER - $147,267 MICHAEL N. MINEAR, MS, SVP & CHIEF INFORMATION OFFICER - $42,817 EDWARD C. DOUGHERTY, SVP & CHIEF BUSINESS DEVELOPMENT OFFICER - $122,586 LYNN K. TURNER, SVP & CHIEF HUMAN RESOURCES OFFICER - $102,992 RONALD S. FREUDENBERGER, MD, PHYSICIAN-IN-CHIEF, CARDIAC INSTITUTE - $50,858 SURESH G. NAIR, MD, PHYSICIAN-IN-CHIEF, CANCER INSTITUTE - $45,471 BRIAN A. NESTER, DO, FORMER TRUSTEE - $448,673 THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT FROM LEHIGH VALLEY HOSPITAL IN CALENDAR YEAR 2023: STEPHEN ZIENIEWICZ, FORMER TRUSTEE - $558,339

Schedule J (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

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

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

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

Employer identification number
23-1689692

Part Ⅰ

Bond Issues

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

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	1,995,000		1,245		13,435,000		25,292,790
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	154,924,763		72,994,964		152,250,999		386,355,270
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............			2,533				22,578,519
6 Proceeds in refunding escrows ...............	74,558,690				150,509,413		100,005,000
7 Issuance costs from proceeds ...............	1,860,390		1,125,000		1,741,586		1,864,063
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	78,500,000		71,869,964		7,807,021		261,752,250
11 Other spent proceeds .............	5,683		36,000		6,911,293		155,438
12 Other unspent proceeds .............			18,083,569		1,511,379
13 Year of substantial completion .............	2012		2017		2017		2022
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X			X		X	X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........	X			X	X			X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 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		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part Ⅳ

Arbitrage

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

Schedule K (Form 990) 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		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

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

Part Ⅵ

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

Return Reference	Explanation

Schedule K (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

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

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
LEHIGH VALLEY HOSPITAL

Employer identification number
23-1689692

Part Ⅰ

Bond Issues

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

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	1,995,000		1,245		13,435,000		25,292,790
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	154,924,763		72,994,964		152,250,999		386,355,270
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............			2,533				22,578,519
6 Proceeds in refunding escrows ...............	74,558,690				150,509,413		100,005,000
7 Issuance costs from proceeds ...............	1,860,390		1,125,000		1,741,586		1,864,063
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	78,500,000		71,869,964		7,807,021		261,752,250
11 Other spent proceeds .............	5,683		36,000		6,911,293		155,438
12 Other unspent proceeds .............			18,083,569		1,511,379
13 Year of substantial completion .............	2012		2017		2017		2022
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X			X		X	X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........	X			X	X			X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 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		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part Ⅳ

Arbitrage

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

Schedule K (Form 990) 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		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

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

Part Ⅵ

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

Return Reference	Explanation

Schedule K (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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

Employer identification number

23-1689692

Part I

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

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

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

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 - TRUSTEE	PARTNER IN 94 BRODHEAD ASSOCIATES - TRUSTEE OF LVH	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 M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

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

Attach to Form 990.
Right pointing arrow large image

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

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

LEHIGH VALLEY HOSPITAL

Employer identification number

23-1689692

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....	X	4	1,218	FAIR MARKET VALUE
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..	X		1,000	FAIR MARKET VALUE
5 Clothing and household goods .......	X		82,703	FAIR MARKET VALUE
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...	X	25	16,824	FAIR MARKET VALUE
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( SERVICES )	X	15	88,449	FAIR MARKET VALUE
26 Other ( TOYS/ACTIVITIES )	X	82	76,910	FAIR MARKET VALUE
27 Other ( GIFT CARDS )	X	127	20,106	COST
28 Other ( )

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

Yes

30a

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

30a

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

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

Yes

32a

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

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

32a

If "Yes," describe in Part II.

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

describe in Part II.

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

Cat. No. 51227J

Schedule M (Form 990) (2023)

