Lehigh Valley Hospital

“The organization's sole corporate member is lehigh valley health network, inc.”

“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.”

“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.”

“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.”

“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.”

“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 t”

“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.”

“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.”

“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.”

“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 per”

“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 part”

“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”

“Unfunded pension -20,895,015. Transfers to/from affiliates 59,619,740.”