Page 2

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

Return Reference	Explanation

Schedule M (Form 990) (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

Employer identification number

23-1689692

Return Reference	Explanation
FORM 990, PART III, LINE 4C, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED):	AMBULATORY SERVICES - LVH'S AMBULATORY SERVICES INCLUDE HEALTH CENTERS, SLEEP DISORDER CENTERS, OCCUPATIONAL MEDICINE, DIAGNOSTIC IMAGING, BREAST HEALTH SERVICES, CARDIO-PULMONARY REHABILITATION, INPATIENT AND OUTPATIENT REHABILITATION, HOMECARE AND HOSPICE SERVICES, SPORTS PERFORMANCE, ATHLETIC TRAINING, DURABLE MEDICAL EQUIPMENT (DME), ENDOCRINE TESTING, AUDIOLOGY, AND FITNESS SERVICES. LVH CONTINUES TO EXPAND ITS HEALTH CENTERS AND OPERATES 30 CENTERS, 21 OF WHICH ARE SITUATED THROUGHOUT THE LEHIGH VALLEY. CORE SERVICES IN MOST OF THE HEALTH CENTERS INCLUDE EXPRESS CARE, FAMILY MEDICINE, IMAGING INCLUDING BREAST HEALTH SERVICES, REHABILITATION, LAB, PRIMARY CARE, AND SPECIALTY MEDICAL SUITES. THE HEALTH CENTERS LOCATED IN ALLENTOWN AND BETHLEHEM ALSO INCLUDE FITNESS CENTERS PROVIDING ACCESS TO PREVENTION SERVICES AND EDUCATIONAL EVENTS FOR COLLEAGUES AND COMMUNITY MEMBERS. IN FY2024, THE HEALTH CENTERS HOSTED 120 COMMUNITY EVENTS CONNECTING 550 COMMUNITY MEMBERS TO OUR NETWORK. THE SPORTS MEDICINE TEAM WORKED IN PARTNERSHIP WITH 37 DIFFERENT SCHOOLS AND COLLEGES WHILE THE OCCUPATIONAL MEDICINE DIVISION SERVED OVER 2,000 EMPLOYERS NETWORK-WIDE AND OFFERED ONSITE CLINICAL SERVICES AT 8 LOCATIONS WITHIN THE LVH REGION. LVH SLEEP DISORDER CENTERS ARE IN ALLENTOWN AND BETHLEHEM WITH ADDITIONAL HOME SLEEP TESTING DISTRIBUTION SITES AT THE FOLLOWING LOCATIONS: FOGELSVILLE, HAMBURG, MOSELEM SPRINGS, AND PALMER TOWNSHIP. AMBULATORY SERVICES ALSO CULTIVATED STRONG PARTNERSHIPS WITH SKILLED NURSING FACILITIES AND HOME HEALTHCARE AGENCIES THROUGH THE WORK OF OUR POST-ACUTE CARE COLLABORATIVE. THIS INITIATIVE SERVES TO IMPROVE QUALITY OUTCOMES AND PATIENT EXPERIENCES AS THEY NAVIGATE THROUGH THE CONTINUUM OF CARE. IN FY2024, POST-ACUTE CARE NAVIGATORS PERSONALLY GUIDED THE CARE OF 1,988 PATIENTS THROUGH THEIR TRANSITION FROM THE HOSPITAL TO A POST-ACUTE FACILITY OR DIRECTLY BACK TO HOME AS WELL AS FACILITATING TELE-SNF VISITS FOR 326 PATIENTS. LEHIGH VALLEY HOMECARE - LEHIGH VALLEY HOME CARE IS A MEDICARE CERTIFIED, JOINT COMMISSION ACCREDITED, STATE LICENSED AND MAGNET DESIGNATED PROVIDER OF SKILLED HOME HEALTH SERVICES SERVING THE GREATER LEHIGH VALLEY AND THE SURROUNDING TERRITORIES. THE HOME HEALTH CARE PROGRAM PROVIDES A FULL SCOPE OF PROFESSIONAL SERVICES IN OUR PATIENTS WHILE KEEPING THEM IN THEIR HOME. WE ASSIST THOSE WHO ARE RECOVERING FROM ILLNESS OR SURGERY THROUGH RESTORATIVE SKILLED SERVICES AND PATIENT EDUCATION. WE USE AN INTERDISCIPLINARY TEAM APPROACH WITH AN EMPHASIS ON HELPING PATIENTS ACHIEVE THEIR GOALS. THE TEAM CONSISTS OF NURSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY AND MEDICAL SOCIAL WORK. IN ADDITION TO OUR PROFESSIONAL SERVICES, WE ALSO PROVIDE CERTIFIED NURSING ASSISTANCE TO THOSE PATIENTS MEETING THE CRITERIA FOR THOSE SERVICES. SPECIALTY AREAS INCLUDE WOUND CARE, CARDIAC CARE, ONCOLOGY, IV THERAPIES AND THERAPY-DRIVEN RESTORATIVE SERVICES. LVHN HOME CARE PARTNERS CLOSELY WITH ALL LEVELS OF THE CARE TRANSITION TEAMS AND COMMUNITY PARTNERS TO ENSURE A COMPLETE WRAPPING OF SERVICES TO THOSE PATIENTS CHOOSING LVHN AS THEIR SERVICE PROVIDER. THE ALLENTOWN OFFICE CURRENTLY SERVES LEHIGH, NORTHAMPTON COUNTY AND PORTIONS OF BERKS, CARBON, AND SCHUYLKILL COUNTIES. WE ARE ACCESSIBLE 24 HOURS A DAY WITH A PROFESSIONAL ON-CALL STAFF. IN FY2024 LEHIGH VALLEY HOME CARE HAD THE PLEASURE OF SERVING AND SUPPORTING 5,301 PATIENTS IN THE COMMUNITY WHILE PROVIDING 88,504 UNIQUE IN-HOME PATIENT VISITS. LEHIGH VALLEY HOSPICE - LEHIGH VALLEY HOSPICE IS A MEDICARE CERTIFIED, JOINT COMMISSION ACCREDITED, STATE LICENSED AND MAGNET DESIGNATED FULL-SERVICE PROVIDER OF HOSPICE SERVICES, INCLUDING A DEDICATED 10-BED INPATIENT UNIT AT THE 17TH STREET CAMPUS. WE ARE COMMITTED TO PROVIDING AN INTERDISCIPLINARY TEAM APPROACH TO MEETING THE PHYSICAL, SOCIAL, SPIRITUAL, AND EMOTIONAL NEEDS OF BOTH OUR ADULT AND PEDIATRIC PATIENTS AND THEIR FAMILIES DURING THE LAST STAGES OF ILLNESS, THE DYING PROCESS AND THE BEREAVEMENT PERIOD FOLLOWING. LVHN HOSPICE PARTNERS CLOSELY WITH OASIS SERVICES, CASE MANAGEMENT, HOME CARE SERVICES, AND OTHERS TO ENSURE SMOOTH CARE TRANSITIONS FROM THE CURATIVE CARE MODEL TO THE PALLIATIVE CARE FOCUS. THE ALLENTOWN OFFICE CURRENTLY SERVES LEHIGH, NORTHAMPTON, AND CARBON COUNTIES ALONG WITH PORTIONS OF BERKS, LUZERNE, AND SCHUYLKILL COUNTIES. WE ARE ACCESSIBLE 24 HOURS A DAY WITH A PROFESSIONAL ON-CALL STAFF. IN FY2024, LEHIGH VALLEY HOSPICE HAD THE PLEASURE OF SERVING AND SUPPORTING 1,971 PATIENTS IN THE COMMUNITY WHILE PROVIDING 66,308 SERVICE DAYS. IN ADDITION TO THOSE DIRECT SERVICES, THE HOSPICE BEREAVEMENT PROGRAM PROVIDED 2,380 INDIVIDUAL COUNSELING SESSIONS TO CHILDREN, TEENS AND ADULTS WHO WERE IMPACTED BY THE LOSS OF OTHERS. REHABILITATION SERVICES - THE DIVISION OF REHABILITATION PROVIDES COMPREHENSIVE PROGRAMS THROUGH A CONTINUUM DESIGNED TO MEET THE NEEDS OF PATIENTS OF ALL AGES WHO ARE RECOVERING FROM ILLNESS OR INJURY. THE DIVISION PROVIDES INTENSIVE REHABILITATIVE MEDICINE AND NURSING CARE COMBINED WITH PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY SERVICES AT ITS STATE-OF-THE-ART INPATIENT REHABILITATION CENTERS WITH 34 BEDS AT LVH-CEDAR CREST AND 28 BEDS AT LVH-MUHLENBERG. FOR PATIENTS UNABLE TO TOLERATE AGGRESSIVE THERAPY SERVICES, LVH PROVIDES SHORT-TERM MEDICAL, NURSING, AND REHABILITATIVE CARE AT ITS 52-BED TRANSITIONAL SKILLED UNIT LOCATED ON THE LVH-17TH STREET CAMPUS. THE DIVISION ALSO OFFERS CONVENIENT AND ACCESSIBLE OUTPATIENT THERAPY SERVICES SERVING THE COMMUNITY WITH OVER 59 LOCATIONS. IN FY2024, THE OUTPATIENT DIVISION EXPANDED ACCESS POINTS TO INCLUDE NEW LOCATIONS AT THE HEALTH CENTERS TREXLERTOWN AND GILBERTSVILLE. THE REHABILITATION DIVISION OFFERS ADVANCED CARE IN OVER 30 CLINICAL SPECIALTY AREAS INCLUDING NEUROLOGIC REHAB, ORTHOPEDICS, SPORTS MEDICINE, WOMEN'S HEALTH, ONCOLOGY REHAB, AUDIOLOGY, CARDIAC AND PULMONARY REHAB, AND PEDIATRIC THERAPY SERVICES. TO INCREASE ACCESS, THE DIVISION HAS INCREASED ITS OFFERING OF OUTPATIENT THERAPY OFFERED WITHIN A PATIENT'S HOME OFFERING OVER 10,682 VISITS IN THIS CAPACITY IN FY2024. ADDITIONALLY, THE INPATIENT REHABILITATION CENTERS LVH-CEDAR CREST AND LVH-MUHLENBERG PROVIDED INTENSIVE REHABILITATIVE SERVICE TO 1,302 PATIENTS. OUTPATIENT REHABILITATION PROVIDED 429,590 PATIENT VISITS AT LVH-CEDAR CREST AND LVH-MUHLENBERG LOCATIONS. AT A NETWORK LEVEL, LVHN'S REHABILITATION SERVICES DIVISION CURRENTLY STANDS AS THE LARGEST PROVIDER OF REHABILITATIVE CARE IN THE REGION WITH INPATIENT REHABILITATION SERVICES EMBEDDED WITHIN 5 HOSPITALS AND OUTPATIENT SERVICES EXCEEDING 610,000 PATIENT VISITS ACROSS ALL CAMPUSES. IN SUPPORT OF PROFESSIONAL DEVELOPMENT AND COLLEAGUE ENGAGEMENT, THE DIVISION COLLABORATED WITH 32 UNIVERSITIES/COLLEGES INCLUDING HOSTING 320 GRADUATE LEVEL STUDENTS, 4 PHYSICAL THERAPY RESIDENTS, 2 PHYSICAL THERAPY FELLOWS, 1 OCCUPATIONAL THERAPY DOCTORAL CAPSTONE STUDENT, AND 1 SUMMER RESEARCH SCHOLAR. FOR FY2024, COLLEAGUES FROM ACROSS ALL REHABILITATIVE SPECIALTIES PRESENTED CLINICAL FINDINGS AT 7 NATIONAL AND 6 REGIONAL CONFERENCES. IMAGING SERVICES - IMAGING SERVICES PROVIDES A VARIETY OF DIAGNOSTIC AND THERAPEUTIC PROCEDURES FOR PATIENTS OF ALL AGES, 24 HOURS A DAY, SEVEN DAYS PER WEEK. THE DEPARTMENT PERFORMED 662,015 DIAGNOSTIC STUDIES AND PROCEDURES IN FY2024. RADIOLOGY SERVICES INCLUDE THE PROVISION OF EMERGENT, ACUTE, PREVENTIVE, CONSULTATIVE, DIAGNOSTIC, AND THERAPEUTIC IMAGING TO PATIENTS IN THE EMERGENCY, SURGICAL, INPATIENT AND OUTPATIENT SETTINGS OF LVH. THE IMAGING MODALITIES WE OFFER ARE CT SCAN, DIAGNOSTIC X-RAY, FLUOROSCOPY, NUCLEAR MEDICINE, PET/CT SCAN, ULTRASOUND, VASCULAR, INTERVENTIONAL AND NEUROINTERVENTIONAL, BONE DENSITOMETRY (DEXA), AND MRI. THESE SERVICES ARE OFFERED IN THE EMERGENCY, SURGICAL, INPATIENT AND OUTPATIENT SETTINGS OF LVHN. AT A NETWORK LEVEL LVHN IMAGING IS LOCATED WITHIN 14 HOSPITALS, 54 HEALTH CENTER AND EXPRESSCARE LOCATIONS. IN THE LEHIGH VALLEY IMAGING IS EMBEDDED WITHIN EIGHT HOSPITALS, AND 18 HEALTH CENTERS AND EXPRESSCARE LOCATIONS. IN FY2024, THE SERVICE EXPANDED ACCESS POINTS WITHIN THE COMMUNITY WITH THE OPENING OF LVH-MACUNGIE AND LVH-GILBERTSVILLE NEIGHBORHOOD HOSPITALS WITH SERVICES INCLUDING DIAGNOSTIC X-RAY, ULTRASOUND/VASCULAR, CT, AND MRI. THE GILBERTSVILLE LOCATION HAS A DEDICATED CARDIAC CT SCANNER WHICH IS THE FIRST OF ITS KIND WITHIN THE NETWORK.
FORM 990, PART III, LINE 4C, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED):	LEHIGH VALLEY REILLY CHILDREN'S HOSPITAL (LVRCH OF LVHN AT LVH AND LVH-MUHLENBERG) -INTRODUCED IN MAY 2012, LEHIGH VALLEY REILLY CHILDREN'S HOSPITAL (LVRCH) OFFERS THE MOST WIDE-RANGING, SPECIALIZED HEALTH CARE SERVICES FOR CHILDREN OF ANY FACILITY IN THE REGION. LVRCH HAS THE REGION'S LARGEST AND BUSIEST CHILDREN'S EMERGENCY DEPARTMENT. LVRCH HAS THE ONLY LEVEL IV NEONATAL INTENSIVE CARE UNIT (NICU), CHILDREN'S AMBULATORY SURGERY CENTER, AND CHILDREN'S CANCER AND INFUSION CENTER ALL LOCATED AT LVH-CEDAR CREST. LVRCH HAS BEEN A FULL INSTITUTIONAL MEMBER OF THE CHILDREN'S HOSPITAL ASSOCIATION FOR 11 YEARS AND HAS HAD A PEDIATRIC RESIDENCY TRAINING PROGRAM FOR 12 YEARS. LVRCH ALSO HAS A LEVEL II NICU AND AN ADOLESCENT INPATIENT PSYCHIATRIC UNIT AT LVH-MUHLENBERG. IT HAS A PEDIATRIC SLEEP CENTER, AND A PEDIATRIC CYSTIC FIBROSIS CENTER. THERE ARE MULTIPLE SURGICAL AND MEDICAL SPECIALISTS WHO PROVIDE CARE WITHIN LVRCH, INCLUDING SERVICES PROVIDED TO CHILDREN WITH BLEEDING DISORDERS THROUGH THE REGION'S ONLY HEMOPHILIA TREATMENT CENTER. THROUGH OUR SCHOOL-BASED BEHAVIORAL HEALTH SERVICES LVRCH PROVIDES MENTAL HEALTH CARE TO STUDENTS IN 60 SCHOOLS FROM 12 SCHOOL DISTRICTS ACROSS THE REGION. THIS PAST YEAR 850 STUDENTS RECEIVED THERAPY. LVRCH PROVIDES CARE FOR CHILDREN WITH MEDICAL COMPLEXITY IN CONCERT WITH THE VALLEY HEALTH PARTNERS CHILDREN'S CLINIC AT LVH-17TH STREET AND LVPG PEDIATRICS AT EASTON AND HAS THE REGION'S ONLY CHILDREN'S EXPRESS CARES AT TWO SITES. IN JULY OF 2021, LVRCH OPENED AN EXPANDED PEDIATRIC INTENSIVE CARE UNIT, INCREASING BEDS FROM EIGHT TO 12 AS WELL AS A NEW AND EXPANDED CHILDREN'S EMERGENCY DEPARTMENT AND PEDIATRIC OBSERVATION UNIT. THE PAST FISCAL YEAR, 5,781 CHILDREN WERE ADMITTED TO LVRCH (INCLUDING OBSERVATIONS) AND 29,835 RECEIVED CARE IN THE CHILDREN'S EMERGENCY DEPARTMENT. THE LVRCH-AFFILIATED PROFESSIONALS AND STAFF ARE COMMITTED TO IMPROVING THE HEALTH AND WELL-BEING OF CHILDREN IN THE REGION. THEY ARE ACTIVE MEMBERS OF CHILDREN'S HOSPITALS' SOLUTIONS FOR PATIENT SAFETY, A NATIONAL ORGANIZATION OF OVER 135 CHILDREN'S HOSPITALS, WHICH PROMOTES PATIENT SAFETY THROUGH SHARING OF OUTCOMES AND PROCESS METRICS AND COLLABORATIVE INNOVATION. THEY HAVE DEVELOPED OVER 30 CLINICAL PATHWAYS, WHICH DRIVE HIGH-QUALITY, EFFICIENT CARE. LVRCH PROVIDES SPECIALIZED PEDIATRIC TRAUMA AND BURN CARE, PEDIATRIC CANCER CARE AND EXPERT INPATIENT CARE IN THE PEDIATRIC AND NEONATAL INTENSIVE CARE UNITS AND ON THE PEDIATRIC MEDICAL-SURGICAL AND OBSERVATION UNIT. LVHN'S BOARD-CERTIFIED PHYSICIANS PROVIDE CHILDREN'S CARE IN GREATER THAN 30 PEDIATRIC SPECIALTIES INCLUDING PEDIATRIC SURGERY, PEDIATRIC UROLOGY, PEDIATRIC ENT, PEDIATRIC PLASTIC SURGERY, PEDIATRIC ORTHOPEDICS, PEDIATRIC NEUROSURGERY, PEDIATRIC ANESTHESIA, PEDIATRIC RADIOLOGY, PEDIATRIC HEMATOLOGY-ONCOLOGY, PEDIATRIC PULMONOLOGY, PEDIATRIC NEUROLOGY, PEDIATRIC ENDOCRINOLOGY, PEDIATRIC INFECTIOUS DISEASE, PEDIATRIC RHEUMATOLOGY, PEDIATRIC GASTROENTEROLOGY, PEDIATRIC HOSPITAL MEDICINE, NEONATOLOGY, PEDIATRIC CRITICAL CARE MEDICINE, PEDIATRIC EMERGENCY MEDICINE, ADOLESCENT MEDICINE, PEDIATRIC NEUROPSYCHOLOGY, CHILD PROTECTION MEDICINE, AND CHILD AND ADOLESCENT PSYCHIATRY. IN PARTNERSHIP WITH VALLEY HEALTH PARTNERS AND COMMUNITY SERVICES FOR CHILDREN (CSC), LVRCH PROVIDES AND SUPPORTS EDUCATIONAL SERVICES THROUGH THE ALLENTOWN CHILDREN'S HEALTH IMPROVEMENT PROJECT (ACHIP), A COMMUNITY-BASED NEEDS ASSESSMENT, RESOURCE CONNECTION, AND FAMILY EMPOWERMENT SERVICE FOR FAMILIES WITH CHILDREN UNDER FIVE YEARS OLD. LVRCH IS THE HEALTH CARE SPONSOR OF THE BUILD CHALLENGE GRANT AWARDED TO ALLENTOWN WITH CSC AS THE PRIMARY GRANTEE. THE WELLER HEALTH EDUCATION SERVICE LINE PROVIDES HIGHLY REGARDED CURRICULA-BASED HEALTH PROGRAMS ADMINISTERED BY PROFESSIONAL EDUCATORS TO OVER 32,000 STUDENTS EACH YEAR IN 24 SCHOOL DISTRICTS ACROSS THE REGION. LVRCH PROMOTES SAFETY AND HEALTHY LIVING IN VARIOUS FORUMS THROUGHOUT THE YEAR. THE MOST NOTABLE IS OUR COMMUNITY CANVAS PROGRAM, WHICH IN PARTNERSHIP WITH THE KELLYN FOUNDATION PROVIDES PROGRAMS IN 19 ELEMENTARY SCHOOLS THAT PROMOTE GOOD NUTRITION AND HEALTHY LIVING. PHARMACY SERVICES - LEHIGH VALLEY PHARMACY SERVICES OFFERS A FULL RANGE OF PHARMACY SERVICES IN FIVE CONVENIENT, PATIENT-FOCUSED LOCATIONS: LVH-CEDAR CREST, LVH-17TH STREET, LVH-MUHLENBERG, LVH-POCONO, AND LVH-SCHUYLKILL. ADDITIONALLY, PRESCRIPTION PICK-UP LOCATIONS ARE AVAILABLE AT LVH-HECKTOWN OAKS, LVH-CARBON, AND LVH-DICKSON CITY TO BETTER SERVE PATIENTS BEING DISCHARGED FROM THESE FACILITIES AS WELL AS OUR LVHN COLLEAGUES. THE SPECIALTY PHARMACY AND HOME INFUSION PHARMACY, LOCATED AT 2024 LEHIGH STREET, PROVIDE HOME INFUSION AND SPECIALTY PHARMACY SERVICES TO RESIDENTS OF SURROUNDING COUNTIES IN EASTERN PENNSYLVANIA. PHARMACY SERVICES INCLUDE PRESCRIPTIONS, COMPOUNDING, SPECIALTY MEDICATIONS, VACCINATIONS, OVER THE COUNTER, HERBAL/ALTERNATIVE MEDICATIONS, PERSONAL CARE PRODUCTS, FIRST AID, WOUND CARE, OSTOMY, KNEE BRACES, ORTHOTICS, VASCULAR GARMENTS, POST-MASTECTOMY, BREAST PROSTHESES, DIABETIC SUPPLIES, AND HOME INFUSION. THE RETAIL PHARMACIES ARE ACCREDITED BY THE BOARD OF CERTIFICATION/ACCREDITATION INTERNATIONAL, THE SPECIALTY PHARMACY IS ACCREDITED BY UTILIZATION REVIEW ACCREDITATION COMMISSION (URAC), THE NATION'S LEADER IN PHARMACY ACCREDITATION, AND THE HOME INFUSION PHARMACY IS ACCREDITED BY COMMUNITY HEALTH ACCREDITATION PROGRAM. THE RETAIL PHARMACIES ARE EQUIPPED WITH WORKFLOW, COUNTING CELL, AND BAR CODE SCANNING TECHNOLOGY. PILLS IN A POUCH COMPLIANCE PACKAGING, BEDSIDE DELIVERY, AND CONVENIENCE SHIPPING ARE ALSO OFFERED. IN COLLABORATION WITH THE INPATIENT PHARMACIES AT LVH-CEDAR CREST, LVH-MUHLENBERG, AND LVH-HECKTOWN OAKS, A TRANSITIONS OF CARE PROGRAM ASSISTS PATIENTS WITH EDUCATION AND MEDICATION ADHERENCE. IN FISCAL YEAR 2024, 558,550 PRESCRIPTIONS WERE FILLED, AND 5,688 INFUSION PATIENTS WERE SERVICED. THE LVHN INPATIENT PHARMACY SERVICES ARE NATIONALLY RECOGNIZED FOR EFFORTS IN MEDICATIONS SAFETY AND ADVANCES IN TECHNOLOGY. THE DEPARTMENT UTILIZES ADVANCED MEDICATION SAFETY TECHNOLOGIES INCLUDING COMPUTERIZED PROVIDER ORDER ENTRY, BEDSIDE BARCODING MEDICATION VERIFICATION, TWO MEDICATION DISPENSING ROBOTS, AND AUTOMATED DISPENSING CABINETS. THE STAFF HAS BOARD CERTIFIED CLINICAL PHARMACY SPECIALISTS IN THE AREAS OF INFECTIOUS DISEASE, ADULT AND PEDIATRIC ONCOLOGY, TRAUMA, BURN, CRITICAL CARE, PEDIATRICS, CARDIOLOGY, SOLID ORGAN TRANSPLANT, EMERGENCY MEDICINE, ENDOCRINOLOGY, AND INTERNAL MEDICINE. THE DEPARTMENT USES A UNIT-BASED MODEL TO PROVIDE PHARMACY SERVICES AT THE POINT OF CARE. GUIDED BY THE QUADRUPLE AIM, PHARMACY SERVICES CONTINUES TO INNOVATE, PROVIDING THE HIGHEST LEVEL OF CARE TO OUR PATIENTS THROUGH OUTSTANDING CLINICAL SERVICES, AND A DISTRIBUTION MODEL THAT PROVIDES SAFETY AND EFFICIENCIES LIKE NO OTHER. COMMUNITY PRACTICES AND PROGRAMS - LOCATED IN THE HEART OF ALLENTOWN, LEHIGH VALLEY HOSPITAL (LVH)-17TH STREET WAS FOUNDED 125 YEARS AGO AND IS THE ORIGINAL HOSPITAL IN THE LEHIGH VALLEY HEALTH NETWORK HOSPITAL SYSTEM. WALKABLE AND EASILY ACCESSIBLE VIA PUBLIC TRANSPORTATION, LVH-17TH STREET IS A HUB OF COMMUNITY WELLNESS OFFERING A RANGE OF ESSENTIAL PROGRAMS AND SERVICES FOR ALLENTOWN'S MOST VULNERABLE RESIDENTS INCLUDING BUT NOT LIMITED TO EMERGENCY CARE, AMBULATORY SURGERY, BREAST HEALTH SERVICES, A MENTAL HEALTH CARE CLINIC, INPATIENT HOSPICE CARE, INPATIENT REHABILITATION SERVICES AND A FULL-SERVICE PHARMACY. IN ADDITION, LVH-17TH STREET IS HOME TO SEVERAL COMMUNITY PRACTICES AND PROGRAMS THAT PROVIDE QUALITY, COMPASSIONATE CARE FOR ALL MEMBERS OF THE COMMUNITY, WITH THE MAJORITY OF PATIENTS EITHER QUALIFYING FOR MEDICAID OR HAVING NO INSURANCE, INCLUDING: INTERPRETER SERVICES WHICH IMPROVES OUTCOMES AND REDUCES HEALTH CARE DISPARITIES FOR NON-ENGLISH SPEAKING PATIENTS AND THOSE WHO ARE DEAF AND HARD OF HEARING THROUGH IN-PERSON, VIDEO, AND PHONE INTERPRETING PROVIDED BY CERTIFIED MEDICAL INTERPRETERS; COMPREHENSIVE HEALTH SERVICES WHICH IS THE REGION'S LARGEST HEALTH CARE PROVIDER FOR PATIENTS LIVING WITH OR AFFECTED BY HUMAN IMMUNODEFICIENCY VIRUS (HIV) AND SERVES OVER 1,000 PATIENTS; LVPG GERIATRICS AND THE FLEMING MEMORY CENTER WHICH PROVIDE SPECIALIZED GERIATRIC PATIENT CARE AS WELL AS SUPPORT AND GUIDANCE TO PATIENTS AND FAMILIES AFFECTED BY MEMORY LOSS; THE 17TH STREET DENTAL CLINIC WHICH PROVIDES COMPREHENSIVE DENTAL CARE TO CHILDREN AND ADULTS IN THE HOSPITAL SETTING AND VIA A MOBILE UNIT; THE HEPATITIS CARE CENTER WHICH PROVIDES SPECIALTY CARE FOCUSED ON VIRAL HEPATITIS; AND, THE SCHOOL-BASED BEHAVIORAL HEALTH PROGRAM WHICH PROVIDES LICENSED OUTPATIENT MENTAL HEALTH SERVICES TO HUNDREDS OF UNINSURED AND UNDERINSURED CHILDREN ANNUALLY. IN ADDITION, LVH-17TH STREET OFFERS FOOD SECURITY PROGRAMS FOR PATIENTS IN NEED AND SERVES AS A CENTRALIZED LOCATION FOR PATIENTS TO ACCESS OTHER RESOURCES INCLUDING FINANCIAL COUNSELING AND LEGAL SUPPORT.
FORM 990, PART III, LINE 4C, PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED):	INTEGRATED CARE COORDINATION - IN 2014, LVHN ADOPTED A VISION STATEMENT: TO BECOME AN INNOVATIVE LEADER IN POPULATION HEALTH MANAGEMENT. SINCE THEN, LVHN HAS BEEN BUILDING ITS CAPACITY AND COMPETENCIES TO ACHIEVE THIS VISION. LVHN DEFINES POPULATION HEALTH (PH) AS THE HEALTH AND HEALTH OUTCOMES OF A GROUP OF INDIVIDUALS, INCLUDING HOW THOSE OUTCOMES ARE DISTRIBUTED ACROSS THE GROUP. PH HAS GAINED SIGNIFICANT TRACTION IN LVHN OVER THE LAST FEW YEARS, EVEN THOUGH CURRENTLY LESS THAN 10% OF PAYMENT COMES THROUGH VALUE ARRANGEMENTS. NONETHELESS, LVHN HAS DONE THE GROUNDWORK FOR THE EVENTUALITY THAT THE NATION'S FINANCING MODEL WILL CHANGE TO SUPPORT THE EXECUTION OF A VALUE-DRIVEN, POPULATION HEALTH-BASED DELIVERY SYSTEM. IT IS WITH THIS IN MIND LVHN HAS BEGUN TO CREATE A CULTURE OF DELIVERING THE RIGHT INTERVENTION FOR A SPECIFIC PATIENT IN THE LEAST COSTLY POINT IN THE CARE CONTINUUM AND CREATING VALUE FOR PATIENTS AND PAYERS SO THAT LVHN IS RECOGNIZED AND REIMBURSED FOR THAT KIND OF CARE. THE INTEGRATED CARE COORDINATION DEPARTMENT SEAMLESSLY INTEGRATES CARE COORDINATION EFFORTS ACROSS THE NETWORK WITH BOTH INPATIENT AND AMBULATORY CLINICAL ASSETS. THE FOLLOWING IS AN OVERVIEW OF THE PH RESOURCES DEPLOYED AND COMPLETED IN FY2024: COMMUNITY CARE TEAMS (CCT) - CCT(S) WORK WITH HIGH-RISK PATIENTS BASED ON PREDETERMINED RISK STRATIFICATION, PAYER ARRANGEMENT, AND PROVIDER CLINICAL JUDGMENT. CCT(S) HAVE A NURSE CARE NAVIGATOR, A PHARMACIST, A BEHAVIORAL CARE MANAGER, A SOCIAL WORKER, COMMUNITY HEALTH WORKERS, AND/OR TRANSITION OF CARE ASSOCIATES. THEY COLLABORATE WITH LEHIGH VALLEY PHYSICIAN GROUP AND MEDICAL ASSOCIATES OF THE LEHIGH VALLEY (MATLV) PRIMARY CARE AND SPECIALTY PRACTICES TO FACILITATE THE MANAGEMENT OF THE MOST COMPLEX PATIENTS. CCT(S) COVER OVER 100 PRIMARY CARE AND SPECIALTY PRACTICES ACROSS SEVEN COUNTIES. NURSE-DRIVEN PROTOCOLS AND SPECIALTY REFERRALS ALLOW FOR SEAMLESS COLLABORATION WITH OACIS (OPTIMIZING ADVANCED COMPLEX ILLNESS SUPPORT) HOME-BASED CONSULT SERVICE, HOME CARE, REMOTE PATIENT MONITORING, AND OTHER LVHN NETWORK SERVICES. IN FY2024, CCT(S) ENGAGED WITH 13,292 UNIQUE PATIENTS THROUGH 59,083 TOTAL PATIENT CONTACTS BY PHONE, PORTAL COMMUNICATION, VIDEO VISITS, OR FACE-TO-FACE VISITS. IN FY2024, LVPG PERFORMED 109,262 SOCIAL DETERMINANT SCREENINGS. OF THOSE SCREENED, OVER 27,000 PATIENTS SCREENED POSITIVE FOR NEEDS RELATED TO FINANCIAL RESOURCES, FOOD INSECURITY, HOUSING INSTABILITY, TRANSPORTATION, OR INTIMATE PARTNER VIOLENCE. OF THOSE PATIENTS WHO SCREENED POSITIVE IN THE 5 DOMAINS, 10% OF PATIENT ENCOUNTERS (2,786) WERE REFERRED TO SOCIAL WORK. THE ICC SOCIAL WORK TEAM LOGGED 1,390 REFERRALS TO COMMUNITY-BASED ORGANIZATIONS IN FINDHELP FOR PATIENTS WITH SOCIAL RESOURCE NEEDS. THE CCTS ASSIST PATIENTS AFTER A HOSPITAL DISCHARGE TO ENSURE SAFE TRANSITIONS OF CARE BACK INTO THE COMMUNITY. THE TEAM CONTACTED A TOTAL OF 35,487 PATIENTS AFTER A HOSPITAL STAY IN FY2024. THESE NUMBERS REPRESENT THE CALLS MADE FOR DISCHARGES FROM ONE OF OUR LVH HOSPITALS OR FOR ATTRIBUTED PATIENTS SEEN IN ANOTHER NON-LVHN FACILITY. THROUGHOUT FY2024, EFFORTS CONTINUED TO FOCUS ON INCREASING THE PERCENTAGE OF PATIENTS THAT HAVE A TIMELY FOLLOW-UP VISIT POST-DISCHARGE. THE PERCENT OF PATIENTS SEEN WITHIN 7-DAYS WAS 54.64%. REMOTE PATIENT MONITORING (RPM) - THE RPM TEAM PROVIDES REMOTE MONITORING AND CONDITION-SPECIFIC DISEASE MANAGEMENT SERVICES TO SELECT POPULATIONS, REFERRED AT TIME OF DISCHARGE OR FROM THE AMBULATORY SETTING. IN FY2024, THE RPM TEAM ESTABLISHED CARE PATHWAYS TO ASSIST PATIENTS WITH MANAGING ACUTE SELF-LIMITING OR CHRONIC CONDITIONS SUCH AS HEART FAILURE, COPD, PNEUMONIA, ACUTE MYOCARDIAL INFARCTION, HYPERTENSION, AND HIGH-RISK PREGNANCY. ADDITIONALLY, THE TEAM SUPPORTS PATIENTS POST-PROCEDURE FOR CARDIOTHORACIC SURGERIES AND RENAL TRANSPLANT. ENROLLMENT IN THE PROGRAM IS TARGETED TO LAST ABOUT 90 DAYS. PATIENTS ARE EDUCATED ON HOW TO SELF-MONITOR THEIR CONDITION WITH THE GOAL OF PROGRAM GRADUATION. IN FY2024, THE TEAM HAD A TOTAL OF 25,424 EPISODES. IN FY2024, PATIENTS ENGAGED IN THE PROGRAM HAD LOWER 7-DAY READMISSION RATES (3.84%) THAN THOSE PATIENTS WHO DID NOT ENGAGE (5.76%). ADDITIONALLY, THOSE ENGAGED PATIENTS HAD LOWER 30-DAY READMISSION RATES (15.52%) VERSUS THOSE WHO DID NOT ENGAGE (18.31%). FURTHER ANALYSIS INTO READMISSION RATES WAS COMPLETED FOR HF AND COPD SPECIFICALLY. PER 1,000 PATIENTS WITH RPM, 30-DAY READMISSIONS WERE REDUCED BY 29.18 FOR CHF AND 52.01 FOR COPD. INPATIENT CARE MANAGEMENT - THE IN-PATIENT CARE MANAGEMENT TEAM CONSISTS OF NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, REGISTERED NURSE, AND MASTER'S IN SOCIAL WORK CARE MANAGERS ALONG WITH SOCIAL SERVICE SUPPORT STAFF TO PROVIDE CARE MANAGEMENT SERVICES. THIS TEAMS SERVED OVER 90,000 ACUTE CARE HOSPITALIZED PATIENTS AT 15 LOCATIONS THROUGHOUT THE NETWORK. FY '24 ADDED THE ADDITIONAL MICRO-HOSPITALS IN MACUNGIE AND GILBERTSVILLE. THIS LED THE OPPORTUNITY TO DEPLOY A REMOTE CARE MANAGEMENT MODEL USING VIDEO CONNECTION. IN-PATIENT CARE MANAGEMENT ASSESSES PATIENTS FOR DISCHARGE PLANNING NEEDS INCLUDING HEALTH RELATED SOCIAL NEEDS, RISKS FOR READMISSION AND RISK FOR NEED OF A POST-ACUTE FACILITY STAY. THE TEAM FOCUSED ON LINKING PATIENTS TO OUR AMBULATORY CARE MANAGEMENT RESOURCES: CARES PROGRAMS AND ACUTE CARE BRIDGE CLINICS. THE WHY NOT HOME CAMPAIGN CONTINUED ITS FOCUS ON TRANSITIONING PATIENTS TO HOME WITH HOME-BASED SERVICES. IN FY2024, THE IN-PATIENT CARE MANAGEMENT TEAM PROVIDED $300,000 OF SUPPORT TO INDIGENT CARE. THIS FUNDING PROVIDED EMERGENCY HOUSING, SUPPLIES, TRANSPORTATION, AND MEDICATION TO FACILITATE SAFE DISCHARGES BACK TO THE COMMUNITY. MAGNET STATUS FOR NURSING EXCELLENCE - IN AUGUST 2002, THE AMERICAN NURSES CREDENTIALING CENTER (ANCC) GRANTED MAGNET DESIGNATION TO LVH AND LVH-MUHLENBERG, THE FIRST FULL-SERVICE HOSPITALS IN PENNSYLVANIA TO RECEIVE THE RECOGNITION. DEVELOPED BY THE ANCC IN 1994, THE MAGNET DESIGNATION IS THE AMERICAN NURSES ASSOCIATION'S HIGHEST HONOR FOR EXCELLENCE IN NURSING AND RECOGNIZES LEHIGH VALLEY HOSPITAL AS A NATIONAL AND GLOBAL LEADER IN NURSING EDUCATION, RESEARCH, PATIENT SATISFACTION, EVIDENCED-BASED CARE, IMPROVED PATIENT OUTCOMES, JOB RETENTION AND THE CENTRAL ROLE OF NURSING IN THE ORGANIZATION. HEALTH CARE ORGANIZATIONS MUST REAPPLY FOR MAGNET RECOGNITION EVERY FOUR YEARS. AN ORGANIZATION REAPPLYING FOR MAGNET RECOGNITION MUST PROVIDE DOCUMENTED EVIDENCE TO DEMONSTRATE HOW STAFF MEMBERS SUSTAINED AND IMPROVED MAGNET CONCEPTS, PERFORMANCE, AND QUALITY OVER THE FOUR-YEAR PERIOD SINCE THE ORGANIZATION RECEIVED ITS MOST RECENT RECOGNITION. ADDITIONALLY, RE-DESIGNATING ORGANIZATIONS MUST UNDERGO A SITE VISIT BY A TEAM OF MAGNET APPRAISERS WHO SPEND TIME INTERACTING WITH NURSES AND OTHER COLLEAGUES TO VALIDATE, VERIFY AND AMPLIFY COMPLIANCE AND ENCULTURATION OF KEY MAGNET MODEL COMPONENTS WHICH INCLUDE TRANSFORMATIONAL LEADERSHIP; STRUCTURAL EMPOWERMENT; EXEMPLARY PROFESSIONAL PRACTICE; NEW KNOWLEDGE, INNOVATIONS, AND IMPROVEMENTS; AND EMPIRICAL QUALITY RESULTS. IN 2006, 2011, 2016, AND 2020, LVH WAS RE-DESIGNATED AS A MAGNET HOSPITAL, CONTINUING TO DEMONSTRATE THE REQUIRED EVIDENCE OF A PRACTICE ENVIRONMENT IN WHICH PROFESSIONAL NURSES AND INTERDISCIPLINARY COLLEAGUES LEAD THE REFORMATION OF HEALTH CARE AND THE CARE OF THE PATIENT, FAMILY, AND COMMUNITY. LEHIGH VALLEY HOSPITAL WILL SUBMIT OUR SIXTH MAGNET DESIGNATION DOCUMENT ON FEBRUARY 1, 2025.
FORM 990, PART VI, SECTION A, LINE 6	THE ORGANIZATION'S SOLE CORPORATE MEMBER IS LEHIGH VALLEY HEALTH NETWORK, INC.
FORM 990, PART VI, SECTION A, LINE 7A	THE ORGANIZATION'S SOLE CORPORATE MEMBER, LEHIGH VALLEY HEALTH NETWORK, INC., HAS THE POWER TO ELECT, APPOINT, APPROVE, OR REJECT MEMBER'S OF THE ORGANIZATION'S GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7B	THE ORGANIZATION'S SOLE CORPORATE MEMBER, LEHIGH VALLEY HEALTH NETWORK, INC., HAS THE POWER TO APPROVE OR REJECT CERTAIN MAJOR OPERATING DECISIONS MADE BY THE ORGAZINATION'S GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11B	THE PROCESS TO REVIEW THE FORM 990'S INCLUDES: DRAFT 1 OF THE RETURNS IS REVIEWED IN DETAIL WITH A FOCUS ON ACCURACY, COMPLETENESS, AND PERSPECTIVE BY THE LVHN VICE-PRESIDENT, FINANCE & CONTROLLER. DRAFT 2 OF THE RETURNS IS REVIEWED BY THE EXECUTIVE VICE PRESIDENT AND CHIEF FINANCIAL OFFICER. ALL COMPENSATION DISCLOSURES ARE REVIEWED BY THE DIRECTOR, COMPENSATION - HUMAN RESOURCES. DRAFT 3 OF THE RETURNS IS REVIEWED TOGETHER WITH THE PRESIDENT & CEO, THE EXECUTIVE VICE PRESIDENT & CHIEF FINANCIAL OFFICER, THE VICE-PRESIDENT, FINANCE & CONTROLLER, AND THE ADMINISTRATOR, TAX. FINAL RETURNS ARE PROVIDED TO THE FULL BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	IN JANUARY 2016, LVHN IMPLEMENTED AN ELECTRONIC TOOL DESIGNED TO SEND NOTIFICATIONS AND TRACK DISCLOSURES REPORTED ON CONFLICT OF INTEREST QUESTIONNAIRES. THE NETWORK ALSO EXPANDED THE SCOPE OF THE CONFLICT OF INTEREST OR COMMITMENT POLICY, SUCH THAT ADDITIONAL COLLEAGUES ARE NOW REQUIRED TO COMPLETE A QUESTIONNAIRE EACH YEAR. PRIOR TO JANUARY, THE VP, INTERNAL AUDIT AND COMPLIANCE SERVICES ISSUED A NOTICE TO BOARD MEMBERS AND MEMBERS OF THE SENIOR MANAGEMENT COUNCIL WHEN IT WAS TIME FOR THEM TO SUBMIT THEIR CONFLICT OF INTEREST QUESTIONNAIRES. THE VP ALSO INSTRUCTED MEMBERS OF THE SENIOR MANAGEMENT COUNCIL TO IDENTIFY AND REQUEST COMPLETED CONFLICT OF INTEREST QUESTIONNAIRES FROM INDIVIDUALS WHO HAD POTENTIAL CONFLICTS OF INTEREST AND TO PROVIDE HER WITH THE IDENTITY OF THOSE INDIVIDUALS. COMPLIANCE SERVICES TRACKED COMPLETION OF THE QUESTIONNAIRES. ALL PHYSICIANS ON LVHN'S MEDICAL STAFF ARE ALSO REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. MEDICAL STAFF SERVICES MONITORS THIS PROCESS TO ENSURE THAT ALL PHYSICIANS COMPLY. POTENTIAL CONFLICTS ARE MANAGED BY THE LVHN CONFLICT OF INTEREST COMMITTEE AND/OR BY THE BOARD OF TRUSTEES, DEPENDING ON WHOSE INTEREST(S) POSE THE CONFLICT AND THE NATURE OF THE CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15	LEHIGH VALLEY HEALTH NETWORK 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	LEHIGH VALLEY HOSPITAL'S FORM 990 IS AVAILABLE ON THE ORGANIZATION'S WEBSITE - WWW.LVHN.ORG. IT IS ALSO AVAILABLE ON GUIDESTAR (ANOTHER'S WEBSITE) AND UPON REQUEST; PRINTED COPIES ARE HELD BY SENIOR MANAGEMENT AND BY THE MARKETING DEPARTMENT. THE ORGANIZATION'S FORM 990-T IS ONLY AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH ITS ANNUAL REPORT TO THE COMMUNITY. THE ANNUAL REPORT IS DISTRIBUTED TO ALL ATTENDEES AT THE ORGANIZATIONS ANNUAL PUBLIC MEETING. THE ANNUAL REPORT IS AVAILABLE ON THE ORGANIZATION'S WEBSITE - WWW.LVHN.ORG. IN ADDITION, IT IS DISTRIBUTED VIA MAIL TO MEMBERS OF THE COMMUNITY. THE ORGANIZATIONS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART 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 XI, LINE 9:	UNFUNDED PENSION -20,895,015. TRANSFERS TO/FROM AFFILIATES 59,619,740.

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

Employer identification number

23-1689692

Part I

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

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

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)FAMILY CARE CENTERS INC PO BOX 4000 ALLENTOWN,PA181054000 23-2349341	PHYSICIAN PRACTICE ORGANIZATION	PA	501(C)(3)	LINE 3	LEHIGH VALLEY PHYSICIAN GROUP		No
(2)HAZLETON HEALTH & WELLNESS CENTER PO BOX 4000 ALLENTOWN,PA181054000 23-2580968	STAFFING SERVICES	PA	501(C)(3)	LINE 12B, II	LEHIGH VALLEY 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 HOSPITAL PO BOX 4000 ALLENTOWN,PA181054000 23-1689692	HEALTH CARE ORGANIZATION	PA	501(C)(3)	LINE 3	LEHIGH VALLEY HEALTH NETWORK		No
(8)LEHIGH VALLEY HOSPITAL - HAZLETON PO BOX 4000 ALLENTOWN,PA181054000 23-2421970	HEALTH CARE ORGANIZATION	PA	501(C)(3)	LINE 3	LEHIGH VALLEY HEALTH NETWORK		No
(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)LEHIGH VALLEY HEALTH NETWORK REALTY HOLDING COMPANY (FINAL 03-31-2024) PO BOX 4000 ALLENTOWN,PA181054000 23-2586770	REAL ESTATE HOLDING CO.	PA	501(C)(2)		LEHIGH VALLEY HEALTH NETWORK		No
(15)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
(16)POCONO HEALTH FOUNDATION PO BOX 4000 ALLENTOWN,PA181054000 23-2516451	FUNDRAISING	PA	501(C)(3)	LINE 12A, I	LEHIGH VALLEY HOSPITAL - POCONO		No
(17)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
(18)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
(19)POCONO VNA-HOSPICE PO BOX 4000 ALLENTOWN,PA181054000 23-2535297	HEALTH CARE ORGANIZATION	PA	501(C)(3)	LINE 10	LEHIGH VALLEY HOSPITAL - POCONO		No
(20)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	LEHIGH VALLEY HOSPITAL	RELATED	263,124			No			No	97.930 %
(6) HEALTH NETWORK LABORATORIES LLC 794 ROBLE ROAD ALLENTOWN,PA181099110 23-2948774	LABORATORY SERVICES	PA	LEHIGH VALLEY HOSPITAL	RELATED	36,492,430	606,706,519		No			No	100.000 %
(7) LEHIGH VALLEY IMAGING LLC 1247 S CEDAR CREST BLVD STE 105 ALLENTOWN,PA181036202 46-4551937	IMAGING SERVICES	PA	LEHIGH VALLEY HOSPITAL	RELATED	54,304,623	65,963,743		No			No	72.770 %
(8) LVHN RECIPROCAL RISK RETENTION GROUP 151 MEETING STREET STE 301 CHARLESTON,SC294012238 20-0037118	INSURANCE SERVICES	PA	LEHIGH VALLEY HEALTH NETWORK	RELATED		33,073,154		No			No	30.000 %
(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	LEHIGH VALLEY HOSPITAL	C	38,706		51.000 %		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	LEHIGH VALLEY HOSPITAL	C	779,971	31,529,418	50.000 %		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 .....................

Yes

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

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

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

Yes

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

Yes

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

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

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

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

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

Yes

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

Yes

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

Yes

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

Yes

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

Yes

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

Yes

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

Yes

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

Yes

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

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

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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) SCHUYLKILL HEALTH SYSTEM DEVELOPMENT CORPORATION	K	26,544	FAIR MARKET VALUE
(2) LVHN REALTY HOLDING CORPORATION	K	8,848	FAIR MARKET VALUE

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:

1	Briefly describe the organization’s mission or most significant activities: OUR MISSION IS TO HEAL, COMFORT AND CARE FOR THE PEOPLE OF OUR COMMUNITY BY PROVIDING ADVANCED AND COMPASSIONATE HEALTH CARE OF SUPERIOR QUALITY AND VALUE, SUPPORTED BY EDUCATION AND RESEARCH.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	15
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	7
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	14,500
6	Total number of volunteers (estimate if necessary) .............	6	1,048
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	52,853,824
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	10,737,280

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	39,563,621	28,398,947
9	Program service revenue (Part VIII, line 2g) .........	2,999,588,939	3,193,182,845
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	28,582,791	-127,952,866
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	120,545,203	130,787,801
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	3,188,280,554	3,224,416,727
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	2,765,535	3,382,804
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	1,153,384,692	1,288,484,823
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 3,357,767
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,924,614,784	2,182,486,301
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	3,080,765,011	3,474,353,928
19	Revenue less expenses. Subtract line 18 from line 12.......	107,515,543	-249,937,201
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	3,459,128,387	3,583,294,022
21	Total liabilities (Part X, line 26).............	1,688,115,214	2,019,547,029
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,771,013,173	1,563,746,993

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 3,235,291,933 including grants of $ 3,382,804 ) (Revenue $ 3,124,021,665 )
	LEHIGH VALLEY HOSPITAL (LVH) IS COMPRISED OF EIGHT HOSPITAL CAMPUSES, INCLUDING LVH-CEDAR CREST, LVH-MUHLENBERG, LVH-17TH STREET, LEHIGH VALLEY HEALTH NETWORK (LVHN)-TILGHMAN, LVH-HECKTOWN OAKS, LVH-CARBON, LVH-HIGHLAND AND LVH-1503 NORTH CEDAR CREST. LVH OFFERS A CONTINUUM OF PROGRAMS IN HEALTH CARE PROMOTION, PREVENTION, DIAGNOSIS, TREATMENT, AND REHABILITATION TO THE COMMUNITY. EXTENSIVE INPATIENT, OUTPATIENT AND EDUCATIONAL SERVICES ARE PROVIDED AT LOCATIONS THROUGHOUT THE REGION AND ARE PART OF LVHN. THEY WERE ESTABLISHED TO MEET THE MEDICAL, SURGICAL, AND EDUCATIONAL NEEDS OF THE RESIDENTS OF THE LEHIGH VALLEY AND BEYOND.LVH SERVES AS A REFERRAL CENTER FOR APPROXIMATELY TWO MILLION RESIDENTS OF SURROUNDING COUNTIES IN EASTERN PENNSYLVANIA, WITH A SPECIAL FOCUS IN THE FOLLOWING KEY AREAS:LEHIGH VALLEY TOPPER CANCER INSTITUTE - THE LVH PORTION OF THE LEHIGH VALLEY TOPPER CANCER INSTITUTE (LVTCI) OFFERS A RANGE OF CANCER SERVICES IN FOUR CONVENIENT PATIENT-FOCUSED LOCATIONS: THE JOHN AND DOROTHY MORGAN CANCER CENTER AT LVH-CEDAR CREST, THE CANCER CENTER IN BETHLEHEM AT LVH-MUHLENBERG, IN EASTON AT THE LVH-HECKTOWN OAKS CAMPUS, AND PHYSICIAN OFFICES AND INFUSION SERVICES AT THE HEALTH CENTER AT LVH-CARBON IN LEHIGHTON. CANCER CARE PROGRAMS INCLUDE PREVENTION, DETECTION, DIAGNOSIS, GENETICS, PATIENT NAVIGATION, NUTRITIONAL SERVICES, SOCIAL AND PSYCHOLOGICAL SUPPORT, REHABILITATION, CLINICAL TRIALS, MULTIDISCIPLINARY/COORDINATED CARE, AND ALL FORMS OF THERAPY. LVTCI CONTINUES TO BE A MEMBER OF THE MEMORIAL SLOAN KETTERING CANCER CENTER ALLIANCE, OF NEW YORK CITY, SINCE MARCH 2016 AND MAINTAINS A RESEARCH PARTNERSHIP WITH THE NATIONAL CANCER INSTITUTE. THE LVTCI FACILITIES INCLUDE PHYSICIANS' OFFICES, MULTIDISCIPLINARY CLINICS, CONFERENCE ROOMS, PRIVATE EDUCATION AND COUNSELING AREAS, RADIATION ONCOLOGY, AND INFUSION CENTERS FOR ONCOLOGY AND NON-ONCOLOGY TREATMENTS. IN FY 2024, OUR MEDICAL, SURGICAL, AND GYNECOLOGIC ONCOLOGY PHYSICIAN PRACTICES WERE ALL TRANSITIONED TO HOSPITAL OUTPATIENT DEPARTMENTS. THE LVTCI RADIATION ONCOLOGY FACILITIES UTILIZE CUTTING-EDGE EQUIPMENT CAPABLE OF DELIVERING HIGHLY ACCURATE RADIATION DOSES, SUCH AS LINEAR ACCELERATORS WITH ALIGNRT AND CALYPSO FOR REAL-TIME POSITIONAL MONITORING, CT SIMULATORS, A GAMMA KNIFE RADIOSURGERY SYSTEM, HIGH DOSE RATE AFTERLOADERS, AND OFFERS A COMPREHENSIVE ARRAY OF RADIATION TREATMENT PROCEDURES, INCLUDING INTENSITY MODULATION RADIATION THERAPY, STEREOTACTIC BODY RADIOTHERAPY, STEREOTACTIC RADIOSURGERY, HIGH AND LOW DOSE RATE BRACHYTHERAPY, SELECTIVE INTERNAL RADIOTHERAPY, AND 3D PRINTING CAPABILITIES TO CREATE PATIENT-SPECIFIC DEVICES TO OPTIMALLY MODULATE THE RADIATION DOSE. IN CALENDAR YEAR 2023, THE CANCER INSTITUTE ESTIMATES 7,000 NEW ANALYTIC CANCER CASES. INPATIENT ONCOLOGY ADMISSIONS WERE 3,872 IN THE FISCAL YEAR ENDING JUNE 30, 2024, AND OUTPATIENT VOLUMES INCLUDED 30,079 TREATMENT VISITS FOR RADIATION PROCEDURES AND 56,909 TREATMENT VISITS FOR INFUSION VISITS. IN 2021, THE CANCER INSTITUTE WAS OFFICIALLY RENAMED THE LEHIGH VALLEY TOPPER CANCER INSTITUTE. THE RENAMING HONORS JOE AND MAUREEN TOPPER, WHO MADE A GENEROUS GIFT THAT WILL BE USED TO BRING THE MOST INNOVATIVE AND LIFESAVING CLINICAL TRIALS TO THIS REGION. THEIR GIFT ALSO COMPLEMENTS NETWORK INVESTMENTS IN ADVANCED CANCER TREATMENTS AND TECHNOLOGIES, INCLUDING STEM CELL TRANSPLANTATION AND CELLULAR THERAPIES. IN FY2024, THE CANCER INSTITUTE LAUNCHED A STEM CELL TRANSPLANT & CELLULAR THERAPY PROGRAM, THE FIRST OF ITS KIND IN THE REGION MADE POSSIBLE BY A GENEROUS DONATION FROM TOM AND KARIN HALL. TO DATE, MULTIPLE ALLOGENEIC AND AUTOLOGOUS TRANSPLANTS HAVE BEEN SUCCESSFULLY COMPLETED, AND THROUGH THE WORK OF THE PROGRAM, LVHN HAS BEEN ACTIVATED AS AN AUTHORIZED TREATMENT CENTER TO OFFER CHIMERIC ANTIGEN RECEPTOR T-CELL THERAPY TREATMENT TO ELIGIBLE PATIENTS. THE ONCOLOGY DIVISION OF THE NETWORK OFFICE OF RESEARCH AND INNOVATION (NORI) HAS CONTINUED TO MEET THEIR YEARLY CLINICAL TRIAL ACCRUAL GOALS WITH ENROLLMENT TO A COMBINATION OF REGISTRY, SURGICAL, TREATMENT, AND RETROSPECTIVE CHART REVIEW STUDIES. NOTABLE ACCOMPLISHMENTS IN 2024 INCLUDED OPENING TWO VACCINE CLINICAL TRIALS, INCLUDING THE ACTIVATION OF A 'REVOLUTIONARY' PANCREATIC CANCER VACCINE TRIAL, IN COLLABORATION WITH THE MEMORIAL SLOAN KETTERING CANCER CENTER ALLIANCE. THE TRIAL ALLOWED THE LVTCI PROGRAM TO ENROLL 3 PATIENTS IN THE REGION'S ONLY CLINICAL TRIAL INVOLVING AN IMMUNOTHERAPEUTIC PANCREATIC CANCER VACCINE. OTHER EXCITING INITIATIVES IN 2024 INCLUDED ACTIVATION OF THE FIRST STEM CELL TRANSPLANT DATA COLLECTION STUDY, TITLED "PROTOCOL FOR A RESEARCH DATABASE FOR HEMATOPOIETIC CELL TRANSPLANTATION, OTHER CELLULAR THERAPIES AND MARROW TOXIC INJURIES," THROUGH COLLABORATION WITH THE CENTER FOR INTERNATIONAL BLOOD AND MARROW TRANSPLANT RESEARCH (CIBMTR). PATIENTS WHO AGREE TO PARTICIPATE WILL HAVE THEIR DATA INCLUDED IN THE CIBMTR DATABASE TO BE USED IN A VARIETY OF RESEARCH STUDIES ABOUT TRANSPLANT AND CELLULAR THERAPIES. ALL PATIENTS WHO RECEIVE A STEM CELL TRANSPLANT OR CELLULAR THERAPY AT LVHN WILL BE OFFERED PARTICIPATION IN THIS DATA COLLECTION STUDY.LEHIGH VALLEY HEART AND VASCULAR INSTITUTE - THE HEART AND VASCULAR INSTITUTE AT LEHIGH VALLEY HEALTH NETWORK (LVHN) HAS ACHIEVED REMARKABLE MILESTONES DURING THE FISCAL YEAR 2024, FURTHER SOLIDIFYING ITS POSITION AS A LEADER IN CARDIOVASCULAR CARE. THESE ACCOMPLISHMENTS REFLECT OUR DEDICATION TO CLINICAL EXCELLENCE, INNOVATION, AND COMMUNITY SERVICE.PROGRAMMATIC MILESTONES AND NEW INITIATIVES - WE INTRODUCED SEVERAL GROUNDBREAKING PROCEDURES AND PROGRAMS THIS YEAR. THE TAMBE PROCEDURE, PERFORMED BY DR. BAVARIA AND HIS TEAM, AND THE INTRODUCTION OF PULSED FIELD ABLATION (PFA) FOR ATRIAL FIBRILLATION MARKED SIGNIFICANT ADVANCEMENTS IN PATIENT CARE. ADDITIONALLY, THE SUCCESSFUL DEBUT OF THE DETOUR PROCEDURE, LED BY DRS. FAMULARO AND ROSHDY, AND THE ESTABLISHMENT OF THE AORTIC SURGERY CENTER OF EXCELLENCE EXPANDED OUR CAPABILITIES IN VASCULAR AND STRUCTURAL HEART CARE.THE INSTITUTE ALSO CELEBRATED THE ADDITION OF NEW TEAM MEMBERS, INCLUDING DR. BAVARIA AND DR. CAHILL, TO SUPPORT GROWING PATIENT NEEDS. WE ALSO SUCCESSFULLY LAUNCHED THE LIMB PRESERVATION PROGRAM AND THE VEIN CENTER.EDUCATIONAL AND RESEARCH EXCELLENCE - OUR EDUCATIONAL INITIATIVES CONTINUED TO GROW WITH THE ONBOARDING OF NEW FELLOWS AND THE GRADUATION OF SKILLED CARDIOLOGY PROFESSIONALS, MANY OF WHOM HAVE SECURED PRESTIGIOUS PLACEMENTS AT INSTITUTIONS LIKE THE CLEVELAND CLINIC AND UPMC.RESEARCH REMAINS A CORNERSTONE OF OUR MISSION, HIGHLIGHTED BY IMPACTFUL PUBLICATIONS, SUCH AS ADVANCEMENTS IN STEMI PROTOCOLS THAT REDUCED DISPARITIES IN CARE AND DR. PATEL'S PIONEERING WORK IN USING AI TO LOWER RADIATION EXPOSURE IN CARDIAC CATHETERIZATION.EXPANDING ACCESS AND ENHANCING PATIENT EXPERIENCE - WE'VE EXPANDED ACCESS TO CARE BY OPENING NEW LOCATIONS IN MACUNGIE AND GILBERTSVILLE, ALONG WITH INCREASING PROCEDURE VOLUMES AT ESTABLISHED SITES. OUR NON-INVASIVE INITIATIVES INCLUDED THE LAUNCH OF THE GILBERTSVILLE CARDIO-DIAGNOSTIC DEPARTMENT AND ENHANCED ACCESS TO ADVANCED DIAGNOSTIC TOOLS LIKE HOLTER MONITORS AND ABPM SYSTEMS.THE IMPLEMENTATION OF INNOVATIVE TECHNOLOGIES, INCLUDING OCTAGOS FOR DEVICE PATIENT MANAGEMENT AND FAST-TRACK PATHWAYS LIKE ER2EP FOR ATRIAL FIBRILLATION, REDUCED PATIENT WAIT TIMES AND UNNECESSARY HOSPITAL ADMISSIONS, FURTHER STREAMLINING CARE DELIVERY.COMMITMENT TO COMMUNITY AND WELLNESS - OUR DEDICATION TO COMMUNITY HEALTH EXTENDED BEYOND CLINICAL CARE. INITIATIVES LIKE THE HAZLETON FLU SHOT DRIVE AND PARTICIPATION IN PROGRAMS LIKE GIRL POWER STEM AND THE HERITAGE HILL HEALTH FAIR REFLECT OUR COMMITMENT TO FOSTERING HEALTH AND EDUCATION ACROSS THE REGION.ADDITIONALLY, WE HONORED OUR RETIRING CARDIOLOGISTS, WHOSE YEARS OF DEDICATION HAVE MADE A LASTING IMPACT ON PATIENT CARE. DRS. COMBS, MOHAN, MUNIR, NGUYEN, AND ROHATGI WERE CELEBRATED FOR THEIR INVALUABLE CONTRIBUTIONS.OPERATIONAL EXCELLENCE AND QUALITY RECOGNITION - IN FY2024, THE HEART AND VASCULAR INSTITUTE SURPASSED QUALITY BENCHMARKS, EARNING 4-STAR RATINGS IN THE NCDR EPDI REGISTRY AND 3-STAR RATINGS IN THE SVS VQI REGISTRIES. THESE ACCOLADES UNDERSCORE OUR COMMITMENT TO DELIVERING TOP-TIER CARDIOVASCULAR CARE.ON THE OPERATIONAL FRONT, PROCEDURAL VOLUMES REACHED NEW HEIGHTS, WITH 5,467 CARDIAC CATHETERIZATIONS, 2,606 ELECTROPHYSIOLOGY CASES, 1,296 OPEN-HEART SURGERIES, AND 237 TRANSCATHETER AORTIC VALVE REPLACEMENTS (TAVRS) PERFORMED AT LVHN.LOOKING AHEAD - AS WE CELEBRATE THESE ACHIEVEMENTS, WE REMAIN FOCUSED ON ADVANCING CARDIOVASCULAR CARE THROUGH INNOVATION, COLLABORATION, AND EXCELLENCE. THE ACCOMPLISHMENTS OF FY2024 SET A STRONG FOUNDATION FOR CONTINUED GROWTH IN FY2025, WHERE WE WILL STRIVE TO REACH EVEN GREATER HEIGHTS IN PATIENT OUTCOMES AND COMMUNITY IMPACT. WE ARE GRATEFUL TO OUR DEDICATED COLLEAGUES, PATIENTS, AND PARTNERS FOR THEIR UNWAVERING SUPPORT.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	THE LEHIGH VALLEY FLEMING NEUROSCIENCE INSTITUTE - THE LEHIGH VALLEY FLEMING NEUROSCIENCE INSTITUTE PERPETUATED ITS LEGACY IN FY2024 AS A WORLD-CLASS TEAM PROVIDING EXTRAORDINARY CARE FOR BRAIN, SPINE, NEUROLOGICAL, AND NEUROSURGICAL DISORDERS. AS A DEDICATED HUB OF COLLABORATION, INNOVATION, EDUCATION, AND RESEARCH, WE CONTINUED OUR EVOLUTION AS A PREMIER DESTINATION FOR CARE FOR THE REGION. WE PRIORITIZED COLLABORATION AND TEAMWORK THROUGH INTERDISCIPLINARY TEAMS, STRESSED ONGOING EDUCATION AND TRAINING, AND MADE DECISIONS BASED ON THE LATEST RESEARCH AND EVIDENCE FOR EVERY PATIENT. ADDITIONALLY, OUR TEAMS POSITIONED THEMSELVES FOR RAPID RESPONSE TO AN EVER-CHANGING NETWORK STRUCTURE AND ITS OPTIMIZATION INITIATIVES FOR IMPROVED ACCESS AND PATIENT EXPERIENCE.TO EXPAND AND CONTINUE TO SERVE AS MANY PATIENTS AS POSSIBLE, OUR INSTITUTE IMPLEMENTED SEVERAL ADDITIONS TO OUR ALREADY-ROBUST OFFERINGS ACROSS THE LEHIGH VALLEY. WE WELCOMED A SECOND NEURO-OPHTHALMOLOGIST, FURTHER EXPANDING ACCESS TO A PROGRAM ONLY OFFERED BY LVHN IN THIS REGION. FOLLOWING A HOSPITAL DISCHARGE FOR STROKE, WE LIKE KEEP PATIENTS CLOSE TO HOME FOR THEIR FOLLOW-UP CARE, SO WE ADDED AN OUTPATIENT CLINIC SITE AT LVH-HECKTOWN OAKS WHICH ALSO INCLUDED THE ADDITION OF OUTPATIENT EEG SERVICES AS WELL. OUR MULTIDISCIPLINARY MUSCLE DISEASE CLINIC LAUNCHED AND WAS ACCOMPANIED BY THE START OF OUR INTERNAL GENETIC COUNSELING PROGRAM FOR THE DIAGNOSIS AND COUNSEL OF NEUROGENETIC DISEASE AND ASSOCIATED FAMILIAL RISK. IN RESPONSE TO FDA-APPROVAL, OUR FLEMING MEMORY CENTER HOUSED ON OUR 17TH STREET CAMPUS BEGAN ANTI-AMYLOID INFUSION THERAPY FOR BIOMARKER-POSITIVE MCI AND EARLY-ONSET ALZHEIMER'S DISEASE. IN THE CONTINUED ADVANCEMENT OF OUR FUNCTIONAL NEUROSURGERY CAPABILITIES, OUR INSTITUTE OBTAINED CAPITAL FUNDING TO ACQUIRE AND INSTALL AND MR-GUIDED FOCUSED ULTRASOUND (MRGFUS) FOR THE TREATMENT OF ESSENTIAL TREMOR AND PARKINSON'S DISEASE. THIS STATE-OF-THE-ART TREATMENT OFFERING OPENED IN OCTOBER 2024 AND THIS PROGRAM MARKS ITSELF AS THE FIRST IN OUR REGION WITH LESS THAN 75 UNITS AVAILABLE IN THE COUNTRY. FINALLY, IN PARTNERSHIP WITH OUR NEURO REHABILITATION PROGRAM, THE VIVISTIM FUNCTIONAL NEUROSURGERY PROGRAM BEGAN IN DECEMBER 2023, WHICH IS A SURGICAL TREATMENT FOR PATIENTS WHO ARE STILL EXPERIENCING UPPER EXTREMITY WEAKNESS FOLLOWING A STROKE.IN ADDITION TO OUR PROGRAM ADVANCEMENTS AND EXPANSIONS, OUR INSTITUTE WAS AWARDED SEVERAL NATIONAL ACCOLADES THROUGHOUT THE COURSE OF THE YEAR. LVH-HECKTOWN OAKS MET ALL EVIDENCE OF STANDARDS COMPLIANCE BY THE JOINT COMMISSION AND WAS AWARDED THEIR FIRST ACUTE STROKE READY CERTIFICATION (ASRH) IN THE HOSPITAL'S HISTORY. COUPLED WITH THAT AND BASED ON QUALITY AND REGULATION STANDARDS BY THE AMERICAN HEART ASSOCIATION, LEHIGH VALLEY HOSPITALS RECEIVED SEVERAL AHA/GWTG AWARDS. LVH-CEDAR CREST WAS AWARDED THE STROKE GOLD PLUS, STROKE ELITE HONOR ROLL, AND ADVANCED THERAPY HONOR ROLL AWARDS AS WELL AS BEING NAMED A HEALTHGRADES 2024 STROKE CARE EXCELLENCE AWARD WINNER. LVH-MUHLENBERG WAS AWARDED THE STROKE GOLD PLUS AND THE STROKE HONOR ROLL AWARDS. LVH-HECKTOWN OAKS EARNED THE STROKE SILVER PLUS AWARD IN JUST THEIR FIRST YEAR OF HAVING STROKE CERTIFICATION. LVH-CEDAR CREST WAS ONCE AGAIN RECOGNIZED AS A "HIGH-PERFORMING" SITE IN NEUROLOGY AND NEUROSURGERY BY USNWR WITH AN OVERALL SCORE OF 58.1 AND A TOTAL RANKING OF 89TH, WHICH WAS A 21-SPOT IMPROVEMENT FROM THE PRIOR YEAR. ADDITIONALLY, THE LVH-CEDAR CREST EPILEPSY TEAM WAS AWARDED THEIR 2-YEAR REACCREDITATION STATUS AS A NATIONAL ASSOCIATION OF EPILEPSY CENTERS LEVEL 3 PROGRAM. BECKER'S HOSPITAL REVIEW RELEASED THEIR LIST OF 70 HOSPITAL AND HEALTH SYSTEMS WITH NOTABLE SPINE AND NEUROSCIENCE PROGRAMS AND LVH-CEDAR CREST MADE THE LIST! THESE NOTABLE PROGRAMS ARE RENOWNED FOR THEIR EXCELLENT OUTCOMES, LEADING SURGICAL TECHNIQUES, AND CUTTING-EDGE RESEARCH IN ADDITION TO FEATURING LEADERS AND TOP SPECIALISTS IN THE FIELD. FINALLY, LVHN WAS NAMED AS A MULTIDISCIPLINARY TEAM OF DISTINCTION BY THE NORTH AMERICAN SKULL BASE SOCIETY. JOINING ONLY 51 OTHER CENTERS IN THE COUNTRY, THIS RECOGNITION CONFIRMS OUR PROGRAM'S COMMITMENT TO THE MULTI-DISCIPLINARY ASSESSMENT, DIAGNOSIS, AND TREATMENT OF THE FULL RANGE OF SKULL BASE PATHOLOGY. ACHIEVEMENT OF THIS DISTINCTION IS MADE POSSIBLE BY THE PARTNERSHIP OF THE 3 LVHN INSTITUTES OF TOPPER CANCER, FLEMING NEUROSCIENCE, AND SURGICAL EXCELLENCE.LEHIGH VALLEY ORTHOPEDIC INSTITUTE - THE LEHIGH VALLEY ORTHOPEDIC INSTITUTE (LVOI) HAS EIGHT MULTIDISCIPLINARY PRACTICES IN THE LEHIGH VALLEY REGION, AND WE PROVIDED 22,100 PROCEDURES TO THE COMMUNITY IN FY2024. THESE PROCEDURES INCLUDE TOTAL JOINT REPLACEMENTS, FOOT AND ANKLE SURGERY, GENERAL ORTHOPEDICS, PEDIATRIC ORTHOPEDICS, ORTHOPEDIC TRAUMA, HAND SURGERY AND PAIN MANAGEMENT PROCEDURES. WE ARE PROUD OF OUR MULTIDISCIPLINARY PROGRAMS THAT ARE LOCATED THROUGHOUT THE LEHIGH VALLEY WHERE WE PROVIDE CARE TO A DIVERSE GROUP OF PATIENTS IN THE COMMUNITY. WE PROVIDE 24/7 ORTHOPEDIC TRAUMA COVERAGE AT LVH-CEDAR CREST, LVH-MUHLENBERG, AND LVH-HECKTOWN OAKS. OUR TEAM IS VERY ACTIVE IN THE COMMUNITY AND COMMITTED TO HIGH QUALITY CARE IN THIS REGION. THE LVOI PROGRAM WAS RANKED 20TH IN THE NATION IN 2024.PERIOPERATIVE SERVICES - PERIOPERATIVE SERVICES AT LVH CONSISTS OF THE SURGICAL AND ENDOSCOPIC STAFF AND FACILITIES WHERE OVER 77,000 PROCEDURES ARE PERFORMED ANNUALLY. SURGICAL PROCEDURES ARE PERFORMED IN 72 OPERATING ROOMS THROUGHOUT LVH, INCLUDING LVH-17TH STREET, LVH-CEDAR CREST, THE LVH CHILDREN'S SURGERY CENTER, LVH-MUHLENBERG, LVH-CARBON, LVH-HECKTOWN OAKS, LVH-1503 NORTH CEDAR CREST, LVH-HIGHLAND AVENUE, AND THE LVHN-TILGHMAN CAMPUSES. THE CHILDREN'S SURGERY CENTER LOCATED AT LVH-CEDAR CREST PROVIDES SPECIALIZED CARE FOR OUR PEDIATRIC POPULATION. PATIENT CARE IN THE OPERATING ROOM IS SUPPORTED BY ANESTHESIA SERVICES, SURGICAL PREP AND STAGING, POST ANESTHESIA RECOVERY, AND STERILE PROCESSING DEPARTMENTS, AMONG OTHERS. LVH PERFORMS ENDOSCOPIC PROCEDURES AT SIX LOCATIONS: LVH-CEDAR CREST, THE LVH CHILDREN'S SURGERY CENTER, LVH-HIGHLAND AVENUE, LVH-CARBON, LVH-HECKTOWN OAKS AND LVH-MUHLENBERG. THE OPERATING ROOM TECHNOLOGIES AND FACILITIES INCLUDE TWO HYBRID OPERATING ROOMS, A TRAUMA CODE OMEGA OPERATING ROOM, 12 DA VINCI SURGICAL ROBOTS, SIX ORTHOPEDIC TOTAL KNEE REPLACEMENT ROBOTS, AND CARDIAC SURGERY OPERATING ROOMS. OPERATING ROOM NURSING STAFF ARE TRAINED TO SUPPORT MULTIPLE SURGICAL DISCIPLINES INCLUDING CARDIAC SURGERY, ORTHOPEDICS, VASCULAR SURGERY, UROLOGY, GENERAL SURGERY, TRANSPLANT SURGERY, GYNECOLOGIC SURGERY, PEDIATRIC SURGERY, AND MANY OTHERS. CUTTING EDGE ENDOSCOPIC TECHNOLOGIES INCLUDE ENDOSCOPIC ULTRASOUND, ENDO-BRONCHIAL ULTRASOUND, AND VIDEO CAPSULE ENDOSCOPY.BEHAVIORAL HEALTH SERVICES - LVH OPERATES INPATIENT BEHAVIORAL HEALTH PROGRAMS FOR ADOLESCENTS AND ADULTS. THE COMBINED PROGRAMS TOTAL 65 BEDS AND SERVES LEHIGH, NORTHAMPTON, CARBON, MONROE, SCHUYLKILL, AND BERKS COUNTIES. CLINICAL PROGRAMS INCLUDE PSYCHIATRIC, PSYCHOLOGICAL, NURSING, DUAL DIAGNOSIS, PSYCHIATRIC REHABILITATION, SOCIAL WORK AND DISCHARGE PLANNING SERVICES. LVH ALSO PROVIDES AMBULATORY BEHAVIORAL HEALTHCARE, INCLUDING: PSYCHIATRIC EVALUATION SERVICES IN ELEVEN HOSPITAL EMERGENCY DEPARTMENTS; THREE PARTIAL HOSPITAL PROGRAMS FOR ADULTS AND ADOLESCENTS; SEVERAL LARGE OUTPATIENT GROUP PRACTICES PROVIDING MULTIDISCIPLINARY SHORT-TERM TREATMENT TO CHILDREN, ADOLESCENTS, ADULTS AND OLDER ADULTS; ONE OUTPATIENT MENTAL HEALTH CLINICS FOR SERIOUSLY AND PERSISTENTLY MENTALLY ILL ADULTS; PSYCHIATRIC HOME CARE; AND, TWO RESIDENTIAL TREATMENT SITES, SUPPORTING AND EDUCATING ADULTS IN INDEPENDENT LIVING SKILLS. BOTH SITES AND THE CLINICS ARE FUNDED IN PART, UNDER A CONTRACT WITH LEHIGH COUNTY DEPARTMENT OF HUMAN SERVICES THROUGH FUNDS PROVIDED BY COUNTY OF LEHIGH AND THE PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE; PSYCHIATRIC HOME CARE SERVICES; BEHAVIORAL HEALTH INTEGRATION IN MEDICAL/PROGRAMS ON MEDICAL/SURGICAL INPATIENT UNITS AND AMBULATORY, PRIMARY CARE AND SPECIALTY PRACTICES. CONSULTATION /LIAISON PSYCHIATRY, EDUCATION AND RESEARCH AND SERVICE OFFERINGS TO SCHOOLS, AND OTHER COMMUNITY AGENCIES ROUND OUT LVH'S CONTRIBUTION TO THE HEALTH AND WELL-BEING OF THE REGION. THE BEHAVIORAL HEALTH SERVICES PROVIDE CLINICAL TRAINING OPPORTUNITIES FOR PHYSICIANS AND OTHER ALLIED HEALTHCARE STUDENTS. A PSYCHIATRIC RESIDENCY WAS ESTABLISHED IN 2019 AND EXPANDED IN 2022. A CHILD AND ADOLESCENT FELLOWSHIP PROGRAM WAS ESTABLISHED IN 2021.

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	TRAUMA AND BURN SERVICES - ON MARCH 13, 2024, THE TRAUMA PROGRAM AT LVH-MUHLENBERG UNDERWENT THEIR THIRD REACCREDITATION SURVEY. THEY WERE SUCCESSFULLY RE-ACCREDITED AS A LEVEL 2 TRAUMA CENTER WITH NO SIGNIFICANT ISSUES IDENTIFIED. THE ACCREDITATION PERIOD WILL EXTEND THROUGH SEPTEMBER 30, 2027.THE FALL 2023 TQIP ADULT BENCHMARK REPORT BASED ON ADMISSION DATA FROM 2022 AND THE FIRST QUARTER OF 2023 WHICH BENCHMARKS THE TRAUMA PROGRAM AGAINST 527 OTHER TQIP CENTERS IN THE COUNTRY HIGHLIGHTED THE LVH-MUHLENBERG TRAUMA PROGRAM AS BEING IN THE FIRST DECILE AND TOP PERFORMER (TOP 10% OF ALL TQIP CENTERS) FOR RISK-ADJUSTED MORTALITY FOR COHORT OF "ALL PATIENTS AND THE FIRST DECILE AND TOP PERFORMER (TOP 10% OF ALL TQIP CENTERS) FOR RISK-ADJUSTED MORTALITY FOR COHORT OF "ELDERLY".WE ARE PLEASED TO SHARE THAT ON JULY 8TH, 2024, HKO BEGAN KEEPING ORTHOPEDIC TRAUMA PATIENTS, SUPPORTED BY 24/7, 365-DAY CALL COVERAGE. FROM JULY 8TH TO AUGUST 31ST, A TOTAL OF 22 ORTHOPEDIC TRAUMA PATIENTS WERE ENTERED INTO THE TRAUMA REGISTRY. OF THESE, WE SUCCESSFULLY ADMITTED 14 TO LVH-HECKTOWN OAKS, INCLUDING 7 SURGICAL CASES. ADDITIONALLY, OUR TRAUMA AMBULANCE VOLUME IN AUGUST 2024 WAS THE HIGHEST RECORDED TO DATE WITH AN INCREASE IN THE NUMBER OF PATIENTS BROUGHT TO THE ED BY EMS. THIS MARKS A SIGNIFICANT ACHIEVEMENT IN EXPANDING OUR TRAUMA CARE CAPABILITIES.LVH-CEDAR CREST MEETS THE BENCHMARK IN RISK ADJUSTED MORTALITY OF ALL PATIENTS WITH AN OBSERVED 7.6%, COMPARED TO THE TQIP AVERAGE OF 7.8%. THIS INCLUDES A MORTALITY RATE OF 44.8 % FOR OUR SEVERE TBI PATIENTS COMPARED TO THE EXPECTED RATE OF 52.9% AND BELOW THE TQIP AVERAGE OF 47.6%. THIS IS IN THE TOP DECILE AND A CREDIT TO THE OUTSTANDING CARE OUR NEUROSURGERY COLLEAGUES PROVIDE TO OUR PATIENTS WITH THE MOST SEVERE BRAIN INJURIES. THIS OUTSTANDING PERFORMANCE COMPARED TO THE BENCHMARK IS ALSO TRUE AT THE LVH-MUHLENBERG LEVEL II TRAUMA CENTER.LVH-CEDAR CREST RECEIVED ANOTHER GRANT THIS PAST FY FOR $2.5 MILLION DOLLARS FOR A TOTAL OF ALMOST $5 MILLION DOLLARS SINCE 2021 FROM THE PENNSYLVANIA COMMISSION ON CRIME AND DELINQUENCY TO COLLABORATE WITH THE PROMISE NEIGHBORHOOD OF THE LEHIGH VALLEY TO STOP THE CYCLE OF VIOLENCE WITHIN OUR COMMUNITIES. THIS GRANT EXPANDED SERVICES TO OUR NORTHERN TIER HOSPITALS TO VICTIMS AND THE FAMILIES OF VIOLENCE WHILE HOSPITALIZED AS WELL AS WHEN THEY RETURN TO THE COMMUNITIES SERVED BY LVHN. THESE POSITIONS PLAY AN IMPORTANT ROLE IN THE OVERALL CARE OF THE TRAUMA PATIENT. THESE GRANTS WILL BE ACTIVE UNTIL DECEMBER 2025.OUR BURN FELLOWSHIP PROGRAM WAS SUCCESSFUL AND CONTINUES FOR A SECOND YEAR WITH A NEW FELLOW. OUR GOAL REMAINS TO EXPAND BURN KNOWLEDGE AND EXPERTISE TO SUPPORT HIGH QUALITY BURN CARE AROUND THE COUNTRY.OUR BURN CENTER WAS RE-VERIFIED BY THE AMERICAN BURN ASSOCIATION AS AN ADULT AND PEDIATRIC DESIGNATED BURN CENTER. VERIFICATION IS THE ABA'S MARK OF DISTINCTION FOR BURN CENTERS AROUND THE WORLD. WE HAVE MAINTAINED THIS STATUS SINCE 2005. WE HAVE HIRED A TELEBURN OUTREACH LIAISON WHO IS HELPING TO EXPAND AND PROVIDE FACE TO FACE SUPPORT FOR OUR TELEBURN PROGRAM. WOMEN'S SERVICES - LVH OFFERS WIDE-RANGING WOMEN'S HEALTH PROGRAMS AND SERVICES DESIGNED TO PROVIDE COMPLETE, EVIDENCE-BASED CARE FOR WOMEN IN THE LEHIGH VALLEY AND THE SURROUNDING REGION. OBSTETRICS - DELIVERIES AT LVH-CEDAR CREST TOTALED 3,186 DURING THE FISCAL YEAR ENDING JUNE 30, 2024, AN INCREASE OF 2% OVER PRIOR YEAR. IN THE SAME TIME FRAME, DELIVERIES AT LVH-MUHLENBERG TOTALED 1,434. AT LVH-CEDAR CREST, TEAM-BASED OBSTETRICAL CARE IS PROVIDED BY COVERAGE WITH CERTIFIED NURSE MIDWIVES, OBSTETRIC HOSPITALISTS, AND GENERAL OBSTETRICIANS WITH MATERNAL-FETAL MEDICINE SPECIALISTS AVAILABLE FOR HIGH-RISK CONSULTATION. PAIRED WITH OUR LEVEL 4 NICU AND OTHER SPECIALTY SERVICES INCLUDING CRITICAL CARE, THIS CAMPUS SERVES AS A TERTIARY CARE REGIONAL REFERRAL HOSPITAL FOR HIGH-RISK MATERNITY AND NEWBORN CARE BOTH WITHIN AND OUTSIDE OUR NETWORK. THE CARE AT LVH-MUHLENBERG IS OFFERED BY GENERAL OB/GYN PHYSICIANS WITH SOME MIDWIFERY SUPPORT, AND IS SUPPORTED BY A LEVEL 2 NICU.BIRTHS THAT OCCUR AT LVH-CEDAR CREST AND LVH-MUHLENBERG ARE PRIMARILY TO PATIENTS WHO RECEIVED PRENATAL CARE AT OUR MANY LEHIGH VALLEY PHYSICIAN GROUP (LVPG) OBSTETRICS AND GYNECOLOGY PRACTICES ACROSS FIVE COUNTIES. A LESSER NUMBER ARE PATIENTS WHO RECEIVE PRENATAL CARE AT THE CENTER FOR WOMEN'S MEDICINE (CWM), PART OF VALLEY HEALTH PARTNERS, LOCATED IN ALLENTOWN. TO SUPPLEMENT THE PRENATAL CARE, ULTRASOUND SERVICES IN THE OFFICE ARE ACCREDITED BY THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE (AIUM). LVPG OB/GYN OFFICE PRACTICES ALSO OFFER ON-SITE BEHAVIORAL HEALTH SERVICES PROVIDED BY FOUR LICENSED PROFESSIONAL COUNSELORS IN CONJUNCTION WITH THE DEPARTMENT OF PSYCHIATRY. THEY ALSO CONTINUE TO OFFER THE CONNECTIONS PROGRAM WHICH PROVIDES SPECIALIZED CARE FOR WOMEN WITH SUBSTANCE USE DISORDERS IN PREGNANCY. A NEW PROGRAM, WOMEN ADJUSTING TO VARIOUS EMOTIONAL STATES OR WAVES, WAS INTRODUCED IN FY2024. THE PROGRAM IS DESIGNED FOR WOMEN WHO ARE DEALING WITH THE EMOTIONS OF PREGNANCY AND MOTHERHOOD. LVPG-MIDWIFERY WAS ESTABLISHED AS THE AREA'S FIRST EVER FACILITY EXCLUSIVELY DEDICATED TO PROVIDING OUTPATIENT MIDWIFERY SERVICES. FAMILIES ACROSS THE REGION NOW HAVE THE OPTION TO CHOOSE A CERTIFIED NURSE MIDWIFE (CNM) FOR PRENATAL AND ROUTINE PREGNANCY CARE, POST-PARTUM CARE, FAMILY PLANNING AND ROUTINE GYNECOLOGICAL CARE. OFFERING THE AREA'S FIRST CENTERING PREGNANCY PROGRAM, AN EVIDENCE-BASED GROUP PRENATAL CARE MODEL, LVPG-MIDWIFERY GOES BEYOND TRADITIONAL PRENATAL CARE TO PROVIDE A WELCOMING GROUP LEARNING ENVIRONMENT. BIRTHING PERSONS NOW HAVE BOTH TRADITIONAL AND NOVEL PRENATAL CARE OPTIONS, INCLUDING A VIRTUAL OPTION. MATERNAL FETAL MEDICINE (MFM) SPECIALISTS ARE AVAILABLE FOR CONSULTATION AND FOR RECEIVING OF TRANSPORTS FROM OTHER LVHN CAMPUSES AS WELL AS OTHER HOSPITALS OUTSIDE LVHN. IN ADDITION, THE MFM PRACTICE HAS OFFICE LOCATIONS LOCALLY IN LEHIGH AND NORTHAMPTON COUNTIES, AND THEY PROVIDE SERVICES ON-SITE AND VIRTUALLY TO OUR THREE OTHER REGIONAL DELIVERING HOSPITALS. MFM PHYSICIANS' SERVICES INCLUDE HIGHEST LEVEL ULTRASONOGRAPHY (AND TELEHEALTH SERVICES), FETAL ECHOCARDIOGRAPHY, GENETIC COUNSELING, AMNIOCENTESIS, CHORIONIC VILLUS SAMPLING, COMPLEX DELIVERY SERVICES AND UNIQUE WELL-ESTABLISHED MULTI-DISCIPLINARY PROGRAMS FOR PATIENTS WITH DIABETES, HEART DISEASE, KIDNEY DISEASE, NEUROLOGICAL DISEASE, AND DISORDERS OF THE PLACENTA. THE GROUP ESTABLISHED THE REGION'S FIRST MFM FELLOWSHIP PROGRAM IN FY2024. LVH-CEDAR CREST AND LVH-MUHLENBERG ARE DESIGNATED AS BABY FRIENDLY FACILITIES, SUPPORTING THE WORLD HEALTH ORGANIZATION'S 10 STEPS TO SUCCESSFUL BREASTFEEDING. AT PRESENT, ONLY 514 FACILITIES IN THE US HAVE BEEN AWARDED THIS TITLE. THIS DESIGNATION REFLECTS NETWORK COMMITMENT TO BREASTFEEDING. IT ALSO REPRESENTS A THIRD-PARTY VERIFICATION THAT HOLDS THE FACILITIES ACCOUNTABLE FOR BOTH QUALITY AND SAFETY. LVH WAS ALSO HONORED TO RECEIVE CAPITAL BLUE CROSS/HIGHMARK BLUE DISTINCTION, US NEWS AND WORLD REPORT TOP PERFORMING MATERNITY HOSPITAL. IN ADDITION, BOTH LVH-CEDAR CREST AND LVH-MUHLENBERG RECEIVED BRONZE AWARDS FROM THE PA PERINATAL QUALITY COLLABORATIVE DESIGNATIONS PROGRAM FOR DEMONSTRATING COMMITMENT TO QUALITY IMPROVEMENT AND SAFETY FOR BIRTHING PEOPLE AND BABIES IN THE SPRING OF FY2024. GYNECOLOGY - AMBULATORY WOMEN'S HEALTH IS PROVIDED IN THE SAME LVPG AND CWM PRACTICES NOTED ABOVE. WELL-WOMAN CARE IS OFFERED THROUGH A COMPREHENSIVE PATHWAY INCLUDING ALL THE ELEMENTS RECOMMENDED BY THE NATIONAL WOMEN'S PREVENTIVE SERVICES INITIATIVE. NUMEROUS WOMEN'S HEALTH SPECIALTY PROGRAMS NOW EXIST TO SUPPORT THE UNIQUE NEEDS FOR OUR PATIENTS. THESE PROGRAMS INCLUDE CHRONIC PELVIC PAIN, SEXUAL HEALTH, PEDIATRIC AND ADOLESCENT CARE, ADVANCED GYNECOLOGIC ULTRASOUND, AND OBESITY MEDICINE, WITH SEVERAL OTHERS IN DEVELOPMENT. COMPREHENSIVE AND STATE-OF-THE-ART SURGICAL SERVICES INCLUDE MIS (MINIMALLY INVASIVE SURGERY) INTERVENTIONS WITH ROBOTICALLY ASSISTED, LAPAROSCOPIC, AND VAGINAL SURGERY APPROACHES. IN THE FISCAL YEAR ENDING JUNE 30, 2024, OVER 2,800 SURGICAL CASES WERE PERFORMED BY GENERAL OB/GYN IN THE LVH-LICENSED FACILITIES, AND OVER 700 WERE PERFORMED BY FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGEONS.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses3,235,291,933

(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) SUSAN C YEE........................................................................ TRUSTEE	1.00 .......................	X			0	0	0
(19) MICHAEL N MINEAR MS........................................................................ SVP & CHIEF INFORMATION OFFICER	60.00 .......................		X		1,229,888	0	8,737
(20) EDWARD C DOUGHERTY........................................................................ SVP & CHIEF BUSINESS DEVELOPMENT OFFICER	60.00 .......................		X		1,086,529	0	17,748
(21) LYNN K TURNER........................................................................ CHIEF HUMAN RESOURCES OFFICER	60.00 .......................		X		916,758	0	1,720
(22) RONALD S FREUDENBERGER........................................................................ PHYSICIAN-IN-CHIEF, CARDIAC INSTITUTE	60.00 .......................		X		887,766	0	25,459
(23) SURESH G NAIR MD........................................................................ PHYSICIAN-IN-CHIEF, CANCER INSTITUTE	60.00 .......................		X		816,097	0	19,579
(24) BRIAN A NESTER DO........................................................................ FORMER TRUSTEE	0.00 .......................60.00			X	3,185,963	0	17,748
(25) JOSEPH E PATRUNO MD........................................................................ FORMER TRUSTEE	0.00 .......................			X	0	407,411	26,629
(26) MARTIN K TILL........................................................................ FORMER TRUSTEE	0.00 .......................60.00			X	0	794,444	19,579
(27) STEPHEN ZIENIEWICZ........................................................................ FORMER TRUSTEE	0.00 .......................			X	830,333	0	5,481

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	16,464,013	2,542,423	339,031

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	50,300
d	Related organizations		1d
e	Government grants (contributions)		1e	8,447,151

f	All other contributions, gifts, grants, and similar amounts not included above		1f	19,901,496

g	Noncash contributions included in lines 1a - 1f:$		1g	287,210

h Total. Add lines 1a-1f.......		28,398,947

		Business Code
2a	OUTPATIENT REVENUE	621400	1,802,881,769	1,753,977,509	48,904,260
b	INPATIENT REVENUE	621990	1,390,301,076	1,388,359,029	1,942,047
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		3,193,182,845

3 Investment income (including dividends, interest, and othersimilar amounts) ......			18,252,110		101,978	18,150,132
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	25,212,556
b	Less: rental expenses	6b	21,430,672
c	Rental income or (loss)	6c	3,781,884
d	Net rental income or (loss).......			3,781,884	3,781,884
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	375,769,158
b	Less: cost or other basis and sales expenses	7b	338,244,304	183,729,830
c	Gain or (loss)	7c	37,524,854	-183,729,830
d	Net gain or (loss).........			-146,204,976	-146,540,965	335,989
8a	Gross income from fundraising events (not including $ 50,300of contributions reported on line 1c). See Part IV, line 18 ....
			8a	1,658,908
b	Less: direct expenses ...		8b	666,749
c	Net income or (loss) from fundraising events..			992,159			992,159
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	RESEARCH & MISC INCOME		900099	119,212,566	119,141,744	70,822
b	HEALTH NETWORK LABORAT		621500	5,161,657	3,662,929	1,498,728
c	LEHIGH VALLEY PHO		900003	1,639,535	1,639,535
d	All other revenue ....
e	Total. Add lines 11a–11d ......			126,013,758
12	Total revenue. See instructions.....			3,224,416,727	3,124,021,665	52,853,824	19,142,291

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 ...........	3,382,804	3,382,804
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 ...........	16,712,080	16,712,080
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........	943,513,895	872,181,651	69,099,525	2,232,719
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	44,194,806	40,141,930	3,939,812	113,064
9	Other employee benefits .......	213,610,683	200,942,370	12,261,450	406,863
10	Payroll taxes ...........	70,453,359	65,096,078	5,183,659	173,622
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	20,346,409	8,647,455	11,698,954
c	Accounting ...........	855,621	64,083	791,538
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)	253,222,055	249,971,602	3,222,226	28,227
12	Advertising and promotion ....	26,166,101	3,474,162	22,593,503	98,436
13	Office expenses .......	2,293,138	2,135,234	154,356	3,548
14	Information technology ......	495,033	490,091	4,942
15	Royalties ..
16	Occupancy ...........	145,731,290	141,402,437	4,296,494	32,359
17	Travel ............	3,002,189	2,604,083	389,576	8,530
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	3,276,637	2,851,567	409,212	15,858
20	Interest ...........	48,846,184	48,846,184
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	127,101,985	127,053,327	48,658
23	Insurance ...	27,778,078	23,784,529	3,993,549
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	614,767,506	614,763,778	3,728
b	PURCHASED SERVICES	545,137,043	528,924,068	16,180,840	32,135
c	BAD DEBTS EXPENSE	121,930,490	121,930,490
d	CONTRACTED LABOR	44,733,664	42,327,666	2,405,998
e	All other expenses	196,802,878	117,564,264	79,026,208	212,406
25	Total functional expenses. Add lines 1 through 24e	3,474,353,928	3,235,291,933	235,704,228	3,357,767
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 ........			21,422	1	56,614,620
2	Savings and temporary cash investments .........			12,384,439	2	573,481
3	Pledges and grants receivable, net ......			17,548,178	3	23,348,040
4	Accounts receivable, net .............			372,201,140	4	428,718,168
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 ...........			104,793,308	7	31,609,198
8	Inventories for sale or use ............			51,144,429	8	57,188,535
9	Prepaid expenses and deferred charges ......			73,034,950	9	76,037,822
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,809,240,453
b	Less: accumulated depreciation	10b	1,538,049,753	1,349,645,280	10c	1,271,190,700
11	Investments—publicly traded securities .			871,120,545	11	1,184,445,565
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..			272,181,204	13	86,386,376
14	Intangible assets ...............			228,359,155	14	276,915,430
15	Other assets. See Part IV, line 11 ...........			106,694,337	15	90,266,087
16	Total assets. Add lines 1 through 15 (must equal line 33)...			3,459,128,387	16	3,583,294,022

17	Accounts payable and accrued expenses .....	208,950,481	17	302,023,166
18	Grants payable ...		18
19	Deferred revenue .........	11,674,360	19	10,104,831
20	Tax-exempt bond liabilities .........	1,032,739,673	20	903,731,674
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 ..	16,499,088	23	72,159,717
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	418,251,612	25	731,527,641
26	Total liabilities. Add lines 17 through 25..	1,688,115,214	26	2,019,547,029

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	1,494,718,250	27	1,268,083,326
28	Net assets with donor restrictions ...........	276,294,923	28	295,663,667
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	1,771,013,173	32	1,563,746,993
33	Total liabilities and net assets/fund balances ........	3,459,128,387	33	3,583,294,022